Heart failure is the most common reason to hospitalization among persons over 65 years old. Self-care is an important part in the treatment of heart failure, but poor information and knowledge limits the ability of self-care and increases the risk of admission to hospital.The aim of the study was to investigate what information patients with heart failure describes that they receive from health care personal, how information is perceived, who provides the information, and on what occasions it is given. The aim was also to investigate whether patients' perception of knowledge about heart failure increased after hospitalization.The study is cross-sectional study with a descriptive design. A consecutive selection was used. A questionnaire was filled in by 28 participants.The study has shown that patients with heart failure largely experience information about heart failure inadequate.

Background: Peripheral arterial disease (PAD), as a consequence of atherosclerosis in the arteria of the limbs, affects one of ten Swedes older than 65. PAD can develop slowly and silently, and involves an increased risk for cardiac infarction and stroke. Measurement of the patient´s ankle blood pressure and calculation of the ankle-brachial index is an evidence-based method to discover PAD. Objective: To investigate how district nurses and general practitioners perceive this method of examination and experience possible obstacles to why it is not more commonly applied at primary health care centres. Method: Data collected by semi-structured interviews have been processed by qualitative content analysis with a manifest onset.

Syftet med studien var att undersöka hur samarbetet för individer med samsjuklighet ser ut mellan kommun och landsting samt hur möjligheterna ser ut till samordnad vård och behandling. Frågeställningarna var att ta reda på hur samarbetet ser ut mellan kommun och landsting gällande individer med samsjuklighet samt vilka tillvägagångssätt som finns för att förbättra samordnad vård och behandling mellan kommun och landsting. Studien genomfördes med kvalitativa semistrukturerade intervjuer. Den teoretiska utgångspunkten var Fridolfs (2004) fyra motiv till ett bra samarbete. Utifrån det hermeneutiska synsättet tolkades intervjuerna inför resultatet med hjälp av innehållsanalys.

I detta examensarbete analyseras ett förortsområde respektive den gamla stadskärnan i Vilnius, Litauens huvudstad. I arbetet framgår bland annat att tätheten i Gamla stan är ungefär dubbelt så hög som i de båda modernistiska förorterna Justini?k?s och Vir?uli?k?s. Vidare ger Jane Jacobs teorier ledtrådar till vad det är som gör vissa stadsmiljöer och parker mer attraktiva än andra. Bebyggelsens öppenhet och slutenhet analyseras med en ny metod, som grundar sig i en tredimensionell beräkning av hur många procent av himlen man ser från varje given punkt i ett geografiskt område. I examensarbetet presenteras en förtätningsstrategi som kan användas i förnyelsen av storskaliga modernistiska förorter både i Vilnius och internationellt.

Arbetes syfte är att resultera i ett planförslag för Pottholmen och svara på tre frågeställningar som behandlar översvämningsrisk, tillgången till offentliga och mer privata delar och möjligheten till ökad vattenkontakt. För att få en förståelse för Pottholmen har jag använt mig av metoden realistisk stadsanalys. Jag har även använt mig av Kevin Lynch begrepp för att kartera området. Resultatet av arbetet blev ett planförslag över ett nytt område som är intressant att röra sig genom tack vare användningen av Gordon Cullens teori om serial vision och som är uppbyggt av både offentliga, halvoffentliga och halvprivata rum enligt Jan Gehls teorier..

This BSc thesis is a part of an initial step of a collaboration between Skansen and Kenyan Wildlife Service (KWS) and constitutes of an inventory of the Nairobi Animal Orphanage run by KWS. Animal Orphanage takes care of orphaned and injured animals arriving from throughout Kenya. The project started out as a refuge and as a temporary place for animals in need of care and help. With time it has evolved to an establishment that resembles and functions more like an animal zoo. The aim of this inventory is to focus on how the biological needs of Congo grey parrots ( Psittacus erithacus erithacus) and cheetahs (Acinonyx jubatus) are met, in terms of management and housing.

Now a day?s there is dramatic change from traditional to digital information processing in construction industry. This change can be visualized in the project concept stage where it now has accessibility to join all the data in one place. Location-based planning technique simplifies scheduling by visualizing the schedule efficiently and has many advantages such as might shortened the project period by about 10 - 20 % if the company uses location-based technology, reducing risks in many ways by maintaining production continuity and identify collisions between things etc. Vico Office software has been used for Location based planning technique and in this thesis.The purpose of this thesis work was to demonstrate how location -based planning technology change the scheduling stage in Peab, potentially reducing the project time.

The purpose of this paper is to perform an in-depth analysis of how New Public Management reforms have impacted management practises in two publicly financed elderly care providers in Sweden. The paper studies one public and one private elderly care provider and analyses to what extent they have implemented New Public Management methods. The results are based on interviews with several persons within the two organisations and analysed using the seven New Public Management doctrines as described by Christopher Hood (1991; 1995). The major finding in the thesis is that the level of exposure towards New Public Management reforms differs between the two studied organisations where the private provider is exposed to the reforms to a greater extent than the public. The paper concludes that the main reasons for the low extent of exposure in the public provider could be attributed to the lack of measurable standards performance as well as the proximity to the political leadership..

Detta arbete berör kunskaper och frågor kring hur vi använder och har använt oss av landsbygden som bo- och arbetsplats, samt hur dess karaktär och gestaltning upplevs och påverkas av utveckling och ett förändrat användande. Genom ortsanalyser på två mindre landsbygdsorter i Karlskrona kommun registreras och karaktäriseras landsbygdens särdrag, upplevda kvalitéer och begränsningar. Inventering och analys sker genom ortsanalysmetoden Estetisk Byutformning, framtagen av Thomas Thiis-Evensen, samt genom samtal med boende där tankar och upplevelser sammanställs i en mental karta. Adekvat forskning, skriftliga källor, strategier och kommunala planer studeras och skapar tillsammans med analysresultaten en bas för framtida utveckling och gestaltning av landsbygdens bebyggelse. Utifrån insamlat material skapas riktlinjer för framtida komplettering av bebyggelse, dessa i form av utvecklingsprinciper med syfte att bevara och utveckla landsbygdens agrara karaktär. Med dessa utvecklingsprinciper som utgångspunkt föreslås sedan ett planförslag med gestaltningsprogram för bostadsutveckling på västra Möcklö, beläget vid Karlskrona kommuns östra kust..

This thesis seeks to investigate the relationship between municipal policy for housing supply and the planning of new housing in Sweden. Through a case study of Göteborg municipality and a comparative content analysis of Göteborgs policy for housing supply and a number of plans featuring housing the analysis seeks to investigate the effect of policy for housing supply as a tool for securing the demand for housing in the Swedish municipalities. The thesis also seeks to discuss its findings using theory concerning the implementation of policy and the general planning situation for Swedish municipalities today. The result of the analysis shows that most plans fail to regulate most of the content suggested in the policy for housing supply, particularly regarding aspects such as pricing, type of housing and type of ownership. The result also points towards a relationship regarding the prevalence of municipal land contracts and compatibility to policy for housing supply as well as a connection between how extensive the plans are in their proposed land use and their compatibility with policy for housing supply.

Patients in intensive care are often intubated, and therefore unable to speak, which leads to difficulties in communication. The ICU is a very stressful environment and can be experienced as foreign and frightening by both patients and their close ones. The ICU nurse?s caring responsibilities includes both the care of the critically ill patient and the support of relatives who are often in shock. This balance is not always straightforward, and acting professionally in both instances can lead to problems.

To have a forest area close to the city is of great importance for the city population?s well being. Children develop their motor skills, concentration and imagina-tion and the adults have a place to shake of the stress from work. Forest areas are used to exercise at, play in and to find a moment of peace and silence. The urban forest and the old farming pastures at Markussonvallen and Per-Isakssonvallen already has natural assets worth to preserve and a great potential to create more. The goal is to develop a forest with a variation of tree species and ground vegetation that will appeal to the human senses and different animal species such as birds, insects etc.

Bakgrund: Specialistsjuksköterskan ska uppta patientberättelsen och utifrån sinspecialiserade kunskap om medicinska eller psykiatriska tillstånd göra en korrekt bedömning.Sjuksköterskan ska från sin bedömning sedan förse patienterna med adekvata vårdåtgärder. IGöteborg har andelen ambulansuppdrag som klassificeras som psykiatrisk sjukdom ökat desista åren. Med anledning av det planerar ambulanssjukvården i Göteborg en speciellpsykiatriambulans med dubbelkompetens, en sjuksköterska som har specialistkunskap inompsykiatri samt en ambulanssjuksköterska. I Stockholm skall en psykiatriambulans införas 1april 2015 men inte med dubbelkompetens. Anledningarna till planen att introducera enpsykiatriambulans är att utveckla den akuta prehospitala vården bland annat genom att hjälpapatienter med psykiatrisk problematik till rätt vårdnivå.

This thesis investigates management accounting systems in a Swedish health care environment. Through a qualitative case study of an activity-based cost accounting system that was introduced in 1994 at S:t Görans Sjukhus, a large Stockholm hospital, the following questions are addressed: What benefits can an activity-based cost accounting system offer the Swedish health care providers? What are the potential problems impeding the implementation of such a system? Main findings: an activity-based cost accounting system can improve the understanding of where costs are generated in the production processes. Comparisons between alternative production processes are improved, and the data may serve as a basis for internal pricing measures. Concerning the second question, difficulty in reconciliating the principles of economic control with the culture present in a hospital is identified as the main obstacle to a new management accounting system..

When the population is getting older, the need for complex care and nursing interventions in elderly care increases. To create a holistic view of the elder and their life situation, interprofessional team collaboration is often desirable and necessary. Teamwork is often described in positive terms, but previous research has shown that this work method is complicated and requires constant reflection and development. The purpose of this study was to investigate how elderly care teamwork is formed in the interaction between representatives of different professionals. To accomplish this purpose, we have studied how the team members define a well-functioning teamwork and difficulties, and how consensus is achieved in the team.