Background: The district nurse's competence description is comprehensive and sets high standards for a wide range of skills. The population's need for health care will rise according to life expectancy, lifestyle diseases and multi-morbidity increases. To graduate as a district nurse, 75 higher education credits are needed and after graduation, the district nurse must have developed both personal qualities and gained skills that makes it possible to work in primary care, child / school health care and home care. Aim: The aim of this study is to highlight the newly qualified district nurse experiences in developing professional identity and describe on how this development affects nursing.Method: In the pilot study a qualitative method with an inductive approach was used, and data collection was made by four semi-structured interviews. The interviews were analyzed using qualitative content analysis.

Long transport of products is an environmental issue discussed to an increasing extent. The consumers are increasingly aware of how far our comestibles really have been transported. The increasing levels of environmental emissions are something that concerns people. The question is nevertheless delicate and many choose to ignore it. This is no longer an option.

This thesis aims to examine the viability of various techniques for increased electricity generation in CHP plants and the effect of electricity price fluctuations on the profitability.The techniques examined are fuel dryer, pellet production, methane production, combined methane- and pellet production, seasonal heating storages in caverns and pit heat storages and condensing tail. Using Excel and Matlab, the prerequisites for investment costs, revenues and expenses were calculated.What affects the price of electricity is a combination of economic and technological development, energy prices, economic structure, population changes and weather. Different scenarios for the electricity price were therefore examined. In the base case, the electricity price was given by the Nord Pool electricity price statistics of area three in 2011. Thereafter, WiMo was used to design the electricity scenarios for 2030, which was then applied to the data to obtain the viability of various scenarios. The techniques examined were found to give greater profits to the CHP plant by increasing and optimizing the production of electricity.

Construction production always contains different disciplines whose priorities andinterests can be very diverse. Good communication and coordination are essential tominimize misunderstandings and achieve good quality in the end result. This makesplanning a central part of the production management. In a world where conditionscan change as often as daily, being well prepared increases the opportunities to stayflexible and decrease negative effects of the changes.This study has been done in association with Skanska Foundations district North inStockholm in order to investigate how visual planning can be used in the productionmanagement to optimize the coordination and the quality.The history of Lean started at Toyota, but the concept are now spread over theworld and are used wide outside of the car industry nowadays. What?s challengingabout Lean in foundation projects is to embrace a long-term perspective and invest insolutions that are profitable in the longer term, instead of solve problems by onlytreating the symptoms.A holistic perspective is crucial in order to truly understand Lean.

Fuel pellets are a refined bio fuel mostly consisting of residues from sawmills and wood industry. At Rindi Västerdala AB's combined bio energy plant in Vansbro fuel pellets are produced, while the waste heat from the process is used for district heating. The pellets are produced from sawdust, wood shavings and dry wood chips that is dried, milled and pressed into small cylindrical rods. The advantage of refining the wood material in this manner is that the energy value is greater per unit volume and unit weight, thereby the cost of transportation per energy unit is reduced. Also, less storage space is needed.Pellet manufacturing is a complex process since many parameters affects the final results.

Overweight and obesity in children is an extensive and accelerating problem in the western world. The risk factors for overweight are well- known and well-documented. Focus should lie in the prophylactic work in order to prevent overweight and obesity in preschool children. The aim of our study has been to highlight the role of the district nurse in her/his work to prevent overweight and obesity in preschool children. The study was carried out through studies as a literature review.

AbstractBackgroundWorking in primary care with chronic leg ulcers is both time-consuming and difficult. There is a large category of patients with leg ulcers, that is expected to increase in a number of years, and many of them will probably come to a district nurse for help.AimThe aim of this study was to describe the district nurses' experiences of caring for patients with chronic leg ulcers in primary care.MethodThe approach was qualitative. The study was done with a phenomenological life-world approach. Seven district nurses working in primary care were interviewed. The phenomenological perspective focuses on the respondents? own life-world and has openness to the interviewee's own experiences.

Climate change is one of the most difficult problems that humans have to deal with. Today, the evidence of human effects on the climate change and the rise of temperature on earth are strong. It is extremely important that all countries get together and cooperate in order to be able to solve the problem with climate change. One step in the work on climate changes is the Convention on Climate Change, which was agreed on in 1992. The Convention on Climate Change resulted in the Kyoto Protocol in 1997. The Kyoto Protocol is an agreement between a number of industrialized countries to limit or reduce the green gas emissions.

This report contains a study of replacing nuclear power with biofuel. The nuclear plant, OKG north of Oskarshamn in Sweden has been chosen and an extensive literature study about the nuclear plant has been implemented. The main aspect of this report is the availability of biofuels and whether it would be economically sustainable. Sweden?s most common biofuels are examined with regard to scope of use and potential.

Smallholder farmers in low-income countries face a number of challenges in animal production. Animal husbandry carries great potential in reducing poverty, hunger and gender inequality, but at the same time infectious diseases are prominent threats to farmers? livelihoods and their animals. The objective of this study was to investigate the socioeconomic impact of infectious animal diseases on smallholder farmers in low-income countries, using African swine fever (ASF) in Uganda as an example. The study was conducted in two parts. The first part of the study was questionnaire-based and performed in Gulu district, northern Uganda.

AbstractThe Municipality Council decided in 2010 to develop a comprehensive energy efficiency strategy with financial and methodological support from Energimyndigheten (The Swedish Energy Agency). The strategy should include 3 major parts: an inventory of the 2009 energy use defining the current situation, the 2014 and 2020 goals for energy use, and an action plan for goal achievements. According to Energimyndigheten, the strategy must include all municipal administration premises, vehicles, and all majority-owned companies (as Laholmshem, the municipal housing company).The report describes the inventory work in order to obtain the 2009 energy use and the sources of information used. The inventory values are used as the base year values for the 2014 and 2020 goals. The inventory showed that information about the vehicles is dispersed in the municipal administration and no clear structure exists with respect to mileage and fuels used.

Advanced homecare, district nurses experiences, palliative care, quality of life,Advanced homecare is an arranged specialized medical service doing nursing round-the-clock. The care is preformed in cooperation with a multi-professional team formed of different professions. Advanced home care is mostly palliative care. The purpose is to give the patient better quality of life and anticipate, survey and palliate symptoms. The aim of this study was to describe the experiences of district nurses using advanced homecare when nursing patients with palliative care at home.

Vattenfall district Heating power plant in Uppsala produces district cooling with absorption heat pumps which leads to a large amount of waste heat that has to be cooled with evaporative cooling towers. The Environmental Court has ordered Vattenfall to survey the possibilities to recover the heat, which is the focus of this thesis.The study begins with an overview of the system, and conditions and limitations for waste heat recovery is examined. In the next step alternatives to recycle the heat is evaluated, either by direct recovering or by upgrading.First, the technical possibility of each alternative is discussed, and then the operation time and the amount of recovered heat is calculated. Those alternatives which are possible are brought further to an economic analysis.The cost of investment for each alternative constitutes the basis for a present value analysis. The results are put together in a table where the total amount of recovered heat is compared with the present value for the different alternatives.

Lean Production is used by many manufacturing companies. Companies in process industries do not use Lean Production to the same extent today. This is part of the report's issue to explore how Lean Production can be applied to a company in the process industries.The investigated company is a processing company that manufactures various types of foil. The company wishes to streamline its production and has therefore asked the authors to examine if Lean Production can offer the company improvements in their production. Lean Production value stream mapping tool has been selected to identify and analyze the current state of two of its products in production.

Energy supply in Sweden year 2011 amounted to 577 TWh. The final energy consumption for industrial, residential and service was 379 TWh. Sweden has energy policy goals to reduce energy use in buildings. One of these goals is to reduce the energy use by 20 % in 2020 compared to the year 1995. An important step to achieve this goal is to target energy efficiency measures in existing buildings.