Constipation is a common problem for people with dementia and it may result in discomfort, suffering and lower quality of life. Nurses in municipal nursing homes have difficult to observe and prevent these problems because they do not participate in the daily caring work. The aim of this study was to illustrate the nurse assistants? reflections about the care they gave people with dementia and constipation. Main questions vas how they became aware of such problems and what they did when someone had problem with constipation.

The purpose of this master?s thesis is to study resource allocation among district libraries within Stockholm?s City Library (SSB) on three different occasions ? 1996, 2001 and 2005 ? and to examine whether there exist any inconsistency between the state of the allocation of resources and what might be considered reasonable. During the course of the study, it became apparent that some measurements are more relevant than others when determining whether the allocation of resources is reasonably fair. The most relevant ratio is the share of net cost per capita in relation to population and the population?s composition of children, youngsters and persons with foreign background as a result of relevant political governing documents giving priority to these three groups.

The most common form of female cancer in Sweden is breast cancer and the primary choice of treatment is surgery. Removing a woman's breasts is not just removing a body part but is also strongly linked to the emotional life. This has psychosocial consequences and the reactions will be different depending on how people perceive health and illness. Factors that matter are both personal experiences and cultural factors such as religion, family, and the own standards and values. It is important that a nurse is aware of cultural factors that may influence the perception of care.

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.

Death can be seen as a sensitive subject and can by that be difficult for many people to talk about. Working as a nurse can imply caring for severe ill and dying patients, which can be regarded as a task that makes great demands. The aim of the present literature review is to illustrate nurses' experiences of problems in association with the care of dying patients to be aware of these. Nine scientific articles were analysed and the result showed that the problems the nurses experienced could be related to four different categories: problems related to organisa-tion/resources, to the nurse herself, to the patient and to family members. The literature review also illustrates consequences of these problems for nurses, and which components that could simplify the nursing care of dying patients..

Many of todays studies show that district heating is one of the betteralternatives as heating source because of its low environmental load.The energy source is often leftovers from other processes producing energy or waste, like garbage or chips.Electricity in combination with geothermal heating is another heating system that has increased sharply during the last years, and also this system decreases the discharges that have negative affectson the environment compared to several other heating methods.This report aims to, concentrated towards these two different heating systems, estimate the amounts of discharges they indirect cause and how the environment is affected.We have calculated the mean value for discharges of carbon dioxide, nitrogen oxide, sulphur oxide and dust generated from electrical power used in Sweden.Through interviews and research we have gained data for the same substances that district heating based on combustion of garbage and biofuel generates.We have also in cooperation with a housing company chosen a building we see representative for many of the new single-family houses built in Sweden today.Based on its shape and appearance we theoretically created three alternatives of the same house, each of them with climate screens different from each other.Together with the amounts of discharged environmental affecting substances, these houses were the base for our calculations and studies when investigating the different heating sources environmental effect.The results have thereafter been analyzed and discussed from different angles..

This thesis examines a possible control strategy to minimize flow fluctuations in Uppsala?s district heating system. High variations in flow rate may lead to complications caused by hydraulic constraints in the district heating system. These complications, such as inadequate pressure and temperature levels, increase the risk of heat delivery failures. It is therefore important to avoid such situations both for the producer and for the customers.Typically, the forward temperature is controlled by using a rough correlation with respect to the outdoor temperature.

The concept of planetary boundaries was introduced in the year 2009 by a group ofresearchers led by Johan Rockström and Will Steffen. The group presented a draft of thelimits of the planet regarding nine Earth System processes concerning climate change, oceanacidification, stratospheric ozone depletion, atmospheric aerosol loading, interference with Pand N cycles, global freshwater use, land-system change, rate of biodiversity loss andchemical pollution. The starting point for the study presented in this report was that asustainable development only can be achieved if humankind stays within the boundaries. It istherefore, based on the ongoing urbanization, relevant to evaluate how cities affect the EarthSystem processes. The aim of the study was to investigate if Stockholm Royal Seaport (NorraDjurgårdsstaden), a district in the northeast of Stockholm with a clear environmental profile,affects the Earth System processes less than Stockholm in general does.

The aim with this master thesis is to study which ambitions and strategic aims Gothenburg?s district libraries have regarding their music sections. I have utilized my theory from Sanna Talja, a Finnish researcher in Library and Information Science. She identifies three perspectives in maintaining a music library. She calls them, general education, alternative and demand.

SammanfattningSyftet med studien var att beskriva distriktssköterskors reflektioner kring att arbeta med kroniska bensår. Studien genomfördes som en semistrukturerad intervjustudie och hade deskriptiv design. Totalt sexton distriktssköterskor intervjuades, åtta distriktssköterskor med landstinget som arbetsgivare och åtta distriktssköterskor med kommunal arbetsgivare. Materialet analyserades med kvalitativ innehållsanalys. Resultatet visade att distriktssköterskorna ansåg att arbetet med kroniska bensår var ett vanligt förekommande arbetsmoment samt att bristande samarbete från patienten var en bidragande orsak till långa behandlingstider och utebliven sårläkning.

Arvika Fjärrvärme AB, a district heating company from Arvika, today cover 74 % of their total energy production with biofuel wich runs a 16 MW bioler giving process water at saturated liquid state.In recent years Vaporel AB has introduced a new tecnique that gives an external generation of steam after boilers. The concept is built on an adiabatic pressure drop of the saturated liquid in a so called Flashbox which makes a small part of the liquid to evaporate. The generated steam is lead into a turbine where electricity is in a conventional manner.The purpose with this rapport was to do a basic study for the specific system at Arvika where it?s possible to see the potential production of electricity that follows an installation of a flasbox.The final goal was to introduce an economic analysis of a flashox installation at given conditions.To reach our goals we have created a model in Excel where we used the given conditions at Arvika Fjärrvärme to do our calculations. The model has been tested at three different states, of process water returning to potboiler, to be able to decide the optimal operation for the system at present.The studies have resulted in a pressure of the processwater at 14,5 bar (at) and a pressuredrop to 9,5 bar (at) in the flashbox.

This master?s degree project concerns the combination of a multi dwelling passive house with solar energy for the generation of electricity and domestic hot water (DHW). Different alternatives with either solar thermal systems or photovoltaic (PV) systems are compared with two reference alternatives producing DHW from electricity or district heating. The economical comparison uses a life cycle cost (LCC) perspective based on the present value of expenditures for investment, energy and annual operating and maintenance.The energy yields from the solar energy systems were calculated by hand and with simulation software. Calculation and dimensioning of PV systems were carried out with a software called PVSYST.

Breast cancer is the most common form of cancer affecting women. The treatment of breast cancer may lead to forcing the woman to remove her breast. The breast is a symbol of femininity and sexuality for many women. The purpose of this literature-based study is to describe women's experiences of altered body image and sexuality after mastectomy. This may provide a better understanding of the nurse in responding to these breast cancer patients.

Bakgrund: Antalet patienter med hjärtsvikt kommer att öka i framtiden då fler äldre överlever en hjärtinfarkt vilket är en vanlig orsak till hjärtsvikt. Många patienter med hjärtsvikt väljer att vårdas i sitt hem vilket innebär en utmaning för distriktssköterskor i den kommunala hälso- och sjukvården. Syfte: Syftet med denna studie är att belysa distriktssköterskors stöd till patienter med svår hjärtsvikt som vårdas i hemmet inom kommunal hälso- och sjukvård. Metod: Genom intervjuer samlades data in från sex distriktssköterskor. Data analyserades med kvalitativ innehållsanalys med induktiv ansats.

Bakgrund: Distriktssköterskor har i Sverige haft förskrivningsrätt sedan mitten av 1990-talet. Anledningen från början var att underlätta för läkarna, framför allt på landsbygden där läkartätheten var låg. Socialstyrelsen genomförde år 2000 en uppföljning av hur förskrivningsrätten användes. Författarna ville se om och/eller hur förskrivningen har förändrats samt hur förskrivningen ser ut i Sverige jämfört med andra länder. Syfte: Syftet med studien var att beskriva distriktssköterskans erfarenheter av att förskriva läkemedel i hemsjukvården samt deras uppfattning om förskrivningsrättens framtida utveckling inom distriktssköterskeproffessionen.