A district heating plant has the advantage that it can take advantage of the waste heat from industries and use of cheap fuels to produce heat. But for the long term is competitive requires that energy is also saved in district heating plants. One way to save energy in a district heating system is to increasing cooling to the return temperature. This leads to less power needed to drive the distribution pumps,  and that more energy could be extracted from the same amount of fuel by an improved flue gas condensation.In Karlskoga the return temperature into the district heating plant is high. They would therefore reduce the return temperature in order to extract more energy from the flue gases.

Stroke is a widespread disease in Sweden. Nurses play a central part for those who suffer from a stroke irrespective of where in the care chain they meet. To be able to meet the patients? need of care the nurse must understand his/her lifeworld. Each and every patient is unique and the experience of being struck by a stroke depends on personality and life situation.

Deliberate self harm as defined pathologically as well as socially is becoming an increasing phenomenon within forensic psychiatry. Nurses working with patients who have self harm behaviour and are confined to forensic psychiatry face different challenges which affect their feelings and attitudes in different ways, in their nursing practice.Purpose: To explore nurses? experiences of caring for patients who suffer from deliberate self harm behaviour and are confined to forensic psychiatry.Method: Qualitative semi- structured interview s from eight nurses working within the forensic psychiatric clinic. Interviews were analysed by using a qualitative content analysis.Results: They worked strategically and emphasized the importance of teamwork, good communication and urged for the need to get necessary education, staff focused tutoring and patient focused therapy.Conclusion: Need for necessary education, patient focused therapy and staff focused tutor is needed to empower staff working with patients who are confined within forensic psychiatry and suffer from deliberate self harm behaviour..

During the autumn of 2008 I obtained office experience by working at the local government of Örnsköldsvik. I started working on the district green plan of the green structure and that led to the work of this exam paper. The purpose of this exam paper has been to define some standpoints for the green structure of the local government district of Örnsköldsvik. I have used both a larger and a smaller scale to obtain a wide a perspective as possible of the green structure. The larger scale gives an overall view of the whole municipality while the smaller scale is found in the study of the two local areas Centrum and Domsjö. For the local government planning to be able to obtain an agreeable level of verdure to the residents it is necessary that the green structure is brought up on the agenda.

Background: Delirium is a serious condition that often affects hospitalized elder. The condition can be described as an overstrain of the brain which results in a disturbed consciousness. Elder people are particularly vulnerable since many of the risk factors develops with old age. The treatment aims to find and treat the underlying cause. Purpose: The purpose of this literature review was to illuminate factors beneficial for the nursing care of hospitalized elder with delirium.

The purpose of this study was to examine whether there were any differences in how first-line managers within   municipal care   rated their management leadership qualities, and structural empowerment before and after the course in "leadership, learning and improvement". The study had a quasi-experimental design and 64 managers participated. There was a significant improvement in the LaMI factor ?Achievement orientation?, after participation in the course "leadership, learning and improvement". In other factors, there was no significant difference before and after training.

AbstractThe aim of the thesis was to examine some older people's experiences of everyday life and how it is to grow old in Namibia today. Because everyday life is a broad concept, we chose to focus on some specific parts of everyday life. These are chores, family, work/education, elderly past and present and the government/society. Furthermore we chose to look at the similarities and differences between the experiences on the basis of gender, race/ethnic groups and class.We chose to use a qualitative research method and to be inspired by life stories. We used a semi-structured interview guide and interviewed six people between 70 and 89 years.

Kvinnor som utsätts för våld i nära relationer är ett globalt folkhälsoproblem, då våldets konsekvenser innebär ett liv av skuld, skam och lidande hos kvinnorna. Hälso- och sjukvårdspersonalen har en unik och viktig roll i att hitta och identifiera kvinnorna. Syftet med studien var att beskriva hur kvinnor som utsätts för våld i nära relationer upplever mötet med hälso- och sjukvården. En litteraturstudie där tolv vetenskapliga artiklar har granskats och analyserats och som ligger till grund för resultatet. Resultatet bygger på tre kategorier: Att inte bli sedd och hörd, Att känna rädsla, skam och skuld samt Att inte känna stöd.

This thesis studies whether private equity owned firms within the Swedish welfare sector distinguish themselves in terms of tax planning and short-termism from a control group consisting of other privately owned welfare firms. For the first time, the comparison is made on the entire welfare sector, between 14 matched pairs within education, health care and elderly care. We use financial metrics associated with tax planning and short-termism in sign tests to examine whether the private equity owned firms differ from our control group. The financial metrics tested are actual and paid tax rates, level of interest, book-tax gap, investments, personnel expenses per employee, and cash earnings. We find that the private equity owned firms in terms of tax planning only differ in the level of interest, while no notable differences are found in terms of short-termism..

Lung cancer is a disease which patients experience stigma in society and in care. This is because lung cancer is often seen as a self-inflicted disease. The stigma surrounding lung cancer is due to the strong relationship with smoking and have been shown to have a negative impact on the perceived health. The purpose of this study was to illuminate experiences of stigma for patients with lung cancer. The literature review was based on 11 scientific articles.

An individual's social capital consists largely of the social networks that may consist offamily, friends and acquaintances. The social network is of great significance on olderpeople's physical and mental health. Aim: The overall purpose is to examine the knowledgeof social network and the health of the elderly. Method: Litterature review, using threedifferent databases, CINAHL, PubMed and Scoupus for searching of articles, with differentcombinations of keywords. Results: Different types of social networks have both positive andnegative effects on health.

70 % of the lakes and waters in the water district of northern Baltic Sea do not reach the requirements for good ecological status. This is mostly due to eutrophication caused by a too high deliverance of nutrients from agricultural land or effluents. Losses of particulate phosphorus through water erosion contribute to a great extent to this eutrophication. In the action plan for the water district cover crops are mentioned as a measure for reducing losses of phosphorus from arable land. This paper reviews the possible effect of cover crops in the water district and discusses what crop that would be most suitable.

A home for elderly is planed to be built at Zakrisdal, Karlstad, Sweden. The heat source for the building was at the time not determined. In order by the local government of Karlstad this report is meant to examine if the need of heat could be provided only by solar heat combined with a seasonal heat storage. The problem to solve is, if the need of heat from the home for elderly is provided from only solar heat, whitch dimensions of the solar collectors and the storage is needed?.

Aim Our aim is to highlight perceptions of fibromyalgia among health care personell.MethodsA systematic literature review conducted with a deductive approach.FindingsHealth care personell felt insecure because of a lack of understanding which lead to avoiding contact with these patients. Many felt that the fibromyalgia patient was categorised and that they would have been better served with another name of their disease. There was a great distrust against the diagnosis and its aetiology. The patient was perceived as troublesome, illness-fixated and draining the personell of energy. The paradox that the patient is looking so healthy but bearing so much pain was confusing for the health care personell.Conclusions Communication and an empathic encounter was identified as important elements for patient care.

The aim with this study was to examine what it is that govern the way that municipalities develop the non-institutional care for youth. An extensive development of non-institutional care for children is a visible trend in municipal social service and probable reasons for this development are, among other things, research that show inadequate results of the institution care and economy. Our main questions at issue were how the municipalities argue the priorities that have been done within their youth care services with regard to the non-institutional care and how they reason considering this? Furthermore we asked why the municipalities have chosen to develop their non-institutional care for youth the way they have and on what grounds they make their choices? This study consists of eight qualitative interviews with politicians and employees in four different municipals along with analysis of relevant documents. We have found that what governs the way that municipalities develop the non-institutional care for youth has to do with that the municipalities found it vital to find alternative solutions to the expensive and ineffective institutional care, that they comprehend that the quality of non-institutional care are higher then of the institutional care and that the non- institutional care is seen as more effective with regards to economic results and achieved treatment results.