Bakgrund: Mer än en av tio nyblivna mammor visar tecken på depression efter en förlossning och detta kan ha negativ inverkan på barnets utveckling och föräldraparets relation. I Sverige screenas alla nyblivna mammor för förlossningsdepression då barnet är 6-8 veckor. Nyblivna pappor kan också drabbas av förlossningsdepression men det finns ingen rutin för att screena dem.Syfte: Syftet med föreliggande studie var att undersöka BVC-sjuksköterskors erfarenheter och hantering av förlossningsdepression hos nyblivna föräldrar på BVC.Metod: Studien är baserad på åtta semistrukturerade intervjuer med BVC-sjuksköterskor. Datan analyserades med kvalitativ innehållsanalys med induktiv ansats.Resultat: Av analysen framkom fem kategorier vilka är; svårigheter att identifiera förlossningsdepression, känsla av otillräcklighet, att stödja föräldrarna, användning av screeninginstrument och att observera samt med 13 underkategorier.Konklusion: BVC-sjuksköterskor upplevde att det inte var vanligt med förlossningsdepression hos nyblivna föräldrar. Det var ibland svårt att skilja på förlossningsdepression och depressiva symtom av andra orsaker.

Bakgrund: Hypertoni är ett av de stora folkhälsoproblemen i Sverige idag. Grunden i behandlingen är fysisk aktivitet. 2001 infördes Fysisk aktivitet på Recept (FaR) som metod för att minska fysisk inaktivitet. Distriktssköterskor inom primärvården är de som förväntas ta en stor del av ansvaret i det preventiva och hälsofrämjande arbetet. Det är ofta de som möter patienterna med hypertoni för uppföljning av blodtrycket.

AbstractSeveral of researchers have reflected that the school ought to be developed to a learning organization. A method as proceed from such a perspective and should be able to match a local child- and educations administration is problembased school development. To investigate in which ways a child- and educations administration prosecute a problem based learning inside the organization a case study was used as research strategy. The question this report gives answer to is:In what/which way works a child- and educations administration in a rural district with a method to fulfil a problembased learning.To collect empiric data a canvassing inquiry was accomplished among the child- and educations administrations group of management. According to the research result it can declares that there are good conditions for the organization to prosecute problem based school development, but there is yet a great deal to do before it´s can be said totally fulfilled.

Background:Alzheimer´s disease is a so-called degenerative dementia in which brain cells gradually degenerate and die. The disease causes memory disorders and the trait of character disappears. Alzheimer´s disease also affects the related parties that may take a great responsibility. Related caregivers are entitled to support from healthcare. Aim:The aim of the study was to describe the experiences of being related when caring for a person suffering from Alzheimer´s disease.

 The number of hidden refugees in Sweden is estimated to be at least 15,000. The law, which only allows this group a very limited access to health care, can be considered to clash with the human rights and the ethical codes related to the health care professionals.The aim of the study was to examine how the personnel in public health care may experience treating hidden refugees and which ethical conflicts that may be connected to this. The study, which is of a qualitative descriptive design, is based on eight semi-structured interviews. The interviewees were trained nurses and mid-wives in an emergency room, a maternity ward and a health care centre for asylum seekers.The experience of treating hidden refugees amongst the informants was limited. The study proved that the knowledge of laws and guidelines regarding hidden refugees amongst the interviewed health care personnel was poor.

Multiprofessional teams is a common way of organizing the work in rehabilitationmedicine clinics. Team members are usually physicians, physiotherapists, occupationaltherapists, counselors and nurses where the counselor is the only one from the psycho-social discipline. Team care interventions are provided from a holistic perspective inwhich the patient's physical, psychological and social rehabilitation is taken intoconsideration. The meetings between the professional team and patient have the mainpurpose to increase patient participation. The aim of the study is to observe and analyzecommunication between the professionals, the patient and their relatives during teammeetings.

Integration is a concept that is very topical in today's multicultural-cultural society. Integration means that everyone should have the same rights, opportunities and obligations to society, regardless of extraction. What counteract integration is segregation, which implies a distinction between different groups and where there exist an inequality between them. Segregation is widespread in Sweden today and the exclusion that it creates needs to be broken. The aim of this paper is to examine if it is possible to promote integra-tion through physical planning.

Acquiring a former station building can mean that the property owners must familiarize themselves with a lot of planning and building regulations. After the new Planning and Building Act code into force in 2011, the responsibility lie on the developer to ensure laws and regulations. Based on the regulatory framework that is available occurs sometimes balance issues, between care requirements and building codes. The station building in Ormaryd was acquired in 2009 by two individuals who intended to accommodate office and retail space in the building. In doing so a new local plan of the area was established, including regulations on how the building could be used. By including road safety and noise, the risk was not considered appropriate to use the station building for housing.

Objective: The objective was to examine the incidence of constipation, and the preventive measures taken in relation with postoperative pain treatment with opioids at two orthopaedic surgery wards.Methods: The participants were patients that had undergone surgery in the back, hip or thigh. They were selected through systematic selection and a total of 46 electronic health records were examined. The factors investigated and tested for correlation with constipation were the usage of laxatives, daily fluid-intake and early mobilisation.Results: Totally, 26.1 % of the patients became constipated, and laxatives were prescribed to 65.2 % of the patients. Doctors prescribed 53.3 % of the laxatives, nurses 33.3 % and for the remaining 13.3 % it was uncertain who had written the prescription. Usage of laxatives seemed to cause constipation (p=0,025), whereas there was no correlation between constipation and early mobilization.

Fjärrvärmen utgör idag ungefär 12 % (48 TWh) av Sveriges totala energianvändning. Starka argument att använda fjärrvärme för att tillgodose bostäders och lokalers värmebehov är möjligheten att använda olika bränslen av skiftande pris och kvalitet, den goda verkningsgraden en centraliserad värmeanläggning erhåller samt fördelen med att kombinera produktionen av el och värme.Halmstad energi och miljö (HEM), förser Halmstad och närområdet med fjärrvärme och total mängd producerad energi uppgick 2009 till 596 GWh. Avfall och biobränsle utgör den största produktionsandelen men även industriell spillvärme samt mindre mängder olja och naturgas används för att framställa värme.Konkurrenssituationen för fjärrvärme är på många orter i det närmsta monopolistisk där en stor aktör äger hela marknaden. Det är viktigt att förbättra fjärrvärmesystemet för att i framtiden behålla dess konkurrenskraft. Följande rapport utreder och beskriver åtgärder för att göra ett redan befintligt fjärrvärmesystem mer effektivt.Utifrån möten med personal på HEM har tio punkter presenterats, vilka utvärderar olika delmoment i Halmstads fjärrvärmesystem.

Syftet med studien var att beskriva nyutbildade distriktssköterskors upplevelse av första tiden i yrket. Studien genomfördes som en semistrukturerad intervjustudie och hade en deskriptiv design. Intervjuerna genomfördes med tio nyutbildade distriktssköterskor inom primärvården i ett län i Mellansverige. Materialet analyserades med hjälp av kvalitativ innehållsanalys. Resultatet redovisas utifrån tre kategorier: Utbildningen förbereder för yrkesrollen men det mesta lärs genom att utöva yrket, Inställning och tidigare erfarenhet påverkar upplevelsen av att vara nybliven distriktssköterska och Viktigt med praktiska förutsättningar för att lära sig yrket.

Aim: To describe perceptions about written and verbal information regarding diet and physical activity in women with breast cancer and to study possible differences between ages and perception. Method: A cross-sectional study was conducted and consisted of 57 women with breast cancer stages I-III who started adjuvant chemotherapy within a year (2007-2008). A questionnaire, regarding their perceptions about the written and verbal information they had received about diet and physical activity, was responded to three months following treatment completion. Between 67-93 % of the participants responded to the questions. The answers was analyzed with descriptive statistics and Mann Whitney U-test.

Background:Alzheimer's disease is a disease that primarily affects the elderly but also younger people. Alzheimer's disease is a type of dementia which means that you get changes in the cerebral cortex and cells gradually die. The disease causes memory loss and things that were obvious before will be difficult for the sufferer. Alzheimer's disease also affects next of kin to a large degree; they will have to take a great responsibility. The next of kin are entitled to support from healthcare.Aim:The aim was to highlight next of kin' experiences of healthcare to their family members with Alzheimer's disease.Method: The study was based on narratives, which in this case means analysis of autobiographies.

AbstractThe future of ethanol is depending on good solutions for the production. ENA energy power plant produces electrical power and district heating by heating biofuel. By building an integrated bioenergy plant surplus steam could be used to produce ethanol as fuel to vehicle.This would mean that ethanol is produced renewable energy and the energy for the process derives from the surplus of power.  ENA energy, MDH (the University of Mälardalen) and the energy authority has initiated a research project were different bioenergy combinations integrate with existing power plant.  As a part of the project which size an integrated factory should be to gain the best efficiency for the plant was investigated. Consideration will be taken to the cost of the production in order to be competitive to the price of imported ethanol.  Etanolens framtid vilar på bra lösningar för framställning.  I ENA energi kraftverk i Enköping produceras el och fjärrvärme genom eldning av biobränsle.  Genom att bygga ett integrerat bioenergikraftverk där skulle man kunna använda överskottsånga till att framställa etanol som fordonsbränsle.

Bakgrund: Astma är en folksjukdom som ökar kraftigt bland den svenska befolkningen. Sjukdomens svårighetsgrad kan påverka livskvalitet och arbetsförmågan.För att kunna hantera sjukdomen och minska besvären kan sjuksköterskan lära ut handlingar för egenvård. Syfte: Att belysa hur sjuksköterskor undervisar vuxna patienter med astma bronkiale. Metod: Litteraturstudien grundade sig på tidigare forskning och användes 10 vetenskapliga artiklar från Cinahl, PubMed och Psykinfodatabas. Artiklarna har varit både kvalitativa och kvantitativa.