Background: Examinations with the intent to assess neurological functions and level of conciousness are common in neurocritical care, but the effect on the patient is not entirely researched.Aim: The purpose of this study was to describe the patient?s situation at the neurological wake-up test concerning the environment, nursing interventions and the possibility given the patient to become awake, and if these conditions affect the outcome of the wake-up test.Methods: A quantitative observational study took place at a neurocritical care unit, where 20 patients were observed from interruption of sedation to the neurological assessment, which was performed by a neurosurgeon or a specialized critical care registered nurse. Nursing interventions, environmental factors and physiological parameters were documented.Result: Twelve intervention varieties to control patients? physiological parameters were used. CPP > 80 mmHg was found in 90 % of observations.

The industrial sector accounts for a large share of greenhouse gas emissions. To reduce its negative impact on the environment is crucial in the quest for a sustainable future. In discussions of the industrial sector's impact on the environment guidelines have been highlighted as a tool to assist the industries in their efforts to change the relationship between the consumption of energy and production. This by improving energy efficiency and a shift to the best available technology. During the past 30 years the steel industry has reduced its energy consumption per ton of steel produced by 50 percent.

Att vara sjuksköterskestudent innebär mycket klinisk praktik. Möjlighet erbjuds att känna på hur det dagliga arbetet organiseras på klinikerna. Erfarenheter av detta gav inspiration till denna studie. Hur upplever människor att vara del av en organisation? Syftet med studien var att sammanställa beskrivningar av upplevelser från beprövade sätt att organisera omvårdnadsarbetet inom sjuksköterskans område.

SAMMANFATTNING En bristfällig munvård kan leda till olika sjukdomstillstånd. En god munvård är en viktig del i det fysiska och psykiska välbefinnandet. Allt fler äldre personer behåller idag sina egna tänder. De som inte kan sköta sin egen munvård p.g.a. sjukdom eller åldrande behöver därför hjälp.

This thesis puts together general guidelines for the design of outdoor environment at nursing homes for people with dementia. The goal is to give the residents a greater quality of life with the garden.The garden must be safe and secure while offering places for fellowship or retirement and experiences of joy and competence. The plant material and other elements in the garden are inserted to stimulate the senses and to inspire to different activities. The paper describes the health promoting effects of nature and gardens by referring to scientific studies. These studies encompass the impact of nature on all human beings as well as how the outdoor environment affects our target group, elderly people with dementia. An essential part of the work focus on the conditions in a garden for people with dementia, on the contact between residence and garden and the access to surrounding life. Eventually, the general guidelines are applied to a real building project ? the Vega project in Lomma,a new nursing home for persons with dementia.

To increase the understanding of how individuals total life situation affects their stress level and health has lately more frequently been discussed in different contexts. Furthermore, it is important to have knowledge of power structures that exist under given circumstances in a society to get an increased understanding of how to structure the health promoting work to get the highest possible benefits. People?s work life is essential to their health, since we spend a lot of time at work. The aim of this study was to find out which factors that relate to nursing staff?s health and stress level from a general perspective.

Background: It is required that health care professionals continuously work with patient safety and quality improvements, and the skills of registered nurses are significant in this work. However, quality improvement also requires commitment and knowledge about how to improve health care and ensure patient safety. There is a lack of studies that highlights the importance of supportive functions for this work. Nurses in clinical settings can be utilized as facilitators that make things easier for other health care professionals who are engaged in quality improvement and patient safety. In order to gain understanding about the significance and needs of nurses with a role of facilitator, it is urgent to learn from their experiences of facilitating quality improvement in health care.Aim: The aim was to study nurses? experiences of facilitating quality improvement of nursing care, patient safety and multi-professional collaboration in health care.Method: Semi-structured qualitative interviews were performed with ten registered nurses who had experience of being in the role of facilitators.

Wound care of the horse?s distal part of the leg is challenging. Due to that distal limb wounds are easily enlarged, infected and generally heal slower than wounds on the body of the horse, the need for improved wound nursing arise. One way of improving wound nursing is to evaluate new ways of healing treatment. In this study, evaluation was made of a new product consisting of lactic acid bacteria and honey.

sjuksköterska (I. Dahl).

At two nursing homes for people with dementia a qualitative study was performed. The purpose was to investigate the therapy dog?s meaning to people with dementia from their perspective. Two women and five men with dementia were interviewed, everyone being somewhere between 60 and 87 years of age. All but one had previously owned a dog at some point in their lives.

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.

During the end of the nineteenth century and the beginning of the twentieth century Sweden experienced social changes. The proceeding industrialization led to a process of urbanization where people were forced, more or less, in to the cities to find work. The traditional agricultural self-sufficiency society was successively replaced by salaried employment. This meant that family and home was no longer the major centre of production, nurturance and care. In order to support themselves and their families, even women applied for industrial work.

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.

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..

Background: HIV/AIDS has existed officially for more than 35 years and is now seen as a global epidemic. The disease has claimed many victims and there is no indication showing decrease of the mortality rate. The disease is currently incurable, but antiretroviral drugs have good effect at slowing down the process. The persons who live with the disease are exposed to stigma and, sometimes, negative attitudes. The negative attitudes could affect the person?s willingness carry through the test.