The energy use in a workshop company has been examined in this work in order to find areas for energy efficiency improvement. The combined oil and electricity heating in the company were compared with other alternative heating systems including cooling of the premises in following combinations:Ground source heat pump for heating and coolingDistrict heating and absorption coolingDistrict heating and low temperate surface water coolingEnergy use, operation costs and carbon dioxide emissions were calculated for the current heating systems and the three alternatives including cooling. The ground source heat pump for heating and cooling decreases bought energy with 34 MWh annually compared to current heating only. The district heating and low temperate surface water cooling has the largest reduction of operation cost and carbon dioxide. The operation cost decreases with 42 kSEK and the carbon dioxide with 43 metric ton CO2 annually.

Background: Earlier studies show that nurses work environment is a factor that may affect the quality in nursing care negatively. Other factors are: number of employees, working hours, work structure and planning and working relationships between colleagues. Work relationships are particularly important for nurses as they can affect patient safety. Nurses are prone to stressrelated illnesses and high stress levels prove to have a negative affect on the quality of nursing care. To develop and assure the quality demands effort from every employee.

The purpose of this master thesis is to investigate different types of measures for making buildings more energy efficient and to estimate their profitability. The calculations were performed with the building simulation program VIP+ and the evaluation of the profitability with the life cycle cost method. Furthermore, it was examined how losses in the distribution of secondary systems of district heating can be avoided. Options to replace district heating with a local district heating system based on bio-energy have been investigated. The possibilities of achieving more efficient thermal energy consumption and production for the chosen estate were also examined.The object of the study has been a residential estate with 133 detached houses in Uppsala, built in 1974.

The district heating load is seasonally dependent, with a low load during periods of high ambient temperature. Thermal energy storage (TES) has the potential to shift heating loads from winter to summer, thus reducing cost and environmental impact of District Heat production. In this study, a concept of high temperature borehole thermal energy storage (HT-BTES) together with a pellet heating plant for temperature boost, is presented and evaluated by its technical limitations, its ability to supply heat, its function within the district heating system, as well as its environmental impact and economic viability in Gothenburg, Sweden, a city with access to high quantities of waste heat.The concept has proven potentially environmentally friendly and potentially profitable if its design is balanced to achieve a good enough supply temperature from the HT-BTES. The size of the heat storage, the distance between boreholes and low borehole thermal resistance are key parameters to achieve high temperature. Profitability increases if a location with lower temperature demand, as well as risk of future shortage of supply, can be met.

This essay focuses on the elderly and their religious beliefs and is based on the origin idea of a secular Sweden, but where immigration has been the source of additional various religious affiliations. This study intends to nuance the problems that previous researchers focused on when doing research on immigration, by interviewing staff members of nursing homes in immigrant dense areas, especially Malmoe, Gothenburg and Stockholm.The aim is to investigate how the allocation of residents, with different religious than Protestant Christians, is distributed at nursing homes and to see if there is a need for adjustments. Additionally, the thesis about immigrants and immigrants' identity and attitudes to Swedish society is discussed with John Berry´s acculturation theories and strategies.The results show that the majority of the nursing homes have residents with different religious affiliations and that some practical adjustments have been done, but it also shows that nursing homes have changed to the extent that they have adapted to a secular society. Ignorance and prejudice contribute to the problem in terms of seeing all residents as individuals and at the same time ensuring adaption according to all their needs, which is exemplified in the solutions made by using multi-cultural staff members and specialized departments. The relationship between nursing homes and the Swedish church continues but the role of the church service has changed.

Aim: The purpose of this study was to highlight in what forms and manifestations spirituality emerges in medical patients whether they consider themselves believers or not. The other aim was to analyse spiritual ideas of nursing scientists ? authors of the patients? oriented studies to come to the better understanding of the situation with spirituality in caring. Method: Descriptive meta-synthesis was chosen, in which 12 nursing studies were analyzed and compiled in a new integrity. Results: The analysis shows that caregivers must be ready to meet and confirm the spiritual dimension consisting of Faith, Meaning, Relationship and Questions without answers in the various forms and expressions they emerge in patient?s experience.

Vattenfall Heat Uppsala runs the waste incineration plant in Uppsala, which produces district heating, process steam, district cooling and electricity. Vattenfall Heat Uppsala has decided to introduce an energy management system with the aim to increase the energy efficiency of the plant. The basis in such a system is to make an energy mapping.In this thesis an energy mapping has been performed at the waste incineration plant with the aim to identify and determine the size of energy flows. The investigated energy flows are used fuel, produced and used steam, produced district heating and cooling. Also the use of electricity to run the processes has been investigated.

Background: The relationship between advanced age, presence of illness and impaired functioning is well known. A large proportion of the elderly population has an extensive need of care and service and therefore need help from municipal care. Aging is a transition in life and also affects the person's identity and self image, making the person particularly vulnerable and challenging everyday safety. It is therefore of importance to gain knowledge about which factors at individual and organizational level that support a person-centered nursing care for the elderly so that caring responsibilities and staffing of nursing personnel may be scheduled based on need. Aim: This study aimed at describing dependency and care needs of elderly persons living in ordinary housing, sheltered housing and nursing homes.

Introduction: Psychiatric nurses in the psychiatric care can meet complex situations if the basic knowledge is not enough. Therefore it demands research for secure, improve and develop care processes that will be benefit for both patients and nursing staff. Aim: The purpose of this study was to highlight psychiatric nurses? experiences of patients' involvement in their own care. Method: Qualitative method was chosen for this study.

This essay aims to explore the possibilities for elderly in nursing homes in Örebro municipality toreceive other treatments besides medication in case of depression or anxiety. Issues associated withthe object in this paper and which are discussed are prevalence of drug usage, opportunities forelderlies to receive other treatments, prevalence of other treatments and the elderlies own power orinfluence over the choice of treatment. The survey has been conducted with questionnaires sent outby post to nurses at every nursing home for elderly in Örebro municipality. The results showed thatdrugs are used extensively when treating depression or anxiety among the nursing home residents,and other treatments are never or only occasionally being discussed at more than half of the nursinghomes in this study. The results also show that reminiscence therapy and problem-solving therapyhas been used occasionally, while alternative therapies are used more frequently.

This Master?s thesis is connected to an interdisciplinary field between humanities and health care; ?humanistic medicine? or ?humanistic nursing?. The object of the investigation is nursing students? experiences of reading fiction and autobiographies as course literature. In semi-structured interviews a group of students talk about their reading.

SAMMANFATTNINGSyftet med studien var att studera hur sjuksköterskan inom intensivvård använder NuDesc(The Nursing Delirium Screening Scale) och om de anser sig ha tillräcklig kunskap för attbedöma delirium med hjälp av NuDesc.Studien är en kvantitativ tvärsnittsstudie med datainsamling via en enkät som konstrueratsspeciellt för denna studie. Enkäten besvarades av 15 intensivvårdssjuksköterskor på ettuniversitetssjukhus i Mellansverige.Resultatet visade att bedöma delirium på en intensivvårdsavdelning uppfattas avrespondenterna som ganska svårt även om de tycker sig ha tillräckligt med kompetens attanvända bedömningsinstrument NuDesc. Den psykomotoriska förlångsamningen tillsammansmed hallucinationer/ illusioner uppfattas av sjuksköterskorna som svårast att bedöma..

This report is made as a literature review, focusing on the work done to increase understanding of efficiency in the categories of substations and secondary heating systems, with respect to the deviation from the theoretically possible cooling off in the distribution network as well as the economic benefit that appear. The main purpose of a considerable part of the literature used in this report addresses the issue of identifying individual causes of reduced cooling in district heating systems. These literature resources have been compiled and summarized as part of the report.The technology of district heating is associated with benefits such as better use of the energy in a fuel. This is the case of cogeneration plants where serial generation of electricity and thermal energy increases efficiency compared with the parallel generation where heat is generated locally and electricity is generated centrally. Serial generation thus allows for lower primary energy demand.

ABSTRACT The persons whom the authorized nurse encounters in hospital wards and nursing homes are in great extent elderly persons. According to Wasserman (2000), about 30 to 40 percent among these, show signs of depression. To be aware of the signs of depression, and how an authorized nurse can support the patient is therefore of great value. The introduction to this study describes the symptoms of depression and how depression in elders is expressed. It also describes treatment possibilities and nursing aspects of concern.

The lack of fresh and clean water today causes severe problems, mostly in developing countries. Waterborne diseases like typhoid, cholera, amoebic dysentery and diarrhea create health problems and deaths among people. There is a need for low cost interventions like household-based water treatment and safe storage (HWTS). Solvatten AB is a Swedish company based in Stockholm. Their product, Solvatten, is a household water treatment unit that can treat water containing viruses, parasites and bacteria.