AbstractBackground. The need for drugs delegation is increasing as more and more sick people are cared for at home and too few nurses working in home health care. Because of this, the number of delegations per nurse is often unacceptably high.Aim. The aim of this study was to describe the public health nurses´ experience in drugs delegation to home care staff in home care.Method. In this study a qualitative method with an inductive approach was used.

The genus Campylobacter is globally recognised as the leading bacterial cause of human foodborne gastroenteritis. Every year around 8000 Swedes are infected by Campylobacter. Most people are infected by thermotolerant Campylobacter species, commonly C. jejuni and C. coli.

Cultivable land is a limited resource and agriculture contributes to some of the most serious environmental problems facing the planet like, global warming, eutrophication and loss of biodiversity. The specialized, industrial agriculture with monoculture and extensive input of external energy, commercial fertilizer, and chemical pesticides are all essentially unsustainable. An adaptation to other methods of production is necessary to preserve the environment for future generations. The aim of this study is to describe the factors that distinguish sustainable from unsustainable agriculture. The results will be used to examine if and how the European Union (EU) works in order to create a more sustainable agricultural industry and to analyze the preconditions for such development.

ABSTRACTChlamydia and Chlamydophila are species of a family of bacteria (Chlamydiaceae) that cause a range of diseases, including conjunctivitis, in a variety of animals including pigs and humans. Some species cause zoonotic disease. This study examined the occurrence of Chlamydiaceae in samples taken from the lower eyelid conjunctiva in pigs with and without conjunctivitis. The study was initiated based on a herd investigation aimed to examine the experienced increase of conjunctivitis in some finisher herds. This study was conducted as a case-control study, by collecting samples from 62 case pigs (16-26 weeks old) and an equal number of controls, from three herds in Uppland, Sweden.

I all teori om sökmotorsoptimering finns det många olika tankar om hur man ska sökmotorsoptimera. De flesta berättar mest om den tekniska biten och har endast som en kort punkt förklarat att innehållet på en webbplats också är viktigt. Syftet med uppsatsen är att undersöka webbföretags förhållningssätt till både hur de arbetar och resonerar kring sökmotorsoptimering och webbstatistik, men även gå djupare in på hur förhållandet mellan kund och företag påverkar vart marknaden är på väg. Genom att utföra kvalitativa intervjuer med webbföretag där främst marknaden för sökmotorsoptimering, sponsrade länkar och webbstatistik diskuterats har ett resultat utformats.Baserat på de senaste artiklarna, respondenternas svar och mina egna personliga reflektioner av situationen, visar det att det blivit en förskjutning i vad definitionen av sökmotorsoptimering är. Den tekniska biten är kvar men inte alls lika viktig längre då sökmotorerna hela tiden ändrar sina algoritmer och blir smartare, utan fokus läggs istället mer på innehållet.

Background:  Heart failure is a multidimensional phenomenon with high mortality. Heart failure is treated with angiotensin converting enzyme (ACE) - inhibitors or angiotensin receptor blockers (ARBs) that counteract neurohormonal stimuli that occur in heart failure, as well as providing vessel dilatation, which reduces symptoms and the need for hospitalization and increases survival. Despite this, only about 50% of heart failure patients survive 6 years after diagnosis with drug therapy, and as heart failure is increasing globally, due to improved care and treatment and increasing life expectancy of the population, there is a great need for new drugs such as LCZ696 that acts by dual inhibition of the renin - angiotensin - aldosterone system and neprilysin inhibition.Objective: The aim of this literature study was to evaluate the efficacy of current treatment and possible future treatments on mortality and morbidity in heart failure patients.Results: The examined articles show that treatment with ACE inhibitors in patients with symptomatic heart failure reduces the risk of total mortality by 16% over 3.5 years, reduces all-cause mortality or hospitalization due to heart failure with NNT (number needed to treat) = 10.4 over 3.5 years and increases median survival by 9.2 months over 12.1 years in patients with asymptomatic heart failure. Treatments with high-dose ACE inhibitors reduce mortality and hospitalization because of cardiovascular causes and hospitalizations from any cause by NNT = 30 over 3 years. Beta-blockers reduce sudden death and total mortality and cardiac death or non - fatal myocardial infarction with NNT = 38 and NNT = 23, respectively, over 12 months.

Disinfection methods for drinking-water produced at the two water works of Stockholm Water Co are compared in this study. Three different nethods are compared; disinfection with chlorine gas, disinfection with sodium hypochlorite and disinfection with UV-light and monochloramine. The method used is Life cycle assessment, LCA. LCA is defined as the compilation and evaluation of the inputs, outputs and potential environmental impact of a product system shroughout its life cycle. The environmental burden is compared for the three different disinfection methods.

Detection of leukocytes in semen from boars is part of the routine control of semen quality. Leukocytes in semen can cause damage to spermatozoa that leads to impaired fertilization. In the artificial insemination (AI) industry there are standard routines for the quality control of the boars and of the neat semen before use. Since 2001, Quality Genetics has not done the leukocyte examination on semen samples from boars which are used for the production of pigs for slaughter. The purpose of this study was to investigate the occurrence of leukocytes in semen from AI-boars. The questions addressed were whether there are boars that have leukocytes in their semen and how frequently it occurs and, moreover, if there are differences between breeds, or even between individuals whose semen was checked before use in AI-dose production compared to those which were not. The study included a total of 135 AI-boars, of which 67 were Hampshire, 35 Yorkshire and 33 Landrace, all belonging to Quality Genetics AI-station in Hållsta.

Emission of nitrogen oxides as well as carbon monoxides is an inevitable result of combustion. A Swedish law "Law of environmental fee for emissions of nitrogen oxides as a result of energy production" (lagen om miljöavgift på utsläpp av kväveoxider vid energiproduktion (SFS 1990:613)) controls the emission of NOx from energy production by a system of fees. The system has resulted in a strong approach toward less emissions of NOx among the energy production plants. High emission levels, today exceeding 52 mg/MJsupplied fuel, leads to costs for energy production companies. This paper examines possibilities to reduce the emissions of NOx by optimization of the SNCR-technique in a biofuel fired heat and power plant.

Bakgrund: Sedan introduktionen i början av 1990-talet har utvecklingen av volymen nyemitterade aktieindexobligationerna totalt sett varit positiv vilket tyder på att produkten blivit en populär sparform hos svenskar. Detta tillsammans med det faktum att det finns få studier gjorda kring aktieindexobligationer som sparform där ett större perspektiv tas i beaktande gör ämnet intressant att studera.Syfte: Uppsatsens syfte är att kartlägga och analysera för vilka privata investerare aktieindexobligationer passar som sparform ur ett livscykelperspektiv med utgångspunkt i (i) bransch- och rådgivningspraxis, (ii) finansiell riskhanteringsteori med fokus på portföljvalsteori och (iii) historisk data avseende risk och avkastning.Genomförande: Studien har genomförts med hjälp av att intervjua privatrådgivare, kapitalrådgivare och personer som arbetar med strukturerade produkter på storbanker och hos mindre finansiella aktörer. Fem stereotyper har använts som diskussionsunderlag vid intervjuerna. För att kunna föra en djupare analys kring produkten som sparform för privata investerare har en portföljoptimering genomförts för att ta historisk data gällande risk och avkastning i beaktande.Slutsats: Studien fastställer att produkten passar privata investerare som befinner sig i den senare delen av konsolideringsfasen och inte är de mest riskbenägna. Studien visar att det främst är kredit- och marknadsrisken som är kopplade till aktieindexobligationer samtidigt som risken i produkten bedöms som låg.

As a part of the fight against the global warming the energy production needs to be more efficient and redirected towards sustainable options. One alternative is cogeneration, which means that electricity and heat is produced in one plant. The purpose with this survey is to examine if there are any commercial available combined heat and power techniques, based on combustion of solid moist biomass, which are suitable to small-scale applications. The technique must be able to produce between 2 and 10 MW thermal and the heat demand is a Swedish district-heating system. When already published reports had been studied, the Organic Rankine Cycle (ORC) was chosen as the most suitable technique.

The working capital describes the short-term financial position and focus on cash flow and the actual inflow and outflow of money in the company. Working capital is part of the company's financing and consists of the company's current assets and current liabilities. There are resources that are used in the daily activity and can be optimized. The more effective they are in circulation, the higher value they create. The control of working capital is called Working Capital Management and has its basis in the company?s Working Capital Policy.

Energy efficiency is important both to reduce costs and to reduce greenhouse gas in the atmosphere. In Sweden 40 percent of the energy consumption is related to the buildings sector. Hospitals are complex buildings with different activities in the same building, which requires flexible technical systems for ventilation, heating and lightning. A quarter of the total energy consumption in Swedish hospitals is related to user activities in the hospitals. Therefore it is not only important to work with operational optimization but also to change user activities, to reduce energy consumption.The objective of this thesis was to examine the user-related energy efficiency work at two care units, at the central hospital in Sundsvall within Västernorrlands County.

This is a thesis project in the field of information technology which begins by evaluating existing food price comparison systems and subsequently aims to design an improved, web based system for said purpose. The system features interfaces for price reporting, price comparisons as well as various search and review functions. The objective is to create a system able to compete with existing price comparison systems, which requires careful selection of products that can be found in all foodstores that also represent different households; a user-friendly price reporting and price comparison interface and an efficient tool for ensuring the validity of reported prices.The designed system features a more accurate formula for calculating average prices in events where the real price is missing; a more reliable security mechanism forv alidation of reported prices and a more comprehensible interface for viewing price reports, reporting prices, reviewing stores and products in comparison with existing systems. The system does, however, suffer from some optimization issues primarily in the form of inefficient database modeling; SQL queries and JavaScript code although testing has shown that these shortcomings do not hamper overall performance to such a degree that usability is compromised. Further usability testing performed on the system with five test subjects shows that a high level of overall user-friendliness has been achieved even though some special features, such as the detailed report containing price information per product for each store need to be improved.It is not possible to say at this time whether or not the designed system will be able to compete with existing ones or if the very concept of food price comparisons per se is viable in terms of profitability and marketability.

Metso Paper offers a front-running range of solutions and services for the pulp and paper industry. At the baling unit, design solutions are developed for manufacturing and handling of pulp bales. The machines are continuously developed to satisfy customer needs. One big step in the development of the baling line was to remove hydraulics from the machines and replace it with electrical motors and pneumatics. This was not done on the folding machine which is still driven by mainly hydraulics.