Aim: The aim of this study was to describe intensive care nurses? experiences communicating with patients during mechanical ventilation.Methods/design: A qualitative interview study. Interviews where analyzed using descriptive content analysisSetting: Nine intensive care nurses from two different intensive care units were interviewed using a semi structured interview guide.Background: Past research has shown that patients during mechanical ventilation in the intensive care unit, feel very vulnerable and the helplessness of being unable to speak. These patients feels that they are completely dependent on the nurses and their competence. It has been shown to be very important that the patient feels included, acknowledged and respected.Results: The analyzed data resulted in a theme; through communication strive to preserve patients´ dignity and three main categories; create relationship to the patient, minimize patients´ vulnerability and don´t give up.

Energy supply in Sweden year 2011 amounted to 577 TWh. The final energy consumption for industrial, residential and service was 379 TWh. Sweden has energy policy goals to reduce energy use in buildings. One of these goals is to reduce the energy use by 20 % in 2020 compared to the year 1995. An important step to achieve this goal is to target energy efficiency measures in existing buildings.

The scope of this investigation is to decide how and to what extent the energy consumption of apassive house is affected by the users? knowledge and habits. To achieve this a literary study hasbeen made and as a complement the planning of a passive house was completed.The result of a primary study of the rules and regulations that effect passive houses in Swedenshows that the user?s influence on passive houses is a completely unregulated area. Even thoughthere is no regulation, a need for some general knowledge of the passive house concept has beenexpressed.To further investigate how the users? knowledge and habits affect the energy consumption and ifthere is a difference between different households? energy consumption , three main factors havebeen identified.

Environmental destruction is a growing problem in our world. Almost every day there are new reports concerning that we have to do something about the greenhouse gasses. Simultaneously is the human constantly more eager to have a life with higher standards and therefore uses more energy. The environment is a question that is highly up-to-date and more people try to find solutions on how to save our planet. One way to decrease the energy demand is to build passive houses, where the houses don?t have any active heating.

The climate changes that are occuring in the world have resulted in that the EU callingfor a 20 % reduction in energy consumption to the year 2020, to reach that goal theEU want the public sector to go forth as a good example. Västfastigheter owns andmanage the hospital buildings in the Västra Götaland region. To be able to reducetheir energy usage Västfastigheter has hired several consulting firms to chart out theenergy consumption on each hospital building. The biggest energy savings potentialhave been calculated and what the cost will be to perform each action. The energyaudit have been completed and stand as the decision basis for Västfastigheter?s choiceon which action packages that should be implemented.

This examination work is the final work in our education to become a Bachelor of Science inMechanical Engineering by the University of Lund.The main purpose with this work has been to develop a new effective material handling system for TPPM AB in Lund since the existing system starts to become out of date. The future system that is going to be installed shall have the capacity to support all machines with unit-, semi- and finished goods during full production. The work has also included studying the possibilities to change the material flow in a positive way between the storage and the production when one is using existing buildings.During our work we have been used a simulation program called AutoMod, performing company visits, interviews and reviewed internal and external information to create a picture of what the best conclusion can be. During the work we have contacted five suppliers to receive system solutions and quotatioris. The suppliers, which have been contacted, are Swisslog, Moving, Rocia, Christensen & Hansen and ABB.

WSP building physics in Stockholm has certified the preschool Temmelburken in Bromma with the system of certification Miljöbyggnad. The rating of the building became BRONZE. In this thesis the preschool has been investigated with respect to the three areas: thermal climate, use of energy and improving of the level of certification. The thermal climate at the preschool has been investigated by a questionnaire survey and by measurements in order to do comparisons between the results from the two investigations as well as with the results of the simulations that WSP has done at the certification of the preschool. The differences between the results from the simulations and the questionnaire survey for winter as well as from the measurement performed with a comfort meter the 19th of March are concidered to be reasonably small since they give rise to the same rating according to Miljöbyggnad.   Operational data for the use of energy for the preschool have been obtained in order to do comparisons with simulations performed by WSP and Svenska Besiktningar AB. The comparison shows that the simulated values for the specific use of energy are lower than what the real specific use of energy would be for the preschool, since just the operational data for the heat energy is higher than the simulated values. At the investigation of the possibility of improving the level of certification it was found that the rating of the preschool can be raised from BRONZE to SILVER by improving the ratings of the ?thermal climate summer? and the ?daylight?.

The climate changes that are occuring in the world have resulted in that the EU callingfor a 20 % reduction in energy consumption to the year 2020, to reach that goal theEU want the public sector to go forth as a good example. Västfastigheter owns andmanage the hospital buildings in the Västra Götaland region. To be able to reducetheir energy usage Västfastigheter has hired several consulting firms to chart out theenergy consumption on each hospital building. The biggest energy savings potentialhave been calculated and what the cost will be to perform each action. The energyaudit have been completed and stand as the decision basis for Västfastigheter?s choiceon which action packages that should be implemented.

All products will eventually end up as waste, which in a sustainable society has to be handled in an efficient and environment friendly way. This report focuses on waste fractions meant for combustion, often difficult to characterize. However, more homogeneous fractions that are treated biologically are also discussed.The study concerns the region of Borås, Sweden, where the waste plant Sobacken has provided a good starting point. On this site, fuel to the Energy-from-Waste plant of Borås Energi is prepared and the biological waste is treated through anaerobic digestion.One important part of the study has been to collect experience-based knowledge from the technical staff at Sobacken and Borås Energi. This information was compiled into an overview of wanted and unwanted fractions to the preparation plant and the boilers respectively.

Energianva?ndningen i Sverige och va?rlden fo?rva?ntas o?ka och bostads- och servicesektorn sta?r fo?r 40 % av va?rldens totala energibehov. Det a?r viktigt att energieffektivisera redan befintliga byggnader och optimera dess system da? en la?gre energianva?ndning gynnar ba?de miljo?n och ekonomin. En byggnads ventilationssystem sta?r fo?r en stor del av en fastighets energianva?ndning och det finns ofta stor potential fo?r systemet att optimeras och effektiviseras.En fastighetsa?gare vill inte ha fastigheter som sta?r outhyrda.

Background: The most energy efficient houses today are so called passive houses. These houses achieve high energy-efficiency partly by having well insulated walls. U-value describes the amount of heat transfered through a building element, the more insulation, the smaller U-value. A typical passive house wall have a U-value of 0.10 W/m2,°C. The passive houses are primarily made as small family houses and not as a block of apartments.

Passivhus är en vidareutveckling av ett energisnålt hus, där man genom extra tjock isolering,hög kvalitet på dörrar och fönster samt husets planlösning minimerar beroende att köpa energiför uppvärmning. Passivhus har krav på uppvärmningsbehovet samtprimärenergiförbrukningen. En princip för passivhus är att de inte ska vara krångligare ellerobekvämare att bo i än vanliga hus.Lindås Park är ett bostadsområde som består av 20 st. radhus som ligger en bit utanförGöteborg. Radhuset klarar kraven för ett passivhus, det enda värmesystem som är installeratär en eftervärmare till FTX-systemet på 900 W.De passiva hus som byggts i Sverige har gemensamt är att de ligger i södra delen av Sverigeeller nära kusten, dvs.

Energy consumption is at present a major political issue, and numerous projects that comprise many nations are currently in process to increase energy efficiency and bring down energy dependency. As a member state of the EU, Sweden now faces the challenge of implementing substantial energy-saving measures until the year 2016. One of these measures is the project ?Green Islands? financed by the EU that intend on creating sustainable islands in areas around the Baltic Sea. The Archipelago Foundation leads the project that concerns the Stockholm archipelago, where focus has been placed upon decreasing energy usage in businesses and services on Utö among other islands.

The aim of this report has been to investigate the use of electricity energy before and after a conversion of foodservice. The ambition was also to highlight the food safety and the retention of nutrients in relation to the conversion. The methods being used were qualitative interviews, case studies, study visits and literature. The equipment and the use of energy was the same in 2008 as in 2011 for hot-holding of the tested component, sauce with ham. The chilled system used more than three times the energy and cost for one portion than one portion in the hot-hold system.

AbstractIn urban societies people spend more and more time indoors, which put great demands on the indoor environment. If the ventilation is to manage the removal of unwanted substances in the indoor air, a good mixing of the air is required. The question arises that, whether the buoyancy forces will counteract a good mixing of the indoor air or not?This report aims to clear up the difficulties whether you need to consider the buoyancy forces or not, when adjusting a ventilation unit. For studying the indoor mixing of the air a two dimensional model is constructed in COMSOL Multiphysics.