Partnering is a collaboration method where the contractor and the client work together, based on a mutual trust towards each other and with a common goal for the project. The method originates from the United States where it was early adapted by the U.S. Army Corps of Engineers. It later spread internationally where the United Kingdom and Denmark were early in Europe to see the potential with partnering, to help aid with the issues they were having where construction projects kept running late, going over budget and lacked in quality. By using partnering you can achieve a shorter building time, improved work relationships and enhanced efficiency and cost effectiveness.

The present climate discussion has made energy efficiency an interesting topic. Saving energy does not only help the climate but also saves money for the energy consumer. The purpose of this thesis was to examine the potential of heat recovering from milk cooling. Two milk farms, one with voluntary milking system, VMS, and the other with conventional milking system was used to measure interesting temperatures and electricity consumptions. The numbers were used both to do theoretical calculations and to construct a SIMULINK model. To calculate the potential for heat at milk farms theoretical calculations were made in MATLAB using a reference farm with different combinations of heat recovery and pre cooling. The farm was assumed to keep a dwelling house with the annual heat consumption 18165 kWh.

The municipality, of Gatukontoret in Local government of Borås has in the long run, a required need to look after the current heating devices (the gas production plant) in sewage treatment plant, called Gässlösa. The practical work of the examination is about, trying to find a better way to take care of the current heat recovery. That may be one way or another, rather easy to implement in the existent construction.Through the work to increase the efficiency of the gas engine, implement of some external cooling system by heating exchange device. That gives an opportunity to heat (primary) the digester, (but even all internal public areas) with its own superfluous heating.The report shows that if the management group may invest 422 704 crown to implement a heat exchanging device, it gives more space to reduce the need to buy expensive external energy. Gatukontoret´s pay off time, for buying machines, is 20 years, with reservation to calculate with 4 percent internal interest, leads to the yearly mount of 31103 crowns.If Gässlösa increases the gas engine time in (effective) duty approximately (correspondingly) 48 hours a month the entire investment will generate a profit in January in year seven after the implementations.

Musik är något som påverkar alla på ett eller annat sätt och har använts i terapeutiskt syfte sedan 1500 f. Kr. Även om den har en lång historia är den ändå inte allmänt vedertagen som en omvårdnadsåtgärd. Nästan varje dag möter sjuksköterskor patienter som i varierande grad upplever oro. Tidigare forskning visar att musik har inverkan på oro, men det är inte mycket beskrivet om sjuksköterskors erfarenhet av att använda musik som en komplementär omvårdnadsåtgärd vid oro och hur musiken påverkar sjuksköterskors arbetsmiljö.

The Swedish population is today exposed to more ads than ever. The number of advertising channels is growing, as well as the number of companies and their advertising expenses. As the products are becoming more alike, the harder it gets for the companies to convince the consumers their product is better than their competitors?. In order to succeed they need to understand what they communicate to the consumers through their different marketing activities, and how that affects the consumers? view of the brand and the product.

The workplace is for many associated with joy and commitment, for others it is associated with fatigue, inadequacy and cynicism that is explained as the three dimensions of burnout. A general view of burnout is that it is an individual problem that many companies ignore, because a preventive task does not generate immediate profits. This has been a growing problem for years. Burnout costs not only money but also time and knowledge. Unfortunately, the popular belief is that "If it ain?t broke, don?t fix it." Organizations that think this way are sacrificing future benefits for short-term gains.

Det övergripande syftet med arbetet är att undersöka och studera ett läsinlärnings projekt med fokusering på arbetet med storböcker. Med arbetet vill jag få reda på orsaken till att man har startat ett kommunomfattande läsinlärningsprojekt och vad läsinlärningsprojektet innehåller. Syftet är vidare att ta reda på vad storböcker är för något och hur man arbetar med dem. Genom arbetet vill jag hitta ett sätt som både inspirerar mig som lärare och mina kommande elever till att lära sig läsa. Arbetet inleds med en litteraturgenomgång där läsaren får bekanta sig med vad läsning är och med olika begrepp som nämns i resultatdelen.

Adolescents are coming to high school counselors to talk about sexuality for various reasons and the purpose of this study is to gain an enhanced understanding of how adolescents in high school talk regarding sexuality and LGBTQ. The empirical material is assembled on eight narrative interviews with high school counselors. The school counselors have through their experiences in meeting adolescents, submitted stories about the adolescents´ conversations regarding sexuality to us. The empirical data were analyzed by a standard critical perspective and with the help of heteronormativity it made norms about what is normal and abnormal visible and problematized. The result demonstrates that adolescents are influenced by norms of society, the media, family and friends.

BackgroundResearch shows that the majority of patients feel anxiety before and during anesthesia. It has been shown in several studies that preoperative anxiety may cause adverse effects in the postoperative course. Nurse anesthetists have a key role in creating a safe environment and the opportunity to use different interventions to reduce the degree of anxiety.AimThe aim of the study was to examine which interventions may reduce anxiety in adult patients before and during both general, local and regional anesthesia.DesignSystematic literature review with a quantitative approach.ResultsSeveral studies indicate that gabapentin and pregabalin can reduce anxiety before and during anesthesia. The anxiety reducing effect appeared to be dose dependent. The naturopathic drugs Citrus aurantium blossom and Passiflora incarnata Linneaus were found to reduce anxiety before anesthesia.

To meet the needs and demands of the costumer, accurate information about how much is available in stock is necessary. When the information in the system does not match the physical inventory, inventory inaccuracy occurs. Inventory inaccuracy is common among companies and may contribute to increased labor cost, excess inventory, production disruptions, waste of time, late deliveries, poor service and lost customers.The purpose of this study is to identify contributing factors to inventory inaccuracy for business with outdoor storage. The study also aims to investigate how efficiency factors can reduce the inventory inaccuracy for business with outdoor storage.A case study was conducted to answer the purpose. A company in the steel industry was chosen to examine inventory inaccuracy on business with outdoor storage.

Dagkirurgi blir allt vanligare. Då det genomförs under generell anestesi förekommer ofta oro och postoperativa komplikationer som smärta och illamående. Patienters tillfredsställelse med dagkirurgi och anestesi har tidigare studerats, men ofta med enkäter av låg kvalité. Syftet med denna studie var därför att med hjälp av intervjuer studera dagkirurgiska patienters upplevelse av anestesi och kirurgi. Sju patienter intervjuades.

Syfte: Sammanställa och granska studier gällande postoperativ behandling vid ruptur av ligament patella. Detta för att beskriva effekt och kvalitet på studier om postoperativ behandling.Metod: En beskrivande litteraturstudie valdes som design, med sökorden: patellar ligament, patellar tendon, rupture, knee injuries, surgery. Av totalt 1240 träffar valdes 13 relevanta artiklar publicerade mellan 1999-2013 efter sökningar i databaserna PubMed, PEDro, COCHRANE, SCOPUS, CINAHL, SPORTDiscus och AMED. Artiklarna kvalitetsgranskades enligt PEDro scale.Resultat: Två postoperativa behandlingar beskrevs, tidig och sen mobilisering. Antingen placeras knäleden i ett stabiliserande knäskydd som till en början låser knäleden i full extension eller så påbörjas tidig mobilisering av den opererade knäleden.

The purpose of this Bachelor thesis in Economics at Lund University is to try to establish the correlation between the value change of retail real estate buildings in Sweden and macro economic variables. The principal method is the multiple regression model and it is used to estimate the basic model. The basic model is enhanced by estimating some 30 models and the result is two good models. The difference between the basic model and the two better models are small but important. In the lagged basic model, the same variables are used as in the basic model but with different time lags.

Trycksa?r a?r ett fo?rekommande problem inom den kirurgiska omva?rdnaden som leder till o?kade va?rd- och samha?llskostnader samt ett o?kat lidande fo?r patienten. Det a?r av stor vikt att va?rdpersonalen arbetar fo?rebyggande fo?r att motverka uppkomsten av trycksa?r samt att i god tid uppta?cka om ett trycksa?r har uppsta?tt.Syftet med denna studie var att underso?ka trycksa?rsincidens efter la?ngvarig neurokirurgisk kirurgi, identifiera vart trycksa?ren uppsta?r och om de kunde kopplas till riskfaktorer.Metoden som valdes var en kvantitativ prospektiv kohortstudiedesign fo?r att resultatet skulle kunna anva?ndas i den peroperativa och postoperativa omva?rdnaden. Hudkostymen inspekterades tva? ga?nger postoperativt pa? tjugoen patienter.Resultatet visade att 76 % av studiedeltagarna hade trycksa?r efter operation och det vanligaste fo?rekommande omra?det var ha?larna.

Confusion can be a life threatening condition that is often missed by the nurses, thus it occurs in the same range as pain, fever or infections. Aim: The aim of this study was to describe the phenomenon of confusion among elderly patients, in order to establish a wider understanding of the patient's nursing needs. Method: Literature study based on scientific material. Results: The result showed the patient's ability to recollect and reconstruct episodes of confusion. During the confusion the stories contained a wide variety of experiences, such as threat, fear, suspicion, chaos and order, unreal experiences, a need to escape and a bad sleep.