The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

This paper is intended to provide a picture of which associations water can wake in the human mind from the perspectives of garden history as well as from that of environmental psychology. I hope to paint a fairly broad picture of our perception of water that can serve as a basis for discussion and as a starting point for different forms of design work in landscape architecture. The historical perspective emphasizes the importance of water as a condition for the emergence of gardens and in a wider perspective the importance of water in early cultures. Also, I describe a picture of how water has been used throughout the history of gardens from early Egypt to the baroque era. The garden history analyzed from an art historical perspective gives a picture of human associations to water, and the history behind these associations is presented. As a compliment to the art history approach, I have chosen to highlight our associations with water from the perspectives of environmental psychology and evolutionary science.

After been told that an ordinary winter service for our combine should cost more than 20000 SEK, not included spare parts, I decided to write this paper about today?s requirement of the workshop on a farm. I think that the lack of proper premises is the reason way not more of the ordinary machinery maintenance or upkeep is performed on the farm. When I did my literature survey I found that the Swedish environmental code, set by the Swedish law regulate how drain or sewer should be built. The environmental code however leaves a lot for your own interpretation. It might not be so bad but it must be very hard for the local environmental office to interpretation the regulations, since they are the ones that gives permission for the sewer in your workshop.

Syftet med studien är att öka kunskapen om elevers förståelse av sina skriftliga omdömen och om vilka faktorer som påverkar förståelsen av dokumenten. Forskningsansatsen är starkt inspirerad av grundad teori. Studiens resultat utgår dels från analys av intervjuer av elever i år två och dels från dokumentanalys av elevernas skriftliga omdömen. Dessa båda har i den avslutande analysen relaterats till varandra, vilket har resulterat i en teoretisk modell, EFO-modellen som står för Elevers Förståelse av sina Skriftliga omdömen. Vid intervjuerna framkom att eleverna förstår omdömena på olika sätt och i olika utsträckning. Förståelsen påverkas av elevens motivation och koncentration, deras behov av bekräftelse samt deras språkliga förmåga.

Purpose: The purpose of this paper is to describe the perception of value and risk in CSR as well as analyzing how financial institutions influence responsible behavior in business in order to create sustainable economic growth.Methodology: The study has a qualitative research method used by an abductive process. Data has been collected through semi-structured interviews with respondents from three venture capital companies and three banks. The sample of respondents was done through a convenience sample with respect to access and expertise in the research area.Conclusion: The most important meanings of the research results have shown that CSR holds an intrinsic value concerning contributing value as its conceptual meaning in terms of sustainable development. CSR can also be regarded as a dimension of risk management to reduce the risk of negative externalities on corporate activities. Investors and financiers contribute to sustainable companies through active ownership and improvements in the CSR dimensions.

Syftet är beskriva och analysera tillsynen som arbetssätt samt att utifrån några miljö- och hälsoskyddsinspektörers tankar och erfarenheter reflektera över om det går att finna möjligheter att utveckla tillsynsmetodiken. Frågeställningar är: Vilka uppfattningar och erfarenheter har inspektörerna när det gäller tillsynsmetodiken? Hur ser de på sin yrkesroll och arbetsvillkoren? Hur tänker inspektörerna kring möjligheter och svårigheter när det gäller att utveckla inspektörsjobbet? Studien har genomförts med hjälp av intervjuer, observationer och observationsschema. Resultatet visar att många miljö- och hälsoskyddsinspektörer ofta är utelämnade att på egen hand utarbeta sätt att arbeta på. Utvecklingsmöjligheterna för inspektörerna är begränsade.

The purpose of this study was to examine social workers apprehensions about institutional placement of youths and what determines when these proceedings are used. When research not always shows that institutional placements lead to positive changes for youngsters, we wondered how social workers act on their assessment to institutional placement. We wanted to find out if the social workers meet any dilemmas along the way. To find out about that we used qualitative interviews with ten social workers, who worked in social service and came from different places in the southern parts of Sweden. To analyze our material we used the theory of human service organization and street-level bureaucrats work situation.

The idea for the project emerged when Nilorn wanted to get better control over their supplychain and improve operational efficiency. The company also want to reduce their expenses inthe continuous process of improving profitability. By choosing the right option oftransportation and mode of transport there are large potential savings for the company. Thisenables Nilorn to reduce the transportation costs and strengthen the environmentalresponsibilities by reducing their environmental impact.The flow of goods within Nilorn has over the past years increased significantly and most ofthe gods today is transported by air. The aim of this thesis is to analyse the supply chain of thecompany and evaluate the potential economic savings in this area.

The idea for the project emerged when Nilorn wanted to get better control over their supplychain and improve operational efficiency. The company also want to reduce their expenses inthe continuous process of improving profitability. By choosing the right option oftransportation and mode of transport there are large potential savings for the company. Thisenables Nilorn to reduce the transportation costs and strengthen the environmentalresponsibilities by reducing their environmental impact.The flow of goods within Nilorn has over the past years increased significantly and most ofthe gods today is transported by air. The aim of this thesis is to analyse the supply chain of thecompany and evaluate the potential economic savings in this area.

Several thousand years of human impact on the landscape in the form of cultivation is the reason to many nature- and culture values in the agricultural landscape today. Intensification and rationalization has led to vast monocultures and has forced many farms to close down. These trends have increased in the last years and constitute great threats to the values of the cultivation landscape. The purpose with the environmental objective A varied agricultural landscape is to protect these values. The environmental action plan of the municipality of Lund (LundaEko) 2006-2012 is built on the 16 national environmental objectives. The purpose with this paper is to put together material that the municipality of Lund can use in their work with modifying the local intermediate goals for the environmental objective A varied cultural landscape. The overall issue for this paper is ?What has happened with the state of the cultivation landscape in the municipality of Lund since LundaEko was approved in 2006?? The paper seeks to portrait the current conditions of the following fields: meadows and pastures, organic farming, exploitation threats to agricultural land, landscape elements with cultural values and species that are threatened.

The purpose of this study was to find out why the law that regulates downloading copyrighted material does not work and which of the most important main reasons lies behind downloading behaviour. The phenomenon being well investigated earlier has actualized a new demand for normative investigation in connection with the hot debated IPRED-law.Using qualitative method comprising of interviews with three typical file sharers and anchored in Max Webers action typology, rational choice theory and the norm model followed by two assessment models, we found that four important reasons lies behind downloading behaviour: 1) economical reasons was the most central and frequent determinant followed by 2) accessibility and comfort, and 3) social acceptance and moral and also 4) habits. Although the content of the law was correctly provided by the interviewees, it was clear that they did not perceive the impact of the law as meaningful or threatening.The results, being compatible with previous research, are discussed in terms of the named theories and assessment models. We suggest further research to take into account peoples norms as the new IPRED-law soon will be functional as well as studies from a perspective of the legal rights of the individual..

The idea for the project emerged when Nilorn wanted to get better control over their supplychain and improve operational efficiency. The company also want to reduce their expenses inthe continuous process of improving profitability. By choosing the right option oftransportation and mode of transport there are large potential savings for the company. Thisenables Nilorn to reduce the transportation costs and strengthen the environmentalresponsibilities by reducing their environmental impact.The flow of goods within Nilorn has over the past years increased significantly and most ofthe gods today is transported by air. The aim of this thesis is to analyse the supply chain of thecompany and evaluate the potential economic savings in this area.

Background:Studies show that when nurses are experiencing problems in the care of non-Swedish speaking patients, it is often due to obstacles in the communication. Studies also show that a prerequisite for adequate care is that there is a basis for a direct communication. Nurses perceive interpreters as an important link to the patient when they do not share a mutual language, the nurses perceive interpreters as a bridge in the conversation.Aim:The purpose of the study is to describe nurses' experiences of the quality of assessments done with the help of an interpreter.Method:The study was conducted through interviews with ten nurses, working at psychiatric clinics. Qualitative content analysis was used for the analysis, which resulted in five categories.Results:The analysis resulted in one theme: "it´s the interpreter who tells me and have not the feeling that the patient has" and five categories: "shades of the language", "conversation structure", "the interpreter's competence", "interpreting implementing" and "the interpreter's gender and origin". The nurses experience working with interpreters as a challenge.

Background: 2009 it has occurred a crisis in some of the member states of the European Union: Spain, Portugal, Italy, Ireland and Greece. Despite, some major banks in the world had begun to recover from the financial crisis that occurred from 2007 until 2009, there were still banks who found it difficult to survive. Greece is one of the countries that suffered from the financial crisis. The high budget deficit and the unsustainable debt are underlying the crisis.Banks as financial intermediaries have important function in a nation?s economy.

After been told that an ordinary winter service for our combine should cost more than 20000 SEK, not included spare parts, I decided to write this paper about today?s requirement of the workshop on a farm. I think that the lack of proper premises is the reason way not more of the ordinary machinery maintenance or upkeep is performed on the farm. When I did my literature survey I found that the Swedish environmental code, set by the Swedish law regulate how drain or sewer should be built. The environmental code however leaves a lot for your own interpretation. It might not be so bad but it must be very hard for the local environmental office to interpretation the regulations, since they are the ones that gives permission for the sewer in your workshop.