BackgroundHeart Failure is an increasing chronic disease in the western world due to an aging population and a changed lifestyle. The basic treatment is pharmacological with substantial lifestyle changes. Much is known about physical exercise in middle aged and younger patients but in the patients over the age of 65, little is known. AimThe aim of this study was to investigate the effects of physical exercise on patients aged over 65 with congestive heart Failure. MethodA systematic review was undertaken in the databases Cinahl and PubMed.

The study aims to understand the underlying factor why McDonald's customers return despiteprevious Failure customer experiences. Why do customers come back to the company thatcontributes to the former dissatisfaction? McDonald's attempt to maintain unceasingpurposeful emergence fail at the local level, where the customer contact occurs. McDonald'sofferings and customers' bounded rationality results in that customers are satisfied with an"ok" experience, which adds to their low expectations of McDonalds. This makes clear thatMcDonald's does not have to make an effort through constant adaptation at the local level toachieve a "great" level of satisfaction.

Riskanalysverktyget Failure mode and effects analysis (FMEA) som analyserar kompo-nenter och signaler är beroende av att designen av fordonets elsystem finns tillgängligt och utförs därför sent i utvecklingsprocessen av elsystem. Detta medför att vissa fel inte analyseras i tid och kanske måste designas bort i efterhand vilket kan leda till ökad sy-stemkomplexitet samt längre och dyrare utvecklingsprocesser.Målet med examensarbetet är att genom en litteraturstudie ta reda på om det finns me-toder eller arbetssätt som gör att Scania tidigt i utvecklingsprocessen av elsystem kan genomföra funktionsanalyser i sitt riskanalysarbete med FMEA samt analysera dessa.Resultatet av detta examensarbete visar att det är möjligt att påbörja FMEA-arbetet tidigt i utvecklingsprocessen av elsystem om ingenjörerna utgår från ett funktionsperspektiv i riskanalysarbetet där de listar och rangordnar de funktioner som tillsammans realiserar en eller flera funktionaliteter samt deras felmoder, feleffekter, feldetektering, allvarlighet, sannolikhet och frekvens. Med hjälp av en FFMEA kan ingenjörerna tidigt i utveck-lingsprocessen av elsystem snabbt och effektivt hantera de identifierade säkerhetskritiska funktionerna.En befintlig funktionalitet på Scania har brutits ned i funktioner och en FFMEA har genomförts på dessa som en demonstration på hur en FFMEA kan genomföras och se ut..

In a comparing survey this thesis investigatesclassification systems for dams in Sweden, Norway,Finland, Switzerland, Canada and USA. Theinvestigation is aiming at an understanding of howpotential consequences of a dam Failure are takeninto account when classifying dams. Furthermore,the significance of the classification, regarding therequirements on the dam owner and surveillanceauthorities concerning dam safety is considered andreviewed. The thesis is pointing out similarities anddifferences in the line of dam safety.The survey of dam safety is firstly based upon legalrequirements in the different countries andsecondly on guidelines regarding dam safety. Damowners generally are ultimately responsible for thesafety of their dam, and often have their ownroutines regarding how this safety is to be achieved.In this thesis, however, the legal requirements aremainly focused upon.The investigation has resulted in an outlining ofeight areas, where the classification systems in thevarious countries have been compared.

The characteristic of services as an effort carried out in a "moment of truth" implies a risk for Failures. This study sheds new light on how alternative offerings that customers are initially exposed to can affect satisfaction and loyalty in the service Failure and recovery context. More specifically, two aspects of the initial offering are studied: promised general service quality and the presence of a promise about a specific product attribute. Based on a presentation of the main theoretical perspectives, hypotheses are formulated and a scenario-based experiment in a hotel setting is designed to explore these. The results indicate that a higher level of promised service quality can result in more positive evaluations of satisfaction and stronger word-of-mouth intentions than for a lower level of promised service quality.

This study looked at two groups of adolescents aged 12-17 years who had participated in circus training. One group had some form of disability while the other had none. The study was carried out as a qualitative study with observations, interviews and a questionnaire used as methods of gathering data. A small part of the study was quantitative and an observation chart was used. The purpose was to examine the importance of teamwork, environmental factors and the necessary requirements during a learning situation.

Cochlear implant has become a common treatment for people with severe hearing loss. As the field of cochlear implants is developing rapidly a larger group of patients will be implanted. Therefore, it can be of interest to identify which complications are most frequently occurring. Objective: The aim of this study is to identify and present the most common complications in cochlear implant treatment and to identify surgical issues that have to be addressed during implantation. Method: A review of retrospective case studies regarding complications has been made.

This study deals with a Swedish company in a food industry that got affected by product Failure, which led to consumer trust crisis followed by media and was needed to be managed. Situation had a negative impact on company?s trademark, which acquired long recovery work by the company. Study is following a case example of Findus problems with having horse meat in their meat product that was supposed to contain beef meat. Study aims to research how the company dealt with situation, through crisis communication and recovery strategies.

Allt fler personer drabbas av hjärt- och kärlsjukdomar, vilket på sikt kan leda till kronisk hjärtsvikt. För att förbättra omvårdnadsåtgärder för hjärtsviktspatienter har Socialstyrelsen 2004 givit ut nationella riktlinjer för hjärtsjukvård där vikten av en individuell handlingsplan betonas. Syftet med litteraturstudien är att undersöka på vilket sätt sjuksköterskor utför omvårdnadsåtgärder avseende fysisk aktivitet, egenvård, nutrition och rökstopp för patienter med hjärtsvikt och om dessa överrensstämmer med gällande riktlinjer samt om hänsyn måste tas till genusskillnader. Metoden är en litteraturstudie i databaserna PubMed och Elin@Malmö vilket resulterade i 14 artiklar som användes för att söka svaret på syftet. Som teoretisk referensram har Antonovskys KASAM modell använts.

Träningsinducerad lungblödning, Exercise-induced pulmonary hemorrhage (EIPH), är ett stort problem hos travare och galoppörer i hela världen. Det får anses klarlagt att mekanismen bakom EIPH är så kallad stress-Failure, utmattningsskador, i blod-gasbarriären vilket beror på att hästarna har en respiration och cirkulation som ger extrema påfrestningar på denna sköra struktur. En bidragande faktor till stress-Failure tycks kunna vara att hypertension i lungvenerna leder till att dessa remodelleras och förtjockas, vilket i sin tur leder till ännu högre tryck i lungkapillärerna. Den här litteraturstudien handlar om hur inflammation i lungorna kan ge upphov till EIPH. Inflammation finns med i problematiken runt EIPH både som en bakomliggande faktor och som ett resultat av blödningen.

Migrationsverket är en myndighet som prövar ansökningar från personer som vill söka skydd, ha medborgarskap, studera eller vill jobba i Sverige. Då det på senare tid varit en stor ökning i dessa ansökningar har tiden för vilket ett beslut tar ökat. Varje typ av ansökning (exempelvis medborgarskap) är en process som består av flera steg. Hur beslutet går igenom dessa steg kallas för flöde. Migrationsverket vill därför öka sin flödeseffektivitet.

Swedish healthcare is in continuous need of cost savings and efficiency improvements in order to meet the increased demand for care. The theories of lean, developed from the industry, are applied more frequently on healthcare systems to increase effectiveness and reduce waiting times in patient processes. However, some processes seem to be more successful in their lean implementation than others. In this thesis, factors influencing flow efficiency in lean healthcare are examined. Through interviews with the top executive board at Capio St Göran's hospital, data is collected in order to analyze reasons for success.

Väpnade aktörer, terrorism och illegal handel (med människor, narkotika och vapen) är alla företeelser som, i varierande omfattning, florerar i fallerade stater. Dessa företeelser återfinns inte minst i Colombia, som trots det inte bedöms vara fallerad.Uppsatsens syfte är att påvisa behovet av kvalitativa och kontextspecifika studier, då vår förförståelse är att analyser av fallerade stater, som bygger på kvantitativ forskning, missar orsaksperspektiven. För att göra detta prövas två teorier (Rotbergs kvantitativa och Buzans/Holstis kvalitativa) på fallet Colombia.På grund av att Rotbergs teori har en lägre validitet och inte förklarar vad som ligger bakom staters interna problem, kan Colombias situation mest framgångsrikt förklaras utifrån Buzans/Holstis teori. Buzan/Holsti missar dock flera för, Colombia centrala aspekter, som går under benämningen ?the Hidden Form of State Failure?.Nyckelord: Fallerade stater, Rotberg, Buzan/Holsti, Colombia, ?the Hidden Form of State Failure?..

- To be trapped in a roller-coaster That ?s how some of the patients are describing the situa- tion of living with heart Failure. To be stuck in their home not knowing if they will have to seek care today and not knowing if they will have the energy to attend that birth- day party later this week.Each year 2-3% of the Swedish population are diagnosed with heart Failure, which results in 30,000 new individu- als with the disorder. Cardiovascular disease is rapidly in- creasing in the world and before 2030, people with heart Failure will increased by 100%. Our improved living condi- tions and better health have allowed us to grow older and made us more dependent on other types of care, care at home.Today the patients are only looking for changes in weight and if they have excessive water in their body.

The construction industry is often criticized to be an industry of narrowness and slow of change. The traditional construction process is considered to create gasps of inferior quality, delays and increase of disputes. Meanwhile, productivity is lower compared to other industries and the prices are increasing. In this debate, it has been assumed that the reported figures are monitoring a reflection of reality, but there might be an error in the statistics which suggests that the focus is at the wrong place. A study of the monitoring and the measurements of the results are to consider, instead of spending time and resources on issues and actions The Last Planner System is an executive planning tool which creates a predictable workflow and creating value throughout all the different stages.