Idag riktas allt mer fokus i samhällsdebatten och i politiken på personer medallvarlig psykisk sjukdom. Man debatterar dels hur samhället skall kunna tillhandahålla enhögkvalitativ vård och ett bra omhändertagande, men också ur ett samhällsekonomisktperspektiv. Den psykiatriska slutenvårdens kostnader är höga och debatten handlar ofta omhur dessa kostnader skall kunna reduceras.Denna studie vill titta närmare på om metoden Case management enligtAssertive Community Treatment (ACT) kan bidra till att den psykiatriskaslutenvårdskonsumtionen minskar för personer med allvarlig psykisk sjukdom. För attgranska detta har intervjuer med fyra brukare använts där frågeställningen var fokuserad påderas subjektiva upplevelser av att erhålla Case management enligt ACT under en period avtre år. Vidare granskades skattningar enligt Kvalitetsstjärnan som utförts under en tre årsperiod.

In today?s health care it?s most common to treat an illness with a kind of pharmaceutical preparation. But lack of resources, given information and bad communication and collaboration between the patient and the nursing staff can lead to a patient unwilling to follow the doctor?s prescription. This does not just affect the individual patient?s health but it can also result in consequences for other people and the whole society.

Title: The nurse's dilemma in psychiatric inpatient care - a balancing act between good and evil Objective: To describe the nurse's experience of relieving patient suffering caused by coercive measures on a closed psychiatric ward . Frame of reference : The results are discussed in light of Eriksson´s theory of suffering and caring relationships Method: A qualitative analysis based on focus group discussions Results: The analysis resulted in six categories, to protect the patient , to involve the patient , not to lose control , to remain , to justify compulsion , and to be touched . The results showed that nurses had the experience of being able to relieve the suffering of patients caused by coercive measures. It was also found that the nurses had a tendency to justify coercive measures , the more experience they had of performing these . Conclusion: The results describe that nurses have the experience and knowledge of how to relieve patients' suffering caused by coercion but also their experiences of performing these .

The law of 2006 about Equal treatment, has been put in place to stop discrimination of students, example based on their gender. The law has an important function to increase the equality of opportunity between girls and boys in school. Therefore the teacher has an imported roll for raising the equality of opportunity between girls and boys in school. That?s why it?s imported to work gender awareness.

Featured adjuvant chemotherapy treatment in women with breast cancer can lead to pain. The aim of this study was to explore, the variety of perceptions and impact of adjuvantchemotherapy-induced pain in daily life, of some women newly diagnosed with breast cancer.Inclusion criteria were participating in an ongoing stress management projectand chemotherapy of (anthracycline/taxan) in doses of 75mg² or more. Exclusioncriteria were inability to understand and communicate in Swedish and mentalillness. After ethical approval of the sub study in September 2010, women wereconsecutively included through oral and written request. Phenomenologicalapproach was used in the eight interviews and data analysis.

Syftet med studien var att utvärdera vad tidigare klienter på Lenagården HVB, ett behandlingshem för vuxna med psykiska problem, upplevde som värdefullt, respektive vad de upplevde som negativt eller saknade i sin behandling. Utvärderingsfrågorna utgick från Lenagårdens programteori samt aspekter som tidigare forskning kring institutionsbehandling pekat ut som viktiga för framgångsrik behandling. Data samlades in via kvalitativa intervjuer med fyra tidigare klienter. Systemteorin har använts som utgångspunkt för resultaatanalysen.Utvärderingen visar bland annat att gott bemötande i termer av vänlighet och respekt samt personalens kompetens ansågs vara värdefulla faktorer i behandlingen. Själva terapin och behandlingsmetoden ansågs av samtliga intervjupersoner vara givande.

During the nineties, ecological handling of urban storm water became very popular in Sweden. Together with Chalmers University of Technology and two Swedish communities, DHI Water and Environment has been doing research of storm water ponds and constructed wetlands. This thesis work is a part of that research project. The work has been applied at the Bäckaslöv storm water treatment plant in Växjö, Sweden. The plant consists of one storm water pond and a downstream constructed wetland.

The purpose of this report is to investigate and compare the difference between stand-thinning machines and strip-road thinning machines, and how they affect the stand on behalf of future growth, theoretical economic result, wind impact, snow pressure and density of stand. The investigation is regarding the first commercial thinning of pine stands, after pre-commercial thinning that was well conducted. The investigation area was located near Katrineholm, Sweden. The measurements that were measured were strength of thinning and amounts of wind throws, snow-breaks and hauling damages. The results that emerged, was that thinning with strip-road machines had a significantly higher strength of thinning over all, as compared with the stand- thinning machines (45 percent versus 30 percent). Comparisons between wind-throws, snow-breaks and hauling damages of the stand could not establish any significant differences between the two methods that were investigated. Conclusions, over all, were that if forest owners want to have more timber volume left for second thinning and final cut of the stand, the forest owners should choose the method with stand-thinning machines. From the point of view of gentle treatment of the stand and ground damages the choice should be the same. However, the method with strip-road thinning machines is the most common and accessible method in Sweden. Most likely it is the most economical way to manage the stand for forest owners in present time. If the method with stand-thinning machines is becoming more common in Sweden, it is suggested for forest owners to consider the stand-thinning method as a candidate for treatment due to economic aspects..

 Conclusion:Medical treatment may have a role in platelet count after transfusion. Since the TACSI platelets passed the quality requirements, and the vast majority of patients platelet count increased after TACSI platelet transfusion, the TACSI platelets will replace the old method to produce platelets at the Uppsala University hospital.  Methods: A new approach that pools 8 buffy coats (TACSI platelets) that were separated into 2 units instead of 4-6 buffy coats pooled to 1 unit was investigated in this study. After the platelets were extracted from the buffy coats their quality was controlled and subsequently the platelet product was evaluated in 96 patients. Results: The results showed that 80 % of the platelet units passed the European quality requirements. Further, the platelet count was increased in most patients that received TACSI platelets. Conclusion: Medical treatment may have a role in platelet count after transfusion.

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Type 2 diabetes is a growing disease in the population which includes that older people are a risk group. With the disease grows even cost?s. A lifestyle change is a major part of the treatment for type 2 diabetes. There are several factors that suggest positive effects on prevention among the elderly where, among other things, economic and health benefits are presented.

A one-cylinder research engine has been used for studies with a Diesel Dual Fuel concept (DDF). DDF is a concept that utilizes a pilot diesel injection to ignite a homogenous natural gas/air mixture. Emissions and engine efficiency have been analyzed in an emission cycle called European Stationary Cycle (ESC) and the knock/pre-ignition problems with this type of engine have been investigated.At low and mid torque levels, an early diesel injection around 60 crank angles degrees (CAD) before top dead center (TDC) was used. At these loads raw NOxemissions was below EURO 6 level (0.2 g/kWh). NOxwas at EURO 5 level over the complete ESC without after treatment and with SCR at high loads it should be possible to reach EURO 6.One issue with DDF is the high HC emission levels.

Drinking water is produced from raw water and is either from groundwater or surface water. This thesis aims to find out if the cleaning process of raw water is sufficiently effective. This is important because consumers are otherwise at risk of waterborne infection caused by pathogens. There are three groups of pathogens; bacteria, virus and parasite. These have different characteristics which mean that they require different water treatment to be separated.

Ämnet för denna uppsats är tillsynen av enskilda hvb-hemför minderåriga. Syftet är att titta närmare på hur denna tillsyn egentligen fungerar i tre valda län ? Örebro, Halland och Skåne. Uppsatsens huvudfråga handlar om hur tillsynen går till, om riktlinjer finns samt om dessa efterföljs. Uppsatsen har en explorativ ansats och informationhar sökts främst genom e-post-kontakt med olika instanser men också via Internet och litteratur.Det har visat sig att tillsynen oftast följer framtagna riktlinjer i någon form, att den sker via föranmälda besök på hvb-hemmen där tillsynsmännen tittar på dokumentation, rutiner,personal samt behandlingsarbetet.

The effect of methyl jasmonate on resistance against the large pine weevil (Hylobius abietis) in Scots pine and Norway spruce seedlings. A field experiment was conducted in order to determine the dose-response effects of methyl jasmonate (MJ) on growth and defence to pine weevils in Scots pine (Pinus sylvestris) and Norway spruce (Picea abies) and to compare the effect of MJ between pine and spruce. In addition a complementary greenhouse experiment was conducted with the same aims as above and to determine the amount of resin ducts and their correlation to the feeding of pine weevils. The field experiment was conducted on a fresh clear cutting in Garpenberg, southern Dalarna in central Sweden. The experiment consisted of 30 blocks with three kinds of containerized seedlings: 2-year old spruce, small pine (before shoot elongation) and 1-year old pine (already shoot elongated). They were all exposed to 4 treatments 14 days prior to the experiment: control, 25 mM/L MJ, 50 mM/L MJ and 100 mM/L MJ. Data on weevil damage and seedling growth were collected after the first and the second growing season. The seedlings in the greenhouse experiment were of the same kind and were exposed to the same treatment as the ones in the field experiment.