Holmen Skog has in some places in their operation area access to timber trucks with centre mounted scrapers. They make transportation more flexible and reduce reliance on contractors for road maintenance. The trucks with centre mounted scrapers have a higher tare weight, making them less productive and therefore they receive compensation with a 0.75 % increase on transportation price. The purpose of this study was to investigate what actions a timber truck with centre mounted scraper can perform with acceptable quality in winter, and to examine if it is an economically profitable solution for the truck operator and charterer. The study was done in three stages; interviews, performance analysis of the transportations carried out and an economic analysis with the help of Sven Erik Gilles spreadsheet tool. The study included the districts Delsbo and Hudiksvall.

- 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 aim of this study was; from a group of boys and girls description and interpretation of interaction with other young people, personnel and the environment of the youth centre illuminate how the social gender are constructed and maintained at the youth centre. In this study we have tried to analyse the phenomena from an intersectionalistic perspective. Except gender, the analytic category social class have been tried to capture. Our theoretical standing point is social constructivism. Institutionalized structures in our society are constructed by humans, gender is not only a biological construction it is also a man created construction.

Background: Basic hygiene is an important measure to prevent healthcare associated infections, save patients? lives, and reduce economic costs for health care. Healthcare associated infections are a threat to patient safety. In community care persons who are the care takers are a risk group and nurses must make sure that basic hygiene procedures are followed.Method: Literature studies with descriptive design, article search in databases Cinahl and PubMed. The results found are based on twelve chosen articles.Aim: To describe factors related to adherence to basic hygiene and how nurses in community care can help to improve compliance with these procedures.Results: In the nursing staff and leadership in health care interest in and the understanding of basic hygiene is described as being of most importance.

Thesis: The aim of our study is to identify how IKEA's externalestablishment at Norra Backa can affect Kupolen and the centre. This in order to provide suggestions on how these trade areas can be connected and create a whole to thereby gain the purchasing power.Method: In our study we used triangulation. That means we have used both a quantitative and a qualitative approach. The quantitative method based on a survey with 100 respondents. The qualitative method is based on interviews with the centre conductors of Borlänge, Laila G Prosén and Anna Timander.Theory: The theories we have used is STP, substitution effects and effects of overspill, important factors for an attractive market town, Town Centre Management, Urban Retail Product.Conclusion: We found how IKEA's establishment at Norra Backa may affect Kupolen and the center of Borlänge then we gave suggestions on how these trade areas can be connected..

School can be an effective environment for achieving a more equal health among children and adolescents, since many individuals can be reached by the health promoting work in the school. In the year of 2000 a project in Skåne was started for the development of health promoting schools. The health promoting projects however, have shown to be of short duration. So, as an alternative, the integration of the health in school ought to be tried. The aim of this study is to give examples how health promoting schools can strengthen their profile.

Abstract? Background: ?Breast?cancer is the?most?common cancer for?women,?with?over 8000?of?cancer?cases?per?year.?Surgery?is the?most?common form?of?treatment. Basis?of?illness?and?the?loss?of?a?breast?can?be a?big?trauma for the?individual?and?affect?many?aspects.?Aim: The?aim?of?this?study?was?to?investigate?health-related?quality?of?life?and?psychosocial?situation and the?need?for support and?care?for?women?who?undergone?a?mastectomy?with?or?without?reconstruction.?Method: The?study?design?was?a?descriptive?study?with?qualitative?approach.?The?selection?was?strategically?consisting?of?the?eight?women?from?five?cities?which?had?undergone?mastectomy?with?or?without?reconstruction. The?interviews?were?semi-structured?individual?that?analyzed?using? content?analysis.?Results:All?of?the?women?felt?that?the?body?changed?after?the?mastectomy.? Feelings?of?insecurity?and?discomfort?were?common.?Among?those?who?underwent?reconstruction?were?all?dissatisfied?with?the?results.

This report will present an energy efficient building in the centre of Kalmar city. It willbecome energy efficient because of the worldwide goal to reduce our energy using in ourbuildings.The values of architecture have been given a great part in this report. The building is supposed to be placed in Kvarnholmen in a unique environment in centre of Kalmar city.Because of the placement it is very important to show respect to the surroundings and the history of Kalmar..

Most of the people in today's society have at least some knowledge about Alzheimer's disease to some extent. When a person with Alzheimer's disease is being taken care of at home, the relatives have to change their own priorities and readapt themselves to the existing situation. The primary aim of this study is to describe how the relatives experience their own situation in life. The secondary aim of this study is to describe how the relatives understand their own relation with the health care authorities concerning the help and support issues. The authors have realized this study using the analytic inductive method and have interviewed four informants using a semi structured interview guide.

In the nurse's profession ulcer care is a common nursing intervention. Being inserted in methods of treatment and updated with evidence-based knowledge is therefore an important part of the nurse's work. Chronic ulcers are expensive for health care and occupy a lot of time. Knowledge is therefore important for ulcer healing, for the patient comfort and to reduce costs. The aim of the study was to illustrate the nurse's knowledge of nursing interventions of chronic ulcer.

SAMMANFATTNING En bristfällig munvård kan leda till olika sjukdomstillstånd. En god munvård är en viktig del i det fysiska och psykiska välbefinnandet. Allt fler äldre personer behåller idag sina egna tänder. De som inte kan sköta sin egen munvård p.g.a. sjukdom eller åldrande behöver därför hjälp.

Background: Relatives are those persons who are closest to the patient, regardless of relationship and included into the patient´s life world. When a person is in a palliative stage this affects not only the patient but also the relatives, as it implies such a big change in life for all. The nurse has an important role for both the patient and the relatives. Aim: The aim is to highlight the relative´s needs of support for palliative care. Method: A literature review based on previous research. Ten articles were found, nine with a qualitative approach and one with both qualitative and quantitative approach. Results: The analysis resulted in six themes, these were the result of the study. The six themes were, ?to be seen an confirmed?, ?good communication?, ?continuous information?, ?availability and continuity?, ?to participate? and ?to share responsibility with the staff?. Conclusion: As a nurse we come in contact with relatives of patients in a palliative setting in any form.

The collection of hazardous waste from the household around Swedish municipalities varies. 1% of the households waste is hazardous waste. It has hazardous features that can give bad consequences for the nature and human health if we don?t collect it and treat it. Therefore the law controls it, the municipalities have responsibility for the household waste.

Background: The relationship between advanced age, presence of illness and impaired functioning is well known. A large proportion of the elderly population has an extensive need of care and service and therefore need help from municipal care. Aging is a transition in life and also affects the person's identity and self image, making the person particularly vulnerable and challenging everyday safety. It is therefore of importance to gain knowledge about which factors at individual and organizational level that support a person-centered nursing care for the elderly so that caring responsibilities and staffing of nursing personnel may be scheduled based on need. Aim: This study aimed at describing dependency and care needs of elderly persons living in ordinary housing, sheltered housing and nursing homes. Furthermore the study aimed at describing how the dependency was related to the staffing of non-licensed and licensed nursing staff in nursing homes. Method: A descriptive and analytical quantitative method was used in the study.

Female genital mutilation is an ancient custom, practiced mainly in African countries. For several years, Africans has immigrated to Sweden and many of the women are genitally mutilated or circumcised. The aim of this study was to bring some clarity to the attitudes and experiences regarding female genital mutilation among those who are affected. Articles for this literature review were searched for in international databases, and in the university library database. The outcome of this study shows that health care staff is in need of greater knowledge about this custom, in order to be able to handle the situation appropriately.