Bakgrund: Antalet patienter med hjärtsvikt kommer att öka i framtiden då fler äldre överlever en hjärtinfarkt vilket är en vanlig orsak till hjärtsvikt. Många patienter med hjärtsvikt väljer att vårdas i sitt hem vilket innebär en utmaning för distriktssköterskor i den kommunala hälso- och sjukvården. Syfte: Syftet med denna studie är att belysa distriktssköterskors stöd till patienter med svår hjärtsvikt som vårdas i hemmet inom kommunal hälso- och sjukvård. Metod: Genom intervjuer samlades data in från sex distriktssköterskor. Data analyserades med kvalitativ innehållsanalys med induktiv ansats.

In this study we try to focus on the costs for wear parts on different type of soil tillage machines and at Väderstad Rapid drilling machine. We have studied some of the leading types of cultivators and disk harrows. Among the cultivators we have investigated Väderstad Cultus, Dalbo Dinkomax, Horsch Tiger and Terrano. At disk harrow we have looked at Amazone Catros and Väderstad Carrier. We have made more detailed study on costs for wear parts, working depth, driving speed and diesel consumption.

Energy efficiency is important both to reduce costs and to reduce greenhouse gas emissions in the atmosphere. Reducing costs will also help maintain business competitiveness.Scania in Södertälje is a company where the optimization of energy use is an ongoing and continual process. One area with potential to make energy and cost savings is the effectiveness of the ventilation systems in offices and industrial premises at Scania. During the summer months an increased demand for cooling occurs, leading to increased ventilation and a peak in district cooling system usage. Sorptive cooling is a technology where the supplied air is cooled by applying external heat.

Ever since Lipsky wrote about street-level bureaucrats in 1980 the main belief has been that certain characteristics of their jobs make it exceptionally difficult to severely reduce their discretion. However, discretion comes at a price and if public servants abuse their power the legitimacy of government is at risk and ultimately even the democracy.This thesis address this question by analysing the Swedish employment service which in the beginning of 2001 started a project called ?Af Sverige? trying to improve internal rule of law. By comparing two local and fairly equal jobcentres and how the street-level bureaucrats within use their discretion, I seek to find support for my hypotheses that organizing local jobcentres according to the principles of machine bureaucracy plays a significant part in reducing discretion.My findings show that a jobcentre characterised by strict rules, few units, good communications and a forthright manager who delegates formal power to the employees results in a stricter and more uniform application of regulations among the street-level bureaucrats. My conclusion is therefore unambiguous.

Bakgrund: Hjärtsvikt har dålig prognos och drabbar ett stort antal människor i Sverige. De som drabbas upplever många problematiska symtom och medicineringen har många biverkningar som kan vara svåra att leva med. Obehagliga känslor kan förvärra symtom hos personer med hjärtsvikt. Sjuksköteskan bör kunna identifiera känslor och förstå varför dessa uppstår hos personer med hjärtsvikt för att bättre kunna vårda dessa. Syfte: Syftet är att beskriva hur personer som lever med hjärtsvikt beskriver sina känslor.

The purpose of this essay, ?Now they are chasing paper-less - A qualitative discourse analysis of mass medias depiction of the Reva-project and the work of the police?, is to analyze how mass media portrays the Reva-project and polices work with the project. The basis for the essay will be eight selected newspapers. The Reva-project implies collaboration between the Police, the Swedish Migration board and the Swedish Prison and Probation Service within the border police. The aim of the project is to enhance the efficiency and the execution of the border police work, in accordance with the government?s target.

Alfa Laval?s strategy is to focus on modularized product platforms. Several benefits areforeseen, reduced lead-time, less costs, shorter Time To Market and better quality.Development and verifying will be carried out on block level. Today the separators arebeing tested as a complete unit. A number of factors affect the test results and problemsthat are encountered can be hard to identify.

Bakgrund: Medfödda hjärtfel tillhör de vanligaste missbildningarna hos levande födda barn. De stora framstegen inom hjärtkirurgin har lett till att fler barn överlever. Att få ett barn med medfött hjärtfel är väl dokumenterat som en mycket stressig upplevelse familjen. Föräldrar till hjärtsjuka barn uppvisar ett sämre välbefinnande jämfört med föräldrar till friska barn.Syfte: Att beskriva föräldrars upplevelser av att leva med ett barn med medfött hjärtfel.Metod: Allmän litteraturstudie med kvalitativ deskriptiv design och en deduktiv ansats. Katie Erikssons vårdteori om lidandet användes som teoretisk referensram.Resultat: Föräldrarna led av oro och stress i hög utsträckning och barnets hjärtsjukdom hadeen stor inverkan på hela familjens tillvaro.

Minst 500 000 av Sveriges befolkning har kroniskt obstruktiv lungsjukdom (KOL) och ungefär 250 000 har hjärtsvikt. De två patientgrupperna hade många likartade symtom och en sjuksköterskeledd gemensam primärvårdsmottagning för dessa patienter kunde innebära många vinster. Ett av distriktssköterskans kompetensområde var att ha stödjande samtal om hur den enskilde patienten hanterade sin sjukdom. Syftet med uppsatsen var att jämföra copingförmåga och copingstrategier mellan patienter med KOL och patienter med hjärtsvikt, samt att undersöka eventuella skillnader av grad av ångest, depression, påverkan på funktion av fatigue och andfåddhet utifrån copingförmåga och användande av olika copingstrategier.  Metoden var en beskrivande och jämförande tvärsnittsstudie. Patienter med KOL respektive hjärtsvikt från primärvården i tre landsting ingick i studien och de fick svara på en hemskickad enkät.

Introduction: How to implement and integrate cultural aspects in strategy making and planning in order for cities and regions to reap both social and economic benefits has been widely discussed in recent years. This method of working with culture, both as an economic, as well as an identity strengthening tool has come to be labeled as cultural planning. But in order for these ideas about cultural projects and institutions to become a reality, something has to be done. This is where the entrepreneur enters.The Glass Factory, a newly opened cultural establishment in the heart of the Glass Kingdom in Småland, Sweden, became the subject of empirical investigation for this paper. As this originally was an initiative from Emmaboda municipality the planning and start-up procedure could be viewed as a cultural planning process.

The objective of the essay was to identify the nursing care required by a dog suffering from heat stroke and how to educate and advice the owners how to start treating their dog and prevent the condition from occurring in the first place. The essay is based on a literature study. Several databases were searched for scientific research to try find answers to the issues. Keywords concerning the subject were used and mixed in different combinations to sort out the suitable studies. The results of the study indicate that the dog should be cooled by the owner directly after detection. The most crucial issue is to reduce the body temperature as quickly as possible or the morbidity will worsen.

Although research on gothic fiction has given limited attention to children?s fiction, the last two decades have witnessed an increasing interest. To date the focus has been mainly on English literature with a recurring tendency to define children?s gothic fiction as a text corpus separate from gothic fiction in general. As a result, children?s gothic fiction has become isolated and is not considered as part of the gothic genre, neither the literature nor its adaptations.The aim of this study is to view children?s gothic fiction as an integral part of the gothic genre.

Phenylbutazone has been discussed in the world of the equestrian sport several times and different countries have diverse opinions on its use in competitions. The progressive list that permits phenylbutazone with plasma levels up to 8 µg/ml was presented at the FEI General Assembly in November 2009. The list was voted to be accepted, but later several countries realized the consequences and after protests the list was rejected and is going to be discussed again at the FEI General Assembly 2010. In this literature study I have studied the relationship between the concentrations of phenylbutazone in plasma and the effects on lameness. The purpose was to establish whether the limit of 8 µg/ml phenylbutazone in plasma affects the equestrian sport.

The dialysis ward at Karolinska University Hospital is a highly pressurized work environment filled with critical treatment situations where patient?s lives can be constantly in danger. Staff have to deal with a myriad of alarms and error codes in response to their patients varying ailments. The workforce at the dialysis ward lack controlled environment training, sufficient to address all of the potential treatment scenarios, with no risk of jeopardizing the patient?s condition.The purpose of this essay is to design and test the efficacy of using an IT based device for dialysis education at Karolinska University Hospital.The main topics this essay intends to address are:? Identification of user scenarios and training fields.? Prioritization of key training areas.? Utilization of IT in effective staff training.? Design of a conceptual prototype.The process focuses on the user and their needs.

Automatic trimmerhead is an examination project for making an automatic trimmerhead for grass trimmers with the user and functionality in focus. Our perception is that a happy user is a user who can pick up his or her trimmer, use it and put it back to its place when the job is done. It should not be necessary to interrupt work and perform maintenance on the machine just to make it work as promised.The project has been made in collaboration with the company Husqvarna, which is one of the biggest actors dealing with garden machinery on the market. Together we determined the project goal, ?To invent, construct and test a brand new concept for how an automatic trimmerhead can look and function?.At this day there are several different automatic trimmerheads on the market, both semi and fully automatic.