Att drabbas av stroke innebär ofta kognitiva funktionsnedsättningar. Betydelsen av en snabb bedömning av strokepatienters kognitiva funktioner i det akuta skedet efter en stroke betonas i flera studier. Syftet med den här studien var att med hjälp av en enkätundersökning kartlägga de kognitiva bedömningar som genomförs av arbetsterapeuter på landets strokeenheter. Undersökningsgruppen utgjordes av arbetsterapeuter på 58 strokeenheter. Det insamlade materialet bearbetades med beskrivande statistik.

Bakgrund: Dysfagi innebär avvikelser i den normala sväljningsfunktionen och är en vanlig funktionsnedsättning till följd av stroke. Tidigare studier har påvisat att incidensen av dysfagi i det akuta skedet efter stroke är 41-68 %. Kliniskt sett upplevs incidensen ha minskat de senaste tio åren. Syfte: Syftet med denna studie var därför att (1) undersöka den nuvarande incidensen av orofaryngeal dysfagi hos nyinsjuknade strokepatienter, (2) undersöka hur många av deltagarna som upplever svårigheter att äta och svälja samt bedöms lida av dysfagi enligt vårdpersonal. Metod: Sextiotre patienter inkluderades i studien, av dessa fick 42,9 % diagnosen stroke. Samtliga deltagare genomgick en dysfagibedömning inom tre dygn efter inskrivning på vårdavdelning. Denna bestod av testerna the Standardized Swallowing Assessment ? Svensk översättning (SSA-S) och sväljkapacitetstest (SCT).

Syftet med denna uppsats var att få ökad förståelse för hur anhöriga till personer med stroke upplever och hanterar sin nya livssituation. Uppsatsen studerar med hjälp av copingteori vilka copingstrategier de anhöriga använder sig av och om val av copingstrategier skiljer sig åt mellan män och kvinnor. Detta undersöktes genom fem kvalitativa djupinterjuver varigenom jag fick tillgång till de anhörigas upplevelser. Analysen är uppdelad i tre teman: 1) Parrelation/familj 2) Socialt nätverk 3) Samhällsstöd. Citat ur interjuverna förstärker vad teori och tidigare forskning belyser.

Thermia Värme AB is one of the market leading manufactures of heat pumps. In order tomaintain this position, the company wants to improve the vibration characteristics of theirproducts. The aim of this thesis is to develop product design changes that lead to a reductionof vibrations in the heat pump Thermia Diplomat 8.The main cause for vibrations in the system is flow pulsation and mechanical forces inducedby the scroll compressor. Vibration is transmitted through the compressor piping and receivedby the heat exchangers, from where it is further transmitted to the connection points for theradiator and heat source circuits.A number of design changes in order to improve the vibration characteristics have beenevaluated through calculations and practical experiments. The changes have included thecompressor and heat exchanger mountings, the compressor suction and discharge line pipingand also pulsation dampening.The results of the experiments show that the vibration levels in the connections for the heatingand brine circuits can be decreased strikingly through changes in suction and discharge linepiping.

During installation and operation of a geothermal heat pump system leakage of an antifreezing agent can appear in a borehole and leak out in surrounding groundwater. To guarantee high quality drinking water for generations to come Sweden has dedicated some areas as water protection areas. The local authority gives permits for the installation of heat pump systems within water protection areas. Before giving a permit the local authority makes an evaluation of the risks involved in installation and operation of the system within the area. By keeping a certain distance between the protected object in the area and the heat pump system the risk of polluting the protected object with an anti-freezing agent can be reduced.This thesis makes a comparison between three different methods of calculating an appropriate distance between the protected object and the heat pump system.

Svensk Växtkraft is the owner of the biogas plant in Västerås. The company is planning to increase their treatment capacity at their biogas plant. In connection to this work it is also possible to make some energy saving changes to the biogas plant. The objective of this study was therefore to make an electricity and heat survey of the biogas plant, a detailed study of the heat consumption in the sanitation step and also a comparison of energy consumption with the present sanitation method and an alternative strategy where the waste is treated in 55 °C during 10 hours (the current method is heating to 70 °C during 1 hour). The energy survey was conducted in close collaboration with staff at the biogas plant. The current during normal operation was measured, power was calculated and multiplied by the time of usage to obtain the energy consumed.

The purpose of the project has been to work out recommendations that reduce the energy-related costs and environmental impact of HPW Fresh & Dry Ltd., a fruit drying factory in Ghana. The factory produces electricity with diesel and biogas but also purchases electricity from the national electricity company. Heat for the drying process is produced from biogas, kerosene and solar panels. In the project the energy system was analyzed by measuring production and consumption of heat and electricity. The project results show that the factory can become self-sufficient on heat if the available energy is used more efficient. The production units for both electricity and heat have low efficiencies.

Background: Stroke is one of the leading causes for longlasting sequelae, among themloss in cognitive function, like aphasia. Aphasia effects the patients ability to understandand express themselves in speaking and writing. To be able to reach a good level of care,the careproviders and patients ought to have the same goals and values. This requires agood communication between the careproviders and patients. Which can be problematicfor the caregivers when they don't feel secure in their way of getting close to these patients.Aim: The purpose of this study was to illuminate caregivers experience of caring forpatients with the diagnosis aphasia following stroke.Method: This is a literature study where nine studies, with qualitative design, has beenanalyzed and compiled.

Stroke är en allvarlig sjukdom som betraktas som den främsta orsaken till funktionsnedsätt-ning i vuxen ålder och kräver flest vårddagar på sjukhus. Syftet med denna studie var att analysera vilka faktorer som har betydelse för en persons livskvalitet efter genomgången stroke samt möjligheter för hälso- och sjukvårdspersonal att underlätta för strokepatienten att återfå sin livskvalitet. Studien genomfördes som en sammanställning av litteraturen med induktiv ansats där författarna granskade fyra studier med kvalitativ design och nio studier med kvantitativ design. Utmaningarna efter stroke är många för den som insjuknat. Livskvalitet påverkas inte enbart av de fysiska funktionsnedsättningar som stroke medför utan även av psykiska och sociala faktorer som till exempel depression, ångest, brist på socialt umgänge och fritidsaktiviteter.

Sahlgrenska Academy at University of GothenburgDepartment of Clinical NutritionAbstractTitle: The effect of nutritional treatment on functional recovery after stroke, a systematic reviewAuthor: Ingrid Blankenau and Amanda LindbladSupervisor: AnneMarie GrönbergExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTS Type of paper: Examination paper, 15 hpDate: April 13, 2011Background: Every year 30 000 people in Sweden suffer from stroke. This costs society about twelve billion SEK. Many stroke survivors experience functional impairment which may lead to difficulties for them to meet their nutritional needs. Nutritional treatment is important in the recovery process after stroke as malnutrition increases the risk of complications.Objective: To investigate the possible effect of nutritional treatment on functional recovery after stroke.Search strategy: The search was conducted in the databases PubMed, Scopus and Cochrane by using the English keywords stroke, nutrition, rehabilitation, functional outcome, recovery, acute stroke, ischemic stroke, ischemic acute stroke, nutrition therapy, brain hemorrhage, functional recovery and nutritional rehabilitation.Selection criteria: Studies published before 2001 conducted on human subjects who suffer from stroke where they measured functional capacity and did a nutritional intervention, written in English, Swedish or Norwegian, and did not have to be requested from the library.Data collection and analysis: A systematic search was performed in PubMed. Studies which had an interesting heading were examined and abstract read.

Sapa Heat Transfer is a company that produces aluminum heat-exchanger strips for the automotive industry. Sapa Heat Transfer wish to chart their emissions of carbon dioxide in order to meet future demands on carbon dioxide reporting. They also would like to examine the meaning of the term ?green electricity? which is marketed as carbon dioxide free, and the sort of electricity that they purchase. This report includes both direct (liquefied petroleum gas and diesel) and indirect (water, process-water, long distance heating, waste) emissions from their company.

Bakgrund: Varje år insjuknar ca 30 000 svenskar i stroke. Stroke är ett tillstånd som ofta leder till allvarliga funktionsnedsättningar. Funktionsnedsättningarna påverkar inte bara den strokedrabbade utan även dess partner.Syfte: Att belysa hur parets liv förändras efter att en av dem har insjuknat i stroke.Frågeställningar: Vilka emotionella förändringar upplever paret? Vilka sociala förändringar upplever paret? Hur påverkas parets sexualliv?  Metod: Metoden vi använde oss av var en systematisk litteraturstudie. Tolv vetenskapliga artiklar med både kvalitativ och kvantitativ ansats inkluderades i studien.

The study aims to reduce energy consumption in apartment buildings where individual metering and charging of heat is applied. The aim is to develop planning and design for individual metering and charging in apartment buildings.The study is based on literature review, interviews and case study that include analysis of existing documents. Interviews were carried out with the property developer and the involved consultants who planned the apartment building Yasuragi. To investigate the differences the condominium association has noted in heat consumption between flats, the debit values of the heat were used to discern which houses that were furthest from the average consumption. On these flats there were temperature measurements and thermal photo shoots made for discriminating behavior and possible construction techniques which could be the explanation for the heat spread.Boverket shows that the consumption of heat can be reduced by 10-20% after insertion of individual metering and charging in an apartment block.

Bakgrund: Stroke är en vanlig sjukdom i Sverige och varje år drabbas ca 30 000 personer. En stroke kan medföra både fysiska och kognitiva funktionsnedsättningar hos den som drabbats. När livskamraten drabbas av stroke kan det för den närstående komma som en chock och en ny livssituation kan uppstå. Närstående får ta på sig ett stort ansvar när livskamraten kommer hem. Syfte: Syftet med denna litteraturstudie var att beskriva närståendes upplevelser av att leva med sin livskamrat som drabbats av stroke.

Antalet personer som insjuknar i stroke ökar ständigt och i takt med detta får allt fler rollen som anhörigvårdare. Ofta känner de sig oförberedda inför den kommande rollen. Trots det ökade antalet anhörigvårdare finns det mycket stöd att få vilket kan tyda på att information om stödet inte når ut. Syftet med uppsatsen är att beskriva anhörigvårdares erfarenheter av att vårda närstående som drabbats av stroke. Genom Axelssons modell för litteraturstudier inkluderades tolv artiklar.