Multiresistent Stafylokock aureus (MRSA) är en mycket smittsam bakterie som ökar på sjukhusen. En faktor till detta är att handhygien hos sjukvårdspersonal brister. Syftet med studien var att beskriva vilken kunskap sjuksköterskor hade om MRSA och hygienrutiner, samt att jämföra om sjuksköterskors kunskap skiljer sig åt beroende på vilket sjukhus de arbetar. Studien riktade sig till sjuksköterskor på fyra olika dialysavdelningar. Datainsamlingen gjordes via en enkät som delades ut till 141 sjuksköterskor, varav 86 besvarade enkäten.

In the last few years the environment becomes more watchful, even for us farmers. All agricultural enterprises that exceed 200 animal units must be tested according to regulation of environment. A farm business with 200 animal units and more is classed ?environmentally hazardous activities? and has to make an environmental impact assessment for the business you have today, and the activity after expansion. Before you can construct a building and expand the numbers of animals is a lot of applications to make. I have in this project restricted me to establish a environmental impact assessment and a consultation foundation. To make a environmental impact assessment is the big part of the application. The environmental impact assessment take a lot of time and you need skills for all the rules in the environmental code to be abele to make an environmental impact assessment approved. The environment codes purposes (1 kap 1 § Miljöbalken) is to rule the laws. The purpose of the environment code is to promote sustainable development which will assure a healthy and sound environment for present and future generations. Definitions of a ?environmentally hazardous activities? 9 kap 1§ Miljöbalken) shall mean the discharges of wastewater, solid matter or gas from land, buildings or structures onto land or into water areas or ground water.

Bakgrund: Ambulanssjuksko?terskans roll inneba?r bland annat att bedo?ma en patients tillsta?nd. I bakgrunden presenteras bedo?mningsprocessen ur ett psykiatriskt, prehospitalt och kombinationen prehospitalt/psykiatriskt perspektiv.Syfte: Syftet a?r att belysa pa? vilka grunder ambulanssjuksko?terskor go?r sina bedo?mningar i mo?tet med personer som kan antas lida av akut psykisk oha?lsa.Metod: Studien grundar sig pa? en kvalitativ forskningsansats. Data har insamlats genom semistrukturerade intervjuer och har analyserats med hja?lp av kvalitativa inneha?llsanalys som Granheim och Lundman beskriver den.Resultat: Utgo?rs av tre huvudkategorier; Patienten i fokus fo?r bedo?mningen, Omgivningens roll samt Va?rdarens tillva?gaga?ngssa?ttDiskussion: Resultatet har diskuterats utifra?n andra studerade arbetssa?tt och tankeprocesser bakom en bedo?mning.

Ravelsmarks gård have now reached the stage when there are few options for the future. The options are either a construction of completely new farm buildings or a winding up of the milk production. Present on the farm today there is 65 dairy cows plus recruitment. 44 cows stand in long-stalls and 20 cows stand in short-stalls. The objective of this study was to examine the profitability of a completely new cowshed. In order to get costs for investments different milking systems and equipment for feedstuff have been compared. The systems in the investment budget have been chosen on recommendations from advisers, salesmen and on the basis on what is suitable for the farm. One system where a so-called mix feeder wagon is used for the roughage seemed to be best suited for Ravelsmark. The different prices obtained for the manure well show that there are possibilities to decrease the investment costs.

Every second woman in Sweden suffers in their lifetime of fracture that is related to osteoporosis. Osteoporosis and fractures affect the person´s everyday life. The aim of the study was to describe experiences of feeling well among women with osteoporosis. Six women were interviewed with semi- structured interviews. The interviews were transcribed and the text was analyzed with thematic content analysis.

År 1987 trädde en ny byggnadslag i kraft, Plan- och bygglagen(PBL). I och med den nya lagen minskade kommunens och byggnadsnämndens kontroll av projekteringshandlingar och besiktningar ute på arbetsplatsen. Efter lagändringen beror den slutgiltiga kvaliteten på en byggnad i större utsträckning på byggherrens och entreprenörernas egenkontroll. P.g.a. olika intressekonflikter inom kommunen, och att det kan förekomma starka kopplingar mellan byggherre och entreprenör, är det inte alltid självklart att kommunens tillsyn vid nybyggnation gällande till exempel egenskapskrav på energihushållning och värmeisolering utförs tillfredsställande.Med ovanstående i åtanke undersökte vi fyra flerbostadshus, två i Värnamo kommun samt två i Kristianstad.

This bachelor thesis discusses firefighting and the use of portable fireextinguishers in the salvageof historic artefacts focusing on textiles. It also looks into the use of multi-purpose dry chemicalextinguishers in a textile context and the impact the actual dry-agent has on textiles afterfirefighting.Literature studies, interviews and tests on different textiles were carried out to write this thesis.During the tests textiles were exposed to the dry agent and also to dry agent plus water toinvestigate the difference in residue. After vacuumcleaning it was clear that when the textile wasexposed to dry agent and water it was almost impossible to remove the chemical without rinsingin water.By examining the residue left on the textile using SEM it was possible to see if a textile was aswell decontaminated after vacuum-cleaning as it looks to the eye. We know that the dry agentoften consists of ammonium phosphate which acts corrosively on many materials and one canassume it damages textiles as well after longer exposure.Buildings housing cultural collections are vulnerable as we cannot easily replace ruined materialwith new.

The purpose of this report was to compare two different options for expanding of an existing pig farm. For the time being there are low prices within the agricultural market of pig production, and it is interesting to see if it is worth expanding or not. The two different options this report is based on are: expanding from a herd with 50 sows in breeding gilt production to a herd with 100 sows in breeding gilt production (option 1), or expanding to a herd with 140 sows in breeding gilt production (option 2). The number of pregnant gilts produced per year will stay the same for both alternatives; about 300 pregnant gilts per year. The rest of the breeding gilts will be sold at a weight of 25 kg. The pigs that are not sold as breeding gilts (e.g. castrates, and female pigs that are too small or that have disorders) will be kept on the farm as growing-finishing pigs until 120 kg of live weight, and then sold to the slaughter house. By using the existing buildings, even after the expanding, the investment costs, and thereby costs for housing, were kept as low as possible.

The purpose of this master thesis is to investigate different types of measures for making buildings more energy efficient and to estimate their profitability. The calculations were performed with the building simulation program VIP+ and the evaluation of the profitability with the life cycle cost method. Furthermore, it was examined how losses in the distribution of secondary systems of district heating can be avoided. Options to replace district heating with a local district heating system based on bio-energy have been investigated. The possibilities of achieving more efficient thermal energy consumption and production for the chosen estate were also examined.The object of the study has been a residential estate with 133 detached houses in Uppsala, built in 1974.

Today?s construction buildings contain more advanced technologies than before. The development of newer and stricter regulations to the construction industry makes the door environment more and more complex.In large construction projects the door environment is held up as a major challenge to get to in a good way. It turned out after a discussion with one project manager and a site manager at NCC, that the door environment is difficult to get right in major construction projects and it often causes many error reports in to the aftermarket after that the final inspection is completed.Interviews have been done with key figures in the building process at NCC and Akademiska hus. A study on a university building for around 3500 students and with 300 workplaces was made.

In the urban planning debate of today, two strategies for city development stand out as each other's opposites, urban sprawl and smart growth. This thesis concerns a development project of the latter kind and aims to give an alternative proposal to new buildings and a park in a Swedish city block. The term sprawl is used for new developments on virgin soil on the outskirts of cities leading to a city spreading, while smart growth stand for increased city density through development on re-used land within the city boundaries. The latter are often seen as more sustainable in many levels and are also shown to have positive effects on a number of city functions. At the same time smart growth has negative consequences on other aspects of the city such as public open spaces.

Introduction:Children in early age diagnosed with scoliosis and in need of surgery will grow up to undergo several operations in the back. Parents play a major role in the care of their children during hospitalization.Purpose:The purpose of this study was to investigate parents´ experiences of having a child diagnosed with scoliosis before the age of five undergoing repeated surgeries in the back.Method:The study had a qualitative descriptive design. Five parents with children aged 5-15 years, who have undergone several operations were interviewed about there experiences of the child?s illness and treatment. Phenomenological-hermeneutical analyze where used.Results:The parents felt a sense of shock when they were told about their child?s diagnose and treatment.

I Sverige föds ca 90 000 barn per år och cirka 10 % behöver vård på en neonatalavdelning. Orsakerna till det kan vara många, men vanligt är att barnen som drabbas, är för tidigt födda och då är extra utsatta pga. sin omognad. Syftet med studien var att ta reda på pappans upplevelse att vårda sitt barn på en neonatalavdelning. En kvalitativ forskning med innehållsanalys som metod valdes.

BakgrundFörlust av förmågan att utföra självständig ADL är ett vanligt problem hos äldre i slutenvården. Detta leder till lidande och förlängda vårdtider. För att kunna utveckla omvårdnaden och för att motverka detta behövs ökad insikt om patienternas upplevelser vid minskad ADL-förmåga.Syfte Att beskriva äldre patienter med försämrad ADL-förmågas upplevelser av sin vård gällande utförande av ADL inom slutenvården.MetodKvalitativ intervjustudie med åtta äldre patienter inneliggande på ett svenskt universitetssjukhus.ResultatStudiedeltagarna upplevde överlag att vården och personalen fungerade bra och att detta förbättrade deras upplevelse av att ha minskat i ADL-förmåga. Studiedeltagarna tyckte det var jobbigt att vara beroende av andra och få hjälp med personlig hygien. Vårdavdelningarnas rutiner och upplevelsen av att personalen var stressad gjorde att studiedeltagarna inte ville vara till besvär och ställa krav.SlutsatsResultaten visar att det finns ett behov av att utveckla ett mer personcentrerat förhållningsätt där riskpatienter identifieras och får möjlighet att vara delaktiga i arbetet för att stärka förmågan till självständigt utförande av ADL..

One of the largest work areas for speech and language pathologists is intervention for children with speech and language disorders. The purpose of the present study was to describe and analyze the clinical management of language impairment in children by studying and comparing medical records and literature from the years 2000 and 2009. The present study is a sequel to two previously published papers by Christina Samuelsson (1997; 1999), in which medical records and literature from the 1920-, 60- and 70?s were studied and a paper by Helén Sämfors (2001), in which the years 1985 and 1995 were studied. The medical records used in the present study came from a medical ward for speech and language pathology at a university hospital in Sweden. The results showed that significantly more children were referred to the clinic for speech and language problems in 2009 than in 2000, and more children were treated for their impairments.