This Master Thesis discusses the development of bids for regulation power with consideration of change of discharge. The study was initiated by Vattenfall PD and is a limited part of a substantial development project at the same division. The background of the project is the new demands from SvK, which among other things includes more detailed regulation bids. As from the 1st of November 2008, the regulation bids are supposed to be calculated regarding each specific regulation object, something that is defined by SvK. These new demands changes Vattenfall?s conditions and will increase the need for detailed knowledge about available regulation power and costs for regulation.In this study a strategy for regulation bids was developed.

SammanfattningDetta är en studie av sjuksköterskors bemötande av patienter på Sjukvårdsrådgivningen i Region Skåne. Syftet är att undersöka hur det helhetstänkande som är vanligt förekommande i teoretiska debatter om sjukvården är förankrat i den praktiska verksamheten. Jag fokuserar på bemötande som kompetens, och studerar dess plats och auktoritet i organisationen. Jag undersöker även hur helhetstänkandet praktiskt fungerar i mötet mellan sjuksköterska och patient genom att fokusera på hur kön och sexualitet synliggörs och beaktas i samtalen.Jag utgår från Judith Butlers teori om den heterosexuella matrisen och om hur kön och sexualitet görs genom social interaktion. Jag använder mig också av intersektionalitet som ett analysverktyg.

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Immune stimulating complex (iscom) matrix is a formulation that is used as anadjuvant within research. The capability of the iscom matrix to elicit an immuneresponse when not present together with an antigen has not been extensivelyinvestigated. One way to evaluate the status of the immune system is to measure theamount of cytokines that usually are produced by various cell types during an immuneresponse. The aim of the present study was to evaluate the early immune responses inporcine peripheral blood mononuclear cells (PBMC) after stimulation in vitro with theiscom matrix, AbISCO®-100. The immune response was evaluated by measuring themRNA expression for various cytokines, a chemokine receptor (CXCR4) andregulator of G-protein signaling (RGS16) in porcine PBMC after stimulation withAbISCO®-100 or other inducers like a lipopolysaccharide (LPS) and a CpGoligodeoxynucleotide (ODN 2216) used as controls.

The increasing threat of climate change has led to a increased need for models to predict future climat. In these models the changes in the soil carbon pools due to changes in microbiel degradation of the organic matter can lead to both positive and negative feedback-effects. There is however a lack of consensues on the temperature respons on degradation soil organic matter. This paper aim to give a better understanding on the factors controlling the temperature respons. The factors studied were the carbon substrate qualitity and the physiological status of the microorganisms.

AbstractAim: this paper is a report of a concept analysis of forgiveness and its practice within the social work area. Background: worldwide interest in and funding for forgiveness research has brought about a body of knowledge from many disciplines that could be clinically useful to social work. At this time forgiveness interventions are used in social work in other countries, primary in the USA. The social workers in the Scandinavian countries need to focus on this important area of inquiry. Method: forgiveness was explored from a philosophical perspective and from forgiveness interventions from a variety of areas suitable for social work.

The purpose of this essay is to develop knowledge about how learning among employees is perceived to occur practically in a pre-school unit seen as a learning organization. From an employee perspective the intention was to gain an understanding of how they perceive the organization regarding employee learning in the workplace when it comes to in which contexts and what conditions that enable collaborative learning. Because learning organization is mostly a vision from a management perspective thereby it should in this case mostly be viewed as the context in which the employees work in.The essay is based on a qualitative research approach with eight semi-structured interviews. It was based on hermeneutics as method of analysis with the intention to gain an understanding of the employees' subjective perception. It is a case study on a selected pre-school unit in Stockholm.

Robotic milking in Automatic Milking systems (AMS) is proposed to reduce manual labour and at the same time increase milk yield by increasing milking frequency. In order to increase milking frequency, it is essential to have well-functioning cow traffic. Investing in an AMS is a great capital investment for the farmer, thus it is of major importance to ensure maximal AMS capacity. This study investigated the effect of the traffic systems Feed First? and Free cow traffic with and without waiting area (WA) on cow performance and AMS capacity.

AbstractIn urban societies people spend more and more time indoors, which put great demands on the indoor environment. If the ventilation is to manage the removal of unwanted substances in the indoor air, a good mixing of the air is required. The question arises that, whether the buoyancy forces will counteract a good mixing of the indoor air or not?This report aims to clear up the difficulties whether you need to consider the buoyancy forces or not, when adjusting a ventilation unit. For studying the indoor mixing of the air a two dimensional model is constructed in COMSOL Multiphysics.

ABSTRACTIntroduction: Preoperative hand disinfection aims to prevent surgical site infections. After the preparing hand wash, drying is performed using an aseptic technique. It?s important to dry hands thoroughly in order to achieve the full effect of the alcohol based hand disinfection. Due to the lack of a evidence-based guideline on this procedure, the hand drying techniques differ among operating theatre nurses, depending on which technique seen as the most appropriate.

The 1990s were one of the most profitable periods for European airline companies, mainly because of development of world economy and increasing globalisation trends. However, towards the end of the decade, a global economic downturn, high oil prices and new forms of competition turned the industry towards troubled times. The European air-travel industry had to face and accept the new airline business concept, called low-cost or no-frill airlines. In these conditions, traditional airlines had to rethink their strategies and question the old business model. As a response to the competition, European traditional full-service airlines formed alliances or networks to expand the route network and to increase efficiency.

Cycle time has a direct influence on number of returnable crates needed and therefore a crucial parameter for cost structure and pricing of the user fec in the pool system.For providing the growing market, number of crates has to increase as well as the utilization of existing crates. To accomplish this aim, cycle time for the whole supply chain has to be fully unravelled and understand.The purpose is to map cycle time and stock movements, to see how, where and when crates are being used in the supply chain. The goal is to make a method of cycle time calculation, together with suggestions of improving the pool system and decrease cycle time.The study has been a combination of qualitative and quantitative research and comprises the three biggest wholesalers in Sweden; ICA, Coop and Axfood. Furthermore have 65 grocery shops, connected to the wholesalers, been investigated and mapped.The study has come to a conclusion that cycle time for an average returnable crate is 19 days. The full-size and half-size crates have a bit longer cycle time, 21-22 days, while Dual Height-crates and shallow haif-size crates have 17-18 days.

Most of the portable electronic devices use a battery as a primary power source. Nowadays, when the applications are becoming smaller and smaller and more power efficient, the designer needs to concentrate more on reducing power consumption, using secondary power sources and introducing power storage devices. Multiple power source availability and a power storage device on the board will make the applications much more useful and efficient in everyday use. This thesis proposes a power supply unit (PSU) for wireless sensor platforms which is capable of supplying a sensor node with energy from multiple sources, as well as status information from the PSU. Present power storage devices, like electric double-layer capacitors (EDLCs) and batteries, have become more and more common as their characteristics have developed.

 I denna studie har jämförelse gjorts mellan Interacoustics Eclipse och GSI Audera i samband med Auditory Steady-State Respons (ASSR) mätningar.Syftet med studien var att undersöka ASSR som metod, att utvärdera dess tillförlitlighet i jämfö­relse med tonaudiometri för personer med normal hörsel och personer med hörsel­nedsätt­ning. Avsikten var dessutom att undersöka om elektrod­placering­ på örsnibb eller på mastoid påverkade mät­resultatet, försökspersonens upplevelse av instrumen­­t­ens ljudstimuli, om de estimerade ASSR-värdena påverkades av att mättillfället påbörjades eller avslutades med Interacoustics Eclipse samt undersöka tiden för mätningarna.En experimentell studie genomfördes. Mätningarna som utfördes var tonaudiometri och ASSR, den senare uppmättes med Interacoustics Eclipse och GSI Audera på (n=20) vuxna med normal hörsel och (n=4) vuxna med hörselnedsättning.För personer med normal hörsel påvisades en god överensstämmelse mellan estimerade ASSR-värden och tonaudiometri för Interacoustics Eclipse, något sämre överensstämmelse för GSI Audera. Genomsnittlig mättid för båda instrumenten var ca 40 min. Resultaten visade att elektrodplaceringen inte har någon påverkan på ASSR-värden för Interacoustics Eclipse.

Bakgrund och syfte: Intresset för enteral administrering av probiotika i förebyggandet av infektioner och diarré har på senare tid ökat. Nosokomiala infektioner och diarré är ett stort problem hos intensivvårdpatienter.  Syftet med denna studie var att undersöka hur enteral probiotika påverkar sjukdomsförloppet hos intensivvårdspatienter, med avseende på mortalitet, infektioner totalt, ventilatorassocierad pneumoni (VAP) och diarré.Metod: En systematisk litteraturstudie med sökning i Pubmed och Cinahl genomfördes med följande Meshtermer; probiotics, lactobacillus, critical illness och intensive care unit. Därefter genomfördes en metaanalys av randomiserade kontrollerade studier, utförda på vuxna intensivvårdspatienter, där man jämfört patienter som erhållit probiotika med patienter som fått placebo eller annan behandling.Resultat: Totalt 15 studier med sammanlagt 1293 patienter inkluderades. Ingen signifikans med avseenden på mortalitet, infektioner totalt, VAP och diarré kunde utläsas i metaanalysen.