Att vårdas i respirator innebär att den verbala kommunikationsförmågan förloras, vilket kan medföra känslor av frustration och maktlöshet hos patienter. För att uppnå en vårdande relation är samtalet av stor betydelse, vilket försvåras om kommunikationsförmågan är nedsatt. Syftet är att beskriva intensivvårdssjuksköterskors upplevelser av kommunikation med lätt sederade, respiratorbehandlade patienter. En kvalitativ ansats har använts. Halvstrukturerade forskningsintervjuer utfördes med åtta intensivvårdssjuksköterskor från två sjukhus.

This report is a result of a degree thesis at Luleå University of Technology together with Stram AB in Växjö. The project aimed to develop a size reducible bed, that gets small when folded and has a new slim design. The development of the new folding bed had the purpose to give Stram AB new ideas of how guest beds can look like and be used in the future. Information about Stram´s products and also information of other similar products on the market was gathered. A visit at a store, internet and interviews gave grater insight of the market, and of customer needs.

This thesis of 15 hp has been implemented at Halmstad University, in collaboration with Saab Dynamics in Linköping. Saab Dynamics is a company operating in the defence industry where competition is tough. This necessitates new ways to increase efficiency in the company, which is the basis for this thesis. Saab Dynamics wants to introduce simulation driven design. Since Saab Dynamics engineers have little experience of simulation, required a user methodology with clear guidelines.

Inom intensivvården vårdas patienter med sviktande vitala funktioner där respiratorbehandling ofta kan vara en del av behandlingen. Invasiv respiratorbehandling leder till att patientens förmåga till verbal kommunikation upphör. Patienten befinner sig ofta i en utsatt situation där förlust av förmågan till verbal kommunikation kan leda till känslor av rädsla, oro och frustration. Patientens nedsatta kommunikationsförmåga ställer höga krav på vårdpersonalens förmåga att förmedla och tolka information.Syftet med studien är att beskriva vårdpersonalens upplevelser av att kommunicera med den vakna intuberade intensivvårdspatienten. Studien genomfördes som en kvalitativ intervjustudie med induktiv ansats.

Grubbe Ventilation AB is a sheet metal and ventilation company who provides design, installation, service, and repair of ventilation. The company is expanding their business by building a new facility in Umeå, Västerbotten. The property is designed to be used for both office and industrial work.Grubbe Ventelation AB has not yet decided upon wish system which is to be established to provide the building with heating and cooling. The consulting firm Umeå Projekt Team has therefore been asked to investigate the possibilities to invest in geothermal- heating and cooling.If the investigation of a geothermal heating- and cooling system would provide favorable results it would be a very appropriate alternative that provides energy at low costs and are an environmentally friendly option as the energy comes from stored solar energy in the ground is provided by stored solar energy in the ground.The facility ´s heating and cooling consumptions are calculated in the program BV2 and the result indicate a heating demand of 185 000 kWh per year due to thermal transmittance, transmission losses, heating of warm water and a cooling requirement of 5500 kWh.Three different systems of geothermal heating and cooling were tested in the computer program Energy Earth Design. The results show no difference in the dimensioning of the drill hole if merely heating were to be used or both heating and cooling were to be established.

The BSC is widely used mangement tool that is turning the vision and strategy into operational goals. However, after analyzing the criticism received the BSC, it seems af its internal focus, rigidity, static-ism and mechanical mindset limits the company's ability to create a strategy that takes important external factros into account..

Bakgrund: Sedering av respiratorbehandlade patienter är ofta en nödvändighet för komfort och för att kunna utföra optimal behandling. Trenderna inom sedering har på senaste tid gått från djup till lätt sedering. Tidigare forskning indikerar att detta är fysiologiskt gynnsamt för patienterna och att det upplevs som positivt av både patienter och anhöriga. Dock är det föga utforskat hur detta nya arbetssätt upplevs av sjuksökterskorna och hur det påverkar deras arbetssituation. Syfte: Att beskriva sjuksköterskors upplevelser av att vårda lätt sederade patienter i respirator.

The purpose of this thesis work is to evaluate how the physical behaviour of a pipe bend is affected by the pipe bending procedure. Effects such as initial ovalization, thinning, thickening and plastic hardening from the bending procedure are examined and the mechanical properties of pipe bends containing these effects are investigated.This has been evaluated by creating a detailed Finite Element model of a pipe that is being bent. Then the differences compared to a bent tube in a virgin state, so called Elbow elements and an analytical in-house program have been evaluated. The virgin state refers to a model of a pipe that is bent from the beginning, thus having a homogeneous thickness and not containing any plastic hardening. The Elbow element is a calculationally cheap element, specially developed for accurate calculations of pipe bends in an initially virgin state.The goal with the thesis work is to get a better picture of what happens to a pipe as it is being bent, how this affects the mechanical properties and to evaluate the possibility to develop an easy method for taking these effects into account when using the Elbow element.This report describes the layout of the work and how the detailed FE-model has been constructed.

A new type of forest tree seedling, called mini seedling, has been developed by the University of Dalarna in Garpenberg, Sweden. Compared to traditional containerized seedlings that are grown for 1 ? 2 years, mini seedlings are grown for only 10 weeks. The mini seedlings are small, easily planted, cost effective, and reduce the amount of chemicals used in the nursery. Research has shown that mini seedlings tend to have higher overall survival rates than traditional container seedlings.

Fetma och övervikt är ett hälsoproblem som drabbar mer än var tionde person och antalet individer med BMI >30 ökar ständigt. Som en följd av detta kommer allt fler patienter som genomgår anestesi att ha ett högt BMI. Förändringar i respiration, luftvägsanatomi och ett flertal andra fysiologiska förändringar i kroppen gör generell anestesi för patienter med fetma till en anestesiologisk utmaning. Syftet var att beskriva vilka omvårdnadsåtgärder anestesisjuksköterskan kan använda för att bibehålla god ventilation hos feta patienter vid generell anestesi. Studien genomfördes som en litteraturstudie där 12 vetenskapliga artiklar analyserades.

Efficient energy use in restaurantsUmeå Municipality wishes to combine energy issues with food control, and thus help restaurants to become more energy efficient. During March and April 2010, I visited seven restaurants and interviewed restaurant personnel about current state and application of kitchen appliances, using a checklist to make sure that the same questions were asked at all restaurants. The restaurants were all different sizes and offered different kinds of food. The study mostly focuses on energy efficiency by behaviour and not on location or technology. Almost every restaurant that was visited had the potential to improve in one or more areas, such as kitchen appliances, lamps and lighting fixtures, heating, cooling and ventilation.

In recent years, Lean has been implemented in a variety of companies with focus areas that differ from the conditions that characterizes manufacturing. This transfer has contributed to fairly superficial results because companies almost exclusively focus on Toyotas methodology and not on the goal of Lean. The effort of transforming Lean from manufacturing to any organization requires a definition on a general level and a view of Lean as a system. One of the core principles of Lean and the foundation of continuous improvements is standardized work. In product development there is a negative view on standardized work, where the engineers state that the principle is not applicable for knowledge processes that include non-repetitive and creative work.In the framework of this master thesis literature has been studied to find support that standardized work is applicable for product development and areas that include knowledge processes.

SUMMARYPrevious research has shown that there is a connection between the doorways and postoperative wound infections. Despite recommendations from Socialstyrelsen and the individual hospitals' PM there is still high traffic in the operating theatres. In a hybrid theatre environment combined X-ray techniques of surgery, resulting in it being further two categories inside the operating theatre. This may generate an increase in traffic flow. The study is a prospective, non-participant observation study conducted in the spring of 2013 at a university hospital in western Sweden.

The purpose of this master thesis is to construct a steering transmission, for a trackedvehicle, containing two hydraulic circuits which are connected. The steeringtransmission should be mechanical to avoid steer-by-wire.BAE Systems Hägglunds has in an earlier study examined a system with two hydraulicpumps and one hydraulic motor, but the safety of the system wasn?t sufficient.To achieve sufficient redundancy there must be two hydraulic motors, which arecontrolled separately. When the two systems are connected in one point, this point is acritical part of the system because it directly affects both circuits. If one of the hydrauliccircuits fails the other should be able to operate independently as a steeringtransmission.

This examination work is the final work in our education to become a Bachelor of Science inMechanical Engineering by the University of Lund.The main purpose with this work has been to develop a new effective material handling system for TPPM AB in Lund since the existing system starts to become out of date. The future system that is going to be installed shall have the capacity to support all machines with unit-, semi- and finished goods during full production. The work has also included studying the possibilities to change the material flow in a positive way between the storage and the production when one is using existing buildings.During our work we have been used a simulation program called AutoMod, performing company visits, interviews and reviewed internal and external information to create a picture of what the best conclusion can be. During the work we have contacted five suppliers to receive system solutions and quotatioris. The suppliers, which have been contacted, are Swisslog, Moving, Rocia, Christensen & Hansen and ABB.