Syftet med studien var att beskriva icke farmakologiska metoder för att reducera barns rädsla och smärta inför cancerrelaterade behandlingar och undersökningar. Studien genomfördes som en litteraturstudie med beskrivande design. 21 vetenskapliga artiklar inkluderades, analyserades och lades som grund för resultatet. Resultatet visade att distraktion var den vanligaste förekommande icke farmakologiska omvårdnadsåtgärden för att minska barns rädsla och smärta inför smärtsamma cancerrelaterade behandlingar och undersökningar. Distraktion i form av kommunikation, beröring och hjälpmedel distraherar, lugnar, ökar smärttoleransen, förbättrar vårdresultatet och ger positiva vårderfarenheter.

Abstract   This degree project comprises 30 credits, i.e. 20 weeks of work. The work mainly deals with the energy balance for a multi-family house in Västerås and the requirements for energy conservation in the Swedish building code, BBR. Calculations of the energy balance are supplemented by a number of interviews. Energy conservation in general has become more important in recent years and the subject is in line with increased public awareness. This importance and attention is explained by environmental problems in general and global warming in particular, but also by rising energy prices.

Today the human being see energy as a matter of course but the resources that is used for extract energy is today not enough for the world demand. Of all the energy that is used in Sweden today approximately 40 % goes to the building stock. This number will most likely increase if not necessary actions will be made on the already existing building stock since new houses constantly are built which will be added up on the already existing energy supply. This takes cause of action on the already existing building stocks, to fulfill the demands of the future use of energy that has been set by the authority. At the same time the thermal conditions cannot be influenced by the necessary changes that must be made.

Telefonen har under de senaste årtiondena blivit ett viktigt redskap i hälso- och sjukvårdens arbete med människor som söker hjälp och råd för medicinska problem. Telefonlinjer till Sveriges vårdcentraler inrättades allmänt på 1970-talet. En betydande del av sjuksköterskornas arbete på vårdcentral består av telefonrådgivning. Den vårdsökande prioriteras och hänvisas till rätt vårdnivå utifrån den bedömning som görs vid dessa samtal. Syftet med studien är att få kunskap om vad sjuksköterskorna upplever när den vårdsökande inte kan beredas tid trots ett medicinskt behov, då läkartiderna inte räcker till på grund av brist på allmänläkare.

How the Eucharist?s motive of communion in combination with Lögstrup?s ethics could motivate a non-alcoholic sacramental wine in the Church of Sweden.The purpose of this essay is to illuminate the meeting between the person who gives out bread and wine in the Eucharist and the person who receives the wine, from tree perspectives: the communion in the Eucharist, the ethical demand of K.E. Lögstrup, and today?s knowledge of alcohol and it?s negative effects on the human being. I want to study how these three perspectives can affect the interpersonal meeting in the Eucharist when it comes to giving out alcoholic wine, and to investigate if Lögstrups ethical demand could be used by the Church of Sweden when to decide about a sacramental wine with or without alcohol.I have started to study K.E Lögstrup and his theory about the ethical demand, and then researched the Eucharist in the Church of Sweden and the results of recent sociological and medical research of alcohol?s effect on the individual and on society.

Syftet med vår uppsats var att få en djupare insikt i och kunskap om hur de människor som arbetar med försäkringsärenden på Försäkringskassan upplever och ser på sitt arbete. Våra frågeställningar söker svaret på hur handläggarna uppfattar sina möjligheter till egna initiativ i handläggningsarbetet. För att få svar på dessa frågor från ett ?inifrånperspektiv? har vi valt att hämta empirin från en fokusgruppintervju med fyra tjänstemän som arbetar med handläggning på en Försäkringskassa i Mellansverige. Vårt teoretiska utgångsläge var Johan Asplunds teori om den sociala responsiviteten och Roine Johanssons teori om organisatoriska begränsningar i kundrelaterat arbete.

Avloppsreningsverk står inför uppgiften att rena inkommande vatten för att möta lagstiftade gränsvärden till en så låg kostnad som möjligt. Att syresätta biologiska reningsprocesser är kostsamt eftersom luftningsanordningen förbrukar mycket energi. Ungefär en femtedel av Himmerfjärdsverkets totala elenergiförbrukning går till luftning av biologiska processer.För att öka Himmerfjärdsverkets energieffektivitet startades under 2010 experiment med olika strategier för luftflödesstyrning. En av verkets nitrifikationsbassänger byggdes då om för att möjliggöra zonvis reglering av syrehalten.Syftet med denna studie var att utvärdera reglering med ammoniumåterkoppling och syrehaltsprofil för styrning av Himmerfjärdsverkets nitrifikationsprocess. Utvärderingen baserades på reningsresultat och energiförbrukning.Med nuvarande reglerstrategi varieras luftningen genom återkoppling från syrehalten i den andra av sex zoner i varje luftad bassäng.

AbstractAim: The purpose of this study was to gain a deeper knowledge of how nurse anesthetists feel about their own profession. It was hoped that by gaining a deeper understanding of how the nurse anesthetist is experiencing its own profession, it will create better conditions for development and evolution of the nurse anesthesia profession and skills. Method: for the study a qualitative approach was used in which ten anesthesia nurses were interviewed, aged 27-55 years, four men and six women participated in the study. The interviews were processed and analyzed based on qualitative content analysis. As a theoretical framework Patricia Benner seven skill domains was used.

This master thesis has been performed at Solvina in Gothenburg for Skellefteå Kraftand Vattenfall Eldistribution. The aim of it is to investigate the consequences of theinstallation of a wind power plant on the mountain Uljabuouda in the vicinity ofArjeplog. Especially the impacts on voltage and transient stability are examined.Furthermore, the amount of extra strain on the voltage regulation equipment and theneeds for increased regulation capabilities are looked into.The wind power plant is planned to be built by Skellefteå Kraft and connected to a130 kV grid owned by Vattenfall Eldistribution. The work comprehends the followingmain parts:- Theoretical studies aimed at wind turbines and power system stability issues.- Modelling of the type of wind turbines assumed to be built on Uljabuouda.- Simulations of different operation cases and analysis of the simulation results.The results from the simulations show that, as far as voltage stability and extraworkload on tap-changers are concerned, the wind power plant does not, in anysignificant manner, worsen the present conditions. The problem of overloading theline between Arvidsjaur and Vargfors is also minor.

ABSTRACTBackground: As a nurse it is a part of your work description to precepting students. A good relationship between preceptor and student is important for a successful precepting witch can be rewarding for both parties. There are many studies on how nurses in hospital departments experience precepting students, however it is not as explored in the prehospital care.Objective: To describe ambulance nurses' experience of precepting nursing students in the third and final year of university-level nursing school.Method: A qualitative study was conducted. Nine respondents at two ambulance stations in central Sweden were selected with the help of strategic convenience sample. The informants were nurses with specialist education in ambulance/prehospital care who had experience of working in the ambulance unit for at least a year.Result: The majority of participants were positive to precepting students and the time seemed adequate.

Water hardness indicates the concentration of calcium and magnesium ions in water. Water with high concentrations of these ions is described as hard water and water with low concentrations is described as soft water. Water that is too hard or too soft can lead to technical and economical problems. In collaboration with Midvatten AB, groundwater hardness in the Badelunda esker between Leksand and Avesta has been mapped, and an attempt has been made to explain the variations. For this purpose, different GIS programs, such as ArcView, ArcInfo, IDIRISI, and one geochemical modelling program, PHREEQC, has been used.

Background: Surgical complications has been the main cause of medical injuries and deaths worldwide. In 2008 WHO developed the checklist for safe surgery to reduce the number of surgical complications. The objective of the checklist is to strengthen already established safety routines and contribute to better cooperation and communication. Research shows that compliance to the checklist is deficient, which can affect patient safety.Aim: The aim was to study the extent to which theatre nurses participate in the use of the checklist.Method: Observational study was conducted with a descriptive design and quantitative approach. 24 observations were carried out with aid of an observation protocol of two surgical units at a hospital in central Sweden.Result: The results showed that Timeout initiated widely but compliance to all items was considerably lower.

The aim of the study is to explore the meaning of living with urinary incontinence caused by Spina Bifida, self-esteem, psychological well-beeing and expectations on treatment of urinary incontinence in 10 children and adolescents, 9-20 years old, as well as their parents perspective. The study was conducted through semi-structured interviewes as well as self-reports about self-esteem ("I think I am"; Ouvinen-Birgerstam, 1999) and psychological well-beeing (Beck Ungdomsskalor; Beck, Beck & Jolly, 2004). To examine the parents insight in their childrens situation and well-beeing parents proxy-reports was compared to their childrens self-reports. The results showed that psychological well-beeing and self-esteem of the children and adolescents in this study was comparable to normgroups, but that there was big individual differences. The parents proxy-reports are comparable to their childrens self-reports, but vary depending on the domain beeing estimated.

E-learning är idag ett område på framfart. Fler och fler organisationer väljer att utbildasina anställda med hjälp av elektronisk media. Genom E-learning sparar organisationerpengar och tid i utbildandet av sin personal. En vanlig missuppfattning är att man genomatt överföra ett utbildningsmaterial till elektronisk media har skapat ett användbart Elearningsverktygmen i verkligheten är det betydligt mer invecklat än så. Den härkvalitativa studien syftar till att ta fram riktlinjer för anpassning av utbildningsmaterialtill E-learning.

Aim: To examine how midwives describe good and safe postpartum care of mothers with infants in neonatal care, and which prerequisites and obstacles they see to giving good and safe care while minimizing time of separation. Method: Semi structured qualitative interviews with ten midwives at two maternity wards in Uppsala. The interviews were recorded, transcribed verbatim and processed by manifest analysis. Results: Three categories were identified, Good and safe care, Organization as an obstacle and The midwife role. Good and safe postpartum care of mothers with infants in neonatal care required knowledge, appropriate equipment, good guidelines, possibility to see the mother, contact between mother and infant and good collaboration between the maternity and neonatal wards.