This report contains CFD-simulations of cable tray fires in nuclear power plant applications with the CFD-code SMAFS. Furthermore the report evaluates the use of CFD-codes within this kind of problems. The assessment of this report is that there is a tendency towards the good use of CFD-codes but before using it solely more research has to be done on the subject..

Abstract          Background: End of life is difficult to establish in patients with dementia and many patients die due to complications related to the disease. To document that care are palliative in this group of patients is not common among nurses and physicians. This may depend on that the palliative course is extended and not similar to the palliative course common among patients with cancer. Aim: To describe how the registered staff in nursing homes document the care of persons with dementia in a late palliative phase. Method: A retrospective record study with a deductive approach.

Introduction: About 160 children with Down syndrome are born each year in Sweden. They will spend their first time in life at the neonatal departments around the country. Previous research has shown that parents in these situations have experienced an unsatisfying behaviour from the caregivers and that they are not getting the care they desire. However the research that reflects the nurses? role in these situations is sparsely studied.

Several studies show that the clinical reality in psychiatric care does not correspond to the demand of consumer participation from a variety of policy documents that has been produced recently. Studies also show that there is a lot to do in improving, patients with sever mental illness, becoming more involved in their own care. The nurse has a central role in this work. The Norwegian nursing theorist Jan-Ka?re Hummelvolls holistic, existentialistic model for psychiatric nursing were used as theoretical ground.The aim of this study was to examine how nurses in psychiatric outpatient units, caring for patients with psychotic disorders, experiences consumer participation.Qualitative phenomenological method was used.

Syftet: Syftet med studien var att belysa specialistutbildade sjuksköterskors erfarenheter av transkulturell omvårdnad inom psykiatrisk vård. Metod: Studien genomfördes med en kvalitativ metod med enskilda semistrukturerade intervjuer. Specialistutbildade sjuksköterskor som arbetat inom psykiatrisk vård minst ett år fick berätta om sina erfarenheter av transkulturell omvårdnad.  Resultat: I resultatet framkom det att specialistutbildade sjuksköterskor inompsykiatrisk vård upplever språket som ett hinder för omvårdnaden eftersom språket är så centralt inom psykiatrisk vård då samtal utgör en stor del under vårdtiden. Det visar också att religiösa och kulturella seder kan ha betydelse i möten med patienter från olika kulturer.

When the local authorities establish a plan for land use planning, they have to judge if the influence on the environment could be of such a grade that they have to make a special Environmental Impact Assessment (EIA), following national laws and EU-directives. The laws for the process in Sweden is set by the Swedish Parliament, with advisory given by the central government authority, the National Board of Housing, Building and Planning, Boverket. For EU, the laws is set by the European Parliament and the Council. The laws and directions for this process have been changed for Sweden in recent years, and the aim of this study was to compare the contents of three different Environmental Impact Assess¬ments to see if there has been any change in appearances and content in later years, as well as to see if different municipalities and authors have effect on the EIAs. According to different studies some of the EIA done are without insufficient focus on main environmental issues in the EIA, or even that some information is missing.

Jordan is a developing country and there are ten Palestine refugee camps throughout Jordansince the Arab-Israel conflict in 1948 and the Arab-Israel war in 1967. The camps are run byUnited Nation Relief and Works Agency for Palestine Refugees in the Near East (UNRWA)which is the main provider of health care in the camp. Today, the fourth generation ofrefugees lives in the camps which are extremely overpopulated. The social and economicconditions in the camps are poor. The nurses' workload in the Health care centre in the campis getting harder and UNRWA's resources are getting strained due to funding shortfalls.

Syftet med studien var att undersöka kommunsjuksköterskan omvårdnadsdokumentation om bensår i hemsjukvård. Som metod valdes journalgranskning. Resultatet visade att omvårdnadsdokumentationen brister på många sätt..

Background: Studies have shown that 66 children and teenagers in Sweden suffers from brain tumor every year. Children and teenagers who can´t participate in the regular school for a longer time for whatever reason, have by the school law the right to education in hospitals or institutions. Education that take place in other places than school most try to follow the same guidelines as his/hers usual school.  This applies to students in elementary school, compulsory school, special school, Sami school, secondary school and upper secondary school.Purpose:  The purpose of this study was to find out how three teachers at a hospital school plans their work with children in grade from 1 to 3, who suffer from cancer, especially brain tumor.  How can the teachers at the hospital school plan and organize their teaching so that it´s possible for the children whit brain tumor to feel as normal as possible. How does the common work between the consultant nurse, teachers at the hospitals and their ordinary school prevent the children to feel like an outsider?Method: I have chosen to do a qualitative study followed by three interviews whit three informants who works at a hospital school.

The purpose of this thesis is to discuss how an instrument originally developed for measuring changes toward lean thinking inservice organizations in general should be adjusted in order to be of use in service organizations within the healthcare sector, andin hospital organizations in specific. The adjustments are suggested based on difficulties specifically arising when implementinglean within the healthcare sector.Thesis starting point is a pre-existing lean assessment instrument developed for service organizations in general. The thesis appliesa qualitative method and integrates literature from the health care sector and lean production movement with the expertise of tenacademics and practitioners in order to find difficulties associated with the implementation of lean within the healthcare sector.These difficulties then lie as the substratum for the adjustments suggested to be made on the instrument.The thesis finds that lean, as a philosophy, does not differ between service organizations in general and service organizationswithin healthcare settings. However, due to deficits in the general understanding of lean some adaptions on the instrument mustbe made. First, some words associated with production must be changed to words associated with healthcare.

Bakgrund: En del patienter som vårdas inom slutenvårdspsykiatrin ses av sjuksköterskor svårare att vårda. Dessa patienter riskerar få en sämre vård än andra patienter. Genom att belysa sjuksköterskors egna förklaringsmodeller till varför patienterna uppfattas som svåra kan fokus riktas mot en utsatt patientgrupp inom den svenska slutenvårdspsykiatrin. Syfte: Att beskriva sjuksköterskors egna uppfattningar om varför patienter upplevs som svåra att vårda inom den slutna psykiatriska vården. Metod:Fem intervjuer med sjuksköterskor arbetandes inom slutenvårdspsykiatrin genomfördes.

Most of the city of Uppsala rests on postglacial clay with a varying content of sulphur. The sulphur occurs naturally in the clay in reduced form as sulphide and the clay is for that reason usually called ?sulphide clay?. Excavation during construction activities gives rise to large amounts of excavation material, of which the sulphide clay is a considerable part.When the clay is exposed to air and water, an oxidation of the sulphides occurs which may produce an acid leachate and the mobilisation of heavy metals bound in the clay or underlying material. The aim of the work has been to improve our understanding of the behaviour of sulphide clays and produce a basis for risk assessment in the future handling of excavation material with high sulphide content.

Background: Palliative care is a type of care, which does not cure but eases the suffering caused by the disease. The goal of palliative care is not to extend or shorten the patient's life, but to relieve pain and distressing symptoms and to promote the patients? quality of life (QOL). QOL can be understood as a subjective sense of happiness of existence, which means that the patient is experiencing life when her total life situation is consistent with her ??wishes.

The safety and safety work on OKG, Oskarshamns Kraftgrupp, is supervised by SKI, Swedish nuclear power inspectorate. The task of SKI is to inspect that the nuclear power plants of Sweden runs in a safe way. The proprietor of the permit who runs nuclear power plants has the responsibility to maintain the required safety to run a plant. SKI publishes a number of statue books that OKG has to meet to be able to run the plants. SKI recommends in SKIFS 2 004:1, that OKG work with the safety requirements of IAEA.

I den kvalitativa studien underso?ks vad som ligger till grund fo?r bedo?mning i fyra a?mnen inom gymnasieskolan. De a?mnen som underso?ks a?r teater, idrott- och ha?lsa, hotel- och restaurang samt tra?teknik. Intervjuer med la?rare visar att det la?ggs stor vikt vid bedo?mning av processen i den dagliga undervisningen, dvs.