Background: There are many possible reasons why a patient gets a stoma and in every case it?s of importance for the nurse to adjust nursing care, information and patient education from individual presuppositions. Problem: Patient education regarding stoma self-care is an important part of the nurse?s work within stoma care. The patient is depending on the guidance of the nurse and therefore it is relevant to illuminate the importance of education regarding gaining ability to perform self-care.

A literature study abot the patient´s experience of the meeting with the nurse.

Previous research and patient complaints to the Swedish Patient Support Committee shows that there is a lack of substance in the patient-nurse relationship. This may suggest that it can be difficult for health care to live up to health-care law which requires it to be of good quality, based on dignity and respect and designed so that the patient is an active participant and can make their own decisions when it comes to their health care. For a better understanding of what a dignified patient-nurse relationship is, this study aims to clarify what the patient values as good patient-nurse relationship and describe how they have experienced the patient-nurse relationship during their stay at an emergency care department. The study is a descriptive cross-sectional study with a quantitative approach, where the population consisted of patients who were cared for at an emergency care department in the County of Västmanland, Sweden during 2007. The sample consisted of 93 patients which were asked to answer a questionnaire.

Since the turn of the millennium a sharp increase in the interest for bio energy has been observed. Important reasons for this growing interest can be due to the fact that fossil fuels are a finite resource. A net discharge of greenhouse gases occur when fossil fuels are burned. The discharge of greenhouse gases are considered to be the main reason to the greenhouse effect. Means of control to increase the use of bio energy has been introduced and, as intended, the use of bio energy has increased. As a result of the legal provisions the ability to pay for bio energy has increased, which the forest industry view as a problem.

Swedish healthcare are in need of radical changes to meet the requirements from both the government and the patients to create organisational working methods that better support the patients through their healthcare processes. Digitalization of patient data has been going on for decades in order to increase participation and understanding among patients in their care processes. However, availability of information does not ensure understanding. Therefore, resources should be devoted to create conditions to enable participation. The purpose of this study is to explore how visualization of patient data in the patient?s journal can affect the consultation in the encounter between the doctor and the patient.

Magnetic resonance imaging (MRI) is a safe and painless diagnostic method. The patient may become concerned, suffer from anxiety and experience the examination as unpleasant. Detailed information and a good treatment can reduce anxiety and distress for the patient. The purpose of this study was to illuminate the patient?s experiences in connection to MRI, and to describe the patients needs for information and treatment.

Patients with heart failure have a high mortality and often readmits to hospital care, due to a lack of compliance in the treatment plan. Patient education on self-care provided by nurses is important in improving patient and clinical outcomes.The aim of this study was to describe effects of nurse led interventions of patient education for elderly patients with heart failure. Literature study based on nine quantitative scientific articles. The results shows that different nurse led interventions of patient education with patients with heart failure had positive effects on self-care management, quality of life, health related quality of life and hospital care. E-mail reminder to community nurses and telephone education shows to be the most effective patient education interventions.

Hos patient med inflammatory bowel diseases (IBD) har nutrition en central betydelse. Nutrition ska betraktas som en medicinsk behandling samtidigt som nutrition är ett av sjuksköterskans omvårdnadsansvar. Syftet var att belysa nutritionsbehovet hos patient med inflammatory bowel diseases. Resultatet baseras på 15 vetenskapliga artiklar. Resultatet visar att patient med IBD lider av malnutrition eller ligger i riskzon för att bli malnutrierad.

The EU's Water Framework Directive aims to a long-term and sustainable use of our water resources and wants to ensure good water quality in Europe's water bodies. Discharge of polluted stormwater into receiving waters can be a threat to their ecological and chemical status. Municipalities are responsible for supervision of the environmental quality standards (EQS) and therefore need to gain knowledge of current stormwater management, the expected level of pollution emissions and possible appropriate purification steps to ensure that the goal of good water quality is achieved.This master thesis aims to provide this knowledge in the example case of Vallentunas urban area and wants to prepare future oversight so that it can be assessed how much the discharge of polluted stormwater into the local receiving water is a threat to its status. With the help of maps, aerial photographs, site observations and individual discussions those areas are mapped where appearance of moderate to highly polluted stormwater could be suspected. The degree of pollution at the discharge points is determined based on land use upstream and uses standard values according to the administrators assistance "Tillsyn av dagvatten" (MSL 2014).The study identifies 100 areas in need of supervision regarding their stormwater management.

The perioperative nurse's primary responsibility is to care for the patient during the operation?s three phases; before, during and after. The communication between colleagues in the surgical department is increasing opportunities for safe care for the patient and a good dialogue with the patient can alleviate the concerns facing the unknown environment such as an operating theater. The pilot study was to investigate the surgical nurses' perceptions of conversations with the patient one year after graduation. To answer the pilot study's aim a qualitative interview study was chosen with a phenomenographic approach.

Aim Our aim is to highlight perceptions of fibromyalgia among health care personell.MethodsA systematic literature review conducted with a deductive approach.FindingsHealth care personell felt insecure because of a lack of understanding which lead to avoiding contact with these patients. Many felt that the fibromyalgia patient was categorised and that they would have been better served with another name of their disease. There was a great distrust against the diagnosis and its aetiology. The patient was perceived as troublesome, illness-fixated and draining the personell of energy. The paradox that the patient is looking so healthy but bearing so much pain was confusing for the health care personell.Conclusions Communication and an empathic encounter was identified as important elements for patient care.

This master thesis covers the seasonal planning of a small scale hydropower system. The system in this study is owned and operated by Mälarenergi Vattenkraft AB. The total system consists of 4 different main rivers with 24 hydropower stations and several dams. The total installed power in the system is 43.75 MW. Most of the hydropower stations are regarded as small scale hydropower stations and thus entitled to green certificates.In this report the issue of planning is formulated as an optimization problem.

Two of the main approach roads into the city of Enköping are Salavägen and Stockholmsvägen. They are connected to each other through the street Bangårdsgatan in the roundabout Salatullen and crossing Fannakorset, respectively. These crossings are from time to time heavily loaded, which is why the municipality plan for a new street in parallel to Bangårdsgatan. The traffic will then be spread out and is thereby reducing the density. The new street is actually an extension of the existing Mästergatan, a side street to Salavägen, to the east and connecting it to Stockholmsvägen or a street nearby.The purpose of this Master thesis is to show how the new street can be drawn in order to discharge the traffic in the area between the roundabout Salatullen and the crossing Fannakorset.

Thermia Värme AB is one of the market leading manufactures of heat pumps. In order tomaintain this position, the company wants to improve the vibration characteristics of theirproducts. The aim of this thesis is to develop product design changes that lead to a reductionof vibrations in the heat pump Thermia Diplomat 8.The main cause for vibrations in the system is flow pulsation and mechanical forces inducedby the scroll compressor. Vibration is transmitted through the compressor piping and receivedby the heat exchangers, from where it is further transmitted to the connection points for theradiator and heat source circuits.A number of design changes in order to improve the vibration characteristics have beenevaluated through calculations and practical experiments. The changes have included thecompressor and heat exchanger mountings, the compressor suction and discharge line pipingand also pulsation dampening.The results of the experiments show that the vibration levels in the connections for the heatingand brine circuits can be decreased strikingly through changes in suction and discharge linepiping.

The pressure is getting tougher on Accident and Emergency departments. Therefore it is crucial to study how the patient?s perceive their visit to the Emergency department. Knowledge about this enables improvement of routines, patient participation and patient safety. The purpose of the study was to investigate patient?s experiences of their visit at the Emergency department.A descriptive design was used.