Bakgrund: Varje dag möter sjuksköterskor patienter som drabbats av en sjukdom. Under sjukdomsförloppets sista tid är patienten känsligare och mer sårbar. Bemötandet blir då en viktig aspekt i en bra vårdrelation mellan sjuksköterskan och den döende patienten som bygger på tillit, trygghet och respekt. Syfte: Syftet med studien är att belysa ett bra bemötande med en döende patient ur sjuksköteskans perspektiv. Metod: En litteraturstudie utifrån nio kvalitativa artiklar.

Introduction: In Sweden the definition of ambulance nursing is the examination and treatment of sick or injured people done by ambulance nurses during transport.  This means not only focus on the illness or injury but also the human being treated. The paramedic service must be based on the presumption that the medical needs of the patients are guaranteed, and that the expectations and demands of the public are satisfied. Competence and availability are basic terms for a well-functional paramedic service. There is a lot of pressure put on the people working with pre-hospital nursing. One mistake can lead to serious consequences for the patient.

The thesis has been carried out in cooperation with Master Flow AB, Västervik owned by the EWEBE Group. The company produces and sells hot runner systems that are tailor made for the customers.The problem that MasterFlow AB has encountered is in the construction of complex hot runner systems in SolidWorks. With several different lengths, fronts and endcaps that builds the nozzles of the hot runner systems, is affecting the problems for MasterFlow AB. The purpose of this work is to automate the design of hot runner systems so it does not overload the CAD-system SolidWorks.To gain an understanding of the problem, there have been several studies and observations at the company, where the focus has been on how the work is done with the design of hot runner systems. By using help from the corporate management, enough information has been collected to find a solution to these problems.The implementation of design automation has been based on a flowchart that was created.

Three methods of sensitivity and unceartainty analysis have been applied to the operative stormwater- and recipient model StormTac. The study area is the watershed of lake Flaten in the municipality Salem. StormTac?s submodels for stormwater, pollutant transport and the recipient are cosidired. In the sensitivity assessment, the model parametres and inputs were varied one at a time by a constant percentage according to the ?one at a time? (OAAT) method and the response of the outputs were calculated.

Det råder brist på forskning som berör psykiatrisk slutenvård utifrån ett patientperspektiv och studier efterfrågas som på djupet kartlägger patienters upplevelser. Syftet med undersökningen var att öppet och förutsättningslöst beskriva upplevelsen av att vara patient i psykiatrisk slutenvård. Tretton patienter inskrivna vid fyra avdelningar intervjuades och materialet analyserades tematiskt. Resultatet visar att deltagarnas upplevelse av den psykiatriska slutenvården är starkt förknippad med de människor de möter på avdelningen.Patientgruppen blir påverkad av stämningen i personalgruppen vilket får konsekvenser för deras upplevelse av vården. Deltagarna uppskattar engagerad personal som är lyhörd för patientens behov och som ger stöd när de behövs som bäst.

Inom området för telemedicin efterfrågas praktiska sätt för läkare att snabbt och tillförlitligt kunna ställa preliminära diagnoser. Genom att använda GPRS kan stetoskopljud överföras över långa avstånd. På så vis kan en patient bli undersökt utan att behöva träffa sin läkare. Den här rapporten förklarar arbetet med att konstruera ett trådlöst stetoskop som använder sig av GPRS. In the area of telemedicine practical methods are wantedfor a doctor to quickly and reliably be able to set a preliminary diagnose.

The purpose of this review was to examine in what situations patients with myocardial infarction could feel anxiety. We also wanted to examine what a nurse could do to relieve the anxiety. The results are based on eight scientific articles and one literature review. The results shows that the patient could feel anxiety before examinations and transfers. The patient's anxiety increased if relatives had anxiety and if there were a lack of information from the nurse.

Suicide and attempted suicide frequently occur in society today and represent a major public health problem. In inpatient psychiatric care the nurse have a central role when caring for suicidal patients. Few systematic studies exists that address the nurse?s practical work with these patients. The purpose of this study was therefore to describe the nursing care of suicidal patients as it was perceived by registered clinical expert nurses.

Syftet med uppsatsen är att försöka determinera vilken effekt mer avancerade gameplaymoment i serious games har på inlärning. Bakgrunden går igenom nyckelbegreppen gameplay och varför mer avancerat gameplay kan leda till mer effektiva lärospel tack vare förbättrat flow. Skriftspråket kanji förklaras kort och de problem som människor som försöker lära sig det ofta stöter på.En studie har utförts med hjälp av fyra olika spel med syftet att lära ut kanji. Tre av dessa spel har designats så att de endast skiljer sig i hur avancerat deras gameplay är. Dessa spel har testats mot varandra för att se om de var olika effektiva på att lära ut kanji.

Skillingaryds stålrörsindustri AB handles different kinds of steel pipes and got theirmarket mainly in the furniture industry and in department stores. At the momentthe company find themselves in a strong up going course. In a few years thecompany?s turnover has increased with over 10 million SEK. This has led to ademand for structure changes and reorganizing through the company.

The Annexin-V/propidium iodide (AV/PI) assay detects early membrane changes in spermatozoa and viability using flow cytometry. It is an objective method that evaluates a much larger number of single spermatozoa compared with the usual estimation of motility, the most commonly used method for routine sperm evaluation. In the present study four ejaculates from four stallions were used in a split-sample design to investigate whether and how the number of intact spermatozoa is affected over time and after incubation at different temperatures, either those recorded during shipment of stallion semen for AI (9 or 5°C) or room temperature (20°C). The Annexin-V results did not reflect the motility results that were monitored in parallel. While motility decreased over time, the number of spermatozoa with intact membranes (viable) remained unchanged for at least 21 hours following a short period of initial instability.

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.

 SammanfattningSyftet med studien var att undersöka hur relationen mellan läkare och patient tas i uttryck i hälso- och sjukvårdsorganisation med hälsofrämjande inriktning. Undersökningens fokus har varit på samtalet mellan läkare och patient. Huvudsyftet har varit att försöka få syn på det hälsopromotiva inslaget i samtalet mellan läkare och patient.Studiens metod bygger på fyra kvalitativa intervjuer som inspirerats av fenomenologisk ansats som sedan bearbetats och analyserats samt en deltagande observation. Studiens resultat bygger på kategorier som funnits utifrån forskningsfrågorna; Vad innebär det att arbeta hälsofrämjande i samtalet? I vilken mån tar läkare upp frågan om livsstil och levnadsvanor i samtalet med patient? Och Vilken kompetens har läkare inom samtalsmetodik? Resultatet tyder på att det finns en brist på kunskap om vad hälsopromotion är. Respondenterna blandar ihop begreppen kring de salutogena och patogena perspektivet.

GE Healthcare operates in Uppsala (Sweden) and develops systems, equipments and medium to purify medical substances. Discussions with the local authority concerning planed far-reaching changes and upgrades of the biological process techniques for sewage management, aroused the question about revising the terms of permit for the activity. Therefore it seemed necessary to evaluate a newly installed biological process technique, which is the background of this thesis. The evaluated biological treatment process was built in 2003 and consists of a biological reactor filled with moving bed carriers with a high surface area for biological growth. At the time of the project the biological wastewater treatment plant consisted of a flow equalization facility and two following parallel biological processes; a biological reactor with moving bed carriers and a tower trickling filter.The aim of this thesis was to survey the function of the biological reactor with respect to the reduction of organic matter.

Chemical substances are spread diffusely and uncontrollably as a result of the increased consumption of goods. REVAQ is a certification system that works to reduce the flow of hazardous substances to Swedish treatment plants and to create a sustainable nutrient recycling. According to REVAQ, the yearly accumulating rate of metals should not exceed 0.2% in soil per year. Silver and bismuth are two metals that do not fulfill this requirement. The silver concentration in sludge decreased during the last decade, however the last few years, it has leveled off.