Den omgivande miljön påverkar oss alla. På sjukhus påverkar vårdmiljön både patienter och personal och dess utformning kan antingen verka stödjande eller störande. Efter operation vårdas ofta patienten vid en postoperativ avdelning. Det postoperativa vårdförloppet blir allt kortare och det är därför angeläget att patienten ges möjlighet att påbörja sin återhämtning direkt efter operationen. Det är välkänt att den postoperativa vårdmiljön innehåller flera stressorer som kan inverka negativt både på patienternas postoperativa vila och på personalens arbetstillfredsställelse.

This report is the result of a thesis performed at Westermo Industrial Ltd with its headquarters in Stora Sundby and it sums up the author's studies for University Engineering in Innovation, Production and Logistics at Mälardalen University.The main goal of the thesis was to identify problems and suggest actions that lead to the reduction of the repair time from 3 weeks to 2 weeks. The key questions that were answered in order to achieve the thesis objectives are: What are the biggest challenges that make the repair process time last for 3 weeks? What are the necessary means and measures in order to reduce the repair length to 2 weeks? The author adjusted the work to the Swedish repairs, repair issues that arise from sell unit Westermo Data Communications AB with its office in Västerås and performed the status report by mapping the repair process, through using observations, interviews and bibliography research studies. A flow map of four sub-processes (Inbound Delivery, BackOffice, Repair Department, and Logistics) was made and each section was observed, where also the employees were interviewed. Data that has been collected was analysed by the author and the decision to execute a workshop that affects Repair Department and Logistics was made.

This master's theses was carried out on assignment from Stockholm Vatten AB as a part of a project developing new waste water treatment techniques. The goal of the theisis has been to evaluate an anaerobic membrane bioreactor for treatment of waste water from Hammarby Sjöstad. The bioreactor has not been heated and the main interest has been to study the gas production, power consumption and the reduction of organic matter and nutrients.The system has been completed with a reverse osmosis unit and a total of four batch runs have been made with good results. The use of reverse osmosis allows nutrient in the waste water to be reintroduced into circulation as the reverse osmosis concentrate can be used as crop nutrient.The membrane unit is of VSEP ("Vibratory Shear Enhanced Processing") type and an extensive membrane test has been conducted. This so called L-test helped determine the most suitable type of membrane for the system to allow a higher ±ux and thus lower power consumption.

Bakgrund: Den postoperativa smärtans utfall påverkas av en rad olika faktorer såsom kirurgins lokalisation och omfattning, barnets ålder och dess förväntningar. I mitten av 1900-talet sågs negativa konsekvenser av att barn blev lämnade ensamma på sjukhus. Detta har lett fram till en mer familjecentrerad vård där föräldrarna har en viktig roll. Vården bygger på ett nära samarbete, där föräldrarna är en bro mellan barnet och vårdpersonalen. Föräldrarna kan med sin närvaro trösta, stötta och hjälpa barnet att lindra sin smärta.

The main goal of this project was to develop some sort of a diverter for pipestransporting waste in a vacuum system. This unit was supposed to be both cheap andeasy to serve/exchange worn out parts. With a limited space to install the pipeexchanger, the challenge was to keep it as compact as possible without constructingbends with to small radius or to sharp angles as this would wear out the system a lotfaster than planned. The system was also supposed to be able to handle clothes andscrubs from hospitals. Having too much sharp edges or angles would tear the clothesapart.

Delirium är ett vanligt tillstånd på intensivvårdsavdelningen (IVA) och forskning visar attpatienter som drabbas av delirium har högre mortalitet, längre vårdtider på sjukhus och sänktlivskvalitet lång tid efter vårdtiden. Det finns olika former av delirium: hyperaktivt,hypoaktivt och blandformer. Den vanligaste formen, hypoaktivt delirium, är lätt att feltolkasom översedering eller depression. Att använda sig av bedömningsinstrument kan göra attdelirium upptäcks tidigare och att patienten snabbare får adekvat vård, vilket kan lindraförloppet. Det har utvecklats olika instrument för att bedöma om patienterna har delirium.Syftet med denna studie var att undersöka om användandet av CAM-ICU (ConfusionAssessment Method for Intensive Care Unit - ett bedömningsinstrument av delirium) är ettanvändbart mätinstrument för sjuksköterskan att upptäcka delirium hos patienter som vårdaspå IVA.

Den omgivande miljön påverkar oss alla. På sjukhus påverkar vårdmiljön både patienter och personal och dess utformning kan antingen verka stödjande eller störande. Efter operation vårdas ofta patienten vid en postoperativ avdelning. Det postoperativa vårdförloppet blir allt kortare och det är därför angeläget att patienten ges möjlighet att påbörja sin återhämtning direkt efter operationen. Det är välkänt att den postoperativa vårdmiljön innehåller flera stressorer som kan inverka negativt både på patienternas postoperativa vila och på personalens arbetstillfredsställelse.

Introduction: The complexity of the neonates? way of expressing pain is a difficulttask for the pediatric nurse. The Swedish national guidelines for prevention and treatmentof pain in the newborn infant is suggesting that departments regularly use structuredmethods, such as pain assessment instrument, for the assessment of pain in the neonatalperiod. Previous research shows that pain assessment instruments are only used in abouthalf of all pain assessments in Sweden. Neonate's cannot verbally communicate their pain,and are therefore dependent on the pediatric nurse to acknowledge the pain.

Title: Collaboration in BoDa-units. A qualitative study about collaboration regarding people with disabilities. The purpose of this thesis was to internally examine the cooperation between different professions in municipal BoDa-units. By doing a qualitative study using focus-group-interviews in three municipalities, we were able to examine the personnel?s experience of cooperation issues and opportunities in BoDa-units.

One of many difficult issues in veterinary medicine is the assessment of an animal's experience of pain. As a licensed veterinary nurse in Sweden you are obligated by law to work by the concept of evidence based medicine. To achieve this the author of this study sees the need for standardized methods of pain assessment. A Swedish version of Short form of the Glasgow Composite Measure Pain Scale (CMPS-SF) has recently been translated and developed. Furthermore, a psychometric validation needs to be performed to ensure its validity and reliability.

The Psychology Driving and Barriers to Skunk Work Projects (referred to throughout this thesis as the paper) represents a study predominantly on Tetra Pak from a selective perspective, the innovators. Innovators both past&present whose initiatives contribute to the well being of Tetra Pak as well as one from Ericsson were consulted. As with individuals, organizations possess definable characters that are influenced by the various stages of their life cycle. Theories of corporate life cycle phases and organizational character analysis were therefore employed to identify and explain organizational barriers to skunk work leaders&managers. Predicated on the Organizational Character Index survey developed by William Bridges PhD (himself a recognized leader in the field of transition management) and administered to sixty-one managers within a Tetra Pak business unit established the benchmark.

Transdermal drug delivery, besides painfulinjections with syringes, has long been associatedwith small size particle pharmaceuticals, which candiffuse through the skin. This method of drugadministration has only been applicable on a smallnumber of drugs, where active molecules are smalland delivery time should or can be long.Other drug delivery options are oral administrationand injection with hypodermic needles (ordinaryhospital syringes). In oral administration thestomach and liver tend to dissolve the drug and theeffect becomes more difficult to anticipate, anddrug delivery rates difficult to control. Hypodermicneedles are used as a mean of drug injectiondirectly into the bloodstream. This method ispainful and risks infection due to tissue damageand skin penetration.One way to get a painless non-damaging techniquewith high delivery rate that still can delivery largemolecules is to manufacture an array of microscopichollow needles and equip them with a pumping unitthat delivers the correct amount of drugs.This thesis shows the technique and possibility ofmanufacture micromachined needles using low costtechniques of Ion Track Technology (radiation ofheavy ions creates porous materials), electrolessdeposition (non-current activated wet chemistrymethod of depositing metal) and electroplating.

The purpose of this paper was to examine how clients on the unit for adults at Södemalms district administration (Stockholm, Sweden) with severe mental illness and substance abuse differs from other clients with substance abuse at the baseline and at follow-up one year later. We have used a quantitative method and analyzed material from ASI-interviews performed at the adult drug abuse unit at Södermalm during the time period 2002-2010. At the baseline the clients with substance abuse and co-occurring severe mental illness have more problems than other clients, primarily in the area of mental health. They spend more time alone and are more likely to engage in illegal activities. Interviewers assess their situation as more serious and that they need more help in all of ASI's areas of life than other clients.

SammanfattningI arbetet beskrivs olika beteenden och fysiologiska förändringar som kan indikera smärta hos hund. Det finns också en kort beskrivning av tre smärtbedömningskalor: Visuell analog skala (VAS) Glasgow Composite Pain Scale Short Form (GCPS) och University of Melbourne Pain Scale (MPS). Dessa skalor har utvecklats som verktyg för att gradera smärta. VAS har tagits fram för humanvården och de andra är utvecklade för bedömning av postoperativ smärta hos hund. Arbetet innehåller också en mindre studie, där skalorna jämförs mot varandra.

This masters thesis concerns a modeling project performed at Volvo Technology in Gothenburg, Sweden. The main purpose of the project has been to develop a physical model of the climate in construction vehicles that later on can be used in the development of an electronic climate controller. The focus of the work has been on one type of wheel loader and one type of excavator. The temperature inside the compartment has been set equal to the notion climate. With physical theories about air flow and heat transfer in respect, relations between the components in the climate unit and the compartment has been calculated.