High quality within a Lean production system begins with standardised work, which creates stable processes able to generate predictable output. If nonconformity from the standard procedures occurs, routines are needed to analyse, correct and prevent the nonconformity from occurring again. In that way, the nonconformity can be a trigger for continuous improvements toward more stable processes. In takted production lines, where the operator follows a standard sequence with tasks set to be completed within the takt time, a nonconformity leads to downtime in the operator?s sequence, and no value is added.

sustainable development by reducing the energy use by EU:s directive of energy efficiency and the UN Convention. The second purpose is to present the technical solutions regarding ventilation and heating system that is being used in passive houses. This was done using 8 passive houses, 4 germany and 4 swedish passive houses. Even the international and Swedish system requirements for passive houses have been addressed in this project. The goal was also to explain how and why the mechanical system in passive houses has developed to the technology used today.

The purpose of this study was to, through the life stories of four women and their experiences, thoughts and feelings according to a life in drug dependency reach an increased knowledge about how a dependency can arise, continue and be brought to an end. The question at issue were: How do a small amount of women describe and comprehend their experiences, thoughts and feelings according to their drug addiction seen through a process perspective. In order to answer that question three themes were investigated: the road into dependency, living as an addict and the road to recovery from dependency and the time that follows. The study followed a qualitative method and the theoretical approach was hermeneutic. The results were analysed through a process analyse perspective, from the view of the chosen theoretical perspectives, social constructivism, experience perspective and a psychodynamic perspective.

High quality within a Lean production system begins with standardised work, which creates stable processes able to generate predictable output. If nonconformity from the standard procedures occurs, routines are needed to analyse, correct and prevent the nonconformity from occurring again. In that way, the nonconformity can be a trigger for continuous improvements toward more stable processes. In takted production lines, where the operator follows a standard sequence with tasks set to be completed within the takt time, a nonconformity leads to downtime in the operator?s sequence, and no value is added.

Brytspänningen är den spänning som uppkommer när överkopplingsmotståndet i lindningskopplaren lämnar sitt föregående läge vid omkoppling. Storleken på brytspänningen i lindningskopplaren beror på hur stor läckinduktansen är. Är den inte känd så kan brytspänningen istället beräknas med hjälp av FEM-programmet ACE (internt ABB-program) i samband med Mathcad. I ACE beräknas först reaktanserna i p.u-enheter mellan lindningarna och hur stora de är beror på lindningslayouten. Det är tidskrävande att använda ACE och Mathcad och uppgiften är att utreda de parametrar som påverkar storleken på brytspänningen samt att ta fram en förenklad beräkning av densamma.Genom simulering i ACE av en mängd olika lindningslayouter visar det sig snart att det är alltför många parametrar som påverkar reaktanserna.

The purpose of this study is to better understand patients suffering from psychotic illness along with their family members, and to identify treatment factors that have been helpful for these patients and their families by investigating how their relationships have been affected by treatment. In this way, treatment methods can be put in a theoretical context, treatment efforts can be clearer, and the therapist can develop professionally.The research method used is a semistruktureted interview conducted with tree patients and their families. One conclusion one can draw in the successful treatment with psychotic patients is strongly based on the therapist?s ability to build a safe and secure treatment alliance with both the patient and his family members. Meeting with patients in situations outside of the therapy room have been of great importance for the therapeutic process.Important themes for recovery that come forth during the interviews with the patients are the quality of the therapy session as healing factor.

Bakgrund: Kunskaperna om smärta och fysiologin runt smärtan har ökat väsentligt under åren. Trots det ökade intresset och nya kunskaper om smärta och smärtbehandling får flera patienter ännu samma oförändrad och otillräcklig smärtbehandling postoperativt. Syfte: Syftet med studien är att beskriva patienters upplevelse av postoperativ smärta. Metod: Litteraturstudien baseras på sex vetenskapliga artiklar, alla med kvalitativ forskningsansats. Studien granskades och analyserades efter Graneheim & Lundmans analysprocess.

Velopharyngeal insufficiency may affect resonance, articulation and thus how speech is perceived by other listeners. Velopharyngeal insufficiency is frequently found in the cleft palate population due to structural abnormalities of the palate. The pharyngeal flap is the most commonly used operation designed to improve velopharyngeal function. The aim of the present study was to compare speech before and after pharyngeal flap surgery by perceptual evaluation regarding nasality, articulation and deviant speech. The study includes preoperative and postoperative speech samples of 28 patients who underwent pharyngeal flap surgery at the University Hospital in Linköping between 2002 and 2007.

Ledproteskirurgi av höft- eller knäled är idag en av de vanligaste operationerna i Sverige. Den vanligaste orsaken till ledproteskirurgi i höft och knä är artros som orsakar kronisk nedbrytning av leder. I den postoperativa vården är patienter utsatta och behöver hjälp av vårdpersonal med rehabiliteringen och smärta. Under denna vårdtid utvecklas en vårdrelation mellan patienterna och personalen, som påverkar patientens livskvalité. Syftet med studien är att belysa patienters upplevelse av personalens bemötande i samband med postoperativ vård efter operation av höft- eller knäprotes.

The present climate discussion has made energy efficiency an interesting topic. Saving energy does not only help the climate but also saves money for the energy consumer. The purpose of this thesis was to examine the potential of heat recovering from milk cooling. Two milk farms, one with voluntary milking system, VMS, and the other with conventional milking system was used to measure interesting temperatures and electricity consumptions. The numbers were used both to do theoretical calculations and to construct a SIMULINK model. To calculate the potential for heat at milk farms theoretical calculations were made in MATLAB using a reference farm with different combinations of heat recovery and pre cooling. The farm was assumed to keep a dwelling house with the annual heat consumption 18165 kWh.

The municipality, of Gatukontoret in Local government of Borås has in the long run, a required need to look after the current heating devices (the gas production plant) in sewage treatment plant, called Gässlösa. The practical work of the examination is about, trying to find a better way to take care of the current heat recovery. That may be one way or another, rather easy to implement in the existent construction.Through the work to increase the efficiency of the gas engine, implement of some external cooling system by heating exchange device. That gives an opportunity to heat (primary) the digester, (but even all internal public areas) with its own superfluous heating.The report shows that if the management group may invest 422 704 crown to implement a heat exchanging device, it gives more space to reduce the need to buy expensive external energy. Gatukontoret´s pay off time, for buying machines, is 20 years, with reservation to calculate with 4 percent internal interest, leads to the yearly mount of 31103 crowns.If Gässlösa increases the gas engine time in (effective) duty approximately (correspondingly) 48 hours a month the entire investment will generate a profit in January in year seven after the implementations.

The workplace is for many associated with joy and commitment, for others it is associated with fatigue, inadequacy and cynicism that is explained as the three dimensions of burnout. A general view of burnout is that it is an individual problem that many companies ignore, because a preventive task does not generate immediate profits. This has been a growing problem for years. Burnout costs not only money but also time and knowledge. Unfortunately, the popular belief is that "If it ain?t broke, don?t fix it." Organizations that think this way are sacrificing future benefits for short-term gains.

Oavsiktlig lindrig hypotermi förekommer hos upp till 60 % av de patienter som genomgår en operation. Hjärnans förmåga att reglera kroppstemperaturen under ett operativt ingrepp påverkas av läkemedel som ges under anestesi. De åtgärder som vidtas innan och under operationen för att minska temperatursänkning är ofta otillräckliga och behöver förbättras. Idag finns få rutiner för hur oavsiktlig lindrig hypotermi skall undvikas för att minska det lidande som kan uppstå då patienten oavsiktligt utsätts för avkylning perioperativt. Syftet med studien var att påvisa de risker och effekter som uppstår i samband med oavsiktlig lindrig hypotermi perioperativt, samt att belysa framkomna skyddande faktorer.

Det övergripande syftet med arbetet är att undersöka och studera ett läsinlärnings projekt med fokusering på arbetet med storböcker. Med arbetet vill jag få reda på orsaken till att man har startat ett kommunomfattande läsinlärningsprojekt och vad läsinlärningsprojektet innehåller. Syftet är vidare att ta reda på vad storböcker är för något och hur man arbetar med dem. Genom arbetet vill jag hitta ett sätt som både inspirerar mig som lärare och mina kommande elever till att lära sig läsa. Arbetet inleds med en litteraturgenomgång där läsaren får bekanta sig med vad läsning är och med olika begrepp som nämns i resultatdelen.

The aim of the present literature study was to define and describe the area ?compliance in veterinary medicine? (i.e. the way treatment recommendations are being performed) and discuss the factors that influence the level of compliance. Based on the findings, a model that intended to increase compliance in orthopedic postoperative rehabilitation of dogs was designed. In the daily work as a veterinary nurse it is essential that one provides the best possible care to the animals from the beginning to the end of the treatment.