Introduction/Background: Economic evaluations help decision-makers to make informed decisions regarding resource allocation. Information generated from CEA can support evaluations of a new intervention with current praxis. The evaluations also provide information as to whether an intervention is cost-effective, both in economic terms and in health gains. Objective: The aim of this thesis is to investigate the use of economic evaluations in public health, with a focus on CEA. Use of economic evaluations is regarded as both a method for evaluation and as support for informed decisions.

The Swedish prehospital/ambulance organization has the last decades evolved from a transport organization to a an organization that focus on alleviate and treating acute medical conditions in the field as well as transporting patient to the emergency ward. The ambulance service is developing continually and offers today a high-tech and highly specialized nursing/care. Which in turn demand a higher standard and competence on the care provider. Ambulance mission can vary in priority and magnitude. This in turn demand a high medical competence our capacity.

Volvo Penta has been producing boat engines since 1907 and are world leading in this seg­ment. They have today an extended range and also sell industrial power stations. Quality, safe­ty and environmental care are three core values for Volvo and together they strive to give their customers the right product with the right quality.Volvo has developed a production system named Volvo Production System, VPS, and one of the pillars is continuous improvements. Within this pillar you can find value stream map­ping, which is used to analyze the value stream through the process. This tool gives a wide perspective and helps to keep focus on the entire process instead of just parts of it.Volvo Penta in Vara has earlier done value stream mapping but without good results since they didn?t take set-up times and imbalances in account.

Background Swedish nurses are required by law to document nursing care. Studies have proved scarce in nursing documentation with regard to written language, the nursing process and the nurse´s caring perspective. Educating nurses in using the VIPS model have improved nursing documentation. Few studies have included nursing documentation of psychiatric care.Aim The aim of this study was to describe nursing documentation within psychiatric care of inpatient settings.Method A quantitative, retrospective descriptive research design was applied. A total of 60 nursing journals from a psychiatric department of six wards were studied.

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.

Today there is a limited demand for quality certified cereal in Sweden. The demand can in the future increase and become a requirement for the entire market. Since the first of January 2005, grain producers in Sweden are food producers and traceability is important for the food industry. It is possible for grain producers to certify the productions under the certification IP SIGILL. The purpose of this essay is to explore why some grain producers continue to be certified while other producers end the IP SIGILL certification.

One of the most serious and economically important defects caused by clostridia in milk products is the late blowing of semi-hard cheeses.Clostridia occur naturally in soil and can contaminate milk through crops contaminated by dung and soil followed by a less successful silage process, that give them opportunity to grow unaerobically. When anaerobic conditions occur, such as storage of semi-hard cheese, they ferment lactic acid to butyric acid and the gases CO2 and H2.At the fusion of Arla and MD Foods, a series of changes were conducted on the MPN method for lactic acid fermentation for clostridia in milk. These changes resulted in an increased accuracy due to an increased number of test tubes and the change of media from MRCM to BBB, Bryant & Burkey Broth, that was thought to be more selective for Cl. tyrobutyricum, the organism mostly found in hard cheese. When the number of dairy farmers that were given quality reduction fines increased, the new method was suspected and a validation was conducted.The validation included inoculation of different clostridia and bacillus strains into BBB substrate and enzymatic testing of positive samples with Rapid ID 32A.

Vid 1980-talet var det många chefer som var övertygade om att traditionella mått av finansi-ella prestationer inte lät dem styra effektivt och de ville byta måtten till operationella mått.1 Det traditionella måttet, produktivitet, handlade om förhållandet mellan input och output me-dan det operationella måttet handlade om relationen mellan en ansvarsenhets output och dess mål.2 Tidigare tog man hänsyn bara till produktiviteten, men så småningom menade vissa att man borde titta på effektiviteten istället för produktiviteten. Robert Kaplan och David Norton sammanförde dessa idéer i en modell som heter det balanserade styrkortet. Syftet med denna uppsats är att, med stöd av det balanserade styrkortet, ta fram mått för hur Group Assurance skall kunna utvärdera Sandviks bolagsstyrning och interna kontroll. Författarna har genomfört en kvalitativ fallstudie på Sandvik AB genom intervjuer samt tagit del av några interna dokument från Sandvik AB. Vi har kommit fram till att Sandviks vision är att vara affärsledande inom sitt område, det perspektiv som undersöks är det interna processperspektivet, målet med bolagsstyrningen är att ha en tydlig roll- och ansvarfördelning i hela koncernen, de kritiska framgångsfaktorerna med bolagsstyrningen är organisationsscheman, tydliga regler och befattningsbeskrivningar och måtten beräknas med hjälp av enkäter.

Syftet med studien var att behandla utvärderingsfasen inom offentliga upphandlingar och mer specifikt från ett leverantörsperspektiv. Offentliga upphandlingar utförs för att få bra kvalitet till ett lågt pris. De kan utföras genom lägsta pris eller ekonomiskt mest fördelaktiga anbud. Genom begärda avslutade upphandlingar kunde modeller som använts identifieras ända ner till dess korresponderande matematiska modell. Poängvägningsmodeller anses inte konsistenta på grund av att de påverkas av irrelevanta variabler likaså den relativa kvalitetsvärderingsmodellen i teorin.

Syfte: Studiens syfte var att undersöka vad patienterna har för upplevelser av sjukvården, samt vilka förbättringar de föreslår.Metod: Undersökningsgruppen bestod av 50 patienter som svarat på de öppna frågorna i en nationell patientenkät. Svaren analyserades med kvalitativ innehållsanalys.Resultat: Analysen av materialet resulterade i fem kategorier och elva underkategorier. De fem kategorierna bestod av: bemötande, sjukhusmaten, vårdmiljön under sjukhusvistelsen, in- och utskrivning samt väntetider under vårdtiden och samarbete mellan professioner. Patienter som vårdades inom slutenvården ansåg att det bemötande de erhöll i huvudsak varit gott, men att det förekom vissa negativa attityder som bör förändras till det bättre. Förbättringar av måltider och sjukhusmiljön önskades, dessa områden upplevdes otillfredsställande.

Stora och komplexa kodbaser med bristfällig kodförståelse är ett problem som blir allt vanligare bland företag idag. Bristfällig kodförståelse resulterar i längre tidsåtgång vid underhåll och modifiering av koden, vilket för ett företag leder till ökade kostnader.Clean Code anses enligt somliga vara lösningen på detta problem. Clean Code är en samling riktlinjer och principer för hur man skriver kod som är enkel att förstå och underhålla. Ett kunskapsglapp identifierades vad gäller empirisk data som undersöker Clean Codes påverkan på kodförståelse. Studiens frågeställning varHur påverkas förståelsen vid modifiering av kod som är refaktoriserad enligt Clean Code principerna för namngivning och att skriva funktioner?För att undersöka hur Clean Code påverkar kodförståelsen utfördes ett fältexperiment tillsammans med företaget CGM Lab Scandinavia i Borlänge, där data om tidsåtgång och upplevd förståelse hos testdeltagare samlades in och analyserades.Studiens resultat visar ingen tydlig förbättring eller försämring av kodförståelsen då endast den upplevda kodförståelsen verkar påverkas.

There are several factors influencing the profitability of production with sheep. Two of the most important factors are ewe fertility and lamb survival. Also growth capacity of the lambs is important. This paper aims to review correlations between the ewe?s fertility and maternal behavior and lamb survival.

The aim with this study was to examine which information sources are used by the librarians in the process of changing automated library system and why. Furthermore it was of interest to examine whether there are any correlations between variables environment, information quality, information availability, information need and information sources. I used a quantitative method that was carried out in form of a nationwide survey. Questionnaires were sent out to all the Swedish libraries that had change library systems sometime between the years 2000.

The aim of this study was to evaluate the stir drying method, for drying of grain during Swedish conditions. The evaluation was done during the harvest year 2004, on four farms with stir driers. The driers were evaluated for their energy consumption, design, stirring effectiveness and how much time the farmer has to spend on every tonne of grain. A comparison was also done with conventional Swedish high temperature driers. Totaly six batches of grain from stir driers were examined, mostly winter wheat, but also barley and wheat.

The prevailing urban migration is a worldwide process. This results in growing cities and a diminishing proportion of people living in the countryside. As the urbanization continues a large amount of the world?s population is expected to live in urban settlements of informal character by 2050. Green Belt has for many years been used to control urban growth and to secure the sustention of larger green areas around towns and cities.