Background: Insufficient nutritional support is associated with prolonged hospitalisation, impaired wound healing and impaired survival for patients in intensive care. In severe sepsis and septic chock, calculation of nutritional need is complicated since the metabolism is affected by decease. Aim: The aim of the study was to investigate nutritional support and to examine the quality of nursing documentation of nutritional status and nutritional support in patient records in severe sepsis and septic chock.  Method: The study was conducted as a retrospective investigation where 64 patient records were studied. The quality of documentation was examined in 10 patient records using an examinational model.Findings: Calculation of average nutritional support showed insufficient supply particularly in the two first days of intensive care. During the next five days nutritional supply was higher but individual variation was seen, why a clear picture of nutritional support is hard to detect.

När en ny produkt lanseras på marknaden uppkommer det med stor sannolikhet brister som intetidigare upptäckts. Syftet med denna studie är att skapa en arbetsmodell för hur medelstora företagska hantera kvalitetsavvikelser som uppkommer inom produktion. För att skapa en realistisk modellför hur dessa kvalitetsavvikelser skall hanteras, baseras detta examensarbete på en fallstudie utfördpå ett tillverkande företag vid namn AQ ParkoPrint AB som är beläget i Gävle.Följande forskningsfrågor har besvarats för att understödja det huvudsakliga syftet:? Vilka kvalitetsavvikelser kan uppkomma inom medelstora företag?? Hur kan dessa kvalitetsavvikelser hanteras samt om möjligt reduceras?Metoderna som använts i studien är intervjuer och observationer. Fem intervjuer och tvåobservationer utfördes på AQ ParkoPrint AB.

With the increasing costs in concentrate the importance in producing ensilage with a high quality is becoming more and more important. To succeed with this goal it is of importance not only to harvest in the right period, but also to be able to store the ensilage without a decrease in quality and nutrional values. To maintain a good ensilage the covering of the ensilage must be carefully made. An unsuccessful covering causes mould to grow in the ensilage, which both increases the work load and also increases the amount of feed which is wasted. A bigger amount of spoiled feed also increases the risk of feeding spoiled feed to the cattle.

The goal for this master thesis project has been to investigate the power quality in adistribution grid, which has a high fraction of dispersed power production due towindmills. The study has been done on a grid in Laholm South of Halmstad, whereapproximately 45 windmills are connected to the distribution grid owned by SHKEnergi. The investigation has been focused on to two radialy fed 20 kV lines, wheretwelve windmills are connected.Voltage variations have been studied by creating a model of the grid in the simulationprogram SIMPOW. The largest deviation that has been found in any point of the gridis ±1.9 % of the nominal voltage. This deviation is a result of varying powergeneration from the windmills and the voltage regulation at the connection point ofthe line.

Around 85 percent of the total population in Sweden today lives in an urban environment. This means that the nature within the urban areas has come to play an important role for the human well being. At the broader picture, the nature within urban areas is profitable in many ways. It is therefore important for the municipalities around in Sweden to work for sustainability within the urban areas. Linköping adopted an environmental policy, in year 2001, from the delegate of the municipality.

This master?s thesis concerns the performance of professional children?s theatre in public libraries. With qualitative interviews I have looked into how four children?s librarians and two theatre consultants appreciate professional children?s theatre, and furthermore I have looked into their view on the importance of theatre for children. My intentions have also been to investigate their views on the function and status of children?s theatre in public libraries and also the relationship between library and theatre activities for children.

Denna uppsats undersöker hur äldreomsorgens kostnader och kvalitet påverkas av andelen privatdriven offentligt finansierad äldreomsorg i svenska kommuner. Data med kvalitets- och kostnadsindikatorer samt med andelen privat drift analyseras med regressionsanalys. Resultatet indikerar ett negativt samband mellan andelen privat drift och kostnaden för äldreomsorgen. Kvalitetsmåttet delas upp i subjektivt uppfattad och objektivt mätbar kvalitet. För subjektivt upplevda kvalitetsmått visar undersökningen ett negativt samband med andelen privat drift.

Partnering is a new and exciting way of cooperation in the Swedish construction industry. In countries like Denmark and the United Kingdom the concept has been developed during a number of years while the Swedish construction industry has been more reluctant.Partnering is seen by many as the solution to the problems that often occur in design and build contracts. Many others believe that it is a way for the big entrepreneurs to gain unfair advantage. Never the less the concept is fast getting more and more appreciation, especially in the region of Karlstad where many new buildings are built that way.We have focused on the new development of Carlstad Conference Center (CCC) which is currently built with a partnering concept. The main method that have been used in this thesis are interviews with personnel on different positions in the project.

Analogue photography is something that many thought died out in the beginning of the 21?st century as a result of the digital revolution. But that?s not the case. As the digital revolution swept over the world a movement of analogue cameras, and so called toycams grew bigger.

For nearly twenty years people have been talking about Product models, but given that the building industry is so conservative, it is hard to implement new working methods. Product models are these days known as Building Information Modeling, BIM. People often say they work with BIM but they often forget the most important part, the information. A 3D model should be linked with characteristics and information. Information that can be invaluable for the facility manager.We have a vision that in the best of worlds the facility manager would be able to "walk" into the model and see what kind of installations are inside the wall or in the roof.

Background: 2007 there was 42 000 fall related accidents in Sweden and they are expected to increase the next few years. Fall among elders results in both increasing economically costs and suffering, but they can be prevented. For example has physical exercise shown an increasing effect on the risk for falls. Aim: The aim of this literature review was to investigate what influence Tai Chi has on the risk for falling among elder. Method: A literature review was conducted where eleven scientific articles were analysed with inspiration of the content analysis.

This Master thesis focuses on change conditions and change ambitions in Swedish public libraries. I have chosen to focus on three libraries that participated in a much-debated developmental project sponsored by the Swedish Arts Council almost twenty years ago. The aim of the project was to enhance service-quality, increase user-influence over media acquisition and library routines, and to redefine the concept of quality in the library context. I have made comparisons of the conditions and change ambitions between the project period 1991-1994 and present day 2009. To do this I have analyzed the evaluations of the above-mentioned project and the developmental plans that every municipality in Sweden is required to write according the library-law of 2004.

Sustainability Reporting has emerged and transformed over the past decades as a voluntary practice by companies across industries that desire to show proof of good conduct and environmental; social; and economic responsibility. As industrial food production is one of the largest contributors to contemporary environmental problems, it might be expected that reporting within the industry would be both well established and well understood. Unfortunately, it is neither. In light of the food industry?s considerable environmental impact and the growing popularity of plant-based food as a more sustainable alternative to dairy products, this paper assesses and briefly discusses the Sustainability Reporting of two companies in the plant-based food and beverage industry. The research was designed to compare the practices of Europe-based Alpro and US-based SoDelicious, and this study has two major purposes: to describe the reporting of the case companies and to subsequently compare their practices to the other as well as to global reporting standards. The empirical study in this paper was conducted through content analysis.

This degree project is an inquiry in how plan layouts and functions should be designed to suit families with children. The project aim to, if possible, find good solutions and designed houses that satisfy the requirements a family have.Last spring we contacted Willa Nordic AB, a company that produce houses, and they had a suggestion to investigate living for families with children. Their motif were that they lacked in information and knowledge in how to design houses that correspond to a family's needs. We thought the idea was exiting and motivating.The autumn 2008 studies were made on earlier published reports, in the subject "living environment", to get a solid background. The earlier inquiries shows a clear development through the whole 1900's, from being without standards to have well defined norms.

Since the Bruntlandreport was published 1987, companies have shown their environmental commitment through an environmental account. Companies started these accounts because their rivals started having them and today most large companies have a environmental account or sustainable development report. The information given by the companies have been seen as slanted, and others see it only as a part of the image production for the companies. There have been several investigations of the stakeholders of environmental reports and it is not clear who is the primary stakeholder, in other words who actually reads them. All different stakeholders have different views of what an environmental account should encompass.