How the running and controlling goes, vary on different municipalities, depending how the organization is constructed and what is being prioritised. There exist laws and directives which the businesses have to follow, but beyond this the organisations are quite free to prioritise and to decide what the best is for the community as a whole unit. The municipality has access to different tools which purpose is to help them running the organization as good as possible, so they can create a well-operated business. This is very important, regarding that the tax money should be spent in an effective way, and be able to do so it is required good and well-functioned system of control.A big change has happened when the instrument BSC (Balanced Scorecard) was introduced in certain municipality. In this essay the focus lies on two municipalities, Vellinge and Kristianstad.

Bakgrund: 100 000 vårdskador uppstår i Sverige varje år. Patienter som vårdas på intensivvårdsavdelningar löper störst risk att drabbas. För att minska riskerna och höja patientsäkerheten krävs kunskap om vilka risker som finns och vilka misstag som begås. Syfte: att beskriva i vilka sammanhang intensivvårdssjuksköterskor upplever att patientsäkerheten brister. Metod: en empirisk studie med kvalitativ design har utförts.

This report is a description of a developed educational simulator over rail vehicles and its components. The simulator is a hardware-based prototype over a door system on rail vehi- cles. System specialists and technicians will use the prototype. The Simulator should give the user a technical demonstration on how components work in a door system. The proto- type consists of motor, switch, relay and sensor.

Real estate is defined as ground, which is divided into property. Ground means every part of the surface, which is situated within the country. There is no legal definition of property to be found. Property is usually explained as every unit, which legally should be registered in the register of landed properties. To constitute a property the property must permanently be suited for its purpose.

Dokumentet går igenom könsskillnaderna mellan män och kvinnor när det gällerdatoranvändning, och hur användandets utveckling har skett på den senaste tiden.Den belyser även hur människans kropp, styrenheterna och spelet länkar varandra på ettkommunikativt sätt. Kontrollernas funktioner och styrsätt förklaras i basis för få en inblick istyrenheternas kommunikationssätt. Kontrollerna som tas upp grupperas därefter i olikarörelsemoment. En enkätundersökning kompletterar och stärker bilden över könsskillnader,åldersgränser, speltimmar, genre kategorisering och framtida behov.De problem som finns när det gäller kommunikation är att de inte är tillräckliga när manspelar. Oftast så är användare ute efter att ha en verklighetskänsla samt få en inlevelse ispelen.Dokumentets syfte är att ta reda på vilka kommunikativa metoder som finns och kontrolleraom de är tillräckliga för att uppnå denna inlevelse i spelen.För att kunna tackla problemen så görs det en omvärldsanalys i arbetet samt en positivistisktolkning av resultatet.

?Studies have shown that patients receiving mechanical ventilation in an intensive care unit (ICU), who are entirely dependent on the nursing staff, often experience frustration due to a temporary loss of the voice source. Limited communication is an important factor contributing to patient discomfort. Nursing staff also report communication as frustrating and difficult.The aim of the present study is to introduce a neck-type electrolarynx as a communication aid in an ICU, to study the nursing staff experiences of communication with tracheotomized patients receiving mechanical ventilation, and to examine the patient´s experiences regarding communicative abilities. Communication between a ventilator treated, tracheotomized patient and members of the nursing staff was recorded and analyzed according to principles of Conversation Analysis (CA).The results show that several members of the nursing staff experience difficulties communicating with tracheotomized patients receiving mechanical ventilation.

In healthy dogs, heart rate fluctuates during the day. Heart rate variability (HRV) reflects the autonomic nervous system´s regulation of the cardiovascular unit. Heart rate variability shows the balance between the sympathetic and parasympathetic nervous system, also called sympathovagal balance. Heart rate variability can be measured by time domain - and frequency domain analysis. In a time domain analysis you study the beat-to-beat-interval (RR-interval) in an electrocardiogram (ECG), while a frequency domain analysis can be used to determine the size of the variability.

Bakgrund: I en rapport från socialstyrelsen framgår det att akutmottagningarna runt omi landet har ca 2,5 miljoner patientfall, därtill kommer ännu fler anhöriga ochnärstående. Patientnämnden, som är det organ som hanterar klagomål från patienter ochanhöriga, uppger att det varje år kommer ungefär 4000 anmälningar där patienter ochanhöriga har känt sig kränkta och dåligt bemötta i sjukvården. Syfte: Syftet var attbeskriva hur vuxna anhöriga upplever bemötandet av sjuksköterskan vid akutasjukdomstillstånd inom somatisk vård. Metod: Arbetet skrevs som en allmänlitteraturstudie, enligt metod för kvalitativ manifestinnehållsanalys. Resultat:Anhörigas upplevelser i bemötandet från sjuksköterskorna kunde delas in i tre olikakategorier: trygghet-otrygghet, att bli sedd och bekräftad och sjuksköterskansmaktutövande.

Patienter som vårdas på en intensivvårdsavdelning (IVA) är allvarligt sjuka och behöver specialiserad vård. En del av den vården är ofta ventilatorbehandlingen som kan uppfattas som en mycket mentalt påfrestande upplevelse. Syftet med denna litteraturbaserade studie var att beskriva patienters upplevelser av att vårdas i ventilator på en intensivvårdsavdelning. Datamaterialet har utgjorts av kvalitativa studier med ett patientperspektiv, vilka har analyserats kvalitativt. I resultatet framkom två huvudteman; Verkliga upplevelser och Overkliga upplevelser.

Studien har syftat till att få en förståelse för familjehemsföräldrars perspektiv på anknytning och vad de menar att det finns för svårigheter och möjligheter gällande anknytning för barn som placeras i familjehem. Studien berör även hur relationen mellan barn och familjehemsförälder förändras över tid och hur samspel mellan barn och familjehemsföräldrar, barn och de biologiska föräldrarna och barnets tidigare erfarenheter kan påverka anknytningen. Studien är kvalitativ och bygger på intervjuer med sex familjehemsföräldrar. Bowlbys anknytningsteori har använts för att analysera det empiriska materialet och studien har en hermeneutiskt ansats.Familjehemsföräldrarnas upplevelser tolkas som att barn kan skapa en trygg anknytning till dem och att de kan utgöra en trygg bas för placerade barn. Familjehemsföräldrarna menar att en trygg anknytning rör både yngre och äldre barn.

 Conclusion:Medical treatment may have a role in platelet count after transfusion. Since the TACSI platelets passed the quality requirements, and the vast majority of patients platelet count increased after TACSI platelet transfusion, the TACSI platelets will replace the old method to produce platelets at the Uppsala University hospital.  Methods: A new approach that pools 8 buffy coats (TACSI platelets) that were separated into 2 units instead of 4-6 buffy coats pooled to 1 unit was investigated in this study. After the platelets were extracted from the buffy coats their quality was controlled and subsequently the platelet product was evaluated in 96 patients. Results: The results showed that 80 % of the platelet units passed the European quality requirements. Further, the platelet count was increased in most patients that received TACSI platelets. Conclusion: Medical treatment may have a role in platelet count after transfusion.

Communication is essential for the survival of an organization. The management formulates strategies to ensure thatthe organization will get to where they want it to go. The strategy is then communicated to the co-workers through the line manager. But who is to say that the co-worker experience the message the same way as the line manager or the management for that matter? The purpose of this study is toinvestigate how the middle managers at Southern Älvsborg Hospital experience strategic internal communication andfurther how they communicate with their co-workers.Through a case study approach, the case being the communication of the hospitals research strategy, I conducted 13 interviews.I analyzed the material from the interviews using a hermeneutical approach and I used an interpretative approach to get a deeper understanding.

Aim: The purpose of this study was to describe, analyze and compare university students? desire to have children, when they wanted to have their first and last child and their knowledge about fecundity in relation to the background factors: age, gender and educational level. This study will also investigate differences regarding university students? desire to have children along with when they wanted to have their first and last child and their knowledge of declining fecundity at increasing age. Method: A descriptive, comparative, cross-sectional study with quantitative method was used in the study.

AbstractWe live in a world today that is characterized by the Internet. We can get hold of people on the other side of the globe whenever we want and we can purchase what ever we want, from who ever we want, anytime we want. This development has made it important to find systems of dealing with the payment in a safe and secure way, both for a private person as well as for a company, when you do transactions with people far away, and those systems is the core of this essay. As a private person you sometimes need to transfer money to family members who live abroad and you can then use clean payments. This means that banks all over the world has systems which makes it easier when their customs wishes to transfer money abroad.

The purpose of the study was to investigate how inventories of suspected polluted areas as a part of the planned control of existing companies cab be designed in order to achieve as great effect as possible. The study was conducted in cooperation with Piteå municipality. An analysis of regional inventory projects, local municipal strategies and a pilot study in Piteå was conducted. The experience from both the regional projects and the pilot study was that in order to achieve an effective control a number of factors were inportant: an efficient selection of companies, a good dialogue between the controlling agency and the companies, sufficient resources, education of municipal inspectors and guidance for decisionmaking. Another inportant result was that the municipal planning can prevent an efficient inventory if the control of city development projects is allowed to take time from the planned control.