I takt med att besökare och patienter ökar måste kontinuerligt Östra sjukhuset verksamhet utvecklas. Detta medför omläggningar i trafiken och förflyttningar av verksamheter. Idag finns flertalet brister kring Östra sjukhusets fysiska planering som behöver ses över, dessa är bland annat trafikflöden, säkerhetsaspekter och parkeringsmöjligheter.Rapporten redogör för förändringar i den fysiska planeringen som förbättrar dess utformning. Genom studier av relevant litteratur och diskussioner med expertis har förslag av problemområden tagits fram. Dessa har sedan bedömts efter listor av deras respektive för- och nackdelar som kunnat urskiljas.Arbetet visar framtagandet av ett väl fungerande förslag som kan verka som en bas för idéer till nutida och framtida förändringar kring den fysiska planeringen.

The purpose of this essay was to review the literature and describe the patophysiology, diagnosis, microscopic and macroscopic appearance of aortic body tumors in dogs. The tumors originate from the chemoreceptor organs situated at the base of the heart. The chemoreceptor organs are neuroendocrine cells responsible for surveillance of changes in e.g. the blood pH. Aortic body tumors are rare and represent 7 % of the total cases of primary cardiac tumors in canines.

 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.

To invent an optimized product is a complicated process. This process is only half of the work. It is equally important to develop a production system that can produce the product in an  efficient and ergonomic way.After several evaluations of conceptual and detailed drawings a final idea has come to light.The idea intends, to the maximum extent, utilize the facility in a more efficient way through moving assembly lines and stations closer to the flock section and the stock for complete products. To make the production better, stations are placed in more logical places given the assignment they are supposed to accomplish. This improves the material flow radically.

This thesis is about Fristadstorget in the city of Eskilstuna and how the square flow together with the user orientation could be improved. This work focuses on how public spaces best satisfy users through architecture, cognition and information interpretation. I've looked at people's movement patterns in Fristadstorget, with the help of observation from strategic locations. While I also integrated the city?s surrounding and taking in information from already existing buildings around the square.

The construction of buildings and paved surfaces changes the natural water balance.Precipitation generates surface runoff and storm water instead of infiltrating into the soil.Storm water has come to be considered as a major source of pollution in lakes and streams inthe vicinity of urban areas. Reduction of pollutants in storm water is a key action in order toprotect sensitive recipients and maintain high water quality. Storm water is traditionallytransported by storm sewers to the nearest recipient. In recent years the approach to stormwater management has changed; storm water should primarily be disposed of on site, throughlocal disposal of storm water, LOD. LOD is created by a combination of the function ofseveral smaller local facilities and the general sewer system.

The aim of this literature study was to analyze how milk urea concentration is working as a measure of the nitrogen supply to rumen microbes and indicator of the environmental load. Questions included in this literature study were how to improve the dairy cattle nitrogen efficiency and what correlations there are between milk urea, nitrogen efficiency and crude protein content in the feed. Effects on the reproduction from high ration protein content are also addressed. Dairy cattle are today fed with large proportions of protein which could lead to high expenditure of feed and environmental pollutions. The nitrogen can be lost to the environment by different pathways; leaching, denitrification or by emission to the air.

The aim of this literature study was to analyze how milk urea concentration is working as a measure of the nitrogen supply to rumen microbes and indicator of the environmental load. Questions included in this literature study were how to improve the dairy cattle nitrogen efficiency and what correlations there are between milk urea, nitrogen efficiency and crude protein content in the feed. Effects on the reproduction from high ration protein content are also addressed. Dairy cattle are today fed with large proportions of protein which could lead to high expenditure of feed and environmental pollutions. The nitrogen can be lost to the environment by different pathways; leaching, denitrification or by emission to the air.

Malignant melanoma represents 4-7% of all canine neoplasms and they are the most common malignant tumors of the oral cavity and digits. These tumors are often aggressive and metastasize quickly. To date there is no effective treatment and survival times are short. Most dogs are euthanized due to complications caused by metastases. Melanin pigment is a hallmark of melanomas and is usually present in large amounts in these tumors.

Denna kandidatuppsats undersöker vilka upp­fattningar sjuksköterskor och homo­sexuella män har kring reglerna för blodgivning, med inriktning på att homosexuella män i praktiken inte får donera blod. Studien har genomförts med kvalitativ intervju som metod.Resultatet framhäver att mina informanter klassificerat blod och människor olika, där både utländskt blod och svenskt blod rangordnas efter potentiell risk för smitta. Sjuksköterskorna och de homosexuella männen hanterar även reglerna olika, där sjuksköterskorna lägger ett större fokus på att skydda de som ska få blodet. Samtidigt anser de i likhet med de homosexuella männen att reglerna är diskriminerande och bygger på fördomar om att homosexuella män skulle bete sig mer riskfyllt än andra i samband med smitta. Egentligen går det inte med säkerhet att veta om någon är ärlig när de besvarar hälsodeklarationen som ska hjälpa blodcentralen att sålla bort olämpliga donatorer.Bloddonation från homosexuella män går att se från olika håll och är därför ett komplext ämne utan ett lätt svar, då tekniken inte kan upptäcka smitta omedelbart från smittillfället.

Background: Surgical complications has been the main cause of medical injuries and deaths worldwide. In 2008 WHO developed the checklist for safe surgery to reduce the number of surgical complications. The objective of the checklist is to strengthen already established safety routines and contribute to better cooperation and communication. Research shows that compliance to the checklist is deficient, which can affect patient safety.Aim: The aim was to study the extent to which theatre nurses participate in the use of the checklist.Method: Observational study was conducted with a descriptive design and quantitative approach. 24 observations were carried out with aid of an observation protocol of two surgical units at a hospital in central Sweden.Result: The results showed that Timeout initiated widely but compliance to all items was considerably lower.

The purpose of this master?s thesis is to examine how pupils with Swedish as a second language and school librarians perceive the concept of pleasure of reading and the feeling of being a part of society. Our research is based on qualitative interviews with eight students in grades 6-9 and from two different schools. We have also interviewed two school librarians in these two libraries. As a method of analysis, we used phenomenography because it is the informants' perceptions of the phenomenon of pleasure of reading that we investigate.

This study has been made to evaluate if there is a significant difference between non-estral intact versus ovariohysterectomized queens in their production of estradiol after exogenous gonadotrophin-releasing hormone stimulation. The purpose is to find a tool, which can help to diagnose if a free-roaming queen is already ovariohysterectomized or not. There are also other situations where this tool could be useful, for example to diagnose the ovarian remnant syndrome. Previous studies in bitches have shown that GnRH-stimulation is an excellent tool to diagnose the presence of ovaries in the bitch. Eleven ovariohysterectomized and eleven intact queens have been included in this study where we have analyzed plasma estradiol and progesterone concentrations before and after a single intramuscular injection of the GnRH agonist buserelin (Receptal?).

This thesis work has introduced process orientation at the printing company Color Print Sweden AB. The outcome ofthis work is a survey of the work flow at the prepress department. To visualise the production process at the companya comprehensive mapping of the main process, order-to-delivery, has been made. The work has detected a couple ofcritical elements in the existing process. These elements are the following: initial check of material delivered to the prepressdepartment as well as the control made of the plotter print-out, digital test print and plate.

Jönköping Small Animal Hospital is today the only clinic in Sweden to offer radiation therapy as a treatment of tumours. The body contains of billions of cells that all have to obey the regulations that are established. If a cell is exposed to a harmful substance, for example a chemical, it can be transformed into a tumourcell. Normally the body has a good defence but the tumourcell can survive and start to divide unrestrained. A tumour is starting to develop.