Multiple sclerosis (MS) is one of our most common neurological diseases. The development of the disease often make the affected persons live with it for a long time. There are two types of the disease, the first is a progressive type and the other is relapsing remitting. Strengthening exercises isn?t commonly used as a treatment method although muscle weakness and fatigue are common symptoms.

This study aims to find out what happens with the roles that are seemingly left behind. Are there roles that are harder or easier to exercise? Available roles with us through life and affect our future decisions or we switched completely away from them and create new roles based on the situations we find ourselves in at the moment? The aim is also to see how the relationship looks like between closed roles and new roles in life. To try to find this out, I have used the narrative method. The study is based largely on Goffman's theories of roles, behind and above the front- and back stage.

I samband med nytt avtal med SAKAB gällande prissättning på de strömmar som skickas till extern destruktion träder i kraft i oktober 2004 ökar fokus på att sortera rätt för att få lägsta möjliga pris. Prissättningen som tidigare var fast för de olika destruktionskvaliteterna övergick till att vara baserade på värmevärde och vattenhalt på innehållet i tankarna. Stora pengar kan sparas genom att pumpa rätt kvalitet till rätt tank då den totala destruktionskostnaden på Drug Substance Supply uppgått till 12-15 Mkr de senaste åren. Problemet har varit att man tidigare inte vetat vad man pumpat fel, därför genomfördes två pumpkartläggningsperioder där samtliga pumpningar till HSR (AstraZeneca:s lösningsmedelhanterings anläggning) loggades och sammanställdes. Kartläggningen användes sedan som underlag när strömmar som var ledda fel spårades.

Regulations on the exhaust emissions of HD-diesel engines are becoming more and more stringent, and therefore, emission after-treatment systems are commonly used. These systems rely on catalytic conversion of NOx,CO , and HC emissions, and are thus dependant on temperature. At low load of the engine, exhaust temperatures are not sufficient for the after-treatment components. Therefore, means to increase the exhaust temperature while maintaining low emissions and fuel consumption are needed.The focus of this project has been to develop strategies for the lift profiles of exhaust and intake valves in the engine, with the goal to raise exhaust temperature in combination with low emissions and fuel consumption. The strategies have been tested in a single-cylinder research engine equipped with a hydraulic variable valve actuation system.

AbstractIn the fall of 2003 a project was started in the Swedish building sector that is called BASTA (the building sectors’ termination of especially harmful substances). The project is operated by the building companies NCC, Skanska, PEAB and JM, the Swedish Building Industry and the Swedish Environmental Institute IVL. The purpose of the project is to create a common environmental assessment system for the entire building industry and with the help of this system phase out the use of especially harmful properties from building products.In a large sense BASTA works like this; On the BASTA web site there is a database, to which a supplier can register the company and the company’s products. Only those products with a substance content that fulfil the demands of the BASTA system, is to be registered. As it is the supplier himself that carries out the registration of the company and the company’s products to the system, the BASTA-organisation annually controls that the companies that are registered in the database, fulfils BASTA’s demands.Since NCC is one of the companies that operates BASTA, BASTA is probably going to be the environmental assessment system that is recommended for the company in the future.

ABSTRACTMultiple sclerosis (MS) is the leading cause of adult disability inSweden. Hematopoietic stem cell transplantation (HSCT) can be used as a treatment option for patients with MS where the disease has an aggressive course. The treatment is preceded by high-dose chemotherapy which lowers the patient's immune system. It is therefore of interest to study infectious complications associated with HSCT in this patient.Aim: The purpose of this study was to identify infection problems in this population associated with HSCT, and to study differences in infectious complications between this group and patients diagnosed with lymphoma who have undergone the same treatment.Method: The study was a retrospective descriptive study with quantitative data. A medical record review was conducted.

Vocal Cord Dysfunction (VCD) is characterized by paradoxical vocal cord movement during inspiration or expiration, and generally affects adolescents and predominantly women. Previous studies have shown a large inconsistency concerning terminology, definitions, etiology, assessment, differential diagnosis, co-morbidity and treatment. The purpose of this study was to map knowledge on and management of VCD in Sweden. The study was conducted as a written survey addressed to speech-language pathologists and physicians, and attained an answer percentage of 79 percent. The results showed that several professions were involved in the management of these patients, but no clear pattern of referral could be observed.

Developments in milk production are heading towards fewer but larger herds where the milking process is often fully automated. Automatic milking systems were launched in the 1990?s and in the year 2010 the Automatic Milking Rotary (AMR) was introduced. As a rule there are no supervision personnel present during the milking event in systems with automatic milking. This means that there is a risk that cows can be incompletely milked in one or more udder quarters, for example if the robots fail in attaching the milking cups or if the cow kicks off the milking unit.

Eutrophication of the Baltic Sea and Swedish lakes remains a major problem despite many years of effort to reduce the emissions of nutrients. One major source is waste water systems, especially private sewage systems. These sewages accounts for a very large share of nutrients per capita in comparison with citizens connected to larger sewage treatment plants. Norrtälje community has the greatest number of private sewage systems in Sweden. Discharges of nutrients, especially phosphorus, to the Baltic Sea from these sewage systems are significant.

The management of water resources and waste water varies between the countries of the EU. For many years, a large part of the water in Europe has been contaminated by, among other things, insufficiently treated waste water and emissions from agriculture. The EU Water Framework Directive 2000/60/EC and the Urban Waste Water Directive 91/271/EEC are intended to harmonize fresh-water management and waste water management within the whole EU, aiming at safeguarding drinking water of good quality and a high quality of all water within the EU today and in the future. There are however some problems concerning the waste-water directive. One problem is the huge investment needed in Slovakia to fulfil the demands of the waste-water directive for waste-water management in larger communities (with more than 2000 inhabitants).

Aggressions in childrenPedagogues wiew of treatment and support.

Denna uppsats handlar om kuratorers känslomässiga upplevelser i mötet med cancerpatienter i livets slutskede. Fyra kuratorer på Karolinska universitetssjukhuset i Solna och två från Södersjukhuset intervjuades utifrån en semistrukturerad intervjuguide. Uppsatsen har en kvalitativ induktiv ansats. Frågeställningar handlar om vilka känslor som uppkommer i möten med döende cancerpatienter och hur kuratorer hanterar dessa känslor. Intervjuguiden berör två områden; svårigheter och möjligheter och hanterbarhet av känslor.

Today, there are few industries left in our cities. Industrial areas thatare located in urban settings close to water or city centers are oftenreplaced by housing. In my thesis I want to explore how such industrialsite located in an urban setting can be transformed into anindustrial park where the industrial structures are saved. By approachingthis type of environment in a positive manner, I wish tohighlight the potential aesthetic and functional value in the existingindustrial structure. Through the transformation and design of anexisting industrial site I will convey the previous use and history ofthe place.The wastewater treatment plant, Kungsängsverket, is located in thedistrict of Kungsängen in the southern part of Uppsala.

Our aim with this study is to explore socialworkers perception of what is a good treatment is and how to establish good relationship with their clients. We have decided to limit our study with social workers in Economic assistance and Abuse Units in social servises and explore if we can discern any differences between the units. We have chosen to use qualitative methods to achieve the aim of this study. We interviewed a total of seven social workers, of which three were from Abuse unit and four were from Economic assistance unit. One of the theoretical frame we have used is Goffmans (1970, 1974) theories about social interaction in which he explains the social encounter between social workers and clients.

Background: A health damage that has been specifically related to nursing is pressure ulcers. Pressure ulcers are a complication caused by disease, care and treatment and can result in great suffering for the patient. Pressure ulcers can affect people both physically and psychosocially and is experienced, by most patients, as a serious and unnecessary complication of care. Today there are hundreds of identified risk factors for pressure ulcers described that can be divided into patient and care-related risk factors. A successful pressure ulcer prevention and treatment is to reduce or eliminate the underlying causes for the development of pressure ulcers, prevent deterioration and to treat existing ulcers.