Background: It is required that health care professionals continuously work with patient safety and quality improvements, and the skills of registered nurses are significant in this work. However, quality improvement also requires commitment and knowledge about how to improve health care and ensure patient safety. There is a lack of studies that highlights the importance of supportive functions for this work. Nurses in clinical settings can be utilized as facilitators that make things easier for other health care professionals who are engaged in quality improvement and patient safety. In order to gain understanding about the significance and needs of nurses with a role of facilitator, it is urgent to learn from their experiences of facilitating quality improvement in health care.Aim: The aim was to study nurses? experiences of facilitating quality improvement of nursing care, patient safety and multi-professional collaboration in health care.Method: Semi-structured qualitative interviews were performed with ten registered nurses who had experience of being in the role of facilitators.

- To be trapped in a roller-coaster That ?s how some of the patients are describing the situa- tion of living with heart failure. To be stuck in their home not knowing if they will have to seek care today and not knowing if they will have the energy to attend that birth- day party later this week.Each year 2-3% of the Swedish population are diagnosed with heart failure, which results in 30,000 new individu- als with the disorder. Cardiovascular disease is rapidly in- creasing in the world and before 2030, people with heart failure will increased by 100%. Our improved living condi- tions and better health have allowed us to grow older and made us more dependent on other types of care, care at home.Today the patients are only looking for changes in weight and if they have excessive water in their body.

Incompatibility between donors and recipients can cause fatal hemolytic transfusion reactions (HTR), kidney damage and death and immunization of the recipient. Antigens on the surface of erythrocytes in the ABO blood group system and regular natural antibodies against these in the patient?s plasma must be considered. An individual always has a corresponding antibody of IgM in their plasma. Irregular antibodies acquired by transfusion or pregnancy and active in body temperature also cause the HTR incompatibility.

This thesis has been conducted at Volvo Bussar ABunder a period of ten weeks. Within the organizationVolvo, the work is conducted with leaders and teamson every level; from production to top management.They have three tasks, besides executing their dailywork, they are expected to actively work on improvingtheir individual work as well as themselves as persons.The two latter are future value adding activities for theorganization. When doing so, however, it has beennoticed that they often lose the grasp of their dailywork. The question that consequently arises is whythis happens. Is it because of lack of time or it isbecause the co-workers do not have the competenceand simply do not know how they are to execute thethree tasks? Or, is it because the motivation to executethe three tasks is not enough? With this in regard, thestatement of issues for this bachelor thesis were thefollowing: how can the conditions for leaders and theteam be improved, in order for them to execute thesethree tasks.To find out why the execution of these threeassigments did not always succeed, the decision wastaken to conduct a survey and interview study in reallife and at the plants.

Previous studies of central tire inflation (CTI) in truck transport of roundwood have shown potential benefits to include more even wood flow and reduced road damage. The greatest benefits are found to be during periods of low bearing capacity such as spring thaw. No previous studies have examined geographical variations in the potential benefit of CTI-equipped trucks. The aim of the study was to develop and use a simple method for geographically prioritizing the use of CTI-equipped trucks within a forest company´s sector of activity.The host company for the study was Holmen Skog. The area studied consisted of Holmen Skog?s entire sector of activity extending from the province of Västerbotten to the province of Småland.

Reducing the CO2-pollution, resulting from the combustion of fossil coal for energyproduction, is important to affect environmental changes. One way to achieve a reductionis to use the oxy-fuel technology. The technology uses O2 and re-circulated flue gasduring the combustion which results in a flue gas mainly consisting of CO2. The flue gascould then be compressed and stored without environmental effects. A problem thatfollows from the compression is the risk of acidification in sensitive parts of the process.Acidification can occur because of reactions following from the contact of condensedwater and sulphur- and nitrogen-oxides which are also present in the flue gas.This report compiles and evaluates the basis of a scientific unit with the purpose ofexploring the possibilities of extracting impurities of SOx and NOx from the flue gases.The dimensions of the unit are based on basic conditions, defined for an existing oxy-fuelprocess at Chalmers, and on the results of computer modelling.

Det konstrueras i stor utsträckning bristfälliga detaljlösningar på byggnader i dagsläget. Den bärande stommen i konstruktionen prioriteras ofta medan det inte ägnas lika mycket fokus åt att tillgodose de byggnadsfysiska aspekterna. Anledningen till de bristfälliga detaljerna är även att den som utför arbetet saknar rätt kunskap och tid. För att skapa en förbättring behövs ett hjälpmedel!Kunskap och erfarenhet om hur bra detaljer skapas finns redan i företag, svårigheten är dock att sprida kunskapen till de som är i behov av den.Målet med denna rapport är att skapa en metodik som blir startskottet för ett omfattande arbete kring framtagandet av ett detaljbibliotek, vars syfte är att sprida byggnadsfysiska kunskaper inom företaget och inspirera konstruktörer till att konstruera bra detaljlösningar. Biblioteket ska innehålla byggnadsfysiskt utredda detaljlösningar som analyserats enligt den utarbetade metodiken.

Bakground: Puerperal fever caused by group A Streptococcus is in a global context seen as a common cause of death in childbirth.Aim: To examine the consequences of group A streptococcus infections in women postpartum and to see what a nurse can do to stop the infection with adequate nursing interventions.Method: This is a review built on 15 articles. These articles were read in full and audited with a suitable template.Result: Women postpartum has 20 times higher risk to get group A stretococcus infection as compared to non pregnant. The consequences of Group A Streptococcus infection can lead to high fever, abscesses around the uterus, sepsis, acute respiratory distress syndrome (ARDS), hysterectomy and death. Patients who share room with infected patients carries an increased risk to be infected. Curtains between patient beds can be colonized by Group A Streptococcus.

The purpose of this study is to describe and analyze a group of participants (social workers, contact families and the young adults who had been given a contact family as children) and monitor their experience of the intervention contact family and its goals, contents and design. We also wanted to look into what goals and guidelines are available regarding the interventions design and contents. We also looked into parts of the intervention which the participants found most useful for them individually. The method we used in our study was qualitative interviews. We compared and analyzed our results to research made on the subject and the theoretical frame.

This thesis has been carried out on behalf of IV Produkt AB and intends to set an average ratio of thermal energy losses in apartment buildings that were built during the 1960-1990. This shall be derived by analyzing the total district energy consumption that has been divided into three parts: heat energy losses (the actual heating requirements), the heating of domestic hot water and heating energy consumption for the controlled ventilation.Three different residential areas that were built during the years 1962-1966 and one that was built in 1993 has been analyzed. All residential areas are located in Växjö urban and contains between four and six apartment buildings.The analyzed objects have a mechanical exhaust ventilation systems and district heating as the heating method. No own laboratory work or experiments have been done in this thesis, the calculations have been done on the basis of parameters from VEAB, interviews with property managers, and literature studies. By calculations, we have got a result that is reported in Chapter 6.

Biogas mainly consists of methane and carbon dioxide, where methane is theenergy-rich gas, and is naturally created when organic matter breaks down in absenceof oxygen, also known as anaerobic digestion. A biogas plant re-creates the anaerobicconditions inside a digester where the organic substrate is fed into and digests toproduce biogas. The gas is then used to produce energy by combustion and can beseen as a completely renewable fuel.Today, energy from biogas is used primarily by major stakeholders such asmunicipalities and thus the plants become very large with high investment- andconstruction costs. There are currently few small plants in Sweden, even though thepotential for agriculture and medium-sized to smaller farms to become self-sufficientin terms of electricity and heat is great. Farms have a natural stock of digestibleorganic material in form of manure or crops for example, which are constantlyavailable.

Reducing the CO2-pollution, resulting from the combustion of fossil coal for energyproduction, is important to affect environmental changes. One way to achieve a reductionis to use the oxy-fuel technology. The technology uses O2 and re-circulated flue gasduring the combustion which results in a flue gas mainly consisting of CO2. The flue gascould then be compressed and stored without environmental effects. A problem thatfollows from the compression is the risk of acidification in sensitive parts of the process.Acidification can occur because of reactions following from the contact of condensedwater and sulphur- and nitrogen-oxides which are also present in the flue gas.This report compiles and evaluates the basis of a scientific unit with the purpose ofexploring the possibilities of extracting impurities of SOx and NOx from the flue gases.The dimensions of the unit are based on basic conditions, defined for an existing oxy-fuelprocess at Chalmers, and on the results of computer modelling.

Post-anaesthetic myopathy (PAM) is a serious occasional complication of general anaesthesia in horses. It causes not only pain and suffering to the horse, but also suffering (trauma) to the owner with increased veterinary costs. In the worst case PAM can be fatal. The anaesthetic nurse must know which parameters have to be taken into consideration in the prevention of PAM, to be able to prevent it, and use that knowledge for the animals safety. The aim of this literature review was to investigate and make a presentation of the factors and measurements associated with PAM, with focus on how to monitor these measurements to prevent it from happening, and the advice a Veterinary nurse can give to the horse owner regarding this condition. According to literature there a few factors that greatly increase the risk of PAM, these include- hypotension, periods less than 60 mmHg significantly increases the risk.

Title: Mountain birds ? a comparative study from valley to mountaintop in a northern and southern Swedish fjeld  Author: Kristian Zackrisson Abstract Main aim in this study was to increase the knowledge about birds in the Swedish mountain area. Three questions were asked: 1) Which bird species can be found during the breeding season along a low mountain slope from a forested valley to a mountaintop with bare mountain environment? 2) Do the number of species and individuals differ in different elevation zones? 3) Is the composition of bird species along a low mountain slope the same in the Kebnekaise mountains inLaplandand the Grövelsjön mountains in Dalarna? Bird census in two study sites located in the Kebnekaise mountains and the Grövelsjön mountains and subsequent analysis of the results from the bird census was the main parts in this study. Totally 20 bird species were found along a low mountain slope in the Kebnekaise mountains.

This study was conducted at the City Abattoir in Kampala, Uganda to evaluate the cleaning process, with focus on bacterial pathogens, in a pilot scale integrated bioprocess. This consisted of four steps: anaerobic sequencing batch reactors; aerobic/anoxic sequencing batch reactors; a high performance temperature controlled methanogenesis digester and a constructed wetland. The objective was to determine if this type of cleaning process could be used to clean wastewater from abattoirs in a satisfactory way. The indicator organisms for faecal contamination, Escherichia coli and Enterococcus spp. were used to investigate in what numbers bacteria could be found in the untreated wastewater and how much that was reduced in the different steps of the cleaning process. The water was analysed for Salmonella to see if human pathogens could be found and could survive the different steps of the treatment process.