I en tid då sjukhusavdelningarna upplever ett åldrande patientklientel och patienttrycket är högt skall vården vid Sahlgrenska Universitetssjukhuset enligt ledningen, vara personcentrerad och patientens berättelse ligga i fokus för en god patientvård. Denna uppsats fokuserar kring patienters upplevelse av symtomet Fatigue (Kronisk trötthet) under en dag på sjukhus. Syftet är att beskriva frekvens och intensitet av kronisk trötthet, samt korrelation med socioekonomisk situation och andra parallellt förekommande symtom. En pilotstudie genomfördes som en punktprevalensstudie i december 2010, med syfte att kartlägga patientdemografi och symtomförekomst hos 41 stycken inneliggande patienter på tre vårdavdelningar. Därefter har en statistisk analys utförts och presenterats som resultat.

Population growth leads to an increased need for new buildings, both residential and commercial. The regulations of structural design also changes with time. From a sustainable community perspective it may be profitable if existing buildings, that no longer performs their original function, are reconditioned. Knowledge and understanding of the surroundings of the residence must be available. Regulations regarding accessibility to all has increased.

For Skattkärr IF a turf field with warming has been projected to increase field?s utilization hours and to have a longer period for athletes to perform their activities outdoors. The technique chosen to heat the plan is a type of a geothermal heating system without a heat pump. The brine, which is water with 30% ethanol, collects heat from the borehole and discharges it to a coil in the field. There is at position 11 boreholes but it is planned to increase the number to 31, which is the design for the facility.

Geothermal energy can be extracted from an aquifer, where the groundwater is used as heatexchange medium while heat and cold are stored in the surrounding material in the aquiferand to some extent in the groundwater. Application of aquifer storage for the use ofgeothermal energy is mainly used in large scale facilities and is limited to sites with suitableaquifers in the form of ridges, sandstone and limestone aquifers.Löwenströmska hospital in the municipality of Upplands Väsby, north of Stockholm, islocated nearby the northern part of the Stockholm esker. This means that it can be profitableand environmentally beneficial for the hospital to examine the possibilities of aquifer storagein the esker material next to its property.The purpose of this master thesis has been to investigate if geothermal energy storage with aseasonal storage of heat and cold can be applied within Löwenströmska hospital?s propertyarea using groundwater modeling. A hydraulic groundwater model was constructed inMODFLOW based on a simplified conceptual model of the groundwater system.

This report describes an investigation of the indoor climate in two different workspaces. Since we a big part of our lives are staying indoors in artificial environments, and more particularly in our workplaces, we think it would be interesting to do this investigation. The technical solutions for air treatment systems began with simple natural systems without fans and where the thermal rise of the air applied. In modern time is technical air treating systems used to take care of the fresh air supply. This type of units can supply filtered air with the right temperature to the building. Well-functioning ventilation is essential to bring clean fresh air to the room and effectively remove impurities without sound- or draught problems. The indoor climate is relevant for the output capacity.

TitleEnergy-efficiency ? of slab blocks built in the sixtiesAuthorsRichard Sandahl and Kim SöderbergEducationHalmstad University, Section for economy and technique Construction Engineering 180 ECTSSupervisorMargaretha Borgström, Universitylector construction physics, Halmstad UniversityContact person at HFABUlf Johansson Heating, sanitation and energy co-ordinatorReportExamination paper at the construction engineering program is performed in cooperation with HFAB (Halmstad real estate concern Inc.)AimThis examinations work is done in cooperation with HFAB and there project on the block around the street Maratonvägen. HFAB:s dwelling stock on this area are going through a bigger renovation and in relation to this they are looking on the possibilities to make this building more energy efficient. That is why this examination paper has as purpose to answer the question if it is possible to make slab blocks built in the sixties more energy efficient. This is done by calculate energy efficient measures on a chosen apartment block at Maratonvägen in Halmstad, in an energy and expense perspective.MethodThe examination paper is based on different methods, mainly calculation but also qualitative conversation studies, economic calculations and literature studies.

A study to optimize insulation thickness for stock-, industrial- and office-buildings for external walls and roof in an economical perspective has been conducted on behalf of DynaMate. DynaMate?s role is to maintain all Scania?s buildings. Analysis has also included other parts of the building envelope, such as windows, exterior doors and industrial doors. In this thesis, three different types of exterior wall constructions has been investigated, these are a sandwich design consisting of sheet metal and a another one consisting of concrete, as well as a wall of concrete with a coating of plasters.

The need for snow-free surfaces at squares, bus stops, platforms, car parks and sports facilities increases and at the same time energy price rise and the environment is becoming a hotter issue. The construction of the ground heating systems often lack thermal insulation under the heating pipes, which means that the heat from the pipes not only warm up the soil surface but also heats the surrounding soil. The insulation also has more features, by insulating the risk of frost damage is minimized. The goal of this report is to demonstrate the large heat loss and energy costs in the absence of insulation under the heating system.The report begins with a scientific way to study and treating the soil heating system uses, and the theory involved. Furthermore it also deals with different routing principles of heat pipes depending on the facility.All calculations are made with so called finite element method (FEM), in COMSOL Multiphysics 3,5a, where models are created with different conditions.

Bakgrund: I Sverige ställs det omkring 7000 bröstcancerdiagnoser årligen, vilket ger en siffra mellan 15-20 insjuknande kvinnor dagligen. Denna förekomst visar på att detta är ett centralt problemområde inom den svenska vården idag och en angelägen omvårdnadsfråga. Behandlingsformerna som finns idag vad gäller bröstcancer är kirurgi, strålbehandling, hormonbehandling samt cytostatikabehandling. Att behandlas med cytostatika, en behandlingsform som är en relativ vanlig komplettering till kirurgi, innebär en risk att utsättas för en rad olika biverkningar. Biverkningarna kan sätta spår i livet och som därmed även kan ha en kraftig påverkan på livskvalitén även efter avslutad cytostatikabehandling.

Background: First Line Managers are expected to create a health promoting work environment. Research has shown that the prerequisites for accomplishing a health promoting leadership are not always the best. Aim: The aim was to elucidate the prerequisites for a health promoting leadership as First Line Manager at a University hospital in Sweden based on competence, role, support structures and own durability. Results: First Line Managers at the chosen hospital seems to have rather good conditions for conducting a health promoting leadership. All respondents did have a university degree and most thought that their competence corresponded well with the role.

Bakgrund: Fibromyalgi karakteriseras som ett kroniskt sm?rtsyndrom pr?glat av omfattande sm?rta, tr?tthet och s?mnproblem, vilket avsev?rt f?rs?mrar den drabbades livskvalit?. Syndromet, som drabbar tv? till fyra procent av befolkningen med en ?verrepresentation av kvinnor, kr?ver en multidisciplin?r behandlingsstrategi p? grund av dess komplexa natur. Diagnostiseringen av fibromyalgi utg?r en klinisk utmaning, givet avsaknaden av objektiva biomark?rer, och bygger ist?llet p? patientrapporterad sm?rta som kr?ver att patienten uppvisar sm?rta vid palpation p? minst elva av arton definierade ?mma punkter (tender points). Syfte: Syftet ?r att unders?ka patienters erfarenheter av att leva med fibromyalgi. Metod: En litteratur?versikt med en systematisk ansats utf?rdes genom att analysera data insamlade fr?n databaserna CINAHL, PubMed och Scopus. Det resulterade i nio relevanta artiklar, varav ?tta var kvalitativa och en kvantitativ, publicerade mellan ?ren 2012 och 2024. Resultat: Det identifierades tre huvudteman och sex underliggande subteman.

Heart failure is a condition where the heart is incapable of providing adequate blood supply to different organs in the body. The underlying causes of heart failure is some kind of disorder in the heart function, and require careful diagnostics. The basic symptoms that arise from heart failure is difficulty in breathing, that aggravate when lying down, and fatigue. The patients? symptoms and impaired quality of life can be in different stages depending on the severity of the heart failure.

The energy sector is facing an impending paradigm shift. Today?s technology enables the end-user to generate their own energy locally at home. Furthermore, recently developed storage technologies make it possible to balance energy demand with stored energy and integrate district heating with the local power grid. This means that in the future heat and electric power will interact and energy flows is converted over energy boundaries.

Bakgrund: Sexualitet är väsentligt för människans identitet, relationer och upplevelser; ett komplext livsområde. Strålbehandling som ges till kvinnors bäckenregion påverkar hennes sexuella förmåga genom biverkningar till hud och slemhinnor som ger smärta och obehag samt minskad komfort i underlivet. Ofta ges inte den adekvata information som patienten har rätt till på grund av fördomar och okunskap. Syftet med litteraturstudien var att belysa hur kvinnors sexualitet påverkas av strålbehandling mot bäckenmaligniteter och kvinnornas behov av information. Metod: Uppsatsen är en litteraturöversikt utifrån 10 artiklar som söktes i databaserna CINAHL och PubMed.

Detta examensarbete har utförts i samarbete med Fagerström Industrikonsult AB i Helsingborg. Fagerström Industrikonsult AB är ett ingenjörsföretag som har specialiserat sig på mekaniska och mekatroniska produkter inom flera branchområden. Ett av företagets tidigare projekt, som bland annat bygger på tryckbärande kärl och som kommer återanvändas för ett nytt projekt, är i behov av en uppdaterad analys mot utmattningsbrott.För att en tryckbärande utrustning skall kunna säljas och användas inom Europa, måste tillverkarna följa det Europeiska direktivet 97/23/EG, även kallat PED-direktiv. Detta direktiv sätter regler för konstruktion, tillverkning, märkning och kontroll. I Sverige finns denna beskrivning i Arbetsmiljöverkets författnings-samling (AFS 1999:4 2011).