Certain types of waste, e.g. bottom ash originating from municipal solid waste incineration (MSWI bottom ash) can be used as road construction materials. A potential problem is the possibility of substances leaching out of the road and spreading in the surrounding groundwater.The aim of this master?s thesis is to conclude whether hydrogeological type settings can be employed to, based on local conditions, provide an estimate of the probable spreading of these substances in the surrounding groundwater, and whether certain types of soils can be identified as being less suitable for the localization of a MSWI bottom ash road. A hydrogeological type setting is defined as a mappable unit with similar hydrogeological properties.

The perioperative nurse's primary responsibility is to care for the patient during the operation?s three phases; before, during and after. The communication between colleagues in the surgical department is increasing opportunities for safe care for the patient and a good dialogue with the patient can alleviate the concerns facing the unknown environment such as an operating theater. The pilot study was to investigate the surgical nurses' perceptions of conversations with the patient one year after graduation. To answer the pilot study's aim a qualitative interview study was chosen with a phenomenographic approach.

Background: Insufficient nutritional support is associated with prolonged hospitalisation, impaired wound healing and impaired survival for patients in intensive care. In severe sepsis and septic chock, calculation of nutritional need is complicated since the metabolism is affected by decease. Aim: The aim of the study was to investigate nutritional support and to examine the quality of nursing documentation of nutritional status and nutritional support in patient records in severe sepsis and septic chock.  Method: The study was conducted as a retrospective investigation where 64 patient records were studied. The quality of documentation was examined in 10 patient records using an examinational model.Findings: Calculation of average nutritional support showed insufficient supply particularly in the two first days of intensive care. During the next five days nutritional supply was higher but individual variation was seen, why a clear picture of nutritional support is hard to detect.

In the present study, the institutional discourse in health care was examined, focusing onspeech therapists and occupational therapists in interaction with a common patient withaphasia. The purpose of the present study was to identify common communication strategiesused in the professional conversation between a speech therapist and a patient and between anoccupational therapist and the same patient. Specific research questions were: Whatcommunicative strategies are used in interaction between a speech therapist and a patient withaphasia and between the occupational therapist and the same patient? Are theredifferences/similarities between how speech therapists and occupational therapists interactwith patients with aphasia?Six people in total, two patients in interaction with a speech therapist and an occupationaltherapist respectively, were recorded during treatment sessions of each profession. Generaland specific aspects of the institutional interaction were then analysed according to principlesof conversation analysis.Similarities in the use of closed questions as a strategy to increase the effectiveness ininteraction could be seen between the two different professions studied.

Background: Pressure ulcers have during a long time ages caused great suffering for the patients. The factors affecting the occurrence of pressure ulcers can be both internal and external, such as immobility and malnutrition. Nurses´ role is to assess risks and thus pay attention to prevent and treat pressure ulcers. The nurse may use various assessment tools to highlight and document patients at risk for developing pressure ulcers. Aim: This study was to describe health professionals´ thoughts and actions about the pressure ulcers.

SummaryPatients with burn injuries involving more than 20 percent of the total body surface area lose a lot of fluid and are in the risk of developing a severe hypovolemia. Fluid resuscitation is a corner stone in burn care and is important for preventingfurthercomplications. The most common resuscitation formula is the Parkland Formula. Hourly urine output is a measure used to evaluate if the fluid given is sufficient enough to maintain a sustainable tissue perfusion. Inhalation injury, abuse of alcohol and drugs are some of the factors that may increase the amountoffluid needed.

Background and aims: The population of older people in our society is increasing. Agerelated changes in the skin results in a diminished perception of pain and pressure and a decreased microcirculation in the skin affects its ability to adapt to injury. Occurrence of pressure sore on geriatrikal clinics are 5-10%, witch means that between five and ten thousand patients gets daily treat for pressure sores. When the patient gets a pressure sore the need for help increases. A common apprehension is that if the patient?s affects with pressure sores it?s because of deficiency in care.

SAMMANFATTNINGIntroduktion: Utvecklingen inom somatisk slutenvård har under de senaste decennierna gått mot kortare vårdtider. En del patienter på sjukhus vårdas under betydligt längre tid än genomsnittet. Detta skulle kunna leda till fysiskt lidande för patienten, en känsla av hopplöshet på grund av ovisshet gällande sjukdomsförlopp och vårdtidens längd, saknad av familj, en längtan tillbaka till arbetslivet och övrigt socialt liv. Få studier inom medicinsk slutenvård har undersökt patienters upplevelser av att vårdas länge på sjukhus. Syfte: Syftet med studien var att beskriva patienters upplevelser av att vårdas mer är 40 dagar på sjukhus.

Sammanfattning Syftet med studien är att beskriva sjuksköterskans uppfattning om vad som är en god död för patienter inom palliativ vård.Metoden är en beskrivande litteraturstudie med vetenskapliga artiklar som grund.                                 Litteraturstudiens huvudresultat redovisas i två underrubriker; ?Sjuksköterskans uppfattningar om en god död inom palliativ vård? och ?Sjuksköterskans sätt att hantera olika situationer vid vård av patienter i livets slutskede?. Det är viktigt att att kommunikationen mellan patient och sjuksköterska fungerar på ett lämpligt sätt och att tid avsätts för samtal. Motivation, erfarenhet, struktur, diskussion och reflektion behövs för att ge god och trygg vård som leder till en värdig död. Att ge stöd till patienter och närstående är en trygghet för sjuksköterskan.

Introduction: Our lifestyle habits affect our health and unhealthy habits are a contributing factor to disease. Health care is an arena that should work with health promotion. MI (motivational interviewing) is a method used in various forms of care to work with lifestyle. Aim: To map methods with intention to be used in Swedish primary care, to work with the lifestyle habits diet, physical activity, alcohol and tobacco. Method: This is a literature based study.

Idag är intresset för högpresterande betong (HPB) växande runt om världen då fördelarna är många, eftersom slankare, tätare, starkare och lättare konstruktioner kan tillverkas. Detta examensarbete handlar om materialförsök och modellering för en typ av HPB som ska användas i husbyggnation. Arbetet inleddes med materialförsök i färskt tillstånd, där god gjutbarhet och konsistens eftersträvades. Utgångspunkten var från ett grundrecept med två olika ballastsorter (slaggballast med flygaska och krossballast från asfaltindustrin med silikastoft), vilka namngavs till pilotförsök 1 och pilotförsök 2. Vidare valdes pilotförsök 1 att provas i hårdnat tillstånd då det visades att det var mer ekonomiskt lönsam eftersom ballasten inte behövde siktas, lägre vct tillhandhölls och att flygaskan som användes i pilotförsök 1 är billigare än silikastoft som användes i pilotförsök 2. Resultaten efter 28 dygn för de materialförsök som utfördes i hårdnat tillstånd var:Tryckhållfasthet; 141,9 MPaDraghållfasthet; 7,0 MPaBöjdraghållfasthet; 10,0 MPaElasticitetsmodul; 46,4 GPaKrympning efter 56 dygn; 0,5 ?Samtliga försök utfördes enligt svenska standarder (SS). Dessutom vidareutvecklas och förbättrades ett redan arkitektoniskt gestaltat Attefallshus ur ett konstruktions- och hållbarhets perspektiv, där fokus låg på transport- och produktionsförutsättningar.

Backround: Many studies indicate that people with mental illness often suffer from physical illness. Many people with mental illness do not exercise even though they often have knowledge about the benefits of physical activity. Studies suggest that psychiatric patients have the desire to have an everyday life with more content. It is apparent in studies that healthcare professionals believe that it is the patients' own responsibility to keep themselves physically active.Aim: The primary objective with this study is to examine motivation and possible obstacles to exercise for persons with self-perceived mental illness and experience of psychiatric care. The secondary objective is to investigate how psychiatric care may be of importance to people with mental illness when it comes to exercise.Methods: Semi-structured interviews.

Aim: The aim of this study was to describe the nurse?s work at an emergency department trough a perspective of caring.Method: A literature review has been made of twelve studies published between the years of 2002 ? 2012. The focus of all the studies was on Swedish emergency departments.  Results: The researchers found four themes that they choose to use as a way of describing the nurses work in the emergency room as detailed as possible. These themes were: ?The emergency room?, ?the nurse?s job assignments at an emergency department?, ?the patient?s experiences? and ?lifeworld and communication?.

The purpose of this risk analysis is to investigate if the transport of dangerous gods through Halmstad is a threat to the surrounding area. The report shall serve as a component in the making of pre-plans and the planning of exercises..

The purpose of the present study was to explore if blood lactate levels are increased in bitches with pyometra, and if the lactate measurement could be used as a prognostic indicator and to determine outcome. The present study included 16 bitches with pyometra that were admitted to the University Animal Hospital, Swedish University of Agricultural Sciences, Uppsala, Sweden. For comparison, a control group consisting of 14 healthy staffowned bitches was also evaluated. In all bitches, a physical examination was performed and blood samples for analysis of haematological and biochemical parameters were obtained. In all bitches with pyometra, surgical ovariohysterectomy was performed and a uterine sample for bacteriological culture and identification was collected.