Background: Poor perineal wound healing and infections after proctectomy surgery, affect a significant proportion of physical and psychological morbidities such as pain, leakage and abscesses. In its lengthening some of these symptoms will lead to extended periods of hospitalization. These kind of postoperative complications are also associated with delays in eventual chemotherapy treatment Aim: To describe the patients experiences of postoperative wound infection as well as communication and self-care support from the nurse specialist after proctectomy due to rectal cancer. Method: A qualitative content analysis was carried out from interviews. Results: Four main categories emerged; ?Coping with postoperative complications?, ?be independent?, ?feel safe?, and ?accept the situation?.

Det övergripande syftet med detta arbete var att undersöka hur kursplanen för engelska i grundskolan har förändrats under perioden 1962 till 2000. Undersökningen syftar således till att kartlägga kursplanernas utveckling av engelskämnet ur ett historiskt perspektiv. Denna uppsats har med utgångspunkt från en komparativ textanalysmetod undersökt hur kursplanerna i läroplanerna från 1962, 1969, 1980, 1994 och kursplaner 2000, den reviderade kursplanen från 1994 skiljer sig från varandra rörande beskrivningarna för de grundläggande kunskapsområdena ?höra?, ?tala?, ?läsa?, ?skriva?. Centralt för analysen har varit att försöka klargöra den kunskapssyn som framträder i kursplanerna och de språkvetenskapliga teorier som influerat deras utformning.

Ambulanspersonal skall i sitt dagliga arbete lyfta och behandla patienter. I varje ambulans finns två ambulanssjukvårdare (kan även vara sjuksköterskor med eller utan specialistutbildningar) som har genomgått ett lyftprov som bekräftar att de på två man klarar att lyfta en patient som väger 90kg. Då en patient väger 150kg (gravt obes patient) eller mer blir det problematiskt, både ergonomiskt och medicintekniskt. Antalet överviktiga ökar, även de som räknas som gravt obesa. Syftet med denna uppsats vara att beskriva ambulanspersonalens erfarenheter då det gäller ambulanstransport av gravt obesa patienter.Enkäter besvarades anonymt av personal på en ambulansstation i södra Sverige.

Med globalt ökat klimathot och ett ökat användande av biologiskt nedbrytbara material för att bland annat driva vår motorpark och värma våra hus kommer även ett krav på ökat produktion av utsläppsreducerande (koldioxid CO2) material så som biobränsle.För att kunna reducera utsläppen krävs inte bara att vi ökar produktionen av biologiskt nedbrytbart ämnen utan att dessa material har de egenskaperna som de förbränningssystem de används till optimalt kräver.Ett av de biologiskt nedbrytbara materialen är biobränsle, framställt av skogsavfall (grot). Dess hantering ifrån avverkningstillfället tills in- transport till förbränningen har varit kärnan i detta arbete. De två grundfrågorna som har varit själva motorn i arbetet har kretsat kring;o Vem äger vad i olika hanteringssteg?o Vem vet vad i olika hanteringssteg?Syftet med denna undersökning var att bland annat försöka få reda på svaren på frågorna ovan men även att väcka ett ökat intresse och förståelse kring hanteringen av biobränslet från avverkningstillfället fram till in- transport till en terminal alternativt direkt in till panncentralen.Undersökningen gjordes genom en enkätundersökning på Internet. Enkäten skickades ut till berörda parter i Sverige per e-post och adressaterna kunde svara direkt i datorn och skicka tillbaka enkäten utan att skriva ut den.

This master thesis sets out to compare the different public transport modes in Stockholm city.Both energy consumption and air pollution are compared. The chosen transport methods are car,bus and metro.Traditionally the rail industry has had environmental arguments as a strong competitiveadvantage when it comes to passenger transportation. However, in recent years the automotiveindustry has been getting more positive media attention regarding environmental issues, forexample Roger Kemp?s statement that the car is the most environmental friendly passengertransportation mode in the UK. This study will show the environmental advantages of railwaytraffic in cities.The energy sources of the world are not endless and the use of the different sources affects theenvironment in different ways.

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.

Travelling by train has increased during the last decades in Sweden. This has put pressure on the existing infrastructure and has created problems with delays and cancelled departures. The railway is a complex system with mutual dependencies and high vulnerability for disruptions. The situation for the railway system in the Stockholm region is today strained. The capacity is fully used.

In this bachelor essay an attempt is done, to recreate a probable Bronze Age landscape on Gotland, with GIS as a tool. The landscape on Gotland is situated with many different monuments dated Bronze Age, such as cairns and stone ships. In creating of the maps, two possible shorelines contemporary with the Bronze Age have been calculated and marked on the maps. Furthermore, peat lands have been drawn upon the maps, by using the information from geological maps.A landscape variable have been compared between Bronze Age places and Early Iron Age houses; the soil type. On Bronze Age places gravel is the most common, while moraine marl is the most common on places with Early Iron Age houses.From a selection that were made, all Bronze Age places where within 3 km from the water, either the recreated shoreline or peat land.

Recent years there has been discussed how the critical situation in the housing market threatens the Stockholm region's growth. The thesis objective is to examine whether there is a scientific link between the lack of housing supply and growth. The thesis also intends to identify solutions for increased housing construction, for instance by examining the conditions for a greater regional perspective and influence on the region's housing supply. The thesis empirical study is based on semi-structured interviews with representatives from the Government, municipalities and the housing industry.In Sweden, research on the relationship between housing shortages and growth has not been conducted to that extent it can be said to exist scientific evidence regarding the growth threat. However, in Britain and the U.S, empirical studies show that a lack of housing supply has hindered growth through negative impact on countries' gross domestic product.

Quality is the key to a well executed product or service. The construction industry hasn?t highlighted the quality in recent times which have contributed to the construction industry receiving much criticism in the field. The public sees it as an offhanded industry where errors and delays are common.The reason for this is considered to be primarily the lack of time, constant pressure to reduce costs and skills and the ability to communicate between the parties about what the correct quality really means. The industry has begun to realize that it must start setting clearer standards and that there are great opportunities for improvement.This report will give Peab an opportunity to develop their quality work.

In this bachelor essay an attempt is done, to recreate a probable Bronze Age landscape on Gotland, with GIS as a tool. The landscape on Gotland is situated with many different monuments dated Bronze Age, such as cairns and stone ships. In creating of the maps, two possible shorelines contemporary with the Bronze Age have been calculated and marked on the maps. Furthermore, peat lands have been drawn upon the maps, by using the information from geological maps.A landscape variable have been compared between Bronze Age places and Early Iron Age houses; the soil type. On Bronze Age places gravel is the most common, while moraine marl is the most common on places with Early Iron Age houses.From a selection that were made, all Bronze Age places where within 3 km from the water, either the recreated shoreline or peat land.

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.

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..

Sweden has for years been struggling with high youth unemployment. The problem is also a hot topic of discussion among experts and politicians, often leading to different proposals to solve the problem. The government chose in 2006 to do something about youth unemployment by lowering payroll taxes for employees up to 25 years. But many experts and studies show that the effects failed to materialize.This study will try to find out if the government subsidies have given any effect on the youth unenployment either by new jobs created or by movement in the labor force. I will use a regression model with an dependent, "difference in difference" variable where the change in the number of employed young people are compared to the change in the number of employed in the subsequent age group.The results show that subsidies are not given any positive effect on the youth employment rate in relation to the subsequent age group..

The aiming with this project is to find out if a small scale chicken production can be profitable, from day-old chicks to a processed smoked product out to stores and consumers. The products will not be available in the stores all the time because we will give the customers quality rather than quantity, so when the product can?t be found in the stores the customers will ask for it. The conclusion I found out is that it might be hard to raise chickens in these scale from an economic point of view the costs for transport, logistics, slaughter and marketing are to high..