Utskrivningssamtalet är den sista kontakten mellan läkare och patient innan patienten åker hem ifrån avdelningen. Syftet med den föreliggande studien är att undersöka ifall det förligger kommunikativa utmaningar i ett utskrivningssamtal mellan en läkare och en patient med afasi.  Den konkreta frågeställningen för studien var hur de potentiella problem som uppkom i samtalet hanterades och vilket utrymme som skapades för patientens deltagande i samtalet samt hur samtalsdeltagarna använde sig av icke-verbal kommunikation för att uppnå förståelse. Den valda metoden för att undersöka detta var Conversation Analysis, CA.I studien deltog två läkare, två patienter med afasi, samt två närstående till patienterna. Patienterna som deltog hade mild till måttlig afasi, svenska som modersmål och var 50 år och 70 år gamla.

District heating covers around 80 % of the heating demand in apartment buildings and 10 % in single-family homes in Sweden. In the year 2010 the total input of energy to the Swedish district heating grids was about 70 TWh, which corresponds to 11 % of the total energy input to the whole energy system in the country. Through the combined production of heat and power the CHP-plants often reaches an efficiency of 90 % from energy in the fuel to produced heat and power. In order to keep the efficiency high it is important for the owners of the plant to have good knowledge about the plants performance at different operation points. Strängnäs Energi AB initiated this diploma work together with FVB Sverige ab in order to come up with a program for short term planning of the production of heat and power at the company´s CHP-plant.The work consists of three main parts.

Oilseed rape constitutes a good break crop within a cereal dominated cropping system. The normal sowing time for winter rape in Sweden is August. It's a time in the cropping year characterized by a heavy work load, such as harvest and soil management. In addition, it is often a period with large precipitation. Thus, it is sometimes problematic for the farmer to do the sowing of winter rape at the optimal time.

I have in my thesis, examined the possibilities in terms of energy for a condominium association.To have an effective and good energy is becoming increasingly important with today's rising electric and oil prices. In my thesis I have used the condominium association Kärralyckan, which is situated in Falkenberg. The buildings at Kärralyckan are built in the mid-1970s, and are heated by electric radiators. The tap water is heated by an electric boiler.Based on that calculation I can show the various energyststem. The different solutions have been developed by contact manufacturers and installers through phone calls and e-mail.According to the results shows that geothermal heating has been a great solution for Kärralyckan.

Munksjökajen is an old industrial estate on the western shore of Munksjön in Jönköping. The purpose of this thesis is to develop Munksjökajen in accordance with the program for Jönköping?s future development ? Stadsbyggnadsvisionen ? drawn up by the city council.Munksjökajens relations to the surrounding areas have been investigated as well as the need for public transport and possibilities for commercial, municipal and private businesses to operate in the area.The final proposal has a relatively high degree of preserved industrial buildings. New buildings vary in shape and expression in order to create an interesting and diverse environment. The proximity to the lake adds character to the neighbourhood and the water is accentuated by the integration of it in the area..

This paper aims to explore the phenomenon urban wind energy, its visual effect on built environment and the factors that affect the opinion towards new elements in the city. A place study of the city Gävle serves as a complement to the theoretical part of the paper. The theoretical discussion opens with an account for the technical and economical conditions of urban wind energy. It presents the technical basics, different types of turbines and a discussion occurring wind related techniques in built environment. Today, the knowledge of how the wind moves and acts in the rural landscape is quite good.

In cooperate with Asko Cylinda we have developed a new heat system too short the process time and reduce the energy consume in a dishwasher and still have it too be a class AAA. The environment and quality is important for the company too still be the number one on the market, If they want too keep that position the product developed of new innovations will be very important. The systems we have developed are more effective and reduce energy up too 25 %. The process time is reduced too less than two hours, from the today two and half-hour. The solutions are too heat up the rinse water and the dishwater at the same time, with a new heating system and it make are solutions unique and effective. Its good for the dish and the environment.

Bakgrund: Omvårdnadsepikrisen är den utskrivningsanteckning som sammanfattar viktiga händelser under en patients vårdtid rörande omvårdnadsfaktorer när vårdepisoden tagit slut. Termen omvårdnadsepikris ingår som ett så kallat huvudsökord i den svenska dokumentationsmodellen VIPS. Denna modell har tagits fram för att ge stöd åt de olika delarna av omvårdnadsprocessen. Neuropsykiatriska kliniken, avd 1 (NP) vid Universitetssjukhuset Malmö Allmänna Sjukhus (UMAS) genomför ett fortlöpande utvecklingsarbete gällande utformningen av omvårdnadsepikriser vari denna studie ingår som en del. Syfte: Att undersöka vilken betydelse omvårdnadsepikrisen utfärdad av NP har som underlag i det fortsatta omvårdnadsarbetet för sjuksköterskor verksamma inom hemsjukvård, särskilda boenden samt korttidsboenden. Metod: Kvalitativt och kvantitativt utformad enkätstudie baserad på ett strategiskt urval och presenterat med hjälp av en deskriptiv analysmetod.

A titania-supported nickel catalyst was prepared and tested in methanation in order to evaluate its catalytic properties (activity, selectivity and specially, activity loss), and compare it with an alumina-supported nickel catalyst.The titania-supported catalyst did not only show higher stability than alumina, but also presented a different cause of deactivation, carbon formation. In addition, a kinetic model was obtained for the titania-supported catalyst, and a study of the effect of different operating conditions (temperature, composition and partial pressures of synthesis gas and water) on the deactivation rate and carbon formation of this catalyst was performed.

AbstractAim of the study: Aim of the study was to investigate whether there were any connections in time between different parts of care in patients with cardiac arrest and hypothermia treatment and cognitive and physical function six months after cardiac arrest and to investigate neurological outcome related to primary registered cardiac arrest rhythm after six months and if there were any changes in cognitive and physical functions as well as self-related health between discharge from hospital and six months after cardiac arrest.Method: The study included 39 patients admitted to three Swedish hospitals between 2008-2011. Cognitive and physical function was evaluated with Cerebral Performance Cathegory, CPC completed with Mini Mental State Examination, MMSE for cognitive function and Bartels Index, BI for physical function and Euroqol-VAS for evaluating the self-related health.Result:  A significant connection was shown between time to start hypothermia treatment and BI, patients with longer time showed improved physical function after six months.Majority of the participants (66,7 %) had Ventricular fibrillation/Ventricular tachycardia, VF /VT, as primary registered cardiac arrest rhythm and in this group CPC and BI was significant better compared with the asystole /Pulsless Electrical Aktivity, PEA group.CPC, MMSE, BI and Euroqol-VAS were all improved over time.Conclusion: Participants with VF /VT as primary registered cardias arrest rhythm had significant better cognitive and physical function 6 months after hypothermia-treated cardiac arrest compared with participants with asystole/PEA as primary registered rhythm. This shows the importance of access to defibrillators in public places in the society and in hospitals and optimal education of lay people and medical staff. Cognitive and physical function and self-rated health improves over time, which might be a very important reason to convey patients, relatives and medical staff to continue cognitive and physical rehabilitation. Keywords: Cardiac arrest, hypothermia, cognitive and physical function, wellbeeing.

This essay focuses on the technical systems and functions behind how a Roman bath operated. I will present a general view by going through each part of the waters path through the bath one by one. Since there is no such thing as a standardised Roman bath I will, under each headline, present the sub subject with a presentation of the workings and then exemplifying through archaeological findings and ancient literary sources.This essay is therefore meant to present a thorough and clear presentation of the technical aspects of a roman bath. The aim is to give the reader an understanding of how a bathhouse worked in general and why. To this I want to present problems that the Romans were faced with and how they solved them..

At nuclear power plants, electrical valve actuators are important for ensuring that the reactor core is water covered and the pressure in the reactor tank and containment is limited. The electrical actuators are provided with overload protection in case of drawing higher current then the motors are rated for. When safety manoeuvres are needed, the overload protection must not trig and cause the valve to stop before completing the manoeuvre. Analyses have showed that the current settings of the overload protection may cause an illegitimate trig at the worst theoretically possible accident. A new method has been developed with conservative assumptions and applies overload protections for all electrical valve actuators at the three reactors in Forsmark..

I have done a follow up study of the restoration of two rivers, Röälven and Grundan, in order to evaluate the effects of the restoration on the endemic population of trout. Both rivers have been used for timber floating during many years throughout the 20th century, and because of this, had all obstacles such as rocks and wood parts removed. In 2004-2005 both rivers were restored, and rocks and wood were put back into the rivers. Spawning grounds were created and boulder dams were constructed to promote the streaming water. The result showed that the trout population of both rivers increased after the restoration, but also that the trout population of Röälven increased more than that of Grundan.

Föryngring av skog är en nödvändig, men kostsam åtgärd och därför är det eftersträvansvärt att hitta en föryngringsmetod som är både kostnadseffektiv och ger en bra föryngring. Ett sätt att få en billigare föryngringsåtgärd är att använda frösådd. Vid en lyckad sådd gör det stora plantuppslaget att plantorna får bra förutsättningar för god kvalitet. Dessa plantor får dessutom bättre rotutveckling och stabilitet än planterade plantor. Användningen av skogssådd är dock begränsad av bl.a.

The aim of this thesis was to answer a number of questions about the environmental consequences of aircraft de-icing. A further aim was to suggest how the environmental consequences due to the release of de-icing fluids can be measured and reduced.The main impact of the aircraft de-icing on the environment is due to the large oxygen demand for the degradation of glycol based de-icing fluids which are released in the environment. The effect of the increase in oxygen demand depends on where the degradation occurs in the ecosystem. In a sensitive ecosystem, the large demand of oxygen could provide an anaerobic environment which would be harmful for many types of organisms.In order to reduce the negative effects of the applied de-icing fluid, there is some type of collection system at every regular airport in Sweden. The methods of collection can be divided into two general groups, hydrological isolation or vacuum sweeper trucks.