Background   The patient's rights to self-determine their own health care is described in Swedish legislation and guidelines. However, due to infancy, unconsciousness, severe brain damage or certain diseases, some patients might be unable to make such decisions. Ethically difficult situations do occur, not infrequently associated with culture. Since the patient is vulnerable, there is a risk that the patient in the treatment and care can not be bothered to maintain right to autonomy and that the nurse violates patient integrity.Aim                 The aim of this study was to illustrate the nurse's dilemma when the patient refuses vital caring efforts.Method           A literature review of eight scientific articles with a qualitative approach was performed.Results           The results revealed the following domains to describe the nurse's dilemma when the patient refuses vital care interventions: patients? reasons for treatment refusal, the nurse's understanding of the patient's refusal of care and contradictory legislationConclusion     More knowledge and discussion of the patient's decision-making competence is needed for both the nursing profession and those who make decisions on legislation..

AbstractElectricity consumption is a globally increasing problem caused by the high share of electricity produced in coal power plants. These contribute to high carbon emissions when only about 1/3 of the heat generate electricity and the remaining 2/3 of the heat cools off. Combined heat and power plants (CHP) have high efficiency because they use the residual heat for domestic heating. The CHP plant often use fuels from renewable resources, giving them a lower carbon footprint, but are also depending on the heat demand. If electric powered products such as drying cabinets convert to heat powered products more environmentally friendly electricity will be produced by CHP plants, which can supplant electricity, produced from coal power plants and reduce carbon emissions.

This thesis within the field of Integrated Product development at the Royal Insitute ofTechnology, performed at Primary Development Dishcare at AB Electrolux, is supposed to finda solution to enhance the hygiene inside an Electrolux dishwasher. The outcomes of this thesisare functional prototypes to evaluate the efficiency of disinfection by the use of Ultra VioletLight and Ozone.The thesis has followed Electrolux Primary Development process, with delivarables andcheckpoints.Ultra violett light with a wavelength of around 264 nm penetrates through the cell wall ofbacteria and micro organisms and causes a molecular rearrangement of the cells DNA. Thisprevent the bacteria from reproducing and it is considered dead. Commonly used UV-C lampstransmits the wavelength 254 nm which is very close to the optimum for germicidal action.A competitive brand have reacently launched a dishwasher claiming to achieve greaterdisinfection with an UV feature. This dishwasher was tested during the thesis and proven tohave a very low effect on the hygienic result.Two prototypes were devolped and tested for UV disinfection of dishware.

Mitt examensarbete innefattar en fönsterutredning för radhusområdet Skeppsvägen i Bålsta. Fastighetsägare är Håbohus AB och examensarbetet har skrivits för Skanska Sverige AB. Arbetet har skrivits på plats i Bålsta där Skanska Direkt AB har eget kontor och erhåller idag totalentreprenaden för renovering av Skeppsvägen. Arbetets syfte är att klart och tydligt redovisa eventuell effekt och energibesparing vid byte av befintliga fönster och altandörrar.Undersökning av fönster och altandörrar har gjorts okulärt, med värmekamera och med fuktkvotsmätare. Vid den okulära besiktningen noterades färgsläpp på fönster.

The aim of this study was to explore transsexuals? identity formation and experiences related to cross-sex hormone treatment, as well as to become absorbed in the narrative approach. To be able to participate in transsexuals? identity formation, life stories were well suited as a theoretical approach. Life stories can be seen as socially situated actions according to Mishler, where individuals? identity formation can be seen as both identity performances and identity claims.

Chemotherapy is one of the most important methods of treatment available today for the treatment of neoplastic diseases and gives many patients an increased quality of life and a prolonged survival time (McKnight, 2003). The object of this study was to find out more about owners? views on and experiences of chemotherapy of dogs when it comes to for example quality of life, side effects and if they would make the same decision and treats their dog again in the future. A questionnaire was in the spring of 2009 sent out to the owners of 100 dogs that had been treated with chemotherapy for neoplastic diseases at Universitetsdjursjukhuset, Sveriges Lantbruksuniversitet (SLU) in Uppsala between 2002 and 2008. The response rate was 67 %.

The aim of the study was to examine experiences and attitudes to dental hygienist treatment in a group of patients by using the assessment tools Corah Dental Anxiety Scale (DAS) and Dental Hygienist Beliefs Survey (DHBS) at the dental hygienist clinic, the university of Kristianstad. Another aim of the study was to test the reliability of the assessment tools. Methods: Fifteen respondents answered the two questionnaires at two different occasions before dental hygienist treatment. The results showed that nine respondents reported that they are absolutely calm when their dental hygienist is going to remove tartar, while six are a little bit worried or tensed. The categories ethics, communication, trust and control in DHBS had a positive agreement (mean value 1.1 and 1.2).

The popularity of vegetated, or green roofs, has grown over the past years due to their potential function of maintaining urban environment quality. The aim of this study was to investigate if substrates with different organic material, peat and charcoal, with two contents (3 or 6 weight%) influenced the growth of the cuttings during the first critical period of the establishment. Biochar is used as amendment to agricultural soils and has, theoretically, many of the properties suitable as organic content in green roof-substrates. Peat is one of the materials that is commercially used in green roof industry. The substrate has been treated with different amounts of water.

The mining industry, in terms of ore excavation and metal production, is and has been important to the Swedish economy. In connection with the ore excavation process, large amounts of partly sulphidic waste are produced. When the metal sulphides are exposed to air and water they are eventually oxidised, which leads to the formation of acidic water with high concentrations of metal cations and sulphate ions, so called Acid Mine Drainage (AMD). This water may reach the nearest surroundings and cause negative environmental effects. By covering the waste with soil or water, the oxidation process can be minimised. At the Rävlidmyran mine in the county of Västerbotten open pit mining took place between 1951 and 1991.

Antifouling paint containing the biocide bisTributyltinoxide (TBTO) has been used since1960 to reduce the occurrence of fouling on hulls on boats/ships. January 1st, 2003 theantifouling paints containing TBTO were prohibited. This ban covered all use of paintcontaining the substance TBTO. The ban was introduced because of alarming observationssuch as development of imposex in aquatic non-target organisms. Imposex is the impositionof male sexual characteristics on mainly female marine snails and occurs due to exposure toTributyltin (TBT).

Public concern about the release of toxic compounds from wood-based products drives legislation towards enforcing industries to find and use more sustainable solutions for wood treatment. Plant oils are good alternatives to treat wood, minimizing or even neutralizing the impact on the environment. Wood modification with epoxidised linseed oil (ELO) and acetic acid as catalyst has proven a suitable method to impregnate and protect wood. However, the mixture presents a serious inconvenience because of the quick polymerization of the ingredients that limits its practical application. Therefore, this study was designed to evaluate an alternative method using a two-step process which bypassed the problem above.

Chemotherapy is one of the most important methods of treatment available today for the treatment of neoplastic diseases and gives many patients an increased quality of life and a prolonged survival time (McKnight, 2003). The object of this study was to find out more about owners? views on and experiences of chemotherapy of dogs when it comes to for example quality of life, side effects and if they would make the same decision and treats their dog again in the future. A questionnaire was in the spring of 2009 sent out to the owners of 100 dogs that had been treated with chemotherapy for neoplastic diseases at Universitetsdjursjukhuset, Sveriges Lantbruksuniversitet (SLU) in Uppsala between 2002 and 2008. The response rate was 67 %.

GE Healthcare operates in Uppsala (Sweden) and develops systems, equipments and medium to purify medical substances. Discussions with the local authority concerning planed far-reaching changes and upgrades of the biological process techniques for sewage management, aroused the question about revising the terms of permit for the activity. Therefore it seemed necessary to evaluate a newly installed biological process technique, which is the background of this thesis. The evaluated biological treatment process was built in 2003 and consists of a biological reactor filled with moving bed carriers with a high surface area for biological growth. At the time of the project the biological wasteWater treatment plant consisted of a flow equalization facility and two following parallel biological processes; a biological reactor with moving bed carriers and a tower trickling filter.The aim of this thesis was to survey the function of the biological reactor with respect to the reduction of organic matter.

Introduction:Children in early age diagnosed with scoliosis and in need of surgery will grow up to undergo several operations in the back. Parents play a major role in the care of their children during hospitalization.Purpose:The purpose of this study was to investigate parents´ experiences of having a child diagnosed with scoliosis before the age of five undergoing repeated surgeries in the back.Method:The study had a qualitative descriptive design. Five parents with children aged 5-15 years, who have undergone several operations were interviewed about there experiences of the child?s illness and treatment. Phenomenological-hermeneutical analyze where used.Results:The parents felt a sense of shock when they were told about their child?s diagnose and treatment.

Our society is based on a heterosexual norm. This may lead to the fact that LGBT-persons have a poorer health status than the heterosexual population. The nurse education lacks information and courses that highlights sexual identity. This is defective since healthcare staff needs knowledge on the subject to be able to treat patients in a professional and respectful manner. The purpose of this study was to illustrate how heteronormativity influences the treatment of patients within a healthcare context.