Spanning Tree Approach On The Snow Cleaning Problem

Snow cleaning is one of the important tasks in the winter time in Sweden. Every year government spends huge amount money for snow cleaning purpose. In this thesis we generate a shortest road network of the city and put the depots in different place of the city for snow cleaning. We generate shortest road network using minimum spanning tree algorithm and find the depots position using greedy heuristic. When snow is falling, vehicles start work from the depots and clean the snow all the road network of the city. We generate two types of model. Models are economic model and efficient model. Economic model provide good economical solution of the problem and it use less number of vehicles. Efficient model generate good efficient solution and it take less amount of time to clean the entire road network.

Unlicensed personnel administering medications to older persons living at home : a challenge for social and care services

BACKGROUND: Administration of medication to care recipients is delegated to home-care assistants working in the municipal social care, alongside responsibility for providing personal assistance for older people. Home-care assistants have practical administration skills, but lack formal medical knowledge. AIM: The aim of this study was to explore how home-care assistants perceive administration of medication to older people living at home, as delegated to them in the context of social care. METHODS: Four focus groups consisting of 19 home-care assistants were conducted. Data were analysed using qualitative content analysis. RESULTS: According to home-care assistants, health and social care depends on delegation arrangements to function effectively, but in the first place it relieves a burden for district nurses. Even when the delegation had expired, administration of medication continued, placing the statutes of regulation in a subordinate position. There was low awareness among home-care assistants about the content of the statutes of delegation. Accepting delegation to administer medications has become an implicit prerequisite for social care work in the municipality. CONCLUSIONS: Accepting the delegation to administer medication was inevitable and routine. In practice, the regulating statute is made subordinate and consequently patient safety can be threatened. The organisation of health and social care relies on the delegation arrangement to meet the needs of a growing number of older home-care recipients. IMPLICATIONS FOR PRACTICE: This is a crucial task which management within both the healthcare professions and municipal social care needs to address, to bridge the gap between statutes and practice, to create arenas for mutual collaboration in the care recipients' best interest and to ensure patient safety.