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546 Uppsatser om Ambulatory surgery procedures - Sida 7 av 37

Utveckling av ett användbart IT-stöd : för att stödja operativa arbetsrutiner

Nuclear power production carries potential risks both for the environment and for the work force. Different safety measures are employed and they stem from local rules as well as from regulatory authorities. This work describes the development of a safety promoting tool at Forsmark Power Plant, one of Sweden?s three Nuclear power plants. We describe the development of a computer based system for Pre-Job Briefing and Post-Job Debriefing.

Patientrelaterade riskfaktorer för postoperativ sårinfektion efter Coronary Artery Bypass Graft - CABG

Introduction Postoperative wound infections leads to increased patient suffering and cost society money because it leads to longer hospital stays. Previous research shows that patient related risk factors such as smoking, diabetes, Chronic Obstructive Pulmonary Disease (COPD), advanced age (>65 years) a low preoperative hemoglobin level (<140g/L) and a high BMI (> 30) increases the risk of suffering a postoperative wound infection. Aim To investigate whether patients that underwent surgery with Coronary artery Bypass Graft (CABG) in a university hospital in central Sweden in 2013 and had any of these risk factors more often suffer from post-operative wound infection.MethodThe study has a descriptive design and is based on an ongoing infection registration area of operations. The study included 148 patients out of 255 (58%) undergoing CABG in 2013. Possible risk factors were collected through medical record review.Results There was no significant correlation between surgical wound infection and patient-related risk factors such as smoking (not quit smoking four weeks before surgery), diabetes, COPD, advanced age (>65 years), low preoperative hemoglobin (<140g/L) or a high BMI (>30) and suffered a postoperative wound infection.Conclusion More research and a larger sample is needed in the field to produce a reliable result could be presented..

Värmeåtervinning ur spillvatten. En utredning av möjligheterna med spillvattenvärmeväxlare.

This thesis is carried out on behalf of watermixer manufacturer Ostnor AB in Mora.The thesis deals with the area of Article Bound Instructions (ABI) at the company'sassembly department, regarding the layout and management routines involved withthese instructions.In the current situation there are problems with no uniformity in the manner in whichthe ABI is written, then referred to both the civil structure, images and specificityrates in the text.Another problem is that operators do not make use of the ABI that are available inthe current situation, and that there are no clear procedures for who has theresponsibility to write, update and change these ABI.During this work has several people that were identified as key personnel of thethesis held in order to get a handle on how the current situation of the variousobjects of the work looks like, and to examine different desires about the future ofthese should look like from the different subjects perspectives been interviewed.During the work, a number of deficiencies, including that the current program that isused to write the ABI, Lotus Notes, do not possess near the prerequisites for being asimple program to deal with when writing the ABI, which is a condition since wishesare about to put the responsibility for the ABI generation to the departmentsoperators, since their main task is to assemble and do not bother with a program in acomputer.The result of this work has generated new layout and structure of the ABI, designedto be used continuously in the assembly for evaluation, routines regardingresponsibility of the ABI for the Department of Production Engineering (PT),procedures for how the ABI should be written regarding amount of detaileddescriptions in the text and use of pictures.In addition, proposals for further work and improvements has been developed basedon experience during the work and presented at the end of the report..

Självkänsla i förskoleåldern : En studie av förskolepedagogers arbete med barns självkänsla

I denna uppsats har jag valt att studera självstärkande inslag i förskoleverksamhetens vardag och knyta an dessa till teoretiker som Erikson, Maslow samt Sommer. Undersökningen är baserad på tidigare forskning, ovan nämnda teoretiker samt en enkätundersökning. Enkätundersökningen genomfördes på en förskola med 16 pedagoger och kan därför ses som en grund för ett vidare forskningsarbete. Studien visade att det vanligaste sättet att stärka barnens självkänsla var att låta dem försöka själva innan de fick hjälp av någon vuxen, uppmuntra dem att försöka på nytt samt att ge positiv respons när de lyckades. Jag fann av svaren flest anknytningar till Maslow samt Sommer, endast några inslag kunde knytas till Erikson.In this examination I?ve chosen to look at educationalists work procedures around children?s self-esteem and how to connect those procedures with theorists as Erikson, Maslow and Sommer.

Nationella prov i NO : Verktyg för likvärdig bedömning eller dolda svenskaprov som diskriminerar?

This study is focusing on students at compulsory level and their performance in national exam tests when the students first language is taken into account. Students in Swedish schools with non-Swedish speaking parents commonly follow language classes for limited Swedish proficient students. How does this affect their results when tested in other subjects as physics,biology and chemistry? A general claim is that national tests can provide data for balancedand fair grades. This view is challenged in this paper, through Principal Component Analysisof test results that shows a difference between schools when the schools social position and share of limited Swedish proficient students are measured.

Digitalisering av kulturarvet En studie av digitalisering vid två museer

The purpose of this thesis is to examine how two separate museums have realised the task of digitizing their collections, as well as to learn what options, possibilities and resources have been available to them during this process. Additionally, the aim here is to find how the two museums have dealt with problems in connection to the digitization projects, since there are as-of-yet no established regulations or standards to guide them in their digitization efforts. However, national and international working groups seeking to establish better collaboration between archives, libraries and museums ALM institutions have recently begun to formulate recommendations and suggested standards. Some of these recommendations have been used here as a theoretical framework in the examination of the two museums. The research questions posed are: What options, possibilities and resources have been available to the museums in their digitization projects, in terms of economy, staff, technical equipment and time?; For what purpose are the museums digitizing their collections?; and How does their purpose influence the process and chosen procedures? Also discussed here is how the museums relate to some of the existing recommendations.

Ser ni mer än bara min kropp? -Patienters upplevelser av trygghet under operation

ABSTRACTIntroduction: An increasing number of patients undergo surgery under local anesthesia and are thereforeawake during the procedure. Nursing care that is provided to these patients can differ from those thatreceive general anesthesia. Previous research has focused on patients? general experiences of being awakeintraoperative. But there is no research that focuses on patients perceptions of security.

En sjuksköterskas följsamhet till basala hygienrutiner : En studie utifrån Theory of Planned Behaviour

Background: Nosocomial infections pose a big threat to patient safety and increased costs for society. An effective way of preventing cross-infections is to apply hygiene routines. Studies show that compliance to hygiene routines is low while there's a lack of knowledge about the best way of improving it. Aim: To investigate whether a conversation based on the Theory of Planned Behaviour (TPB) could influence a nurse's compliance to hygiene routines and whether it could benefit the understanding of a nurse's compliance. Method: A quantitative and qualitative method was used in the study and included one nurse.

Avslut och utsluss : - ungdomars behov och socialtjänstens insatser när vård i familjehem avslutas

The purpose of this study is to highlight the situation for youths leaving foster care and entering adult life. The study examines the services provided by the social service in the Stockholm area when a youth is leaving foster care, and if a recent change in the legislation has had any impact on the operating procedures of the social service. The study includes interviews with youths who recently left foster care, as well as information collected from social service offices through a survey, supplemented by interviews with practicing social workers. All the assembled data have been analyzed using Ecological Systems theory with focus on the child perspective and the term significant others. The study shows that the respondent youth have trouble identifying the formal ending with social services, as well as the support they received or were offered.

Evaluation of creditability and risk minimisation : The effect of accounting for intangibles

The recent history knows numerous examples of creditor?s inability to evaluate financial solvency of the client correctly. Creditors? risks do not only concern individual relations between the two parties but the economy in general. The standard loan-giving procedure considers evaluation based on a number of financial ratios.

BCAA-supplementering i samband med levercancerkirurgi

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: BCAA supplementation in patients undergoing resection for liver cancerAuthor: Mikael Semaan and Viktor SjölingSupervisor: Fredrik BertzExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: April 10, 2013BackgroundLiver cancer is the fifth most common cancer worldwide and the third largest to cause death. Protein-energy malnutrition is common in patients with liver disease and they often suffer from changes in the hepatic metabolism of nutrients and other substances. There is a basis for recommending BCAA supplementation in other certain liver diseases. Given the similar clinical picture of liver cancer surgery, it is possible that supplementation of BCAA can be beneficial for these patients as well.ObjectiveThe aim was to study the scientific basis for the effect of branched chain amino acid (BCAA) supplementation in liver cancer patients. Can it improve their recovery in terms of nutritional status and albumin levels, and does it changes the duration of hospital stay, after surgery?Search strategyFive extensive searches were performed on PubMed and Cochrane after appropriate study material.

Metoder för att hjälpa? : En kvalitativ studie om arbetssätt och metoder i arbetet med sektmedlemmar och sektavhoppare.

The purpose of the study is to investigate methods and work procedures that aim to motivate people to leave a cult and/or supporting them after a cult exit. The study was limited to investigate how Sweden?s, within the area, three premier voluntary organizations Föreningen Rädda Individen, Rådgivning Om Sekter and Hjälpkällan work with present -, ex ? and relatives to cult members. In addition to the mentioned organizations we have also investigated the work procedures and methods used by Åke Wiman. The study has got a qualitative approach and includes semi-structured interviews.

Parkeringsapplikationen : Utveckling av en mobilapplikation för iPhone.

This report describes procedures and preparations made for developing a mobile application.Using a questionnaire and usability tests, I have developed a design document for a parkingapplication for the iPhone 4. The purpose of the application is to help drivers find allowedparking spaces thus making roads safer for everyone while the driver avoids parking tickets..

Användning av WHO:s checklista för säkerhet vid operationer och operationssjuksköterskans medverkan.

Background: Surgical complications has been the main cause of medical injuries and deaths worldwide. In 2008 WHO developed the checklist for safe surgery to reduce the number of surgical complications. The objective of the checklist is to strengthen already established safety routines and contribute to better cooperation and communication. Research shows that compliance to the checklist is deficient, which can affect patient safety.Aim: The aim was to study the extent to which theatre nurses participate in the use of the checklist.Method: Observational study was conducted with a descriptive design and quantitative approach. 24 observations were carried out with aid of an observation protocol of two surgical units at a hospital in central Sweden.Result: The results showed that Timeout initiated widely but compliance to all items was considerably lower.

Vacuumassisterad sa?rbehandling pa? en ka?rlkirurgisk va?rdavdelning ? Utva?rdering av behandlingsresultat pa? olika sa?rtyper och hur patienter skattar sin sma?rta i samband med byte av VAC-svamp : En journalgranskningsstudie

Background: Vacuum assisted closure, VAC, is a method which can benefit wound closure. There are not many reliable studies about the effects of VAC in different types of wounds. Previous studies have shown that patients have experienced pain during dressing changes.Aim: The aim of the study was to survey in what kind of wounds the vascular surgery ward have been using VAC, to study the treatment process of VAC and how it has been documented and also to investigate if patients with VAC experienced pain during dressing changes.Method: The patients were chosen from a ledger, which contained 77 patients that had been treated with VAC on the vascular surgery ward. Data were collected with a journal survey protocol.Results: The result is based on 67 patients with a total of 79 wounds. VAC was shown to have a good effect on wound healing and infected surgical wounds were the most commonly wound category undergoing treatment with VAC.

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