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727 Uppsatser om Chronic heart failure - Sida 21 av 49
Misslyckade IT-projekt : Vilken fas i systemutvecklingens livscykel är mest bidragande
Many IT projects that have been developed in recent years are often considered to be unsuccessful. According to a study by Exido up to the 72% of all IT projects are considered to be failed. A failed IT projects means that the organizations that have ordered the new system may have higher costs or/and the system will not be ready in time. If costs are too high the new system might not be installed in the organization or if the system is not completed within the specified time frame the organization can become stagnant.In this paper we conduct an investigation of the failure of IT projects there we will examine where, in the systems development lifecycle four different phases, projects fail. We will conduct an empirical study of each phase, where we describe the key steps in the process; we will also investigate failed IT projects that are linked to the current phase.
Transdiagnostiska faktorer vid samsjuklig kronisk smärtproblematik och social ångest : - en tvärsnittsstudie
Denna tvärsnittsstudie syftade till att undersöka samförekomst av smärtrelaterad rädsla och social ångest i ett kliniskt sample med kronisk smärtproblematik. Syftet var också att beskriva och kontrastera samvariation av transdiagnostiska faktorer i eventuella subgrupper. Datan bestod av enkätsvar från 196 deltagare i Social ångest smärta-projektet som leds av Örebro universitet och Akademiska sjukhuset i Uppsala. En klusteranalys fick fram fyra subgrupper bland deltagarna. En subgrupp utmärkte sig för hög komorbiditet.
Nöjdare patienter med sjuksköterskemottagning? Mötet mellan patient och sjuksköterska.
Dystrofia myotonika Typ 1 (DM 1) är en kronisk, progressiv och ärftlig neuromuskulär sjukdom. För patienten innebär det en livslång sjukdom där försämring sker över tid och där även flera i familjen är eller kan vara drabbade. Patienter med DM 1 är i behov av regelbunden uppföljning gärna varje år. För att kunna tillgodose patientens behov skapades på Neuromuskulärt centrum, Sahlgrenska sjukhuset Göteborg, en sjuksköterskemottagning. Syftet med föreliggande litteraturstudie, var att kartlägga kunskapen om sjuksköterskemottagningar samt belysa mötet mellan patient och sjuksköterska.
Kundinvolvering i högteknologiska produktutvecklingsprojekt
Background: Knowledge of customer needs is a key factor in companies? struggle to develop successful products. Several studies illustrate that the main reason for failure in product development is lack of customer understanding. Lately considerable changes have occurred. Large-scale mass production is continuously being replaced by customer orientation, especially in the high technological market.
Samverkan mellan mark- och flygstridskrafterna : En nulägesanalys utifrån samarbetet kring Close Air Support
There are many kinds of joint operations and combinations of combined arms. This thesis puts its focus on Close Air Support, CAS. Throughout history there have been several cases of success, regarding these kinds of operations, but also failure. Much can be taught from organizational behaviour studies, applied on these military organisations in their cooperation with each other. The purpose of this thesis is to analyze the cooperation between the Swedish army and air force to determine the functionality of their process.
Omvårdnad vid andningsproblematik och sväljproblematik hos ALS patienter
Amyotrofisk Lateral Skleros, ALS, är en neurologisk sjukdom vilken leder till att samtliga kroppens muskler förtvinas och dör. Då sjukdomen saknar bot blir all behandling symptomatisk och individuellt anpassad för varje enskild persons behov. I denna systematiska litteraturstudie har det sökts efter olika sätt att stötta denna patientgrupp då syftet att belysa hur vi som personal kan hjälpa och stötta personer med ALS relaterad dysfagi och andningsproblem till en så bra tillvaro som möjligt skulle belysas.Författarna har funnit att omvårdnaden sällan sätts i fokus. Det är istället de lösningar som tar bort symtomet som fått fokus i flertalet av de artiklar som granskats. Att hjälpa dessa personer till trygga och oberoende människor som kan fortsätta att leva istället för som många av artiklarna visade då det gjordes insatser som ledde till att personerna blev mer bundna till sina anhöriga och sina vårdare..
Distriktssköterskans möte med föräldrar som ställer sig tveksamma till MPR-vaccination
Vaccination as a part of the preventative public health project has for many years been one of the important tasks of the children's health care. The vaccination program has been adjusted to current research and the health situation in the country. Having their children vaccinated is not something obvious for all parents, though. Especially the vaccination against measles, whooping cough and German measles have been questioned. The purpose of this literature study was to investigate the reasons for the resistance to vaccinate and to illuminate the security creating advice of the nurse at the public health centre.
Olika mastitpatogeners inverkan på mjölkkvalitet och juverhälsa
Integration policies have failed to make diversity into anything more than occupying the same physical space. People of different cultural background still do not share their lives to any real extent. Attempts made within planning and landscape architecture to catalyst the integration process have mainly been focused on structural measures, such as residential policies. As for outdoor environments, non-verbal casual encounters in the shape of crossing paths are assumed to lie at the heart of urban social integration.The aim of the thesis is to question this assumption and, as the thesis will show, there is literature supporting this aim. Looking at the works of Gordon Allport, Lewis Coser and some of their followers, I find intercultural contact to require more complex ways of interaction in order to reduce prejudice and to generate tolerance and understanding.
Hur påverkar spårvägen rumsligheten i staden?
Integration policies have failed to make diversity into anything more than occupying the same physical space. People of different cultural background still do not share their lives to any real extent. Attempts made within planning and landscape architecture to catalyst the integration process have mainly been focused on structural measures, such as residential policies. As for outdoor environments, non-verbal casual encounters in the shape of crossing paths are assumed to lie at the heart of urban social integration.The aim of the thesis is to question this assumption and, as the thesis will show, there is literature supporting this aim. Looking at the works of Gordon Allport, Lewis Coser and some of their followers, I find intercultural contact to require more complex ways of interaction in order to reduce prejudice and to generate tolerance and understanding.
Ledarskapsutbildning ? till nytta eller nöje för Kommunstyrelsens ordförande? : En uppsats om betydelsen av ledarskapsutbildning
Many IT projects that have been developed in recent years are often considered to be unsuccessful. According to a study by Exido up to the 72% of all IT projects are considered to be failed. A failed IT projects means that the organizations that have ordered the new system may have higher costs or/and the system will not be ready in time. If costs are too high the new system might not be installed in the organization or if the system is not completed within the specified time frame the organization can become stagnant.In this paper we conduct an investigation of the failure of IT projects there we will examine where, in the systems development lifecycle four different phases, projects fail. We will conduct an empirical study of each phase, where we describe the key steps in the process; we will also investigate failed IT projects that are linked to the current phase.
Strävandet som försvann i ett drogrus: från psykoanalys till LSD med litteraturen som ramverk
??He who makes a beast of himself gets rid of the pain of being a man.? ? Dr. Johnson? . Så inleder den amerikanske journalisten Hunter S Thompson sin mycket speciella roman Fear and Loathing in Las Vegas ? a Savage Journey to the Heart of the American Dream (1972).
Kartläggning av symtom på depression hos patienter med hjärtrytmrubbningar
Cardiac arrhythmias and heart diseases can result in a limited performance capacity which could lead to anxiety and depression. Objective: The aim of this study was to investigate the prevalence of symptoms of depression among patients with cardiac arrhythmias. The intention was also to explore differences between men and women in the occurrence of symptoms of depression. Furthermore, the prevalence of symptoms of depression among patients with cardiac arrhythmias was compared with a Swedish general population. Method: For two weeks MADRS-S, a self-rating scale for depression, were distributed at a medicine ward where patients with cardiac arrhythmias are treated, at a hospital in Sweden.
Oro och nedstämdhet vid kronisk obstruktiv lungsjukdom
The aim of the present study was to examine whether there are any differences in the self-estimated degree of anxiety and depression between men and women diagnosed with chronic obstructive pulmonary disease (COPD). A further aim was to investigate if there is any association between the severity and duration of the disease and the level of anxiety and depression. A descriptive quantitative study was conducted. Data was collected by using Hospital Anxiety and Depression Scale (HADS), a self-assessment of anxiety and depression. Data was collected at follow-up visit with COPD-nurse in primary health care in Uppsala during weeks 6-12 in 2011.
Omvårdnad av familjer till hjärtsjuka barn
Syftet med denna litteraturstudie är att belysa omvårdnaden för familjer till barn med hjärtfel ur ett familjeperspektiv. Vården av hjärtsjuka barn och ungdomar kräver en kunskap om dessa sjukdomar inte enbart hos sjukvårdspersonal inom den högspecialiserade barnkardiologin utan inom ett flertal andra specialiteter. Studien omfattar sjuksköterskans omvårdnad av familjer, förberedelser för hemgång, samarbetet mellan olika yrkeskategorier, familjens reaktioner vid denna krissituation och de bearbetningsmodeller som finns till förfogande för att underlätta bearbetningsprocessen. Vidare forskning inom detta område är nödvändig. The purpose of this study is to illuminate the care of families to children with heartdisease from a familyperspective.
Peritonitis in horses : a retrospective study of 69 cases admitted to a university hospital during a ten year period
Peritonitis is a potentially life-threatening disease in horses. With no published work from Sweden, the objective of the study was to describe the occurrence and demographics of horses with peritonitis and to evaluate the outcome of treatment in terms of short-term survival during a ten-year period in a large clinic in Sweden.
Data were examined in a retrospective manner in 69 horses diagnosed with and treated for peritonitis at Universitetsdjursjukhuset (UDS) in Uppsala between 2002-2012. Demographic data examined included age, breed, gender, history, duration of illness before arriving at UDS, reason for seeking veterinary care, initial clinical findings (general state of health, heart rate, respiratory rate, mucous membrane appearance, rectal temperature, abdominal sounds, rectal examination, nasogastric tube results), abdominocentesis results (abdominal fluid analysis including visual inspection, leukocytes and protein, cytology, bacterial culture and sensitivity pattern), complete blood count (CBC), Serum amyloid-A (SAA) upon presentation and a follow up, plasma fibrinogen, plasma protein and albumin, treatments, length of hospitalisation and outcome.
All medical records with the diagnosis of peritonitis were extracted from the medical records system Trofast. All records with any other diagnosis code referring to trauma such as rectal tear or ruptured uterus, recent abdominal surgery, external trauma or rupture in the gastrointestinal tract were excluded. To be included in the study, the peritoneal fluid should contain more than 20.000 cells/?L, have a peritoneal protein value of >30 g/L; or have a significantly changed peritoneal fluid sample (orange with increased turbidity or worse) in cases where no data on cells or protein were available.
The horses were divided into two groups; one where the peritonitis was deemed to have an idiopathic aetiology (primary peritonitis) and the other group where the peritonitis had a possible aetiology such as intestinal parasites, impaction etc.