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4011 Uppsatser om Chronic leg ulcers District nurse Leg ulcers treatment - Sida 38 av 268
VÅGA FRÅGA! : Prostatacancerdrabbade mäns nöjdhet med sjuksköterskans omvårdnad och information
Suicid/självmord är idag enligt världshälsoorganisationen WHO en av de 20 vanligaste dödsorsakerna och det är välkänt att risken för suicid ökar vid depression. Psykiatrisjuksköterskor möter dagligen patienter där de är skyldiga att bedöma hur stor risken är att patienten tar sitt liv. Det har hittills funnits lite forskning angående hur psykiatrisjuksköterskorna erfar det är att göra dessa bedömningar och syftet med studien var därför att beskriva psykiatrisjuksköterskors erfarenheter av suicidriskbedömning hos patienter med depressiv ohälsa. Studiens design var av kvalitativ art där intervjuer genomfördes med 10 psykiatrisjuksköterskor inom allmänpsykiatrisk öppenvård. Data analyserades med stöd av kvalitativ innehållsanalys och mynnade ut i ett resultat om fyra huvudkategorier med tillhörande subkategorier.
Faktorer som påverkar kvaliteten i omvårdnadsarbetet : ett sjuksköterskeperspektiv
Background: Earlier studies show that nurses work environment is a factor that may affect the quality in nursing care negatively. Other factors are: number of employees, working hours, work structure and planning and working relationships between colleagues. Work relationships are particularly important for nurses as they can affect patient safety. Nurses are prone to stressrelated illnesses and high stress levels prove to have a negative affect on the quality of nursing care. To develop and assure the quality demands effort from every employee.
Behandlingsmetoder vid hopparknä: en litteraturstudie
Jumper´s knee is a common overuse injury due to repetitive microtrauma to the patellar tendon. It is especially common among athletes who are involved in sporting activities that involve jumping or fast running. The term jumper´s knee was adopted after Blazina published his original paper in 1973. Its pathology can be considered as a partial or total rupture of the patellar tendon in one of its three insertions. The aim of this literature study was to review the methods used to treat this condition and the results obtained focusing on pain relief and returning to previous sport or level of activity.
"Nu är det slut på sossepjalleriet och pisshumanismen" : Om kravet på motprestationer inom socialtjänsten
The purpose of this study was to determine if and how the city district of Södra Innerstaden in Malmö, by using the Skärholms model, demand their client to reciprocate. The first problem set was to see how the demand was shown in the social service act from year 1998. From there the motives behind the introduction of the Skärholms model in city district of Södra Innerstaden were researched and also if there were a demand on reciprocity in city district of Södra Innerstaden public administration. The study was conducted in an exploratory way. The method used was to describe the idea behind Skärholms model after examining documents from the public administration.
Energikartläggning av en livsmedelsindustri : samt förslag på energieffektiviserande åtgärder
This thesis concerns an energy audit of a food industry. The company's business consists of boiling and peeling shrimps, and producing mayonnaise-based salads. This type of work involves energy-intensive processes, such as steam generation, compression of air and refrigeration of large spaces. These needs are supplied with electricity. Furthermore, the industry is a major consumer of district heating, particularly for heating the supply air in the ventilation system.
Förklaringsmodeller och behandlingsmodeller kring mäns våld mot kvinnor : En litteraturstudie
Young men who commit sexual abuse is a complex topic. This study is based on litterature on the subject and the material is processed through a qualitative content analysis. The study aims to study how the litterature describes the reasons why young men commit sexual abuse. It also aims to explore what is described to be effective treatment of young men who committed sexual abuse. The study found that most of the young men who commit sexual abuse comes from families where violence and psycohological abuse occurs. Many have themselves been victims of sexual abuse.
Rissepareringens effekter på viltets nyttjandegrad av GROT
Successful forest regeneration is a prerequisite for sustainable forest management. Therefore, it is important to prevent browsing damage on the commercially important tree species Scots pine. In this study I have tested a new alternative way to increase the available amount of forage and increase the use of these resources by especially moose. The method is based on a slash treatment at harvest, where the accessibility of slash as forage is increased during final felling or commercial thinning by gathering the slash and putting the Scots pine slash on top of the slash piles. This study has compared the availability of forage, the amount of browsed biomass and the number of fecal pellet groups between conventional and slash treated stands after final felling and commercial thinning in southern Sweden.
Lågtempererad fjärrvärme i Umeå
People in today?s society are becoming more and more aware of how important it is to use energy as efficiently as possible. This is clearly noticeable by an increase in home produced heat with e.g. solar panels or heat pumps heating systems. These changing customer demands forces district heating technology to be redesigned, which is why there is an ongoing research regarding the next generation of district heating - low temperature district heating (LTDH).
Hantering av kugghjul : -Vägen från mjukbearbetning till hårdbearbetning
AbstractThis master thesis was performed at Scania transmission department in Södertälje, where the manufacturing of gears is done. Today a large amount of manual handling is performed between the machining and the hardening process. Most of the manual handling is done at the heat treatment department. The purpose of this master thesis is to give a suggestion on how to reduce or eliminate the manual handling at the heat treatment department. The possibility to use the same packaging throughout the processes will also be investigated.
Effekter av befintliga och eventuella framtida läkemedelsbehandlingar på morbiditet och mortalitet hos patienter med hjärtsvikt.
Background: Heart failure is a multidimensional phenomenon with high mortality. Heart failure is treated with angiotensin converting enzyme (ACE) - inhibitors or angiotensin receptor blockers (ARBs) that counteract neurohormonal stimuli that occur in heart failure, as well as providing vessel dilatation, which reduces symptoms and the need for hospitalization and increases survival. Despite this, only about 50% of heart failure patients survive 6 years after diagnosis with drug therapy, and as heart failure is increasing globally, due to improved care and treatment and increasing life expectancy of the population, there is a great need for new drugs such as LCZ696 that acts by dual inhibition of the renin - angiotensin - aldosterone system and neprilysin inhibition.Objective: The aim of this literature study was to evaluate the efficacy of current treatment and possible future treatments on mortality and morbidity in heart failure patients.Results: The examined articles show that treatment with ACE inhibitors in patients with symptomatic heart failure reduces the risk of total mortality by 16% over 3.5 years, reduces all-cause mortality or hospitalization due to heart failure with NNT (number needed to treat) = 10.4 over 3.5 years and increases median survival by 9.2 months over 12.1 years in patients with asymptomatic heart failure. Treatments with high-dose ACE inhibitors reduce mortality and hospitalization because of cardiovascular causes and hospitalizations from any cause by NNT = 30 over 3 years. Beta-blockers reduce sudden death and total mortality and cardiac death or non - fatal myocardial infarction with NNT = 38 and NNT = 23, respectively, over 12 months.
Lantbruket som energiproducent : tekniska, ekonomiska och miljömässiga förutsättningar för fjärrvärmeproduktion med lokalt skogsbränsle
A third party access to district heating networks has been proposed in Sweden, to increase the competition
on the district heating market. Such third party access could create opportunities for the agricultural sector
as an energy producer. This study describes the technical, economical and environmental prerequisites for a farmer cluster to build and run a heating plant, fueled with local wood fuel.
The heating plant in the described scenario is 8 MW and will supply a village of 1000 houses, and is fueled with wood chips exclusively. Supplying a heating plant with fuel puts high demands on the logistics, since there need to be a continuous flow of fuel. In the scenario, wood residues from felling and thinning is stored in stacks in the forest, and a few times a year chipped and transported to a storage area at the heating plant.
In the study, an estimation of the profitability has been made by estimating the cost of the investment,
personnel, operating and maintenance costs and costs for the fuel and ash handling.
Sjuksköterskans roll och upplevelser vid förberedelser av barn inför perifer venkateter sättning och blodprovstagning : En intervjustudie
The purpose of the study was to describe the nurse´s role and experiences aroundpreparation of children in front of peripheral venous catheter (PVC) placement andblood draw. The study used a descriptive design with qualitative approach and wasperformed on a pediatric clinic in Sweden. Semi-structured interviews were performedwith seven nurses of whom the first was a pilot interview, which was included in theresult. The recruitment of nurses was made by a purposeful sampling, maximumvariation sampling, with help of the quality coordinator of the pediatric clinic. Thecollected data was analyzed with the manifest qualitative content method.
Sjuksköterskors attityder till och upplevelser av att vårda personer med emotionellt instabil personlighetsstörning
Background: Patients with borderline personality disorder represent a large group in healthcare who are struggling with painful emotions in life. Caring should be based on strengthening health processes by focusing on the patients, but research made by the patient's perspective has shown that this population rather felt that their health processes was counteracted, than promoted. The patients felt that the nurses displayed a negative attitude towards them. Attitudes are defined as a system of values, emotions and actions towards others. Aim: the purpose of this study was to highlight the attitudes and experiences of nurses towards caring for people with borderline personality disorder Methods: A study on the literature based on nine scientific papers was performed. The articles have been analyzed, systematically coded and compiled into a new unit. Results: This study shows that nurses have an overall negative attitude towards patients with borderline personality disorder.
Tidsupplösning vid miljövärdering av fjärrvärme : Kontorsbyggnad med solvärmeproduktion - en fallstudie
The demand for environmental assessments on buildings and energy consumption is increasing as well as the energy performance requirements for buildings. At the same time it is increasingly common with self-producers of heat and electricity generation.The main purpose with this master thesis is to investigate how time resolution affects the environmental assessment of energy consumption in office buildings connected to district heating (DH). Environmental assessments were done with both attributional LCA and consequential LCA with system expansion.Fortum´s DH system in Stockholm was analyzed and district heating production was simulated in a Matlab-model. Greenhouse gas (GHG) emissions for the production were calculated. The heat demand of the office Gångaren 16 in Stockholm was simulated in IDA ICE.
Trädgårdsterapi inom kriminalvården : en möjlighet för Sverige?
The main objective of this study was to investigate the possible design of a horticultural therapy program in Swedish correctional treatment facilities. In the USA the use of horticultural therapy in offender rehabilitation is much more frequent compared with Sweden. The aim of these programs typically contains education for inmates. Research has been made indicating that these programs can have positive effects on psychosocial behavior and on vulnerability to substance abuse among incarcerated offenders. In this study the examples of these programs was categorized and analyzed from three perspectives; Vocational, social and therapeutic horticultural programs.