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1308 Uppsatser om Clinical Competence - Sida 8 av 88

Malassezia otit hos hund : utvärdering av lokal behandling med betametason, ekonazol respektive ättiks- och borsyrelösning

Malassezia otitis in dogs is a common cause of visit to a veterinary service. In otitis externa due to Malassezia overgrowth the dog has a higher number of yeast organisms and/or a local inflammatory response to the micro organism. Common clinical signs include pruritus, erythema, swelling and increased exudate production. Clinical symptoms and results from cytology of ear swabs from the ear canal is the mainstay for diagnosis. Any underlying condition has to be identified and corrected to avoid relapse. The treatment options for infective otitis externa are based upon topical administration of eardrops containing antibiotics, steroids and antifungals.

Islandshästar med hosta och/eller prestationsnedsättning : skiljer de sig åt jämfört med andra raser?

The purpose of the study was to investigate whether or not Icelandic horses are less severely affected in clinical symptoms of cough or decreased performance than other breeds of horses. A breed variation in chronic respiratory disease severity was suspected based on clinical experience at the Institution for surgery & medicine, large animal, SLU Uppsala. A retrospective journal study of 17 Icelandic horses and 17 Swedish Standardbred horses with chronic problems with cough and/or decreased performance compared several measurements of disease severity. The clinical signs, physical examination and laboratory testing results compared were respiratory rate, abdominal breathing, lung auscultation, endoscopy results, broncho-alveolar lavage (BAL) results and the blood gases pO2 and pCO2. All parameters were available for all 34 individuals except for the blood gases, which were analysed, in only four Icelandic horses and four Swedish Standardbred horses. The only parameters that appeared different between the two groups were respiratory rate and pO2. The four Icelandic horses, which had blood gases analysed, had more severe hypoxemia.

Elefantens könsorgan, reproduktion och embryoutveckling

Hydropericardium or pericardial effusion (PE) is the accumulation of fluid in the pericardial sac and is often secondary to pericardial diseases or diseases related to the heart. It is unusual with clinically relevant pericardial diseases in cats but pericardial effusion is the most common one. Since PE causes serious symptoms and may lead to death it is important with a quick diagnosis and treatment. PE can be acute and cause cardiac tamponade, which gives severe clinical signs. Cardiac tamponade needs to be treated immediately or else the cat will die from cardiogenic chock. More common is chronic PE where the fluid accumulates during a longer period of time and the pericardial sac stretches.

Tillfrisknande och användning av hästar med fång :

Laminitis has crippled horses through times and many cures have been used to treat it. Since the mechanism of the disease is yet not fully understood, treatments are only ways to alleviate the pain and at best, slow down the pathological process enough to make time for improvement. This paper is a retrospective study of 71 horses treated by a protocol at Hästsjukhuset Strömsholm. The protocol implies three visits at zero, five and fifteen weeks. At each the horse is evaluated and treated by a veterinarian.

Backsourcing : om dess orsaker, syften och alternativ

This paper examines the reasons behind firms considering backsourcing. While firms experience problems with their outsourcing activities, backsourcing emerges as an alternative solution. Firms primarily take cost considerations into account when reconsidering their outsourcing practices, but this only scratches the surface. A deeper analysis is needed, since cost increases arise from issues such as quality defects and cooperation problems. Even though production costs are low, outsourcing always implies transaction costs.

Precisionsbestämning av bendensitometri

International Society for Clinical Densitometry (ISCD) rekommenderar att precisionsbestämning av bentäthetsmätning görs på varje klinik för att bedöma reproducerbarheten. Bentäthetsmätning görs för att diagnosticera osteoporos, följa upp behandling och förutsäga frakturrisk. I studien användes Dual energy x-ray absorptiometry (DXA) för att utföra dubbla mätningar på redan inbokade patienter på klinisk fysiologi, Skånes Universitetssjukhus (SUS), Lund. 105 patienter ingick i studien. Mätningarna utfördes på helkropp, totalhöft, lårbenshals och ländrygg.

Övervakning av ston i sen dräktighet genom transrektal ultraljudsundersökning av placentan :

Abortion during late gestation is often caused by placental dysfunction such as placentitis. To prevent this from happening the placenta can be monitored pre partum so treatment can be started at an early stage. Methods for monitoring the placenta include hormonal monitoring, presence of clinical signs of placental dysfunction and ultrasonographic evaluation of the fetus and the placenta. Transrectal ultrasonography provides a very good image of the caudal portion of the allantochorion where an ascending placentitis normally establishes. An increased combined thickness of the uterus and the placenta, CTUP, has been associated with placental failure. This study included ten Swedish standardbred trotter mares in late gestation. They were monitored by transrectal ultrasonography of the placenta two times with approximately a month in between. CTUP was measured on each examination.

Varför hälsar du inte? : En studie i några muslimers tankar inför första mötet med en vägledare

The study?s purpose is to find out how important cultural competence is for the guidance of people with multicultural backgrounds. I also want to illustrate that what is seen as normal in one culture may mean something different in another culture. The study will also in some extent explore culture clashes and its problems in the guidance context. The method used in the study is qualitative and the five respondents were all practicing Muslims.

Intramuscular administration of two dosage forms of benzylpenicillin in horse - pain assessment

In veterinary medicine, penicillin is the most used antibiotic in Sweden. Two dosage forms of penicillin are available in Sweden for use in horses, sodium benzylpenicillin (Na-pc) and procaine benzylpenicillin (proc-pc). Proc-pc is the most used dosage form and is used for intramuscular administration which allows horse owners to treat an animal at home under veterinary instruction. Na-pc is only approved for intravenous use in horses. Penicillin is normally well tolerated by horses but a serious, sometimes life-threatening, adverse reaction called penicillin shock may occur.

Ledarskap inom ramen för ett systemutvecklingsprojekt : fokus på en arbetsprocess med stöd i Vattenfallsmodellen

Many research reports mention the fact that a huge number of all system development projects never reach a successful ending; with other words never fulfil formulated goals. By identifying and forming success factors (and in some aspect risk factors) that the project manager in practice can use, this study may be seen as a step in the direction towards minimising the high number of failed system development projects. The purpose of this research report is to investigate how a system development project, where the development process is based on a specific development or process model (in this case the Waterfall model), can and should be driven. I aim to clarify what is demanded of a project leader for the specific development process and give an account for which eventual leadership qualities that can be well suited for given situation in relation to the need for technical competence. Among other things the project manager should inspire confidence, drive, be a decision maker, engage and own some form of basic knowledge in the field of system development.

Skötares uppfattningar av specialistsjuksköterskans kompetens i psykiatrisk slutenvård

Syfte: Syftet med studien var att beskriva skötares uppfattningar av specialistsjuksköterskans kompetens i psykiatrisk vård. Metod: För att analysera detta fenomen gjordes en intervjustudie med kvalitativ design och en fenomenografisk analys tillämpades. Semistrukturerade intervjuer genomfördes där nio skötare verksamma i den psykiatriska vården vid tiden för intervjutillfället deltog. Med avsikt att finna variation bland uppfattningarna bearbetades och analyserades det transkriberade materialet i en analys omfattande sju steg. Resultat: Fyra kategorier av skötarnas uppfattningar identifierades: Osynlig kompetens, otydlig kompetens, synlig kompetens och tydlig kompetens.

Innovationsprojekt i en klinisk miljö : Utvecklandet av en designprocess för Sister Kenny Research Center

The Sister Kenny Research Center is part of the Sister Kenny Rehabilitation Institute locatedat the Abbott Northwestern hospital in Minneapolis, USA. The Sister Kenny RehabilitationInstitute provides rehabilitative services, treating more than 70,000 patients a year.The Sister Kenny Research Center strives to optimize the service to patients by nurturingnew innovations in rehabilitation care and treatment. Research projects are conducted ininterdisciplinary so-called Clinical Innovation Teams. As the Sister Kenny Research Center isrecently started, it did not prior to this thesis project have a design process or structured way ofworking in design projects.The outcome of this thesis project is a comprehensive innovation strategy package with a set oftools to enhance the innovativeness at the Sister Kenny Research Center. The strategy packageconsists of three interlinked parts:?A design process adapted to the work environment at the Sister Kenny Research Centerensuring projects are conducted in a structured and innovative manner.?An Innovation Handbook describing the design process to the Clinical Innovation Teamsand providing step-by-step guidance to designing.

Kompetenshanteringssystem i användning En beskrivande studie om hur ett kompetenshanteringssystem används i medarbetarsamtal inom en vård och omsorgsorganisation

In recent years, Information Technology (IT) has gained more importance in workinglife. More and more organisations has shown an interest about how technology can beused to manage the competence of the employees, and how IT can contribute to thedevelopment of the organisation. In order to achieve this, there is a need for suitabletools to support this process. Even though the implementation of competencemanagement systems (CMS) is a highly up to date question for many organisations,there is a lack of scientific reserach concering this area. This study will contribute tothe research area by examining how CMS is used by employees in daily working life.The manager and the employees in a healthcare organisation in Sweden were observedduring appraisals in order to observe how they used the CMS to evaluate competence.The appraisals were considered a suitable place for studing CMS in use within anorganisation.By using theoretical perspecitves such as the Sociomateriality and Situated Learning,the study can contribute to the knowledge of the entanglement between technologyand working practice.

IKT - 2000-talets mentor? : En jämförande studie mellan manliga och kvinnliga pedagogers uppfattning om IKT i undervisningen

During the past decade Information Technology (IT) and Information and Communication Technology (ICT) have become the main tools in teaching. Authors and early educators who are treated in the study talks about how technology has come to change the school's approach to teaching and didactic tools. The technology has also affected students´ and teachers´ ways to work because the technology's versatility makes demands on the user's expertise and competence. The technical skills have long been associated as a male domain, where men are expected to master the technology´s versatility. These expectations are not the same for women.

Chefskontrakt : ger det en tydligare anställningsform för chefer i Landstinget Västmanland?

The purpose of this work is to find out how present manager contracts are set up in Landstinget Västmanland (the county council of Västmanland), explore managers? perception of these contracts and why managers have chosen leadership. The work has also reviewed the question if managers need to have a relationship or expertise to the activities they lead and which qualifications are needed in such case. The survey was conducted in two divisions in which nine interviews were held with managers at all levels. In addition to this a questionnaire including the 87 managers in the divisions were held.

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