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714 Uppsatser om Clinical Reasoning - Sida 34 av 48
Utvärdering av Di35M-PrLO-projektion av armbågsleden för utlinjering av mediala processus coronoideus hos hund :
The aim of this study is to evaluate an alternative projection of the Medial
Coronoid Process (MCP) of the canine elbow joint. The projection (Di35M-PrLO)
was, to my knowledge, first mentioned in an article by Haudiquet et al in 2002. In
that article the projection was tested in vitro, and a good sensitivity was showed
for the Medial Coronoid Process. The projection might be helpful in cases of
suspected Fragmented Coronoid Process (FCP)
.
This study is divided into three parts. The first part is an in-vivo test of the
projection, including technique and subjective evaluation of the outlining of the
MCP.
Konsten att ha tumme med leder: Artrostummar och ADL-konsekvenser En litteraturstudie
Background: Research has shown that people with limited hand function , and above all osteoarthritis of the thumbs , a limited task ability in daily activities. At a disabilities can be the person's identity, well-being and ability to participate in society is changing. Purpose: The purpose is, through a literature review describing occupational therapy Conservative interventions for people with osteoarthritis of the CMC 1 joint and its consequences for the performance of activities of daily living . Procedure and Analysis: The method in this study, a systematic review of scientific literature used. Database search and manual search occurred during the period from March 2014 to May 2014 .
Skärningsytor mellan terapeutisk yrkesutövning och feministiska utgångspunkter : tretton svenska behandlares berättelser och brottningar
Föreliggande examensuppsats undersöker vilka möjliga betydelser och meningsinnebörder feministiska perspektiv kan ha för bedrivandet av psykoterapi. Utifrån en explorativ och förståelsegrundande ansats intervjuades 13 svenska behandlare med självidentifierade feministiska utgångspunkter om hur de ser på skärningsytorna mellan feminism och psykoterapi, sin yrkesroll, samt vilka konsekvenser deras feministiska perspektiv får i det praktiska behandlingsarbetet.Resultaten visar att feministisk terapi som begrepp framstår som i stort sett oetablerat i en svensk psykoterapeutisk kontext, att förhållandevis lite forskning på området tidigare är gjord, samt att intervjudeltagarna ofta framställer sammanjämkningen mellan feministiska och psykoterapeutiska diskurser som komplicerad. De medverkande beskriver sina feministiska utgångspunkter som en bakomliggande filosofi snarare än en uppsättning tekniker. Dessa omsätts i terapeutisk behandlingspraktik genom en problematisering av maktaspekter, ett uppmärksammande av strukturella faktorers inverkan på subjektivitetsskapandet, samt ett kritiskt och stundtals avståndstagande förhållningssätt till specifika delar av de gängse terapiparadigmen. Ideologiska dimensioner exemplifieras bl.a.
Så är det inte längre : Närståendes vardag efter patient- och närståendeutbildning vid bipolär sjukdom
Several studies show that the clinical reality in psychiatric care does not correspond to the demand of consumer participation from a variety of policy documents that has been produced recently. Studies also show that there is a lot to do in improving, patients with sever mental illness, becoming more involved in their own care. The nurse has a central role in this work. The Norwegian nursing theorist Jan-Ka?re Hummelvolls holistic, existentialistic model for psychiatric nursing were used as theoretical ground.The aim of this study was to examine how nurses in psychiatric outpatient units, caring for patients with psychotic disorders, experiences consumer participation.Qualitative phenomenological method was used.
De samhällsekonomiska konsekvenserna av privat kontra offentligt ägda samhällsfastigheter inom äldreomsorgen
In today?s technological society, there are increasingly less physical demands on the locomotor system. However, despite that notion strength and function in the hand?s complex biomechanical system are in fact both needed to cope with daily life. The grip function is a main function in the hand and is used in many examples of scientific research, for instance when assessing physical health and predicting the probabilities of premature mortality.
Utvärdering av inomhuslokalisering med Bluetooth Low Energy
Wireless communication is becoming more common, a relatively new technology within the area is Bluetooth Low Energy. It?s been developed to be energy efficient and in regard to compatibility. Alongside the growth of wireless technology, scientists and companies are looking for new areas of use. One of these is localization, which means to determine the position of a moving device with the use of stationary devices, an example of this would be GPS.This report means to evaluate indoor localization using Bluetooth Low Energy and was made for Combitech AB in Jönköping.
Sjuksköterskors erfarenheter av projektet ?Klinisk bibliotekarie? som arbetsform
Bakgrund: Snabb kunskapsutveckling, ökade krav på kvalité och kostnadseffektivitet inom hälso- och sjukvården gör det viktigt att sjuksköterskor har god förmåga att söka och använda evidensbaserad kunskap. Idag finns ett glapp mellan forskning och klinik. Sjuksköterskor upplever flera hinder till att arbeta evidensbaserat. Under hösten 2010 och våren 2011 pågick ett projekt på ett sjukhus i en stad i mellansverige. Projektet hette ?Klinisk bibliotekarie?, syftet var att höja vårdkvalitén och patientsäkerheten genom att det dagliga vårdarbetet ska bli mer evidensbaserat och att sjuksköterskorna ska känna större säkerhet i att ta fram vetenskapligt underlag för sitt arbete.Syfte: Belysa sjuksköterskornas erfarenhet av projektet ?Klinisk bibliotekarie?.Metod: Studien har en kvalitativ design.
Jämförelse mellan ?Auditory Brainstem Response (ABR) och ?Auditory Steady State Response? (ASSR) för att uppskatta hörtrösklar på barn i narkos. Kan testtiden minska om 500 Hz utesluts vid ASSR-mätning?
ObjectiveThe objective of this study was to investigate the clinical application to use ASSR in anesthetized childrenDesignOne main ambition of the investigation was to compare hearing threshold using ABR with estimated hearing threshold using ASSR. Another aim was to examine if the duration of an ASSR measurement could be reduced by only using the frequencies 1, 2 and 4 kHz and exclude the frequency 0.5 kHz. This is a retrospective study using electrophysiological measurement from a database.ResultResults showed a high correlation between hearing threshold using ABR and estimated thresholds using ASSR, with the frequency 0.5 kHz showing a slightly lower correlation. Result also showed that the test duration was increased when using all test frequencies in ASSR-measurement compared to when 0.5kHz was excluded. ConclusionThe study showed a high correlation when comparing hearing threshold using ABR and ASSR.
Äldre mäns erfarenheter när sexualiteten påverkas vid prostatacancer : En litteraturbaserad studie
Background: Prostate cancer is the fourth most common cancer disease in the world and affects mainly older men. While having prostate cancer the treatment can be both medical and surgical and both these treatments can give side effects like erectile dysfunction, lost libido and hot flushes. Sexuality among elderly is often associated with taboo, but sexuality exists among elderly and is important for their wellbeing and quality of life. It is common that nurses don?t address and discuss questions concerning sexuality with patients, even though they know that sexuality often is affected while having a disease or experiencing illness.
Studenthandledning under verksamhetsförlagd utbildning i sjuksköterskeutbildning : - handledares och studenters uppfattningar
Handledning av sjuksköterskestudenter är ett komplext arbete som kräver tid och. Handledare upplever brist på stöttning från kollegor och avdelningschef. Det är önskvärt om kollegor är villiga att ta över en del av patientomvårdnande så att handledare får mer tid för handledning av studenter under verksamhetsförlagd utbildning [Vfu]. Syftet med denna litteraturstudie var att belysa studenthandledning under Vfu där studenters och handledares uppfattningar belyses. Litteraturstudien består av 20 artiklar vilka analyserats utifrån studiens syfte och delats in i två teman utifrån handledares och studenters uppfattningar.
Scintigrafisk undersökning av esofagusmotilitet hos häst :
Scintigraphic examination of the esophagus has for some time been the method of choice for the study of motility dysfunction in humans. The method has not yet been described for horses hence the lack of reference values for passage time for a bolus through the esophagus in healthy subjects. The purposes of this study were to measure passage velocity and time for a bolus to pass through the esophagus in healthy subjects, as well as to evaluate the reproducibility of the method. Eight warm-blooded trotters were used in the study. The horses were sedated with a low dose of Acepromazine prior to onset of the study.
SJÄLVREFLEKTION ÖVER EN KRITISK HÄNDELSE, I EN NY KONTEXT : Kvalitativ självreflektionsstudie av två svenska sjukgymnaststudenters upplevelser av en kritisk händelse under verksamhetsförlagd utbildning på rehabiliteringscentrat Pina Palmera, Mexiko.
Physiotherapists treat people with different views of the world and medical beliefs, which require a good understanding of cultural differences. One way to achieve cultural understanding is through self-reflection in a new context. During five weeks the authors, two physiotherapy students, completed a clinical practice at the rehabilitation center Pina Palmera, Zipolite, Oaxaca, Mexico. At the beginning of the period a critical incident was chosen, when the head physiotherapist for the ward Cuidados Especiales intended to sell jewellery to the authors during a treatment of a patient. The authors have by using the reflection framework "Framework to guide reflective process", and Interpretive Phenomenological Analysis (IPA) for analysis, discussed different ways of communication, adherence, education, and self-reflection and critical thinking.
Omvårdnadsdokumentation : granskning av omvårdnadsjournaler inom psykiatrisk slutenvård
Background Swedish nurses are required by law to document nursing care. Studies have proved scarce in nursing documentation with regard to written language, the nursing process and the nurse´s caring perspective. Educating nurses in using the VIPS model have improved nursing documentation. Few studies have included nursing documentation of psychiatric care.Aim The aim of this study was to describe nursing documentation within psychiatric care of inpatient settings.Method A quantitative, retrospective descriptive research design was applied. A total of 60 nursing journals from a psychiatric department of six wards were studied.
Ett litet ord med stora implikationer : En studie om förståelsen kring ordet Gay i allmänt negativ bemärkelse
Many of us have grown up hearing or using words meant as insults or negative adjectives that were in fact names for social groups. Most of them have gone unquestioned in the mainstream consciousness, but the term Gay in the generally negative meaning has in the past years been given attention as offensive and homophobic, with debates emerging in response over whether or not this is true, particularly on the internet. It is the articles and forum threads from these debates that make out the empirical material for a qualitative study as I ask what these people?s thoughts are about this term and how it is perceived.After a qualitative coding and analysis of these texts, and interpretation of the results based on Erving Goffman?s theory of Phantom acceptance and stigma terms, Judith Butler?s theory of performativity, Ferdinand de Sassure?s theory of signifier and signified and how it connects to the community and Baudrillards theory of simulacra, this is the principal conclusion that I have drawn:For some of the people in this debate, the term Gay and its use is about homophobia and heterosexism, though mostly it?s not overt but a subconscious part of the continued dehumanization and stigmatization of homo- and bisexual people. This is a position I callThe socially focused skepticism.
Antibiotikaresistens hos bakterier isolerade från friska hundar i Sverige : indikatorbakterier E. coli & Enterococcus spp samt Staphylococcus spp isolerade från hud
Objective: To determine the frequency of antimicrobial resistance in bacteria from healthy Swedish dogs and whether they are carriers of methicillinresistant Staphylococcus aureus (MRSA).
Material: Samples from skin from the perineal region and from faeces collected in the anus with cottonswab (Copan) from 299 healthy Swedish dogs. Samples were collected at dog exhibitions.
Method: Specimens were submitted for bacterial culture where bacteria (Escherichia coli, enterococci and staphylococci) were isolated and identified by current methods. Antimicrobial susceptibility testing was performed with a microdilution method where MIC-values were determined. Staphylococci with high degree of resistance were tested for presence of mecA-gene by PCR.