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714 Uppsatser om Clinical Reasoning - Sida 5 av 48
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.
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.
Mötet mellan teori och praktik Hur resonerar arbetsterapeuter kring detta?
Det är av vikt att professioner har en teoretisk grund att luta sig mot och att teorin införlivas i praktiken. Inom arbetsterapin försvåras detta av att professionen har brottats med paradigmskiften, vilket i sin tur har bidragit till en stor mängd av tyst kunskap inom yrket. Syftet med denna studie var att beskriva hur arbetsterapeuter i den kliniska verksamheten resonerar kring användandet av arbetsterapeutisk teori, främst vid användandet av processer och modeller. Sju arbetsterapeuter intervjuades i denna kvalitativa studie. De delgav sina tankar och resonemang angående användandet av arbetsterapeutisk teori i arbetet.
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.
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.
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.
Facklitterära tecknade serier på folkbibliotek
The purpose of this Bachelor's thesis is to study the reasoning behind classification, cataloging and shelf arrangement of nonfiction graphic novels in public libraries. The aim was to examine which aspects of accessibility influence in which collection nonfiction graphic novels are placed.With qualitative semi-structured interviews we learned how six librarians motivated their choices concerning nonfiction graphic novels. We also interviewed a cataloger from Bibliotekstjänst to examine how nonfiction graphic novels are classified. In our analysis we compared our results to theories and practices concerning alternative shelf arrangements in libraries and legitimization of graphic novels. We found three types of shelf arrangements for nonfiction graphic novels: graphic novel shelf, nonfiction classification code and a mix of the two.
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.
Indirekt blodtrycksmätning på katt : påverkan av metod, miljö och ålder
The purpose of the present study was to study if the systemic blood pressure in cats
significant increases due to stress associated with a visit to a veterinarian clinic. We
also wanted to investigate the clinical utility of two different methods for indirect
blood pressure measurements in cats by assessing how easy they were to use and how
reliable measurements they provided. The methods that were used were oscillometric
(Memo Diagnostic) and ultrasound-doppler technique (Minidop). The blood pressure
was measured in both clinical environment and home environment. Fifty cats were
used in the study, from which measurements were impossible to obtain in one cat.
Utvärdering av autologt konditionerat serum :
Joint injury (inflammation) or osteoarthritis is the most common cause of poor performance in the athletic horse. Osteoarthritis is the ensuing degeneration of joint cartilage due to inflammation/injury. The single most important factor in the inflammation cascade of joint injuries is interleukin-1 (IL-1). Until recently, these injuries have been treated with products like hyaluronic acid, cortisone and polysulphated glycosaminoglycans (PSGAG).
Several studies have not been able to demonstrate a significant difference in the clinical improvement of joint injuries treated with hyaluronic acid or PSGAG and saline.
Före detta tandhygieniststuderandes uppfattning om utbildningen vid Högskolan Kristianstad
Aim: The aim of this study was to investigate former dental hygienist students? view regarding their education at Kristianstad University.Material and methods: This quantitative study was descriptive and the data collection method was used by a questionnaire. This was sent by post to former dental hygienist students at Kristianstad University. In total, 57 dental hygienists participated in the study.Result: The majority of the respondents (94 %, n=54) were content with their education. The education?s primary strength turned out to be the clinical activity that is conducted while at the same time there was a wish for more practice.
Oasen i vården. En litteraturstudie om omvårdnadshandledningens påverkan på vårdpersonals arbetssituation
The purpose of this review was to investigate in scientific literature what impact clinical supervision actually contains from the perspective of the working conditions for nursingstaff. Goodman formed the working process in our review and is based on a systematic scrutiny and analysis of ten scientific articles inspired of evidencebased method. Willman & Stoltz and Pearson's FAME scale was used sifting through evidence of the articles.The result has been divided thematic in professional development, personal development, development of knowledge, communicationskills, feeling of fellowship, working environment and the patientinteraction. The conclusion of the evidens grading (A-D), in the quantitative results, showed no evidens (D). The qualitative articles was graded (1-5) through the concepts Feasibility, Appropriatness, Meaningfulness and Effectiveness.
Prognostisk betydelse av radiologiskt detekterad gasförekomst i tunntarmen hos katter utsatta för fysiskt trauma :
The aim of this study was to see if an increased amount of gas could be seen in the small bowel of cats subjected to trauma and if measuring the amount of gas could be of any use in the clinical evaluation of the patient. When the peristaltic waves in the small bowel decreases due to neurological damage or chock the microorganisms of the gut grow in number and possibly produce more gas and toxins. When the cat is stressed it can swallow more air then usual, and the air that is in solution with the chyme in the lumen of the gut separates from the ingesta. When the bowel isn?t moving it becomes easier for bacteria and toxins to penetrate the wall of the gut, and then get access to the bloodstream.
Samtalsmatta för ökad delaktighet och kommunikation mellan personer som har Huntingtons sjukdom, närstående och tanhygienist
The purpose of the study was to examine if Talking Mats® couldsupport communication and participation for people with Huntington?sdisease, carers and a dental hygienist in conversation about oral care. Elevendyads, a person with Huntington's disease and a carer, participated.Conversations with and without mats were video recorded and compared.Each participant responded to a questionnaire about how they experiencedthe conversations. Analysis with Effectiveness Framework of FunctionalCommunication showed that two participants increased their communicativeeffectiveness using Talking Mats®. Feelings of participation increased forall participants and were significantly higher for participants withHuntington's disease.
Människans suveränitet över andra arter : En studie om två miljöorganisationers resonemang angående förlusten av biologisk mångfald
The purpose of this study is to exam how two environmental organizations reason about the loss of biodiversity. The research questions are; what is the view in these organizations regarding biodiversity? What are the underlying environmental discourses behind their reasoning, and how do they reason about the risks associated with the loss of biodiversity? As a first part of this thesis a thorough review of existing literature and online resources about the actions of environmental organizations was conducted. Two organizations were interviewed, World Wildlife Fund (WWF) and Naturskyddsforeningen. The questions for the study were analyzed in light of Dryzek´s (1997) reasoning about environmental discourses and using the concept of risk by Beck (1998).