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1967 Uppsatser om Clinical decision - Sida 4 av 132
Landsting möter landsting i gränsöverskridande samverkan. Om förändring och beslutsfattande i offentlig verksamhet.
A current debate is going on in Sweden about the health-care organization, how it is structured today and how it should be structured in the future. Despite major changes in the county council structures, they still got problems with for instance economy and the providing of staff. As an answer to these problems new solutions are being developed.In this thesis I examine such a solution consisting of cooperation between county councils. The aim of the thesis is to examine how and why the county councils in Sörmland and Västmanland have made a decision regarding cooperation over the administrative border.My contribution is to construct a model over change and decision processes that can be used in other cases as well. The conclusion is partly that the decision to cooperate is built on changing structural factors, such as economy, demography and medical development.
Utveckling av metod för utvärdering av synnervens funktion hos häst :
VEP, visual evoked potential is an electrophysiologic test that can be used for evaluating the higher visual pathways. The aim of this study was to investigate if it is possible to adapt this method to horses. This method could have a clinical use in addition to the existing diagnostic methods that are available to evaluate vision in horses.
Firstly, this study contains a summary of relevant studies done on animals and, secondly, an experimental part where the possibility of recording VEP in nonsedated and sedated horses is investigated and where to position the recording electrode to obtain the best results.
Our results show that it is possible to record VEP in horses in a clinical setting. VEP was best recorded in the sedated horse to avoid movement artifacts and other disturbances.
Framtagande av en investerings- beslutsmodell för mindre tjänsteföretag
Problems:How would a decision model that takes into account more aspects and dimensions than just the financial aspect look for smaller service compa-nies? What aspects are important to consider in such a decision model?Purpose:The purpose of this master thesis is to develop a decision model based on previous research, to improve decision making in smaller service com-panies ? by considering perspectives that traditional investment calcula-tions ignore.Method:The study was qualitative and was based on both primary and secondary data. As data collection method for the development of the model we used literature search on previous research. The study?s primary data consisted of responses from five smaller service companies.
Beslutsprocesser och informationshantering ? en fallstudie inom en högskoleorganisation
The purpose of this thesis, was to study decision processes and the importance of information management in the processes within an academic organisation, which led to the work with adaptions according to the law of Equal Treatment of Students in Higher Education, (SFS 2001:1286). A general question was formulated concerning how different information- and knowledge flows interact within an academic organisation and its library during the decision processes. The questions at issue we have tried to examine, concern the factors that have influenced the participants´ choice of information during the decision processes, in their work of adapting the law of equal treatment, and how these choices have influenced the priorities that were made. The theoretical starting point was basically Cohen, March and Olsens Garbage Can Model. We also found the author Chun Wei Choo´s descriptions of organisations, as systems of information processing, useful for parts of our thesis, especially the parts that deals with the role of information management within the decision processes.
Sjuksköterskans upplevelser av patienter med psykossjukdom och deras delaktighet i den psykiatriska öppenvården
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.
Hypoadrenokorticism hos storpudel :
Hypoadrenocorticism (Addison´s disease) results from insufficient production of glucocorticoid and mineralcorticoid hormones from the adrenal glands. The disease is often difficult to diagnose in an early stage because of the multitude of associated vague clinical signs. The standard poodle is one breed presupposed to be at higher risk of developing the disease. The purpose of this study was to give a review of canine hypoadrenocorticism as described in literature, and to characterise Addison´s disease in a population of standard poodles in Sweden. Statistics on incidenceproportions by breed for hypoadrenocorticism from the database of the Swedish insurance company Agria are presented.
Insättningsrutinernas effekt på tillväxt samt effekten av klinisk sjukdom på ätbeteendet hos kalvar i gruppbox med automatisk mjölkutfodring :
The aim of the present study was to investigate the effect of strategy for grouping calves into group pens with automatic milk-feeding systems on the calves' health and growth rate. The usefulness of changes in feeding behavior recorded by the computerized milk-feeder during periods of illness to identify calves with clinical diease was also studied.
In the first experiment, 64 calves were moved in and out of group pens in a continuous way, while 46 calves were transferred into group pens until the the pen was considered "full". The calves in the latter groups were then held together until weaning. It was found that calves in the fixed groups grew approximately 100 g / day more compared to the calves in the dynamic groups. Signs of clinical respiratory disease were less frequent in this group, while the incidence of diarrhoea was slightly higher.
In the second experiment health parameters, milk consumption and feeding behaviour was recorded daily for 46 calves.
Bostadsspekulantens köpbeslut : En kvantitativ studie över bostadsspekulantens beslutspåverkan
Bakgrunden för denna studie är problematiken kring beslutsfattande. Tidigare forskning visar att en individ dagligen fattar en mängd medvetna och omedvetna beslut. Dessa beslut faller sig olika utefter vilka erfarenheter, preferenser och känslor individen har och hur detta påverkar individen vid köp av dyra sällanköpsvaror. Syftet med studien är att identifiera faktorer och personlighetstyper som influerar köparens beslut gällande dyra sällanköpsvaror..
Utvärdering av en snabbtest för diagnostisering av hypokalcemi hos nötkreatur :
Clinical signs of hypocalcaemia in dairy cows are easily recognized, and a rapid response to treatment generally confirms the diagnosis in the field. However, clinical signs of other disorders in cows, such as toxemia, calving paralysis, or muscoskeletal injury, may mimic those associated with hypocalcaemia. Therefore, making a diagnosis of hypocalcaemia on the basis of clinical signs alone may be difficult. In ambulatory veterinary practices, cow-side tests are useful to make the diagnosis and prognosis easier.
Kruuse?s Kalcium Test is a cow-side test based on the principle that calcium ions are necessary for coagulation of blood, and that chelation with EDTA prevent coagulation.
Demokratiförnyelse på lokal nivå : En studie av kommunala demokratiinnovationer
The main purpose of this study is to investigate to what extent municipalities in Sweden use democratic innovations to include citizens in the decision making process. Along there are three research questions:? What different forms of democracy innovations are Swedish municipalities applying in order to increase the civic participation between elections and what forms are dominant?? What potential influence in decision-making are citizens getting through these democratic innovations based on the results?? Based on the results ? in what ways is the democracy innovations used in municipalities challenging representative democracy? The method used to fulfill the purpose and answer the research questions is a web survey including 287 of 290 (in total) municipal websites. The theoretic framework includes a model which is called ?Smith?s ladder of participation? and is influenced by the research of Graham Smith and Sherry Arnstein.
Teknikens gråhåriga marknad - vi är här för att stanna : Vad påverkar äldres köpbeslut av ny teknologi?
This thesis aims to describe how enterprises can approach and reach older citizens inorder to sell new technology products. For that they need information about aspectsaffecting elderlies purchase decisions regarding these kind of products. The study isbased on 13 qualitative interviews where we have applied semi structured interviews andobservations of the elderlies behaviour towards an Ipad which we used as a study objectduring the interviews.The results of this study shows several aspects which affect the elderlies purchasedecision regarding new technology but it all comes down to one matter, lack ofknowledge. In order to overcome that obstacle, enterprises need to modify theircommunication strategy. They will be needing information about elderlies preferencesand their self-image, meaning how they perceive themselves which is connected to howreceptive they are towards new technology.
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.
Höftledsdysplasi och armbågsledsartros hos labrador retriever med känt radiologiskt status av höftleder och armbågar : en tredje uppföljande studie
Joint-related diseases including hip dysplasia (HD) and elbow arthritis (ED) can in advance cases lead to that the dog has to be put down, and these diseases are also the cause to expensive veterinary treatments of many large breeds, including Labrador Retrievers. The aim of this study was to make a follow-up study on the 271 Labradors, who previously participated in a study on the effect of nutrition and exercise on hip and elbow status in a birth cohort born year 2000. That study investigated the relationship between nutrition, exercise, and HD and ED. A follow up study on the same dogs at 5-6 years of age investigated the clinical effects of the radiological hip and elbow status at 1 years of age and if was effected by body condition score. This study took place in 2011-2012 and 187 Labrador retrievers participated.
En vampyr i sitt liv : En studie om elevers syn på gymnasieskolans arbete mot diskriminering, trakasserier och kränkning
The representative democracy has become weakened during the last decades. At the same time the United Nations declared at the Rio de Janeiro meeting in 1992 that environmental problems can best be solved by involvement of all concerned citizens in decision-making. The main purpose of this study has been to examine if citizens panels is a possible way to involve citizens in environmental decision-making and what the outcomes can be. Furthermore the study has investigated what the participation has contributed to environmental politics and how representative the results have been. This has been carried out by investigating the Piteåpanel in the municipality of Piteå by conducting interviews.The result of the study shows that the involvement of the citizens in the decision-making influenced the environmental politics of the municipality.
Förbifart Stockholm - En studie av beslutsprocessen och argumentationen för och emot
The Stockholm Bypass is an infrastructural project planned to be located west of Stockholm. This study investigates the argumentation concerning the project from different perspectives. The theoretical starting point is within Decision Theory. The main theories include Bounded Rationality, Kingdon's study of the political agenda and theory regarding venue shopping, framing and lobbying. The method chosen for this qualitative case study consists of both gathering data through semi-structured interviews and through documents provided by stakeholders and information available publically through archives and media.