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1967 Uppsatser om Clinical decision - Sida 46 av 132
BRA Metodik - Balanserad ruttanpassning för mjölkrundetåg i JIT-organiserade monteringsavsnitt
This thesis aspires to construct a routing optimization method customized for Volvo Powerstrain?s manufacturing plant in Skövde, Sweden. In order to enforce Volvo?s own understanding and control of there own organization, as well as optimize the utilization of the in-house tow trains, the BRO methodology where created. The methodology where created from observations of the currents working environment, analysis of order data as well as a comparison with two similar producing factories.
Känsla av sammanhang i förhållande till ålder, egenupplevd sjukdomsbild och hälsotillstånd hos en grupp individer med reumatiska sjukdomar
Celiac disease (CD) is an autoimmune disease, induced by an immune mediated reaction in the small intestine after ingestion of gluten and related prolamines. There is a strong genetic linkage and most important are the genes that encodes for HLA-DQ2 and HLA-DQ8. The European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) has developed new guidelines for investigation of CD in children and adolescents, which include genotyping for HLA-DQ2 and HLA-DQ8. Therefore, the clinical microbiological laboratory in Västmanland wants to introduce a method for analysis of these genes. Microarray is a newly developed method for determination of the alleles HLA-DQA1 and HLA-DQB1 that encodes for the ?- and ?-subunits of the HLA-molecules.
Hovbroskförbening hos svenska ardennerhästen :
Ossification of the collateral cartilages of the distal phalanx has been studied primarily in cold blooded horses. The clinical relevance of this condition is unknown. Despite this fact, since 1939, all Swedish Ardenner stallions have had to be classified as being free from this ossification to be approved for breeding. Initially, palpation was used as a diagnostic method, but since 1982 radiology has been the only method used.
The aim of this study was to assess the outcome of 68 years of breeding program. Dorsopalmar radiographs were taken of the front feet of 58 Ardenners (30 mares, 8 geldings and 20 stallions) and the ossification of the collateral cartilages was evaluated and graded according to three different scales; - Ruohoniemi (grade 0-5), - Swedish University of Agricultural Science (grade 0-3), - and a new scale (grade 0-3), developed for this study.
Outsourcingrelationen med fokus på management control och de faktorer som påverkar beslutet att insourca
There is limited research done in the area of management control in the relationship between companies. This study investigates management control in outsourcing relationships and the decision to change sourcing strategy and to insource functions. The empirical research was conducted at an international company, which in this study has been anonymized. The research is mainly based on interviews. To extend and verify the conclusions drawn, another company, AB Ph.
Det andliga i vården i ett sekulärt samhälle : Vårdforskarens uppfattning och patientens upplevelse
Aim: The purpose of this study was to highlight in what forms and manifestations spirituality emerges in medical patients whether they consider themselves believers or not. The other aim was to analyse spiritual ideas of nursing scientists ? authors of the patients? oriented studies to come to the better understanding of the situation with spirituality in caring. Method: Descriptive meta-synthesis was chosen, in which 12 nursing studies were analyzed and compiled in a new integrity. Results: The analysis shows that caregivers must be ready to meet and confirm the spiritual dimension consisting of Faith, Meaning, Relationship and Questions without answers in the various forms and expressions they emerge in patient?s experience.
Logopedisk intervention för barn med språkstörning ur ett historiskt perspektiv : en uppföljningsstudie
One of the largest work areas for speech and language pathologists is intervention for children with speech and language disorders. The purpose of the present study was to describe and analyze the clinical management of language impairment in children by studying and comparing medical records and literature from the years 2000 and 2009. The present study is a sequel to two previously published papers by Christina Samuelsson (1997; 1999), in which medical records and literature from the 1920-, 60- and 70?s were studied and a paper by Helén Sämfors (2001), in which the years 1985 and 1995 were studied. The medical records used in the present study came from a medical ward for speech and language pathology at a university hospital in Sweden. The results showed that significantly more children were referred to the clinic for speech and language problems in 2009 than in 2000, and more children were treated for their impairments.
En kartläggning och utvärdering av vårdkvalitet inom den rättspsykiatriska öpenvården i Malmö: utifrån ett patientperspektiv
The aim of this study was to map out the quality of the treatment in the forensic outpatient care unity in Malmoe from a patient point of view. This target group, seriously mentally disordered law-offenders, has been neglected in the scientific research. This investigation will hopefully contribute to a positive change in this subject. To achieve a good understanding of this field a methodological triangulation was conducted which included an observational study, a pilotstudy and semistructured interviews. 14 patients and 10 staff members were interviewed.
Är en ökad reglering av lobbyverksamheten önskvärd? : En samhällsekonomisk bedömning av lobbyverksamheten i EU
As EU?s authority increased the number of lobbies in Brussels grew. Today there are approximately 15 000 lobbyists in Brussels. EU decisions and EU directives can have a huge impact on companies and organizations. They can however influence these decisions and directives through lobbying.
Akut prostatit hos hund : en retrospektiv studie av ultraljudsbilden på 15 hundar med kliniska tecken på akut prostatit
Acute bacterial prostatitis is a common disease in older male dogs. It gives symptoms such as fever, pain, tiredness, infertility, unwillingness to mate and sometimes symptoms from the urinary tract. It is common that you do an ultrasound exam on dogs when you suspect prostatic changes.
In this study 15 dogs diagnosed with acute prostatitis at the small animal clinic at SLU in Uppsala were examined. The clinical signs and the ultrasound pictures were put together in retrospect.
Normering av test av intraoral stereognosi och tvåpunktsdiskrimination : Hos barn i åldrarna 5;6 - 7;0 år
The oral sensory ability in children can be assessed through test of intraoral stereognosis and two-point discrimination. Currently, these two tests are not frequently used in clinical settings, and normative data are not always available. The aim of this study was to establish normative data for these two tests in children aged 5;6 to 7;0 years. Further, intention was to compare the results with respect to age and gender. In total 103 children participated, 49 boys and 54 girls.
Telemedicin i Västerbottens läns landsting : Diffusion och kartläggning av telemedicin ur ett geografiskt perspektiv
Telemedicine is the use of information and communication technology to provide clinical health care at a distance. This approach is usually adopted to bridge the distance in rural settings, but it is also a method to meet demographical and economical challenges. Västerbotten, a sparsely populated county with an ageing population, is in leading edge when it comes to telemedicine. The purpose of this report was to examine the diffusion and the inventory of telemedicine in the county council of Västerbotten from a geographical perspective. To gain a deeper understanding of diffusion and inventory of telemedicine, my purpose was also to examine these processes from an international and national perspective.
Reala optioner : Konsten att tydliggöra värden i tidiga venture investeringar
Analysts at Venture Capital firms of today experience troubles when they try to explicate the intrinsic value, which they see in their investments. The traditional valuation models do not account the value of flexibility and analysts have to Through studies at a Venture Capital firm in Sweden, I have analyzed if Real Option analysis could help them to explicate the intrinsic value that they see.With the help from a decision tree, analysts can identify the hidden option values embedded in the investment. I find that real options can be a helpful tool for Venture Capital companiesto clarify the intrinsic values that they see in their investments. Real option analysis is however not a competitor to traditional value methods, it is rather a compliment..
Förmedlingen av skönlitteratur på folkbiblioteket
The aim of this thesis is to study how librarians in Swedish libraries perceive the task of mediating fiction. What are the librarians private relationships to fiction and how do they perceive the position of fiction in contemporary society? What views have they developed of the borrowers approach to fiction and how do they perceive the borrowers increasing influence in the library? How do librarians prioritise and which principles form the basis for their purchase of fiction? How do they categorise fiction in the library and how much do economic and political factors influence the decision making process for the purchase of fiction? Finally, how do they define their roles as mediators of fiction and which strategies do they adopt to communicate which literature the library has to offer? The material used in this study was acquired using a qualitative interview technique in which six librarians with experience of literature mediation partook..
Palliativ vård för barn : Stöd och tröst till det svårt sjuka barnet och dess familj
Purpose: The purpose of this study is to highlight what is perceived as- and what is not perceived as- supportive and comforting, by the sick child in palliative care, and by its family. Method: Systematic literature review in which only scientific articles from the years 2001-2010 have been included. Analysis: A method inspired by qualitative content analysis was used. Results: The analysis revealed five categories of what the sick child and its family experienced as supportive and comforting - and what was perceived negatively - in the context of palliative care for children. The results showed that it was very important to have competent, dedicated and compassionate staff that not only care for the child but also see to the whole family.
Hur främjas läsutveckling? : Fem pedagogers tankar om hur de arbetar för att stödja elevers tidiga läsutveckling
A new curriculum, entailing news for teachers as well as students, was implemented in 2011. Among other things History has been given a more prominent position in that every student will now study the subject. Can this decision lead to history being used more in the future?The aim of this thesis is to study the new curriculum, Gy11, as well the Lpf94 and Lgy70, based on Klas-Göran Karlsson´s typology where the use of history is divided into seven different categories. I will analyze the curricula, looking at what different uses of history that can be discerned as well as what changes have been made over time.