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1967 Uppsatser om Clinical decision - Sida 56 av 132

Vad kan förklara skillnader i direktavkastningskrav? : En jämförelse mellan Stockholm CBD och förort

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.

Test av litiumheparinplasma fo?r analys av folat med Siemens Advia Centaur® XP samt effekt av inomhusbelysning o?ver tid

Background: Folate is a water - soluble vitamin necessary for normal DNA synthesis among  other mechanisms. Folate deficiency can cause megaloblastic anemia resulting from abnormal erythrocyte d evelopment. At the Department of Clinical Chemistry, Linköping, analysis of folate is performed with Siemens ADVIA Centaur® XP which uses an immunochemical method with chemiluminimetric detection. Currently, the assay is conducted on serum, is poured off and frozen after 48 h and treated with light protection because folate is considered to be light sensitive.Methods: This study tested lithium heparin plasma for analysis of folate with Siemens ADVIA Centaur® XP with the aim to be able to perform a package of analyzes in anemia investigation from the same collection tube. Furthermore, the stability of folate was studied for up to 168 h and examined regarding light sensitivity.Results: Statistically significant higher values were obtained in the analysis of folate in lithium heparin plasma than folate in serum (p < 0,001).

Specialistssjuksköterskans erfarenheter av att främja hälsa för patienter med hjärtsvikt : En intervjustudie på vårdcentraler

Background:Chronic heart failure (CHF) is a complex clinical condition. The higher survival rate after heart attack and other heart diseases, plus aging population, has led to more CHF patients. Symptoms can have negative impact on exercise capacity, ability to perform activities of daily living and quality of life. Heart failure clinics have been established to help better quality of life. Helping to stabilize and maintain patients´ health can reduce the need of hospital admission.

Sjuksköterskors upplevelser av kollegial handledning : en litteraturbaserad studie

Bakgrund: Sjuksköterskans arbete innebär att dagligen möta patienter i olika situationer, ofta  komplicerade  vilket  innebär  många  tankar  och  känsloupplevelser.    För  att  fortsätta utvecklas  som  sjuksköterska  samt  bearbeta  upplevelser  behövs  tid  till  handledning  och reflektion.  Det  finns  flera  olika  handledningsmodeller.  Syfte:  Syftet  med  studien  är  att utifrån  tidigare  forskning  beskriva  sjuksköterskors  upplevelser  av  kollegial  handledning.  Metod:  Litteraturbaserad  studie  med  kvalitativ  inriktning.  Resultat:  Det  framkom  fyra viktiga     huvudkategorier     med     åtta     underkategorier.     Huvudkategorierna     var, handledningsgruppen,  stöd,  reflektion  och  profession.  De  följande  underkategorierna, trygghet  och  motivation,  välbefinnande  och  kollegialt  stöd,  bearbetning  av  känslor, tillfredställelse och bekräftelse, stärkt yrkesidentitet, personlig utveckling samt kvalitet och engagemang.    Diskussion:  Sjuksköterskor  anser  att  handledning  är  viktigt.  Ges  de  inte möjlighet   till   reflektion,   riskerar   känslor   och   upplevelser   att   bli   ett   hinder   i omvårdnadsarbetet.  Det  är  dock  viktigt  att  handledning  utförs  på  rätt  sätt,  för  att  ge sjuksköterskorna  rätt  motivation  att  medverka  i  handledning.  Sjuksköterskorna  når  både personlig   och   professionell   växt   genom   att   utbyta   erfarenheter   mellan   kollegor. Konklusion: Sjuksköterskor har behov av  handledning, både i form av reflektion för att undvika att känslor och tankar blir ett hinder samt i sin professionella växt. Detta leder till ökad omvårdnadskvalitet..

Köpa konsulter via konsult, en tuff match för bemanningsbranschen -Fallstudie av konsultmäklares förmåga att matcha bemanningskonsulter med konsultuppdrag

During the last two decades, temporary staffing has been the fastest growing industry in Sweden. The latest development within this industry is the integration of third-party providers of temporary staffing. Client organizations outsource the process of recruiting temporary workers to intermediaries with procurement management expertise. The concept is called Vendor Management Services (VMS) and aims to standardize decision-making and lower costs through improved efficiency. However, studies have shown that VMS intermediary functions have negative impact on placement matching.

Kommersiella fastighetsinvesteringsbeslut : Påverkande faktorer ur ett investerarperspektiv

AbstractA master thesis in business administration 30 hp, Jönköping International Business School, Spring semester 2012.Authors: Sarah Henningsson & Jim BörefeltSupervisor: Urban ÖsterlundTitle: Commercial real estate investment ? Factors from an investor perspectiveBackground and problem: In this study, we focused on the real estate investor and the factors and issues that may arise and affect real estate investment decisions. It has been put in relation to the other parties in the process of assessing and affecting real estate investment decision. The parties that we studied are real estate investors, banks, brokers and appraisers.Purpose: This study aims to describe and explain the factors that affect commercial real estate investments for investors, credit assessment conducted by the bank and valuation made by the broker and appraiser.Delimitations: We have chosen to limit the study to commercial real estates including residential, retail and office properties, industrial properties and combinations thereof. Agriculture buildings and forestry plots are not examined.

Hinder och drivkrafter för ett medlemskap i en bilpool

This study focuses on carpooling and how carpools can be better integrated into today's society. The purpose of the study is to investigate what affects the motorist?s decisions to become a member of a carpool. The study will highlight the barriers and drivers of membership in a carpool. It is important for the future to change the attitude of motorists and get more motorists to choose more sustainable modes, as is the concept of carpooling is a good solution.The study is based on a qualitative approach with six respondents from the Eskilstuna municipality.

Förekomst av arteriell insufficiens : och samband till postoperativa sårinfektioner i de nedre extremiteternabland patienter som opererats med Coronary Artery Bypass Graft

The purpose of this study was to investigate the presence of arterial insufficiency in patients undergoing CABG surgery and whether arterial insufficiency is a risk factor for postoperative wound infections in the harvesting leg. Patients who had CABG surgery were enrolled consecutively. A total of 144 patients participated in the study. During their hospital stay demographic data was recorded, as well as pre-, intra-, and postoperative tests and risk factors. The patients answered a questionnaire regarding postoperative wound infections 30 days after surgery patients answered a questionnaire regarding infections.

Sjuksköterskors upplevelser av kommunikation med patienter med invandrarbakgrund

Aim: The aim of this study was to investigate nurses? experiences of communicating with patients with immigrant backgrounds regarding language barriers, patient relations and use of interpreter. Method: Eight persons participated in this study. Four registered midwives were interviewed in a focus group and one clinical lecturer with a district nursing background, one midwife and two district nurses were individually interviewed about their experiences. The content was analysed using a qualitative content analysis.

När är det barnens tur? : En studie om socialarbetares syn på barns delaktighet och inflytande

According to the Conventions on the Rights of the Child, children have the right to make their voices heard and express their opinion in situations concerning them. With this paper the authors have chosen to explore social worker?s view?s on children?s participation and influence, and how these are manifested through the entire case process. The focus in this study has also been the positive and negative effects the children?s influence may have.To investigate this, a qualitative study using semi-structured interviews has been conducted.

Progesteronrelaterad diabetes mellitus hos älghund :

Diabetes mellitus (DM) is a relatively common endocrine disease in dogs and is more common in certain breeds than others, e.g. Nordic spitz breeds. Within the Swedish and Norwegian Elkhound population, female dogs are almost exclusively affected. The hypothesis in this study is that Swedish- and Norwegian Elkhounds develop DM during the progesterone phase of estrous (diestrous or pregnancy). Medical records from 51 female dogs of the breeds Swedish and Norwegian Elkhound were studied.

Optimering av bromsdetaljer i gjutstål

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 .

Kommersiella fastigheter på auktion : En kartläggning av auktionsformatets för- och nackdelar

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.

Evaluation of an automated multiplex real-time RT-PCR assay for rapid detection of Influenza A and B viruses

Influenza is a viral infection that affects global health and economy with its endemic and sometimes pandemic spread. Rapid detection of Influenza viruses enables antiviral use and can bring financial savings. It is also essential for the global surveillance of prevalent Influenza strains. RT-PCR is considered the most specific and sensitive method for detection of Influenza, but Influenza mutates at a high rate and it is therefore crucial that RT-PCR methods are updated regularly.In 2014, Cepheid released their Xpert Flu/RSV XC assay, which can detect Influenza A and B and RSV by multiplex RT-PCR in approximately one hour. The aim of this study was to evaluate this assay at Laboratoriemedicin Västernorrland by using the laboratory?s previous PCR assay for detection of Influenza viruses as reference method.Real-time RT-PCR was used to compare Xpert Flu/RSV XC to the reference method.

En lärarutbildning för en mångsidig värld : En historisk genomgång av den interkulturella lärarutbildningen på Södertörns Högskola

The aim of this essay is to describe the historical development of the intercultural teacher training program at Södertörn University in Stockholm. I have also examined how the intercultural teacher training program was started, how and why it became intercultural and how the people in charge of the development of the teacher training program discussed intercultural science. The teacher training program has been an active part of Södertörn University since 1998, but it became intercultural in 2002. I have studied these questions through documents from the Södertörn University archives and literature by the funders of the education. The study shows that the university profile, ambitions and motives have been a key factor in the decision to make the teacher training program at Södertörn a multi-cultural one..

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