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1967 Uppsatser om Clinical decision - Sida 59 av 132
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.
ecoBUDGET - ett implementeringsperspektiv på införandet av ett miljöledningssystem
The aim of the study has been to explore certain aspects of implementation perspectives and to analyse the introduction of an environmental management system called ecoBUDGET in the Municipality of Växjö. A framework has been developed through thorough studying of earlier research in the field of policy implementation in public administrations. The framework is made up of the steering relationship between politicians and public administrators, decision making and implementation and the ability, want and understanding of how and why decisions should/could be implemented. By using this framework in combination with interviews held with individuals that host valuable knowledge and experience of the system these questions were to be answered:-What factors in the implementation process of ecoBUDGET can be seen to have facilitated alternativly hindred the integration of the environmental management system within the municipalitys administration and companies?- In what direction has the integration of a sustainable devleopment thinking for the environment thru ecoBUDGET evolved within the organisation?The result came to be that sustainable development and the strive for this is more and more amalgamated in to the everyday work within the municipal organisation and that the environmental management system is likely to have played a part in this..
Den etiska byråkraten - Lojalitet och legitimitet i bemötandet av gömda människor
It is estimated that approximately 10 000 people are living in Sweden after having been rejected residence permit or asylum, meaning that they have to hide from the authorities while facing a risk of being deported by means of violence as they do not wish to leave voluntarily.For their existence, a vast number of people employed by the public administration can be expected to contribute to the wellbeing of the hidden people through their professions as bureaucrats.The bureaucrats can thereby be expected to be torn between different sets of value systems, roles and obligations towards the state and towards the hidden people.In this master thesis, I examine how five bureaucrats motivate their acting for the sake of the hidden people in terms of legitimacy, legality and morality in their administration, towards their ethic responsibilities and towards society as a whole.The results show that the bureaucrats see themselves as saviours of ethical values in an illegitimate administration where economic efficacy and arbitrary decision-making constantly transgresses The Human Rights, ratified by the Swedish Parliament..
Framväxten av en svensk biblioteksersättning
erspective [80][upps-01.gif] This is a thesis on the Swedish Public Lending Right PLR, from a historical perspective. Some of the questions which are investigated in this thesis are: why did the State decide to introduce a PLR and why did it take about 20 years to make the decision? The question why the PLR was not introduced on a copyright basis is also discussed. The focus of this study is during the period of 1934-1956 and it is a literature-study. Mainly there are four reports made by different committees that have been examined.
Effektiv betong för småhusproduktion : Betong med högt luftinnehåll för platta på mark
This Masters thesis work describes a comparison between two different methods for estimation of the down channel (base station to mobile subscriber) in Wide-band Code Division Multiple Access (WCDMA). The first estimation method, Optimal Feed-forward Channel Estimation (OFCE), is a conventional method that bases the estimates on data that is known to both sender and receiver, so called pilots. The second method, Decision Directed Channel Estimation (DDCE), is an elaboration of OFCE. It also uses user data for estimation. Simulations show that DDCE, in comparison to OFCE, does not attain an improvement in signal-to-noise-ratio (SNR) for high bit error rates (BER).
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.
Agentrelationer och styrning i familjeföretag
The purpose of this thesis is to examine how the competitiveness of family firms is affected by governance mechanisms. The thesis addresses four governance mechanisms: inefficient labor markets, inefficient capital markets, self control and altruism. We have conducted an abductive method to be able to perform a qualitative research study. In this study two family firms have been examined, ROL and Indiska Magasinet. We conclude that the presence of inefficient labor and capital markets within the studied family firms give rise to negative effects in terms of difficulties of hiring talented employees.
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.
Lokalisering av vågkraftanläggningar : Metodutveckling med GIS och fallstudie Bohuskusten
In this thesis work a Geographical Information System (GIS) based methodology to identify locations suitable for the installation of wave energy converters has been developed. Parameters of importance have been identified and a GIS-database has been set up, containing data about the marine environment. In a case study of the Swedish west coast the methodology has been applied, resulting in a number of maps showing possible areas. The results show that large areas are suitable for installation of wave energy converters, from a technical and economical point of view. When consideration is taken to other interests in the area, such as navigation, fishing and environmental protection, the size of the suitable area diminishes considerably.
"Om föräldern hade varit normalbegåvad men behövt stöd i sitt föräldraskap hade situationen varit en annan? : - En dokumentanalys av rättsfall om LVU
Previous research has indicated that intellectual disabilities and parenting is not socially accepted and compulsory care of children often occurs in families where one or both parents have an intellectual disability. This study aims to, thru a document analysis, investigate ideas and representations of parents with intellectual disabilities that emerge in Swedish legal cases. The legal cases is about children who are taken care of according to LVU § 2, where one or both parents have a intellectual disability. The results of the study revealed that people with intellectual disabilities are seen as not capable of developing parenting ability, in some cases aroused concerns about parenting during pregnancy, these suggesting stereotypes of parents with intellectual disabilities. Of the documents reveals that social workers word overrides in the decision-making, this leads to a position of power where the parents are at a disadvantage..
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.