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1967 Uppsatser om Clinical decision - Sida 63 av 132

Hylluppställning i förändring ? En studie över svenska folkbiblioteks alternativa hylluppställningar

The aim of this thesis is to study how public libraries in Sweden use alternative shelf arrangements that differ from the library?s original classification system, which in Swedish public libraries usually is the SAB-system. I sent out a survey to 169 public libraries, where I received 114 replies. 77 of these stated that they had some kind of alternative shelf arrangement, therefore these are the ones that are included in my study. I wanted to investigate in what way the libraries had changed their shelf arrangement and why this decision was made.

Exkludering som demokratiproblem - En fallstudie av Bolivias demokratiska situation

Bolivia is a multiethnic country where the indigenous people constitute the majority of the population. Despite two decades of attempts to take the democracy further is its foundation more volatile than ever. The aim of this bachelor thesis is to examine if exclusion is taken place in Bolivia from year 1982 until today and if so in which way political exclusion constitute problems of democracy in Bolivia. The answer depends on the understanding of democracy used in the analysis. In this thesis I use theories of process-, participation- and deliberative democracy.

Sjuksköterskors erfarenhet av fasthållning av barn vid kliniska procedurer inom somatisk vård : En litteraturstudie

Bakgrund: Fasthållning av barn används vid ett flertal kliniska procedurer. Barns samt vårdnadshavares upplevelse av situationen är ofta negativ. Etiska principer samt lagar och riktlinjer utgör en teoretisk grund i en fasthållningssituation. Barnets autonomi samt sjuksköterskans omvårdnadsplikt är två utgångspunkter i fasthållning som fenomen. Syfte: Att beskriva sjuksköterskors erfarenhet av fasthållning av barn vid kliniska procedurer inom somatisk vård.

Initial evaluation of the Meritas Troponin I test for measurement of equine cardiac troponin I

Cardiac troponin I (cTnI) is considered a specific and a sensitive biomarker of cardiac disease, and due to a high inter-species sequence homology; human cTnI assays can often be used in veterinary medicine. The main aim of this study was to perform an initial evaluation of a human cTnI test, the Meritas Troponin I test, for measurement of equine plasma cTnI, in order to investigate whether the test could be a possible subject for a more comprehensive validation. The hypothesis was that the test could measure equine cTnI, as there is a good homology between equine cTnI and human cTnI. The evaluation included a dilution parallelism, an intra-assay precision study and measurement of plasma cTnI healthy horses. In the dilution parallelism and the intra-assay precision study, equine plasma with previously established high cTnI concentration, according to another cTnI assay, was used. In addition, cTnI concentration was measured in plasma, collected from 19 horses, without signs of disease at physical and ECG examinations. The obtained curve in the dilution parallelism was linear, indicating that the Meritas Troponin I test can be used to measure different concentrations of equine cTnI in plasma.

Folkbibliotekarier - Kompetens, identitet och status

The aim of this bachelor?s thesis is to develop knowledge about how librarians experience their professional identity, argue for their competence and describe their profession based on their professional skills, tasks, and status. The method that is used to answer the questions of the study is semi-structured interviews with five public librarians. The theory used in this essay is Ørom?s six librarian identities plus Schreiber?s experience intermediate identity.

Peer learning under specialistsjuksköterskeutbildningen inom intensivvård : - ett handledarperspektiv

Peer learning är en handledningsmetod, som tydliggör anknytningen mellan teoretisk och praktisk kunskap samtidigt som ett större antal studenter kan erbjudas verksamhetsförlagd utbildning. Därför vore det av intresse att undersöka om det är en tillämpar metod i specialistsjuksköterskeutbildningen mot intensivvård. Syftet med studien var att undersöka peer learning som handledningsmetod inom specialistsjuksköterskeutbildningen mot intensivvård utifrån handledares perspektiv. Studien utfördes genom fokusgruppsintervju med en beskrivande design med induktiv ansats där data analyserades med manifest kvalitativ innehållsanalys. I studien framkom sex kategorier och fyra underkategorier.

Effects of treatment with PiNO (Pulsed Inhaled Nitric-Oxide) on the metabolism in colic horses undergoing abdominal surgery.

The main objective of this research was to study how increased arterial oxygenation by the use of Pulsed Inhaled Nitric-Oxide (PiNO) influenced the metabolic and cardiovascular parameters on horses undergoing acute abdominal surgery because of colic. The parameters blood lactate, blood glucose, pH and heart rate were evaluated before and during anesthesia and closely after recovery. The study showed that blood lactate concentrations decreased significantly during anaesthesia in horses treated with PiNO compared to non-treated horses. It was also seen that the lactate concentration decreased most in horses with the highest levels before PiNO treatment. Since enhanced oxygen extraction ratio was evident in the PiNO group, improved oxygen delivery to the tissue may be a possible explanation for the improved situation.

Intensivvårdssjuksköterskors erfarenheter av att vårda patienter med postoperativt delirium efter hjärtkirurgi

ABSTRACTAim. To describe intensive care nurses´ experiences of caring for patients with postoperative delirium after heart surgery.Background. Delirium is a common condition after heart surgery. Previous research has focused more on pathophysiology, incidence, etiology, prevention, detection and management, and less on how nurses caring for patients with delirium experience it.Design. A qualitative interview study.Method.

En undersökning av arbetssätt vid designprocesser

The aim of this study is to explain the paradox of the memberstates willingness to surrender power of important issues such as asylum and refugee policy and therefore partly abandon its sovereignty. We also discuss the relation between internationalization, regionalization and globalization since these processes form the context in which our research problem is found. A case study is used as a method in this paper.In our quest for answers we use a theory of internationalization that we place in its context by primarily discussing the relation between globalization and regionalization. The theory is used as an explanatory force and to give it a concrete form we operationalised its three processes; internationalization of problems, internationalization of the societies and internationalization of the descisionmaking.The result of the case study shows that the increase in asylumseekers leads to a higher risk of negative competition wich give rise to the memberstates need to coordinate their politics.We found that when societies and problems are being internationalized, the state finds it difficult to resolve problems on their own and this leads to the internationalization of the dedescisionmaking. The internationalization of the decision-making process is therefore natural, which in this case means the decisions are taken by the EU rather than by the member states..

Ur led är tiden: En studie av metoder att korta ledtider inom forskning och utveckling

Product development cycles become shorter and shorter. The time from idea to market has become an important competitive factor. Despite this, methods used for making the product development process faster are surrounded with uncertainty about their efficiency. The purpose of the thesis is to describe the pros and cons of ?best practice? methods for shortening lead times and how these methods effect the lead times in research and development.

Akademiker i Sverige- En studie om tillströmning till utbildning och etablering på arbetsmarknaden

This essay deals with the relationship between the influx to higher education and the situation on the labor market in Sweden. It also examines whether overeducation as a phenomenon is present among Swedish academics and if there is any obvious discrimination between the sexes. The Swedish government has an outspoken goal that at least 50% of every age group shall undergo an academic education. Therefore, they have expanded the possibilities ofobtaining one. We have used three economic theories to investigate the subject of this thesis and applied these on the statistics of 4 different educations.

Sjuksköterskestudenters uppfattningar om handledning under verksamhetsförlagd utbildning

Syftet med denna studie var att beskriva sjuksköterskestudenters uppfattningar om vilka faktorer som ingår i god handledning under verksamhetsförlagd utbildning (VFU). Data samlades in via nio intervjuer och tre skriftliga svar, med hjälp av en intervjuguide, från sjuksköterskestudenter i termin 6 på sjuksköterskeprogrammet i Uppsala. Data analyserades med hjälp av kvalitativ innehållsanalys. Två teman utkristalliserades från analysen; studentens lärande och handledningens innehåll. Studentens lärande innefattar tre kategorier; kommunikation, organisation och förhållningssätt och handledningens innehåll fyra kategorier; kommunikation, organisation, förhållningssätt och arbetsklimat.

"Allt jag gör lär jag mig ju av". En studie om kunskapskrav och kunnande i anslutning till audionomstudenters praktiska utbildning

The audiologists´ knowledge-domain is generally described as a unique combination of medical, technical, social and behavioural sciences. It gives prominence to the importance of an adequate education relating to the knowledge-demands the students´encounter during their trainee-period. However, an important question is if the educational content corresponds to the knowledge-demands during the training? Aim: This study aimed to identify the knowledge-demands of students during their trainee-period. Furthermore, to identify how the students´ actual knowledge was related to the encountered knowledge-demands.

Tvåspråkiga elever : Läs- och skrivinlärning i det svenska språket

AbstractThe phonics is traditionally firmly established within reading acquisition in Swedish schools. The curriculum, Lpo 94 gives spacious independence regarding the question of method and we have to be aware of our own point of view when we are making the decision regarding the method of reading acquisition. Is it tradition or is it our linguistic point of view that is the determining factor? Through this study of literature, different publications from different times are being studied and the ideas and the linguistic point of view are being discussed. Through comparing between the curriculums that have been replaced of one another, and attending to linguistic discussion and research, we will be able to see a change in the linguistic point of view.

Kvalitetsgranskning av svenska ambulanssjukvårdens behandlingsriktlinjer rörande patienter med svår sepsis och septisk chock

Svår sepsis och septisk chock är sjukdomstillstånd som kan orsaka ett stort lidande för patienten genom att de är förknippade med hög mortalitet och morbiditet. Tidig identifiering och adekvat antibiotikabehandling är avgörande för prognosen. Detta ställer höga krav på ambulanssjukvårdens kvalitet. Ambulanssjukvården har behandlingsriktlinjer som ska utgöra beslutsunderlag och kvalitetssäkring för den givna vården. De potentiella vinsterna med en behandlingsriktlinje blir dock aldrig bättre än kvaliteten på behandlingsriktlinjen i sig.

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