
Sökresultat:
568 Uppsatser om Clinical judgment - Sida 10 av 38
Revisorns resonemang i moraliska termer kring oberoendefrågor
ABSTRACTThe auditor independence is constantly being questioned while discussing whether the auditor is really independent from the client. There are also factors threatening the auditor?s independency and decreasing the legitimacy towards the auditors. One example is the long-term relationship between the auditor and the client.The analysis model is the most useful for the auditor to control his independency. Former studies show that the auditor?s judgments about the threat to independence differed among the auditors.
Peritonitis in horses : a retrospective study of 69 cases admitted to a university hospital during a ten year period
Peritonitis is a potentially life-threatening disease in horses. With no published work from Sweden, the objective of the study was to describe the occurrence and demographics of horses with peritonitis and to evaluate the outcome of treatment in terms of short-term survival during a ten-year period in a large clinic in Sweden.
Data were examined in a retrospective manner in 69 horses diagnosed with and treated for peritonitis at Universitetsdjursjukhuset (UDS) in Uppsala between 2002-2012. Demographic data examined included age, breed, gender, history, duration of illness before arriving at UDS, reason for seeking veterinary care, initial clinical findings (general state of health, heart rate, respiratory rate, mucous membrane appearance, rectal temperature, abdominal sounds, rectal examination, nasogastric tube results), abdominocentesis results (abdominal fluid analysis including visual inspection, leukocytes and protein, cytology, bacterial culture and sensitivity pattern), complete blood count (CBC), Serum amyloid-A (SAA) upon presentation and a follow up, plasma fibrinogen, plasma protein and albumin, treatments, length of hospitalisation and outcome.
All medical records with the diagnosis of peritonitis were extracted from the medical records system Trofast. All records with any other diagnosis code referring to trauma such as rectal tear or ruptured uterus, recent abdominal surgery, external trauma or rupture in the gastrointestinal tract were excluded. To be included in the study, the peritoneal fluid should contain more than 20.000 cells/?L, have a peritoneal protein value of >30 g/L; or have a significantly changed peritoneal fluid sample (orange with increased turbidity or worse) in cases where no data on cells or protein were available.
The horses were divided into two groups; one where the peritonitis was deemed to have an idiopathic aetiology (primary peritonitis) and the other group where the peritonitis had a possible aetiology such as intestinal parasites, impaction etc.
Smärtbehandling - Sjuksköterskans inställning till ordination och dokumentation - En empirisk studie
The aim of this empirical study was to investigate how nurses on a ward within
the emergency clinic deal with analgesia prescriptions and the pain management
documentation. The used method was divided into chart reviews and qualitative
interviews with nurses in clinical practice at the ward. This means that both a
qualitative and quantitative approach was desired. The results incline that nurses
generally apply to the laws and restrictions surrounding the nursing discipline, as
used in pain treatment. Thus they generally fulfill the obligations accounting to
documentation.
Behandling av sommareksem hos häst med cetirizin : ett fältförsök
In this study we intend to evaluate the effect of cetirizin, orally administrated to horses with insect dermal hypersensitivity. The study comprised 156 horses from 49 farms, which were located in different parts of Sweden. The horses were matched on the farms and were given cetirizin or placebo in a double blind test. Veterinarians collected a blood sample and examined the horses visually, before and after three weeks of treatment and filled in given forms. The results are based on the veterinarians? subjective evaluation of the clinical appearance of the allergic dermatitis before and after treatment.
Vad som pa?verkar animato?rers val i skapandet av fotorealistisk 3D-animation
The purpose of the paper is to show some possible factors that affect the animators? choices when working on photorealistic animation based on references. Research in computer graphics has since 1970 had as a main goal to achieve photorealism. When working on 3D-production for film, animation is a part of the process. This part aims to give life to digital characters, among other things.
Differences of progressive retinal atrophy in dogs
A group of diseases that affect the dog?s sight is progressive retinal atrophy (PRA) a disease that means that the photoreceptors in the retina of the eye either not develop normally or undergo degeneration and thereby causes vision loss and blindness. The disease affects many different breeds and is inherited. What have been shown is that it is different genes that had become mutated in the different breeds, this conclude that despite similar clinical symptoms, the underlying reason could be different. Also the genes that are mutated in dogs and give rise to diseases also exists in humans.
Behandlingsresultat av kliniska mastiter : en studie av mastitbehandlingar utförda i mjölkkobesättningen på Jälla naturbruksgymnasium 1997-2008
Mastitis is an important disease in dairy cattle. It is very costly for the farmers and affects a large number of animals. Few studies have been made investigating the outcome of treatment for acute clinical mastitis under Swedish conditions, and it can be problematic to use the results in foreign studies since both the microbial flora as well as treatments may be different from the situation in Sweden. In this project we have investigated data on clinical mastitis and antibiotic treatment in the dairy herd at Jällaskolan, Uppsala based on recordings during the last ten years. The material includes both Swedish Red (SRB) and Swedish Holstein (SLB) breeds, which have been kept at the farm under similar conditions.
Det Omedvetnas återkomst : En tvärvetenskaplig litteraturstudie i fältet mellan psykoanalys och neurobiologi
There are differences today amongst psychoanalysts regarding if psychoanalysis should limit itself to being exclusively a hermeneutic discipline or if psychoanalysis should find points of contact with neurobiology. The purpose of this essay is to touch upon the larger issue that creates the different points of view: Can psychoanalysis become enriched by finding points of contact with neurobiology, and should psychoanalysis be regarded as belonging to a broader scientific field than being exclusively a human science? The question at issue is: Can modern neurobiology contribute to a development of the psychoanalytic concepts; compulsion to repeat, transference/countertransference and talking cure? The method used is a literature study. The result shows that: Freud?s theories regarding traumatic compulsion to repeat can be linked with LeDoux?s theory of "emotional memory".
Revisorns användande av experter och dess påverkan på komfort
The modern auditor is, because of an increased complexity, dependent on the use of experts. Simultaneously different scandals have occurred where the auditor in fact have been using experts. Although the auditor is using an expert, the auditor alone is responsible for the statement that the expert makes. Research simultaneously indicates that the auditor?s use of experts is a difficult task.
Effekt av ACE-hämmare på incidens av hjärt-kärlsjukdom och mortalitet hos diabetiker typ 2 samt av diabetes hos hypertonipatienter.
Background: Diabetes mellitus is a chronic disease that manifests as an increased level of glucose in the blood. According to the World Health Organization (WHO), 347 million people have diabetes worldwide. In year 2004, 3.4 million people died from the consequences of high blood glucose. In the Swedish population the prevalence of diabetes is estimated to 3-4 %, out of which 85-90% are Type 2. Among senior citizens a prevalence of diabetes is seen in Sweden up to 14 - 15%.
Metodutveckling av självskattningsformulär för prestationsmätning av flygledare innan skiftstart
This paper was part of the ongoing cooperation between the Swedish Civil Aviation Authority and the Department of Psychology at Lund University. The purpose of this study was to develop a self-report measure regarding human factors, for the air traffic controllers to fill out before they start their working shift. This in order to aid the team leaders in their judgment regarding the air traffic controller's ability to perform at the right safety level. The self-report measure would also serve as an aid for the air traffic controllers who have a responsibility regarding their own performance. If successful this self-report measure would make it easier for the air traffic controllers to be alert regarding certain factors that can have a large impact on their performance.
"Man vill veta hur det går i skolan"
In the fall 2011 a new grading scale will be implemented in the Swedish school. A government bill suggests a change of the scale from a three- to a six-point scale. The students will also be graded from the sixth class instead of today?s eighth. From the first year of the compulsory school the pupil will get a written judgment.
Avskaffande av exekvaturförfarandet : En studie av kommissionens förslag till en reviderad Bryssel I-förordning
In order for a judgement to be enforceable in another Member State, there is a certain requirement for an "intermediate? court procedure, a so-called exequatur procedure. An exequatur procedure is both expensive and time-consuming. The average cost of the procedure within the EU is 2 200 euro in a case without particular difficulties. In more complex cases, the cost of the procedure can be validated up to 12 700 euro.
Bedömningsgrunder för boendestöd : en intervjustudie med biståndshandläggare i Uppsala kommun
This bachelor thesis aims to investigate how social workers in Uppsala describe their procedure when investigating applications for housing assistance (i.e. boendestöd). Boendestöd is a specific type of services for people with disabilities, which aim to assist them in their lives. This welfare service is one of many regulated by the framework legislation that is the social services act (SoL 2001:453). Previous research indicates that civil servants who make decisions based on goal-oriented framework legislations like SoL, have a great freedom to act when they make judgments and decisions.
Klinisk termografi som diagnostiskt hjälpmedel vid rörelsestörning hos häst :
Thermography is the assesment of the surface temperature of the horses body and it falls into the categori of physiological imaging. Thermography allows us to portray inflammation and changes in sympathetic tone in a graphical manner.
The purpose of this study was to review thermography in equine medicine and to evaluate thermography as an aid in the diagnosis of lamness in horses.
Thermography has been helpful to identyfy sprains, stress fractures, shin splints and soft tissue, tendon, ligamentous and nerv injuries and to monitor healing processes during rehabilitation. Routine thermography may reveal inflammatory responses prior to clinical signs.
In present study thermograpy gave especially valuabel information in two cases. In one horse reduced blood flow in a. saphena due to a thrombosis were visualised and in the other horse bilateral thoracolumbal radiculopati was diagnosed.