
Sökresultat:
568 Uppsatser om Clinical judgment - Sida 2 av 38
"Att orka vara själavårdare" : En jämförande studie av copingresurser i pastoralkliniskt och kontextuellt själavårdsparadigm.
This study aims to find coping resources in two different paradigms of pastoral care using coping theory from the psychology of religion. The intention is to find coping resources that are functional coping strategies to help priests and chaplains in their work with pastoral care. The research questions are: What coping resources can be found in the pastoral clinical paradigm and the contextual paradigm? What are the differences and similarities? The method used is template analysis style where the theories form a framework for the material used to analyse in this study. The theories used for this study are religious coping theory and pastoral care theory.
Clinical Innovation Fellowships : Uppföljning av en ny metod för förändringsarbete inom sjukvården
Centrum för Teknik i Medicin och Hälsa (CTMH) har, i samarbete med Stanford University, utvecklat programmet Clinical Innovation Fellowships (CIF) för att identifiera förändringsbehov inom vården. Syftet med den här uppsatsen är att undersöka huruvida arbetssättet med Clinical Innovation Fellowships har åstadkommit förändringar för patienter, medarbetare och ekonomi på värdklinikerna.Undersökningen har visat att arbetssättet med CIF framförallt har åstadkommit förändringar för medarbetare. Även förändringar för patienter har genomförts, dock har den ekonomiska aspekten av programmet varit svårare att mäta och se några konkreta förändringar inom.Det har gått att tyda en generell trend som visar att de undersökta värdklinikerna valt att börja med de förändringar som är av mer praktisk natur och enklare att genomföra lokalt på kliniken. Värdklinikerna har haft svårare att genomföra större, organisatoriska förändringar, vilka styrs mer centralt på sjukhusen. Undersökningen på de utvalda värdklinikerna visade att något som skulle gynna CTMHs arbetssätt med CIF skulle vara att etablera en uppföljning på klinikerna.
Escherichia coli-mastitis in dairy cows :
Escherichia (E) coli is one of the most common udder pathogens associated with acute clinical mastitis in Swedish dairy cows. The aim of this study is to review some of the existing literature on E coli mastitis from a Swedish perspective. The bacteria, its most important characteristics, and diagnostics under field conditions is covered, as well as what happens during infection, how E coli affects the cow and which consequences this have. Clinical symptoms associated with E coli mastitis are described and information on when these cases of mastitis usually occurs is given. Risk factors in the cow?s enviroment are described as well as the importance of the cow?s immune defence.
Uppföljning och återkoppling efter prehospital bedömning och behandling
The Swedish prehospital/ambulance organization has the last decades evolved from a transport organization to a an organization that focus on alleviate and treating acute medical conditions in the field as well as transporting patient to the emergency ward. The ambulance service is developing continually and offers today a high-tech and highly specialized nursing/care. Which in turn demand a higher standard and competence on the care provider. Ambulance mission can vary in priority and magnitude. This in turn demand a high medical competence our capacity.
Utvärdering av Komm-A, en modell för arbete med kommunikationsbok för personer med afasi i logopedisk verksamhet
The purpose of this study was to evaluate Komm-A, a model for usingcommunication books in clinical practice for people with aphasia. The studyconsisted of two group studies and one case study. One of the group studies had apretest-posttest design and consisted of nine couples; a person with aphasia andhis/her communication partner. The material used was Quality of communicationlife scale (QCL), Communicative effectiveness index (CETI), Goal attainmentscaling (GAS), and a questionnaire to the communication partner. The other groupstudy consisted of seven speech-language pathologists who worked with thecouples according to the Komm-A model.
Utveckling av metod för utvärdering av synnervens funktion hos häst :
VEP, visual evoked potential is an electrophysiologic test that can be used for evaluating the higher visual pathways. The aim of this study was to investigate if it is possible to adapt this method to horses. This method could have a clinical use in addition to the existing diagnostic methods that are available to evaluate vision in horses.
Firstly, this study contains a summary of relevant studies done on animals and, secondly, an experimental part where the possibility of recording VEP in nonsedated and sedated horses is investigated and where to position the recording electrode to obtain the best results.
Our results show that it is possible to record VEP in horses in a clinical setting. VEP was best recorded in the sedated horse to avoid movement artifacts and other disturbances.
Biståndshandläggare inom äldreomsorgen - mellan behov, lagar, riktlinjer och handlingsutrymme
This study is about care managers, who process in the care of the elderly, regarding to needs, rules, regulations, guidelines and their freedom of space. The purpose with this study is to understand how the care managers process out of the basis from the needs of the elderly, the municipal guidelines in relation to the caremanagers freedom of space.The study has a qualitative approach and is based on semistructured interviews with five different care managers.To analyze our interview material we have use the street-level bureaucrat theory by Lipsky and Johansson and the theoretical idea empowerment. Before we started our research about care managers we had an understanding in that the organization had an influence in the judgment of the needs of the elderly. Now we have an understanding in that the relative to the elderly is the one who wants to affect the care manager during the judgment of needs in what effort to make. Our study indicates that it exist insecurity regarding to the municipal guidelines, which was surprising. We thought that the guideline was something positive and a help full tool for the care managers.The result in our research points out that the guidelines makes insecurity instead of comfort.Our study shows that the care managers are contradictory regarding to their freedom of space. In the other hand they consider that their freedom of space is positive, but on the other hand when the municipal guidelines don´t work, they become worried and insecure.It´s the none working municipal guidelines who gives the care managers a huge freedom of space. Which leads to that the care managers is afraid of doing misjudgments. Our result don´t distinguish from other studies made in this subject area. .
Vitesklausuler : En begränsning av ersättningsansvaret
Penalty clauses is a term that can be put in an agreement and is an amount that shall be paid by a part of the agreement if they cause any damage to the other part by breaking the agreement. Penalty clauses have since around 100 years ago had a quite clear meaning in Sweden according to a lot of authors. These authors have the opinion that penalty clauses is an exclusive judgment of the compensation the victim has right to, that means that if the parties have put a lower amount in the clause the victim won?t get full coverage for the damages caused by the other party. That the penalty clause is an exclusive judgment of the victims right to compensation means that the victim doesn?t have the right to request other compensation above the compensation in the clause if nothing else is stated in the clause.A penalty clause may be viewed as a complement to compensation you get according to The Tort Liability Act (1972:206) where it is often difficult to obtain full compensation for damages when it is required that a number of conditions are to be met for damages deleted.
Hypoadrenokorticism hos storpudel :
Hypoadrenocorticism (Addison´s disease) results from insufficient production of glucocorticoid and mineralcorticoid hormones from the adrenal glands. The disease is often difficult to diagnose in an early stage because of the multitude of associated vague clinical signs. The standard poodle is one breed presupposed to be at higher risk of developing the disease. The purpose of this study was to give a review of canine hypoadrenocorticism as described in literature, and to characterise Addison´s disease in a population of standard poodles in Sweden. Statistics on incidenceproportions by breed for hypoadrenocorticism from the database of the Swedish insurance company Agria are presented.
Insättningsrutinernas effekt på tillväxt samt effekten av klinisk sjukdom på ätbeteendet hos kalvar i gruppbox med automatisk mjölkutfodring :
The aim of the present study was to investigate the effect of strategy for grouping calves into group pens with automatic milk-feeding systems on the calves' health and growth rate. The usefulness of changes in feeding behavior recorded by the computerized milk-feeder during periods of illness to identify calves with clinical diease was also studied.
In the first experiment, 64 calves were moved in and out of group pens in a continuous way, while 46 calves were transferred into group pens until the the pen was considered "full". The calves in the latter groups were then held together until weaning. It was found that calves in the fixed groups grew approximately 100 g / day more compared to the calves in the dynamic groups. Signs of clinical respiratory disease were less frequent in this group, while the incidence of diarrhoea was slightly higher.
In the second experiment health parameters, milk consumption and feeding behaviour was recorded daily for 46 calves.
Utvärdering av en snabbtest för diagnostisering av hypokalcemi hos nötkreatur :
Clinical signs of hypocalcaemia in dairy cows are easily recognized, and a rapid response to treatment generally confirms the diagnosis in the field. However, clinical signs of other disorders in cows, such as toxemia, calving paralysis, or muscoskeletal injury, may mimic those associated with hypocalcaemia. Therefore, making a diagnosis of hypocalcaemia on the basis of clinical signs alone may be difficult. In ambulatory veterinary practices, cow-side tests are useful to make the diagnosis and prognosis easier.
Kruuse?s Kalcium Test is a cow-side test based on the principle that calcium ions are necessary for coagulation of blood, and that chelation with EDTA prevent coagulation.
Höftledsdysplasi och armbågsledsartros hos labrador retriever med känt radiologiskt status av höftleder och armbågar : en tredje uppföljande studie
Joint-related diseases including hip dysplasia (HD) and elbow arthritis (ED) can in advance cases lead to that the dog has to be put down, and these diseases are also the cause to expensive veterinary treatments of many large breeds, including Labrador Retrievers. The aim of this study was to make a follow-up study on the 271 Labradors, who previously participated in a study on the effect of nutrition and exercise on hip and elbow status in a birth cohort born year 2000. That study investigated the relationship between nutrition, exercise, and HD and ED. A follow up study on the same dogs at 5-6 years of age investigated the clinical effects of the radiological hip and elbow status at 1 years of age and if was effected by body condition score. This study took place in 2011-2012 and 187 Labrador retrievers participated.
SYNS VI I SVERIGE? : En rättssäkerhetsstudie om barn i migrationsprocessen
The current thesis is on the rule of law and how the principles of the rule of law are met in thenew Swedish migration process. The migration process has been subjected to criticism duringseveral years and on different occasions. The migrations process is viewed through a ?rightsof the child? perspective, foremost to seek if the rights of the child are met. The children are avulnerable group, not the least in the process of migration.
Ultraljud som diagnostiskt hjälpmedel vid subklinisk mastit hos ko :
This study was performed to investigate the possibility to use ultrasonography as a diagnostic tool for sub-clinical mastitis in dairy cows. Five cows with high cell counts, and four cows with low cell counts were selected as cases and controls, respectively, and their udders examined with ultrasound during a 5 week period. The image of the udders of cows with high cell counts exhibited small, hyper-echoic, rounded foci, approximately 1 cm in diameter, near the milk cisterns and the base of the teats. These changes were not found consistently in all cows with high cell count, however. Ultrasonography may be a valuable complementary tool in the diagnosis of sub-clinical mastitis in dairy cow, but more cases need to be monitored before its full value can be ascertained..
Sjuksköterskestudenters upplevelser och erfarenheter av den verksamhetsförlagda utbildningen och hur den påverkar deras syn på omvårdnad
sjuksköterska (I. Dahl).