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568 Uppsatser om Clinical judgment - Sida 3 av 38
Kvalitet-i-Bruk för Beslutstödssystem inom Thoraxkirurgi
The aims of the practical work carried out for this thesis were to redesign a clinical decision support system for thoracic surgeons, called AssistMe, and to evaluate the concept behind this system. The main objective of the thesis is to give an account of the considerations that were found to be of key importance for designing a clinical decision support system for thoracic surgery. Another aim was to let future users test the system after it had been redesigned and evaluate the concept behind it. The thesis also investigates users? experience of the system and their views on whether it would be applicable in their daily work practice.
Dubbelprövningsförbudet avseende skattetillägg och skattebrott : - en utredning av införandet av regeringens förslag gällande en spärreglering samt ett samlat sanktionsförfarande ur ett rättssäkerhetsperspektiv
A tax penalty is an administrative penalty and is levied when the tax obligated provides false information for the guidance of their own taxation. Further can the taxpayer also be punished for tax evasion for the same false reporting. However, this is contrary to the European Convention that we should not be tried or punished twice for the same crime. The Supreme Court has through practice from 2013 ruled that the right not to be punished twice for the same offense shall include the system in force concerning tax and tax offenses. The Supreme Court has by this judgment determined that the system of penalty and tax evasion is not compatible with the dual test ban.In the light of the judgment the Government submitted in November 2014 a draft to the council regarding double test ban regarding penalty and tax evasion.
Fyra forskares informationsförsörjning och bibliotekets roll i denna process : en fallstudie på AstraZeneca R&D i Lund
Information is essential in order for pharmaceutical companies to be successful. This essay focuses on the information provision of pre-clinical scientists at AstraZeneca R&D Lund, and the role of the company library in this process. In semi-structured interviews, four pre-clinical scientists were asked to describe their information provision regarding what type of information they need, how they find it and what sources of information they use. Four librarians from the company library were also interviewed to give their perspective on the information provision of pre-clinical scientist. The study also aimed at comparing the image of the process as described by the scientists themselves and the librarians.
Fastställande av referensintervall för fibrinogen i plasma hos friska föl :
Establishing a reference interval for plasma fibrinogen in foals
Fibrinogen concentrations were analysed in EDTA preserved blood plasma samples from 34 thoroughbred foals born in 2001 and 2002 at one stud farm. The foals were between 0 and 240 days old at the time of the sampling, and there were 19 fillies and 12 stallions in the group. The foals were examined for clinical symptoms of disease and their body temperature was measured before blood was sampled from the jugular vein. From totally 156 blood samples, 31 were selected as originating from clinically healthy foals, and used to determine a reference range for thoroughbred foals. Samples originating from foals showing clinical symptoms of disease or an abnormal body temperature at the time of sampling, were classified as coming from unhealthy animals.
Bearbetning av GPS-data vid Flyg- och Systemprov
At Flight and Systems test Saab AB, a post-processing software is used to process GPS data. A new software by the name GrafNav has been purchased and the purpose of this master thesis therefore became, partly to make a judgment regarding GrafNav?s ability to estimate position, velocity and accuracy, partly to if needed improve the estimate and finally find one or several methods to estimate the position and velocity accuracy. The judgment of GrafNav was performed partly by a comparison to the former post-processing software (PNAV) and partly by a comparison to the airplane?s inertial navigation system (INS).
Livsstilsförändringar vid osteoartrit hos katt
Background: Osteoarthritis is understood to be a common cause of pain and dysfunction in cats; however there are few validated pain assessment methods for chronic pain in cats. In order to design a proper pain questionnaire, it usability need to be tested in both sound and sick cats.
Aim: The aim was to investigate the usability of the pain questionnaire ?Lifestyle changes in cats? by compiling the results from the pain questionnaire reflecting the lifestyle in 30 healthy cats and compare it to the results from a clinical examination, as well as proposing improvements and additions to the questionnaire based on a literature review.
Material and method: 30 healthy cats participated in the pilot study; the pet owner filled out a pain questionnaire with 16 questions regarding their cat´s behavioral and eventual changes in behavior and physical function. Thereafter the cat walked over a pressure measurement mat and finally underwent an orthopedic-directed clinical examination.
The literature was found on Web of Knowledge, PubMed, Sciencedirect, and Google Scholar and also with the help of my supervisors.
Stuttering Severity Instrument 3: Svensk översättning och utprövning
The main purpose of this study was to translate Stuttering Severity Instrument 3 and to evaluate its reliability and validity. Five speech-language pathologists assessed 35 adults who stutter with this assessment tool. Overall the results showed a very high inter- and intrarater reliability. A highly significant correlation between Stuttering Severity Instrument 3 and ratings of severity, made by the speech-language pathologists, strengthen the validityof Stuttering Severity Instrument 3. No correlation was found between the total score of Stuttering Severity Instrument 3 and the self-report measure Overall Assessment of the Speaker's Experience of Stuttering, whichindicates a lack of social validity in Stuttering Severity Instrument 3.
Man kan aldrig så noga veta? mentalisering i familjeterapi
Syftet med uppsatsen var att undersöka och beskriva hur man arbeta med mentalisering/ reflektiv funktion i olika familjeterapeutiska metoder. Uppsatsen bygger på intervjuer med sex erfarna familjeterapeuter med olika inriktning som besvarar generella frågeställningar samt beskriver hur de skulle arbeta med ett kliniskt exempel.Resultatet visar att familjeterapeuterna, oavsett tidigare kännedom om begreppen tänker likartat kring mentalisering och reflektiv funktion i sitt kliniska arbete, och att alla utom en terapeut väljer snarlika förhållningssätt i arbetet med det kliniska exemplet. Slutsatsen är att mentalisering/reflektiv funktion är något som familjeterapeuterna ser som vägen till att skapa förändring och att familjeterapeutiska metoder kan användas för att arbeta med och förstärka mentalisering och reflektiv funktion.The purpose with this essay was to examine and describe how to work mentalizing and enhancing the reflective function with various family-therapeutic methods. The essay consists of interviews with six experienced family therapists with various orientations who answers general questions and describes how they would work with a clinical example.The essay concludes that the family therapists, regardless of previous knowledge of these concepts, think alike about mentalizing and reflective function in their clinical work. All except one also choose a similar approach in their work with the clinical example.
Arbetsterapeuters kliniska resonemang vid bedömning av arbetsförmåga hos personer med neuropsykiatriska funktionsnedsättningar. : En kvalitativ intervjustudie
Uppsatsens syfte var att beskriva hur arbetsterapeuter resonerar kliniskt vid bedömning av arbetsförmåga hos personer med neuropsykiatriska funktionsnedsättningar. För denna studie användes en kvalitativ ansats. Semistrukturerade intervjuer genomfördes med fem arbetsterapeuter som jobbar mot arbetsmarknaden. Frågeområdena inspirerades av clinical reasoning ?three track mind? där procedural, interactive och conditional reasoning utgör de tre olika tankemönstren.Resultatet redovisades i fyra kategorier och ett övergripande tema som beskriver arbetsterapeuternas kliniska resonemang: Att forma en frågeställning, Att välja bedömningsmetod, Att utforma en slutrapport och Yrkeskompetens.
Prevalens av osteochondros hos avkommor efter svenska halvblodshingstar : en retrospektiv tvärsnittstudie utförd med hjälp av rutinmässigt insamlade klinikdata från röntgade hästar vid ett svenskt djursjukhus
The main purpose of this study was to study the heredity of osteochondrosis (OC) in fetlock-, hock- or stifle joints within the Swedish half-bred population, using data from the regional animal hospital in Helsingborg.
A large number of horses with clinical symptoms, for example lameness, are radiographed every year at the regional animal hospital in Helsingborg. In addition, many clinically healthy horses are radiographed in order to be sold (inspection radiographed / export radiographed). This study is based on electronically stored data from horses in both of these groups of patients that underwent joint radiography at the regional hospital in Helsingborg during the years 1992-1999. The first file (inspection file) contained 1035 observations from 983 horses that had their fetlock-, hock - or stifle joints radiographed for inspection or export. The other file (clinical file) contained 6121 observations from 3800 horses that were radiographed due to clinical symptoms in the fetlock-, stifle or hock joints.
Law and Corporate Finance: En studie av problematiken vid nyemissioner
The purpose of this thesis is to shade light on some of the problems associated with rights issues with regard to Swedish law. This thesis is limited to discuss problems regarding directed rights issues, rights issue discounts, underwriting agreements and asset to share compensation. The common factor for these matters is that the current legal situation is somewhat uncertain which allows for differences interpretation and judgment..
Hydroperikard hos katt : patofysiologi, diagnos och behandling
Hydropericardium or pericardial effusion (PE) is the accumulation of fluid in the pericardial sac and is often secondary to pericardial diseases or diseases related to the heart. It is unusual with clinically relevant pericardial diseases in cats but pericardial effusion is the most common one.
Since PE causes serious symptoms and may lead to death it is important with a quick diagnosis and treatment. PE can be acute and cause cardiac tamponade, which gives severe clinical signs. Cardiac tamponade needs to be treated immediately or else the cat will die from cardiogenic chock. More common is chronic PE where the fluid accumulates during a longer period of time and the pericardial sac stretches.
Malassezia otit hos hund : utvärdering av lokal behandling med betametason, ekonazol respektive ättiks- och borsyrelösning
Malassezia otitis in dogs is a common cause of visit to a veterinary service. In otitis externa due to Malassezia overgrowth the dog has a higher number of yeast organisms and/or a local inflammatory response to the micro organism. Common clinical signs include pruritus, erythema, swelling and increased exudate production. Clinical symptoms and results from cytology of ear swabs from the ear canal is the mainstay for diagnosis. Any underlying condition has to be identified and corrected to avoid relapse.
The treatment options for infective otitis externa are based upon topical administration of eardrops containing antibiotics, steroids and antifungals.
Trovärdighetsbedömningen av muntliga utsagor i brottmålsprocessen
In some criminal cases, the only existing evidence is the verbal statement of a witness or the plaintiff. The typical example is an alleged rape where victim and perpetrator have had some kind of relation, and their records of the incident differ. In these cases, the assessment of the value of the evidence drawn from the plaintiff's story is of crucial importance. On the one hand, a false positive judgment means that a person is wrongly convicted, on the other hand, a failure to correctly identify a truthful claim of rape means that a victim of a severe crime is left without judicial remedy. That the prosecutor must prove that the crime is committed by the defendant without reasonable doubt, means that there is much more chance of a failure to convict guilty felons, than of the opposite.In the essay, the rules of criminal procedure directed at the evaluation of the verbal statement are identified and critically evaluated from the perspective of how they may or may not facilitate the judgment of a verbal statement presented before the court, either in person, or through other media such as video.
Islandshästar med hosta och/eller prestationsnedsättning : skiljer de sig åt jämfört med andra raser?
The purpose of the study was to investigate whether or not Icelandic horses are
less severely affected in clinical symptoms of cough or decreased performance
than other breeds of horses. A breed variation in chronic respiratory disease
severity was suspected based on clinical experience at the Institution for surgery &
medicine, large animal, SLU Uppsala. A retrospective journal study of 17
Icelandic horses and 17 Swedish Standardbred horses with chronic problems with
cough and/or decreased performance compared several measurements of disease
severity.
The clinical signs, physical examination and laboratory testing results compared
were respiratory rate, abdominal breathing, lung auscultation, endoscopy results,
broncho-alveolar lavage (BAL) results and the blood gases pO2 and pCO2. All
parameters were available for all 34 individuals except for the blood gases, which
were analysed, in only four Icelandic horses and four Swedish Standardbred
horses.
The only parameters that appeared different between the two groups were
respiratory rate and pO2. The four Icelandic horses, which had blood gases
analysed, had more severe hypoxemia.