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568 Uppsatser om Clinical judgment - Sida 4 av 38
Elefantens könsorgan, reproduktion och embryoutveckling
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.
Tillfrisknande och användning av hästar med fång :
Laminitis has crippled horses through times and many cures have been used to
treat it. Since the mechanism of the disease is yet not fully understood, treatments
are only ways to alleviate the pain and at best, slow down the pathological process
enough to make time for improvement. This paper is a retrospective study of 71
horses treated by a protocol at Hästsjukhuset Strömsholm. The protocol implies
three visits at zero, five and fifteen weeks. At each the horse is evaluated and
treated by a veterinarian.
Precisionsbestämning av bendensitometri
International Society for Clinical Densitometry (ISCD) rekommenderar att precisionsbestämning av bentäthetsmätning görs på varje klinik för att bedöma reproducerbarheten. Bentäthetsmätning görs för att diagnosticera osteoporos, följa upp behandling och förutsäga frakturrisk. I studien användes Dual energy x-ray absorptiometry (DXA) för att utföra dubbla mätningar på redan inbokade patienter på klinisk fysiologi, Skånes Universitetssjukhus (SUS), Lund. 105 patienter ingick i studien. Mätningarna utfördes på helkropp, totalhöft, lårbenshals och ländrygg.
Övervakning av ston i sen dräktighet genom transrektal ultraljudsundersökning av placentan :
Abortion during late gestation is often caused by placental dysfunction such as placentitis. To prevent this from happening the placenta can be monitored pre partum so treatment can be started at an early stage. Methods for monitoring the placenta include hormonal monitoring, presence of clinical signs of placental dysfunction and ultrasonographic evaluation of the fetus and the placenta. Transrectal ultrasonography provides a very good image of the caudal portion of the allantochorion where an ascending placentitis normally establishes.
An increased combined thickness of the uterus and the placenta, CTUP, has been associated with placental failure.
This study included ten Swedish standardbred trotter mares in late gestation. They were monitored by transrectal ultrasonography of the placenta two times with approximately a month in between.
CTUP was measured on each examination.
Intramuscular administration of two dosage forms of benzylpenicillin in horse - pain assessment
In veterinary medicine, penicillin is the most used antibiotic in Sweden. Two dosage forms of penicillin are available in Sweden for use in horses, sodium benzylpenicillin (Na-pc) and procaine benzylpenicillin (proc-pc). Proc-pc is the most used dosage form and is used for intramuscular administration which allows horse owners to treat an animal at home under veterinary instruction. Na-pc is only approved for intravenous use in horses.
Penicillin is normally well tolerated by horses but a serious, sometimes life-threatening, adverse reaction called penicillin shock may occur.
Innovationsprojekt i en klinisk miljö : Utvecklandet av en designprocess för Sister Kenny Research Center
The Sister Kenny Research Center is part of the Sister Kenny Rehabilitation Institute locatedat the Abbott Northwestern hospital in Minneapolis, USA. The Sister Kenny RehabilitationInstitute provides rehabilitative services, treating more than 70,000 patients a year.The Sister Kenny Research Center strives to optimize the service to patients by nurturingnew innovations in rehabilitation care and treatment. Research projects are conducted ininterdisciplinary so-called Clinical Innovation Teams. As the Sister Kenny Research Center isrecently started, it did not prior to this thesis project have a design process or structured way ofworking in design projects.The outcome of this thesis project is a comprehensive innovation strategy package with a set oftools to enhance the innovativeness at the Sister Kenny Research Center. The strategy packageconsists of three interlinked parts:?A design process adapted to the work environment at the Sister Kenny Research Centerensuring projects are conducted in a structured and innovative manner.?An Innovation Handbook describing the design process to the Clinical Innovation Teamsand providing step-by-step guidance to designing.
Chefskontrakt : ger det en tydligare anställningsform för chefer i Landstinget Västmanland?
The purpose of this work is to find out how present manager contracts are set up in Landstinget Västmanland (the county council of Västmanland), explore managers? perception of these contracts and why managers have chosen leadership. The work has also reviewed the question if managers need to have a relationship or expertise to the activities they lead and which qualifications are needed in such case. The survey was conducted in two divisions in which nine interviews were held with managers at all levels. In addition to this a questionnaire including the 87 managers in the divisions were held.
Dissensus i sensus communis : Kants estetiska omdöme och Jacques Rancière
Den här uppsatsen undersöker förhållandet mellan Kants estetiska omdöme, såsom det formuleras i Kritik av omdömeskraften, och Jacques Rancières estetiska projekt, framförallt i förhållande till begreppet dissensus. Dels försöker uppsatsen spåra arvet från Kant hos Rancière och visa hur detta tar sig uttryck, dels ställer den frågan om hur Kants omdöme politiseras med Rancières dissensus. Detta sker i två kapitel, varav det första är en läsning av Kants kritik av den estetiska omdömeskraften, mot bakgrund av idén om dissensus, och det andra en genomgång av Rancières formulering av dissensus, samt relaterade begrepp såsom konstens identifikationsregimer och ?fras-bilden?. Vidare jämför det andra kapitlet Rancières dissensus med Kants idé om det ?intresselösa? i det estetiska omdömet, samt visar vilka politiska eller metapolitiska implikationer Rancière tillskriver det senare.
Indirekt blodtrycksmätning på katt : påverkan av metod, miljö och ålder
The purpose of the present study was to study if the systemic blood pressure in cats
significant increases due to stress associated with a visit to a veterinarian clinic. We
also wanted to investigate the clinical utility of two different methods for indirect
blood pressure measurements in cats by assessing how easy they were to use and how
reliable measurements they provided. The methods that were used were oscillometric
(Memo Diagnostic) and ultrasound-doppler technique (Minidop). The blood pressure
was measured in both clinical environment and home environment. Fifty cats were
used in the study, from which measurements were impossible to obtain in one cat.
Utvärdering av autologt konditionerat serum :
Joint injury (inflammation) or osteoarthritis is the most common cause of poor performance in the athletic horse. Osteoarthritis is the ensuing degeneration of joint cartilage due to inflammation/injury. The single most important factor in the inflammation cascade of joint injuries is interleukin-1 (IL-1). Until recently, these injuries have been treated with products like hyaluronic acid, cortisone and polysulphated glycosaminoglycans (PSGAG).
Several studies have not been able to demonstrate a significant difference in the clinical improvement of joint injuries treated with hyaluronic acid or PSGAG and saline.
Före detta tandhygieniststuderandes uppfattning om utbildningen vid Högskolan Kristianstad
Aim: The aim of this study was to investigate former dental hygienist students? view regarding their education at Kristianstad University.Material and methods: This quantitative study was descriptive and the data collection method was used by a questionnaire. This was sent by post to former dental hygienist students at Kristianstad University. In total, 57 dental hygienists participated in the study.Result: The majority of the respondents (94 %, n=54) were content with their education. The education?s primary strength turned out to be the clinical activity that is conducted while at the same time there was a wish for more practice.
Oasen i vården. En litteraturstudie om omvårdnadshandledningens påverkan på vårdpersonals arbetssituation
The purpose of this review was to investigate in scientific literature what impact clinical supervision actually contains from the perspective of the working conditions for nursingstaff. Goodman formed the working process in our review and is based on a systematic scrutiny and analysis of ten scientific articles inspired of evidencebased method. Willman & Stoltz and Pearson's FAME scale was used sifting through evidence of the articles.The result has been divided thematic in professional development, personal development, development of knowledge, communicationskills, feeling of fellowship, working environment and the patientinteraction. The conclusion of the evidens grading (A-D), in the quantitative results, showed no evidens (D). The qualitative articles was graded (1-5) through the concepts Feasibility, Appropriatness, Meaningfulness and Effectiveness.
Prognostisk betydelse av radiologiskt detekterad gasförekomst i tunntarmen hos katter utsatta för fysiskt trauma :
The aim of this study was to see if an increased amount of gas could be seen in the small bowel of cats subjected to trauma and if measuring the amount of gas could be of any use in the clinical evaluation of the patient. When the peristaltic waves in the small bowel decreases due to neurological damage or chock the microorganisms of the gut grow in number and possibly produce more gas and toxins. When the cat is stressed it can swallow more air then usual, and the air that is in solution with the chyme in the lumen of the gut separates from the ingesta. When the bowel isn?t moving it becomes easier for bacteria and toxins to penetrate the wall of the gut, and then get access to the bloodstream.
Samtalsmatta för ökad delaktighet och kommunikation mellan personer som har Huntingtons sjukdom, närstående och tanhygienist
The purpose of the study was to examine if Talking Mats® couldsupport communication and participation for people with Huntington?sdisease, carers and a dental hygienist in conversation about oral care. Elevendyads, a person with Huntington's disease and a carer, participated.Conversations with and without mats were video recorded and compared.Each participant responded to a questionnaire about how they experiencedthe conversations. Analysis with Effectiveness Framework of FunctionalCommunication showed that two participants increased their communicativeeffectiveness using Talking Mats®. Feelings of participation increased forall participants and were significantly higher for participants withHuntington's disease.
Impact of hygiene training on dairy cows in northeast India : en hygientränings påverkan på mjölkkor i nordöstra Indien
Mastitis in dairy cows is an emerging and challenging disease in the tropics, including India. Nation-wide reports suggest that the incidence of clinical mastitis varies from 3.94% to 23.25%, and for subclinical mastitis from 15.78% to 81.60%. In Assam, a northeastern province of India, dairy is an essential part of the mixed farming system that exists in the state, but the milk yield is far below domestic standards. In 2009-2010, International Livestock Research Institute (ILRI) and local associates started to develop a training program for local farmers in Assam, in order to enhance the informal bovine dairy sector in and around Guwahati, India. The project continued until mid-2013.