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568 Uppsatser om Clinical judgment - Sida 7 av 38
Studenters upplevelser av handledning : under specialistsjuksköterskeutbildningen med inriktning anestesisjukvård
The aim of this study was to learn how students in specialist nurse education with direction towards nurse anaesthetist experienced tutorial given during their specialist placement. The chosen method of the study was qualitative interview with phenomenological approach. Twelve nurse anaesthetist students were interviewed about their experiences during their placement at operation wards. The interviews were transcribed and analyzed according to Giorgios (1985) analyze method. The result showed that the students considered that a well functioned tutorial was essential for a successful clinic placement. The tutorial considered as satisfactory if the student and the tutor managed to have good communication and a good relation with each other.
Objektiv rörelseanalys : ett stöd vid den visuella bedömningen av hälta hos hund?
Lame dogs are a common group of patients for the practicing veterinarian. In the
literature it is described how a clinical examination can be performed, based on
general clinical-, orthopedic- and neurological examination, and visual evaluation
of the dog when standing and during motion. For research, objective gait analysis
systems are also used to study clinically healthy and lame dogs during motion.
The aim of this degree project was to compare objective kinematic gait analysis
with a visual evaluation of dogs with different types of lameness. The project was
a pilot study to show if objective gait analysis could be used as a support for the
visual examination.
Ten lame dogs of different breeds and with different diagnoses were included in
the study. They were all patients at the University Animal hospital, Uppsala.
Evidensbaserad logopedisk intervention vid strokeorsakad afasi hos vuxna : En verksamhetsknuten litteraturstudie
Background: The speech- and language deficit aphasia affects 12 000 persons annually in Sweden. Aphasia is caused by injury in the brain and the most common etiology is stroke. According to the tool for describing and assessing aphasia, A-FROM (Kagan et al., 2008), the four following aspects of aphasia need to be considered: severity of aphasia, participation in life situations, communication and language environment and personal factors. Several different interventions and treatments can be performed in every domain. There is scientific evidence for interventions performed by speech and language pathologists; however, the question is yet being discussed since results are unambiguous.Purpose: The main purpose of this study is to investigate which aphasia interventions performed by speech and language pathologists that are supported by evidence.
Yrkeskunnandets styrka och skörhet : En essä om erfarenheter inom vården
In this thesis the core of the nursing professional skill will be portrayed through the opportunities of the essay writing. Thus the tacit knowledge, which is at the verge of erosion in a zeitgeist where medical care shall be cost-efficient and where development is mainly based on scientific research, will be articulated. Scientific articulation of knowledge has gained increasing importance on the expense of the practical knowledge. Healthcare professional skill requires a refind ability of judgment, which absorbs its nourishment from both scientific knowledge and the proven proficiency expertise.Professional skill expresses itselfs through action, especially through the acting in unexpected incident. Experience is developed into knowledge through reflection.
Internet som samtalsrum : En studie som undersöker videosamtal över Internet som samtalsarena för stödsamtal
Internet's entry into our home has changed our communication capabilities. As a result more and more services in the digital world are available. Besides e.g. shopping, gaming and general information, different social networks now offer preventive and therapeutic health-oriented services. When being asked by several young people, with whom I have been working in a clinical setting, to offer conversations over the Internet that enables both to see and to hear each other in real time, I decided to conduct a pilot study which is presented in this paper. The aim was to investigate the feasibility of offering supportive therapy using video calls over the Internet.
Obalans mellan rot och krona skapar omplanteringschock i Prunus avium :
In this investigation has an attempt to find out whether so called transplanting shock depends on the moving and transplanting of trees, to other conditions, or if it is due to the imbalance between the root to shoot ratio. Seventy trees of Prunus avium have been part of the investigation and these trees have been divided into four different groups depending on methods of production, untouched on the field, trees still on the field but with root pruning, trees moved and planted into Root-Control-Bag, trees moved and planted into Spring-rings. To be able to answer the question, measurements of the length of the terminal shoots and the lateral shoots and the dimension of the stem growth have been done and also has a visual judgment of the trees vitality been performed. The result shows that it is not only the move of the trees that gives them transplanting shock, but rather the loss of roots which gives an imbalance between the root and crown..
Sjuksköterskors upplevelser av att vårda äldre personer som uppvisar beteendemässiga och psykologiska symtom vid demenssjukdom : en intervjustudie
The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.
Vegetarisk kost - ett möjligt behandlingskomplement för symtomlindring vid reumatoid artrit?
Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: A vegetarian diet, a possible treatment complement for relief of symptoms ofrheumatoid arthritis? A systematic review.Author: Alexandra Ahlsén and Caroline ForsbergSupervisor: Mette AxelsenExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 22, 2012Background: Rheumatoid arthritis (RA) is a chronic remitting polyarthritis that is relapsing.Symptoms are inflammation of the joints with pain, stiffness and degradation of joint tissue.In some cases, also other parts of the body are involved. The treatment consists ofmedications to reduce pain, inflammation and degradation of joint tissue. Today, the offerednutritional treatment is primarily focused on meeting energy requirements and nutrient needs.The diet has also been discussed as symptomatic treatment, and one of the factors believed toinfluence the symptoms is meat.Objective: To assess the evidence as to whether a vegetarian diet affects the symptoms ofrheumatoid arthritis, and if so, to suggest how it can be implemented in practical dieteticswork.Search strategy The databases used in the literature search was PubMed, Scopus, and AMED.The search words used were: "rheumatiod arthritis", "vegetarian", "vegan", "diet", "meat" and"animal protein".Selection criteria: Studies investigating a vegetarian diet on the symptoms of RA wereincluded. Only RCT, clinical trial, controlled clinical trial, human studies and original articlesin English or Swedish were included.
LVU i ett genusperspektiv : En kvalitativ studie om tillämpningen av LVU 3§ Lag (1990:52) med särskilda bestämmelser om vård av unga
The aim of the study learn about if the court assesses boys and girls on an equal basis, or if there are norms of gender constructed in society that appears in the Administrative Court of Appeal. And we want to find out how norms, in this field, are different between boys and girls. We used the judgments of the Administrative Court of Appeal and went through the descriptions of the girls and boys. What basis was used in the judgment of LVU, to do this, we used discourse analysis. We summarized all judgments and then described the outcome of each requirement in LVU, we categorized the results for three requirements, other socially destructive behavior, criminal activity and abuse.
Framtagning av ny lager layout hos Allied Motion Stockholm AB - En studie om effektivisering av lager och intern materialflöde
This report is about the shear force design of reinforced concrete according to Europe?s common dimension rules, Eurocode. The purpose is to describe the calculation procedure and the background to the formulas and expressions that occurs. Furthermore results from different calculation methods (hand calculations and computer calculations) will be compared to see how they differ.The goal with this is to go through the parts of Eurocode dealing with shear force and that this will lead to a clear review of these. You should also be able to see how results and the calculation procedure differ between different calculation methods.
Tvärkraftsdimensionering av armerad betong : En utredning av beräkningsförfarandet
This report is about the shear force design of reinforced concrete according to Europe?s common dimension rules, Eurocode. The purpose is to describe the calculation procedure and the background to the formulas and expressions that occurs. Furthermore results from different calculation methods (hand calculations and computer calculations) will be compared to see how they differ.The goal with this is to go through the parts of Eurocode dealing with shear force and that this will lead to a clear review of these. You should also be able to see how results and the calculation procedure differ between different calculation methods.
Värdering av tillgångar : En branschpraxis för klädbranschen och byggbranschen
The valuation of an asset is one of the most important thing with accounting, though one of the most difficult thing as well. However, in deciding useful service life for an intangible asset and property, plant and equipment, there are quite a margin for the companies, which creates a difference between companies and industries. When computing the value of the inventories there are a few possibilities available for the companies, which also can generate differencesbetween companies and industries. Although these differences can occur, there might be some similarities in the companies? estimates.
Upplevda effekter av hörapparatanvändande hos hörapparatanvändare och hos närstående
The purpose of this study was to examine effects of hearing aid use and to do a judgment of the provement. The investigation was a pilot study and may be used in the clinic.The international form ?International Outcome Inventory for Hearing Aids? (IOI-HA) was used for data collection. Four questions were chosen from the form. These questions were answered by hearing aid users and their significant others.
POLYFENOLER, VITAMINER OCH PARODONTALA SJUKDOMAR - en systematisk litteraturstudie
Syftet med denna systematiska litteraturöversikt var att utreda om det finns stöd i litteraturen avseende vilken betydelse kostens innehåll av polyfenoler och vitaminer kan ha för parodontala sjukdomar.
Material och metod: En sökning i PubMed gjordes i mars 2012. Sökningen begränsades till humana studier på engelska och publicerade mellan januari 1990 och mars 2012. Kriterier för inkludering var: ?randomized controlled trial?, ?clinical controlled trial?, ?clinical trial? och ??humans.
Värdering av tillgångar : En branschpraxis för klädbranschen och byggbranschen
The valuation of an asset is one of the most important thing with accounting, though one of the most difficult thing as well. However, in deciding useful service life for an intangible asset and property, plant and equipment, there are quite a margin for the companies, which creates a difference between companies and industries. When computing the value of the inventories there are a few possibilities available for the companies, which also can generate differencesbetween companies and industries. Although these differences can occur, there might be some similarities in the companies? estimates.