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568 Uppsatser om Clinical judgment - Sida 8 av 38
Osteokondros hos tjur :
Several bulls in Sweden are culled because of lameness. Studies of beef bulls have shown that osteochondrosis is an important underlying cause of hind limb problems (Persson, 2003; Dutra, 1998). Osteochondrosis in horses, dogs, swine, poultry and man are well documentated in the literature, but there are few studies in cattle. The prevalence of osteochondrosis in dairy bulls in Sweden is unknown. The aim of this study was to investigate the presence and localisation of osteochondrosis in the hindlimbs of dairy bulls.
This study consists of 48 one-year-old bulls divided into four groups related to which farm they came from.
Försvarsåtgärder i Delaware och Sverige - Bör Svenska bolagsstyrelser ha rätt att vidta försvarsåtgärder mot fientliga företagsförvärv?
Företagsuppköp är en vanlig företeelse på aktiemarknaden och sker ofta då en budgivare tror att ett målbolag har en outnyttjad värdemaximeringspotential, exempelvis pga. att den nuvarande ledningen inte utnyttjar bolagets resurser optimalt.Av denna anledning finns det ofta skäl för ett målbolags ledning att anta att de kommer att bytas ut om ett uppköp går igenom varför de får incitament att motarbeta budet. Budet kommer härvid att definieras som ett fientligt bud och de åtgärder som vidtas för att förhindra budets genomförande kallas för försvarsåtgärder.Man kan här genast se att en intressekonflikt aktualiseras. Målbolagets aktieägare har ett intresse av att få så hög avkastning om möjligt på den investering som de gjort i bolaget, ett attraktivt bud kan härvid vara av stort intresse. Målbolagets ledning, å andra sidan, kan ofta räkna med att bli avsatt vid ett lyckat uppköp och kan därför ha anledning att motarbeta även ett för aktieägarna gynnsamt bud.Mot bakgrund av denna intressekonflikt har två skilda system för reglering kring försvarsåtgärder utvecklats.
Hur påverkar kvalitetskontroller revisorers arbetsrutiner?
The purpose of this study is to describe and analyze how auditors are affected by quality controls and if audit practice changes because of quality controls. To fulfill the purpose of this study there has been interviews made with five auditors. The conclusion by this study is that the interviewed auditors work practices are affected by quality controls and that the extent and effect depends on the auditor and the office that the auditor works in. The auditors who worked as quality reviewers at the agencies where they are employed at, we felt that they were more secured in the response towards quality controls. This may be because they are quality reviewers themselves and they know what the quality control requires and what must be met to be approved.
Reklamens värde: En kompletterande syn på advertising- och brand equity.
At several occasions, an important question has been brought forward within the world of advertising and media. This is the question of whether or not ?good? advertising should be encouraged by the media. The question has an origin in a belief that such advertising can create values not only for the advertiser, but also for the medium. Although this question has arisen in business media, and although many managers work from the assumption that such relationship exists, there are none or little proof that it actually does.
Överkonfidens - en fråga om ämnesområde, bedömningstyp och person
Syftet med studien var att undersöka om grad av överkonfidens kunde variera mellan olika ämnesområden, med kontroll för svårighetsgrad. Ytterligare syfte var att undersöka hur överkonfidens varierar mellan olika bedömningstyper och personer. Mätinstrumenten som användes var dels frågeformulär om melodifestivalvinnare och nobelpristagare med självbedömningsfrågor om prestation, samt frågeformulär om extraversion och neuroticism. Totalt deltog 139 respondenter. Resultatet visade realistisk bedömning inom ämnesområdet melodifestivalvinnare och underkonfidens inom ämnesområdet nobelpristagare, med kontroll för svårighetsgrad.
Patienters erfarenheter av att delta i forskning : En litteraturöversikt
Bakgrund: Forskning- och utvecklingsarbete är något som bedrivs på många håll inom hälso- och sjukvården. Detta innebär att många patienter som söker vård och behandling kan komma att tillfrågas om att delta i forskning. En person som är sjuk, och i behov av vård, kan uppleva att man i patientrollen hamnar i en beroendeställning i förhållande till vårdpersonalen. Patienten är den hjälpsökande och vårdpersonalen är de som på grund av kunskap och förmåga att hjälpa patienten har en starkare ställning. Att vara patient och medverka i forskning kan innebära att patienten får ökad uppmärksamhet men patienten kan också uppleva att beroendeställningen gentemot vårdpersonalen förstärks.Syfte: Syftet var att beskriva patienters erfarenheter av att delta i forskning.Metod: En litteraturöversikt har gjorts där tio vetenskapliga, kvalitativa artiklar, med begränsning vuxna patienter, har utgjort grunden till resultatet.Resultat: Resultatet presenteras i fyra kategorier, vilka är; Överväganden inför beslut om att delta i forskning, Meningsfullhet av att delta i forskning, Upplevelse av hinder i samband med forskning samt Från känslan av stöd ? till känslan av övergivenhet.Diskussion: Resultatet har diskuterats i relation till livsvärldsperspektivet enligt Dahlberg och Segesten.
Huggormsbett hos hund i Sverige : en klinisk studie och litteraturöversikt
Every year many dogs in Sweden are bitten by the adder, a venomous snake (Vipera berus). Despite the fact that adder bites are so common in dogs there have been few investigations made that study the effects of treatment with glucocorticoids, a drug that is commonly used. We have carried out a literature study concerning adder bites in dogs and a prospective study where case history, clinical signs and treatment have been recorded in dogs that were presented at two veterinary hospitals after a confirmed or suspected adder bite. Fifty three dogs were included in the study out of which 22 were treated with glucocorticoids. In our study, the group of dogs treated with glucocorticoids was compared with the group of dogs that did not receive glucocorticoid treatment by the owner or on arrival at the clinic.
Behovet av en ny kyrkohandbok? En jämförelse mellan tidigare kyrkohandböcker och det nya förslaget 2012
In 2010 the Church of Sweden initiated a project to elaborate a new handbook for church services and church documents. This handbook draft was ready to be tested in 2012. The first Sunday of Advent 2012 the church launched an extensive trial for the draft for the new handbook; this handbook draft will now be tested in a selected variety of Swedish parishes until Judgment Sunday 2013. Upon which the Church of Sweden will evaluate and respond to the comments and reactions from the Swedish congregations in terms of the handbooks proposal. My main goal with this paper is that I?m hoping to be able to examine where the need for a new handbook for church services originates.
Effekten av tillskott av CLA på kroppsvikt och andel kroppsfett hos överviktiga och feta
Sahlgrenska Academyat University of GothenburgDepartment Of Internal Medicine And Clinical NutritionAbstractTitle: The effect of CLA on body weight and body fat amongst overweight and obese.Author: Sierra De Goldsmith and Amanda EgebergSupervisor: Frode SlindeExaminer: Anna WinkvistProgram: Dietician study program 180/240 ECTSType of paper: Examination paper, 15 hpDate: April 12, 2012Background: Overweight and obesity represents a global problem as it is accompanied by an accumulation of body fat which increases the risk of developing diseases such as diabetes type 2, insulin resistance, cardio vascular diseases and certain types of cancer. Moreover, the prevalence is increasing worldwide. Many consider it difficult to reach a normal weight using only methods such as changing dietary- and exercise habits, this creating a market for products that facilitate weight loss and loss of body fat. The supplement of conjugated linoleic acid (CLA) is such a product. In animal studies, CLA has demonstrated a reduction in both body fat and weight.
Normering av nasaleringsvärden uppmätta med nasometer hos barn i fyra- till femårsåldern i Linköping
The Nasometer is a non-invasive acoustic measuring instrument that quantifies the ratio ofnasal resonance in speech. It can be used as a complement to perceptual judgment of speech impediments, for example, in patients with cleft palate and velopharyngeal insufficiency. Inorder to determine if a nasalance score is abnormal, it must be compared to norm data. The main purpose of the study was to collect reference nasalance scores in children between fourand five years of age in Linköping. An additional objective was to compare the results tonorm data collected in Umeå.
Hur påverkar johannesört farmakokinetiken utav warfarin, ciklosporin, digoxin, preventivmedel och teofyllin? Vad har detta för klinisk betydelse?
St. John?s wort extract is composed of a large number of components, about 150, but the most studied and interesting substance are hyperforin and hypericin. The herb is very popular and it is known for its pharmacological efficacy in numerous disorders. It is used for treatment of mild to moderated depression as an alternative to synthetic antidepressants.
Bärarskap av meticillinresistent Staphylococcus pseudintermedius (MRSP) hos svenska hundar :
During the last years, meticillin resistant Staphylococcus pseudintermedius (MRSP) have caused an increasing number of infections in Swedish dogs. MRSP is resistant against a majority of the antimicrobials available for dogs in Sweden, making it difficult to treat the infection. Our knowledge of the bacterium is limited, making it hard to handle infected dogs in a proper way. The aim of this study was to investigate for how long time dogs, who have an infection caused by MRSP, become carriers of the bacterium. Other factors like treatment with antimicrobials, the correlation between clinical symptoms and carriage, common diagnoses and institutionalization where also looked upon.
Växtinventering och skötselåtgärder : en studie av Rektorsgårdens trädgård i Uppsala
The Bovine respiratory syncytial virus (BRSV) causes bronchiolitis and interstitial pneumonia, predominantly in calves, and is a major cause of bovine respiratory disease worldwide. In humans, BRSV is paralleled by the closely related Human respiratory syncytial virus (HRSV), an important cause of respiratory disease, most severe in infants.The clinical signs and pathology during RSV infection is caused, not only by the direct effects of viral replication, but also by the response of the host immune system. The immunopathology of RSV has long obfuscated our understanding of the disease, and development of effective treatment and vaccines will be very difficult until greater knowledge is gained.One of the components of the immune system that has come into focus in RSV research the last few years, is the Toll-like receptor 4 (TLR4). The TLR4 receptor is well known as the receptor that binds lipopolysaccaride (LPS), and initiates the host response to bacterial infection. Recently, it has been shown that the fusion protein of RSV also interacts with, and up-regulates the expression of, the TLR4 receptor.
Validering av Alberta Context Tool (ACT) för bruk inom svensk kommunal äldrevård : Ett verktyg för implementering av evidensbaserad vård
The aim of this study was to conduct an instrument test of the Canadian questionnaire Alberta Context Tool (ACT) version Long-Term care for Swedish conditions. ACT is designed in order to measure the context in the care environment and different behaviours related to the changes in clinical practice. In total, 159 Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) within municipality care of the elderly were included in the survey. The test included the instrument's reliability and face validity.The reliability test was implemented through calculation of Cronbach´s Alpha, and showed internal consistency for five of the scales of the ACT-instrument with Cronbach´s Alpha values ranging between 0,728 and 0,873. However, three dimensions got lower values (0,558 - 0,683).The analysis was carried out with content analysis and carried out for LPNs and RNs in separate groups.
Framtidens stridsfordon och de grundläggande förmågorna
Due to the new demands put upon combat vehicles of today the development quickly strives for-ward. With developers and experts across the globe working to meet the needs of tomorrows armies. The question we ask ourselves is what will be the characteristics of these vehicles. In order to be able to categorize combat vehicle and analyze its characteristics we use the principles of war. Based on J.F.C Fullers theory from the early 19 hundreds that anything can be analysed using these principles, through a modern interpretation of the Swedish army, we can categorise the present and future abilities of combat vehicles.