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807 Uppsatser om Clinical procedures - Sida 35 av 54
Externhandel och mellankommunalt/regionalt samarbete utifrån ett hållbarhetsperspektiv med fokus på delregionen Södertörn
In Sweden according to the planning and building Act municipalities have planning monopoly. The question about shopping centres in the outskirts of cities is a regional issue, because they attract customers from a large area. Municipalities often find it hard to assert themselves against large commercial companies when it comes to their establishing new retail outlets on the outskirts of cities. Without a regional co-operation there is a risk that municipalities can be played up against one another, so that more and more companies are given permits without the municipalities having taken the strategic consideration necessary for a long term sustainable development. The focus in this work is on four municipalities in the Södertörn region (Södertälje, Botkyrka, Huddinge and Nynäshamn).
Evaluation of an automated multiplex real-time RT-PCR assay for rapid detection of Influenza A and B viruses
Influenza is a viral infection that affects global health and economy with its endemic and sometimes pandemic spread. Rapid detection of Influenza viruses enables antiviral use and can bring financial savings. It is also essential for the global surveillance of prevalent Influenza strains. RT-PCR is considered the most specific and sensitive method for detection of Influenza, but Influenza mutates at a high rate and it is therefore crucial that RT-PCR methods are updated regularly.In 2014, Cepheid released their Xpert Flu/RSV XC assay, which can detect Influenza A and B and RSV by multiplex RT-PCR in approximately one hour. The aim of this study was to evaluate this assay at Laboratoriemedicin Västernorrland by using the laboratory?s previous PCR assay for detection of Influenza viruses as reference method.Real-time RT-PCR was used to compare Xpert Flu/RSV XC to the reference method.
Stöd av handledare under verksamhetsförlagd utbildning
Sjuksköterskeutbildningen på högskolor i Sverige utgörs av teoretiska och praktiska studier, uppdelat på sex terminer. I den svenska utbildningstraditionen var upplägget att en person, lärare eller handledare, hade kunskapen om ett ämne där studenten skulle ställa frågor för att få ta del av denna kunskap. Denna tradition återfanns även i yrkesutbildningar så som sjuksköterskeutbildningen, även om den då lade mycket ansvar hos både studenten och handledaren. Syfte: Syftet med studien var att kartlägga hur sjuksköterskestudenter i termin 4 uppfattade det stöd de fick av sina handledare (kliniska sjuksköterskor) under VFU placeringarna i termin 4. Dessutom efterfrågades de egenskaper studenterna ansåg att en god handledare bör ha.
Handledning vid moralisk stress i sjukva?rden : En litteraturstudie om omva?rdnadshandledning och moralisk stress
Moralisk stress pa?verkar sjuksko?terskan och kan ses som ett resultat av yttre faktorer. Det finns ett o?kat krav pa? att sjuksko?terskan ska klara av att hantera moraliskt, stressade situationer. Genom handledning kan sjuksko?terskan fa? hja?lp att verbalisera sina upplevelser.Syftet är att belysa pa? vilket sa?tt omva?rdnadshandledning kan bidra till att sjuksko?terskan kan hantera den moraliska stressen med fokus pa? omva?rdnadshandledningens struktur och inneha?ll.En litteraturstudie har genomfo?rts da?r tio artiklar granskats och analyserats.
Set Based Concurrent Engineering : En undersökning för Scania CV AB
This Master thesis has been carried out at Scania CV AB in Södertälje, in collaboration withKTH, The Royal Institute of Technology, Stockholm. The focus of this Master thesis isSetBased Concurrent Engineering(SBCE), with the purpose of answering the questions: what isSBCE, how does it work, and for what purposes is it applied.It was early established thatSBCE is often included as a part of Lean product development,which in its turn is often related to Toyota?s way of working. TheSBCE method includesworking with multiple solutions in parallel, eliminating weak alternatives throughout thewhole process. In opposite to a conventional product development process, where it iscommon one at an early stage tries to identify and choose the most promising alternative.Despite the appearance ofSBCE as a resource consuming method, figures from Toyotaindicates the opposite, thatSBCE is in fact a very effective way of working compared to othermore traditional methods.The process of this Master thesis was divided into three phases.
Vattenvård vid slutavverkning : före och efter vattenvårdsutbildning på Stora Enso Skog, distrikt Siljan
In 2006, Stora Enso Skog implemented an education program in water management for
harvester operators, timber purchasers, cut block planners and supervisors. The focus of the
program was creating stream crossings with minimal harm to the stream and the surrounding
riparian area. This main purpose of this study was to determine the difference in work
procedures before and after participating in the program. The methodology consisted of field
studies and interviews with harvester operators and their supervisors.
The field study looked at how the streams had been crossed concerning the number of
crossings, visible damage to the stream and/or the riparian area made by the machines.
Biological parameters such as the width and dept of the stream and amount of large woody
debris in the stream were also measured.
The field result from 30 harvesting sites showed no significant difference between sites that
had been harvested before or after the education program. But the harvester operators and
their supervisors experienced an increased concern for watersheds after the educational
program.
Effekten av e-handelns framgång på hyresmarknaden för köpcentrum : En analys av utformningen för hyresavtal
In today?s technological society, there are increasingly less physical demands on the locomotor system. However, despite that notion strength and function in the hand?s complex biomechanical system are in fact both needed to cope with daily life. The grip function is a main function in the hand and is used in many examples of scientific research, for instance when assessing physical health and predicting the probabilities of premature mortality.
Värdering av handelsfastigheter : En undersökning av värderingsmetoder, bedömningen avdess parametrar samt problem som kan uppkomma
In today?s technological society, there are increasingly less physical demands on the locomotor system. However, despite that notion strength and function in the hand?s complex biomechanical system are in fact both needed to cope with daily life. The grip function is a main function in the hand and is used in many examples of scientific research, for instance when assessing physical health and predicting the probabilities of premature mortality.
Detection of mutations in dihydropteroate synthase (dhps) and dihydrofolate reductase (dhfr) in Plasmodium falciparum in eastern Sudan
ABSTRACT: Commercial swab transport systems are used for collection and transporting of fecal and other microbiological samples. This system must maintain viability and contribute to survival of microorganisms during transport to the laboratory. Four swab transport systems have been compared, eSwab, ?- Transwab and fecalSwab, all three with flocked swabs, and Copan Venturi Transystem with rayon swabs. The study followed the recommendations from the Clinical Laboratory Standard Institute; document M40-A for recovery of Samonella, Shigella, Yersinia and Neisseria gonorrhoeae after storage for 0, 6, 24, 48 and 72 h at room- (22-25°C) and refrigerated (2-8ºC) temperature.
Den spruckna metallen : En psykoanalytisk läsning av Karin Boyes roman Kris
Karin Boyes Crisis (Kris) was published in 1934 as a contribution to the contemporary ideas of moral issues, challenging the dominating traditionalism within the literature critisism.With different kinds of stylistic procedures is Crises expressing a self which seeks to relieve itself from the repressing experience of Language. The text shows an attempt to create meaning beyond the conventional system of linguistic signs, beyond the tradition of literature.The focus in the essay is the self; the self is the basic structure and the theme of the text. Crisis shows it?s self-assuredness and points out a dialogue with the nietzschean philosophy. Nietzsche claims that the truth is a rhetorical creation, something which the language produces in the will of power.
Statistiska metoder för härledning av indata till säkerhetsanalyser inom kärnkraftsområdet
Objective: In recent years there has been an increasing interest within the clinical (medical) science in measuring people?s health. When estimating quality of life, present practise is to use the EQ-5D questionnaire and an index which weighs the different questions. The question is what happens if the individuals estimate there own health, would it differ from the public preferences? The aim is to make a new prediction model based on the opinion of patients and compare it to the present model based on public preferences.Method: A sample of 362 patients with unstable coronary artery disease from the Frisc II trial, valued their quality of life in the acute phase and after 3, 6 and 12 months.
Konditionstester i rehabiliteringssammanhang : - En litteraturöversikt
During the past few years there has been an observed decrease in physical fitness within different patient groups. As a part of the rehabilitating physiotherapy treatment it is important to acknowledge the physical condition of the patient. Physical fitness testing might be difficult due to physical limitations within different patient groups. A broad range of exercise tests is therefore of importance in clinical practice. The aim of this overview was to describe exercise tests used in rehabilitation contexts, and to define areas of use and restrictions.
Sjuksköterskans förberedelser inför smärtsamma procedurer på barn ? en litteraturstudie.
Syfte: Beskriva förberedande faktorer vilket kan ha betydelse vid smärtsamma procedurer på barn. Vidare var syftet att granska vilket urval de inkluderade artiklarna använt sig av.Metod: Beskrivande litteraturstudie. Litteraturstudien grundar sig på tjugotvå inkluderade artiklar. Tre stycken artiklar med kvalitativ ansats, sjutton stycken med kvantitativ ansats, samt två med både kvalitativ och kvantitativ ansats.Resultat: Fyra områden vilka kan ha betydelse vid smärtsamma procedurer på barn framkom. Distraktion: ett effektivt verktyg mot oro och ångest.
Prevention och orsaksinriktad behandling av gingivit, parodontit och karies med hjälp av motiverande samtal
Background: Traditional oral health education is seldom enough in order for dental care personnel to motivate their patients to good, long-lasting oral health care habits and there is a need for evaluation of other more efficient methods. One of these methods is motivational interviewing. An overview of its origin, definition, theoretical background and practical methods is given by way of introduction.
Aim: The aim of the investigation was to review studies that had used motivational interviewing in order to obtain oral health, focusing on prevention and treatment of gingivitis, periodontitis and dental caries.
Method: Systematic review. A search question was run through the databases ASSIA, ERIC, PsycINFO, Social Services Abstracts, Sociological Abstracts and PubMed. The articles were reviewed based on defined inclusion and exclusion criteria.
Results: Five publications (based on three studies) met the inclusion criteria.
Hur ofta skrivs anvädningsområde t på läkemedel inom ATC-rupp N04 (medel vid parkinsonism)?
Adherence to medical ordination is low and for long-time medication it is estimated to be as low as 50 percent. Depending on the prescribed drug this could lead to adverse effects and/or loss of effect of the drug. Information about why a drug is prescribed is important patient information and is thought to help increase compliance with the physician?s prescription. According to results from a recent study of visits to the emergency room at Karolinska Universitetssjukhuset in Solna, Stockholm, medically related problems were the cause in about 30 percent of the cases.