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635 Uppsatser om Clinical supervision - Sida 13 av 43
Långtidseffekter av Internetbaserad KBT vid social fobi
Social fobi är en av de vanligaste ångestsjukdomarna. Rädsla och oro i sociala situationer och prestationsrelaterade dito är utmärkande för dessa individer. Social fobi tenderar, om den inte behandlas, att bli kronisk och det finns indikatorer på att tillståndet förvärras över tid. Idag finns behandlingar som ger goda utfall direkt efter avslut, men huruvida behandlingseffekterna håller i sig över längre tid är mer höljt i dunkel. Internetadministrerade självhjälpsbehandlingar har en möjlighet att öka tillgängligheten för denna klientgrupp och det är då av vikt att den är av god kvalitet.
BCAA-supplementering i samband med levercancerkirurgi
Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: BCAA supplementation in patients undergoing resection for liver cancerAuthor: Mikael Semaan and Viktor SjölingSupervisor: Fredrik BertzExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: April 10, 2013BackgroundLiver cancer is the fifth most common cancer worldwide and the third largest to cause death. Protein-energy malnutrition is common in patients with liver disease and they often suffer from changes in the hepatic metabolism of nutrients and other substances. There is a basis for recommending BCAA supplementation in other certain liver diseases. Given the similar clinical picture of liver cancer surgery, it is possible that supplementation of BCAA can be beneficial for these patients as well.ObjectiveThe aim was to study the scientific basis for the effect of branched chain amino acid (BCAA) supplementation in liver cancer patients. Can it improve their recovery in terms of nutritional status and albumin levels, and does it changes the duration of hospital stay, after surgery?Search strategyFive extensive searches were performed on PubMed and Cochrane after appropriate study material.
Sjuksköterskors arbetsmiljö inom slutenvård och äldreomsorg : En litteraturstudie
AbstractThe aim of this study was to illuminate and collect existing research from the beginning of the 21 st century about nurses work environment in institutional and elderly care in Sweden.A literature review was made by analyzing eleven scientific articles. The result showed mainly information about nurses work load. The information dealt with high work demands, too much responsibility, shortage of staff, time press and stress. Furthermore nurses reported a lack of co-operation between staff and management. An important part in nurses? work was appreciation from colleagues, management, patients and relatives.
ZigBee-teknikens möjligheter att trådlöst överföra EKG-signaler
In many clinical applications, it is desirable to transmit sensor information wireless. In earlier research, investigation transmit ECG signal using Bluetooth, was performed. However, when Bluetooth has some drawbacks it is of interest to investigate alternative methods, one such method is ZigBee. Bluetooth has higher data rate speed (1Mbps) than ZigBee (250kbps). However, Bluetooth consumes more power.
Elektrokardiografiska fynd hos dobermann med och utan dilaterad kardiomyopati
SAMMANFATTNINGDilaterad kardiomyopati (DCM) är en ärftlig, primär hjärtmuskelsjukdom som är mycket vanligt förekommande hos dobermann. Sjukdomens förlopp har tre stadier. Det första stadiet innebär att sjukdomen föreligger men kan enbart påvisas vid histologisk undersökning av hjärtmuskelvävnad. Det prekliniska stadiet innebär att inga sjukdomstecken ses hos hunden, men förändringar, såsom hög förekomst av kammarextraslag och dilatation av vänster kammare, kan hittas med hjälp av elektrokardiografi (EKG) och ekokardiografi. I det overta (kliniska stadiet) uppvisar hunden sjukdomstecken som nedsatt arbetsförmåga, trötthet, hosta samt kachexi.
Guru, kritisk vän och förebild : En kvalitativ undersökning om hur några studenter på Södertörns högskola upplevt sin VFU
The Swedish teacher education is continuously changing along with the understanding of learning. The teacher education at Södertörn University has an intercultural profile, which is considered modern and innovative. In this essay, students? experiences from their practical training are analyzed to examine the correspondence between teacher practice and the modern teacher role conveyed by the University. The results show that some students have experienced practical training where the standards of the University?s teacher role were met, whereas others feel that they have not received the practical guidance needed to be able to wholly use their education in their future employment.
Anpassad Historik
The aim of this thesis is to ascertain how primary school teachers would like to improve their mathematics teaching. The central questions for this research are:In what ways do teachers want to improve their mathematics teaching?How do the teachers justify their statements?What main features can be distinguished out of the teachers answers?Three interviews and seven surveys have been used to collect information from a total of nine teachers, at one primary school. Teaching pupils from preschool to sixth grade. The results have been analysed, interpreted and discussed using a drama pedagogical perspective, inspired by a holistic approach to learning.
Spolmaskangrepp är ett ökande problem hos värphöns
This literature review summarizes available data on infection with the parasitic roundworm, Ascaridia galli, as a cause of disease in poultry, including the consequences of a conversion to alternative production systems. Ascaridia galli has a direct life cycle with resistant eggs that survive and are easily spread in the environment, especially in systems with bedding materials where the faecal contact is high. The infection is usually subclinical but depending on the infection dose, the symptoms range from weight loss and diarrhea to mortality. Factors such as the feed composition and genetic variation among different hybrids clearly affect the establishment rate of the infection. Ascaridia galli will probably become an increasing problem, with a shift from the traditional battery cages to alternative systems where the risk of re-infection is high.
Hästens hudproblem : en retrospektiv fallstudie
SUMMARYThis work consists of a review of the medical records of 142 horses that visited the Equine dermatology clinic, at the University Animal Hospital, UDS, at Ultuna, Uppsala, Sweden, between January 2007 and June 2010. The study answers certain main questions like clinical signs responsible for the visit, the most common diagnoses, their diagnostic procedures, treatment modalities and finally, the outcome of treatment.Among 50 diagnoses, four were predominant followed by additional 46 diagnoses, each presenting by few or, in many cases, only one horse. The most common dermatological problem diagnosed was Equine Sarcoid representing 18,3 % of the cases (26/142), which probably reflects the initiation of a Sarcoid treatment-trial in 2007, that resulted in an accumulation of sarcoid horses in the clinic .The second most common diagnosis was Atopy 12 % (17/142) followed by Allergy with skin affection 9,2 % (13/142) and Acute superficial pyodermia 4,9 % (7/142). If the horses were divided into diagnostic groups, the majority (34,5 %) belonged to HA5 group, (Immunological skin diseases), followed by group HA4, (Infectious and inflammatory conditions of the skin) (22,5 %) and HA6, (Neoplasia) (21,8 %). Traumatic skin injuries represented only 2,1 % of the cases, compared to 80 % of horses in the Agria insurance statistics for veterinary care.The most common clinical sign and reasons for veterinary consultation was pruritus (35,9 %), suspected sarcoids (17,6 %), alopecia (12,7 %), nodules (12 %), seborrea, scaling and crusts (9,2 %) and excoriations (5,6 %), respectively, followed by a scattered number of more uncommon symtoms.The diagnostic methods most frequently applied were cytology and biopsy, used in 41,5 % and 36,6 % of the cases, respectively.
En kvalitativ utvärdering av det accelerometerbaserade hältdetektionssystemet ?Lameness Locator? :
Background: Evaluation of lameness in horses is traditionally performed by a veterinarian who subjectively evaluates the movements of the horse. Accordingly, lameness diagnosis varies with the veterinarian and circumstances for which the horse is examined. Research within the area has long tried to establish an objective and standardized method for lamenessevaluation in horses. Several methods have been shown to be reliable and are used regularly within research, for example measurement of forces between the hoof and ground, and measurement of movements with high speed cameras or accelerometers. However these methods require considerable preparation, standardization, and expensive equipment as well as produce large amounts of data that are incomprehensible for the clinician.
Tillsyn enligt miljöbalken, ur ett mikroperspektiv - Supervision according to the Swedish Environmental Code, from a micro-perspective
I det här examensarbetet undersöker vi kommunikationsförhållandet mellan ett utvalt mikroföretag och den kommunala miljömyndigheten med avseende på miljöbalkens bestämmelser. För att tillgodogöra oss empirisk kunskap över detta problemområde har vi inom ramen för en fallstudie genomfört kvalitativa intervjuer med nyckelpersoner hos områdets signifikativa aktörer. Syftet med en sådan undersökning följer av att försöka problematisera förhållandet mellan miljömyndighetens kommunikation av miljölagstiftning och företagets drivkrafter för att bedriva ett systematiskt miljöarbete. Resultaten av undersökningen visar att det studerade företaget upplever vissa svårigheter med att förverkliga miljökrav som den kommunala miljömyndigheten kommunicerar. Härmed kvarlämnas således företaget i ett vidare behov av stöd och rådgivning för att effektivt kunna uppfylla ställda miljökrav.
Arbetsstugan och Barnkrubban : om etablerandet och drivandet av två barnavårdande verksamheter i Karlskrona 1899 - 1943
During the end of the nineteenth century and the beginning of the twentieth century Sweden experienced social changes. The proceeding industrialization led to a process of urbanization where people were forced, more or less, in to the cities to find work. The traditional agricultural self-sufficiency society was successively replaced by salaried employment. This meant that family and home was no longer the major centre of production, nurturance and care. In order to support themselves and their families, even women applied for industrial work.
Munhålestatus hos arbetande hästar :
Seventy-two working horses (they had been ridden with bit and bridle within the last two weeks) were examined in the oral cavity. Findings and status were noted. The horses were randomly chosen among individuals without clinical symptoms from the mouth and gastrointestinal system.
The result showed that 93% of the horses had changes in the mucus membranes, 86% in the form of ulcerations. The P2 region was most commonly affected followed by wounds more caudally in the mouth (P3-M3 region).
Sökstilar och känslor ? en studie om informationssökningsprocessen i skolan
The aim of this master?s thesis is in part to investigate how pupils act and experience their information seeking in connection with a school task, and in part to identify which factors influence the information process. The essay?s theoretical framework is based upon Carol C. Kuhlthau?s model of the process of information seeking where actions, thoughts and feelings are regarded as integrated parts.
Från individbedömning till verksamhetsbedömning : Hur kan förskolan utveckla sin verksamhet så att den kan möta alla barn oavsett förutsättningar?
One of the Swedish preschools many tasks is to identify the needs of a child and to shape an activity suited to their needs. This identification means a lot of times that a child is weighed and valued despite that the curriculum clearly states that no assessment is to be done in the Swedish preschool. To develop a preschool able to face all children regardless of their individual needs it?s necessary to change focus from child assessment to instead look at the work and environment in the whole preschool. A development of the activity might be seen as a work in progress whose primary goal is to improve the quality of work in preschool.