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635 Uppsatser om Clinical supervision - Sida 31 av 43

Infectious bronchitis in Brazil : a minor field study in Bastos municipality, Sao Paulo

Infectious Bronchitis (IB) is a highly contagious viral respiratory and productiondepressant disease distributed world wide. The disease is caused by the InfectiousBronchitis Virus (IBV), a positive RNA strand Avian Coronavirus within thegenus Gammacoronavirus. Due to a combination of high mutation rate and atendency of recombination a constant emergence of new genotypes and serotypesis seen. In Brazil, a country with an extensive poultry production and majorproblems with disease control, the diversity of circulating strains are wide andoutbreaks of clinical disease despite intensive use of vaccines are common. Theaim of this study was to investigate the presence of IBV and to identify genotypesof isolated IBVs in a limited number of layer flocks in Bastos, São Paulo, as partof the screening for circulating genotypes in the country.

Föräldrarnas uppfattning av barnets vård vid leukemi

AimThe specific questions in the theoretic part were:What is contained in the terms "balance and balance skill" and how can this skill be measured?The specific questions in the empirical part were:How does balance skill in different age categories of children correlate with biological and physiological parameters such as age, gender, body height, weight and level of physical activity?MethodsLiterature search based on books and scientific papers related to the questions posed above. Selection was made at libraries and on?line through "Pubmed". Specific search words were used.

Handledning av specialistsjuksköterskestudenter inom intensivvård : faktorer av betydelse för student och handledare

Att handleda specialistsjuksköterskestudenter ställer höga krav på handledaren eftersom de handleder en sjuksköterska med yrkeserfarenhet. Studenten har hamnat i ett helt nytt sammanhang och befinner sig återigen på novisstadiet. Handledningen kan utmanas på flera sätt, både positivt och negativt, i den unika intensivvårdsmiljön. Syftet var att beskriva faktorer av betydelse för studenter och handledare vid handledningen under den verksamhetsförlagda utbildningen i specialistsjuksköterskeutbildningen med inriktning intensivvård. Litteraturstudien består av 8 kvalitativa artiklar som analyserats utifrån syftet och mynnat ut i två huvudteman: handledning - faktorer av betydelse för studenterna samt handledning - faktorer av betydelse för handledarna.

Fruktosamin som markör för diabetes mellitus hos katt :

Diabetes mellitus is characterised by persistent hyperglycemia in all species. Fructosamine is a glycated protein reflecting blood glucose concentration during the preceding weeks. It has become a valuable analysis to differentiate persistent hyperglycemia from transient stress induced hyperglycemia in cats. It is also used to evaluate current therapy in diabetic patients. Although fructosamine is a well accepted analysis, it is sometimes regarded with scepticism.

Distriktsköterskans arbete med och reflektioner kring behandlingen av vuxna patienter med övervikt och fetma : En kvalitativ intervjustudie med distriktssköterskor på landstingsdrivna vårdcentraler i Uppsala län

Övervikt och fetma är ett växande problem i Sverige och delar av världen. Det är en riskfaktor för andra somatiska sjukdomar och har en negativ inverkan på livskvalitén. Syftet med denna studie var att beskriva distriktsköterskors arbete med och reflektioner kring behandlingen av vuxna patienter med övervikt och fetma. Studien var av kvalitativ ansats med deskriptiv design och genomfördes genom semistrukturerade intervjuer med åtta distriktssköterskor på landstingsdrivna vårdcentraler i Uppsala län. Resultatet av studien visade att mätvärden och samtal var viktiga verktyg för att distriktssköterskorna ska kunna identifiera patientens övervikt eller fetma.

Utskrivning från sjukhus ? En studie av utskrivningsprocessen vid en medicinklinik

Introduction: The interaction between different care facilities and professions is important in the care of older patients. Patients do not always get enough time to recover and often have a continued need for care. A discharge process of good structure in which the patient and relatives are participating and the continued need of care is assured is of importance in care of older patients.Objective: The overall purpose of this study is to compare the discharge process for patients over 75 years old admitted to a emergency medicine ward respective a emergency medicine ward with geriatric focus at a medicine clinic, to compare discharge process between these wards and evaluate the patients situation at home after discharge.Methods: A survey of medical records with a protocol and a telephone survey have been performed. Data was analyzed with descriptive and analytic statistic. Patients at the medical wards MAVA and care unit number 21/34, which are 75 years or older and are discharged to their own home, within the municipality of Göteborgs stad, in Sweden, are included in this study.Results: The discharge process differed between medicine wards with emergency medicine and geriatric focus.

Övervakning vid allmän anestesi och stående ingrepp på häst

The purpose of this literature study was to describe techniques for monitoring general anesthesia and standing chemical restraint in the horse. A number of various techniques and devices related to e.g. blood pressure measurement, blood gas analysis and pulse oximetry are defined, and finally their clinical relevance and reliability are discussed. The equine patient is generally far more exposed to anesthesia-related risks than other smaller species. Complications such as hypotension and hypercapnia are commonly seen during general anesthesia. Thus, close monitoring is essentially performed by the veterinary nurse, whom is responsible for monitoring the anesthetized patient.

Evaluation of Different Extraction- and Analysis Methods for Calprotectin in Feces

Background Calprotectin is a protein expressed in the cytoplasm inside the neutrophile granulocytes. During inflammatory bowel disease (IBD), the neutrophile granulocytes are involved in a complex interaction at the inflammatory area where they die and release their content into the intestinal lumen. Therefore, calprotectin in stool is a suitable marker for diagnosis and measurement of the disease-activity in patients with IBD. The most commonly used method to detect calprotectin in stool is ELISA, but the process of manual preparation of stool samples is time-consuming.Aim The objective of the study was to evaluate an extraction method that could replace manual preparation of fecal samples and to compare different methods for measuring Calprotectin in stool using two ELISA-methods from two manufacturers and one rapidtest.Methods For extraction of calprotectin from stool samples we used sample collector tubes from Epitope Diagnostics and fecal preparation kits from Roche. Two different ELISA-kits for measuring calprotectin concentration in stool were compared.

Att arbeta som specialistsjuksköterska inom kirurgisk vård : En kvalitativ studie

Bakgrund: Studier har visat att sjuksköterskors utbildningsnivå har betydelse för patientsäkerheten på kirurgiska vårdavdelningar. I Sverige är rollen som specialist-sjuksköterska inom kirurgisk vård ganska okänd och antalet specialistsjuksköterskor inom denna specialitet är få.Syfte: Syftet var att beskriva vilka förväntningar specialistsjuksköterskor inom kirurgisk vård har på sin yrkesroll samt att ta del av och beskriva deras erfarenheter av att arbeta som specialistsjuksköterskor.Metod: Kvalitativ studie med deskriptiv design. Specialistsjuksköterskor inom kirurgisk vård (n=29) från fem olika sjukhus deltog i studien. Urvalet gjordes med bekvämlighetsurval. För datainsamling användes ett studiespecifikt formulär med öppna frågor.

Strukturell konservering av måleri på duk Studie kring den långsiktiga stabiliteten hos Plextol D 360, Plexisol P550 och Beva 371

In the early 80s, several new synthetic materials have come to be used in the treatment of canvaspaintings, among them Plextol D 360, Plexisol P 550 and Beva 371. Today, many conservatorsfind the information about the long term sustainability of these binding mediums to beincomplete. Evaluation of synthetic materials is mostly done through clinical research, sometimesartificial aging is simulated. The correlation between artificial and natural aging is however notestablished, useful information can therefore be gained through evaluations of actualconservation treatments. The intention of this study is to find out more about how thementioned products perform over time in normal museum conditions.

Frukost och korttidskognition ur ett ungdomsperspektiv

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Breakfast and cognition from a youth perspectiveAuthor: Linn Kruse and Anneli HulldinSupervisor: Anna WinkvistExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 26, 2014Background: Breakfast as an influencing factor on cognition and is often on the table for discussion in society. A lot of research has been done about how omitting breakfast affects adolescents and their short time cognition. Cognition is complex as a concept and is measured in different ways and the existing research in the area often compares different types of breakfasts instead of the difference between eating and omitting breakfast.Objective: To evaluate the scientific evidence for an association between adolescents? breakfast eating and short time effects on cognition in adolescents.Search strategy: To find relevant articles a systematic literature search was made in the databases PubMed, Scopus and Cochrane. Search terms that were used were: children, young adults, adolescents, cognition, and breakfastSelection criteria: Ages 12-20 years, measures cognition, RCT, studies comparing breakfast eating with omitting breakfast, human studies, language English or Swedish, no sick adolescents or adolescents with diagnosis.Data collection and analysis: Two original articles met the inclusion criteria and were reviewed by the SBU audit template for RCT studies.

Kan supplementering med omega-3 under graviditet påverka allergiprevalens hos barn?

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicin and Clinical NutritionAbstractTitle: Does supplementation of omega-3 during pregnancy affectprevalence of allergy in infants and children?Author: Peter Eliasson, Anna RahmSupervisor: Lena HulthénExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 ECTSDate: 2012-04-12BackgroundEpidemiologic research has shown an association between a high intake of fish and allergy.The underlying theory is that allergy develops already at a prenatal stage and food intakeduring pregnancy has been shown to be significant. Conducting research on allergy isproblematic since it has genetic, as well as enviromental, determinants.ObjectiveThis thesis attempts to conclude and evaluate research on a connection betweensupplementation of omega-3 during pregnancy and allergic outcomes in infants and children.Search strategyThe literature search was conducted in the databases PubMed and Scopus. Among thekeywords chosen were omega 3, supplement, pregnancy and allergy.Selection criteriaHuman RCT, that measured allergy, where the intervention consisted of supplementation withomega-3 for at least ten weeks during pregnancy and ceased at birth.Data collection and analysisThree articles were chosen for this thesis. The articles were examined using templates fromSBU and the quality of evidence was evaluated according to GRADE.Main resultsNone of the articles showed a protective effect on allergic outcome but in one of the studiesthere was significant reduction in eggallergy and another showed significant lower occurrenceof severe eczema.ConclusionsSupplementation with omega-3 during pregnancy does not occur to have an protective effecton allergic outcome in infants and childen but the evidence for this is considered to bemoderate.

Åldrande i ett mångkulturellt samhälle : En kvalitativ studie av äldre invandrares tillgång till samhällsinformation och deras deltagande i aktiviteter riktade till äldre medborgare.

In light of the European Union`s 2012 theme year: Active aging and solidarity between generations I wished to gain an understanding of weather elderly immigrant are provided with equal possibilities and access to local community information as the majority population and their participation in activities arranged for senior citizens in the municipality where they live. I have done this by meeting with those who work in this capacity. I also chose to meet with representatives for immigrant organizations in the local community to enquire of their work with senior citizens within their own ethnic group. This is a qualitative study on a phenomenological ground based on nine interviews and four observations. I have had two theories to help me analyze my empirical material.

Salmonella prevalence in the poultry feed industry in Pakistan

Abstract One of the leading causes of food borne infections in the world is due to Salmonella by con-suming poultry products including eggs and meat. According to US Food and Drug Admin-istration (2009), 2 to 4 million cases of Salmonellosis in humans occur every year only in US. Salmonella causes wide range of diseases with enteric and typhoid fever, food poisoning, di-arrhea and gastro-enteritis. Many serotypes of Salmonella do not have host specificity and cause disease in all kinds of animals and humans. Salmonella has capability to modify accord-ing to the changing environment and it can develop resistance against routine elimination practices of sanitation, chemical treatments and antibacterial drugs. Newly established poultry industries in Pakistan are confronting various infectious diseases including Salmonellosis while in Sweden Salmonella prevalence in animal products con-sumed for humans is extremely low.

Patientens upplevelser av långvarig smärta och sjuksköterskans bemötande : Ur ett patientperspektiv

Bakgrund: Långvarig smärta är svår att bota. Smärtan är svår att lindra och kan vara mycket påfrestande för kroppen. Sjuksköterskans bemötande kan påverka patientens smärtupplevelse. Ett gott bemötande kan hjälpa patienten att finna tilltro till vården samt lindra smärtan medans ett dåligt bemötande kan förvärra smärtupplevelsen.Syfte: Syftet är att ta reda på hur patienter med långvarig smärta upplever sin smärta samt hur de upplever sjuksköterskans bemötande i omvårdnaden.Metod: En litteraturstudie har genomförts där tio artiklar rörande långvarig smärta har granskats och analyserats och sammanställts i olika teman. Artiklarna har varit både kvalitativa och kvantitativa.

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