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2154 Uppsatser om Complementary treatment - Sida 60 av 144
Hypotermibehandling efter hjärtstopp : Kognitiv och fysisk funktion samt självskattad hälsa efter 6 månader relaterat till tidsåtgång i vårdkedjan och primär hjärtrytm
AbstractAim of the study: Aim of the study was to investigate whether there were any connections in time between different parts of care in patients with cardiac arrest and hypothermia treatment and cognitive and physical function six months after cardiac arrest and to investigate neurological outcome related to primary registered cardiac arrest rhythm after six months and if there were any changes in cognitive and physical functions as well as self-related health between discharge from hospital and six months after cardiac arrest.Method: The study included 39 patients admitted to three Swedish hospitals between 2008-2011. Cognitive and physical function was evaluated with Cerebral Performance Cathegory, CPC completed with Mini Mental State Examination, MMSE for cognitive function and Bartels Index, BI for physical function and Euroqol-VAS for evaluating the self-related health.Result: A significant connection was shown between time to start hypothermia treatment and BI, patients with longer time showed improved physical function after six months.Majority of the participants (66,7 %) had Ventricular fibrillation/Ventricular tachycardia, VF /VT, as primary registered cardiac arrest rhythm and in this group CPC and BI was significant better compared with the asystole /Pulsless Electrical Aktivity, PEA group.CPC, MMSE, BI and Euroqol-VAS were all improved over time.Conclusion: Participants with VF /VT as primary registered cardias arrest rhythm had significant better cognitive and physical function 6 months after hypothermia-treated cardiac arrest compared with participants with asystole/PEA as primary registered rhythm. This shows the importance of access to defibrillators in public places in the society and in hospitals and optimal education of lay people and medical staff. Cognitive and physical function and self-rated health improves over time, which might be a very important reason to convey patients, relatives and medical staff to continue cognitive and physical rehabilitation. Keywords: Cardiac arrest, hypothermia, cognitive and physical function, wellbeeing.
Smärtbehandling - Sjuksköterskans inställning till ordination och dokumentation - En empirisk studie
The aim of this empirical study was to investigate how nurses on a ward within
the emergency clinic deal with analgesia prescriptions and the pain management
documentation. The used method was divided into chart reviews and qualitative
interviews with nurses in clinical practice at the ward. This means that both a
qualitative and quantitative approach was desired. The results incline that nurses
generally apply to the laws and restrictions surrounding the nursing discipline, as
used in pain treatment. Thus they generally fulfill the obligations accounting to
documentation.
Energieffektivisering av luftningssteget på Käppalaverket, Lidingö
This master thesis in energy optimization was made during the autumn of 2006 at Käppala wastewater treatment plant in Lidingö, Stockholm. A preceding thesis, where all electricity consumption was mapped, showed that the aeration in the biological treatment is the single largest consumer in the plant, and it is therefore of interest to reduce this cost. The oxygen control strategy used at Käppala WWTP is working well from a nutrient removal point of view, but not from an economic one. The last aerobic zones have a very low oxygen consumption during low loading periods which give rise to enhanced dissolved oxygen concentrations with excessive costs and reduced denitrification as a result. But also during periods of normal loading unnecessary high oxygen concentration are sometimes given.By modifying the aeration control strategy three full-scale experiments have been made, with the intention to reduce the air consumption.
Rätten att benämna : Maktutövning i Amalie Skrams psykiatriromaner
Amalie Skram (1846-1905) was born in Norway but lived in Denmark. She published several books about gender relations and built up a reputation as a naturalistic writer. In 1894, a nervous breakdown made her seek help from the famous psychiatrist Knud Pontoppidan. He sent her to an asylum, but she returned home after spending two months in psychiatric care. In 1895, Skram published two novels about the painter Else Kant, based on her own experiences but not written as autobiographies.
Vaselin som kontroll vid försök med 1 % väteperoxidkräm i färska hudsår på häst
Wounds on horses are common and sometimes difficult to treat. The wounds are often big and could be discovered too late for primary sutures, which have to be applied within 8 hours from time of accident, before bacteria has been able to infiltrate the surrounding tissue. The healing is often complicated by delayed healing and wound infection with consequences like phlegmone, fistulation and proud flesh formation.To avoid these consequences, the traditional practice has been to administer systemic antibiotics alone, systemic antibiotics in combination with topical antibiotics or topical antibiotics alone. Because few antibiotics can be used in horses, is it important to household with the few substances that are available. In veterinary medicine today, the increasing resistance amongst pathogenic microbes such as MRSA presents a growing problem.
Patienters upplevelser som lider av övervikt och fetma : En litteraturstudie
SammanfattningBakgrund: beskriver definition och kriterier, orsaker/risker, prevalens, behandling av övervikt och fetma, tidigare forskning och vårdrelation där synen på övervikt/ fetma och kroppsuppfattning i vårt samhälle framkommer.Syfte: att belysa patienters upplevelser som lider övervikt och fetma. Metod: en litteraturstudie som är baserad på 13 vetenskapliga artiklar varav elva är kvalitativa och två kvantitativa. Innehållsanalys gemomförs enligt Graneheim och Lundman.Resultat: fyra kategorier har framkommit som belyser patientens upplevelse av övervikt och fetma samt hur vården behandlar patienter som lider av detta. Isolering och utanförskap som leder till upplevelser av ensamhet relaterad till hälsotillstånd, begränsad miljö, diskriminering, mobbning vilket skapar lidande. Kroppsuppfattning, kroppsmissnöje och sårbarhet, skildrar omgivningens uppfattningar och attityder om överviktiga och feta människor samt hur det negativt påverkar dessa individers egna uppfattningar, identitet och förmågor.
Att betala utan pengar : En studie om Sveriges största bankkoncerners produktutvecklingsprocesser av betalningslösningar och hur dessa kan effektiviseras genom ökad kundinvolvering
New innovation and technology have influenced the development of product development processes and the four largest banks in Sweden have more or less been forced to adapt their products and services along new customer requirements. It may therefore be considered appropriate to involve customers in this process. This by collecting customer information and allow customers to influence the process to a greater extent. The payment solutions of Sweden?s largest banks' continue to evolve and to pay with electronic money has come to change banks' product development processes of payment solutions.
Riktad avmaskning mot spolmask på föl
Infection with Parascaris equorum is common among young horses in Sweden as
well as in the rest of the world. The parasite has a direct lifecycle and reproduces in
the small intestine. The eggs are passed out with faeces and become infective after
approximately two weeks. The horses get infected when they ingest eggs that are
dispersed in the environment. The symptoms seen in horses usually include
retarded growth and loss of weight.
Komplexiteten kring försäljning av kompletterande tjänster
Bakgrund och Syfte: I dagens samhälle präglas många marknader av överetablering ochmättnad. Det har skapat en situation där företagen måste agera för att differentiera sig,vilket de gör genom att komplettera sina varuprodukter med tjänster. Det finns däremottendenser på marknaden som tyder på att det verkar vara mer komplicerat att säljavaruprodukter med kompletterande tjänster, än att endast sälja enskilda varuprodukter.Vårt syfte med uppsatsen var att skapa en större förståelse för vad som inträffar idistributionsledet när ett företag väljer att genomgå ett skifte enligt ovan, för att öka sindifferentiering gentemot sina konkurrenter.Design och metod: För att öka förståelsen i enlighet med vårt syfte har vi genomfört enkvalitativ studie kring fenomenet där vi valt att designa den som en fallstudie. Vi hargenomfört en empirisk studie där vi har utgått ifrån RingUp som är en stor kedja påtelekommarknaden. RingUp är en aktör som har genomfört ovanstående skifte och somupplever en situation där försäljningen av de nya kompletterande tjänsterna inte haruppnått det resultat som de hade hoppats på.Resultat och slutsats: Efter att ha genomfört intervjuer med säljare från olikaåterförsäljare inom RingUp-kedjan, bearbetades den informationen med relevant teori.
Stress En kunskapsöversikt
Syftet med min studie var att ta reda på hur kunskapsläget ser ut när det gäller ämnet stress, med hjälp av frågeställningen; Hur beskrivs och diskuteras ämnet stress av forskare i utvalda delar av forskningslitteraturen? För att ta reda på detta använde jag mig av kvalitativ metod en selektiv kunskapsöversikt. Resultat och analys redovisades i tre teman tillsammans med teorierna coping och KASAM. Slutsatsen med studien är att största bidragande orsak till uppkomsten av stress symptom handlar om arbetsrelaterad stress med fokus på arbetsmiljön. Med hjälp av hög grad av KASAM kan individer utveckla användbara copingstrategier för att möta och hantera den skadliga stressen. .
Miljöeffekter av alternativa system för behandling av hushållsavfall i Santiago, Chile : en jämförelse mellan deponering och förbränning med energiutvinning
This report was written by Lisa Bengtson and Hanna Paradis and describes the
degree thesis "Environmental impacts of solid waste treatment in the Metropolitan
Region, Santiago, Chile ? a comparison between current system and incineration
with energy recovery". The purpose of this thesis was to investigate if incineration
with energy recovery could be motivated through an environmental perspective as
an alternative to landfilling of solid waste in Santiago, Chile. The study was
performed with Life Cycle Analysis as a theoretical base.
In Santiago, situated in the thirteenth region of Chile, Región Metropolitana, lives
6,5 million inhabitants. The major part of the solid waste produced in the region is
landfilled on three different sanitary controlled landfills situated outside the city
center.
Socialpedagogiskt arbete i grundskolan - möjligheter och framtidSocial pedagogic work in compulsary school - potentials and future
This study illustrates the views of working socialpedagogues when it comes to socialpedagogical and social work within compulsary schools. The focus of the study is on how social problems can be prevented and get noticed among children and youths in compulsary school, and what possibilities of development there are in preventive social work. The socialpedagogue?s capability for supporting this development, together with people that are important in the children?s and youths?s lifes, opens up new possibilities in the future for the social work in schools. The main concepts in the study is treatment and attitude, interaction and cooperation with different people inside and outside the school as well as individual- and grouporientated work.
Rättvis värdering av hälsa : En kvantitativ jämförelse mellan Person Trade Off- och Time Trade Off- metoden
One must consider cost effectiveness when deciding how resources within the health sector should be distributed. Quality adjusted life years (QALYs) are used to measure the value of different medical treatments. QALY is based on utility maximization theory, which suggests that a QALY is always a QALY regardless of who receives it. Therefore, a produced QALY is worth the same regardless of the age or the initial health of the patient. Previous research has shown that these assumptions do not seem to fit the real preferences of individuals.
Personaloptionsbestämmelsen : Beskattning av personaloptioner enligt den nya lydelsen efter 1 januari 2009
The swedish rule concerning the treatment of employee stock-options have changed and the new wording of the rule will be applicable for the first time in 2010. The previous wording of the rule stated that the employee shall be taxed for the stock-option when moving abroad, even if the option is not exercised. The Swedish Skatteverket and Regeringsrätten have found that this rule is in conflict with the free movement of persons within the European Union. The new wording of the rule states that the employee shall be taxed when the option is excercised, no matter where the employee is situated. A state`s right of taxation of a stock-option determines wheter and to what extent the employee stock-otion derives from that state..
Mat, omsorg och tid : En kvalitativ studie om hemtjänstens syn på matproblem hos äldre
To complete an overweight treatment program is associated with better weight loss. Previous studies have in principle focused on drop-out from the entire program, not individual parts of a program. Factors previously shown to influence the patients´ weight loss results are: frequency of individual meetings with a professional, the lack of social support from family or friends, the lack of motivation and in a few studies vacations. In several studies the drop-out patients have stated that their reasons for drop-out were dissatisfaction with the staff and the program design. Drop-out has also been shown to be connected with difficulties in adherence to the diet.