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490 Uppsatser om Emergency surgery - Sida 33 av 33
A porcine type 1 Diabetes Mellitus model, for non-invasive in vivo imaging of the glucagon-like peptide-1 receptor in the pancreas, using [68Ga]Ga-DO3A-VS-Cys40-conjugated synthetic exendin-4 in PET-CT
Diabetes mellitus is a rising epidemic throughout the world and there is currently great interest in quantifying the beta-cell mass (BCM) in vivo non-invasively. In the present experiment, the feasibility of in vivo imaging of the glucagon-like peptide-1 receptor (GLP-1R) in beta-cells was examined, using the positron emission tomography (PET) tracer [68Ga]Ga-DO3A-VS-Cys40-exendin-4 as a marker, in native pancreatic beta-cells of a porcine diabetic animal model and healthy controls.
Eight Swedish high-health domestic pigs were randomly assigned to be either controls or made diabetic using streptozotocin (STZ). The experiment proceeded during eight weeks, starting with an acclimatisation period. Once the pigs had been socialised they underwent surgery for the insertion of a jugular vein catheter, allowing induction of diabetes with STZ, intravenous (i.v.) injections and stress-free blood sampling. Development of diabetes was confirmed by clinical examinations, blood glucose values and insulin-staining of pancreatic sections post mortem.
The diabetic pigs were insulin treated and responded well.
Analys av designalternativ för snabbare dynamik i kolkraftverk med koldioxidavskiljning
Combustion of fossil fuels is today the dominating source of energy. During combustion,carbon dioxide is formed. The carbon dioxide accumulates in the atmosphere,which raises the global average temperature on earth through the so called greenhouseeffect. The only way to reduce the emissions of carbon dioxide from combustionin a coal fired power plant is through carbon capture and storage (CCS).Post-combustion capture is a technology to separate carbon dioxide from the uegas after the combustion for efficient transport and storage. The steady state operationof coal fired power plants with post combustion capture has already beenthoroughly investigated on a pilot scale, however much work remains to investigatethe plants dynamic operation.
Barntriage : sjuksköterskors upplevelser
SAMMANFATTNINGI Sverige finns 70 sjukhusbundna akutmottagningar varav ett flertal utav dessa har en barnakutmottagning som har dygnsöppen verksamhet. Resterande sjukhus tar emot barn, men bemannas inte av specialiserade barnsjuksköterskor. Vanliga orsaker till att barn uppsöker en akutmottagning är i samband med skada, då de har feber, andningspåverkan eller vid problem med gastrointestinalkanalen. På ett flertal sjukhus används inte någon triageringsmodell för att bedöma barnet, vilket annars anses som en fördel eftersom barnet då bedöms utifrån liknande riktlinjer. Triagering används för att snabbt identifiera den patient som är svårast sjuk och därmed även i behov av snabbast vård och behandling.
Upplevelsen av att handleda sjuksköterskestudenter i omvårdnadsprocessen på en akutvårdsavdelning : en intervjustudie
SAMMANFATTNINGAtt arbeta i svensk hälso- och sjukvård idag innebär att arbeta i en balans mellan stressiga ochstimulerande arbetssituationer. I sjuksköterskors arbetsuppgifter ingår det, utöver dearbetsuppgifter som utförs inom ens verksamhet, att handleda sjuksköterskestudenter.Tidigare studier visar på att handledning kräver mycket tid och energi och kan leda till stresshos personalen. Samtidigt kan handledning vara väldigt givande för personalen då man serstudenten växa i sin yrkesroll och att handledare i och med det kan växa i sin egen yrkesrollsom sjuksköterska. Omvårdnadsprocessen är en central del i sjuksköterskestudentersutbildning och framförallt i verksamhetsförlagd utbildning i termin tre undersjuksköterskeutbildningen. På en akutvårdsavdelning kan patienter som har kort förväntadvårdtid eller patienter som är i behov av extra övervakning eller kontroller vårdas.
Peritonitis in horses : a retrospective study of 69 cases admitted to a university hospital during a ten year period
Peritonitis is a potentially life-threatening disease in horses. With no published work from Sweden, the objective of the study was to describe the occurrence and demographics of horses with peritonitis and to evaluate the outcome of treatment in terms of short-term survival during a ten-year period in a large clinic in Sweden.
Data were examined in a retrospective manner in 69 horses diagnosed with and treated for peritonitis at Universitetsdjursjukhuset (UDS) in Uppsala between 2002-2012. Demographic data examined included age, breed, gender, history, duration of illness before arriving at UDS, reason for seeking veterinary care, initial clinical findings (general state of health, heart rate, respiratory rate, mucous membrane appearance, rectal temperature, abdominal sounds, rectal examination, nasogastric tube results), abdominocentesis results (abdominal fluid analysis including visual inspection, leukocytes and protein, cytology, bacterial culture and sensitivity pattern), complete blood count (CBC), Serum amyloid-A (SAA) upon presentation and a follow up, plasma fibrinogen, plasma protein and albumin, treatments, length of hospitalisation and outcome.
All medical records with the diagnosis of peritonitis were extracted from the medical records system Trofast. All records with any other diagnosis code referring to trauma such as rectal tear or ruptured uterus, recent abdominal surgery, external trauma or rupture in the gastrointestinal tract were excluded. To be included in the study, the peritoneal fluid should contain more than 20.000 cells/?L, have a peritoneal protein value of >30 g/L; or have a significantly changed peritoneal fluid sample (orange with increased turbidity or worse) in cases where no data on cells or protein were available.
The horses were divided into two groups; one where the peritonitis was deemed to have an idiopathic aetiology (primary peritonitis) and the other group where the peritonitis had a possible aetiology such as intestinal parasites, impaction etc.
Behovsanpassad bevakning
The market for security is one filled with great opportunities. The security services companies are numerous and diverse, the Swedish market is dominated by two large companies: Securitas Bevakning AB and Falck Security AB. In this study we have focused on the bigger of the two, Securitas. This report describes and analysis the security service branch and its surroundings in an involved manner. The target group of the result is mainly people within the security branch.
Då patienten inte åker med ambulansen för fortsatt vård, en studie med aspekt på patientsäkerheten : En retrospektiv journalgranskningsstudie av 137 utlarmningar
ABSTRACT Introduction: During the past 40 years the ambulance service in Sweden has evolved from mainly being a source of transport to today?s high-tech caring facilities that enable qualified care to start already in the patient?s home. This first level of care is now provided by registered nurses and registered nurses with specialist training in pre hospital care.At the same time as the care provided is becoming more advanced, results from studies demonstrate that the amount of dispatches to patients that lack the need for ambulance care and transport is increasing. Nurses in pre-hospital care possess the knowledge, training and authority to perform an initial assessment of patients and also treat patients according to local and national guidelines. After the treatment it would sometimes be possible for the patients to remain at home without having to use ambulance transport to an emergency department or in other cases find other means of transport to hospital.
Inventering och bedömning av förorenade områden inom division Energi, Tekniska Verken i Linköping
This thesis was commissioned by Tekniska verken, Energy Division with the overall aim to investigate the concept of environmental debt and what it means for a business. Furthermore, a sustainable risk and responsibility investigation shall be carried out on the concerned areas. Finally, the priority areas shall be highlighted and proposed actions presented. The Swedish Environmental debt concept was presented in 1992 by Arne Jarnelöv. Environmental debt is defined as restoration costs for environmental damage. In the early days the concept did not take into account who was responsible, but the environmental debts was regarded as a humanity debt to future generations.
En jämförande studie mellan datortomografi och konventionell röntgen av sinus
Röntgenläkarna väljer ofta att byta undersökningsteknik för att fastställa misstänkt patologi som inte går att diagnostisera med en metod. Vid röntgenundersökningar av sinus (bihålor) så kan läkaren välja mellan konventionell röntgen eller en datortomografiundersökning. Skälet är att diagnoser som tumör, benpåverkan eller ansiktstrauma inte avbildas lika bra med den konventionella metoden. Syftet med den här studien är att jämföra datotomografi och konventionell röntgen vid sinusundersökningar, vilka för och nackdelar som de olika metoderna har, hur bildinformationen och diagnostiken skiljer sig, vilka risker som finns med joniserad strålning samt vilka biologiska effekter strålningen har på människan. Intervju har gjorts med odontologi läkare som berättat om för och nackdelar med de olika metoderna, och litteratur och artiklar har gett kunskap för att komma fram till resultatet.
New Orleans efter orkankatastrofen 2005 : Påverkan av naturförutsättningarna på socioekonomiska strukturen i regionen New Orleans
The aim and purpose with this essay is to identify the natural conditions of the New Orleans City region, and to establish an understanding of the disastrous event of Hurricane Katrina in August 2005. Who lived in this area and how did this event affect the outcome of the disaster?The theory is based on two Swedish human geographers Torsten Hägerstrand and Thomas Lundén, and their theories on regional geography and political geography, also regarded as ?geopolitics?. Regional and Political Geography are explained as the relation between state and territory, power over the territory and the variables that affect the relations on different levels such as; economy, culture, technology, demography and communication.The author decided to use the quantitative method in the process of research, the essay underwent an overall analyzes of the media settings, articles, written literature and documentaries. The author has been very critical to the material and data that was presented by the American authorities, media and non governmental organisations.New Orleans City?s topography is unique in the matter that the city is constructed on a delta area, the Mississippi River, Missouri and Ohio River systems are all connected in New Orleans.