Sökresultat:
728 Uppsatser om Enhanced Recovery After Surgery - Sida 5 av 49
Förekomst av meticillinresistenta Staphylococcus spp. på kirurgiskt behandlade hundar
Surgical site infections are a recurrent problem in veterinary medicine. A 2-5 % infection rate in clean surgery has been reported. During the last years the increase in methicillin resistant staphylococci has also taken its toll on veterinary medicine, demanding a stricter hygiene and antibiotic regime. The 2008 outbreak of methicillin resistant Staphylococcus aureus (MRSA) at the University animal hospital, Swedish University of Agriculture indicated that that the MRSA problem was now a real, possibly zoonotic problem.Since the first dog, in Sweden, was diagnosed as a carrier of methicillin resistant Staphylococcus pseudintermedius (MRSP) in a study in 2006, the infection rate by this bacterium has increased. In 2009 (January 1st - December 2nd) the National Veterinary Institute (SVA) has identified 58 samples as MRSP positive.
Operationssjuksköterskan-en sterilklädd dörrvakt? En observationsstudie
Current research shows that the number of door openings during surgery is unjustifiably high. It is the operating room nurses task to ensure a hygienic and aseptic environment throughout the surgery with the goal of minimizing the risk of healthcare associated infection. The study aims to investigate whether the operating room nurse is attentive to the number of door openings during surgery and if the operating room nurse is attentive to the reasons behind the door openings. A pilot study with nine observations was carried out on two smaller hospitals in the region of Västra Götaland. The results showed a significant underestimation of the rated door openings compared with the actual ones.
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.
Tillfrisknande från ätstörning - en studie baserad på kvinnors erfarenhet av ätstörningar
Aim:In this study, women were interviewed about their experiences of recovering from an eating disorder - The aim has been to investigate the factors that contributed to recovery and with guidance of these factors, find factors that can be used in a preventive intervention.Method: A qualitative approach was used to design and conduct interviews, the design of the study was descriptive and a semistructured interview was used. The local affiliation of The Swedish Eating Disorder Association was contacted and provided contact with 10 women who participated in the interview. To participate in the study the women had to be recovered from their eating disorder for at least two years. The women who patricipated in the study were between 22 and 36 years old and had been recovered for 2- 16 years. Data were analyzed and coded then categories with similar themes about the factors that were important for recovery wad etablished.
Upplevelsen av kejsarsnitt : -en enkätundersökning vid Akademiska Sjukhuset
ABSTRACTAbout 17% of all deliveries in Akademiska Sjukhuset end with caesarean section. The purpose of the survey was to study parental pairs experience to undergo a caesarean section and experience of information about surgery. The aim was also to see if there were differences between those undergoing a planned or an emergency caesarean section, as well as differences between the birthing women and their partners. 100 couples participated in the study and answered a questionnaire 1-3 days after they had undergone surgery. The result showed that the vast majority of parental pairs were satisfied with the information they received before the caesarean section.
Offentlig klagomålshantering : En utveckling av befintliga strategier med hänsyn tagen till tre aktörer
Service recovery innebär företags försök att uppväga kunders negativa reaktioner på ett misslyckande vid leverans av en tjänst. Det här är ett relativt välutforskat ämne, men fokus är nästan uteslutande på kunden och hur den ska hanteras. Kundperspektivet är dock bara en av tre delar som ingår i service recovery. Förutom att göra kunderna nöjda, behöver företag arbeta aktivt med att förbättra processerna samt ge medarbetarna rätt förutsättningar för att hantera misslyckanden och därefter återhämta sig. Det sistnämnda, kallat employee recovery, upplever vi ha blivit bortprioriterat och nonchalerat i en majoritet av tidigare forskning inom service recovery.
Mat(o)vanor bland flyganställda : - måltidsmönster och upplevelse av möjlighet till återhämtning med oregelbunden arbetstidsförläggning
AbstractFood and recuperation has a superior importance in human life and it is hard to deny thedistinction of the food in everyday life. Nutritious food gives energy to benefit activitiesof the day and influences on behavior and performance as well as well being. Themeaning of the terms meal and mealtime are key concepts in this study and the severalbeneficial aspects beyond the physiological function. Inadequate time for the mealmight provide degenerative consequences for individual health and generate outgoingsfor society. The aim of this study was that from an individual perspective describe workenvironment conditions for meals and recovery potential among employees withirregular working hours using mixed methods with both questionnaire and interviews.Four (4) airline employees participated.
Återhämtningsprocessen hos en svensk livsmedelsproducent efter ett allvarligt produktfel : En studie av Findus hantering av ?Hästköttsskandalen? under våren 2013
This study deals with a Swedish company in a food industry that got affected by product failure, which led to consumer trust crisis followed by media and was needed to be managed. Situation had a negative impact on company?s trademark, which acquired long recovery work by the company. Study is following a case example of Findus problems with having horse meat in their meat product that was supposed to contain beef meat. Study aims to research how the company dealt with situation, through crisis communication and recovery strategies.
Tjänligt vatten i kranen - Membranteknik gör det möjligt : En utredning av pilotförsök i Glemmingebro
Nanofiltration is a proper way of preparation of drinking water. The process has a lot in common with reverse osmosis where a semipermeable membrane is used to separate a pure water flow from the remaining water. A pilot plant was used to ensure that nanofiltration is a suitable technology for a specific waterworks station in Glemmingebro, Ystad. The purpose was also to find out if a pH-adjustment is needed for feed water in a possible full scale plant. In this case nanofiltration is used mainly to remove sulphate and calcium since the raw water contains concentrations of these substances which exceed the limits for potable water. It is important to receive a high recovery (RC), otherwise the deliviery of water won?t be high enough.
Reading recovery - what about it?: ett perspektiv på för-
och nackdelar i en framgångsrik metod
Reading Recovery (RR) programmet är en kompenserande läs- och skrivutvecklingsmetod från Nya Zeeland som utvecklats av Marie M Clay. Vi har under 5 veckor studerat RR programmet genom observationer och intervjuer av elever, föräldrar och lärare på en skola i Nya Zeeland. Detta med syftet att uppmärksamma om och i så fall vilka för- och nackdelar som finns i programmet och vad vi skulle vilja använda oss av i vår roll som blivande lärare. Vi har valt att avgränsa och fokusera vår studie enbart kring för- och nackdelar eftersom detta är sådant vi ser relevant till vårt gällande syfte. Vår studie visar på såväl fördelar som nackdelar vid användandet av programmet.
Reading recovery - what about it? : ett perspektiv på för- och nackdelar i en framgångsrik metod
Reading Recovery (RR) programmet är en kompenserande läs- och
skrivutvecklingsmetod från Nya Zeeland som utvecklats av Marie M Clay. Vi
har under 5 veckor studerat RR programmet genom observationer och intervjuer
av elever, föräldrar och lärare på en skola i Nya Zeeland. Detta med syftet
att uppmärksamma om och i så fall vilka för- och nackdelar som finns i
programmet och vad vi skulle vilja använda oss av i vår roll som blivande
lärare. Vi har valt att avgränsa och fokusera vår studie enbart kring för-
och nackdelar eftersom detta är sådant vi ser relevant till vårt gällande
syfte. Vår studie visar på såväl fördelar som nackdelar vid användandet av
programmet.
En pilotstudie för validering av den svenska versionen av CMPS-SF ? gradering av akut postoperativ smärta hos hund vid ortopedisk kirurgi och mjukdelskirurgi
One of many difficult issues in veterinary medicine is the assessment of an animal's experience of pain. As a licensed veterinary nurse in Sweden you are obligated by law to work by the concept of evidence based medicine. To achieve this the author of this study sees the need for standardized methods of pain assessment. A Swedish version of Short form of the Glasgow Composite Measure Pain Scale (CMPS-SF) has recently been translated and developed. Furthermore, a psychometric validation needs to be performed to ensure its validity and reliability.
Operationssjuksköterskors beskrivningar av att arbeta med WHO:s checklista för säkerhet vid operationer
Background:In Sweden there are several thousand surgical procedures performed every day. The treatment is expected to be efficient, profitable and safe. Despite that, complications occur in 3-16 % of the surgical procedures. To prevent this, WHO has developed a surgical safety checklist containing safety issues to give the surgery team an opportunity to a last control that everything has been properly done. The profession of the surgical nurse focuses mainly on patient safety especially regarding hygiene and sterility.Aim: The aim of the study was to investigate and describe the perceptions of the perioperative nurses regarding WHO: s surgical safety checklist.Method:To test the suitability of the method a pilot study was performed where tree operating room nurses were interviewed and the data was analyzed using qualitative content analysis.Results: Four categories emerged; Increased patient safety, enhanced team spirit, good planning, stronger professional role.Discussion: The result from the study showed positive perceptions regarding the surgical safety checklist, a fact known from earlier research.Conclusion: The results of the pilot study showed that surgical nurses had good support in their work when the surgical safety checklist was used..
Preoperativ hud- desinfektion
Introduction. Infection Prevention is one of the surgical nurses' main responsibilities. One of the steps which patients undergo in this purpose before surgery is the preoperative skin desinfektion. Background. The patient washes the day before surgery with Descutan cutaneous sponge 4 %, a sponge containing chlorhexidine.
The rabbit as an animal model in dental implant research : with special reference to bone augmenting materials
Dental implants that are integrated into the jaw bones are widely used to replace lost teeth in human beings. Tooth-loss is often related to loss of the surrounding alveolar bone. This can make implant placement difficult and a bone substituting material may be required. The standard method is to use a bone graft harvested from the patient which requires additional surgery than that needed for implant placement. Limitations in the amount of bone that can be harvested also pose a problem.