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10605 Uppsatser om Evidence-based medicine - Sida 22 av 707

Talande tystnader om heder : En analys av socialsekreterares och förvaltningsrättens bedömning genom rättsfall av hedersrelaterade LVU-ärenden

One of the social services primary missions is to protect children from suffering harm. Social service work should work based on the child?s best and have the child's perspective in mind. In all cases involving children, the focus is on the child's needs and interests and is regulated in Convention on the Rights of the Child (CRC). Both of the previous research and this study reveal the various markers that are evident in the social services handling of honor related cases.

Prevention och orsaksinriktad behandling av gingivit, parodontit och karies med hjälp av motiverande samtal

Background: Traditional oral health education is seldom enough in order for dental care personnel to motivate their patients to good, long-lasting oral health care habits and there is a need for evaluation of other more efficient methods. One of these methods is motivational interviewing. An overview of its origin, definition, theoretical background and practical methods is given by way of introduction. Aim: The aim of the investigation was to review studies that had used motivational interviewing in order to obtain oral health, focusing on prevention and treatment of gingivitis, periodontitis and dental caries. Method: Systematic review. A search question was run through the databases ASSIA, ERIC, PsycINFO, Social Services Abstracts, Sociological Abstracts and PubMed. The articles were reviewed based on defined inclusion and exclusion criteria. Results: Five publications (based on three studies) met the inclusion criteria.

Vetenskapsjournalistik i radio - Vad får vi veta? : En innehållsanalys av vetenskapsradions nyhetssändningar hösten 2004

AbstractPurpose/Aim: The aim of this essay is to paint a picture of science news reporting in the Swedish Public Service science programme, vetenskaps-radion. Key issues to be adressed are: What areas in science are prioritised? How much of the total broadcast time are devoted to each area? Are there any differences in reporting between weeks? How well does the swedish science radio match common interets? Are the news in the form of short ?soundbites? or are they more lengthy in-depth?Material/Method: Quantitative analysis of radio programmes. The variables used are based on the different major areas in natural sciences.Main results: This study shows that most broadcast time is devoted to news regarding biology and medicine and that the news rather are in the form of short snippets of news than more lengty in-depth stories. This is put in light of how journalistes tend to present news and that the subjects involved has to relate to peoples everyday lives.

Aquaculture : animal welfare, the environment, and ethical implications

The aim of this review is to assess the ethical implications of aquaculture, regarding fish welfare and environmental aspects. The aquaculture industry has grown substantially the last decades, both as a result of the over-fishing of wild fish populations, and because of the increasing consumer demand for fish meat. As the industry is growing, a significant amount of research on the subject is being conducted, monitoring the effects of aquaculture on the environment and on animal welfare. The areas of concern when it comes to animal welfare have here been divided into four different stages: breeding period; growth period; capturing and handling; and slaughter. Besides these stages, this report includes a chapter on the current evidence of fish sentience, since this issue is still being debated among biologists.

Naturlig nedbrytning av klorerade lösningsmedel i grundvatten

Chlorinated solvents are common contaminants in soil and water. Under anaerobic conditions microbes are capable of transforming chlorinated solvents into ethylene which would result in a remediation of the contaminated area. In order to use natural attenuation as a remediation method evidence of continuous degradation is required. Furthermore, the degradation must occur at a sufficient rate and continuous monitoring of the site is needed until the demanded levels are achieved. A field study was performed on the basis of data from a dry-cleaning facility contaminated mainly by perchloroethylene.

Initial evaluation of the Meritas Troponin I test for measurement of equine cardiac troponin I

Cardiac troponin I (cTnI) is considered a specific and a sensitive biomarker of cardiac disease, and due to a high inter-species sequence homology; human cTnI assays can often be used in veterinary medicine. The main aim of this study was to perform an initial evaluation of a human cTnI test, the Meritas Troponin I test, for measurement of equine plasma cTnI, in order to investigate whether the test could be a possible subject for a more comprehensive validation. The hypothesis was that the test could measure equine cTnI, as there is a good homology between equine cTnI and human cTnI. The evaluation included a dilution parallelism, an intra-assay precision study and measurement of plasma cTnI healthy horses. In the dilution parallelism and the intra-assay precision study, equine plasma with previously established high cTnI concentration, according to another cTnI assay, was used. In addition, cTnI concentration was measured in plasma, collected from 19 horses, without signs of disease at physical and ECG examinations. The obtained curve in the dilution parallelism was linear, indicating that the Meritas Troponin I test can be used to measure different concentrations of equine cTnI in plasma.

P/E-effekten : En utvärdering av en portföljvalsstrategi på Stockholmsbörsen mellan 2004 och 2012

One could argue that the most discussed topic in finance is whether or not it is possible to ?beat the market?. Even though many people claim to do this, there is little evidence to support the idea that one can consistently beat the market over a long period of time. There are indeed several examples of investors who have managed to outperform the market consistently for a long time, but the efforts of these individuals or institutions could by many be considered to be pure luck.One of the many strategies that have been evaluated by several researchers and is said to generate a risk adjusted return greater than that of the market, is one based on the P/E-effect. This strategy is based on the financial ratio P/E ? price divided by earnings ? and used by constructing portfolios consisting of stocks with low P/E ratios.

Etisk organisationskulturs inverkan på revisionskvalitet i företag

In today's society there is tougher climate both financially and time wise. Accountants working under tight deadlines leading to the compromise between quality and quantity in the audit process and them therefor are being guilty of so-called reduced audit quality, RAQ. Reduced audit quality involves intentional actions designed to somehow reduce the evidence contained in the audit. We examine in this study the impact of time budget pressure (TBP), underreporting of time (URT), ethical organizational culture and charismatic leadership has on the frequency of RAQ.Previous research has already shown that there are clear links between TBP and RAQ, between URT and RAQ and between ethical culture in organizations and audit quality available. Five hypotheses were designed to the study.

En livsviktig utveckling : en reviewstudie om hjärt- lungräddning (HLR)

AimThe aim of this study was to find out how the research that has changed CPR training developed from a historical perspective. The question at issue was: When the recommendations for chest compressions/ventilation, defibrillator and education have been changed, what kind of research led to the development?MethodTo fulfill the aim of this study we chose a review process. First we read the international guidelines for cardiopulmonary resuscitation (CPR) published by the American Heart Association (AHA), from year 1980 until year 2010. Secondly we chose the most important changes that had been made within the issues we had selected, then we examined the research that had supported these issues.

Vi ser att det funkar! : - en kvalitativ studie av validations- och reminiscensmetodernas effektersett ur ett personalperspektiv.

The purpose of this essay is to examine how health care staff, in dementia care, feel that their work situation is affected by using two methods which are specifically designed for use in work with elderly persons suffering from dementia: validation and reminiscense.To examine this, we used a qualitative research method in the form of semistructured interviews with 6 assistant nurses/nurses. These nurses work in a living with dementia targeting which have recently applied the above two methods. Of the results reveals that nursing staff feel positive effects in their work through the use of validation and reminiscense. Examples of these positive effects are greater inclusiveness and strengthen relations in the staff group, strengthen relations between staff and residents, reduced medication of soothing medicine and improved communication with the persons suffering from dementia. The results show that nursing staff feel that it can be difficult to absorb the working methods, the importance of sufficient time and continuous guidance in the exercise of the methods and the need for a genuine interest for them to generate positive effects.

Oasen i vården. En litteraturstudie om omvårdnadshandledningens påverkan på vårdpersonals arbetssituation

The purpose of this review was to investigate in scientific literature what impact clinical supervision actually contains from the perspective of the working conditions for nursingstaff. Goodman formed the working process in our review and is based on a systematic scrutiny and analysis of ten scientific articles inspired of evidencebased method. Willman & Stoltz and Pearson's FAME scale was used sifting through evidence of the articles.The result has been divided thematic in professional development, personal development, development of knowledge, communicationskills, feeling of fellowship, working environment and the patientinteraction. The conclusion of the evidens grading (A-D), in the quantitative results, showed no evidens (D). The qualitative articles was graded (1-5) through the concepts Feasibility, Appropriatness, Meaningfulness and Effectiveness.

Om vikten av kvalitet. En studie av förändring i svensk hälso- och sjukvård.

The public health care sector has come under increasing pressure to cut down costs, maximize productivity and satisfy patients' needs during the 1990s and onwards. As a way of "getting more for less" quality management has been introduced. Originating in the private manufacturing industry, quality management has a strong focus on productivity and efficiency, aspects which are measured in quantitative terms. However, there are strong concerns that quality management is a means of speeding up the marketization of public health care by introducing core values much different from the ethic and medical norms that traditionally underpin health care organizations.This essay focuses on how quality management has been introduced to, and transformed by, public health care. A theoretical framework based on new institutionalism is constructed, and translation theories are used as a way of illustrating how the medical institutional environment, in fact, changes the concept of quality management.

Sjuksköterskors erfarenheter och upplevelser av att arbeta inom antikoagulationsmottagning

BackgroundNumber of patients treated with medicine that has an anticoagulation character is constantly increasing. Chronic atrial fibrillation is the most common diagnosis being treated, but other diagnoses such as venous thrombosis), pulmonary embolism, stroke, coronary stent thrombosis and arterial thrombosis treated. There are a variety of anticoagulant drugs. In Sweden Warfarin is used as standard medicine for oral anticoagulation therapy.PurposeThe purpose of this study is to examine and reflect nurses' experiences of working on anticoagulation clinic, and if he / she claims to have access to the necessary skills and resources to carry out a safe care.DesignThe study has a qualitative design with semi-structured interviews which were analyzed with an inductive approach. The interviews included six respondents.FindingsThe results showed that nurses who worked at anticoagulation Clinics had no specific training to operate these clinics.

VILKEN STRANDVEGETATION BIDRAR TILL DET ORGANISKA MATERIALET I KUSTN?RA SEDIMENT? Kols?nkor/k?llor, nedbrytbarhet och eDNA sp?rning

Coastal sediments are important carbon sinks, storing organic matter and thereby helping to reduce the amount of greenhouse gases in the atmosphere. However, they can also act as carbon sources if the deposited organic matter decomposes rapidly, contributing to increased greenhouse gas emissions and global warming. Rapid decomposition partly depends on the degradability of the material itself. In this literature review, I examine which coastal plant species dominate different locations along the Swedish coast, based on coverage data from the ClimScape project (www.climscape.se). For the most dominant species, I investigated the type of organic matter they may contribute to the sediments and based on those results I qualitatively assessed which sites that may function as carbon sinks or sources.

"De tycka emellertid av gammal vana att det smakar gott, och tro dessutom att det är bra för hälsan" : samiskt växtutnyttjande från 1600-talet fram till ca 1950

Meat and fish was the most important food for the Sami people in northern Scandinavia until the beginning of the 20th century. It is not so well known that the Sami people also used a lot of wild plants as food and medicine although that kind of food was relatively common among them until the end of the 19th century. The purpose of this master thesis has been to describe which plants the Sami people used in general and also which plants were the most commonly used, and when and how these plants were harvested. I also wanted to measure the quantities of Angelica archangelica and Rumex acestosa within traditional harvest sites. Furthermore I wanted to find out if the plant use differed among Sami groups geographically.

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