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10319 Uppsatser om Evidence-based - Sida 11 av 688

När förmänniskan blev den moderna människan

The subject of this bachelor-level thesis in archaeology in the transition from archaic sapiens to anatomically modern humans, and what might have caused this transition. A part of the study aims to prove or disprove whether an increased consumption of shellfish might have caused this development. Another part of the essay deals with the connection of said evolution and the suggested emergence of cultural and ritual practices in South Africa circa 100 000 BP and an evaluation of the arguments concerning the aquatic ape hypothesis, and their usefulness for the subject.The result of investigation of the theory about the increased consumption of marine resources as a probable cause of the last biological step of creating our species points to the conclusion that it is a probable explanation. There is even some evidence that there could be a connection between consumption of marine resources and the "Out of Africa 2"-theory. It is harder to find a proven connection between the suggested emergence of cultural and ritual practices, even some evidence seems to strengthen the idea.

Patienters upplevelser av epiduralanestesi i samband med kirurgi - En intervjustudie av epiduralanestesin

ABSTRACTIntroduction: An increasing number of patients in Sweden receive epidural anaesthesia (EDA) in connection to surgery. Caring for patients with acute pain is a responsibility that is strongly established within the profession of the nurse anaesthetist. If the care provided by the nurse anaesthetist for patients who receive epidural anaesthesia is to evolve then further insight and knowledge is required regarding the individual´s experience.Aim: To describe patients' experiences in receiving epidural anaesthesia based on an earlier perioperative start-up of the EDA.Method: Based on a qualitative approach, the aim is to conduct semi-structured interviews with patients who receive EDA in connection to abdominal or gynaecological surgery. Research subjects' statements in the context of the interviews will be transcribed and then analysed using qualitative content analysis. In order to evaluate the chosen method regarding data collection and analysis model an exploratory pilot study was conducted.

Kan markfuktighetskartor användas för att hitta skogsmark med hög bonitet? : ett gis-baserat försök med dtw-index och laserskannad övre höjd

The depth-to-water-index (DTW-index) is derived from digital elevation models (DEM) to map soil wetness, in terms of distance from soil surface to the ground water table. The aim of this GIS based study was to investigate the existence of a relationship between DTW-index and forest site productivity (SP). The belief of such an assumed relationship was based on knowledge that the ground water level is related to site properties that can either promote or impede tree growth. Data primarily comprised rasters of the Krycklan catchment in northern Sweden and depicted DTW-index and a laser scanned vegetation height. The 100th height percentile of each pixel in the vegetation raster was assumed to mirror the top-height, letting it act as a relative measure of SP within a delineated area of equal stand age.

Från top down till bottom up : - Att förklara och utvärdera psykosocialt arbete inom hälso- och sjukvården

Today, activities funded with public funds needs to present relevant and reliable information which shows the results obtained. Requirements increase in welfare activities to be run based on scientific, empirical knowledge. This applies particularly to social work. The social work is, however, poorly researched in areas such as knowledge of interventions in the content, context and effects. One way to evidence-base social work can be to conduct regular and qualified assessments.

Afghanistans demokratiseringsprocess : En kvalitativ fallstudie om förutsättningarna för att lyckas med konsociationell demokrati i ett av världens fattigaste länder.

This thesis intends to analyse conditions for a successful implementation of consociational democracy, as a democratic model in Afghanistan. The lack of critical reviews regarding the democratisation-process in Afghanistan initiated the purpose of this study.Lijpharts democracy model was used as the basis in the comparative study. Along with empirical evidence regarding how the complex process of democracy in Afghanistan is progressing, the study investigated whether the identified conditions occurred or not.The choice of which democracy model to use can be crucial for the democratic possibilities to even survive and become established in conflict-affected communities. The principle of consociational democracy is that it is an empirically based normative model that aims to organise the state in a way that works against the risks of majority domination and oppression against the minority.The empirical case study revealed that a majority of the conditions were not met, which then can counteract the possibilities for consociational democracy in Afghanistan. The study has critically examined the prospects for the success of consociational democracy in Afghanistan, and it can be assessed that there is a limited probability for a successful applying of this model..

Med avfall upp till knäna - En osteologisk studie av tafonomi och medeltida avfallshantering i kvarteret Blekhagen i Lund

The subject of this master level thesis in historical osteology, is a study of waste management in the medieval town of Lund. The aims of the study is achieved through looking at the taphonomic aspects of bonefragments from the quarter Blekhagen. The study is divided in two separate sections, one that is a litterature study of what is known about waste management, and another one that contains a taphonomic and spatial analysis. Through examination of the taphonomic variables weathering, average weight and trampling and a spatial analysis, I am able to deduce that there are signs of controlled waste management in the material. It is not possible to draw any general conclusions about waste management in the medieval town however.

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.

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.

Är priset ett sätt att påverka mängd frukt och grönsaker i kosten?

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Is pricing a way to affect share of fruits and vegetables in a diet?Author: Maria PopovSupervisor: Heléne Bertéus ForslundExaminer: Ingrid LarssonProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 23, 2013Background: Fruits and vegetables (FV) are important for health, including occurrence of diabetes, obesity and cardiovascular diseases. Said diseases cause most cases of illness and death in high-income countries. Only a small part of the population achieves the FV-intake goal, so a higher FV-intake is desirable. Besides general information campaigns there is another method of influencing what people might buy.Objective: To examine whether different pricing is connected to FV-intake or ?purchase.Search strategy: Databases PubMed, Scopus and Summon were searched with ?vegetable consumption", "price/pricing policy" and "food choice? in different combinations.Selection criteria: Studies performed after year 2000 on at least 18 years old persons from North America, Europe or Australia, examining changes in FV-price and -purchase.

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.

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.

Påverkar kaffekonsumtion risken för stroke?

Sahlgrenska Academy at University of GothenburgDepartment of Department of Internal Medicine and Clinical NutritionAbstractTitle: Does coffee consumption affect the risk of stroke?Author: Jenny KällSupervisor: Heléne Bertéus ForslundExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 22, 2012___________________________________________________________________________Background: The widespread consumption of coffee worldwide makes this drink interesting to study from a public health perspective. Even minor health effects may be important for the whole population. Stroke patients require the largest number of days spent in hospitals and nursing homes than any other medical condition group. Risk factors for stroke include smoking, high alcohol intake, physical inactivity, hypertension, hypercholesterolemia, high waist-hip ratio and diabetes.

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