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3230 Uppsatser om Intensive Short-Term Dynamic Psychotherapy - Sida 25 av 216

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.

Behavioral studies in healthy Standardbred trotters subjected to short term forced recumbency aiming at an adjunctive treatment in an acute attack of laminitis

Laminitis is a debilitating disease causing much suffering to horses and ponies all over the world. It is manifested in the hooves as a mechanical failure of the suspensory apparatus between the hoof capsule and the distal phalanx. Due to the weight of the horse the disease may result in a dislocation of third phalanx. Six healthy standardbred trotters were used in this study on whether standardbreds tolerate forced recumbency as well as Shetland ponies. Recumbency was induced pharmacologically but maintained only by lowering the ceiling height of the box to a height of approximately 125 ? 140 % of the horse´s thoracic height.

Nå nya kunder med E-handel

BT is a global company within the lift truck industry. The main office is located in Mjölby. In Europe all sales and service activities are carried out by fully owned sales companies. I North America, BT RAYMOND develop and distribute trucks under a different brand. For the rest of the world BT works together with a distributor network, most of them are fully independent others BT has a small ownership in.

Delirium - Kan användandet av bedömningsinstrumentet CAM-ICU hjälpa sjuksköterskan att upptäcka delirium hos intensivvårdspatienten?

Delirium är ett vanligt tillstånd på intensivvårdsavdelningen (IVA) och forskning visar attpatienter som drabbas av delirium har högre mortalitet, längre vårdtider på sjukhus och sänktlivskvalitet lång tid efter vårdtiden. Det finns olika former av delirium: hyperaktivt,hypoaktivt och blandformer. Den vanligaste formen, hypoaktivt delirium, är lätt att feltolkasom översedering eller depression. Att använda sig av bedömningsinstrument kan göra attdelirium upptäcks tidigare och att patienten snabbare får adekvat vård, vilket kan lindraförloppet. Det har utvecklats olika instrument för att bedöma om patienterna har delirium.Syftet med denna studie var att undersöka om användandet av CAM-ICU (ConfusionAssessment Method for Intensive Care Unit - ett bedömningsinstrument av delirium) är ettanvändbart mätinstrument för sjuksköterskan att upptäcka delirium hos patienter som vårdaspå IVA.

Specificering av produktionstransformatorer : Rekommenderade avsteg från IEC 60076 för att vid upphandling beskriva en robust enhet

As break downs of production transformers are costly and often result in long outages it is essential for reliability of operation that the transformers are manufactured to be robust. The aim of this M.Sc. thesis is to investigate if deviations should be made from the standard IEC 60076 ? Power Transformers in order to describe a robust large power transformer for procurement.The investigation has been conducted in three stages. In the first stage a definition of the term robust was developed in consultation with the client Vattenfall Vattenkraft.

Mätning av stamdiameter med markstående scanner :

Booth for operational planning of harvesting and for long term planning, data is today collected manually. Intensive objective field inventories are usually too expensive. To enhance optimisation of timber flow from forest to industry Moore efficient methods for measuring tree stems of standing trees are needed. The performance of terrestrial laser scanners have improved and these could possibly be used within forestry in the future. The objective of this study was to validate how a terrestrial laser scanner could be used to measure stem diameter, and to test how the errors depend on distance from the scanner and tree species. Two plots (one pine and one spruce) were used for this study.

Näringstillförsel och omvårdnadsdokumentation vid svår sepsis och septisk chock : En journalgranskning

Background: Insufficient nutritional support is associated with prolonged hospitalisation, impaired wound healing and impaired survival for patients in intensive care. In severe sepsis and septic chock, calculation of nutritional need is complicated since the metabolism is affected by decease. Aim: The aim of the study was to investigate nutritional support and to examine the quality of nursing documentation of nutritional status and nutritional support in patient records in severe sepsis and septic chock.  Method: The study was conducted as a retrospective investigation where 64 patient records were studied. The quality of documentation was examined in 10 patient records using an examinational model.Findings: Calculation of average nutritional support showed insufficient supply particularly in the two first days of intensive care. During the next five days nutritional supply was higher but individual variation was seen, why a clear picture of nutritional support is hard to detect.

Urbana bomärken : människor och uttryck på drift

`When one does not have what one wants, one must want what one has´: `I have had, you see, to resort more and more to very small, almost invisible pleasures, little extras....You´ve no idea how great one becomes with these little details, it´s incredible how one grows. ´ The aim of this master thesis is to find words and expressions that can accompany city phenomenas as well as the people wandering through the space which is defiened as city. Through this tentative search a new term was found namely Urban Settler Marks. This term started a journey and an attempt to theoretisize why people have a need for various spaces to put their Urban Settlers Marks onto. My focus was drawn to electrical boxes in the urban environment because of their ambigious nature.

Frekvens och spanningsskalning i en inbyggd mikroprocessor; for att mojliggora implementationen av schemalaggning med stod for dynamisk frekvens- och spanningsreglering for energihantering.

Minimizing power consumption is a critical part of many embedded design projects. Thechallenge is to limit the power consumption of the system and at the same time providesatisfactory service to the user. With regards to microprocessors, the main way of limiting powerconsumption during program execution is to adjust the frequency and the voltage at which theprocessor operates.To enable the implementation of real-time scheduling with support for dynamic voltage andfrequency scaling, an exhaustive study of the Freescale i.MX31 embedded microprocessor isperformed. Specifically, the power consumption relationship to all relevant frequency andvoltage settings is investigated. In addition, to enable frequency and voltage scaling in a real-timeenvironment, a complete timing analysis of proposed voltage and frequency scaling methods isperformed and their suitability for use in real-time systems is evaluated.To integrate voltage and frequency scaling capability into OSE RTOS, a software module hasbeen developed for this operating system.

Källor i Lagga, en uppländsk slättbygd : Geografisk och geologisk påverkan påkällvattens egenskaper

For centuries, springs have played a significant role in our society as water supplies, reasons for where to settle down, and in folklore. There are different reasons why and where a spring forms, e.g. in what kind of soil it has its outflow. Geographic and geochemical surroundings have an influence on spring-water quality.For this project some of the springs in the Lagga perish, Knivsta municipality, Sweden, were selected for a closer study. Water samples were collected from springs for analysis.

Koordination i förändring : En balanserad historia om kunskapsintensiva företag

Background: The dependency on knowledge and competence today is more critical than earlier. Today, companies need to put more effort into identifying and filling knowledge gaps, which can be achieved through mergers and acquisitions. It is important that the companies succeed in coordinating their operations after this process of change. Out of a theoretical point of view it can be argued that companies need to balance between different coordination mechanisms that result in standardized and flexible coordination respectively. Purpose: The purpose of this Master Thesis is, in the context of a merger, to investigate and analyze which coordination mechanisms that are used in knowledge-intensive companies, how these coordination mechanisms are combined and what explains the chosen combination.

Debriefing och avlastningssamtal ur intensivvårdssjuksköterskans perspektiv

Bakgrund: Arbetet på en intensivvårdsavdelning innefattar ofta ett högt tempo och intensivvårdssjuksköterskan förväntas utöver sin kunskap inom medicin och omvårdnad, kunna hantera de psykologiska reaktionerna som kan uppstå i samband med kritiska tillstånd.Debriefing och avlastande samtal är båda verktyg för att bearbeta känslor då en svår situation inträffat. Syfte: Att belysa intensivvårdssjuksköterskors upplevelser om vad som påverkar behovet av debriefing och avlastande samtal i det dagliga arbetet. Metod: Genom ett strategiskt urval valdes totalt 10 intensivvårssjuksköterskor ut att delta i denna deskriptiva kvalitativa studie, som genomfördes på tre olika intensivvårdsavdelningar i Sverige. Halvstrukturerade intervjuer utfördes och analyserades i enlighet med Granheim och Lundmans metod för kvalitativ innehållsanalys. Resultat: Sjuksköterskorna upplevde generellt ett behov av debriefing/avlastande samtal i samband med större olyckor.

Trädgårdsergonomi : om konsten att undvika de vanligaste riskfaktorerna för hälsan i små trädgårdsföretag med krukodling

This paper is based on a literature review and interviews made with managers in small-scale nurseries for pot plant production. The review helped to identify the worst occupational hazards in pot plant production. The interviews provided a way to investigate how the nurseries act so as to avoid the worst hazards and what they do to even out work intensive periods during the season in order to get a more even distribution of work over the year. According to available statistics problems with back and shoulders are the most common of the physical disorders and the risk for occupational accidents are high for greenhouse workers. Most of the occupational injuries are connected to musculoskeletal problems. The handling of material is often manual and involves frequent lifting and carrying of heavy loads, the strenuous work postures and static muscular tensions these repetitive tasks are associated with causes straining and overloading.

Plask : ett gestaltningsförslag för en ny park i Västerås

The park at Djäkneberget and its surroundings is a beloved area in the city of Västerås. The area is one of the most popular sites for outdoor life and recreation of all sorts and it attracts different kind of people at different times during the day. The park includes a pond-system where protected species of frog and toad live and breed. These animals have been the objects for many discussions concerning whether to explore the closeby areas or not. The prospected area is situated just next to one of the main ponds and consists of valuable foundationwalls were experts predict that the frogs and toads spend the winter. The municipality has now decided to restore this area to parkland. Because of the areas fascinating history I have chosen to do some research and give a short resume about it. For example are the existing park of Djäkneberget and its founder described together with a short description of the watersystem with the watertower that is situated in the area.

Överensstämmelse mellan bedömningsinstrumenten Bergs balansskala och Short Physical Performance Battery-Svensk version,utvärderat på strokedrabbade individer, 1-3 år efter stroke

SammanfattningSyfte: Att undersöka hur prestationen av deltagarnas resultat var för stroke drabbade individer,med relativt god gångförmåga, ett till tre år efter stroke, utförda med bedömningsinstrumentenBergs Balanstest (BBS) och Short Physical Performance Battery - svenska versionen (SPPB-S)som mäter bland annat balans och fysisk funktionsförmåga. Samt undersöka hur stortsamband (samtidig validitet) som förelåg mellan SPPB-S och BBS samt sambandet (samtidigvaliditet) mellan delmomentet statisk balans inom SPPB-S och BBS.Metod: Deskriptiv och korrelerande studie som analyserade redan insamlad journaldata frånbedömningsinstrumenten SPPB-S och BBS. Antal försökspersoner bestod av totalt 67personer i åldern 65-85 år med gångförmåga på minst 10 meter, ett till tre år efter stroke.Resultat: Undersökning av prestationen för SPPB-S visade medianvärde 9 av 12 poäng,interkvartilavståndet 3 och lägsta erhållna poäng var 0 och högsta poäng var 12. Prestationenför BBS visade medianvärde 50 av 56 poäng, interkvartilavståndet 7, minimun 6 ochmaximum 56 poäng. Prövningen av samtidig validitet för SPPB-S och BBS visade en starkkorrelation, med korrelationskoefficienten 0,8 (p<0,00).

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