
Sökresultat:
2350 Uppsatser om Medical record review - Sida 48 av 157
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.
Metadonunderhållsbehandling : en gråzon för kvinnor?
The aim of this thesis has been to investigate women's experience of the Methadone maintenance treatment and what help they believe they need to be able to recover and to improve their social life and whether the medical- and social workers share the similar view.Our method of investigation has been qualitative interviews with four women in the program, two nurses and a counsellor at the methadone clinic and two social workers, who have female clients in the program.The questions at issue were:* how did the women describe their life situation during treatment, compared to the situation they had while they were addicted to narcotics,* did the women experience that the treatment they get in the methadone maintenance program is giving them a better social life situation,* did the employees at the clinic and at the social office share the similar view about the treatments as the female patients?Main problems seemed to be; meeting new non-addictive friends and finding something to do. We could se that, in different ways, they need more support. It wasn't always clear to the people who work with them whose responsibility it was, depending on workplace and/or personality..
Diurnal rhythm of the savannah elephant (Loxodonta africana africana) in Maasai Mara National Reserve, Kenya
Elephants are hindgut fermenters, which affects their diurnal rhythm. To reach their nutrient demands, elephants must eat almost constantly throughout the light part of the day. Sexual dimorphism may also affect their behavioral patterns. To understand the elephants' normal living habits and foraging behaviour, we conducted a pre-study in the Mara Triangle, the north-western part of the Maasai Mara National Reserve. Each of four to six observers randomly chose a focal animal within the group of elephants by the criteria that they were adults and visible.
För vem redovisar i första hand hjälporganisationer?
The purpose of this essay was to identify the primary stakeholder in aid organisations, by which we mean whom they make their annual report for, and to analyse if there were any differences considering the design of their annual reports depending on which their primary stakeholder is. The method we used to explain the choice of primary stakeholder and the differences in the annual reports was a multiple case study. The collected data came from telephone interviews with 23 representatives from aid organisations and a review of annual reports. The results were analysed through pattern matching. We found that aid organisations do not have a primary stakeholder as in incorporated organisations.
Grönare IT med hjälp av balanserat styrkort
The concept of green IT is a hot topic in the industry right now. The requirements forenvironmental friendliness are becoming increasingly common. There is a lack of knowledge andunderstanding of what green IT means and how it can be achieved. Our study shows that the useof ICT can never become entirely green, but a lot can be done to become greener. We haveproduced a balanced scorecard which in theory leads to better governance, increased knowledgeand a common picture of what the work of greening IT means for employees and theorganization.
Behov i fokus vid oväntad död - Needs in focus facing unexpected death
Bakgrund Oväntad död är en traumatisk upplevelse förnärstående, kris och sorg i någon form är ofrånkomligt isamband med död och saknad. Vårdpersonal står inför en svårutmaning i omvårdnaden för att ge ett kompetentomhändertagande. Det korta mötet mellan vårdpersonal ochnärstående har visat sig vara av betydelse. Syfte Syftet medlitteraturstudien var att belysa närståendes behov ochvårdpersonals uppfattningar om närståendes behov i sambandmed en oväntad död. Metod Metoden var en litteraturstudie därdet ingick både kvalitativa och kvantitativa artiklar.
Användare och användning : av information och handlingar i moderna polisorganisationer
This study examines use and users of information and records originating in the context of a contemporary police organisation. This area of research has only been of focus for a relatively few researchers. This in contrast to use and users of historical archives which has been in centre for more studies. The study is conducted with a quantitative method structuring data from 120 selected registered matters containing user queries. The research questions addressed are:- what user categories use the records of the authority- which are the ways of contacting the authority preferred by the users- which are the identifiers provided by the users and how well are they matched by the search artefacts available to the staff of the authority- what information and records are sought-after by the users.For comparing the identifiers provided to the search artefacts has been selected the two most frequently used registry systems within the authority.
Kronisk smärta - En litteraturstudie om patienters upplevelser och tankar om sitt dagliga liv.
The purpose of this litterature review is to illustrate the nursing care to patient with chronic pain. As a theoretic frame for this study we choose Aron Antonowsky. The results of this study are based on 8 scientific articles. The findings are presented in main categories and ideas. The findings show that chronic pain is a multidimensional phenomenon that influences peoples quality of life in a physical, psychological as well as social way.
Identifiering och reducering av köer i samband med återbesök
Purpose ? The purpose of this thesis is to develop a total cost model for container transports and create a tool that calculates a suitable transport quantity from an economic view, which fulfills the demands on delivery service. To achieve this purpose the following questions will be answered:Which costs are affected by the decision between the two transport alternatives LCL and FCL? How does the decision of sending product LCL or FCL influence the delivery service? How can a tool be constructed to simplify the decision-making process regarding the choice of sending products LCL or FCL? Method ? A total cost model was developed. This model is supported from existing literature.
Validering av HOBO Pendant G data loggers förmåga att registrera beteenden och aktivitet hos suggor
There is currently no activity or behavior meters validated for sows under Swedish conditions where the sows are loose-housed during farrowing and nursing. An activity meter could in particular be used to detect sows that are getting ready for farrowing. Assistive technology in order to register different behaviors would be extremely useful in research and breeding.
In this study, a HOBO Pendant G data logger was validated for two different functions. First, the function as a pure activity meter in which the accelerometer's ability to detect an upcoming farrowing was evaluated, and second, the accelerometer's ability to distinguish between the behaviors standing up, sitting down, lying ventrally and lying laterally on the right and left sides was evaluated. The accelerometer was attached to a collar around the sow's neck, and was recording its location every two seconds for six hours a day for ten days on a total of twelve sows.
Mobil intensivvårdgrupp : ett tillfälle till bedsideundervisning
Ett av målen med Mobil Intensivvårdsgrupp (MIG) på Karolinska Universitetssjukhuset i Solna är att erbjuda intensivvårdskunnande och expertis för att höja kunskapsnivån på respektive vårdavdelning. Syftet med denna undersökning var att utvärdera om sjuksköterskorna på vårdavdelningarna upplevde att MIG fungerade som ett tillfälle till bedsideundervisning. En strukturerad intervju genomfördes med ett eget utformat frågeformulär, 47 sjuksköterskor deltog i undersökningen. Det framkom i resultatet att MIG förmedlade kunskap till vårdavdelningarna. Resultatet visade även att sjuksköterskor som arbetat i mindre än fem år upplevde att MIG var ett tillfälle till bedsideundervisning, i högre utsträckning än sjuksköterskor som arbetat i fem år eller mer.
Escherichia coli-mastitis in dairy cows :
Escherichia (E) coli is one of the most common udder pathogens associated with acute clinical mastitis in Swedish dairy cows. The aim of this study is to review some of the existing literature on E coli mastitis from a Swedish perspective. The bacteria, its most important characteristics, and diagnostics under field conditions is covered, as well as what happens during infection, how E coli affects the cow and which consequences this have. Clinical symptoms associated with E coli mastitis are described and information on when these cases of mastitis usually occurs is given. Risk factors in the cow?s enviroment are described as well as the importance of the cow?s immune defence.
Landsting möter landsting i gränsöverskridande samverkan. Om förändring och beslutsfattande i offentlig verksamhet.
A current debate is going on in Sweden about the health-care organization, how it is structured today and how it should be structured in the future. Despite major changes in the county council structures, they still got problems with for instance economy and the providing of staff. As an answer to these problems new solutions are being developed.In this thesis I examine such a solution consisting of cooperation between county councils. The aim of the thesis is to examine how and why the county councils in Sörmland and Västmanland have made a decision regarding cooperation over the administrative border.My contribution is to construct a model over change and decision processes that can be used in other cases as well. The conclusion is partly that the decision to cooperate is built on changing structural factors, such as economy, demography and medical development.
De dömdas öde : en rättsmedicinsk tolkning av skeletala skador från avrättningsplatsen Galgberget i Visby
This scientific essay contains an interpretation of injuries caused by weapons and traumas on the bones from the execution site Galgberget in Visby, Gotland. The site was used from about the 13th century to 1845 AD. The purpose is to examine the injuries and describe them, also to investigate what may have generated them. An important question is what bodily position the individuals had at the time of the injury. The methods presented in this essay can be associated with experimental osteology, also the basic methods such as sex- age- and stature- assessment has been applied where?s possible.
Närståendes delaktighet inom psykiatrisk slutenvård : Ur ett livsvärldsperspektiv
Today adult patients' relatives are seen as a resource in psychiatric care but few researchers have examined the lived experience of relatives' participation in psychiatric care. The aim of this study was to illuminate how mental health staff and relatives of adult patients experienced the relatives' participation in psychiatric care on hospital ward.The study was guided by a phenomenological approach and a lifeworld perspective. Data were collected through in-deep interviews with ten adult patients' relatives and three group-interviews with ten mental health carers from two hospitals in Sweden.The essence of the lived experience of relatives' participation in psychiatric care in hospital ward is described in the constituents: invitation to participate in psychiatric care; meet the staffs' care; to participate in own or others terms; bring the common everyday world with you; feel burden; participation a trip in time and space. The findings of the study show that the relation between the staff and the relatives are important for the relatives' participation in psychiatric care. The relatives' participation can alter from no participation to a meaningsful participation, from suffering to well-being.This study can help medical staff to understand relatives and their participation in a new way..