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372 Uppsatser om Medicine - Sida 20 av 25
Triage - hälsoekonomi : resursallokering och kostnadsberäkning för olika proriteringsnivåer inom akutsjukvård
When a person arrives at the emergency ward at the Uppsala University Hospital with his or her symptoms he or she explains the problems and then a priority process starts. The staff evaluate at which emergency level the patient is located in a model called Triage. The Triage model helps to decide the priority need and is based upon templates which point out in which of the 5 categories a patient is to be placed, to eliminate any future risk regarding his or her health. A lower triage level means lower priority but implies better health when the evaluation takes place. To obtain optimal effect of the Triage model the evaluation of symptoms must be reproducible so that patients with the same symptoms are placed at the same triage level regardless of whom among the staff conducts the evaluation.
The purpose of the study was to see if the resources are allocated based on priority level of the patients.
Frukost och korttidskognition ur ett ungdomsperspektiv
Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Breakfast and cognition from a youth perspectiveAuthor: Linn Kruse and Anneli HulldinSupervisor: Anna WinkvistExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 26, 2014Background: Breakfast as an influencing factor on cognition and is often on the table for discussion in society. A lot of research has been done about how omitting breakfast affects adolescents and their short time cognition. Cognition is complex as a concept and is measured in different ways and the existing research in the area often compares different types of breakfasts instead of the difference between eating and omitting breakfast.Objective: To evaluate the scientific evidence for an association between adolescents? breakfast eating and short time effects on cognition in adolescents.Search strategy: To find relevant articles a systematic literature search was made in the databases PubMed, Scopus and Cochrane. Search terms that were used were: children, young adults, adolescents, cognition, and breakfastSelection criteria: Ages 12-20 years, measures cognition, RCT, studies comparing breakfast eating with omitting breakfast, human studies, language English or Swedish, no sick adolescents or adolescents with diagnosis.Data collection and analysis: Two original articles met the inclusion criteria and were reviewed by the SBU audit template for RCT studies.
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.
Vetenskaplig publicering i gungning
Scholarly publishing has since the introduction of electronically distributed periodicals seen a time of change, mainly in the STM-business (Science Technology and Medicine). The roles of the three main participants in the publication process; researcher, publisher and library are developing into new directions. Researchers themselves are taking a more active part in the discussion, with the boycott list from the Public Library of Science organization as an illustrating example. Reforms are being launched partly as an economical and efficiency issue, partly as an increasing desire from researchers to maintain the control of scientific end result. This Master s thesis examines how the partly conflicting goals of the participants affect the conditions for scholarly publication in an electronic environment.
Utvärdering av en arbetsmetod för analys av katastrofmedicinsk beredskap
Samhällets utveckling i kombination med förändringar inom hälso- och sjukvården ökar risken att drabbas av en allvarlig händelse. Hälso- och sjukvården måste därför anpassas för att kunna hantera situationer med ett stort skadeutfall, i samma utsträckning som en oväntad minskning av tillgänglig kapacitet, till exempel vårdplatsbrist. Genom att hitta svagheter i verksamheten så ökar möjligheterna att åtgärda dessa och därmed förmågan att kunna upprätthålla de ordinarie målen för vård och behandling av patienter vid en allvarlig händelse. Syftet med denna studie var att utveckla och testa en arbetsmetod för att systematiskt kunna analysera och utvärdera katastrofmedicinsk beredskap, samt identifiera, orsaksbestämma, åtgärdsanalysera och mäta förmågan att hantera de för Landstinget i Östergötland (LiÖ) väsentliga områdena av katastrofmedicinskt beredskap. För detta ändamål utvecklades en arbetsmetod genom att kombinera en av Katastrofmedicinskt Centrum skapad strukturmall med den metod som Patientsäkerhetsenheten inom LiÖ använder sig av vid riskanalyser.
Kundanpassning av ett rehabiliteringsverktyg
To be able to move around without having to think about each movement is for most people amatter of course. Todays society contributes to a life at high speed where the sparetime is oftenspend doing somekind of sport, even extreme sports which earlier only a few people wheredoing. This leads to not only good health effects but also to more injuries. One of the mostcommon injuries is the knee injury.Capio Artro Clinic is a clinic specialized in sports Medicine and particulary patients with injuriesin knee, shoulder, foot, hip or elbow. They perform a great part of all the crucial ligamentsurgeries in Sweden and has therefor also a lot of patients in need for rehabilitation of the knee.During the rehabilitation the load of the injuried knee is increased in steps.
Gemensamma upplevelser av gemensamma faktorer? - Om klienters och terapeuters upplevelser av gemensamma faktorer i terapi
Syftet med studien var att undersöka hur vissa gemensamma faktorer upplevs i en terapi samt hur de förhåller sig till varandra och upplevelsen av utfallet. Följande faktorer ingick i undersökningen: den terapeutiska alliansen, terapeutens kompetens, förväntningar på påfrestning, förväntningar på utfall inför terapin och klientens problematik. En frågeställning inför studien var även huruvida klienters och terapeuters upplevelser av terapin överensstämmer med varandra. Till grund för studien ligger skattningar gjorda av studentterapeuter och deras klienter vid mottagningen för psykoterapi, Institutionen för psykologi, Lunds Universitet. Tjugofyra studentterapeuter och tjugo klienter deltog i studien, av dessa hade i femton av fallen både terapeut och klient svarat från samma terapi.Studien fann att det generellt finns en samvariation mellan de gemensamma faktorerna och till utfallet.
Äldre kvinnliga undersköterskors upplevelser av betydelse för bibehållen arbetsförmåga
Bakgrund: Kvinnor har högre sjukfrånvaro än män och inom undersköterskeyrket, som är kvinnodominerat, märks detta tydligare. Det finns därmed anledning att uppmärksamma och kartlägga vad som upplevs främja kvinnors arbetsnärvaro och arbetsförmåga i detta yrke. Syfte: Syftet med studien var att utforska äldre kvinnliga undersköterskors upplevelser av betydelse för bibehållen arbetsförmåga inom kommunal äldreomsorg. Metod: Studien genomfördes som en beskrivande kvalitativ intervjustudie med kvalitativ manifest innehålls-analys. Sex friska undersköterskor mellan 55-58 år i kommunal äldreomsorg valdes genom ändamålsenligt urval till semistrukturerade individuella djupintervjuer.
Bebisgeniet och den gode föräldern : En diskursanalys om böcker för bebisar inom bibliotek och bokklubbar
In recent years there has been an upsurge in products and activities designed for infants, what is known as baby culture. The essay is a discourse analysis covering the part of baby culture which is concerned with infants and books. The essay studies texts from libraries and children?s bookclubs in order to understand what it is they communicate, to whom and the conceivable consequences of the communicated message. One of the main purposes of the study is to determine what view of infants as social and cultural beings it is that arises from the texts.
Implementeringen av REACH : Fallstudie på ett SME-företag
The importance of chemical use is enormous for areas such as agriculture, industry and Medicine and hence a prerequisite for our modern society. In order to protect humans and the environment from the negative effects of chemical use, chemical regulations have been used at a relatively early stage in our history. The purpose of REACH, the new chemical regulation of the European Union, is to generate new knowledge of chemicals within the European market and to increase the responsibilities of the enterprises when it comes to risk management. Whether the enterprises will implement the regulations or not will be of vital importance for the realization of the law?s intentions.The purpose of this study was to identify possibilities and problems that can occur when a downstream-user SME is about to implement REACH.
Sambandet mellan alkohol och bukfetma
Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: The relation between alcohol and abdominal obesityAuthor: Anna Eriksson och Karin EdenholmSupervisor: Fredrik BertzExaminer: Ingrid LarssonProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 30, 2013Background: Abdominal obesity is a part of the metabolic syndrome, which has a worldwideprevalence of 20-25 %. The problem with abdominal obesity is the accumulation of visceraladipose tissue, which is an important risk factor for cardiovascular disease. Alcohol haseffects on metabolism, and can also lead to an increase in total energy intake; these twofactors can lead to an increase in accumulation of visceral fat. Besides this there are studiesthat show that a moderate alcohol intake could be good for your health. The context gets morecomplicated since different studies have shown contradictory results concerning theassociation between alcohol, different types of alcoholic beverages and measurements ofabdominal fat.Objective: The objective of this article review is to assess the evidence of whether alcoholintake is associated with accumulation of visceral adipose tissue, using the measurementswaist circumference (WC) and waist-hip ratio (WHR).Search strategy: The databases used in the literature study were PubMed and Scopus.
Evidensgranskning av behandlingsmetoder grundade i spegelneurons-teorin som används inom stroke rehabiliteringen : En systematisk litteratursammanställning
Stroke är en folksjukdom, som årligen drabbar ca 30 000 människor. Ett vanligt återstående problem efter stroke är hemipares som kan innebära svaghet i ena kroppshalvans arm och/eller ben, samt svårigheter att klara det vardagliga livet. För att ge patienten så bra förutsättningar som möjligt att uppnå en så hög grad av självständighet som möjligt är det viktigt med en intensiv rehabilitering. Flera studier har visat att spegelterapi kan vara ett lovande verktyg att använda inom strokerehabiliteringen. Syftet med studien var att sammanställa evidensen för behandlingsmetoder grundade inom spegelneurons-teorin som används inom stroke rehabiliteringen.
Implementeringen av REACH : ett led i att bidra till en hållbar utveckling : Fallstudie på ett SME-företag
The importance of chemical use is enormous for areas such as agriculture, industry and Medicine and hence a prerequisite for our modern society. In order to protect humans and the environment from the negative effects of chemical use, chemical regulations have been used at a relatively early stage in our history. The purpose of REACH, the new chemical regulation of the European Union, is to generate new knowledge of chemicals within the European market and to increase the responsibilities of the enterprises when it comes to risk management. Whether the enterprises will implement the regulations or not will be of vital importance for the realization of the law?s intentions.The purpose of this study was to identify possibilities and problems that can occur when a downstream-user SME is about to implement REACH.
Sex i skolbiblioteket : Kunskap, makt och konstruktionen av sexualitet på svenska skolbibliotek
The purpose of this essay is to investigate the construction of sexuality in Swedish school libraries through the lens of Foucault?s concept of power/knowledge. Five libraries were investigated, using two kinds of method: discourse analysis of titles, classification codes and subject headings of sex education materials, and qualitative interviews with librarians working at each of the libraries. Most sex education materials were classified within the Medicine section, illustrating the continued authority of medical discourse in matters concerning sexuality. Books for younger audiences were often written for either boys or girls, reproducing a binary understanding of gender.
Alfa-linolensyra från linfröolja och dess påverkan på blodtrycket -En systematisk översiktsartikel
Sahlgrenska Academy at University of Gothenburg Department of Internal Medicine and Clinical NutritionAbstractTitle: Alpha-linolenic acid from flaxseed oil and effects on blood pressure ? A systematic reviewAuthor: Christine Hårdfelt och Liduina van SitterenSupervisor: Helen LindqvistExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: April 9th, 2014Background: High blood pressure is strongly associated with an increased risk of developing cardiovascular disease, particularly stroke. ALA-fatty acids have previously been associated with decreased blood pressure. Flaxseed oil is very rich in these fatty acids and has also been highlighted as an affordable and sustainable source.Objective: To investigate whether ALA-fatty acids from flaxseed oil may affect blood pressure in people with high risk for cardiovascular disease.Search strategy: Two searches in PubMed and Scopus were performed. The sample was specified by using specific keywords.Selection criteria: The criteria for inclusion of studies required that flaxseed oil was compared with a control and that blood pressure was measured as an endpoint.