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5151 Uppsatser om Operation Change of Direction - Sida 54 av 344

Ambulanssjuksköterskors upplevelser av att använda triage

Bakgrund: Bukaortaaneurysm (AAA) har under de senaste tjugo åren blivit allt vanligare både när det gäller förekomst och diagnostisk upptäckt. Oftast är sjukdomen symtomfri och upptäcks ofta först när det rupturerar. AAA behandlas med antingen endovaskulär aortaaneurysm reparation (EVAR), öppen kirurgi av aorta (ÖA), farmakologiskt eller inte alls.Syfte: Syftet var att se hur mortaliteten och komplikationerna ser ut efter EVAR jämfört med ÖA och vilka olika kort- respektive långsiktiga för- och nackdelar som finns med de olika metoderna.Metod: Sökning av artiklar gjordes i databasen PubMed. Totalt valdes 10 artiklar ut som var baserade på 6 olika studier.Resultat: Majoriteten av dödsfallen som skedde inom 30 dagar hos ÖA-patienterna var aneurysmrelaterade och fler än inom EVAR. Efter 2-3 år syntes inte längre någon signifikant skillnad mellan de två patientgrupperna.

Från 2D till BIM i ett trähusföretag : Transition from 2D-CAD to BIM in a timber frame home company

A prefabricated timber frame house previously built by Villafabriken AB has been modeled in Autodesk Revit Architectural, a 3D-program based on BIM-technology. This has been done tosee if it?s possible to produce the publications that Villafabriken demands from the designengineer?s work, and examine which possible extra values that may arise compared to traditional 2D-CAD drawing.BIM is short for Building Information Modeling. Everything is stored in a single database and a change in the project file is automatically updated across the project. BIM provides more than just drawings since information from the model can be retrieved in various ways such as lists and quantity schedules.It was possible to produce the publications that Villafabriken demanded using Revit, but BIM doesn?t only mean a new way of drawing, it also require a change in the company?s process were the information from the model is being used..

Självskattad self-efficacy och rörelserädsla hos patienter inför total höftledsoperation: Förutsättningar för och behov av personcentrerad vård.

BakgrundTotal höftledsoperation är en vanlig och oftast komplikationsfri operation där patienten kan gå från en smärtfylld vardag till en smärtfri vardag. Operationstekniskt skulle en del patienter kunna gå hem väldigt snart. Dock har vi inte kunskapen om vad som krävs för att komma dit. Ett steg i den riktningen är att införa personcentrerad vård där patienten och vården utvecklar sitt samarbete. General Self-Efficacy Scale och Tampa Scale for Kinesiophobia, som mäter rörelserädsla, är två instrument som kan ge information om vilka patienter som behöver mer stöd i sin rehabilitering.

En kommunal One Stop Shop: Kan en gemensam kundtjänst verka som motor för verksamhetsutveckling?

The aim of this study has been to examine if an implementation of a One Stop Shop in the public sector and its IT-support can serve as a motor for business development. By examine the relation between the One Stop Shop and the public administrations we have tried to answer this question. The municipality that we have examined underwent a big change, seven years ago, when they implemented a One Stop Shop including a IT-support called Flexite. But despite these seven years and the fact that Flexite has changed approach from a Case Management System to a Support System for Business Development the municipality have not adapted to this change. .

Patienternas upplevelse av att vara fastande inför akutoperation

SAMMANFATTNING Bakgrund: Preoperativ fasta har under många år varit en traditionell metod för att minska risken för aspiration medan patienten är under generell anestesi och för att eliminera risken för postoperativ illamående och kräkningar. Studier visar att trots riktlinjer och rekommendationer gällande preoperativ fasta fastar många patienter i onödan i flera dagar än nödvändigt. Detta kan orsaka skador och obehag hos patienten som till exempel: törst, huvudvärk, illamående, svaghet och trötthet.Syfte: Syfte med denna studie var att undersöka hur patienter upplever fasta mer än 12 timmar innan en akutoperation.Metod: Arbetet hade en kvalitativ ansats där 12 patienter som genomgått akut operation inkluderades. Data samlades in genom en semistrukturerad intervju, med hjälp av öppna frågor enligt en intervjuguide och analyserades med hjälp av manifest innehållsanalys enligt Graneheim och Lundman.Resultat: Analyserna resulterade i fyra kategorier: Preoperativ information, upplevelse av fasta, hantering av preoperativ fasta och upplevelse av preoperativ tid och åtta underkategorier: Bristfällig information, tillräcklig information, bristfällig kunskap trots tidigare vårderfarenhet, fysisk påverkan, psykisk påverkan, strategi, väntetid och fastetid.Slutsats: Deltagarna i studien upplevde brist på information och kunskaper om den preoperativa fastans betydelse. Studien visade att patienterna som väntade på akut operation på akutvårdsavdelning fastade längre än nödvändigt trots riktlinjer och rekommendationer gällande preoperativ fasta från Svensk förening för Anestesi och Intensivvård (SFAI).

Kyrkan som immateriellt kulturarv En studie i kulturvårdens förhållningssätt till liturgiska värden

This master thesis aims to examine the methods of the conservation field and their visionabout maintenance and change, in terms of liturgical values. This is to be able todetermine if there is a need to develop the methods that the field of conservation has tosafeguard the intangible cultural heritage of the churches.This is mainly a literature review, focusing on different tutorials from the Swedish nationalheritage board, and different texts on liturgy aswell as Unesco's Convention for theSafeguarding of intagible Heritage (2003), ratified in Sweden in January 2011. A casestudy of the practical work has been carried out on three churches that have undergonechange. The application process and the results were important for this study.The conclusion is that the conservation field have ambitions to preserve the liturgicalvalues, but they do not have sufficiently developed methods to do so. Nevertheless, itappears that most cases of change in churches, increases the liturgical values..

Kulturarv för evigheten? Studie av kyrkans utveckling och framtid med exemplet Skallsjö kyrka

The aim of this study is to describe and analyze the history and the current situation of the Church of Sweden. The renovation of Skalljö church in Lerum municipality has been used as an example to enlighten the common changes in the church buildings. The long history of the Church of Sweden as the state church has resulted in the fact that it carries a remarkable part of the Swedish cultural heritage. The reason why the Heritage Conservation Act (1988:950) was altered in January 2000 was due to the change of relations between the State and the Church of Sweden. According to the Act, all church sites owned or managed by the Church of Sweden shall be maintained in such a way that their cultural historic value is not diminished and their appearance and character are not violated.Sweden is today considered to be a secularised country where religion is an individuals? private matter.

Finns det rätta livsmedelsvalet?

Outdoor recreation habits in metropolis and rural areasThis study aims to examine the perception of nature and outdoor recreation habits from an urban-rural prospective. The urbanization process continues in Sweden and the populations of the cities are growing continuously. Trends to build more compact and ?climate smart? reigns and with this a risk that green areas and areas where outdoor recreation can be practiced are situated further and further away from the urban population. Analyzing the responses from a survey made by the research program Friluftsliv i förändring 2007 we have examined if and which differences exists between urban and rural areas regarding their perception of nature, outdoor recreation habits and factors influencing the practice of outdoor recreation.

Kampen mot de fyra storbankerna

Outdoor recreation habits in metropolis and rural areasThis study aims to examine the perception of nature and outdoor recreation habits from an urban-rural prospective. The urbanization process continues in Sweden and the populations of the cities are growing continuously. Trends to build more compact and ?climate smart? reigns and with this a risk that green areas and areas where outdoor recreation can be practiced are situated further and further away from the urban population. Analyzing the responses from a survey made by the research program Friluftsliv i förändring 2007 we have examined if and which differences exists between urban and rural areas regarding their perception of nature, outdoor recreation habits and factors influencing the practice of outdoor recreation.

Viljebegreppet och psykologin : En studie av psykologins framväxt som vetenskap i Sverige genom en analys av viljebegreppets betydelseförändring

The aim of this study is to elucidate the process in which psychology was separated from philosophy and established itself as a distinct academic discipline in Sweden. I argue that the concept of will, as well as the concepts of thinking and emotion, have a lot to tell us about the rise of academic psychology in Sweden. This is done through an analysis of psychology textbooks, encyclopaedia-articles and academic texts on the themes will and psychology, from around 1800 till 1950.Prior to the establishment of the first chair of psychology in Uppsala 1948, the discipline was above all a part of the philosophical discipline. For psychology to become a science of its own, it was crucial to obtain a position among the empirical sciences. It thus had to distance itself from philosophy, and in particular from metaphysics.

Grabability - att utforma ett bokomslag som fångar köparens uppmärksamhet

Outdoor recreation habits in metropolis and rural areasThis study aims to examine the perception of nature and outdoor recreation habits from an urban-rural prospective. The urbanization process continues in Sweden and the populations of the cities are growing continuously. Trends to build more compact and ?climate smart? reigns and with this a risk that green areas and areas where outdoor recreation can be practiced are situated further and further away from the urban population. Analyzing the responses from a survey made by the research program Friluftsliv i förändring 2007 we have examined if and which differences exists between urban and rural areas regarding their perception of nature, outdoor recreation habits and factors influencing the practice of outdoor recreation.

Exercise pens as an environmental enrichment for laboratory rabbits

This thesis analyzes the effects of different fertilization strategies on forest management at Holmen Skog in Umeå district. Harvesting volumes, net present values and fertilization intensity are presented for each fertilization scenario. The planning reserve (percentage area older than minimum final felling age) was also analyzed in this study.The thesis covers the analysis of five different fertilization scenarios, varying in fertilization intensity, from no fertilization at all, to fertilization at every harvesting operation (thinning or final felling). A sub-study was also carried out so the reader in detail can see how the different fertilization scenarios affect individual forest stands of different nature. The analysis has been done with the planning tool PlanWise, which is an application of the Heureka analysis and planning system.

Infärgning och samarbete på Elprogrammet

This work is about collaboration and staining in the upper secondary school Electrical program. How should the coloring go to in order to increase students' motivation and thus facilitate students' learning is the main subject with the work. The study has shown that there is a functional co-operation today, and that students believe that if the cooperation would increase. It would also in-crease their motivation to improve..

Det pedagogiska arbetet inom MSI : Utifrån Bolognaprocessen och UPC

The Pedagogical progression within MSI ? Based upon The Bologna Process and UPC.In a near future several of the European countries will begin working after new guidelines concerning a declaration called the Bologna process. Everything will be done one step at a time and the declaration will change the way the students are being graded, all this for the sake of making the European labour-market moreopened for all of its millions of students.In Växjö this process is in the making, but to adapt to the future demands the school must also change its ways of teaching.To increase its quality the University has put together a procedure of actions to improve the pedagogical working method in all its institutions. In this essay we would like to elucidate how the work with the Bologna process is proceeding within the institution of Mathematics and System Engineering and whatthey do improve their pedagogical teaching. By doing a qualitative case study on the student at the Computer Science Program we wish to find the answers to our questions..

Kvinnors upplevelse av miljön på en operationsavdelning vid en operation inom dagkirurgi

Mötet mellan människor sker alltid i någon form av miljö. Den fysiska miljön vi befinner oss i påverkar oss alltid. Begreppet miljö kan delas in i fysisk, psykisk och social miljö. I dag opereras allt fler patienter inom dagkirurgi. Dagkirurgi innebär att patienten kommer till sjukhuset och opereras samma dag som hon/han åker hem.

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