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660 Uppsatser om Pastoral clinical paradigm - Sida 5 av 44
Livsstilsförändringar vid osteoartrit hos katt
Background: Osteoarthritis is understood to be a common cause of pain and dysfunction in cats; however there are few validated pain assessment methods for chronic pain in cats. In order to design a proper pain questionnaire, it usability need to be tested in both sound and sick cats.
Aim: The aim was to investigate the usability of the pain questionnaire ?Lifestyle changes in cats? by compiling the results from the pain questionnaire reflecting the lifestyle in 30 healthy cats and compare it to the results from a clinical examination, as well as proposing improvements and additions to the questionnaire based on a literature review.
Material and method: 30 healthy cats participated in the pilot study; the pet owner filled out a pain questionnaire with 16 questions regarding their cat´s behavioral and eventual changes in behavior and physical function. Thereafter the cat walked over a pressure measurement mat and finally underwent an orthopedic-directed clinical examination.
The literature was found on Web of Knowledge, PubMed, Sciencedirect, and Google Scholar and also with the help of my supervisors.
Stuttering Severity Instrument 3: Svensk översättning och utprövning
The main purpose of this study was to translate Stuttering Severity Instrument 3 and to evaluate its reliability and validity. Five speech-language pathologists assessed 35 adults who stutter with this assessment tool. Overall the results showed a very high inter- and intrarater reliability. A highly significant correlation between Stuttering Severity Instrument 3 and ratings of severity, made by the speech-language pathologists, strengthen the validityof Stuttering Severity Instrument 3. No correlation was found between the total score of Stuttering Severity Instrument 3 and the self-report measure Overall Assessment of the Speaker's Experience of Stuttering, whichindicates a lack of social validity in Stuttering Severity Instrument 3.
Funktionell Programmering : En framtidsprognos
Trenden inom systemutveckling och programutveckling går mot ett mer användande av multiprogrammeringsparadigmer.Funktionell programmering har fått mer uppmärksamhet på senare tidoch utvecklingen tycks över lag gå än mer åt detdeklarativa hållet där programmeraren fokuserarmer påvad som skall utföras och inte lika mycket på hur. Under en tid har det objektorienteradeparadigmet varit dominerande, kommer det vara så i framtiden? Funktionell programmering skiljersig från imperativ programmering, speciellt i abstraktionsnivå.Microsoft har implementerat programmeringsspråket F# i Visual Studio 2010. F# är ett funktionelltprogrammeringsspråk som även stödjer objektorienterad och imperativ programmering. Kan F# fåfunktionell programmering som paradigm att växa? Kommer F# få något genomslag iprogrammeringsvärlden? Genom att höra experter och företags åsikter vill vi framställa en prognosför F#.
Den kvantandliga diskursen : En undersökning om nyandlighetens möte med kvantfysiken
This paper aims to describe and elaborate on a recent discursive change within the new-age movement. Since the seventies and the publishing of speculative popular science books like The Tao of Physics by Fritjof Capra and The self-aware universe by Amit Goswami, the idea that quantum physics resonates with spirituality has become the topic of hundreds of books and movies.The quantum-spiritual discourse has three distinct ways to approach quantum physics in its discussion on spirituality: The parallelistic approach which emphasizes the similarities between eastern philosophies and modern physics, the monistic-idealistic approach which tells us that mind is the foundation of matter and the scientific spiritual approach which tries to explain spiritual claims scientifically. In the quantum-spiritual discourse, quantum physical phenomena (e.g. non-locality and entanglement) are being called upon to validate metaphysical statements. The primary assumption of the discourse is that the shift of paradigm due to the establishment of modern physics also is a shift of paradigm of spirituality.With the object to examine the common claims made in the discourse, cross-references between spiritual arguments and facts of quantum physics are being made.
Man kan aldrig så noga veta? mentalisering i familjeterapi
Syftet med uppsatsen var att undersöka och beskriva hur man arbeta med mentalisering/ reflektiv funktion i olika familjeterapeutiska metoder. Uppsatsen bygger på intervjuer med sex erfarna familjeterapeuter med olika inriktning som besvarar generella frågeställningar samt beskriver hur de skulle arbeta med ett kliniskt exempel.Resultatet visar att familjeterapeuterna, oavsett tidigare kännedom om begreppen tänker likartat kring mentalisering och reflektiv funktion i sitt kliniska arbete, och att alla utom en terapeut väljer snarlika förhållningssätt i arbetet med det kliniska exemplet. Slutsatsen är att mentalisering/reflektiv funktion är något som familjeterapeuterna ser som vägen till att skapa förändring och att familjeterapeutiska metoder kan användas för att arbeta med och förstärka mentalisering och reflektiv funktion.The purpose with this essay was to examine and describe how to work mentalizing and enhancing the reflective function with various family-therapeutic methods. The essay consists of interviews with six experienced family therapists with various orientations who answers general questions and describes how they would work with a clinical example.The essay concludes that the family therapists, regardless of previous knowledge of these concepts, think alike about mentalizing and reflective function in their clinical work. All except one also choose a similar approach in their work with the clinical example.
Arbetsterapeuters kliniska resonemang vid bedömning av arbetsförmåga hos personer med neuropsykiatriska funktionsnedsättningar. : En kvalitativ intervjustudie
Uppsatsens syfte var att beskriva hur arbetsterapeuter resonerar kliniskt vid bedömning av arbetsförmåga hos personer med neuropsykiatriska funktionsnedsättningar. För denna studie användes en kvalitativ ansats. Semistrukturerade intervjuer genomfördes med fem arbetsterapeuter som jobbar mot arbetsmarknaden. Frågeområdena inspirerades av clinical reasoning ?three track mind? där procedural, interactive och conditional reasoning utgör de tre olika tankemönstren.Resultatet redovisades i fyra kategorier och ett övergripande tema som beskriver arbetsterapeuternas kliniska resonemang: Att forma en frågeställning, Att välja bedömningsmetod, Att utforma en slutrapport och Yrkeskompetens.
Prevalens av osteochondros hos avkommor efter svenska halvblodshingstar : en retrospektiv tvärsnittstudie utförd med hjälp av rutinmässigt insamlade klinikdata från röntgade hästar vid ett svenskt djursjukhus
The main purpose of this study was to study the heredity of osteochondrosis (OC) in fetlock-, hock- or stifle joints within the Swedish half-bred population, using data from the regional animal hospital in Helsingborg.
A large number of horses with clinical symptoms, for example lameness, are radiographed every year at the regional animal hospital in Helsingborg. In addition, many clinically healthy horses are radiographed in order to be sold (inspection radiographed / export radiographed). This study is based on electronically stored data from horses in both of these groups of patients that underwent joint radiography at the regional hospital in Helsingborg during the years 1992-1999. The first file (inspection file) contained 1035 observations from 983 horses that had their fetlock-, hock - or stifle joints radiographed for inspection or export. The other file (clinical file) contained 6121 observations from 3800 horses that were radiographed due to clinical symptoms in the fetlock-, stifle or hock joints.
Hydroperikard hos katt : patofysiologi, diagnos och behandling
Hydropericardium or pericardial effusion (PE) is the accumulation of fluid in the pericardial sac and is often secondary to pericardial diseases or diseases related to the heart. It is unusual with clinically relevant pericardial diseases in cats but pericardial effusion is the most common one.
Since PE causes serious symptoms and may lead to death it is important with a quick diagnosis and treatment. PE can be acute and cause cardiac tamponade, which gives severe clinical signs. Cardiac tamponade needs to be treated immediately or else the cat will die from cardiogenic chock. More common is chronic PE where the fluid accumulates during a longer period of time and the pericardial sac stretches.
Malassezia otit hos hund : utvärdering av lokal behandling med betametason, ekonazol respektive ättiks- och borsyrelösning
Malassezia otitis in dogs is a common cause of visit to a veterinary service. In otitis externa due to Malassezia overgrowth the dog has a higher number of yeast organisms and/or a local inflammatory response to the micro organism. Common clinical signs include pruritus, erythema, swelling and increased exudate production. Clinical symptoms and results from cytology of ear swabs from the ear canal is the mainstay for diagnosis. Any underlying condition has to be identified and corrected to avoid relapse.
The treatment options for infective otitis externa are based upon topical administration of eardrops containing antibiotics, steroids and antifungals.
Nationell datajournal : - Strategier inom IT-politik
In the society of information that we live in the knowledge of computers and computer system will have a greater influence than we may think. Discrimination is no longer exclusively a term that indicates lesser understanding of different cultures, the discrimina-tion that is at hand will be between ?the have and the have-nots?.This study is about the strategic methods and considerations that is of importance for planning, organizing and finally implement the work with national computer based patient documentation. The strategic planning has been done over a period of time where different actors all had their share of influence. The cost seems to be endless since it has increased after the actual program, in this case, Cosmic from Cambio Healthcare, entered the scene of healthcare.
Islandshästar med hosta och/eller prestationsnedsättning : skiljer de sig åt jämfört med andra raser?
The purpose of the study was to investigate whether or not Icelandic horses are
less severely affected in clinical symptoms of cough or decreased performance
than other breeds of horses. A breed variation in chronic respiratory disease
severity was suspected based on clinical experience at the Institution for surgery &
medicine, large animal, SLU Uppsala. A retrospective journal study of 17
Icelandic horses and 17 Swedish Standardbred horses with chronic problems with
cough and/or decreased performance compared several measurements of disease
severity.
The clinical signs, physical examination and laboratory testing results compared
were respiratory rate, abdominal breathing, lung auscultation, endoscopy results,
broncho-alveolar lavage (BAL) results and the blood gases pO2 and pCO2. All
parameters were available for all 34 individuals except for the blood gases, which
were analysed, in only four Icelandic horses and four Swedish Standardbred
horses.
The only parameters that appeared different between the two groups were
respiratory rate and pO2. The four Icelandic horses, which had blood gases
analysed, had more severe hypoxemia.
Elefantens könsorgan, reproduktion och embryoutveckling
Hydropericardium or pericardial effusion (PE) is the accumulation of fluid in the pericardial sac and is often secondary to pericardial diseases or diseases related to the heart. It is unusual with clinically relevant pericardial diseases in cats but pericardial effusion is the most common one.
Since PE causes serious symptoms and may lead to death it is important with a quick diagnosis and treatment. PE can be acute and cause cardiac tamponade, which gives severe clinical signs. Cardiac tamponade needs to be treated immediately or else the cat will die from cardiogenic chock. More common is chronic PE where the fluid accumulates during a longer period of time and the pericardial sac stretches.
Tillfrisknande och användning av hästar med fång :
Laminitis has crippled horses through times and many cures have been used to
treat it. Since the mechanism of the disease is yet not fully understood, treatments
are only ways to alleviate the pain and at best, slow down the pathological process
enough to make time for improvement. This paper is a retrospective study of 71
horses treated by a protocol at Hästsjukhuset Strömsholm. The protocol implies
three visits at zero, five and fifteen weeks. At each the horse is evaluated and
treated by a veterinarian.
Precisionsbestämning av bendensitometri
International Society for Clinical Densitometry (ISCD) rekommenderar att precisionsbestämning av bentäthetsmätning görs på varje klinik för att bedöma reproducerbarheten. Bentäthetsmätning görs för att diagnosticera osteoporos, följa upp behandling och förutsäga frakturrisk. I studien användes Dual energy x-ray absorptiometry (DXA) för att utföra dubbla mätningar på redan inbokade patienter på klinisk fysiologi, Skånes Universitetssjukhus (SUS), Lund. 105 patienter ingick i studien. Mätningarna utfördes på helkropp, totalhöft, lårbenshals och ländrygg.
Övervakning av ston i sen dräktighet genom transrektal ultraljudsundersökning av placentan :
Abortion during late gestation is often caused by placental dysfunction such as placentitis. To prevent this from happening the placenta can be monitored pre partum so treatment can be started at an early stage. Methods for monitoring the placenta include hormonal monitoring, presence of clinical signs of placental dysfunction and ultrasonographic evaluation of the fetus and the placenta. Transrectal ultrasonography provides a very good image of the caudal portion of the allantochorion where an ascending placentitis normally establishes.
An increased combined thickness of the uterus and the placenta, CTUP, has been associated with placental failure.
This study included ten Swedish standardbred trotter mares in late gestation. They were monitored by transrectal ultrasonography of the placenta two times with approximately a month in between.
CTUP was measured on each examination.