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351 Uppsatser om Surgical preparation - Sida 2 av 24

Vaccinering mot galtlukt ? ett alternativ till obedövad kirurgisk kastrering av smågris

In 2012, about 1.3 million boars were surgically castrated, most of them without anaesthesia. Castration is performed to avoid the occurrence of boar taint and aggressive and sexual behaviour. There is a growing concern about the welfare of the piglets and the Swedish Board of Agriculture is working to find efficient and functional alternatives to castration without anaesthesia. The aim of this study was to obtain an overall picture of the latest research about the alternatives to castration without anaesthesia, with focus on vaccination against boar taint, and how they affect the welfare of the pigs. The alternative methods that are available today are surgical castration with anaesthesia and/or analgesia, rearing entire males and vaccination against boar taint.

Postoperativ smärta efter kirurgisk abort

 Pain is common among women undergoing first trimester surgical abortions. At the postoperative unit, department of gynaecology, University Hospital, Uppsala, the goal is that 80 % of the women should rate pain as £ 3 on a numeric rating scale (NRS), when leaving the unit.The aim of the study was to investigate how rating was performed at the unit and to investigate patient?s perceptions of pain after having undergone first trimester surgical abortion.20 patients (74%) participated in the study. Ninety percent of the patients rated their pain as NRS £ 3 when leaving the unit. Seven patients (35 %) rated their pain as NRS > 3 directly after operation, and 2 (10 %) patients NRS > 3 when leaving the unit.

När man inte vet - Patienters upplevelser av att vårdas för ospecifik buksmärta på kirurgiska akutvårdsavdelningar

Introduction: To become acute ill and to be forced to seek treatment involves a difficult but also a vulnerable time for the individual. This acquires a good relationship between the nurse and the patient. At a surgical emergency ward patients with different diagnoses and trauma are treated. What distinguishes this specific type of ward is that care often occurs in a rapid rate and as a patient the environment may be experienced as stressed. The relationship with the nurse at the ward establishes a foundation for how the patient experiences the health care.

Utvärdering av kirurgisk behandling vid organiska stämbandsförändringar hos barn

In Sweden surgical treatment of vocal fold lesions in children is fairly uncommon. At Falun hospital they have adapted a more generous attitude towards phonosurgery of children?s vocal folds. The purpose of the present study was to evaluate surgical treatment of organic vocal fold lesions in children and to assess the phonosurgical patient utility. The study was carried out at the Ear-, Nose- and Throat clinic, Falun hospital, Sweden.

Användning av WHO:s checklista för säkerhet vid operationer och operationssjuksköterskans medverkan.

Background: Surgical complications has been the main cause of medical injuries and deaths worldwide. In 2008 WHO developed the checklist for safe surgery to reduce the number of surgical complications. The objective of the checklist is to strengthen already established safety routines and contribute to better cooperation and communication. Research shows that compliance to the checklist is deficient, which can affect patient safety.Aim: The aim was to study the extent to which theatre nurses participate in the use of the checklist.Method: Observational study was conducted with a descriptive design and quantitative approach. 24 observations were carried out with aid of an observation protocol of two surgical units at a hospital in central Sweden.Result: The results showed that Timeout initiated widely but compliance to all items was considerably lower.

Preoperativ hud- desinfektion

Introduction. Infection Prevention is one of the surgical nurses' main responsibilities. One of the steps which patients undergo in this purpose before surgery is the preoperative skin desinfektion. Background. The patient washes the day before surgery with Descutan cutaneous sponge 4 %, a sponge containing chlorhexidine.

Site preparation, planting position and planting stock effects on long-term survival, growth and stem form properties of Pinus contorta on southern Iceland

In order to evaluate different afforestation methods for exposed heath lands a field experiment was established in Mosfell on southern Iceland in 1989. The trial comprised six different site preparation methods (control, herbicide application, tree shelters, patch scarification, TTS trenching and mounding). In total 960 container seedlings (1+0) and 960 Nisula roll transplants (2+1) of lodgepole pine were planted. Various planting positions (furrow, hinge, no site preparation (control) and on top of mounds) were tested within the site preparation treatments. This study involves renewed measurements and analyses of the trial.After 19 years the overall survival was 51,7 %.

Det ligger i luften - en enkät undersökning om kvalitetssäkring av ventilation på oprationssalen

ABSTRACTIntroduction: Postoperative wound infection is the third most common nosocomial infection in Sweden. The ever-growing problem of antibiotic resistance provides surgical departments a big challenge when it comes to preventing the spread of infection. Operating theatre nurses have a vital role in the prevention of infection. In addition, correct ventilation in the operating theatre is of great importance. The caregiver is responsible for quality assurance of ventilation in the operating theatre, but the work can be delegated to other staff within the department.

De är ganska segregerade, det är de, och det ärproblem : En studie om nyanlända grundskoleelevers skolgång i en förberedelseklass

My study is about a preparation class in a selected municipality. It is based on the child¹s perspective, and it tries to highlight the school situation of new arrivals in a school where the majority of the pupils are of Swedish origin. The purpose of my study is to visualize how the education for newly arrived children is organized in the municipality, and to get an understanding of a range of student?s view of the schooling in the preparation class as an introduction to a regular class.To reach my goal, I have used qualitative methods, based on qualitative interviews. The interviews were made with six newly arrived pupils, and one interview was made with the deputy head of the school, which is in charge of immigrant education in the municipality.

Nutritionspolicyn på en kirurgavdelning : En utvärdering av följsamheten till riktlinjerna

Introduction: Balance between the essential nutritive substances is important for aperson to maintain health. The surgical patient can be stricken with conditions, whichhave a negative impact on this balance and can lead to malnutrition. Working as a nurseit is important to identify patients that are malnourished or is in the risk zone ofmalnourishment since 30 % of all patients in hospitals are malnourished.Aim: The aim of this study was to examine the compliance to the guidelines fornutritional assessment and parenteral nutrition on a surgical ward. Also whether thenutritional treatment/-support was reported to the next caregivers if the patient wasmalnourished or was in the risk zone of malnourishment at the time of discharge.Method: 80 patients enrolled on the ward in the beginning of year 2011 were included.Audit of patient records was made according to the hospital guidelines for nutrition andparenteral nutrition and followed a study specific protocol.Results: The examination of the case records showed that the guidelines for nutritionwere partly complied with. Nutritional treatment/-support was reported to the nextcaregivers when needed.

"Visst gör det ont" Patienters upplevelse av postoperativ smärtbehanling

Introduction: A big part of the patients that recently has gone through operation at surgical units experiences pain in different scales after their operation. Untreated postoperative pain has been proved in different studies to increase to risk medical complications, longer rehabilitation, more days at the hospital and higher expenses for the hospital. One of the nurses? main tasks is to notice and relieve the pain of the patients. To engage the patients more in the medical process and make the nurses´ work more person-centered could make an impact on the postoperative pain and contribute to a better pain relief.

Förekomst av meticillinresistenta Staphylococcus spp. på kirurgiskt behandlade hundar

Surgical site infections are a recurrent problem in veterinary medicine. A 2-5 % infection rate in clean surgery has been reported. During the last years the increase in methicillin resistant staphylococci has also taken its toll on veterinary medicine, demanding a stricter hygiene and antibiotic regime. The 2008 outbreak of methicillin resistant Staphylococcus aureus (MRSA) at the University animal hospital, Swedish University of Agriculture indicated that that the MRSA problem was now a real, possibly zoonotic problem.Since the first dog, in Sweden, was diagnosed as a carrier of methicillin resistant Staphylococcus pseudintermedius (MRSP) in a study in 2006, the infection rate by this bacterium has increased. In 2009 (January 1st - December 2nd) the National Veterinary Institute (SVA) has identified 58 samples as MRSP positive.

XRF-analys av förorenad mark : undersökning av felkällor och lämplig provbearbetning

X-ray fluorescence (XRF) detection of heavy metals is a cost- and time-effective method for investigation of polluted areas. Compared to laboratory analysis, XRF analysis is limited by high detection limits and uncertainties in some situations. Preparation of samples is known to affect the results of measurements.The purpose of this thesis is to bring a deeper understanding of how different factors affect the results of XRF-analysis. A large number of measurements have been made with the instruments Niton XLt 700 and Niton Xli 700. Results from measurements of lead, zinc and copper have been analysed.This study has shown that a greater moisture content will give a lower measured concentration for the same sample.

Munskydd på operation - grunder för varför det ska användas.

Som operationssjuksköterskor med lång erfarenhet av operationssjukvård har diskussioner kring munskyddets vara eller icke vara funnits, huruvida munskyddet verkligen skyddar patienten mot postoperativ infektion, eller varför munskydd egentligen behövs. I rollen som operationssjuksköterska ingår ett ansvar för patientens säkerhet, däribland ingår att se till att hygienrutiner följs.Om en patient får en postoperativ infektion orsakar det ett extra stort lidande för patienten, vilket även kan innebära att vårdtiden blir längre. Om operationssjuksköterskor kan undvika detta lidande för patienten genom att använda och hantera skyddsutrustningen i form av munskydd på rätt sätt uppnås ett av målen på operationssalen. Problemformuleringen är: på vilka vetenskapliga grunder rekommenderas användandet av munskydd? Syftet med studien är att beskriva på vilka grunder munskydd bör användas på operation.Metoden är litteraturstudie som är en litteraturöversikt.

Septisk tenosynovit i kotsenskidan hos häst : en retrospektiv studie av 21 hästar

Septic tenosynovitis involving the digital sheath is a relatively common problem in the horse and the prognosis has been considered as poor. However, there are only few studies confirming this. The purpose of this study is to increase the knowledge about the prognosis for septic tenosynovitis in the digital sheath. The literature indicates that half or a bit more than half of the treated horses will return to previous use. The recommended treatment is debridement of the wound, lavage and sometimes application of drains and broadspectrum antibiotics. The prognosis is considered as worse when the infection is established.

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