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2070 Uppsatser om Surgical treatment - Sida 57 av 138

Kortare sintid ? hur påverkar det kons mjölkavkastning, metabolism, hälsa, hull och vikt?

A shorter dry period length has in studies abroad showed some positive effects among high yielding dairy cows. Among other things it has been suggested that the periparturient metabolic stress becomes lower, that the fertility is improved and dry off becomes gentler for the udder, due to a lower milk yield. The milk yield is generally reduced during the first period after calving, especially among primiparous cows. The aim of this master thesis was to investigate how Swedish cows were affected by a shortened dry period, regarding milk yield, metabolism, health, body condition and body weight from two months before calving to some weeks after calving. Also plasma concentration of lactose during the period before calving was determined.

Då patienten inte åker med ambulansen för fortsatt vård, en studie med aspekt på patientsäkerheten : En retrospektiv journalgranskningsstudie av 137 utlarmningar

ABSTRACT Introduction: During the past 40 years the ambulance service in Sweden has evolved from mainly being a source of transport to today?s high-tech caring facilities that enable qualified care to start already in the patient?s home. This first level of care is now provided by registered nurses and registered nurses with specialist training in pre hospital care.At the same time as the care provided is becoming more advanced, results from studies demonstrate that the amount of dispatches to patients that lack the need for ambulance care and transport is increasing. Nurses in pre-hospital care possess the knowledge, training and authority to perform an initial assessment of patients and also treat patients according to local and national guidelines. After the treatment it would sometimes be possible for the patients to remain at home without having to use ambulance transport to an emergency department or in other cases find other means of transport to hospital.

Lungemboli förändrar livet

Bakgrund: Ett stort antal personer drabbas varje år av venös tromboembolism i Sverige och ungefär en fjärdedel drabbas av lungemboli. Symtomen kan vara mycket varierande och diffusa vilket gör sjukdomen svårdiagnostiserad. De flesta patienter som kommer till sjukhus och får behandling i tid överlever. Det finns i dag mycket forskning när det gäller riskfaktorer, diagnos och behandling vid lungemboli. Däremot är inte upplevelsen av att drabbas väl studerad, inte heller hur det påverkar patientens livskvalitet.

Medical Emergency Triage and Treatment System: Ett stöd för ambulanssjuksköterskan i sin bedömning av patienter

Sedan år 2005 har personal vid Sahlgrenska universitetssjukhuset utvecklat ett triage system utifrån Manchester triage system till det svenska Medical Emergency Triage and Treatment System (METTS). Syftet med denna studie var att undersöka om METTS är ett stöd för ambulanssjuksköterskor/sjuksköterskor i deras bedömning av patienter. En kvantitativ design har valts genom att samla in enkäter från två olika län i Sverige. Insamlad data sammanställdes via statistikprogrammet Statistical Packagefor Social Sciences (SPSS) version 20.0 och analyserades i deskriptiv och analytisk statistik. I resultatet framkom det att METTS var ett system som hjälpte sjuksköterskorna i ambulansen i sin bedömning av patienter prehospitalt.

?Jag kan inte se att vi behandlar elever olika beroende på kön? : en kvalitativ studie om fem SO-lärares tankar om sitt uppdrag avseende jämställdhet, kön och genus i undervisningen och i sitt bemötande av elever

This paper attempts to display how five teachers of social studies use and relate to the policy documents and their instructions on gender. To penetrate the subject, five teachers were intreviewed. Each interview focused on how the curriculum attempts to guide teachers regarding gender, sex differences and equality of opportunity. The collected information was processed, analyzed and discussed using gender studies and discourse theory.The results show that the interpretation and usage of the curriculum is very subjective and varies greatly between all the interviewed teachers. Their personal interpretation proves to be crucial when it comes to making reality of the stated goals in the curriculum, concerning actively working towards equality of opportunity between sexes.

Finns det empati på socialkontoren?

Empati är att kunna uppleva och förstå andra människors känslor. Tre studier gjordes för att undersöka socialsekreterares empati för sina klienter och hur de upplever sin professionella och genuina empati. Två studier var kvantitativa och en var en mixed design. Deltagarna var 26 socialsekreterare och 57 socionomstudenter. Studie 1 och 2 visade att socialsekreterare och studenter på socionomprogrammet hade mer empati för en sympatisk person än för en osympatisk.

Arkeologernas tolkningar av riter i Uppåkra

The content of this essay is the critical treatment of ritual research in Uppåkra during the Iron Age in relation to Charlotte Fabechs research.From what has been concluded for Uppåkra a condensed chart of Uppåkra's rituals is produced. This chart is compared with what Fabech has put forward for Southern Scandinavia. Fabech's categories and theory have been widely used by the researchers of Uppåkra, and this is critically examined.The most important conclusion is that the similarities between the Uppåkra research and Fabech picture are not great. This source critical point indicates that the massive use of her research in order to explain the rituals in Uppåkra can have been misdirected. The mismatch is mainly due to the fact that places like Uppåkra is of extraordinary character..

Att dokumentera audiologisk rehabilitering - en studie om audionomens arbetsprocess och journalföring

Audiological rehabilitation is a complex process and can involve medical, educational, psychological, social and technical proceedings. The audiologist's part in this process is essential. The purpose of the study was twofold: to describe the audiologist's working process and to explore patient records written by audiologists according to structure, content and comprehensiveness. Method. Out of rules and regulations, code of ethics and literature concerning audiological rehabilitation from the audiologist's point of view, a model for the audiologist's working process was developed.

The rabbit as an animal model in dental implant research : with special reference to bone augmenting materials

Dental implants that are integrated into the jaw bones are widely used to replace lost teeth in human beings. Tooth-loss is often related to loss of the surrounding alveolar bone. This can make implant placement difficult and a bone substituting material may be required. The standard method is to use a bone graft harvested from the patient which requires additional surgery than that needed for implant placement. Limitations in the amount of bone that can be harvested also pose a problem.

Hypotermibehandling efter hjärtstopp : Kognitiv och fysisk funktion samt självskattad hälsa efter 6 månader relaterat till tidsåtgång i vårdkedjan och primär hjärtrytm

AbstractAim of the study: Aim of the study was to investigate whether there were any connections in time between different parts of care in patients with cardiac arrest and hypothermia treatment and cognitive and physical function six months after cardiac arrest and to investigate neurological outcome related to primary registered cardiac arrest rhythm after six months and if there were any changes in cognitive and physical functions as well as self-related health between discharge from hospital and six months after cardiac arrest.Method: The study included 39 patients admitted to three Swedish hospitals between 2008-2011. Cognitive and physical function was evaluated with Cerebral Performance Cathegory, CPC completed with Mini Mental State Examination, MMSE for cognitive function and Bartels Index, BI for physical function and Euroqol-VAS for evaluating the self-related health.Result:  A significant connection was shown between time to start hypothermia treatment and BI, patients with longer time showed improved physical function after six months.Majority of the participants (66,7 %) had Ventricular fibrillation/Ventricular tachycardia, VF /VT, as primary registered cardiac arrest rhythm and in this group CPC and BI was significant better compared with the asystole /Pulsless Electrical Aktivity, PEA group.CPC, MMSE, BI and Euroqol-VAS were all improved over time.Conclusion: Participants with VF /VT as primary registered cardias arrest rhythm had significant better cognitive and physical function 6 months after hypothermia-treated cardiac arrest compared with participants with asystole/PEA as primary registered rhythm. This shows the importance of access to defibrillators in public places in the society and in hospitals and optimal education of lay people and medical staff. Cognitive and physical function and self-rated health improves over time, which might be a very important reason to convey patients, relatives and medical staff to continue cognitive and physical rehabilitation. Keywords: Cardiac arrest, hypothermia, cognitive and physical function, wellbeeing.

Smärtbehandling - Sjuksköterskans inställning till ordination och dokumentation - En empirisk studie

The aim of this empirical study was to investigate how nurses on a ward within the emergency clinic deal with analgesia prescriptions and the pain management documentation. The used method was divided into chart reviews and qualitative interviews with nurses in clinical practice at the ward. This means that both a qualitative and quantitative approach was desired. The results incline that nurses generally apply to the laws and restrictions surrounding the nursing discipline, as used in pain treatment. Thus they generally fulfill the obligations accounting to documentation.

Energieffektivisering av luftningssteget på Käppalaverket, Lidingö

This master thesis in energy optimization was made during the autumn of 2006 at Käppala wastewater treatment plant in Lidingö, Stockholm. A preceding thesis, where all electricity consumption was mapped, showed that the aeration in the biological treatment is the single largest consumer in the plant, and it is therefore of interest to reduce this cost. The oxygen control strategy used at Käppala WWTP is working well from a nutrient removal point of view, but not from an economic one. The last aerobic zones have a very low oxygen consumption during low loading periods which give rise to enhanced dissolved oxygen concentrations with excessive costs and reduced denitrification as a result. But also during periods of normal loading unnecessary high oxygen concentration are sometimes given.By modifying the aeration control strategy three full-scale experiments have been made, with the intention to reduce the air consumption.

Rätten att benämna : Maktutövning i Amalie Skrams psykiatriromaner

Amalie Skram (1846-1905) was born in Norway but lived in Denmark. She published several books about gender relations and built up a reputation as a naturalistic writer. In 1894, a nervous breakdown made her seek help from the famous psychiatrist Knud Pontoppidan. He sent her to an asylum, but she returned home after spending two months in psychiatric care. In 1895, Skram published two novels about the painter Else Kant, based on her own experiences but not written as autobiographies.

Vaselin som kontroll vid försök med 1 % väteperoxidkräm i färska hudsår på häst

Wounds on horses are common and sometimes difficult to treat. The wounds are often big and could be discovered too late for primary sutures, which have to be applied within 8 hours from time of accident, before bacteria has been able to infiltrate the surrounding tissue. The healing is often complicated by delayed healing and wound infection with consequences like phlegmone, fistulation and proud flesh formation.To avoid these consequences, the traditional practice has been to administer systemic antibiotics alone, systemic antibiotics in combination with topical antibiotics or topical antibiotics alone. Because few antibiotics can be used in horses, is it important to household with the few substances that are available. In veterinary medicine today, the increasing resistance amongst pathogenic microbes such as MRSA presents a growing problem.

Patienters upplevelser som lider av övervikt och fetma : En litteraturstudie

SammanfattningBakgrund: beskriver definition och kriterier, orsaker/risker, prevalens, behandling av övervikt och fetma, tidigare forskning och vårdrelation där synen på övervikt/ fetma och kroppsuppfattning i vårt samhälle framkommer.Syfte: att belysa patienters upplevelser som lider övervikt och fetma. Metod: en litteraturstudie som är baserad på 13 vetenskapliga artiklar varav elva är kvalitativa och två kvantitativa. Innehållsanalys gemomförs enligt Graneheim och Lundman.Resultat: fyra kategorier har framkommit som belyser patientens upplevelse av övervikt och fetma samt hur vården behandlar patienter som lider av detta. Isolering och utanförskap som leder till upplevelser av ensamhet relaterad till hälsotillstånd, begränsad miljö, diskriminering, mobbning vilket skapar lidande. Kroppsuppfattning, kroppsmissnöje och sårbarhet, skildrar omgivningens uppfattningar och attityder om överviktiga och feta människor samt hur det negativt påverkar dessa individers egna uppfattningar, identitet och förmågor.

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