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2356 Uppsatser om Transport of patients - Sida 53 av 158
Kyckling från uppfödning till konsument : en fallstudie
The aiming with this project is to find out if a small scale chicken production can be
profitable, from day-old chicks to a processed smoked product out to stores and consumers.
The products will not be available in the stores all the time because we will give the
customers quality rather than quantity, so when the product can?t be found in the stores the
customers will ask for it.
The conclusion I found out is that it might be hard to raise chickens in these scale from an
economic point of view the costs for transport, logistics, slaughter and marketing are to high..
Interaktion med närstående till kritiskt sjuka patienter. : Vilka svårigheter finns?
Background:When the patient is critically ill the family is in a vulnerable position. The nurse's role is to support and help the family to find meaning in the difficult situation and to provide realistic hope. Balancing between the patient's and the family's needs is difficult. Knowledge about how nurses experience difficulties in the interaction with family is required in order to grant good care too critically ill patients and their family-members.Aim:To describe nurses' perceived difficulties in the interaction with family-members of critically ill patients.Method:The study is a qualitative literature-based study based on qualitative research. Results: The analysis resulted in four main themes; difficult disunion, environmental constraints, interpersonal difficulties and communicative difficulties.
Energiförbrukning och utsläpp av koldioxid vid byggande av väg
Markförstärkning i ett vägbygge kan göras på olika sätt. I detta examensarbete jämför vi två av dessa metoder, nämligen massutskiftningsmetoden och användning av kalkcementpelare ur energi- och miljösynpunkt. För att jämföra dessa två metoder togs fram ett excelbaserat räkneverktyg där resultatet av energiförbrukningen fås i kWh och koldioxidemissioner i ton CO2. Denna jämförelse gjordes för ett specifikt vägprojekt som använde massutskiftningsmetoden för vägunderbyggnaden. Det som ingick i beräkningen var schaktning, fyllning, krossning, sprängning, transporter och kalkcementpelare.
Att vårda patienter i ett sent palliativt skede : Ur ett sjuksköterskeperspektiv
Background: Nurses´daily has to face death and dying in their work with patients in a palliative state. This means both emotionell and workrelated challenges. However nurses in this context are not experiencing more stress then others.Aim: The aim is to describe nurses´experiences of caring for patients in a palliative state.Method: A litterature review based on ten qualitative articles published between 2006- 2012. To collect data we used the databases Cinahl, PubMed, Nursing Allied Health Source and Medline. We worked with Fribergs (2006) model ?Contribute to evidensbased care with a base in analyses of qualitative science? in the analysis.Result: Four main themes were identified; The meaning of the nurses´ spirituality in the care, Why the nurse choose to work in this field, To be certain in the professional role and The meaning of the caring relationship.
Sjuksköterskors upplevelser av kommunikation med patienter med invandrarbakgrund
Aim: The aim of this study was to investigate nurses? experiences of communicating with patients with immigrant backgrounds regarding language barriers, patient relations and use of interpreter. Method: Eight persons participated in this study. Four registered midwives were interviewed in a focus group and one clinical lecturer with a district nursing background, one midwife and two district nurses were individually interviewed about their experiences. The content was analysed using a qualitative content analysis.
Sjuksköterskors upplevelser av att vårda döende patienter på en akutvårdsavdelning
Det är svårt att bedöma hur lång tid en människa har kvar i livet och brytpunkten för när en patients döende fas inleds kan vara otydlig (Ellershaw & Ward, 2003). Det är viktigt att den sista tiden blir så bra som möjligt och här spelar sjuksköterskan en viktig roll. Syftet med studien var att belysa sjuksköterskors upplevelser av att vårda döende patienter på en akutvårdsavdelning. Metoden som användes var kvalitativa fokusgruppintervjuer och data analyserades med induktiv innehållsanalys. Ett övergripande tema för studien kan benämnas vårdens vågskålar, dilemman och tillfredställelse, vilket speglar den dubbelbottnade natur vården har.
Hälsosamtal i elevhälsovården : Vad uppfattas som ett positivt och betydelsefullt hälsosamtal utifrån elev- och skolsköterskeperspektiv?
The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.
Skillnader i följsamhet och förutsättningar för basala hygienrutiner mellan personal inom kommunal- och sjukhusvård samt tillgången av skyddsmaterial
AbstractThe purpose of this study was to describe and compare the degree of selfreporting succession to the basal hygienic routines of emplyees working in municipal old peoples care versus hospital care. It is also to describe the access of material available in prevention of cross infections. The study was also carried out with a comparative and quantitative run up design. The study is based on a questionnaire in the district of Gävleborg in the spring of 2009. Nurses, auxiliaries and carers whom were in close contact with patients were asked to join the study.
Perfluoroalkyl substances in Arctic birds : a comparison between glaucous gulls and black guillemots from Svalbard
Perfluoroalkyl substances (PFASs) are ubiquitous in the environment today and they have been detected even in remote areas such as the Arctic. PFASs can be transported by the atmosphere and ocean currents but the transport mechanism is not fully understood. PFASs may be harmful to organisms due to their persistence in the environment, bio-accumulation potential and toxicity. Studies have shown that PFASs can cause adverse effects on the metabolism as well as the endocrine- and reproduction systems in organisms. In this study, PFASs were investigated in glaucous gull (Larus hyperboreus) (n=5) and black guillemot (Cepphus grylle) (n=4) from Svalbard.
Bedömning av skada på naturmiljö och rennäring för den föreslagna fjällvägen mellan Borgafjäll och Saxnäs : - Väg- och transportforskningsinstitutets metod för bedömning av skada på bevarandeintressen
Assessment of impacts on nature and reindeer husbandry by the considered mountain road between Borgafjäll and Saxnäs- Swedish National Road and Transport Research Institutes method for assessment of damage to heritage assetsThere are plans regarding the building of a new road from Borgafjäll/Båtas to Saxnäs, and two road alternatives have been presented. The road has been localized to an area which is protected as a nature reserve and listed as a Nature 2000 area. This report aims to determine the effects on the Nature 2000 area and reindeer husbandry, and to be a source of knowledge for future environmental impact assessment in that project. In order to assess the impact on nature values and reindeer husbandry a method from the Swedish National Road and Transport Research Institute (VTI) has been used. A literature review has been made to prescribe the effects and consequences.
Patientrelaterade riskfaktorer för postoperativ sårinfektion efter Coronary Artery Bypass Graft - CABG
Introduction Postoperative wound infections leads to increased patient suffering and cost society money because it leads to longer hospital stays. Previous research shows that patient related risk factors such as smoking, diabetes, Chronic Obstructive Pulmonary Disease (COPD), advanced age (>65 years) a low preoperative hemoglobin level (<140g/L) and a high BMI (> 30) increases the risk of suffering a postoperative wound infection. Aim To investigate whether patients that underwent surgery with Coronary artery Bypass Graft (CABG) in a university hospital in central Sweden in 2013 and had any of these risk factors more often suffer from post-operative wound infection.MethodThe study has a descriptive design and is based on an ongoing infection registration area of operations. The study included 148 patients out of 255 (58%) undergoing CABG in 2013. Possible risk factors were collected through medical record review.Results There was no significant correlation between surgical wound infection and patient-related risk factors such as smoking (not quit smoking four weeks before surgery), diabetes, COPD, advanced age (>65 years), low preoperative hemoglobin (<140g/L) or a high BMI (>30) and suffered a postoperative wound infection.Conclusion More research and a larger sample is needed in the field to produce a reliable result could be presented..
Faktorer som påverkar magnesiumabsorptionen i våmmen hos kor
In metabolism Mg plays an important role because it affects many cellular enzymes in the body. The energy metabolism and protein synthesis are dependent on Mg as an enzyme activator, Mg is also involved in the synthesis of RNA and DNA. Absorption of Mg primarily takes place over the ruminal epithelium in ruminants. The main storage of Mg is in the bones but that can only be reached if the cow is in great need of calcium or phosphorus, it's a hormonal regulated process that induces catabolism of bones. Free and available sources of Mg are found in soft tissues and in the extra cellular fluids that includes cerebrospinal fluids and blood.
Cleared for take-off? : En studie kring uppkomsten av depressioner och ångestsyndrom bland svenska flygvapenpiloter.
Tidigare forskning har visat att svenska stridspiloter har uppvisat en anmärkningsvärt hög förekomst av depressions- och ångestsymptom, vilket både riskerar att minska effektiviteten hos de svenska luftstridskrafterna och kan innebära en fara för flygsäkerheten.Detta arbete syftar till att underlätta beslutsfattandet kring problemet genom att skapa ett bättre underlag för att förstå de bakomliggande orsakerna. Studien undersöker när under karriären symptomen uppkommer samt jämför mellan olika pilotkategorier för att skapa en bättre förståelse för hur problemen uppstår och därmed vilka åtgärder som kan vidtas för att förhindra detta.En kvantitativ enkätundersökning användes för att undersöka förekomsten av depressions- och ångestsymptom bland svenska strids-, transport- och helikopterpiloter under deras första fem utbildningsår. Enkäten baserades på HADS-skalan och skickades till 158 personer, varav hälften var piloter.Resultatet av studien indikerar att den höga förekomsten av depressions- och ångestsymptom uppkommer senare i stridspilotkarriären. Stridspiloterna uppvisade dessutom en lägre förekomst av depressions- och ångestsymptom än en icke-flygande kontrollgrupp. Dessa resultat pekar i sin tur mot att miljöfaktorerna spelar en större roll än de genetiska faktorerna vid uppkomsten av symptomen.
Förändrade resemönster i Gävleborgs län : En sammanställning av kostnader och klimatpåverkan vid tjänsteresor samt analys av sociala effekter vid ett skifte mot videkonferens i en organisation
The world we live in becomes more globalized as a result of new communication media. Communication occurs over greater distances which leads to increased travel. In the report AR5, by IPCC, it is showed that the human impact of climate change is clear and that something has to be done. Therefore its very important to change the human impact. A part of it is to change the way we travel within the service which leads to the purpose of the thesis.
SJA?LVFO?RSO?RJNING AV JORDBRUKSPRODUKTER I SVERIGE : Att fo?redra eller ej ur ett klimatperspektiv
Ma?nniskor har de senaste a?rhundradena bidragit till o?kade emissioner av klimatgaser, vilket i sin tur har bidragit till den klimatfo?ra?ndring som idag upplevs. Jordbruket sta?r fo?r en stor del av dessa emissioner och i takt med att befolkningen o?kar sa?tts ytterligare press pa? jordbruket att kunna fo?rse denna befolkningso?kning med livsmedel. Samtidigt o?kar detta a?ven pressen pa? miljo?n.