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2183 Uppsatser om Treatment outcomes - Sida 60 av 146

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.

Höghus : En alternativ lösning på vår snabba stadsexpansion

Uppsala like many other Swedish cities is affected by heavy housing shortage, in terms of too few existing flats and residents within the city limits. Every semester thousands of new students are facing the same problems of finding themselves adequate accommodation. The waiting lists for flats and student-dorms are getting longer for each year, and the situation is just getting worse. Simultaneously, Uppsala?s ambition is to increase its population and expand as a Swedish metropolitan, according to the Swedish governmental environment goals. This paper investigates and analyses the possibilities of expanding a city?s population by building high-rise buildings.

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.

Kan supplementering med omega-3 under graviditet påverka allergiprevalens hos barn?

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicin and Clinical NutritionAbstractTitle: Does supplementation of omega-3 during pregnancy affectprevalence of allergy in infants and children?Author: Peter Eliasson, Anna RahmSupervisor: Lena HulthénExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 ECTSDate: 2012-04-12BackgroundEpidemiologic research has shown an association between a high intake of fish and allergy.The underlying theory is that allergy develops already at a prenatal stage and food intakeduring pregnancy has been shown to be significant. Conducting research on allergy isproblematic since it has genetic, as well as enviromental, determinants.ObjectiveThis thesis attempts to conclude and evaluate research on a connection betweensupplementation of omega-3 during pregnancy and allergic outcomes in infants and children.Search strategyThe literature search was conducted in the databases PubMed and Scopus. Among thekeywords chosen were omega 3, supplement, pregnancy and allergy.Selection criteriaHuman RCT, that measured allergy, where the intervention consisted of supplementation withomega-3 for at least ten weeks during pregnancy and ceased at birth.Data collection and analysisThree articles were chosen for this thesis. The articles were examined using templates fromSBU and the quality of evidence was evaluated according to GRADE.Main resultsNone of the articles showed a protective effect on allergic outcome but in one of the studiesthere was significant reduction in eggallergy and another showed significant lower occurrenceof severe eczema.ConclusionsSupplementation with omega-3 during pregnancy does not occur to have an protective effecton allergic outcome in infants and childen but the evidence for this is considered to bemoderate.

?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.

Socialpsykologisk studie om samarbete : En studie om vilka sociala förhållningsätt som är betydande för samarbete i arbetslivet

Our post-modern society is being continually more characterized by the working life, where corporate relations and the understanding of human momentum, limitations and knowledge is the basis of the quality of the corporation. In other words, it is of the greatest importance to keep in mind the attitudes, behaviour, stress levels and motivations that constitute a good working environment. We find it interesting to study what social psychological approaches and social processes could be of importance to good cooperation. The research has its starting point in a qualitative method focused on semi- structured interviews, where we have interviewed eight respondents working within the psychiatry. The research has strengthened our pre-understanding but also made clear the existence of other social processes and approaches that affect cooperation.

Varför förstår inte mamma? : En kvalitativ studie om barn till föräldrar med utvecklingsstörning

The aim with this study is to through a research summary review experiences of growth and theparents caring ability among children who has grown up with parents having intellectual disabilites,and by empirical data illustrate how these persons today describe their childhood, their parentscaring ability and other cicumstances that have affected the growth. The results from the researchsummary are then to be compared with the results from the empirical data in purpose to reviewsimilarities and discrepancies.The study has a qualitative approach and it is based on foundings from earlier research andinterviews with four women whos mothers have intellectual disabilities.In the existing research of this issue there is a clear dichotomy between whether the researchershave focused on either the children or the parents. In both perspectives there are differentconceptions about whether a person with intellectual disabilities have the capacity to care for andraise a child, as there is about how the parents intellectual disaparment affects the child.The womens stories of the childhood are obviously unique, but they also have many experiencesin common, both among themselves as with what has been found in research. Children of parentswith intellectual disabilities have been classified as a risk group, wich has been shown by reversedroles for child and parent, lack of attachment to the parents and by insufficient care. Despite thedifficulties that the women have faced, they describe many parts of their lives in positive termstoday.There seems to be other influences in addition to the parents intellectual capacity that affect theesechildrens outcomes.

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.

En intervju och enkätstudie av besökare i tre tätortsnära skogsområden i Stockholmstrakten :

This Masters thesis is made as the first of two visitor surveys of three urban forest areas. These areas are; Skutan recreational area in Haninge, Ugglevikskällan on Norra Djurgården in Stockholm and the Paradiset Reserve in Huddinge. The study is made in cooperation with the managers of the three areas operating within the European Union Life Project regarding Urban Woods for People. The goal has been to collect data through studies of visitors and close by residents in the three areas. The results are to be used as primary values for the follow-up as well as a basis for managerial decisions. The interviews and surveys are also constructed in a fashion so that they can be used for the follow-up study. For the Skutan recreational area the mode of contact was by sending forms to the nearby residential areas.

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.

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