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Using the case method to explore characteristics of the clinical reasoning process among ambulance nurse students and professionals

Clinical reasoning is proposed to represent cognitive processes, skills and decision-making aspects of nursing practice and is important for quality care. It has been suggested that the reasoning processes should be practiced during education to develop decision-making competence among nurses. The aim of the study was to explore and describe clinical reasoning processes at different times during s

Implementing energy measures in renovations for multi-family dwellings : Influence and practice of professionals

Aging buildings will sooner or later be in need of renovation, which opens opportunities to reduce energy use. Even if economically feasible energy measures or technologies exist, they are not always implemented, leading to an energy efficiency gap. This dissertation deals with how energy measures are handled and why they are enabled or disabled during the planning and design of renovations. Durin

Detection of submicroscopic constitutional chromosome aberrations in clinical diagnostics: a validation of the practical performance of different array platforms

For several decades etiological diagnosis of patients with idiopathic mental retardation (MR) and multiple congenital anomalies (MCA) has relied on chromosome analysis by karyotyping. Conventional karyotyping allows a genome-wide detection of chromosomal abnormalities but has a limited resolution. Recently, array-based comparative genomic hybridization (array CGH) technologies have been developed

Valuation of Supply Chain Flow Risks by Indexing

The paper is based on a general conceptual supply chain flow risk model developed in an earlier paper, a literature review and case studies. The paper has the title "Developing a supply chain risk model" and is reported as a final paper at the NOFOMA 2005 conference. The literature review has been focusing articles and reports/books on supply chain management. Some of its findings have earlier bee

The Role of Nature in Swedish Ecotourism

Our purpose in this paper is to discuss Swedish nature in a specific context, namely that of ecotourism. The wider framework is the concept of cultural economy in relation to nature. Nature is culturally constructed – given meaning – by the actual doings of e.g. ecotourism operators, and this meaning is transformed into cash flows through tourist practices. It is this cultural construction of natu

Post-Tsunami Recovery in Thailand: Socio-cultural responses

Of all the huge natural disasters that claimed the lives of thousands in Asia, the Indian Ocean tsunami in 2004 was the largest, estimated to have killed more than 230,000 people. The scope of damage brought about by this natural disaster urges focus on recovery and post-disaster reconstruction from several perspectives. Here we find an in-depth ethnography of Thailand and the role of culture and

Några beröringspunkter mellan kontemplation och döden : inspirerat av Catharina Stenqvists författarskap

Catharina Stenqvist, former professor in philosophy of religion at Lund University, alludes that there are similarities between death and contemplation. In this article I suggest three possible such similarities, what they may consist in, how they may be given grounds, and examples of how further research may be carried out. The three suggested points of similarity are 1) experiential similarities

Post-tsunami recovery in Thailand : Socio-cultural responses

Of all the huge natural disasters that claimed the lives of thousands in Asia, the Indian Ocean tsunami in 2004 was the largest, estimated to have killed more than 230,000 people. The scope of damage brought about by this natural disaster urges focus on recovery and post-disaster reconstruction from several perspectives. Here we find an in-depth ethnography of Thailand and the role of culture and

Cost and clinical outcome of islet transplantation in Norway 2010-2015

Islet transplantation is a minimally invasive β-cell replacement strategy. Islet transplantation is a reimbursed treatment in Norway. Here, we summarize the cost and clinical outcome of 31 islet transplantations performed at Oslo University Hospital (OUS) from January 2010 to June 2015. Patients were retrospectively divided into three groups. Thirteen patients received either one or two islet tran

Asymptomatic Bacteriuria. Protection against, and differential diagnosis towards symptomatic Urinary Tract Infection.

Urinary tract infections (UTIs) are among the most common infectious diseases in humans, with a subset of susceptible individuals who experience recurrent episodes. The increase in antibiotic resistance in gram-negative uropathogens, due to antibiotic overuse, is a strong rationale for developing therapeutic alternatives and to improve diagnostics. In patients with incomplete bladder emptying (e.gUrinary tract infections (UTIs) are among the most common infectious diseases in humans, with a subset of sus- ceptible individuals who experience recurrent episodes. e increase in antibiotic resistance in gram-negative uropathogens, due to antibiotic overuse, is a strong rationale for developing therapeutic alternatives and to improve diagnostics. In patients with incomplete bladder emptying (e.g

Hästens helande kraft : En kvalitativ studie om användandet av hästen i behandling av människor med psykiska och fysiska funktionsnedsättningar

The aim of this study was to describe and analyze the arguments that a number of professionals in equine-assisted therapy had for having the horse as part of the treatment of people with mental and physical disabilities. The analysis was based on two theories: Antonovsky's theory of salutogenesis, including the concept of sense of coherence, and Bowlbys attachment theory. The study was based o

Meningsfulla relationer? Tillgångar och förmedling på konsthallar och -museer

A visit of an art exhibition can lead to feelings of frustration, exclusion, and not-being welcomed.Above all exhibitions of contemporary and modern art can due to the often conceptuel and abstract caracter of the artworks experienced as exclusive.As many researches has shown a museum visit become meaningful to us if a relation to what is seen can generates.Not just the consumption of cultural sup

Nödvärnet har ingen lag - försvarlighetsbedömningen vid polisiära nödvärnsinvändningar

Enligt svensk rätt omfattas även poliser i tjänst av nödvärnsrätten (24 kap. 1 § brottsbalken), vilket gör att den kan åberopas i de fall där ett polis- ingripande slutat i skottlossning. Vid försvarlighetsbedömningen ska poliser och enskilda utövare av nödvärn granskas enligt samma principer, eftersom polisen rent straffrättsligt ska betraktas som privatperson. Det rättsliga utgångsläget är dock According to Swedish law, police officers and citizens alike have the right to self–defence (Swedish penal code, sec. 24 para. 1). This allows police officers to invoke the justification rule after shooting an attacker during an arrest. When judged, general principles of criminal law are applicable to police officers, and they are supposed to be judged as individuals. This dogmatic essay examines

Bildbaserade sexuella övergrepp - En kartläggning av den svenska strafflagstiftningen avseende integritetskränkande smygfotografering och spridande av privata sexuella bilder utan den avbildades samtycke

Den tekniska utvecklingen har ändrat hur människor kommunicerar med och om varandra. Den har också fört med sig nya former av övergrepp, däribland så kallade bildbaserade sexuella övergrepp. Begreppet bildbaserade sexuella övergrepp innefattar alla former av framställande och/eller spridande av privata, sexuella bilder utan samtycke från den avbildade. Exempel på sådana övergrepp är ”hämndporr”, sTechnological developments have changed the way people communicate with and about each other. It has also brought with it new forms of abuse, including so-called image-based sexual abuse. Image-based sexual abuse includes all forms of creation and / or distribution of private, sexual images without the consent of the person depicted. Examples of such abuse is “revenge porn”, stealth photography, u

CUSTOMIZED QUANTIFICATION OF HOST CELL PROTEIN WITH BIO-LAYER INTERFEROMETRY

Visste du att många läkemedel tillverkas av genmodifierade bakterier? Också ofta i genmodifierade celler från däggdjur, till exempel från kinesiska hamstrars äggstockar. Läkemedel producerade i celler är de snabbast växande på marknaden, och kan till exempel användas för att producera insulin eller ett COVID-19 vaccin. I denna studie har en ny metod utvecklats för att säkerställa att sådana läkemeHost cell protein (HCP) is quantified in the purification steps of biopharmaceutical production and is part of ensuring the purity of the final drug product. The gold standard method for HCP quantification is enzyme-linked immunosorbent assay (ELISA), but a new approach is proposed here with fully customized bio-layer interferometry assays for yeast and chinese hamster ovary (CHO) cells. The new

Måste man samtycka till samlag? - En studie av en samtyckesreglerings för- och nackdelar med en medial utblick

Sexualbrotten i svensk rätt kräver idag att gärningsmannen har använt någon typ av våld eller hot, eller har utnyttjat ett hjälplöst tillstånd. År 2003 kom emellertid Europadomstolens avgörande i Bulgariendomen, i vilken kan utläsas att varje sexuell handling som begås utan samtycke ska vara straffbar. Sedan dess har det i Sverige livligt debatterats om huruvida domen innebär att den svenska lagenThe sexual offences in Swedish law of today require that the perpetrator has used violence or threats, or that he has exploited a helpless state. However, in 2003 the European Court of Human Rights delivered a judgment in the case of M.C v. Bulgaria, which stated that any non-consensual sexual act must be punishable. There has been a legal discussion in Sweden ever since, regarding whether this ju

Behavioural consequences of sensory plasticity in guppies

Sensory plasticity, whereby individuals compensate for sensory deprivation in one sense by an improvement in the performance of an alternative sense, is a well-documented phenomenon in nature. Despite this, the behavioural and ecological consequences of sensory plasticity have not been addressed. Here we show experimentally that some components (vision and chemoreception) of the sensory system of