Spädbarnskolik är ett vanligt förekommande problem som drabbar vart femte till vart tionde spädbarn i Skandinavien och är en vanligt förekommande orsak till att föräldrar söker sig till barnhälsovården (BHV) för hjälp. Syftet med studien var att beskriva föräldrars upplevelser av att leva med ett spädbarn som har kolik. Studien utfördes som en integrativ litteraturstudie och bygger på 12 vetenskapliga artiklar. Resultatet visade att spädbarnskolik påverkade hela familjen vars vardag ständigt växlade mellan hopp och förtvivlan. Föräldrar till barn med kolik upplevde både fysisk och psykisk påverkan på hälsan. De hade svårigheter att kontrollera sina känslor vilket kunde leda till att barnet far illa. Spädbarnskolik försvårade parrelationen, påverkade relationer inom familjen och minskade föräldrarnas sociala nätverk. Avlastning från familj och vänner, samt stöd från BHV-sjuksköterska hade stor betydelse för föräldrar. Många föräldrar upplevde dock ett bristande stöd från BHV-sjuksköterskan och önskade mer bekräftelse och ökad förståelse från BHV- sjuksköterskan för vad de upplever under spädbarnets kolikperiod. / Infant colic is a common problem that affects every fifth to tenth infant in Scandinavia and is a common reason for parents seeking to child health services for help. The aim of this study was to describe parents' experiences of living with an infant who has colic. The study was conducted as an integrative literature review based on 12 scientific articles. The results showed that infant colic affected the entire family whose living constantly alternated between hope and despair. Parents of children with colic experienced both physical and psychological impact on the health. They had difficulty controlling their emotions, which could cause the child harm. Infant colic complicated partner relationships, affected relationships within the family and reduced parents' social networks. Relief from family and friends, as well as support from the CHC-nurse was of great importance to parents. Many parents, however, felt a lack of support from the CHC-nurse and wanted more confirmation and understanding from the CHC-nurse of what they experienced during the infant's period with colic.

Health is a primary objective of modern education. It was named as the first of the seven cardinal principles of education. Over a period of years the health and safety of the school children have gradually become more firmly fixed as a part of the school program. Modern schools, when adequately staffed and administered, provide experiences in healthful daily living, an opportunity to become acquainted with good health services, a chance to learn something about the care of ones own body, the maintenance of health, and the prevention of disease. Thus the schools have come to contribute to community health through their planned programs of health service and through cooperation with other health and safety agencies.

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.

Civil liability for bodily injury in the provision of health services. The purpose of the present thesis is to analyse the issue of civil liability for bodily injury in the provision of health services. This issue is very topical, especially due to the adoption of new private law, which is presented in this work. The new legislation is evaluated and the problems that have occurred or might occur are defined. In addition the legislation of important institutes is compared with previous regulation. The thesis is composed of eight chapters, each of them dealing with different aspects of civil liability. Chapter one defines basic terminology used in the thesis. The next chapter presents the sources of law. Attention is paid to complex relationship between the Civil Code and the Law on Health Services, and also to a new type of contracts established by the Civil Code - agreement on health care. Chapter three mentions the basic relationship of medical law - the relationship between a doctor and a patient, including the reasons for its creation. The transformation from a paternalistic model to a partnership model is also highlighted. Chapters four and five are concerned with civil liability. At first the liability is defined in general, and subsequently individual facts relating to the provision of health...

The concept of assisted reproduction is widely discussed by both professional and lay public. New scientific discoveries in the fields of biology and medicine as well as the use of methods and procedures that enable the emergence of new life raise number of issues, not only the legal ones. The purpose of this thesis is to provide the comprehensive survey of criminal law relationships which may arise in the context of providing the assisted reproduction. The thesis examines whether the current legislation guarantees sufficient protection of relations, interests and values covered by the Criminal Code. Within the analysis of crimes the thesis deals with the need for criminal repression and gives proposals de lege ferenda. The thesis is composed of five chapters. The first chapter is subdivided into two parts. Part One defines the concept of assisted reproduction, describes the historical overview of the events that preceded the current interpretation of the concept and explicates basic medical terminology related to the chosen topic. Part Two presents the basic principles on which the Czech regulation is established and contains specification of the relevant sources of law. The second chapter briefly characterizes the criminal and medical law and clarifies their relationship. The third chapter deals with the...

The aim of my thesis is to analyze and evaluate instruments and methods used by public relations in selected health facilities. Determine which instruments of public relations are used most often and whether the effects brought by the organization expects from them. Will be discussed and possible solutions the shortcomings and problems in this sphere.

The theme of this thesis was determine the current status of preparedness of selected health service providers for evacuation security. Two randomly selected hospitals were approached, Hospital Český Krumlov, a.s. and Hospital Jindřichův Hradec a.s. Since it is an evacuation issue, hospital staff should be adequately informed and prepared. The theoretical part is devoted to research of legal norms and documents with the given issue. This is especially the law No. 372/2011 Coll., on health services and the conditions for their provision which describes health service providers and Ministry of Interiors notice No. 380/2000 Coll., to prepare and implement of tasks of population protection which deals with evacuation and its description. This part dealt with the characteristics of health service providers in more detail, types of medical facilities, description of evacuation and evacuation events in the Czech Republic and abroad. To answer the research question "What is the current status of preparedness of selected health service providers for securing evacuation?" additionally it was determinated hypothesis no. 1 "Preparedness of health service providers of South Bohemian Region for evacuation security does not reach 75 %". The questionnaire contained 29 questions, it was divided into 4 parts, respondent information, aspects of awareness, readiness aspects and other aspects. For evaluation of awareness of medical staff for evacuation readiness was determinated limit 75% success of correct answer. The results showed insufficient preparedness - 55%. Additionally there were determinated hypothesis no.1 - no.6 which were focused on influence of respondent information on age, sex, highest education level, department and practice length. The method ANOVA was chosen for statistical evaluation. It showed that respondent information depend on sex, age and highest education level by both hospitals and each individually. Respondent awareness is also addicted to departments both hospitals and Hospital Jindřichův Hradec a.s. and on the contrary by Hospital Český Krumlov a.s is not addicted. Practice length is not addicted by both hospitals and Hospital Český Krumlov a.s. and on the contrary by Hospital Jindřichův Hradec a.s. is addicted. Results of the questionnaire survey showed that readiness and preparedness of medical staff in Hospital Český Krumlov a.s. and Hospital Jindřichův Hradec a.s. are insufficient and points that it is necessary to familiarize medical staff with this issue.

The burden of proof on the unlawful conduct of the health service provider Abstract This thesis describes a burden of proof and the distribution of the burden of proof on the unlawful conduct of the health service provider between the parties to the dispute. Particular emphasis is put on cases in which patient as party burdened by the burden of proof is unable to prove unlawful conduct of the health service provider or other elements of the obligation to pay damages because the health service provider violated his obligation to properly maintain medical records. This thesis is composed of eight chapters. Chapter One is introductory and describes the civil liability which can arise out of the provision of health services. It presents cases of strict liability and also liability for fault. Chapter Two deals with the unlawful conduct of the health care service provider. Besides the general introduction, attention is paid to medical malpractice and other typical cases of unlawful conduct related to the provision of health services. Chapter Three examines other elements of the obligation to pay damages in cases of medical malpractice. Chapter Four deals with the procedural obligations of the parties to the dispute, especially with the duty of assertion and evidence and the burden of assertion. Chapter Five is...

El actual proyecto surge a través de una necesidad, la cual es realizar un modelo de Arquitectura Empresarial del proceso de Compra de Prestaciones de Salud para la empresa estatal ESSALUD, con la finalidad de poder cubrir las inconsistencias que existen entre los procesos, usuarios, stakeholders, etc., las mismas que ocasionan pérdida de recursos, tiempo, además de afectar directamente la reputación y seriedad de la compañía. Así mismo, existe la necesidad de expandir la cobertura de los servicios de salud ofrecidos en el plano de una serie de restricciones financieras y políticas aplicadas por el gobierno de turno. De esta manera, gracias al desarrollo de la arquitectura empresarial para el proceso de compra de prestaciones de salud se puede optimizar y reducir los costos, gastos y tiempos utilizados actualmente en la entidad de salud; lo cual genera no solo un cuello de botella en el procedimiento general no solo internamente afectando al personal, sino, también, a la sociedad, pues existe actualmente un porcentaje muy alto de personas disconformes con el servicio que se ofrece. Para ello, es necesario que los procesos a los que se recurren esten correctamente definidos, de igual manera sus entradas, flujo interno y salidas, de tal manera que, al auditar estos procedimientos los números y estadísticas cuadren con el balance anual que se realiza para las entidades reguladoras de los presupuestos. / The current project comes through a necessity, which is to make a design model of the Enterprise Architecture Process Purchase benefits for the state company ESSALUD, in order to be able to cover the inconsistencies between processes, users, stakeholders, etc., the same that cause loss of resources, time, as well as directly affect the reputation and reliability of the company. Also, there is a need to expand the coverage of health services offered in terms of a number of financial and political restrictions imposed by the government. In this way, thanks to the development of the enterprise architecture for the process of buying health services in EsSalud, costs, expenses and time of use can be optimized and reduced at the health entity. Don’t make a change in this procedure generates not only a trouble in the general procedure, so it is not only internally affecting the staff, also affects to society, since there is a very high percentage of people that doesn’t like the service offered. For this, it is necessary that the processes that are used should be correctly define, as well as their inputs, the internal flow and outputs, this can generate that the numbers and the statistics match the annual balance that is made for the budgets regulatory entities. / Tesis

El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado. / A split-mouth, double-blind trial evaluated the effects of a surface sealant on the clinical performance of Class I composite resin restorations. In 16 patients, 27 pairs of maxillary and mandibular molars or premolars with Class I carious lesions or unsatisfactory restorations were restored with composite resin. For each pair, 1 surface was sealed with surface sealant. Clinical evaluations of marginal integrity, marginal discoloration, anatomical form, and secondary caries were performed by 2 experienced operators using modified US Public Health Service criteria 1-2 weeks and 6 and 12 months after treatment. Data were analyzed with the McNemar test (P < 0.05). After 6 months, only 1 (4%) sealed restoration presented a Bravo rating for marginal integrity. After 12 months, the Bravo ratings for marginal integrity were 2 (7%) for sealed restorations and 1 (4%) for nonsealed restorations. Restorations received a score of Alfa for all other parameters at all time periods. There were no statistically significant differences within or between the sealed and nonsealed groups (P = 1.0). The use of a surface sealant did not improve the clinical performance of posterior composite resin Class I restorations. / Revisión por pares