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Hur kan komplementära metoder lindra illamående och kräkningar vid cellgiftsbehandling? / How can complementary methods relieve chemotherapy-induced nausea and vomiting?Lindroos, Marlene, Hanna, Ljungberg January 2010 (has links)
Var fjärde patient som genomgår cytostatikabehandling (cellgiftsbehandling) upplever illamående och kräkningar av olika grad, i fortsättningen kallat N/V, Nausea and Vomiting. Många patienter upplever att N/V är det mest plågsamma och försvagande med cancersjukdomen under pågående behandling. Behandling av N/V ges i förebyggande syfte, men innebär inte ett garanterat skydd för alla patienter. Komplementära metoder används både för behandling och i förebyggande syfte av N/V. Rädsla för N/V innebär att många patienter väljer att avstå eller avbryter sin cytostatikabehandling i förtid. Syfte: Syftet var att beskriva hur komplementära metoder kan lindra cytostatikaframkallat N/V. Metod: Studien var en litteraturstudie där elva vetenskapliga artiklar sammanställdes och analyserades. Resultat: Efter sammanställningen av resultaten sorterades metoderna in i olika kategorier: Stimuli, Kost och Aktivitet. Diskussion: Det finns komplementära metoder som lindrar N/V vid cytostatikabehandling. En kombination av olika komplementära metoder kan förebygga, reducera och/eller lindra cytostatikaframkallat N/V. Däremot syntes inte alltid effekten förrän några dagar efter påbörjad cytostatikabehandling. Oro inför cytostatikabehandling är förknippat med graden och förekomst av N/V och utveckling av betingat N/V. Sjuksköterskans arbete utförs utifrån forskningsbaserad kunskap och beprövad erfarenhet. Det är önskvärt med mer forskning kring komplementära metoder vid cytostatikaframkallat N/V, för att kunna erbjuda varje enskild patient den optimala behandlingen. / Every fourth patient experience nausea and vomiting (N/V) of varying degrees during chemotherapy treatment and a lot of patients feel it is the most painful and debilitating with cancer during treatment. Treatment of N/V is given as prevention and does not guarantee full protection for each patient. Complementary methods are used for both treatment and prevention of N/V. In fear of N/V, a lot of patients choose not to have chemotherapy or discontinue their chemotherapy treatment prematurely. Aim: The aim was to describe how complementary methods can relieve chemotherapy-induced N/V. Method: The study was a literature review and eleven scientific articles were analysed and compiled. Result: After compiling the results, the complementary methods could be divided into different categories; Stimuli, Diet and Activity. Discussion: There are complementary methods that relieve N/V during chemotherapy treatment. A combination of different complementary methods can prevent, reduce and/or relieve chemotherapy-induced N/V. However, the effect was not noticeable until a few days after initiation of chemotherapy. Anxiety before chemotherapy is associated with the degree and the presence of N/V and development of anticipatory N/V. Since nurses work must be performed after research-based- and experienced knowledge more research is needed to give strength to the complementary methods.
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FENCEPOST VOICESSteuber, Evan J. 05 August 2011 (has links)
No description available.
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The comparison of cost-effectiveness between Laryngeal Mask and Endotracheal.Tsai, Yih-shang 20 August 2009 (has links)
The purpose of this study was to compare the cost-effectiveness between the 2 types of general anesthesia, namely, laryngeal mask (LMA) and endotracheal intubation (ETT). The study included 353 patients who received general anesthesia during operation in a medical center in Kaohsiung City. Of these, 183 patients were assigned to the LMA group, while the remaining 170 were assigned to the ETT group.
The norm of cost adopted by this study was calculated as the average expense per hour incurred by using the anesthetic and hygienic materials for medicinal use. The indices of effectiveness were physical reactions that were tracked at 2 h and 8¡V10 h postoperatively; these indices were acute pain, dizzyness, sore throat, nausea, and vomiting. These 5 indices were rated on a scale of 0¡V10. A low score was considered to represent lesser side-effects and greater effectiveness of the anesthetic. Besides, the shorter the recovery time of the patient was, the higher the effectiveness would be.
The conclusion showed that the cost of the average expense per hour produced by the anesthesia and hygienic materials of medicinal use in the LMA group was 531 dollars while in the ETT group was 1,017 dollars.
In the LMA group, at 2 h postoperatively, the mean tracking score for acute pain was 2.9 ¡Ó 2.6; for dizzyness, 1.4 ¡Ó 1.9; for sore throat, 0.4 ¡Ó 1.1; for nausea, 0.5 ¡Ó 1.4; and for vomiting, 0.2 ¡Ó 0.9. In the LMA group, at 8¡V10 h postoperatively, the mean tracking score for acute pain was 0.9 ¡Ó 1.5; for dizzyness, 0.6¡Ó1.3; for sore throat, 0.2 ¡Ó 0.7; for nausea, 0.1 ¡Ó 0.6; and for vomiting, 0.07 ¡Ó 0.4.
In the ETT group, at 2 h postoperatively, the mean tracking score for acute pain was 4.9 ¡Ó 3.2; for dizzyness, 2.6 ¡Ó 2.5; for sore throat, 2.0 ¡Ó 2.1; for nausea, 1.3 ¡Ó 2.4; and for vomiting, 0.7 ¡Ó 1.9. In the ETT group, at 8¡V10 h postoperatively, the mean tracking score for acute pain was 2.82¡Ó 2.5; for dizzyness, 1.9 ¡Ó 1.9; for sore throat, 1.3 ¡Ó 1.9; for nausea, 1.1 ¡Ó 2.1; and for vomiting, 0.7 ¡Ó 1.9.
The mean postoperative recovery time of the patients in the LMA group was 11.5¡Ó13.2 min and that for the patients in the ETT group was 25.9¡Ó16.0 min.
T-test was performed to examine the hypothesis that LMA is more cost-effective than ETT when the same variables as those mentioned above are used; the results of all variables support the hypothesis that the p-value of every index was .000.
Results of stepwise regression showed that LMA plays a significant positive role in every cost-effectiveness index.
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Äcklet, Äcklet : En äckelstudie om doft, kroppsvätskor och skriftliga spyor samt att äta sig själv och andra i Aliide, Aliide, Parfymen, Nekrofilen, Våtmarker och Tid för kärlek / Disgust, Disgust : A disgusting study about scent, bodyfluids, writing vomit and eating oneself and others in Aliide, Aliide, Parfymen, Nekrofilen, Våtmarker and Tid för kärlekGuldbacke Lund, Linnéa January 2021 (has links)
This essay explores and examines disgust in five literary figures and books based on scent, bodyfluids and abjection. Together with Julia Kristeva's Powers of Horror: An Essay on Abjection and Sara Ahmed's "The Performativity of Disgust" in The Cultural Politics of Emotion, I analyze these books, and my position as a researchsubject. The questions I ask are: What does disgust mean? How do the subject's boundaries shift when things penetrate the body? How are scents, body fluids and disgust expressed in relation to power and the female body? And what does it mean that I stick my reading experiences on the texts I read? The analysis begins in Mare Kandre's novel Aliide, Aliide and how gaze, power and girlhood are made, as well as how abjection takes place in the intake of milk and larvae. Body in body and body against body are analyzed based on Aliide's disgust in the novel. I discuss how something growing inside is experienced as disgusting and frightening and connect it to the pregnant body and the fetus as abjection. In the second chapter of the analyze, it is Parfymen: berättelsen om en mördare by Patrick Süskind that focuses on the scent of the female body that Grenouille, the main character tries to extract and master. The gaze on the female body and the extraction of fragrance is in focus here and in Nekrofilen by Gabrielle Wittkop, Lucien's desire for the dead body is examined. The body fluids, such as the vomit that the bodies excrete can be read as limits to life and death. In the third and final analysis section, I read these books with affect. I reconnect to my introduction where Ulf Lundell's poems made me feel disgusted. I use Ahmed's concept of performativity to discuss how cannibalism - reading - eating body fluids are connected, and how writing about disgust, is a form om vomiting. I examine my own writing subject and what an affective reading does to literary studies and the research position. In conclusion, I discuss how the universal and the subjective making of disgust effect research.
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