Syftet med denna studie var att beskriva patientens upplevelse av besöket på akutmottagningen samt vilka faktorer som påverkade upplevelsen. Syftet var även att beskriva vilka faktorer som möjliggör och hindrar sjuksköterskan att arbeta utifrån ett omvårdnadsperspektiv. Studien genomfördes som en systematisk litteraturstudie där 10 artiklar granskades och låg till grund för resultatet vilket visade att patientens upplevelse och faktorer som påverkade upplevelsen av besöket på akutmottagningen var sjuksköterskans omvårdnad, väntetider, akutmottagningens miljö samt vårdpersonalens information och kommunikation. För att sjuksköterskan skulle ha möjlighet att arbeta utifrån ett omvårdnadsperspektiv krävdes vissa kunskaper hos sjuksköterskan, bland annat att ha bred kunskap inte bara i omvårdnad utan även inom medicinska sjukdomar, för att bättre förstå patientens situation. Att vara emotionellt involverad, känna ansvar, ta egna initiativ, vara öppen och lyhörd, genuint intresserad och involverad av patienten och göra det där "lilla extra" gjorde att sjuksköterskan kunde arbeta utifrån ett omvårdnadsperspektiv. Det som hindrade omvårdnad var tidsbrist, att läkaren tog tid på sig för beslut, prioritering av medicinska och praktiska göromål, brist på specifik kunskap gällande geriatrik och demenssjukdomar samt svåra situationer och dödsfall alldeles innan sjuksköterskan skulle gå in till nästa patient.

To lessen the threats of global climate change, governments have to set and enforce robust polices to save energy and reduce greenhouse gases. But will the public support these policies? And what cognitive factors will affect the public's support? To answer these two questions, this study surveyed a convenience sample consisted of 171 Taichung citizens and 132 Kaohsiung citizens. The survey questionnaire asked questions for 2 variables about the threats of climate change and 5 variables about carbon reducing policies. The variables were vulnerability, severity, personal benefit, social benefit, response efficacy, self-efficacy, and response cost. All these were cognitive variables based on Rogers' (1983) protection motivation theory. The latter 5 variables were assessed for each of the 3 policies mentioned in the questionnaire. The policies were (a) rebate on electric bills for energy saving; (b) energy tax; and (c) ordering public places to keep temperatures above 26 degrees Celsius in summer. Results showed that though respondents moderately supported energy taxation policy, this policy was the least welcomed. Further, personal benefit, social benefit and self-efficacy had significant effects on all three policies. In contrast, perceived vulnerability to climate threats and response cost (policy-induced personal cost) had no effect on any of the policies. Implications of these findings are discussed.

This study attempts to interpret Virginia Woolf¡¦s works by appropriating Jacques Lacan¡¦s theoretical concepts, especially the concept of ¡§psychic structure.¡¨ I argue that Virginia Woolf¡¦s psychic structure belongs to the category of hysteria and her psychic structure is revealed in both the form and content of her writing: her writing exemplifies ¡§the hysteric¡¦s discourse,¡¨ one of the four discourses conceptualized by Lacan. I want to further argue that, in her works, the hysterical Woolf can transform herself into the analyst, transforming the hysteric¡¦s discourse into the analyst¡¦s discourse. The thesis is structured in four parts. In the introduction, I will introduce the author Virginia Woolf, Jacques Lacan, review relevant criticisms, construct the theoretical framework, and present the thesis structure as well as my arguments. In the first chapter I examine Woolf¡¦s essay A Room of One¡¦s Own, arguing that, in this text, Woolf hysterically questions women¡¦s lacks in the phallic symbolic order and experiments with her writing to subvert the hierarchal patriarchal society that oppresses women. Woolf, moreover, turns herself from being a hysteric into an analyst, adopting the analyst¡¦s discourse to guide women to explore their desire repressed by the patriarchal society. In the second chapter I examine Woolf¡¦s novel To the Lighthouse, arguing that when writing the novel, Woolf unconsciously betrays her desire to withdraw from the Symbolic and regress into the maternal Imaginary order. Although, on the one hand, Woolf attempts to re-evoke the lost Imaginary mother-child dyad¡¦s unity, on the other hand she unconsciously acknowledges that she cannot paper over the lack and void of being, and this recognition greatly traumatizes Woolf. To understand the fundamental cause of her trauma, Woolf splits herself into both a hysterical analysand and an analyst, adopting the analyst¡¦s discourse to question and explore her repressed desire for the maternal Imaginary order. In the concluding chapter I restate the thesis statement and summarize the analyses of the two previous chapters.

The objectives of this research study are: 1. To probe into the widespread period of severe acute respiratory syndrome. 2. To study on this highly contagious and rapid spread of this new kind of disease At the time when nearby emergency department of medical center breaks out a suspicion of nasocomial infection. First, our emergency department immediately formed a strict fever screening station. After comparing the outcome of the prevention and spreading of this disease by the set-up of the emergency fever station between the central and southern medical institution. The research period was from May 15, 2003to July 15, 2003. Our research targets made by the emergency fever station were around 3730 patients with a random selection of 300 cases. This research uses the structure of fever screening measurement questionnaires to gather information and then adapted the EP1-INFO 10.0 version of statistical analysis. The results of the research are as follows: 1. Chief complaint of sore throat (38.3%) and fever (17%) fitted to the clinical symptoms of SARS. In relation to SARS before and after the spread of the disease, there are still other complaints such as the gastrointestinal system (18.7%) and cardiovascular disease (16.7%) that showed no obvious difference. 2. During the period of emergency fever screening station, an additional 50% of manpower are being arranged to screen probable or non-probable affected cases. (from the 300 randomly selected cases) 3. There are no obvious difference showed after comparing the outcome of the prevention and spreading of this disease by the set-up of the emergency fever center between the central and southern medical institution. 4. After tallying the number of doctors and nurses participated in screening procedure and number of non-medical staff developed similar symptoms to SARS, we can see the result of total number of medical staff from the emergency fever screening station that can successfully control the spread and prevention of the disease, making it the standard and model in the prevention and control of other communicable disease in the future. Key words: Severe acute respiratory syndrome, fever screening station, emergency room, emergency task force

In this study a centrifugal fan is studied for noise characteristics and measurements in a semi- anechoic room. A semi-anechoic room is constructed inside Fluid Mechanics Laboratory of Mechanical Engineering Department has been qualified with respect to ISO 3745 standard. The fan characteristic is obtained as proposed in AMCA standards 210-75, by simply measuring the voltage and current of the motor during operation and calculating the power consumption of the assembly. Noise measurements are taken using two microphones attached to a multi-channel data acquisition and processing system in the semi anechoic room. Several different configurations of the vacuum cleaner with some parts removed or replaced systematically are considered during the noise measurements. Some of the results showed that the damping material placed inside the motor cover is proved to be very effective in noise reduction. Two different damping materials are examined for comparative evaluation.

Abstract Methyl Viologen is a kind of organic molecular magnet of current interest which comprises with organic radicals (unpaired electrons). The molecular formula of the sample is (C12H14N2)2+X2-, where ¡§X2-¡¨ denotes a non-magnetic anion (CdI42-, I3-I- etc.). We perform the magnetization (using SQUID magnetometer) and electron paramagnetic resonance (EPR) measurements. Two absorption peaks are observed in EPR spectrum indicating that there are two radical forms in our samples. One of the radicals exists in every sample having the g1-factor value 2.004. The other radical which has the g2-factor 2.001 exists only in certain samples. Interestingly, we find that these samples exhibit ferromagnetism at room temperature. We use Lorentzian profile to quantitatively analyze the EPR spectrum of the samples and derive the ratio (A2/A1) of two different absorption peaks, which represents the amount of g2 radical. The remanent magnetization and saturation magnetization are found to increase as the ratio value increases, indicating that the strength of ferromagnetism is strongly correlated with g2 radical.

<p>Sjuksköterskor inom akutsjukvården har ett varierande yrke. Ingen dag är den andra lik och av sjuksköterskor krävs snabba beslut och ett lugnande arbetssätt. I ett rum kan en patient vårdas för en fiskekrok i fingret medan patienten i rummet bredvid är döende. Detta kan göra att personalen mår dålig och blir stressad vilket kan leda till brister i omvårdnaden mot patienterna. Syftet med studien var att undersöka och beskriva sjuksköterskors upplevelser av avlastningssamtal. För att nå syftet gjordes en intervjustudie. Sju sjuksköterskor från tre olika akutmottagningar intervjuades. Graneheim och Lundmans (2004) analysmetod användes och intervjuerna resulterade i sex kategorier: Tillhörighet i arbetsgruppen, trivsel, stimulans, enkelhet, att växa i sin yrkesroll, tidslig och rumslig uppfattning. Avlastningssamtalen sker både informellt och formellt bland personalen. Arbetsgruppen har stor betydelse och ett bra klimat på arbetsplatsen bidrar till att underlätta spontana avlastningssamtal. För personal som varit med om samma händelser kan samtalet ge en ökad förståelse för var och ens insats och det bidrar till att sjusköterskor mognar och växer i sin yrkesroll. Det upplevs också som en trygghet och lättnad att känna förtroende för kollegorna och kunna prata om sådant som känns tungt. Det behövs mer forskning inom det här området särskilt vad sjuksköterskor har för behov av avlastande samtal.</p> / <p>Nurses in acute care have a vary profession. No days are the same and from  nurses needs quick decisions and a composed approach. In a room is a patient sitting with a fishing hook in his finger while the patient in the next room is dying. This can make the staff feel bad and become stressed which can lead to deficiencies in nursing care to patients. The aim of the study was to explore and describe nurses' experiences of relief calls. An interview study was made. Seven nurses from three different acute care were interviewed. The analysis of Graneheim and Lundman (2004) was used and the interviews resulted in six categories: Membership of the working group, comfort, stimulation, simplicity, to grow in their professional, time and spatial perception. Relief calls is both informally and formally among staff. The working group is of great importance and a good climate in the workplace helps to facilitate spontaneous relief calls. For staff who have been through the same events can call give a better understanding of everyone's effort and it helps nurses to mature and grow in their professional capacity. It is seen also as a security and relief to have confidence in their colleagues and to talk about things that feel heavy. Further research is needed in this area particularly what nurses have a need for relief calls.</p>

Dieser Beitrag gibt, basierend auf einem BMBF-Verbundvorhaben, Einblicke in die umfassende Bewertung von OPTextilien. Ziel des Vorhabens ist es, Entscheidern in Krankenhäusern Anregungen und Know-how für ihren Berufsalltag und Produzenten von OP-Textilien Impulse für die Gestaltung ihrer Produkte zu geben. Es werden die hygienischen Anforderungen zur Vermeidung nosokomialer Infektionen, die die Schutzwirkung der Textilien garantierenden textiltechnologischen Voraussetzungen sowie die zur Erfüllung der Wirtschaftlichkeit und Umweltfreundlichkeit notwendigen Anforderungen an OP-Textilien dargestellt. Der Beitrag verdeutlicht, dass die Beachtung all dieser Kriterien und deren Zusammenführung für eine bewusste Entscheidung zum Einsatz von OP-Textilien notwendig ist. / This article describes a holistic assessment approach for operating room (OR) textiles, based on a joint research project funded by the German Ministry of Education and Research. The objective of the project is to ease decision processes for decision makers in hospitals and OR textile manufacturers. The hygienic demands for protection against nosocominal infections, the technological requirements to guarantee textiles their protective properties, as well as the bases for an economically and environmentally optimum decision, are discussed. To permit a holistic procurement decision regarding OR textiles, it is necessary to consider all these criteria and their integration, as proposed in this article.

Der Lesesaal hat seit dem 19. Jahrhundert die Bibliotheken grundlegend verändert. Alles, was mit der Aufbewahrung und Benutzung von Büchern zu tun hatte, bekam einen neuen Sinn, als man die Bereiche der Leser von denen der Bibliothekare trennte. Bibliotheken integrieren seitdem zwei Bewegungsformen, einmal das Suchen, Finden und Aneignen der Bücher durch die Benutzer und zum anderen das Aufnehmen, Ordnen und Bereitstellen der Bücher durch das Personal. Es sind zwei Kulturen oder Wissenstechnologien, die durchaus nicht die gleiche Geschichte haben, wohl aber ein gemeinsames Zentrum: den Lesesaal. Die Geburt des Lesesaals...

With advances in micro-electronic complexity and fabrication, sophisticated algorithms for source localisation and tracking can now be deployed in cost sensitive appliances for both consumer and commercial markets. As a result, such algorithms are becoming ubiquitous elements of contemporary communication, robotics and surveillance systems. Two of the main requirements of acoustic localisation and tracking algorithms are robustness to acoustic disturbances (to maximise localisation accuracy), and low computational complexity (to minimise power-dissipation and cost of hardware components). The research presented in this thesis covers both advances in robustness and in computational complexity for acoustic source localisation and tracking algorithms. This thesis also presents advances in modelling of sound propagation in indoor environments; a key to the development and evaluation of acoustic localisation and tracking algorithms. As an advance in the field of tracking, this thesis also presents a new method for tracking human speakers in which the problem of the discontinuous nature of human speech is addressed using a new state-space filter based algorithm which incorporates a voice activity detector. The algorithm is shown to achieve superior tracking performance compared to traditional approaches. Furthermore, the algorithm is implemented in a real-time system using a method which yields a low computational complexity. Additionally, a new method is presented for optimising the parameters for the dynamics model used in a state-space filter. The method features an evolution strategy optimisation algorithm to identify the optimum dynamics’ model parameters. Results show that the algorithm is capable of real-time online identification of optimum parameters for different types of dynamics models without access to ground-truth data. Finally, two new localisation algorithms are developed and compared to older well established methods. In this context an analytic analysis of noise and room reverberation is conducted, considering its influence on the performance of localisation algorithms. The algorithms are implemented in a real-time system and are evaluated with respect to robustness and computational complexity. Results show that the new algorithms outperform their older counterparts, both with regards to computational complexity, and robustness to reverberation and background noise. The field of acoustic modelling is advanced in a new method for predicting the energy decay in impulse responses simulated using the image source method. The new method is applied to the problem of designing synthetic rooms with a defined reverberation time, and is compared to several well established methods for reverberation time prediction. This comparison reveals that the new method is the most accurate.