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The Global ETD Search service is a free service for researchers
to find electronic theses and dissertations. This service is
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Networked Digital Library of Theses and Dissertations.
Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
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Showing 1 to 3 of 3 (0.045 seconds)Spelling suggestions: "subject:"trakehner""
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Sugteknik i endotrakealtub och trakealkanylJonsson, Anna, Nordh, Anna-Karin January 2008 (has links)
I den dagliga kontakten med patienter med endotrakealtub och trakealkanyl som respiratorbehandlas noterades tendens till oförväntade tecken på luftvägsstopp. Syftet var att genom en litteraturstudie med systematisk metodansats identifiera beskrivna sugtekniker för att säkerställa fria luftvägar på patienter med endotrakealtub/trakealkanyl. Resultatet visar en fördel med att använda böjd sugkateterspets för att nå en specifik lunga och att slutet sugsystem inte är mer effektivt än öppet avseende mängden uppsuget sekret samt antal sugtillfällen. Ett visst mått av rutinmässig sekretsugning per dag är till godo för patienten trots avsaknad av sekret. Att arbeta utifrån nationella riktlinjer är säkert bra men det är också nödvändigt att respektive klinik med dess kategori av patienter förhåller sig kritisk och vid behov utfärdar lokala föreskrifter och rutiner. / In the daily care of patients with endotracheal tube and tracheal cannula who receive mechanical ventilation, unexpected signs of airway occlusion were noticed.The aim of this literature review with an intention to systematic method was to indentify described suction techniques to secure free airway. The findings show a benefit using a curved suction catheter tip to reach a specific lung and that a closed suction system is not more effective than an open system considering amount of secretion removed and number of suction passes. Further the findings show that despite the lack of secret a matter of routine suctioning is important and will be good for the patient. It is of great value to follow national guidelines but it is necessary and up to each and every clinic, according to their specific category of patients, to make their own judgement if local directions and routines have to be made.
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Tyst kunskap och produktdatasystem vid medicinteknisk tillverkning : Pilotstudie av system för produktdatahantering och kartläggning av den tysta kunskapen vid Nationellt respirationscetrum, NRC / Tacit knowledge and product data management system in medical technology production : Pilot study of a PDM system and survey of the tacit knowledge at National respiratory centre, NRCHedlund, Niclas January 2009 (has links)
<p>This thesis looks at two sides of the same coin: how to support the production and future development at a specialist medical technology department at Danderyd Hospital. The two sides are; a pilot study of a product management system (PDM) and an interview based study on the characteristics of the silent knowledge of the technicians. The department (National respiratory centre, NRC) is facing retirement of several key employees.</p><p>The technical study shows that the success of an implementation is largely dependent on the users’ prior knowledge and use of a 3D Computer aided design system (CAD).The system itself is shown to fulfill the Lifecycle requirement of tracking the products (mostly tracheostomy tubes) but without a CAD centered workflow, some substantial education and preferably some new recruits, an implementation of the PDM system will fail. The author recommends development of the current “low-tech” system of MS Excel and Access rather than redistribute the dependency from technician towards a complex, commercial software and its vendor.</p><p>The analysis of the technicians’ silent knowledge with the newly developed method, epithet for silent knowledge (ETK), shows that the longer employment time:</p><ul><li>the more differentiated technicians become in describing their work,</li><li>practical knowledge are regarded higher and</li><li>the social and collective problem solving factors of the work becomes more important.</li></ul><p>Typically, it is shown that a new employee should preferably enjoy problem solving, being pragmatic and social as well as having some prior education or work experience in a CAD and/or a PDM system.</p>
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Tyst kunskap och produktdatasystem vid medicinteknisk tillverkning : Pilotstudie av system för produktdatahantering och kartläggning av den tysta kunskapen vid Nationellt respirationscetrum, NRC / Tacit knowledge and product data management system in medical technology production : Pilot study of a PDM system and survey of the tacit knowledge at National respiratory centre, NRCHedlund, Niclas January 2009 (has links)
This thesis looks at two sides of the same coin: how to support the production and future development at a specialist medical technology department at Danderyd Hospital. The two sides are; a pilot study of a product management system (PDM) and an interview based study on the characteristics of the silent knowledge of the technicians. The department (National respiratory centre, NRC) is facing retirement of several key employees. The technical study shows that the success of an implementation is largely dependent on the users’ prior knowledge and use of a 3D Computer aided design system (CAD).The system itself is shown to fulfill the Lifecycle requirement of tracking the products (mostly tracheostomy tubes) but without a CAD centered workflow, some substantial education and preferably some new recruits, an implementation of the PDM system will fail. The author recommends development of the current “low-tech” system of MS Excel and Access rather than redistribute the dependency from technician towards a complex, commercial software and its vendor. The analysis of the technicians’ silent knowledge with the newly developed method, epithet for silent knowledge (ETK), shows that the longer employment time: the more differentiated technicians become in describing their work, practical knowledge are regarded higher and the social and collective problem solving factors of the work becomes more important. Typically, it is shown that a new employee should preferably enjoy problem solving, being pragmatic and social as well as having some prior education or work experience in a CAD and/or a PDM system.
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