“Smi mens jernet er varmt og motivasjonen på topp” - En studie av digital læring i onboardingprosessen

Formålet med bacheloroppgaven er å undersøke hvordan learning management systems (herretter kalt LMS), i dag blir benyttet i fem bedrifter innen varehandel. Fokuset er på årsaken til benyttelse, med vekt på temaet motivasjon samt hvordan de benytter systemet mer praktisk, med vekt på temaet læring. Det har resultert i følgende problemstilling: Hvordan benyttes LMS i onboardingprosessen i fem norske private bedrifter innen butikkhandel med over 700 ansatte? For å besvare problemstillingen har vi utarbeidet følgende to forskningsspørsmål; 1. Det antas at den nyansattes motivasjon for læring er på topp ved oppstart i ny jobb, men hva er årsakene til at bedriftene bruker LMS i onboardingprosessen? 2. Et LMS har som hensikt å øke den nyansattes kompetanse. Hvilke tiltak og funksjoner i LMSet bruker bedriftene for å skape læring? Som metodisk tilnærming har vi benyttet oss av et kvalitativt forskningsdesign. Vår datainnsamling består av innhenting av eksisterende forskning og relevant litteratur, samt gjennomføring av fem semi-strukturerte dybdeintervjuer. Utvalget består av fem informanter med ledende HR-stillinger, en fra hver bedrift. Som grunnlag for analysen har vi transkribert og fargekodet alle intervjuene og satt disse funnene opp mot den aktuelle teorien. Konklusjonen vår viser at bedriftene oppgir mange av de samme årsakene til å benytte et LMS i onboardingprosessen, både i deres bakenforliggende behov og potensielle gevinster. Derimot viser det seg at de ansattes motivasjon for læring i oppstartsfasen ikke var en avgjørende begrunnelse for bruken. Bedriftene har også flere fellestrekk i hvilke funksjoner de benyttet i LMSene, for å skape læring

Repræsentationer af rum

Denne udgivelse tog sit udspring i en undren og en idé om at ville dykke ned i andre tilgange til rum end det fænomenologiske. Ofte bruges den fænomenologiske tilgang til rumanalyse, men vi ønskede at lægge op til en metodisk overvejelse, der ligger ud over denne tilgang. Denne temaudgivelse skulle undersøge rum som noget andet og mere end en beholder for livsverdenen. Dermed som noget andet end kroppens forhold til rummet. Det kunne være rum som magtstrukturer, rum som sociale konventioner eller som billeder.  Vores funderinger og samtaler havde tre tematikker som omdrej- ningspunkt: de flade rum, de virkelige rum vs. repræsentationen af rum og den sproglige repræsentation af rum

Thrombocytopenia and platelet transfusions in ICU patients: an international inception cohort study (PLOT-ICU)

Purpose Thrombocytopenia (platelet count < 150 × 109/L) is common in intensive care unit (ICU) patients and is likely associated with worse outcomes. In this study we present international contemporary data on thrombocytopenia in ICU patients. Methods We conducted a prospective cohort study in adult ICU patients in 52 ICUs across 10 countries. We assessed frequencies of thrombocytopenia, use of platelet transfusions and clinical outcomes including mortality. We evaluated pre-selected potential risk factors for the development of thrombocytopenia during ICU stay and associations between thrombocytopenia at ICU admission and 90-day mortality using pre-specified logistic regression analyses. Results We analysed 1166 ICU patients; the median age was 63 years and 39.5% were female. Overall, 43.2% (95% confidence interval (CI) 40.4–46.1) had thrombocytopenia; 23.4% (20–26) had thrombocytopenia at ICU admission, and 19.8% (17.6–22.2) developed thrombocytopenia during their ICU stay. Non-AIDS-, non-cancer-related immune deficiency, liver failure, male sex, septic shock, and bleeding at ICU admission were associated with the development of thrombocytopenia during ICU stay. Among patients with thrombocytopenia, 22.6% received platelet transfusion(s), and 64.3% of in-ICU transfusions were prophylactic. Patients with thrombocytopenia had higher occurrences of bleeding and death, fewer days alive without the use of life-support, and fewer days alive and out of hospital. Thrombocytopenia at ICU admission was associated with 90-day mortality (adjusted odds ratio 1.7; 95% CI 1.19–2.42). Conclusion Thrombocytopenia occurred in 43% of critically ill patients and was associated with worse outcomes including increased mortality. Platelet transfusions were given to 23% of patients with thrombocytopenia and most were prophylactic.publishedVersio

Thrombocytopenia and platelet transfusions in ICU patients: an international inception cohort study (PLOT-ICU)

Purpose: Thrombocytopenia (platelet count &lt; 150 × 109/L) is common in intensive care unit (ICU) patients and is likely associated with worse outcomes. In this study we present international contemporary data on thrombocytopenia in ICU patients. Methods: We conducted a prospective cohort study in adult ICU patients in 52 ICUs across 10 countries. We assessed frequencies of thrombocytopenia, use of platelet transfusions and clinical outcomes including mortality. We evaluated pre-selected potential risk factors for the development of thrombocytopenia during ICU stay and associations between thrombocytopenia at ICU admission and 90-day mortality using pre-specified logistic regression analyses. Results: We analysed 1166 ICU patients; the median age was 63 years and 39.5% were female. Overall, 43.2% (95% confidence interval (CI) 40.4–46.1) had thrombocytopenia; 23.4% (20–26) had thrombocytopenia at ICU admission, and 19.8% (17.6–22.2) developed thrombocytopenia during their ICU stay. Absence of acquired immune deficiency syndrome (AIDS), non-cancer-related immune deficiency, liver failure, male sex, septic shock, and bleeding at ICU admission were associated with the development of thrombocytopenia during ICU stay. Among patients with thrombocytopenia, 22.6% received platelet transfusion(s), and 64.3% of in-ICU transfusions were prophylactic. Patients with thrombocytopenia had higher occurrences of bleeding and death, fewer days alive without the use of life-support, and fewer days alive and out of hospital. Thrombocytopenia at ICU admission was associated with 90-day mortality (adjusted odds ratio 1.7; 95% CI 1.19–2.42). Conclusion: Thrombocytopenia occurred in 43% of critically ill patients and was associated with worse outcomes including increased mortality. Platelet transfusions were given to 23% of patients with thrombocytopenia and most were prophylactic

European Heart Rhythm Association (EHRA)/Heart Rhythm Society (HRS)/Asia Pacific Heart Rhythm Society (APHRS)/Latin American Heart Rhythm Society (LAHRS) expert consensus on risk assessment in cardiac arrhythmias: use the right tool for the right outcome, in the right population.

In clinical practice and for scientific purposes, cardiologists and primary care physicians perform risk assessment in patients with cardiac diseases or conditions with high risk of developing such. The European Heart Rhythm Association (EHRA), Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), and the Latin American Heart Rhythm Society (LAHRS) set down this expert consensus statement task force to summarize the consensus regarding risk assessment in cardiac arrhythmias. Objectives were to raise awareness of using the right risk assessment tool for a given outcome in a given population, and to provide physicians with practical proposals that may lead to rational and evidence-based risk assessment and improvement of patient care in this regard. A large variety of methods are used for risk assessment and choosing the best methods and tools hereof in a given situation is not simple. Even though parameters and test results found associated with increased risk of one outcome (e.g. death) may also be associated with higher risk of other adverse outcomes, specific risk assessment strategies should be used only for the purposes for which they are validated. The work of this task force is summarized in a row of consensus statement tables

Children in war : a discussion of child soldiers and the concept of childhood

Children and young people are affected by conflict in numerous ways, and are seen as constituting one of the groups that are referred to as the primary victims during and after war and conflict. In contemporary conflicts, children and youth are directly partaking in actions, and some as soldiers. Children serving as soldiers are not something new as such, but despite the international efforts in prohibiting the use of children in war, it is still the reality for many children around the globe. The reasons for the recruitment of children are many, which are based on political, religious, social and economic aspects. The perceptions related to children as being innocent, weak and vulnerable also reflects why children are involved as soldiers in war and conflict, since children are therefore seen as easier to recruit and to adapt to the circumstances brought by conflict within a rebel group. The children serving for these groups experience a lot of violence and horrible situations, and are witnesses and performers of atrocities such as killings, rapes and looting of communities. The life of a child soldier is therefore contradicting with what is expected and perceived as an ideal childhood. Child soldiers are agents in conflict and war, although not legally. Their actions are challenging our perceptions of children, since it is the opposite of innocence, weakness, and even vulnerability. Therefore, the agency of child soldiers is a site of knowledge in understanding international relations, as they are actors that shapes state behavior.M-I