Protamine given after CPB markedly reduces platelet aggregation. Protamine added in vitro also reduces platelet aggregation, by itself or in combination with heparin.

The handling of blood after CPB increases hemolysis, impairs platelet function and activates coagulation and fibrinolysis. The RC technique preserved the blood better than the commonly used IB technique.

This study aimed to describe older persons’ experiences of eHealth services in home health care. A meta-ethnographic approach was applied, and a systematic literature search was conducted in three databases. In total, 11 articles were included and analysed, which resulted in two themes and six sub-themes. The results show that for older persons to use the eHealth services, they must provide some additional value compared to current contacts with healthcare professionals. Those with regular healthcare contact do not experience the eHealth service as adding anything to the care they already receive. The introduction of eHealth services involves learning how to use the new technology, and some older persons experience the technology as motivating and inspiring. The eHealth service makes some feel safer while some do not trust the technology. In order to make the best use of eHealth services, it is important that the services are adjusted not only to each person’s needs but also to their personal capabilities and resources, while the older person must feel valued as an active partner in the care process. Thus, when using eHealth services, the older person’s perspective needs to be given priority and decisions should not only be based on organizational considerations.

När covid-19 pandemin bredde ut sig våren 2019 förändrades förutsättningarna för att bedriva utbildning. För Sveriges lärosäten för högre utbildning innebar det att i stort sett all undervisning med kort framförhållning behövde planeras om för att genomföras på distans. Campusförlagd sjuksköterskeutbildning har fokus på både teoretiska och praktiska kurser och därmed blev omställningen till distans uppenbar. Sjuksköterskeprogrammet vid det studerade lärosätet genomförs med problembaserat lärande (PBL), där utgångspunkten är fysiska möten i mindre grupper. Undervisningen fick genom omställningen genomföras med digitala verktyg. Denna omställnings påverkan på sjuksköterskeutbildningen är viktigt att reflektera över då framtidens undervisning och lärande sannolikt kommer bli alltmer hybrid. Nyckelord: Problembaserat lärande, digitala verktyg, sjuksköterskeutbildning, Covid-19 pandemin ENGLISH ABSTRACT Problem-based learning with digitals tools in the nursing programme during the Covid-19 pandemicDuring the spring 2019, the prerequisites for conducting education were changed due to the pandemic. For higher education in Sweden almost all education switches on to digital education. Nursing education has focus on both theoretical and practical courses, which is a challenge for digital or distance education. Furthermore, the nursing programme at the studied university used problem-based learning (PBL), with base-groups at campus. Instead of physical meetings at campus, the base-groups took part with digital tools. The impact of base-groupsmeeting with digital tools are important to reflect on, especially since the education and learning of future probably will be more hybrid.

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