Peritonitis is a potentially life-threatening disease in horses. With no published work from Sweden, the objective of the study was to describe the occurrence and demographics of horses with peritonitis and to evaluate the outcome of treatment in terms of short-term survival during a ten-year period in a large clinic in Sweden. Data were examined in a retrospective manner in 69 horses diagnosed with and treated for peritonitis at Universitetsdjursjukhuset (UDS) in Uppsala between 2002-2012. Demographic data examined included age, breed, gender, history, duration of illness before arriving at UDS, reason for seeking veterinary care, initial clinical findings (general state of health, heart rate, respiratory rate, mucous membrane appearance, rectal temperature, abdominal sounds, rectal examination, nasogastric tube results), abdominocentesis results (abdominal fluid analysis including visual inspection, leukocytes and protein, cytology, bacterial culture and sensitivity pattern), complete blood count (CBC), Serum amyloid-A (SAA) upon presentation and a follow up, plasma fibrinogen, plasma protein and albumin, treatments, length of hospitalisation and outcome. All medical records with the diagnosis of peritonitis were extracted from the medical records system Trofast. All records with any other diagnosis code referring to trauma such as rectal tear or ruptured uterus, recent abdominal surgery, external trauma or rupture in the gastrointestinal tract were excluded. To be included in the study, the peritoneal fluid should contain more than 20.000 cells/?L, have a peritoneal protein value of >30 g/L; or have a significantly changed peritoneal fluid sample (orange with increased turbidity or worse) in cases where no data on cells or protein were available. The horses were divided into two groups; one where the peritonitis was deemed to have an idiopathic aetiology (primary peritonitis) and the other group where the peritonitis had a possible aetiology such as intestinal parasites, impaction etc.

Background and purpose: Volleyball requires a lot of the human body, andeffective core stability is necessary for the athlete. Our muscles cooperate as achain of motions and core stabilization is the base for the moving muscles.The most well-known stabilization muscle is m.transversus abdominis (TrA).The purpose of the present study was to evaluate the function of TrA inSwedish female elite volleyball players and to observe the influence of eightweeks of stabilization exercise on the TrA. Method: 10 female elitevolleyball players (mean age 24,7 years, range 18-31 years) participated inthe study. TrA was measured in supine position with a pressure biofeedbackunit. Subjects were instructed to draw in the abdominal wall without movingthe pelvis and hold for 10 seconds.

In Sweden, the most common way to castrate a bitch is by midline approach. In this study, flank and midline approaches are compared in order to evaluate incision by the flank as an alternative technique for ovariohysterectomy in the bitch. The study was performed on straydogs in the central part of Thailand under field conditions. 32 bitches were included in the study. The castration technique was by flank and midline approach, alternating with every other bitch.

Acute bacterial prostatitis is a common disease in older male dogs. It gives symptoms such as fever, pain, tiredness, infertility, unwillingness to mate and sometimes symptoms from the urinary tract. It is common that you do an ultrasound exam on dogs when you suspect prostatic changes. In this study 15 dogs diagnosed with acute prostatitis at the small animal clinic at SLU in Uppsala were examined. The clinical signs and the ultrasound pictures were put together in retrospect.

Ultrasound is a diagnostic aid often overlooked by the veterinary practicioner who works with farm-animals. However, it?s use increases, particulary for breeders where ultrasound has long been used to evaluate ovaries and to diagnose pregnancy or disturbances in reproduction. There is much knowledge in how to examine ovaries and uterus by transrectal ultrasound, but when it comes to doing ultrasound of other organs in the abdomen the knowledge is more limited. Cows are very large animals, so it is not possible to examine everything inside the abdomen with ultrasound, simply because the ultrasound beam has a limited penetration. There is also lots of gas inside the gastro-intestinal tract of a cow, mainly in the large intestine and the rumen, and that makes it impossible to examine the organs behind the gas since the ultrasound waves are reflected when reaching the soft tissue-gas interface.

Syftet med denna studie var att undersöka samband mellan bukaorta aneurysm hos 65-åriga män och riskfaktorer såsom rökning, BMI>25, kosttillskott, hypertoni, hyperlipidemi, ett stillasittande yrke samt hereditet. Kvantitativ ansats med deskriptiv och korrelativ design användes, 3854 65-åriga män från två årskullar som screenats för AAA ingick och uppgifter hämtades från ett dataregister. Resultat: Antalet personer med bukaorta aneurysm var 2,4 %, 65 % var/hade varit rökare, 67 % hade övervikt, 49 % stillasittande arbete, 41 % hypertoni, 25 % hyperlipidemi, 17 % åt kosttillskott och 4 % hade hereditet. Rökning, hypertoni och hyperlipidemi visade signifikant samband med och ökade risken för att utveckla AAA. Störst riskfaktor var rökning.

SAMMANFATTNINGBuksmärtor är en av de vanligaste orsakerna till att människor söker sjukvård. Historiskt sett har smärtlindring till patienter med buksmärta varit restriktiv. Otillräcklig smärtlindring kan bero på rädsla för att smärtlindrande läkemedel ska dölja viktiga kliniska tecken som kan leda till diagnostiska svårigheter.Syfte: Att undersöka i vilken omfattning ambulanssjuksköterskan smärtlindrar patienter med buksmärta, i vilken utsträckning patienter smärtskattas samt om det föreligger någon skillnad mellan män och kvinnor när det gäller administrering av smärtlindrande läkemedel och omfattning av smärtskattning prehospitalt.Metod: En retrospektiv jämförande deskriptiv journalgranskning med kvantitativ ansats. Ett konsekutivt urval gjordes och sammanlagt granskades 200 journaler, varav 100 omfattade kvinnor och 100 omfattade män.Resultat: 21 % (n=42) av patienterna smärtlindrades. Det fanns ingen statistisk signifikans som visade att kvinnor och män smärtlindrades i olika omfattning.

Dogs presenting with vomiting and abdominal pain, are common patients at the small animal clinic, and the reason for these symptoms can have various aetiologies. One common reason for these symptoms is obstruction of the small intestine caused by a foreign body. Obstruction of the small intestine is best diagnosed by using radiography, contrast-study if needed, and ultrasound. To avoid further examinations, diagnosis from plain radiographs is preferable. One of the signs of illness one can detect from these examinations is a dilation of the small intestine proximal of the obstruction, caused by gas or fluid; ileus.

Background: Inflammatory bowel disease (IBD) includes Crohn´s disease (CD) and ulcerative colitis (UK). The diseases are chronic and have a pattern of relapses interspersed with relatively symptom-free periods. Common symptoms during relapse are diarrhea, abdominal pain and weight loss. Since you have IBD for life it is important to find ways to relate to and cope with the disease. In that process a nurse can be of great help.Aim: The purpose of this literature review was to increase the understanding of how adult patients with inflammatory bowel disease experience their daily lives.  Method: The method used was a literature review.

Abstract  The development and onset of diseases such as cardiovascular disease (CVD) and Type 2 diabetes are closely linked to genetics and lifestyle factors including physical activity and diet. A cluster of metabolic disorders called the metabolic syndrome (MetS) is a high-risk factor in developing these diseases. Acording to the International diabetes institute, one fourth of the worlds adult population has MetS. These individuals are twice as likely to die from CVDs compared to individuals without MetS. Physical activity (PA) and exercise has been shown to provide a number of positive effects that are considered to reduce the risk of developing sickness and premature mortality among both men and women of all ages, independent of other risk factors.

Bakgrund: Röntgensjuksköterskor får ingen verksamhetsförlagd utbildning i att utföra ultraljudsundersökningar av aorta med avseenden på abdominella aortaaneurysm och utför därför inga sådana undersökningar. Röntgensjuksköterskor har viss teoretisk utbildning inom ultraljud. Ungefär 1 000 personer avlider årligen i följder av abdominella aortaaneurysm. Det finns beräkningar som visar att cirka 30 000 av alla män och 6 000 av alla kvinnor i Sverige över 65 år har ett oupptäckt aortaaneurysm.Syfte: Att belysa hur omfattande teknisk träning röntgensjuksköterskor behöver för att utföra ultraljudsundersökning av aorta med avseende på förekomst av abdominella aortaaneurysm och att belysa behovet av den kompetensen.Metod: En systematisk litteraturöversikt valdes för att få en bild av forskningsläget. Översikten bygger på 14 artiklar ur databaserna PubMed, Scopus och Cinahl.Resultat: Det framgick att bland andra läkarstuderande och läkare utan tidigare erfarenhet av ultraljud i olika länder på kort tid har kunnat utbildas till ultraljudsoperatörer av aorta med avseende på förekomst av abdominella aortaaneurysm.

This project was initiated by a veterinarian, that at stallion performance tests for breeding during a number of years, noted breed differences in various types of testicular disorders. Therefore it was of interests to examine the proportion of testicular disorders within certain breeds. The aim with the project was in a first part to study cryptorchidism in common horse breeds in Sweden. Information about castrations of stallions performed during a 10 year period (2000-2009) was collected from computerized case records at five animal hospitals. The case records showed the numbers of castrations, normal cases and cases preformed on stallions with cryptorchidism, abdominal respectively inguinal.

I olika perioder har ämnet våld inom psykiatrin lyfts fram i media, ofta i samband med att ett våldsdåd har begåtts av en ?våldsam psykpatient?. Varken i media eller i den tidigare forskningen är det vanligt att ämnet blir belyst ur ett patientperspektiv. Denna kvalitativa studie försöker fånga ett inifrån-perspektiv och tar sin ansats i att försöka beskriva vad som kan leda fram till att det uppstår konflikt- och våldssituationer på en sluten psykiatrisk avdelning. Studien har genomförts med hjälp av samtal med sju personer med erfarenhet av våld under sin vistelse på en sluten avdelning.

Sedan oktober 2011 sköter Sjukvårdens Larmcentral, SvLC, utalarmeringen av akuta sjukdomsfall som inkommer vid 112-samtal. Samtidigt infördes ett nytt medicinskt beslutsstöd för de sjuksköterskor som tar emot de akuta samtalen. Då orsaken till buksmärta är komplext och svårt att identifiera hos patienterna valdes just detta tillstånd för granskning.Syfte: Att undersöka om det medicinska beslutsstödet för sjuksköterskorna på SvLC i Uppsala län är en tillförlitlig hjälp i identifieringen av patienter med akuta buksmärtor, samt att undersöka om det fanns ålder-eller könsskillnader.Metod: En empirisk kvantitativ studie med en retrospektiv journalgranskning. Sammanlagt 151 patienter som ringt ambulans på grund av buksmärta och som av larmcentralen prioriterats som livshotande (prioritet 1) eller brådskande (prioritet 2) har granskats.Resultat: SvLC´s initiala bedömningar stämde väl överens med de prehospitala bedömningar sjuksköterskan i ambulans gjorde. Hos prio1-gruppen hade 48 % diagnostiserats buksmärta UNS, det vill säga buksmärta utan närmare specifikation, och hos prio 2-gruppen var det 40 % som fått samma diagnos.

ABSTRACTIntroduction: An increasing number of patients in Sweden receive epidural anaesthesia (EDA) in connection to surgery. Caring for patients with acute pain is a responsibility that is strongly established within the profession of the nurse anaesthetist. If the care provided by the nurse anaesthetist for patients who receive epidural anaesthesia is to evolve then further insight and knowledge is required regarding the individual´s experience.Aim: To describe patients' experiences in receiving epidural anaesthesia based on an earlier perioperative start-up of the EDA.Method: Based on a qualitative approach, the aim is to conduct semi-structured interviews with patients who receive EDA in connection to abdominal or gynaecological surgery. Research subjects' statements in the context of the interviews will be transcribed and then analysed using qualitative content analysis. In order to evaluate the chosen method regarding data collection and analysis model an exploratory pilot study was conducted.