Peste des Petits Ruminants (PPR) is a disease of major socioeconomic impact. It is an acute and highly contagious viral disease of small ruminants caused by the agent Peste des Petits Ruminants Virus (PPRV), a Morbillivirus closely related to Rinderpest virus (RPV) which was declared eradicated from the world in 2011. PPR has a high morbidity and mortality rate and is characterised by high fever, nasal and ocular discharge, pneumonia, necrosis and ulceration of the mucous membranes and inflammation of the gastrointestinal tract causing severe diarrhoea. The role of wildlife in the epidemiology of the disease is still unclear. The disease is currently affecting sheep and goat in 70 countries worldwide and this year (2014) FAO has announced a program to eradicate the virus by 2030. In Tanzania, the disease was first reported in 2008 and has since then spread to different parts of the country.

SAMMANFATTNING SyfteSyftet med denna studie var att undersöka anledningen till att vissa familjer väljer att söka akutsjukvård till sina barn istället för att vända sig till andra vårdinstanser. MetodEn enkät utformades för studien. Enkäten delades ut till familjer som sökte för icke akuta åkommor på en barnakutmottagning i Uppsala län. Studien pågick under en tolvdagarsperiod och avslutades när 80 familjer besvarat enkäten. Frågorna bearbetades med hjälp av beskrivande statistik samt chi2-test. ResultatDen huvudsakliga anledningen till att man valde att söka på barnakutmottagningen var att man telefonledes blivit hänvisad av annan vårdinstans (73,8%). Av de familjer som varit i kontakt med annan vårdinstans hade 70% hänvisats via sjukvårdsrådgivningen/1177.De vanligaste åkommorna som det söktes för var andningsbesvär, luftvägsinfektioner och bukbesvär.

BakgrundAkut appendicit är en av de vanligaste akuta buksjukdomarna i västvärlden och cirka 10 000 människor i Sverige drabbas varje år. Diagnosen ställs i första hand med klinisk undersökning men om den kliniska undersökningen är osäker kan radiologiska metoder som ultraljud, datortomografi (CT, computed tomography) och magnetisk resonanstomografi (MR) vara till hjälp. SyfteAtt jämföra sensitivitet och specificitet samt att beskriva fördelar och nackdelar med undersökningsmetoderna ultraljud och CT vid frågeställningen akut appendicit. MetodEn litteraturstudie gjord på tretton vetenskapliga artiklar sökta i Pubmed med sökord som bl.a. appenditicits/ultrasonography, computed tomography och acute appendicits. ResultatSensitiviteten och specificiteten för CT varierade mellan 76- 100 % respektive 69-100 % och för ultraljud mellan 59- 92,7 % och 78-100 %. Fördelar med CT är bl.a. att appendix bättre kan lokaliseras, bättre träffsäkerhet samt att den kan ställa alternativa diagnoser och reducera antalet negativa appendektomier.

During an endurance riding competition the onset of metabolic disorders leading up to elimination from the race are common. As many as 8,7 % of the horses participating in international endurance riding competitions are eliminated due to metabolic causes such as tachycardia, absence of borborygmi, hyperthermia and dehydration. To prevent the onset of metabolic disorders in the horse the rider must be able to determine the physiological and physical status of his or her horse. This requires good knowledge in nutrition, physiology and performance training. The risk of developing metabolic problems is reduced through the right feeding management and training.

The purpose of this paper is to investigate possible reasons Sweden might have had to motivate the start and end of its nuclear program during the Cold war. This investigation will be conducted using a qualitative research method and making a comparison between the theories realism and liberalism?s ability to explain the decisions. The question this paper is based upon is as follows: Can Sweden?s creating and shutting down of a nuclear weapons program during the Cold war be explained by the international events and actions that were taking place during this time period? The result consists of liberalism pointing out several failures on the international level that might explain the cynical decision from Sweden to create the nuclear weapons. Realism considers the decision to make perfect sense at this point in time, to protect Sweden on the anarchy that was going on at that time according to this theory.The ending of the nuclear weapons program is being explained largely by the rise of the MAD-concept which renders the acute need of nuclear weapons in Sweden void.  Liberalism on the other hand considers this a logic step due to the better established UN that is playing a larger role now than in the 1940s. In conclusion, realism does a better job explaining the start of the nuclear weapons program, while liberalism explains the end of it more efficiently. The contribution this thesis has to the research of political science can be seen mainly in three areas.

Bakgrund: Sjuksköterskeutbildningen är treårig. I den ingår teoretisk och verksamhetsförlagd utbildning inom psykiatrisk vård. Studenter behöver förberedas med att träna för att få förmågan att möta och hantera patienter med psykisk ohälsa. Syfte: Syftet med studien var att undersöka hur sjuksköterskestudenter uppfattar akuta omhändertaganden av patienter på psykiatriska akuta vårdavdelningar. Metod: En kvalitativ induktiv metod valdes.

Bakgrund: Antalet barn och ungdomar som deltar i organiserade idrotts- och fritidsaktiviteter ökar. Det ses också en ökning av intensiv träning i yngre åldrar. Detta kan leda till att barn och ungdomar utsätter sig själva för ökad risk för akuta skador och överbelastningsskador. Syfte: Att applicera och anpassa Oslo Sports Trauma Research Center (OSTRC) svenska enkät till ett pojklag inom juniorishockey under en fyraveckorsperiod samt att genomföra en skaderegistrering mot de fysiska hälsoproblemen (akut skada, överbelastningsskada och sjukdom) och belysa dessa inom juniorishockey. Material och metod: Samtliga spelarna i ett pojklag (ålder 15-18) i ishockey fick under fyra veckors tid fylla i OSTRC enkät en gång i veckan.

Background: High demands are today placed upon Swedish elderly care nurses as more elderly live with multimorbidity while the hospital bed capacity is becoming lower. Aim: The aim of the study was to explore nurses? perception of decision-making in situations with acutely ill patients in nursing homes and which factors may influence the decision about transferring patients to the emergency department or not. Method: This is a qualitative study with a phenomenographic approach. Semi-structured interviews have been conducted with 11 nurses working in nursing homes. The data analysis was based on Dahlgren and Fallsberg (1991) data analysis. Result: Three different description categories were presented, which describes variations of the nurses? perceptions.Feeling comfortable in making the decision; which involved the nurses feeling confident in the decision-making about transferring patients to the emergency department or not.Hesitant in making the decision; which described how nurses perceived the decision-making as problematic, with regard to transferring patients to the emergency department.Many wishes to consider in taking the decision; which explained how nurses? decision-making was influenced by requests from the patients or from people close to them.Conclusion:  The study reflected how  supporting and aggravating factors could influence how nurses in nursing homes perceived the decision-making and how nurses have to take in consideration different opinions concerning the decision making process of transferring patients to the emergency department or not.

The Northern Raccoon (Procyon lotor) belongs to the Carnivore-family and is a species endemic to North America. Every year hundreds of orphaned raccoon cubs are admitted into the Wildlife Rehabilitation Center of Minnesota (WRCM), a non-profit organization where all injured or orphaned wild animals are admitted and receive quality health care with the goal of being released out into the wild. The WRCM routinely vaccinate all of the admitted raccoon cubs with a killed feline panleucopenia vaccine, but despite this there are outbreaks of parvovirus infection every year where up to 50% of the admitted cubs have been euthanized or died. The objective of this study was to determine whether vaccinating the admitted raccoon kits has any significant protective effect to developing clinical parvoviral disease. A single-blinded cohort study was designed with two parallel, independent groups. One group was given a dose of killed feline parvovirus vaccine at admission, and the other group was not given any vaccination at all. Assignment to the vaccinated or unvaccinated group was on a per-litter basis and done randomly by drawing lots out of a box.

The progress of the health among the elderly has a major meaning for the needs of care, nursing and social services. The health of the elderly has improved but fall and fall accidents are a major problem. Acute diseases, activities and environment risks are often related to fall accidents. The aim of the study was to describe health care staffs? opinions about fall risk and fall prevention.

The aim of the study was to examine individual staff experience and management of threats and violence in the acute psychiatric department for children and teenagers in Uppsala. Previous research shows that the experience of threats and/or violence is individual, and that it is difficult to distinguish between these concepts. Research shows that it is particularly vulnerable to work in psychiatry when mental illness is a cause when threats and violence occurs. Threats and violence can result in different consequences for the individual. The study is based on qualitative interviews and the material was collected in the autumn of 2012 at Akademiska sjukhuset.

 Extra high requirements are made on all systems in health care that they are functional and usable,´something, however, that is not always the case. At Emergency Admissions at Sahlgrenska University´Hospital many systems are in use at the same time and it happens that much overhead is caused by having to fill in the same information in different places. In addition, data that is gathered is to a large extent saved in free text format, which means that it cannot be used in a larger context such as research, quality control or for decision support. Data is saved in the patient file only for the treatment process of the individual patient.A data collecting system with decision support functionality could be a first step towards reducing Emergency Admissions? costs and patients? waiting times by providing a structured method of data collection.

Schmallenberg virus (SBV) is a novel arthropod-borne orthobunyavirus emerging in Europe in 2011 to 2012. Acute SBV infection causes diarrhoea, fever and reduced milk production in dairy cattle, but it is mainly the reproductive disorders (abortions, malformed foetuses and stillborn animals) in ruminants that have caused substantial economical losses. The prevalence of the virus outside of Europe is poorly investigated. SBV or SBV-like antibodies were detected in Mozambique in 2013, which raised interest for a similar study in Tanzania. In this study in Tanzania, blood samples were collected from 478 sheep and goats from 39 herds in 15 different villages in three districts, covering areas in the north, south and east of Tanzania. The epidemiology of the virus was investigated by tracing antibodies by ELISA and mapping of the virus by PCR was started.

Background Atelectasis is a commun respiratory complication related to general anesthesia and may contribute to pneumonia and acute respiratory failure. Atelectasis apear within 10 minutes after anesthetization and occur in 90% or more anesthezied patients regardless of age and gender. The aim of this study was to indentify if there are any evidence for which methods are ultimate or are most efficacious to reduce and prevent the formation of atelectasis.                                                                                                          Methods This study is a descriptive litterature study where 28 scientific studies have been indentified for review and analysis.                                                                                                               ResultsThe use of 100% oxygen during the induction of anesthesia favors the developement of atelectasis. This can be prevented by preoxygenation with oxygen content of 100% combined with a PEEP of 6-10 cmH2O. When free airway is secured, oxygenation with 100% was found to be unnecessary.

The main objective of this research was to study how increased arterial oxygenation by the use of Pulsed Inhaled Nitric-Oxide (PiNO) influenced the metabolic and cardiovascular parameters on horses undergoing acute abdominal surgery because of colic. The parameters blood lactate, blood glucose, pH and heart rate were evaluated before and during anesthesia and closely after recovery. The study showed that blood lactate concentrations decreased significantly during anaesthesia in horses treated with PiNO compared to non-treated horses. It was also seen that the lactate concentration decreased most in horses with the highest levels before PiNO treatment. Since enhanced oxygen extraction ratio was evident in the PiNO group, improved oxygen delivery to the tissue may be a possible explanation for the improved situation.