Good physical, psychological and social health is pursued both at work and at home. There is no current research into the health of ski instructors despite the physically demanding nature of skiing and high injury rate. The purpose of this study is to map out ski instructors physical and psychological health and see if there are common injuries amongst them. This study is a descriptive and correlating study including a survey of ten questions with self reported data from the instructors. Five ski schools from Sweden participated in the study and 86 surveys got sent out to the ski school directors.The result from this study shows that ski instructor´s physical, physiological, well being at work, stress level and self efficacy is good.

It is popular to keep reptiles as pets in Swedish households. The number of households reporting reptile ownership is more than 15 000 (SCB, 2006). This means that a veterinary practice should consider how to take care of reptiles as patients. The aim of this study was to examine literature and studies concerning safe handling and restraint of reptiles as well as the effects of acute and long term stress response and to suggest a simplified plan for handling reptiles in a veterinary practice. The result of literary studies is that common recommendations for safe handling and restraint of reptiles is based on old techniques and experiences from safe handling of wild animals. The main concern is safety for the veterinary nurse and for the reptile. Stress studies indicate that acute stress response is not harmful for the animal i long term. On the other hand studies of the effect of prolonged stress are not conclusive.

Aggression between laboratory mice is a common problem and can result in welfare issues such as mice hurting or killing each other and also stress. Swedish laws and regulations clearly states that mice must be housed with a companion due to their natural social structure. Many studies have investigated the effect off enrichment, group size, cage size and other potential changes in in their environment on the occurrence of aggression. Even with these changes aggression can exist and therefore a new solution was tested in this paper. The proposed solution was to house an intact mouse with a castrated one and thus fulfill laws and regulations while still maintaining the physiology of one of the mice for the purpose of medical experiments.

AimThe aim of the present investigation was to study the side distribution (right, left) and possible gender differences in terms of anterior cruciate ligament (ACL) injuries in different sports.MethodThis Register study comprises a total of 27856 subjects from the Swedish National Anterior Cruciate Ligament Register. Side- distribution and possible gender differences were analyzed. The different sports consisted of aerobics, alpine skiing, basket, cross-country skiing, dancing, enduro, floorball, gymnastics, handball, ice hockey/bandy, martial arts, outdoor activities, racket sports, snowboard, soccer, and volleyball. Due to injuries that had occurred in the traffic and at work 5076 subjects were excluded. Statistical data have been analyzed with one way ANOVA and x2 test and the Tukey post hoc test has also been used.

To be able to move around without having to think about each movement is for most people amatter of course. Todays society contributes to a life at high speed where the sparetime is oftenspend doing somekind of sport, even extreme sports which earlier only a few people wheredoing. This leads to not only good health effects but also to more injuries. One of the mostcommon injuries is the knee injury.Capio Artro Clinic is a clinic specialized in sports medicine and particulary patients with injuriesin knee, shoulder, foot, hip or elbow. They perform a great part of all the crucial ligamentsurgeries in Sweden and has therefor also a lot of patients in need for rehabilitation of the knee.During the rehabilitation the load of the injuried knee is increased in steps.

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.

Syftet med litteraturstudien var att beskriva vilka faktorer som i omvårdnadsforskningen beskrivs som bidragande faktorer till akut delirium. Syftet var vidare att beskriva vilka omvårdnadsåtgärder som omvårdnadsforskningen tar upp som kan minska risken för uppkomst av akut delirium. Resultatet baserades på vetenskapliga artiklar som söktes i följande databaser: Elin@dalarna, BlackwellSynergy, PubMed och EBSCO host. Följande sökord användes: delirium, acute, elderly, nursing, patients, caring, management, confusional state, needs. Artiklarna granskades enligt en granskningsmall med avseende på vetenskaplig kvalité.

Introduction: In January 2005, a nationwide mandatory bicycle helmet law for children under the age of 15 was introduced in Sweden. In the current study, the effect of this law was evaluated by analyzing national trends in hospital admissions due to bicycle-related head injuries during the period 1998-2011.Methods: An interrupted time-series design with segmented regression analysis was used to evaluate the intervention effect on head injuries as a percentage of all injuries (%HI) among cyclists in age- and sex-specific groups. Effect was measured as a change in level and/or slope of the trend at the time of legislation.Results: A total of 35261 cyclists (0-54 years) were hospitalized due to a bicycle injury during the study period. Linear regression analyses of the entire study period (not segmented) showed significant year-to-year decreases in the %HI of 1.3-1.7% in all age and sex-specific groups (p < .0001). Results from the segmented regression analysis showed that, at the time of legislation, a significant drop in level occurred among males under 15 years (-4.5% [95% CI: -7.7% to -1.3%], p = .01) and a significant change in slope occurred among females aged 30-54 years (-1.6% [95% CI: -2.9% to -0.2%], p = .025).Conclusions: The law seems to have had an effect on males in the target population (<15 years).

Bovine Respiratory Syncytial Virus (BRSV) is a common cause of respiratory disease among young cattle. The virus causes severe losses; the herd mortality rate can sometimes be as high as 20 %. In this study the avidity (i.e the antigen binding force) of BRSV specific antibodies was measured to see if there was a difference between antibodies produced during an acute phase of infection and antibodies produced by earlier infected animals. A commercially available ELISA-testkit against BRSV-specific antibodies was used and an incubation step with 6M urea was added. The effect of the urea is that it breaks the weak bonds between antibodies and antigen while the stronger bonds remain intact. Four different groups of animals were included in this study; seven calves that were naturally infected, three acutely infected calves with known time of infection, five cows that were seropositive during several years and four experimentally infected calves that had been a part of a vaccine trial. The results of this study showed that antibodies produced during the acute phase of an infection had a low avidity and that the avidity increased with time after infection.

Haptoglobin is an acute phase protein with important biological role because of its capacity to bind to haemoglobin. Haptoglobin exists in three major genetic polymorphism types: Hp1-1, Hp2-1 and Hp2-2, the distribution of which has been associated with abdominal aortic aneurysm (AAA), an asymptomatic aortic disease common among men older than 65 years.    Five different electrophoretic methods were tested according to their ability to separate the haptoglobin phenotypes. The detection was based on a produced hemolysate of blood in which haemoglobin binds to haptoglobin thereby forming a complex that can be detected by specific haemoglobin staining using TMB-dihydrochloride and hydro peroxide as substrate resulting in an azure-green color of the bands. Samples from 15 patients who had suffered surgery for not broken AAA, that is more than5.0 cmaortic diameter, and 15 samples from matched controls were analyzed.    Among the five tested electrophoretic methods best migration and separation was seen on the pre-cast agarosgel Hydragel HR on the instrument Hydrasys. The other four methods gave less successful results.

The aim of this literature study was to give a clear picture of what gastric dilatation-volvulus is, and how the acute- and postoperative treatment and care is managed. The general aim is to support and help the veterinary technicians in their clinical work. Gastric dilatation volvulus is always an emergency. The primarily goal when these dogs are hospitalized is to establish an adequate cardiovascular function. This is done by immediate intravenous fluid therapy followed by decompression of the dilated stomach.

Background: Patients with cervical spinal cord injuries are often dependent on a mechanical ventilator due to the damage on the innervation to breathing musculature. During rehabilitation they have to be trained to regain own breathing. This unweaning process may give respiratory complications, which are main causes to morbidity and death. These respiratory complications are traditionally treated in an intensive care unit (ICU), which means that the patients have to return back to these emergency units.Aim: To investigate number, length and causes of returns to intensive care units and the length of the weaning process. Further, to compare if a multidisciplinary approach to the weaning process may reduce ICU returns and to shorten the weaning process.

Aim and Hypotheses The aim of the study was to investigate how episodic hypoxia affects resting blood pressure and the acute blood pressure response in healthy older adults. The following hypotheses were formulated for analysis in the study: Blood pressure increases acutely in healthy older adults during exposure to 150 minutes of hypoxia with SpO? 80%. Resting blood pressure decreases in healthy older adults after 15 repeated exposures of 150 minutes of hypoxia with SpO? 80% over a period of three to four weeks.

Purpose.The purpose of this essay was formulated as to examine the relationship between the development of deaths caused by unintentional injury and fast economic development in a country. The purpose is to create a picture of the development in the chosen countries.Background.Injuries and the deaths that sometimes follow are a problem for all communities, if nothing else just because of costs and the absence of incomes for the state. Countries ability to restrain these deaths should be of interest. Studies show that the number of deaths causedby unintentional injuries correlates inversely with the GDP/c, we can therefore expect that better economic conditions leads to fewer deaths and vice versa. It has been shown that an economic crisis often leads to considerably higher death rates.

Proliferative enteropathy is a group of disease conditions in pigs where the disease may vary from subclinical to critical with bloody loose feces. The etiological agent is the obligate intracellular bacteria Lawsonia intracellularis. L. intracellularis infects enterocytes from jejunum to colon. The bacteria is taken into cells and start to replicate and cause a massive proliferation of immature enterocytes.