Background: Peripheral arterial disease (PAD), as a consequence of atherosclerosis in the arteria of the limbs, affects one of ten Swedes older than 65. PAD can develop slowly and silently, and involves an increased risk for cardiac infarction and stroke. Measurement of the patient´s ankle Blood pressure and calculation of the ankle-brachial index is an evidence-based method to discover PAD. Objective: To investigate how district nurses and general practitioners perceive this method of examination and experience possible obstacles to why it is not more commonly applied at primary health care centres. Method: Data collected by semi-structured interviews have been processed by qualitative content analysis with a manifest onset.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Whole fat versus low-fat dairy products for primary prevention of cardiovascular disease. A systematic review.Author: Josefine Lindqvist, Robin Järnmark, Mathilde OhlinSupervisor: Mette AxelsenExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 2014-04-09BackgroundResearch indicates that dairy products seems to have a protective impact on the incidence of cardiovascular disease regardless fat content. Paradoxically the Nordic nutrition recommendations recommend an exchange of full fat dairy product to low-fat dairy products.ObjectiveThe aim of this review is to investigate whether the variation in fat content of dairy products have any bearing on the onset of cardiovascular disease. With regard to common risk markers for cardiovascular disease the outcome measures hypertension, hyperlipidemia and weight gain is examined.Search strategyThe searches were made in the databases Medline (23/1-14) and Scopus (6/2-14).Selection criteriaRestrictions: Human Studies, Adults, Randomized Controlled Trials, English.Data collection and analysisTwo RCTs were included. Validation of the separate studies was performed with SBU's review template for individual studies and GRADE was used for summarizing the evidence of outcome measuresMain resultsThe two included studies examined the outcome measures Blood pressure, weight and Blood lipids.

Sahlgrenska Academy at University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Changes in Blood pressure by replacing regular coffee with decaffeinated coffee,in healthy, normotensive subjectsAuthor: Linnéa Adolfsson and Hillevi Pilgren SautterSupervisor: Lena HulthénExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 ECTSDate: April 12, 2012Background Hypertension is a risk factor for developing cardiovascular disease, which is themost common cause of premature death. Contributing factors to hypertension are genetics,lifestyle and nutrition. Earlier studies have shown that coffee may increase Blood pressure.Objective To investigate the scientific basis whether replacing regular coffee with decaffeinatedcoffee would affect Blood pressure in healthy, normotensive subjects.Search strategy Searches have been done in databases; PubMed and Scopus in February 2012.Keywords used were: ?coffee Blood pressure?, ?coffee cardiovascular disease?, ? kaffeblodtryck?, ?kaffe hjärtkärlsjukdom?, ?coffee and decaffeinated coffee?, ?decaffeinated coffeeand Blood pressure?, ?decaffeinated coffee and cardiovascular disease? and ?exchangedecaffeinated coffee?.Selection criteria Studies with healthy, normotesive subjects, >15 years old, BMI < 30, morethan one week of intervention, randomized controlled trails and human trials were included.Only trials using caffeine from coffee versus decaffeinated coffee and studies in English andSwedish were accepted. Exclusion criteria were other interventions such as weight loss, changesin diet, medications or stress tests.Data collection and analysis Studies were selected after inclusion and exclusion criteria.

I denna studie har jag undersökt hur historiebruket i form av reproduktion av kulturarv ser ut i populärkulturen, närmare bestämt HBOs populära tv-serie True Blood och kopplar samman detta med hur vi ser på det föränderliga förflutna och därmed utvecklar vårt historiemedvetande. Uppsatsen står på tre ben och vilar på perspektiv där det första behandlar att man genom att se på reproduktionen av kulturarv kan finna samtidens idéer kring vad som är viktigt (meningsbärande), hur populärkulturen imiterar och återanvänder myter och därför kan anses vara en historisk källa värd att fokusera på samt historia som identitetskapande. Det teoretiska ramverket består av Judith Butlers teorier kring den heterosexuella matrisen och performativitet samt Gayle S Rubins teorier om sexualitet som någonting historiskt konstruerat. Uppsatsen ämnar öka kunskapen om betydelsen av hur historia som kulturarv i form av historiebruk förmedlas via populärkultur, närmare bestämt i tv-serien True Blood och hur detta hör ihop med hur vi uppfattar det föränderliga förflutna. Undersökningen tar fasta på hur stor del av rollfigurernas beteende i tv-serien True Blood som härstammar från deras historiska bakgrund och hur detta spelar in i utformandet av deras personligheter som tolkas ur ett genusperspektiv.

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.

Incompatibility between donors and recipients can cause fatal hemolytic transfusion reactions (HTR), kidney damage and death and immunization of the recipient. Antigens on the surface of erythrocytes in the ABO Blood group system and regular natural antibodies against these in the patient?s plasma must be considered. An individual always has a corresponding antibody of IgM in their plasma. Irregular antibodies acquired by transfusion or pregnancy and active in body temperature also cause the HTR incompatibility.

Flowcytometric technology has been widely used for measurement of the absolute numbers of T-lymphocytes subsets in Human Immunodeficiency virus (HIV), defining the disease state, monitoring antiviral treatment, and identifying any risk for opportunistic infections. A manual preparing of the samples is required. More recently an automated and enclosed Blood cell counting, Celldyn Sapphire has been introduced. In this study the performance of the Flow cytometer EPICS XL as a reference method for analysis of CD3+, CD4+ and CD8 T-lymphocytes was evaluated with Blood from 40 individual?s samples.

The purpose of this trial was to evaluate the possibility to use sampling of faeces, urine and plasma, and measurements of Blood pressure as methods of discovering hypomagnesemia in horses, as well as the application handiness of these methods. The most commonly used method of checking the magnesium status of a horse is to analyze samples of serum or plasma. The trial was of a switch-back design, in which the horses were used as their own controls. The animal material was five Swedish warm Blooded trotters between six to ten years old, and weighing between 485-620 kg. The trial consisted of three periods that were two months each.

ABSTRACT Objective: The objective of this review was to describe the effects of low carbohydrate diets in people with diabetes type 2. Methods: Review. An article search was made in the databases PubMed and Medline. The search resulted in 17 studies. After review and analysis of the studies main results five categories were highlighted; Bloodsugar levels, HbA1c, weight, lipid levels and antidiabetic medications.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Coconut fat?s effect on Blood lipids - A systematic overviewAuthor: Linnéa Hult and Sandra WestlingSupervisor: Fredrik BertzExaminer: Ingrid LarssonProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 2013-04-11Background: Coconut fat has recently been praised in the media. Amongst other things,coconut oil has been said to lower cholesterol (1, 2). This despite the fact that coconut oilcontains of 92 % saturated fat, which strong scientific evidence support raises the Blood lipidsand thus increases the risk of cardiovascular disease (3).Objective: To examine the scientific evidence for how Blood lipids in adults are affected byan intake of coconut fat compared to an intake of other kind of fats.Search strategy: PubMed and Scopus have been used in the literary search. Keywords usedwere "coconut fat", "coconut oil", "plasma lipids" and cholesterol [MeSH].Selection criteria: Human studies of RCT or cohort type, published since 1983.

Today dairy farmers in Sweden are obligated to have lights turned on during night time in addition to the mandatory daylight inlet. This presents a cost for the production but many argue that it can be economically beneficial, especially in loose housing of dairy cows. In loose housing and even more so in herds with automatic milking, well functioning cow traffic during all hours of the day is crucial to optimise production. In order to keep the cow traffic flowing, lights may be an important management tool. It is also perceived among farmers with tied up stall that night light decreases the incidents of cows accidental stepping on their own or neighbours udders.

Background: Peripheral arterial disease (PAD), as a consequence of atherosclerosis in the arteria of the limbs, affects one of ten Swedes older than 65. PAD can develop slowly and silently, and involves an increased risk for cardiac infarction and stroke. Measurement of the patient´s ankle Blood pressure and calculation of the ankle-brachial index is an evidence-based method to discover PAD. Objective: To investigate how district nurses and general practitioners perceive this method of examination and experience possible obstacles to why it is not more commonly applied at primary health care centres. Method: Data collected by semi-structured interviews have been processed by qualitative content analysis with a manifest onset.

Background: Diabetes mellitus is a chronic disease that manifests as an increased level of glucose in the Blood. According to the World Health Organization (WHO), 347 million people have diabetes worldwide. In year 2004, 3.4 million people died from the consequences of high Blood glucose. In the Swedish population the prevalence of diabetes is estimated to 3-4 %, out of which 85-90% are Type 2. Among senior citizens a prevalence of diabetes is seen in Sweden up to 14 - 15%.

A number of studies in human medicine has documented positive effects of whole body vibration treatment in humans. The Vitafloor system, witch is based on treatment of horses with vibration, has the purpose to be used in training of healthy horses and as rehabilitation for horses with injuries in their musculosceletal system. The purpose of this study was to analyse what happens with a clinically healthy horse during treatment with Vitafloor. The methods used is mainly thermography before and after treatment, but also Blood samples, measurement of rectal temperature, heart rate, clinical examination and observation of psychic reactions has been done. Statistic significant changes in skin temperature in hoofs and fetlocks of front legs has been observed after treatment with Vitafloor. Analyzing of the Blood samples showed a tendency for decrease in Kalium, and two of the horses had changes in CK. No negative effect has been observed with the treatment of horses with Vitafloor, and the horses seems to like the treatment. .

The purpose of the study was to investigate whether or not Icelandic horses are less severely affected in clinical symptoms of cough or decreased performance than other breeds of horses. A breed variation in chronic respiratory disease severity was suspected based on clinical experience at the Institution for surgery & medicine, large animal, SLU Uppsala. A retrospective journal study of 17 Icelandic horses and 17 Swedish Standardbred horses with chronic problems with cough and/or decreased performance compared several measurements of disease severity. The clinical signs, physical examination and laboratory testing results compared were respiratory rate, abdominal breathing, lung auscultation, endoscopy results, broncho-alveolar lavage (BAL) results and the Blood gases pO2 and pCO2. All parameters were available for all 34 individuals except for the Blood gases, which were analysed, in only four Icelandic horses and four Swedish Standardbred horses. The only parameters that appeared different between the two groups were respiratory rate and pO2. The four Icelandic horses, which had Blood gases analysed, had more severe hypoxemia.