Sahlgrenska Academyat University of GothenburgDepartment of internal medicine and clinical nutritionAbstractTitle: Can exclusive enteral nutrition replace steroid treatment in pediatric Morbus Crohn?Author: Hanna Rymark Lehnér and Josephine PetterssonSupervisor: Mette AxelsenExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 23, 2012Background: Morbus Crohn is a chronic inflammatory bowel disease which periodically causes great suffering for the patient. There is solid scientific evidence that treatment with steroids effectively induces and preserves remission. However, side effects are many and a great risk for stunted growth and skeletal development exists in children. A widespread view is that exclusive enteral nutrition is as effective as steroids in pediatric Crohn´s.

Hjärt-kärlsjukdom är idag en av de största folksjukdomarna i Sverige med högst mortalitet till följd. Flera studier visar att uppföljning av patienter, informationsbehov och stöd till patienter efter utskrivning från sjukhusen till primärvården är otillfredsställande. Det finns endast ett fåtal studier som visar på patienternas egna upplevelser av att leva med hjärtinfarkt. För att kunna förbättra vården till dessa patienter är det viktigt att ta del av patienternas egna upplevelser av att leva med en hjärtsjukdom. Syftet med studien är att beskriva patienters upplevelser av att leva med hjärtsjukdom ur ett patient- och livsvärldsperspektiv. Metoden i studien är kvalitativ intervju.

Hypertrophic cardiomyopathy (HCM) is the most commonly diagnosed cardiac disease in cats. The phenotype varies from mild focal thickening to severe concentric hypertrophy at the left ventricle. Two separate myosin binding protein C (MYBPC3) mutations have been identified in Maine coon cats (A31P and A74T) and one in Ragdoll cats. All three of them seem to cause familial HCM in an autosomal dominant pattern. The purpose of this study was to investigate the presence of these three mutations in population cats of different breeds with HCM in Sweden. The results may show if HCM is present in the absence of these mutations.

Background: Contracting asexually transmitted disease is strongly associated with stigmaand shame. Stigma associated with these diseases has a significant impact on self-image andpropensityto seek care. Despitehigh incidencethere is a generallack of awareness about therisks and theeffectsthatthese diseases have on both mental and physical health. Health carepersonnel are experiencing difficulties to meet and care for these patients. Aim: The aim ofthis studyisto describe patients'experiences of health care after they were diagnosed with asexually transmitted disease.

Different forms of relaxing methods can be used in rehabilitation for individuals with tinnitus and Ménièré?s disease. Research continues to find convincing proof of effects from the different methods. This study presents methods of relaxing, massage and Mindfulness, as possible complementary rehabilitation tools.The purpose of this study was to investigate opinions about relaxing from professionals working with hearing care. A qualitative approach with phenomenological influence was chosen for the study.

Background: Atopic eczema has increased in the last decade among children. The nurse can have a major role to prevent the disease. Aim: the aim of this study as to describe the nurses´ work in primary care with prevention to families with atopi with focus on atopic eczema among children. Method: A literature review based on analysis of fifteen scientific articles was done. Results: If the child was breastfed both positive and negative effects were evident.

American bison (Bison bison bison) is a new species in Sweden and was introduced in the year 2000. In this study the result of an interview and a field investigation is presented. The aim was to investigate the health and parasite status in Swedish bison herds. The most common reason to begin with bison breeding was meat production and/or sale of breeding animals and tourism. The Swedish breeder?s experience of bison is that they in general are healthy.

Rheumatoid arthritis is an autoimmune disease, where joints are attacked by the own immune system, leading to chronic inflammation and destruction of bone and cartilage. Inflammation is a complex process, controlled by many different substances. One of them is adenosine, which has anti-inflammatory properties. In this project, three polymorphisms in different genes, involved in synthesis and signaling of adenosine, were genotyped for 188 patients with RA and 362 controls without RA. The results shows that for the polymorphism in A2a, a gene coding for an adenosine receptor, there was no significant difference in genotype distribution between the groups.

Diabetes mellitus is an endocrine disorder affecting a range of different mammals, including dogs, cats, horses and humans. Worldwide, 347 million people have diabetes, and the disease is an increasing burden on the world?s poorest countries. The disease is characterised by chronic hyperglycaemia and afflicted individuals experience increased thirst, polyuria and weight loss, sometimes despite increased appetite. Diabetes mellitus is either insulin dependent or non-insulin dependent.

Middle East respiratory syndrome coronavirus (MERS-CoV) är ett virus som först observerades hos en patient år 2012 på ett sjukhus i Saudiarabien. Viruset orsakar luftvägssymptom och ibland gastrointestinala symptom. Dödligheten hos människa är över 30%. Eftersom tidigare erfarenhet har visat att nya coronavirus ofta har sitt ursprung i en djurpopulation har många studier gjorts för att undersöka spridningen av MERS-CoV och förekomsten av en eller flera reservoirer. Denna litteraturstudie har som mål att undersöka vilka bevis det finns för dromedarens roll i smittspridningen av MERS-CoV. Då flera seroepidemiologiska studier gjorts som visar att MERS-CoV eller ett nära besläktat virus har cirkulerat i dromedarpopulationen i över 20 år har man gått vidare och undersökt bl.a.

The price trend on rapeseed the latest years has led to an increasing interest to grow the crop among many farmers in Sweden. The price trend has resulted in more than a doubling of the oilseed area since the early 2000s. For many farmers it is an advantage to increase cultivation of rapeseed because of the high proportion of cereals in the crop rotation on many farms, but it is not just benefits. The risk of the fields being infected by clubroot increases within frequent rapeseed cultivation and it often leads to subtantial economic losses. Clubroot is caused by Plasmodiophora brassicae that is a soilborne pathogen in genus Protozoa and its resting spores can be found in the soil for up to 18 years.

Background: More than half of the elderly (65-84 years) in Sweden have problems with hearing. In some studiesit?s discussed if age related hearing loss or presbyacusis is a part of natural aging or if it depends on underlyingfactors.The purpose of this literature study was to analyse scientific papers which illustrate correlations between lessknown underlying factors and presbyacusis, defined from psychoacoustic and/or neurofysiological tests.Material and method; Literature study where scientific papers, relevant to the purpose of the study and thequestions at issue were found in the database PubMed.The result shows that cardiovascular disease, hormones, diet and drugs have an influence on presbyacusis. Thehealth condition of the individual and their lifestyle matters, likewise estrogen which according to the results of 2studies has a protective effect on hearing.Conclusion; The studies show that heart attack and high systolic blood pressure in women have a correlation topresbyacusis, but not in men, - the hormone estrogen, - some vitamins, antioxidants and diet have a protectiveeffect on hearing and studies show that smoking and alcohol have negative effects..

Background: Contracting asexually transmitted disease is strongly associated with stigmaand shame. Stigma associated with these diseases has a significant impact on self-image andpropensityto seek care. Despitehigh incidencethere is a generallack of awareness about therisks and theeffectsthatthese diseases have on both mental and physical health. Health carepersonnel are experiencing difficulties to meet and care for these patients. Aim: The aim ofthis studyisto describe patients'experiences of health care after they were diagnosed with asexually transmitted disease.

SAMMANFATTNINGNatriuretiska peptider är en är en grupp proteiner som via natriuretiska, diuretiska och vasodilaterande egenskaper reglerar vätskehomeostasen i kroppen (Levin et al, 1998). De frisätts bland annat när hjärtmuskelcellerna utsätts för stress och kan fungera som biomarkör för att utvärdera hjärtsjukdom. Analysering av typ B natriuretic peptide (BNP) i blod kan komma att vara till hjälp för den praktiserande veterinären vid diagnostisering av hjärtsvikt och även vid uppskattning av grad av hjärtsjukdom. Det har även visat sig att BNP kan användas för att uppskatta prognosen hos hundar med kronisk klaffdegeneration (Chetboul et al, 2009; Moonarmart et al, 2010).Kronisk klaffdegeneration är den vanligaste hjärtsjukdomarna hos hund och drabbar fram för allt små till medelstora hundar från medelåldern och uppåt (Kogure, 1980). Atrioventrikulärklaffarna, vanligtvis mitralis, blir nodulärt förtjockade med inlagring av glukosaminoglykaner och fibrosvävnad vilket leder till klaffinsufficiens.

There are more and more elderly people and different diseases will affect them. How will the public care be able to face this need of care for the elderly? There are a lot that shows that there will be an increasing demand on the achievements of the relatives. How can this development be answered to? Shall the achievements be concentrated on giving support to the relatives, or will there be a concentration on nursing staff? The purpose of the study was to enlighten who elderly people will be nursed by if a disease affects them.