Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Effects of isoflavone supplementation from soybeans on LDL-cholesterol levels in adultAuthors: Malin Blomgren Alegria and Ruut ReivaaraSupervisor: Lena HulthénExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 2013-04-08Background: One of the most common causes of death in Sweden is due to Cardiovascular diseases such as heart attack and stroke. Hypercholesterolemia is one of the risk factors for Cardiovascular disease. In Asia, hypercholesterolemia is less common than in the Western countries. In Asian countries, soy products are consumed in larger quantities than in the Western world, which has led to implemented research with the intention of examining soy's potential effect on cholesterol levels.Objective: To investigate whether there is scientific evidence that isoflavone supplementation from soy bean may have a lowering effect on LDL-cholesterol.Search strategy: The databases used for the systematic literature search were PubMed, Scopus and Cochrane. Keywords used were cholesterol and 9 versions of this, and isoflavones and 11 versions of that.Selection criteria: RCT articles, on humans, written in English, published from 2011 onwards, that focused on interventions with isoflavones from soybeans and its effect on blood cholesterol, the participants were over 18 years old and the study time was at least 24 weeks.

 Like adult obesity, childhood obesity prevalence is rising, especially in the Western World.As many as 20 ? 25 percent of the ten years old children are overweight in Sweden. It isimportant to early identify overweight, since overweight could lead into diabetes, mentalsuffering, hypertension and Cardiovascular disease.The aim of this study was to describe how nurses experience and perceive the conversationwith parents of overweight children. A qualitative method with a content analysis has beenused. Six nurses working in child health centre have been interviewed.The result shows that the conversation between the nurse and the parents of an overweightchild can be very difficult.

Venous leg ulcers are a chronic disease mostly among elderly individuals. The leg ulcers are often painful and interfere with the individual?s daily life. The aim of this literature review was to describe individuals? experiences of living with venous leg ulcers.

It is well known that dogs often have Helicobacter spp in their stomach. The importance of these bacteria in the development of gastrointestinal disease in dogs is still unknown. In humans, Helicobacter pylori is a causative agent of chronic gastritis and gastric ulcers. In contrast to humans, dogs seldom harbour naturally acquired H. pylori.

The aim of this study is to create a deeper understanding of the disease known as eating disorder. The study is based on four autobiographies written by individuals who themselves have been affected by eating disorders. These stories have been studied using a narrative approach. To achieve the purpose, the study is focused on what participants describe as the factors underlying the onset of the disease, the factors that participants describe maintained their eating disorders, as well as what is described to be the factors responsible for their recovery. By my interpretation of the stories, I have been able to identify common factors that all participants describe to be influential in their disease course.

Patients with COPD (chronically obstuctive pulmonary disease) often experience acute episodes of the disease. On these occasions it is usual that the ambulance nurse is the patients first contact in the care. The purpose of this study is to describe patients' experiences in acute condition of the disease COPD and the Pre-hospital nursing. The method was systematic literature review with content analysis. The results show four prominent themes on the basis of patients' experiences.

The alpaca is a camelid that originate from the South American highland. During recent years it?s been possible to keep alpacas in other parts of the world. Today there is a world-wide interest in alpacas, but there is still limited knowledge about this fascinating animal. There are approximately 350-400 alpacas in Sweden in 2007.

Background: Vaccination is an important part in cats? welfare. It both helps to prevent the individual cat from catching a disease or lessen the symptoms of it, and protects the entire cat population from an epidemic. It is the cat owner who makes the decision to vaccinate or not. Understanding the cat owners? perspective regarding vaccination may improve communication between the owner and the veterinary nurse, which may lead to a higher vaccination rate among cats.

Venous leg ulcers are a chronic disease mostly among elderly individuals. The leg ulcers are often painful and interfere with the individual?s daily life. The aim of this literature review was to describe individuals? experiences of living with venous leg ulcers.

Introduction: More and more children and young people get the diagnosis celiac disease established. Celiac is a life-long disease, which means that the child during the rest of its life has to be on a strictly gluten-free diet. There are few studies so far, which have examined how children having a life-long disease with food treatment and increasing prevalence really experience their health related quality of life (HRQoL).Purpose: The purpose of the study was to examine how children (8 ? 18 years old) suffering from celiac valued their HRQoL and to illustrate as well whether the age of the child and its extent of disease when it was taken ill affected the child?s evaluation of HRQoL later in life. The purpose was also to compare whether the children?s parents valued the HRQoL of their children to the same extent as the children did.Method: 160 children, 54 boys and 102 girls were included in the study.

BackgroundThe lifeworld describes the experience of being a humanbeing, how we experience life and how we live our lifes. When a disease, such as depression occurs, the whole lifeworld can be filled with suffering. Depression is an affective disease, which means it involves the emotions. The patient gets dejected and the emotional devotion abates. Broken sleep, anxiety, pain, concentrations difficulties, fatigue and reduced appetite is some of the symptoms.

Smoking is a health problem with a negative impact on virtually all body organs. Smoking can cause, for example, lung cancer, cancers in other organs and Cardiovascular disease. There is also a social aspect of smoking. If individuals have many smokers in their environment, the risk to start smoking is increased, and for those who already smoke the chance of quitting will be less. Many municipalities today face smoke-free working to reduce smoking and passive smoking adverse effects.

With good knowledge about the disease and the treatment, the fear and worry of children and parents can be reduced. Children may be helped by painting to express their experiences. In order to have a good care, the care-personnel need to see and understand what the children need. It is important to live an as regular life as possible during the disease and its treatment. The aim of this study was to elucidate how children experience chemotherapy in conection with their cancer disease.

With good knowledge about the disease and the treatment, the fear and worry of children and parents can be reduced. Children may be helped by painting to express their experiences. In order to have a good care, the care-personnel need to see and understand what the children need. It is important to live an as regular life as possible during the disease and its treatment. The aim of this study was to elucidate how children experience chemotherapy in conection with their cancer disease.

BackgroundThe lifeworld describes the experience of being a humanbeing, how we experience life and how we live our lifes. When a disease, such as depression occurs, the whole lifeworld can be filled with suffering. Depression is an affective disease, which means it involves the emotions. The patient gets dejected and the emotional devotion abates. Broken sleep, anxiety, pain, concentrations difficulties, fatigue and reduced appetite is some of the symptoms.