Sahlgrenska Academyat University of GothenburgDepartment of internal medicine and clinical nutritionAbstractTitle: Does omega-3 mitigate skin symptoms in psoriatic patients? ? A systematic review about the effects of supplementationAuthor: Anita Borgmästars and Sara LinderSupervisor: Mette AxelsenExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 22, 2012Background: Psoriasis is an inflammatory skin disease with high prevalency. Its treatment is time-consuming and associated with many side effects. Therefore alternative forms of treatment, among them omega-3 supplementation, have been investigated. Omega-3 is a family of polyunsaturated fatty acids whose metabolites participate in the regulation of inflammatory reactions in tissues and may therefore have a positive effect on skin symptoms in patients with psoriasis.Objective: To determine if omega-3 supplementation has a beneficial effect on skin symptoms in psoriasis compared to omega-6 supplementation by rating the evidence quality in available studies.Search strategy: The literature search was conducted in the databases PubMed, Scopus and Amed.

Bakgrund Celiaki är en autoimmun sjukdom som ger inflammation i tunntarmsslemhinnan vid intag av gluten. Symtom hos vuxna kan vara diffusa och därför svåra att koppla till celiaki. I Sverige är genomsnittstiden från första symtom till celiakidiagnos ungefär 10 år och det finns luckor i kunskapen om vilka konsekvenser fördröjningen till diagnos ger.Syfte Studiens syfte är att överblicka hur fördröjd diagnos av celiaki hos vuxna påverkar samhällets resurser, hur dessa individer upplever att symptomen påverkat deras sociala liv före och efter diagnos, samt om diagnostiken behöver effektiviseras.Metod I Sverige, september 2012, skickades en Internetbaserad enkät ut till 4337 medlemmar i Svenska Celiakiförbundet varav 611 kvarstod efter bortfall. Enkätens fokus var främst sjukfrånvaro, vårdkontakter och social påverkan p.g.a. symtom av celiaki.

Abstract One of the leading causes of food borne infections in the world is due to Salmonella by con-suming poultry products including eggs and meat. According to US Food and Drug Admin-istration (2009), 2 to 4 million cases of Salmonellosis in humans occur every year only in US. Salmonella causes wide range of diseases with enteric and typhoid fever, food poisoning, di-arrhea and gastro-enteritis. Many serotypes of Salmonella do not have host specificity and cause disease in all kinds of animals and humans. Salmonella has capability to modify accord-ing to the changing environment and it can develop resistance against routine elimination practices of sanitation, chemical treatments and antibacterial drugs. Newly established poultry industries in Pakistan are confronting various infectious diseases including Salmonellosis while in Sweden Salmonella prevalence in animal products con-sumed for humans is extremely low.

As the world´s population increases and people's living conditions are improving, larger areas are needed for houses as well as food production. This means that new areas are exploited and that people, livestock, blood sucking insects and wild animals are forced to live close together. In combination with the global warming, leading to extreme weather such as floods and storms, this allows both new and old pathogens to emerge. The number of "emerging infectious diseases", EIDs, has increased in recent years and many of them have their origin in poor, tropical countries. Moçambique is therefore considered to be a high risk area for EIDs. Schmallenberg virus, SBV, was discovered in 2011 as an "emerging infectious disease" in dairy cows in Germany.

Metabolic diseases in dairy cows are considered to increase the risk for claw lesions, most of all laminitis, sole haemorrhages and sole ulcers, but also to increase the risk for environmental claw lesions. The aim of this study was to compare claw health in 27 Swedish dairy farms, 18 with high incidence of metabolic diseases and 9 with low incidence. Data on claw health status was retrieved from recordings at routine claw trimmings and analysed on herd level regarding the prevalence of: any lesion, interdigital dermatitis, heel-horn erosion, sole haemorrhages, sole ulcer, lameness, abnormal claw shape, and other diseases (abscess in the white line, limb disorders, double sole, laminitic groove, white line disease, interdigital phlegmon, interdigital hyperplasia, toe abscess and verucose dermatitis). Mean prevalence of any lesion for herds with low incidence of metabolic diseases was 48 % and in herds with high incidence 41 %, and there was no statistical difference between the two groups. Mean prevalence for interdigital dermatitis was 2,0 % and 6.4 % in the low and high incidence groups, respectively (p.

Befolkningen i dagens samhälle blir allt äldre. Många individer drabbas av någon typ av demens, exempelvis Alzheimers sjukdom, då denna sjukdom är starkt knuten till hög ålder. En demenssjukdom för med sig många svårigheter, däribland drabbas minne, språk samt kommunikation. I Sverige idag finns många yrkesgrupper representerade kring den som har insjuknat i demens men sällan finns någon som har djupgående kunskaper om de språkliga och kommunikativa svårigheter som en individ, till följd av sjukdomen får. I början av Alzheimers sjukdom är de språkliga förändringarna knappt märkbara men med tiden tilltar de språkliga svårigheterna.

SAMMANFATTNING Syftet med denna studie har varit att jämföra användbarheten av de tre diagnostiska metoderna smärtprotokoll, tryckmätningsmatta samt klinisk ortopedisk undersökning för att upptäcka kronisk ledsmärta hos katt. Av 23 medverkande katter hade 11 tidigare diagnosticerats med kronisk ledsjukdom vid Skara Djursjukhus och 12 var friska kontroller. Vid undersökningstillfället fick djurägarna först fylla i tre smärtprotokoll. Katterna fick sedan gå över en tryckmätningsmatta som registrerar hur mycket vikt som läggs på varje tass, och även hoppa från 1 meters höjd ned på tryckmätningsmattan. Katterna genomgick också en klinisk ortopedisk undersökning. I studien kunde samtliga tre diagnostiska metoderna smärtprotokoll, tryckmätningsmatta och klinisk ortopedisk undersökning skilja mellan friska katter och katter med kronisk ledsjukdom.

The aim of this study was to in laboratory experiments investigate how addition of urea, ECOX and structural materials can optimize sanitization during composting of sewage sludge. Today we strive for a sustainable society and the importance of closing the nutrient loop increases. It has therefore become even more important to safely reuse plant nutrients from human excreta to agricultural land. Partly because it increases the sustainability of society as the world's supply of many nutrients are finite, partly because it promotes human health, both by reducing disease transmission and by increasing Agricultural production. An untapped resource such as sewage sludge that is rich in nutrients and humus-forming materials could replace parts of the commercial fertilizers used in Sweden today. owever, sewage sludge contains undesirable substances such as heavy metals and drug residues, and pathogenic microorganisms.

Titel: Human being and Christian ? creationtheology of Gustaf Wingren.Analysis of an accentshift from a juridical theological metaphor to a biological theological metaphor.Author: Tove Pilroth.The purpose of the essay is to analyse the meaning and the consequences, in a critical and constructive way, of an accentshift of interpretation and understanding of the gospel, from a juridical theological metaphor to a biological theological metaphor. The purpose is presented in the frame of the creationtheology of Wingren. To be able to make the research and to answer the purpose of the essay, the following questions are essential:The human being is captive and redemption is liberation. If we are serious about that the gospel gives the human being rehabilitation, satisfaction, liberation and a life and a future with God, the essential question is which metaphor, a juridical or a biological, that speaks to the human being in the best way? What is the meaning of an accentshift from a juridical to a biological metaphor? How does the creationtheologhy of Wingren, from a biological metaphor, meets the situation of the existence for the human being, her longing for life, health and meaning? What kind of theological resources are present in the creationtheology of Wingren, in the confrontation with future theological challenges?The essay is stressing the need of pluralism in the interpretation of the gospel.

Sahlgrenska AcademyAt University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstract:Titel: Effect on muscle building associated with alcohol intake after exerciseAuthor: Frida Bond och Linnea DanielssonSupervisor: Frode SlindeExamminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDatum: May 26, 2014Background: Drinking alcohol is often used as something to spice up weekdays as well as more festive occasions. The reverse aspect of alcohol consumption is that the body sees alcohol as toxic and therefore the basis for a number of diseases. Exercise and physical activity have been proven to be good for several welfare diseases such as diabetes and cardiovascular disease. Among people in general, opinion is divided as to how exercise combined with alcohol affects muscle building, but what do science say? Objective: The purpose of this review article is to analyze and summarize the existing scientific data about how the structure of muscles is affected in relation to alcohol intake after exercise.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: BCAA supplementation in patients undergoing resection for liver cancerAuthor: Mikael Semaan and Viktor SjölingSupervisor: Fredrik BertzExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: April 10, 2013BackgroundLiver cancer is the fifth most common cancer worldwide and the third largest to cause death. Protein-energy malnutrition is common in patients with liver disease and they often suffer from changes in the hepatic metabolism of nutrients and other substances. There is a basis for recommending BCAA supplementation in other certain liver diseases. Given the similar clinical picture of liver cancer surgery, it is possible that supplementation of BCAA can be beneficial for these patients as well.ObjectiveThe aim was to study the scientific basis for the effect of branched chain amino acid (BCAA) supplementation in liver cancer patients. Can it improve their recovery in terms of nutritional status and albumin levels, and does it changes the duration of hospital stay, after surgery?Search strategyFive extensive searches were performed on PubMed and Cochrane after appropriate study material.

Reasons for performing this study: Colic has for a long time been seen as a serious health problem in the equine population. Even so, the knowledge of colic seems to differ a great deal among the people interacting with horses. A large number of studies have for several years looked at risk factors that cause colic, in order to provide knowledge about them. The knowledge can then be used as tools for developing prophylactic methods in order to reduce the number of horses that develop colic. Objectives The aim with this study was to investigate if people have the correct knowledge about colic in horses, which risk factors that cause colic today and describe prophylactic methods that can result in avoidance of colic in horses. Method Eleven veterinary practices were contacted in order to send out two questionnaires for a study of six weeks.

Bakgrund: Inom förskolan finns det många aktivitetersom utsätter både barnoch personal för risken att bli drabbad av smittsam sjukdom. Detta påverkar inte bara deras hälsa utan även spridningen av infektioner i samhället. Barn i förskola löper två till tre gånger högre risk för att få infektioner än barn som inte vistas på förskola. Tidigare studier visart.ex. att enkla förändringar på förskolan som skrivna riktlinjer för hygienrutiner, följsamhet till hand-och blöjbyteshygien och utbildning av personal och föräldrarkan minska sjukfrånvaron och risken förspridning av smitta.Syfte: 1) Att kartlägga grundläggande kunskaper hos förskolans personal,om hur sjukdomar sprids och hur man kan minska smittspridning.

Bakgrund: Distriktssköterskor som arbetar inom barnhälsovården möter i sitt arbete de flesta familjerna ute i samhället och har möjlighet att komma i kontakt med barn som far illa. Misstankar att barn far illa måste anmälas till socialtjänsten. Anmälan om misstankar kan leda till etiska dilemman där rättvisa, att göra gott och inte skada skapar konflikter.Syfte: Syftet med studien var att inom BHV belysa sjuksköterskors erfarenheter  av anmälningsplikten till socialtjänsten, vid misstankar om barn som far illa.Metod: Studien genomfördes utifrån en kvalitativ ansats. Sex distriktssköterskor inom barnhälsovården deltog vid semistrukturerade intervjuer. Data analyserades med kvalitativ innehållsanalys på manifest nivå.Resultat: Studiens resultat presenteras i fyra huvudkategorier och elva underkategorier.

Syftet med detta arbete är att undersöka hur Hallstahammars kommun destinationsutveckling går till, och vilken turisttyp som besöker kommunen. Hallstahammars kommun är en liten kommun, men har olika sevärdheter för både kulturturismen och naturturismen, så som Strömsholm slott, Åsby hem och trädgård, fiskeplatser, Skantzen m.m. Områdena och sevärdheterna ligger väldigt nära varandra, från Skantzö bad och camping till centrum är det ca tio minuters promenad. Att platserna ligger nära varandra, är en styrka som kommunens destinationsutveckling har jämfört med en större kommun. För att destinationsutvecklingen ska gå framåt kan kommuner utgå från bl.a.