Det finns lite forskning om livskvalitet hos patienter med kronisk njursvikt som ännu inte startat i dialysbehandling och det är viktigt att ha kunskap om hur livskvaliteten påverkas hos dessa patienter. Syftet med litteraturstudien var att belysa olika faktorers påverkan på livskvaliteten hos patienter med kronisk njursvikt som inte startat i dialys. I studien har 16 vetenskapliga artiklar granskats och analyserats. I resultatet framkom att Hb-nivå, nutrition, sjukdomens svårighetsgrad och komorbiditet var faktorer som kunde påverka livskvaliteten. Även patienters upplevelser av antal och svårighetsgrad av symtom var påverkande faktorer.

COPD (Chronic Obstructive Pulmonary Disease) is one of the most widespread lung diseases today and is a growing cause for suffering and mortality worldwide. It is considered to be the third leading cause of death in the near future. Smoking is the most important risk factor for this disease and about 50% of smokers develop COPD. The purpose of this study was to mediate the experience of not being able to stop smoking described by persons diagnosed with mild or moderate COPD. The study involved five women and five men.

The number of people who gets obesity increase wiht 1/2-1 % every year. Despite this number it is shown that obesity is a Chronic and neglected decease. The purposes of this literature study were to describe how obesity effects adult and the risk of complications and the factors the nurse needs to know which effects patiens with obesity. The results shows the connection between obesity and complications and also what methods the nurse can use in the preventive work..

AbstractPURPOSE: The aim of this study was to describe and compare possible differences regarding selected prognostic factors for disability between patients with non-specific Chronic pain who were about to start a multidisciplinary treatment program (MMR), either within primary care (MMR1) or hospital care (MMR2).METHODS: The study had a descriptive and comparative cross sectional design. Eighty-nine patients were recruited consecutively when they were about to start their team treatment (50 in MMR1,39 in MMR2). The measurements were; Evaluation of self-reported self-efficacy for eight daily activities (STIVA-8), The Pain Belief Screening Instrument (PBSI) and Hospital Anxiety and Depression Scale (HADS).RESULTS: The study found some significant differences between the answers from patients in MMR1 and those from patients in MMR2. For instance, patients in MMR2 estimated lower self-efficacy according to STIVA-8 than patients in MMR1. Also, there were fewer low risk patients and more high risk patients in MMR2 than in MMR1 regarding pain intensity according to PBSI.

Syftet med litteraturöversikten var att utforska hur andningsmuskelträning har studerats hos vuxna personer med KOL, stadium 1-4, avseende använda effektmått, teoretiskt perspektiv och metodologi. Detta för att få en ökad förståelse för hur andningsmuskelträning kan användas i det kliniska arbetet, samt att vid framtida forskning kunna genomföra studier av god metodologiska kvalitet som kan ge generaliserbara resultat och ökad säkerhet kring behandlingens användningsområden.Metod: Litteraturöversikten inkluderade studier som var publicerade efter att litteratursökningen till Cochrane-rapporten ?Breathing exercises för Chronic obstructive pulmonary disease? stängdes (april 2012). Elva studier inkluderades från databaserna PubMed, Cinahl, Pedro, AMED, SweMed+ och PSYCInfo med sökorden: Chronic obstructive pulmonary disease, breathing exercises och respiratory muscle training.Resultat: Studierna visar att andningsmuskelträning i kombination med fysisk aktivitet har ett positivt värde för personer med KOL. Detta med avseende på funktionell fysisk kapacitet, lungfunktion, hälsorelaterad livskvalitet, samt minskning av antalet exacerbationer.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Cow?s milk and Chronic constipation in children ? A systematic reviewAuthor: Sara Palm & Anna SvenssonSupervisor: Frode SlindeExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 27, 2014Background: Chronic functional constipation is common among children. Up to a third of all who seek a paediatrician suffer from constipation and it is a widespread problem for children in many countries. Lately it has been discussed if cow?s milk can be a cause of the constipation and if it should be considered a delayed hypersensitivity.Objective: The aim of this systematic review is to examine whether there is scientific evidence to recommend a cow?s milk-free diet as a potential treatment in Chronically constipated children.Search strategy: The literature searches were performed in the databases Pubmed, Scopus and the Cochrane library, using the search terms cow?s milk, constipation, milk proteins, dairy products, milk hypersensitivity, cow milk and cows milk between March 17th and April 4th 2014.Selection criteria: Randomized controlled trials measuring stool frequency in Chronically constipated children on a cow?s milk-free diet were included.

Renal dysplasi (RD) is a congenital Chronic renal disease affecting young dogs. It is a rather common disease that occurs in a large number of dogs and in some breeds there is a familiar incidence or suspected hereditary background. Both the etiology and pathogenesis are still unknown, but a theory about the cause of RD is that the two components that form the kidney, the uretheric bud and the metanephrogenic blastema, don´t interact normally in the embryo. Kidneys affected by RD contain fetal (immature) structures that are inappropriate for the state of development/age of the dog and abnormal structures caused by an abnormal differentiation. Affected dogs usually are under .

Background The Shetland Sheepdog is a popular breed of dogs in Sweden. The breed is mostly used as a companion dog and is also popular within certain dog sports such as agility. The Shetland Sheepdog is not included in any breeding programs regarding joint health. The animal insurance company, Agria had recently informed the Swedish Shetland Sheepdog Club (SSSK) that they had noted an increasing number of arthritis in the elbow joints, therefore they wanted to exclude elbow joints from the insurance until SSSK started a breeding program against elbow dysplasia. After the start of this study Agria withdrew their demand, but the study went on as planned. Aims of this study The aims of this study was to investigate if there is any data that may show if there is a larger or smaller reason than before to suspect that the breed has a problem with elbow dysplasia and therefore would benefit from a breeding program regarding this.

Laminitis is a common but devastating condition, and affected horses are often euthanized or influenced a very long time. Many horses never return to their original capacity. Laminitis is often associated with severe pain and a long time of convalescence. Symthoms includes lameness, hoof hyperthermia, strenghthened digital pulse and pain. The horse often tries to move the body weight away from the forelegs which are often more severly affected than the hindlimbs.

Asthma is the most common Chronic illness in children. Re-admissions to hospital are common and asthma has a significant impact on children and their families. The purpose of this study was to describe the outcome of the nurses? information and education handed to the family. The result of this literature study was based on 14 scientific articles which evaluated the families? knowledge and the illness? impact on daily life after different ways of asthma information and education.

This is an examinaton of welfare officers and patients experiences of a course in mindfulnessbased stressreduction in primary care. The authors used a qualitative method and a phenomenological hermeneutics scientific philosophical position. The analys of the data appeared by using three theoretical perspectives; cognitive, coping and Antonovskys Sence of Coherence. The purpose was to get a deeper understanding of what mindfulness is, how a course in mindfulnessbased stressreduction can be arranged and how it is comprehended by the welfare officers and previous participators of the course. To get an opinion of the issue the authors wanted to know the welfare officers intention of the course, to which patients they provide the course, what the participators thought about their situation before and after the attendence and if they had assimilated the knowledge and if so how it was applicable.

Kvarstående betäckningsinducerad endometrit är ett stort problem inom hästnäringen och så även andra typer av endometrit. Detta är den främsta orsaken till infertilitet hos ston. Vissa ston är nämligen oförmögna att klara av den inflammatoriska reaktion som normalt följer av betäckning (för att eliminera sperma och patogener) eller så drabbas de lättare av kroniskt infektiös endometrit, oavsett betäckning. Det finns otaliga förslag till förklaringar till varför de inte kan hålla uterus fri från inflammation såsom defekta myometriekontraktioner, stoets reproduktionshistoria eller anatomiska aspekter (t.ex. pneumovagina, otillräckliga mekaniska barriärer eller en horisontell uterus).

The purpose of this study is to describe melanotic tumours and the pathogenesis of these tumours. The focus of this study is on differences between benign and malignant tumours as well as the prognosis one may expect when diagnosing this disease. The mechanisms responsible for the occurrences of the tumours are not yet fully understood. It is believed that factors such as Chronic trauma, infections, medications and hormones affect the cell mechanisms in some way. Determinants of the malignancy of the tumour are not completely known.

Primary ciliary dyskinesia (PCD) is an important but unusual cause of Chronic respiratory disease of young dogs. The purpuse of this paper is to study and present internationally publicated papers on PCD in dogs and present three dogs, in which PCD was suspected. PCD has been reported in many dog breeds as well as in people. In dogs an humans, PCD is caused by inborn genetical defects which causes structural and functional abnormalities of cilia in the respiratory organs and other cilia in the body. Situs inversus occurs in about half the cases in people and probably in dogs as well. Respiratory signs usually predominate.

Background: Diabetes mellitus Type 1 is one of the most common Chronicle diseases in childhood. This signifies big changes in the daily life for the child and its family. Aim: The aim of the study was to illustrate the family?s situation when the child falls ill in Type 1 diabetes. Method: The search for literature has been done both manually and in databases.