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568 Uppsatser om Clinical judgment - Sida 12 av 38

BCAA-supplementering i samband med levercancerkirurgi

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.

ZigBee-teknikens möjligheter att trådlöst överföra EKG-signaler

In many clinical applications, it is desirable to transmit sensor information wireless. In earlier research, investigation transmit ECG signal using Bluetooth, was performed. However, when Bluetooth has some drawbacks it is of interest to investigate alternative methods, one such method is ZigBee. Bluetooth has higher data rate speed (1Mbps) than ZigBee (250kbps). However, Bluetooth consumes more power.

Elektrokardiografiska fynd hos dobermann med och utan dilaterad kardiomyopati

SAMMANFATTNINGDilaterad kardiomyopati (DCM) är en ärftlig, primär hjärtmuskelsjukdom som är mycket vanligt förekommande hos dobermann. Sjukdomens förlopp har tre stadier. Det första stadiet innebär att sjukdomen föreligger men kan enbart påvisas vid histologisk undersökning av hjärtmuskelvävnad. Det prekliniska stadiet innebär att inga sjukdomstecken ses hos hunden, men förändringar, såsom hög förekomst av kammarextraslag och dilatation av vänster kammare, kan hittas med hjälp av elektrokardiografi (EKG) och ekokardiografi. I det overta (kliniska stadiet) uppvisar hunden sjukdomstecken som nedsatt arbetsförmåga, trötthet, hosta samt kachexi.

Möjlighet till flyttning av juridiska personers säte inom EU : Finns det behov av ytterligare harmonisering?

The freedom of establishment is a fundamental right on the internal market which enables companies to take up and pursue activity in other member states, ?host states?, in a non discriminatory way. In situations where a company wishes to use the right to establish in a host state, complications will be discovered since the member states are applying different principles for deciding the nationality of a company. Since the Treaty of the Function of the European Union recognize both principles, and both of the legal areas company law and European international private law lack harmonization regarding companies wishing to perform such a transaction, the situation today brings the possibility that such a company could be covered by the legal system of several member states, or maybe no legal system at all.The Court of Justice of the European Union has through case law contributed to make the scope of the freedom of establishment a little bit clearer but there are still difficulties regarding situations when a company wishes to transfer its seat to another member state with a change of nationality. Today?s measures, for example the SE-company, is not enough to satisfy the companies wishing to transfer their seat to another member state.

Gaspotentialen i en deponi, idag och i en framtid :

Deposited waste material degrades within a short period in anaerobic environments. The methane gas that is formed provides a harmful contribute to the greenhouse effect, 23 times larger impact than carbon dioxide. It is therefore desirable to minimize the emissions of methane gas from landfills. This may be achieved by drain the landfill of gas. In this thesis the amount of produced methane gas at the landfill at Örebro has been calculated. Estimations have also been made of the amount of methane gas that might be produced in the landfill in the future.

Elever i behov av särskilt stöd

This is a qualitative study whit purpose of showing how teachers work whit students in need of special support in school. The purpose has been to study what teachers mean whit special aid, and if the support is individually adapted for each students needs. I have trougt interviews, observations and examinations of diverse documents found paradoxes where teachers and the scool leaders claim that they work whit the integration of all the students at school, while the teality shows a different picture. I have found a clear segregation of students, where they have on repeated occasions had to leave the classroom to receive tuition. The school stuff has a wide iiew of wich students are included in the term "students in need of special tuition".

Goodwill : Tillgång eller belastning?

Leverage buyout?s is an opportunity for companies, who can strengthen its market position by expanding its operations, and it add?s value to the company. At every LBO, copmanies make different values of the target company to finally come upp to a final bid. The final bid may in many cases be made of a surplus value, which is the differens between the value of the net-assets and the final bid. This we call goodwill and it has been a target in many discussions.

Målstyrt ledarskap i klassrummet- ur ett lärarperspektiv

This is a qualitative study whit purpose of showing how teachers work whit students in need of special support in school. The purpose has been to study what teachers mean whit special aid, and if the support is individually adapted for each students needs. I have trougt interviews, observations and examinations of diverse documents found paradoxes where teachers and the scool leaders claim that they work whit the integration of all the students at school, while the teality shows a different picture. I have found a clear segregation of students, where they have on repeated occasions had to leave the classroom to receive tuition. The school stuff has a wide iiew of wich students are included in the term "students in need of special tuition".

Kläders värde och roll i skolan : En kvalitativ studie om fyra gymnasieelevers syn på kläders symboliska värde, och dess roll som statusmarkör i skolan

Research establishes, that clothes constantly communicate something about its wearer. You send out different messages depending on what sort of clothes you are wearing. For example, a suit can project social status and power, while, a pair of jeans usually conveys a more casual impression. Either way, research state that clothes are symbolic expressions.This essay focuses on the theme clothes and pupils within the school world. Do pupils today experience clothes as symbolic values? By using qualitative interviews, I have examined how four senior high school pupils talk about clothes and its potential symbolic value in school.

Spolmaskangrepp är ett ökande problem hos värphöns

This literature review summarizes available data on infection with the parasitic roundworm, Ascaridia galli, as a cause of disease in poultry, including the consequences of a conversion to alternative production systems. Ascaridia galli has a direct life cycle with resistant eggs that survive and are easily spread in the environment, especially in systems with bedding materials where the faecal contact is high. The infection is usually subclinical but depending on the infection dose, the symptoms range from weight loss and diarrhea to mortality. Factors such as the feed composition and genetic variation among different hybrids clearly affect the establishment rate of the infection. Ascaridia galli will probably become an increasing problem, with a shift from the traditional battery cages to alternative systems where the risk of re-infection is high.

Hästens hudproblem : en retrospektiv fallstudie

SUMMARYThis work consists of a review of the medical records of 142 horses that visited the Equine dermatology clinic, at the University Animal Hospital, UDS, at Ultuna, Uppsala, Sweden, between January 2007 and June 2010. The study answers certain main questions like clinical signs responsible for the visit, the most common diagnoses, their diagnostic procedures, treatment modalities and finally, the outcome of treatment.Among 50 diagnoses, four were predominant followed by additional 46 diagnoses, each presenting by few or, in many cases, only one horse. The most common dermatological problem diagnosed was Equine Sarcoid representing 18,3 % of the cases (26/142), which probably reflects the initiation of a Sarcoid treatment-trial in 2007, that resulted in an accumulation of sarcoid horses in the clinic .The second most common diagnosis was Atopy 12 % (17/142) followed by Allergy with skin affection 9,2 % (13/142) and Acute superficial pyodermia 4,9 % (7/142). If the horses were divided into diagnostic groups, the majority (34,5 %) belonged to HA5 group, (Immunological skin diseases), followed by group HA4, (Infectious and inflammatory conditions of the skin) (22,5 %) and HA6, (Neoplasia) (21,8 %). Traumatic skin injuries represented only 2,1 % of the cases, compared to 80 % of horses in the Agria insurance statistics for veterinary care.The most common clinical sign and reasons for veterinary consultation was pruritus (35,9 %), suspected sarcoids (17,6 %), alopecia (12,7 %), nodules (12 %), seborrea, scaling and crusts (9,2 %) and excoriations (5,6 %), respectively, followed by a scattered number of more uncommon symtoms.The diagnostic methods most frequently applied were cytology and biopsy, used in 41,5 % and 36,6 % of the cases, respectively.

En kvalitativ utvärdering av det accelerometerbaserade hältdetektionssystemet ?Lameness Locator? :

Background: Evaluation of lameness in horses is traditionally performed by a veterinarian who subjectively evaluates the movements of the horse. Accordingly, lameness diagnosis varies with the veterinarian and circumstances for which the horse is examined. Research within the area has long tried to establish an objective and standardized method for lamenessevaluation in horses. Several methods have been shown to be reliable and are used regularly within research, for example measurement of forces between the hoof and ground, and measurement of movements with high speed cameras or accelerometers. However these methods require considerable preparation, standardization, and expensive equipment as well as produce large amounts of data that are incomprehensible for the clinician.

Munhålestatus hos arbetande hästar :

Seventy-two working horses (they had been ridden with bit and bridle within the last two weeks) were examined in the oral cavity. Findings and status were noted. The horses were randomly chosen among individuals without clinical symptoms from the mouth and gastrointestinal system. The result showed that 93% of the horses had changes in the mucus membranes, 86% in the form of ulcerations. The P2 region was most commonly affected followed by wounds more caudally in the mouth (P3-M3 region).

Förekomst av Lawsonia intracellularis och Brachyspira spp. hos häst i Sverige :

Proliferative enteropathy (PE) caused by Lawsonia intracellularis has been reported in horses in the USA, Canada, Australia and Great Britain. Diarrhoea caused by Brachyspira antigen-containing spirochaetes has been diagnosed in a horse in Japan. The presence of Lawsonia intracellularis or Brachyspira spp. have neither been investigated in healthy nor in sick horses in Sweden. The purpose of this study was to survey the occurrence of the two bacteria in Swedish horses. Faecal samples were gathered from 108 foals without any clinical signs of illness in the age of four to eight months.

Väljer man rätt? : en uppföljning av Svensk baskets regionsuttagningar

AimThe purpose with this study is to evaluate the selectationprocess and what happened with Swedish basketball players born 1986-89, that were selected to participate in Miki Herkel Cup (MHC), which is a camp for the 60 most talented players in Sweden.Metod  Together with the Swedish basketball federation, we decided to survey those who attended MHC as well as the players playing in the senior national team 2009.  The data collection has been made through a survey, with multiple choice questions in order to get as good as possible view of what factors that had influenced their development as basketball players. The survey was sent out to all players born 1986-89 that attended MHC and the senior national team of 2009. We used an electronic survey tool called questback which is an internetsurvey and sent out the survey to 320 players. To collect information we´ve searched within literature and databases.Result  18 % of the players answered the survey, which decreases the research validity.

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