Objective: The aim of this study was to compare equations used to calculate BMR to values of BMR obtained from measurements in order to determine the most suitable equation to be used on children and adolescents with CF.Design: The participants where children and adolescents with CF. Data was collected from the division of Clinical Nutrition at Uppsala Akademiska Sjukhus. Age, weight, height, BMI, BMR, FFM and FM was recorded from 27 measurements. BMR from the participants collected from the indirect respiratory calorimetry was compared to the results obtained from five equations used to obtain a calculated value of BMR.Results: Tverskayas equation was best correlated with the measured BMR for the whole group. The equation underestimated BMR for the participants with a measured BMR over 1400 kcal/24h and overestimated BMR for participants with a measured BMR under 1400 kcal/24h.

Lameness localized to the hoof is a common problem in horses. Magnetic resonance imaging (MRI) as a diagnostic tool is becoming more common and is well suited for examination of the distal limb and the hoof capsule. Today there are two different methods of MRI where in one the horse is under general anesthesia and in the other the horse is standing and only sedated. In this study we have compared the visualization of the distal interphalangeal joint using these two methods in two different groups of horses with unknown clinical problems referred to two different equine hospitals. The width of the joint structures including thickness of joint cartilage and joint fluid and also the width of the dorsal pouch of the distal interphalangeal joint were measured.

Pet rabbits are increasing in popularity and the owners want the same treatment for them as they would want for a dog or a cat. However, the knowledge among clinical staff about these small animals is not always up to date. The aim of this paper is to highlight the needs of the pet rabbit and how these can be met regarding veterinary nursing. Pet rabbits are different from dogs and cats in several ways and their needs as patients differ as well. Rabbits are herbivorous prey animals. To avoid predators, they are very reluctant to show any sign of weakness for as long as they can.

This study was made in collaboration between Umeå University and Västerbotten sportsfederation. The study was aimed to find out how the municipalities are working with variousissues in the sports field. A subject of interest for this study was to see if the municipalitieswere implementing strategies in the sports field on determined goals by using policydocuments. Our study focused mostly on kids and youth that participate in organized sports inVästerbotten. Other aspects of interest in the study were economics in sports, how youthsports should be organized, and segregation in sports due to financial factors.

Physiotherapists treat people with different views of the world and medical beliefs, which require a good understanding of cultural differences. One way to achieve cultural understanding is through self-reflection in a new context. During five weeks the authors, two physiotherapy students, completed a clinical practice at the rehabilitation center Pina Palmera, Zipolite, Oaxaca, Mexico. At the beginning of the period a critical incident was chosen, when the head physiotherapist for the ward Cuidados Especiales intended to sell jewellery to the authors during a treatment of a patient. The authors have by using the reflection framework "Framework to guide reflective process", and Interpretive Phenomenological Analysis (IPA) for analysis, discussed different ways of communication, adherence, education, and self-reflection and critical thinking.

Physiotherapists treat people with different views of the world and medical beliefs, which require a good understanding of cultural differences. One way to achieve cultural understanding is through self-reflection in a new context. During five weeks the authors, two physiotherapy students, completed a clinical practice at the rehabilitation center Pina Palmera, Zipolite, Oaxaca, Mexico. At the beginning of the period a critical incident was chosen, when the head physiotherapist for the ward Cuidados Especiales intended to sell jewellery to the authors during a treatment of a patient. The authors have by using the reflection framework "Framework to guide reflective process", and Interpretive Phenomenological Analysis (IPA) for analysis, discussed different ways of communication, adherence, education, and self-reflection and critical thinking.

Parkinson's disease is a progressive degenerative neurological disorder. In Sweden there are 15 000-20 000 individuals affected by the disease.The aim of this study was to investigate the prevalence of oral diseases in individuals with Parkinson's disease. The material for the literature review was gathered in the medical database PubMed. Keywords used for the data research were ?Parkinson?s disease?, ?oral diseases?, ?dry mouth?, ?gingivitis?, ?caries? and ?periodontitis?.

Celiac disease (CD) is an autoimmune disease, induced by an immune mediated reaction in the small intestine after ingestion of gluten and related prolamines. There is a strong genetic linkage and most important are the genes that encodes for HLA-DQ2 and HLA-DQ8. The European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) has developed new guidelines for investigation of CD in children and adolescents, which include genotyping for HLA-DQ2 and HLA-DQ8. Therefore, the clinical microbiological laboratory in Västmanland wants to introduce a method for analysis of these genes. Microarray is a newly developed method for determination of the alleles HLA-DQA1 and HLA-DQB1 that encodes for the ?- and ?-subunits of the HLA-molecules.

Ossification of the collateral cartilages of the distal phalanx has been studied primarily in cold blooded horses. The clinical relevance of this condition is unknown. Despite this fact, since 1939, all Swedish Ardenner stallions have had to be classified as being free from this ossification to be approved for breeding. Initially, palpation was used as a diagnostic method, but since 1982 radiology has been the only method used. The aim of this study was to assess the outcome of 68 years of breeding program. Dorsopalmar radiographs were taken of the front feet of 58 Ardenners (30 mares, 8 geldings and 20 stallions) and the ossification of the collateral cartilages was evaluated and graded according to three different scales; - Ruohoniemi (grade 0-5), - Swedish University of Agricultural Science (grade 0-3), - and a new scale (grade 0-3), developed for this study.

Aim: The purpose of this study was to highlight in what forms and manifestations spirituality emerges in medical patients whether they consider themselves believers or not. The other aim was to analyse spiritual ideas of nursing scientists ? authors of the patients? oriented studies to come to the better understanding of the situation with spirituality in caring. Method: Descriptive meta-synthesis was chosen, in which 12 nursing studies were analyzed and compiled in a new integrity. Results: The analysis shows that caregivers must be ready to meet and confirm the spiritual dimension consisting of Faith, Meaning, Relationship and Questions without answers in the various forms and expressions they emerge in patient?s experience.

One of the largest work areas for speech and language pathologists is intervention for children with speech and language disorders. The purpose of the present study was to describe and analyze the clinical management of language impairment in children by studying and comparing medical records and literature from the years 2000 and 2009. The present study is a sequel to two previously published papers by Christina Samuelsson (1997; 1999), in which medical records and literature from the 1920-, 60- and 70?s were studied and a paper by Helén Sämfors (2001), in which the years 1985 and 1995 were studied. The medical records used in the present study came from a medical ward for speech and language pathology at a university hospital in Sweden. The results showed that significantly more children were referred to the clinic for speech and language problems in 2009 than in 2000, and more children were treated for their impairments.

The aim of this study was to map out the quality of the treatment in the forensic outpatient care unity in Malmoe from a patient point of view. This target group, seriously mentally disordered law-offenders, has been neglected in the scientific research. This investigation will hopefully contribute to a positive change in this subject. To achieve a good understanding of this field a methodological triangulation was conducted which included an observational study, a pilotstudy and semistructured interviews. 14 patients and 10 staff members were interviewed.

Acute bacterial prostatitis is a common disease in older male dogs. It gives symptoms such as fever, pain, tiredness, infertility, unwillingness to mate and sometimes symptoms from the urinary tract. It is common that you do an ultrasound exam on dogs when you suspect prostatic changes. In this study 15 dogs diagnosed with acute prostatitis at the small animal clinic at SLU in Uppsala were examined. The clinical signs and the ultrasound pictures were put together in retrospect.

The oral sensory ability in children can be assessed through test of intraoral stereognosis and two-point discrimination. Currently, these two tests are not frequently used in clinical settings, and normative data are not always available. The aim of this study was to establish normative data for these two tests in children aged 5;6 to 7;0 years. Further, intention was to compare the results with respect to age and gender. In total 103 children participated, 49 boys and 54 girls.

Telemedicine is the use of information and communication technology to provide clinical health care at a distance. This approach is usually adopted to bridge the distance in rural settings, but it is also a method to meet demographical and economical challenges. Västerbotten, a sparsely populated county with an ageing population, is in leading edge when it comes to telemedicine. The purpose of this report was to examine the diffusion and the inventory of telemedicine in the county council of Västerbotten from a geographical perspective. To gain a deeper understanding of diffusion and inventory of telemedicine, my purpose was also to examine these processes from an international and national perspective.