Back problems are well noticed in horses, especially in horses used for riding. Kissing spines (impingement of the dorsal spinous processes) are often found at radiographic examinations of the thoracic spine. Kissing spines is a radiological diagnosis, indicating that parts of at least two adjacent dorsal spinous processes are in contact with each other. It is not uncommon that horses without clinical signs of back problems have some degree of kissing spines. It is therefore not sufficient with a radiographic examination to say that the cause of pain is kissing spines.

Background: It is required that health care professionals continuously work with patient safety and quality improvements, and the skills of registered nurses are significant in this work. However, quality improvement also requires commitment and knowledge about how to improve health care and ensure patient safety. There is a lack of studies that highlights the importance of supportive functions for this work. Nurses in clinical settings can be utilized as facilitators that make things easier for other health care professionals who are engaged in quality improvement and patient safety. In order to gain understanding about the significance and needs of nurses with a role of facilitator, it is urgent to learn from their experiences of facilitating quality improvement in health care.Aim: The aim was to study nurses? experiences of facilitating quality improvement of nursing care, patient safety and multi-professional collaboration in health care.Method: Semi-structured qualitative interviews were performed with ten registered nurses who had experience of being in the role of facilitators.

Dairy farming in Uganda provides a source of food, employment and income. Previous studies have revealed high frequencies of bovine mastitis, a costly disease for the dairy farmer. The aims of this study were to investigate the bacteriological panorama in milk from udder quarters with clinical (CM) and subclinical mastitis (SCM) and to determine the antimicrobial susceptibility in staphylococcal isolates. Further, we intended to establish the prevalence of subclinical mastitis and to investigate some environmental factors and animal properties that might influence the frequency of mastitis. For CM, farmers made contact with the members of this study when recognizing an animal with CM.

Peritonitis is a potentially life-threatening disease in horses. With no published work from Sweden, the objective of the study was to describe the occurrence and demographics of horses with peritonitis and to evaluate the outcome of treatment in terms of short-term survival during a ten-year period in a large clinic in Sweden. Data were examined in a retrospective manner in 69 horses diagnosed with and treated for peritonitis at Universitetsdjursjukhuset (UDS) in Uppsala between 2002-2012. Demographic data examined included age, breed, gender, history, duration of illness before arriving at UDS, reason for seeking veterinary care, initial clinical findings (general state of health, heart rate, respiratory rate, mucous membrane appearance, rectal temperature, abdominal sounds, rectal examination, nasogastric tube results), abdominocentesis results (abdominal fluid analysis including visual inspection, leukocytes and protein, cytology, bacterial culture and sensitivity pattern), complete blood count (CBC), Serum amyloid-A (SAA) upon presentation and a follow up, plasma fibrinogen, plasma protein and albumin, treatments, length of hospitalisation and outcome. All medical records with the diagnosis of peritonitis were extracted from the medical records system Trofast. All records with any other diagnosis code referring to trauma such as rectal tear or ruptured uterus, recent abdominal surgery, external trauma or rupture in the gastrointestinal tract were excluded. To be included in the study, the peritoneal fluid should contain more than 20.000 cells/?L, have a peritoneal protein value of >30 g/L; or have a significantly changed peritoneal fluid sample (orange with increased turbidity or worse) in cases where no data on cells or protein were available. The horses were divided into two groups; one where the peritonitis was deemed to have an idiopathic aetiology (primary peritonitis) and the other group where the peritonitis had a possible aetiology such as intestinal parasites, impaction etc.

The aim of this empirical study was to investigate how nurses on a ward within the emergency clinic deal with analgesia prescriptions and the pain management documentation. The used method was divided into chart reviews and qualitative interviews with nurses in clinical practice at the ward. This means that both a qualitative and quantitative approach was desired. The results incline that nurses generally apply to the laws and restrictions surrounding the nursing discipline, as used in pain treatment. Thus they generally fulfill the obligations accounting to documentation.

In this study we intend to evaluate the effect of cetirizin, orally administrated to horses with insect dermal hypersensitivity. The study comprised 156 horses from 49 farms, which were located in different parts of Sweden. The horses were matched on the farms and were given cetirizin or placebo in a double blind test. Veterinarians collected a blood sample and examined the horses visually, before and after three weeks of treatment and filled in given forms. The results are based on the veterinarians? subjective evaluation of the clinical appearance of the allergic dermatitis before and after treatment.

A group of diseases that affect the dog?s sight is progressive retinal atrophy (PRA) a disease that means that the photoreceptors in the retina of the eye either not develop normally or undergo degeneration and thereby causes vision loss and blindness. The disease affects many different breeds and is inherited. What have been shown is that it is different genes that had become mutated in the different breeds, this conclude that despite similar clinical symptoms, the underlying reason could be different. Also the genes that are mutated in dogs and give rise to diseases also exists in humans.

Mastitis is an important disease in dairy cattle. It is very costly for the farmers and affects a large number of animals. Few studies have been made investigating the outcome of treatment for acute clinical mastitis under Swedish conditions, and it can be problematic to use the results in foreign studies since both the microbial flora as well as treatments may be different from the situation in Sweden. In this project we have investigated data on clinical mastitis and antibiotic treatment in the dairy herd at Jällaskolan, Uppsala based on recordings during the last ten years. The material includes both Swedish Red (SRB) and Swedish Holstein (SLB) breeds, which have been kept at the farm under similar conditions.

There are differences today amongst psychoanalysts regarding if psychoanalysis should limit itself to being exclusively a hermeneutic discipline or if psychoanalysis should find points of contact with neurobiology. The purpose of this essay is to touch upon the larger issue that creates the different points of view: Can psychoanalysis become enriched by finding points of contact with neurobiology, and should psychoanalysis be regarded as belonging to a broader scientific field than being exclusively a human science? The question at issue is: Can modern neurobiology contribute to a development of the psychoanalytic concepts; compulsion to repeat, transference/countertransference and talking cure? The method used is a literature study. The result shows that: Freud?s theories regarding traumatic compulsion to repeat can be linked with LeDoux?s theory of "emotional memory".

Sveriges landsting har börjat införa nya kliniska informationssystem som komplement till sina elektroniska patientjournaler. Målet är att kunna förnya och effektivisera existerande system och processer, sänka sjukvårdkostnader samt öka patientsäkerhet och kvalité i vården.Trots betydande investeringar i nya kliniska informationssystem har inga övertygande bevis kunnat presenteras för systemens övergripande effekter i organisationen. Ny forskning anser att detta huvudsakligen beror på en trög användning av nya informationssystem som varken är kompatibla eller lätt att använda, samt att verksamhetsområdena inte har lyckats återanpassa sina kliniska processer till det nya systemet. Denna fallstudie har genomförts hos verksamhetsområdet för Thoraxkirurgi och Anestesi vid Akademiska sjukhuset i Uppsala. Studien redogör för den medvetenhet projektledning och organisation har kring riskindikatorer och dess effekter vid införseln av ett kliniskt informationssystem. Aktuella risksamband visar att implementationen kommer leda till en trög användning av systemet på grund av att man inte lyckats återanpassa verksamhetens kliniska processer till det nya systemet.

Background: Diabetes mellitus is a chronic disease that manifests as an increased level of glucose in the blood. According to the World Health Organization (WHO), 347 million people have diabetes worldwide. In year 2004, 3.4 million people died from the consequences of high blood glucose. In the Swedish population the prevalence of diabetes is estimated to 3-4 %, out of which 85-90% are Type 2. Among senior citizens a prevalence of diabetes is seen in Sweden up to 14 - 15%.

Thermography is the assesment of the surface temperature of the horses body and it falls into the categori of physiological imaging. Thermography allows us to portray inflammation and changes in sympathetic tone in a graphical manner. The purpose of this study was to review thermography in equine medicine and to evaluate thermography as an aid in the diagnosis of lamness in horses. Thermography has been helpful to identyfy sprains, stress fractures, shin splints and soft tissue, tendon, ligamentous and nerv injuries and to monitor healing processes during rehabilitation. Routine thermography may reveal inflammatory responses prior to clinical signs. In present study thermograpy gave especially valuabel information in two cases. In one horse reduced blood flow in a. saphena due to a thrombosis were visualised and in the other horse bilateral thoracolumbal radiculopati was diagnosed.

Twenty-four calves, which had not grazed previously, were divided into four groups. They were subsequently inoculated orally with either E. alabamensis oocysts, O.ostertagi/C. oncophora larvae, or both. One group remained uninfected and was used as a control.

Bull terrier hereditary nephritis is caused by a mutation that leads to an inadequate synthesis of collagen type IV, which is an important component in the basement membranes. The inheritance of the mutation is autosomal dominant in bull terriers and progression to renal failure takes variable time, from several months to ten years. Proteinuria is the first clinical sign of the disease and the diagnosis is confirmed by transmission electron microscopy of renal tissue where typical ultrastructural changes in the glomerular basement membrane (GBM), thickening and multilaminar splitting are found. This study was performed in order to find out the occurrence of hereditary nephritis in bull terriers in Sweden through examination of urine samples and renal tissue and comparisons with how the disease is described in the literature. Urine samples from 76 Swedish bull terriers were collected and examined for proteinuria.

Syftet med denna studie var att beskriva och analysera högskoleadjunkters uppfattningar om den kliniska utbildningen i dagens sjuksköterskeprogram. Som metod valdes intervjuer med tio högskoleadjunkter från fyra högskolor i Mellansverige. Framkomna data analyserades kvalitativt, utifrån von Wrights handlingsteoretiska perspektiv med de fyra determinanterna vilja, plikt, förmåga och möjligheter. Vårt resultat visade att högskoleadjunkternas vilja kunde urskiljas i fem underkategorier som gestaltade sig som vilja att: finnas till för de studerande, påverka utbildningens struktur, göra pedagogiska val, utveckla handledningen, och en vilja att handla beträffande den egna yrkesrollen. De plikter högskoleadjunkterna uppfattade i sin yrkesroll handlade om såväl deras egna inre plikter och förväntningar på sig själva, som förväntningar från de studerande, kollegor och skolledning.