Diabetes mellitus is characterised by persistent hyperglycemia in all species. Fructosamine is a glycated protein reflecting blood glucose concentration during the preceding weeks. It has become a valuable analysis to differentiate persistent hyperglycemia from transient stress induced hyperglycemia in cats. It is also used to evaluate current therapy in diabetic patients. Although fructosamine is a well accepted analysis, it is sometimes regarded with scepticism.

Övervikt och fetma är ett växande problem i Sverige och delar av världen. Det är en riskfaktor för andra somatiska sjukdomar och har en negativ inverkan på livskvalitén. Syftet med denna studie var att beskriva distriktsköterskors arbete med och reflektioner kring behandlingen av vuxna patienter med övervikt och fetma. Studien var av kvalitativ ansats med deskriptiv design och genomfördes genom semistrukturerade intervjuer med åtta distriktssköterskor på landstingsdrivna vårdcentraler i Uppsala län. Resultatet av studien visade att mätvärden och samtal var viktiga verktyg för att distriktssköterskorna ska kunna identifiera patientens övervikt eller fetma.

Aim: The aim of this study was to examine health professionals´ experiences of giving advice regarding sleep to parents of infants and to perform and evaluate an intervention in the form of introducing information about the sleep of infants.Method: The study was designed as an intervention study with a qualitative approach where data was collected from two focus groups in the form of interviews. The intervention consisted of the information material Sugen på sömn. There were five participants whom three of them participated in the second interview. The interviews were processed by content analysis.Results: Health professionals´ experience of giving advice on sleep was summarized in three themes. The experiences of giving advice in interaction with parents, health professional themselves experienced the power to influence the parents with the advice they gave, while the parents' previous experience and knowledge impacted on how the advice came into practice.

Introduction: The interaction between different care facilities and professions is important in the care of older patients. Patients do not always get enough time to recover and often have a continued need for care. A discharge process of good structure in which the patient and relatives are participating and the continued need of care is assured is of importance in care of older patients.Objective: The overall purpose of this study is to compare the discharge process for patients over 75 years old admitted to a emergency medicine ward respective a emergency medicine ward with geriatric focus at a medicine clinic, to compare discharge process between these wards and evaluate the patients situation at home after discharge.Methods: A survey of medical records with a protocol and a telephone survey have been performed. Data was analyzed with descriptive and analytic statistic. Patients at the medical wards MAVA and care unit number 21/34, which are 75 years or older and are discharged to their own home, within the municipality of Göteborgs stad, in Sweden, are included in this study.Results: The discharge process differed between medicine wards with emergency medicine and geriatric focus.

The purpose of this literature study was to describe techniques for monitoring general anesthesia and standing chemical restraint in the horse. A number of various techniques and devices related to e.g. blood pressure measurement, blood gas analysis and pulse oximetry are defined, and finally their clinical relevance and reliability are discussed. The equine patient is generally far more exposed to anesthesia-related risks than other smaller species. Complications such as hypotension and hypercapnia are commonly seen during general anesthesia. Thus, close monitoring is essentially performed by the veterinary nurse, whom is responsible for monitoring the anesthetized patient.

Background Calprotectin is a protein expressed in the cytoplasm inside the neutrophile granulocytes. During inflammatory bowel disease (IBD), the neutrophile granulocytes are involved in a complex interaction at the inflammatory area where they die and release their content into the intestinal lumen. Therefore, calprotectin in stool is a suitable marker for diagnosis and measurement of the disease-activity in patients with IBD. The most commonly used method to detect calprotectin in stool is ELISA, but the process of manual preparation of stool samples is time-consuming.Aim The objective of the study was to evaluate an extraction method that could replace manual preparation of fecal samples and to compare different methods for measuring Calprotectin in stool using two ELISA-methods from two manufacturers and one rapidtest.Methods For extraction of calprotectin from stool samples we used sample collector tubes from Epitope Diagnostics and fecal preparation kits from Roche. Two different ELISA-kits for measuring calprotectin concentration in stool were compared.

Bakgrund: Studier har visat att sjuksköterskors utbildningsnivå har betydelse för patientsäkerheten på kirurgiska vårdavdelningar. I Sverige är rollen som specialist-sjuksköterska inom kirurgisk vård ganska okänd och antalet specialistsjuksköterskor inom denna specialitet är få.Syfte: Syftet var att beskriva vilka förväntningar specialistsjuksköterskor inom kirurgisk vård har på sin yrkesroll samt att ta del av och beskriva deras erfarenheter av att arbeta som specialistsjuksköterskor.Metod: Kvalitativ studie med deskriptiv design. Specialistsjuksköterskor inom kirurgisk vård (n=29) från fem olika sjukhus deltog i studien. Urvalet gjordes med bekvämlighetsurval. För datainsamling användes ett studiespecifikt formulär med öppna frågor.

In the early 80s, several new synthetic materials have come to be used in the treatment of canvaspaintings, among them Plextol D 360, Plexisol P 550 and Beva 371. Today, many conservatorsfind the information about the long term sustainability of these binding mediums to beincomplete. Evaluation of synthetic materials is mostly done through clinical research, sometimesartificial aging is simulated. The correlation between artificial and natural aging is however notestablished, useful information can therefore be gained through evaluations of actualconservation treatments. The intention of this study is to find out more about how thementioned products perform over time in normal museum conditions.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Breakfast and cognition from a youth perspectiveAuthor: Linn Kruse and Anneli HulldinSupervisor: Anna WinkvistExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 26, 2014Background: Breakfast as an influencing factor on cognition and is often on the table for discussion in society. A lot of research has been done about how omitting breakfast affects adolescents and their short time cognition. Cognition is complex as a concept and is measured in different ways and the existing research in the area often compares different types of breakfasts instead of the difference between eating and omitting breakfast.Objective: To evaluate the scientific evidence for an association between adolescents? breakfast eating and short time effects on cognition in adolescents.Search strategy: To find relevant articles a systematic literature search was made in the databases PubMed, Scopus and Cochrane. Search terms that were used were: children, young adults, adolescents, cognition, and breakfastSelection criteria: Ages 12-20 years, measures cognition, RCT, studies comparing breakfast eating with omitting breakfast, human studies, language English or Swedish, no sick adolescents or adolescents with diagnosis.Data collection and analysis: Two original articles met the inclusion criteria and were reviewed by the SBU audit template for RCT studies.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicin and Clinical NutritionAbstractTitle: Does supplementation of omega-3 during pregnancy affectprevalence of allergy in infants and children?Author: Peter Eliasson, Anna RahmSupervisor: Lena HulthénExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 ECTSDate: 2012-04-12BackgroundEpidemiologic research has shown an association between a high intake of fish and allergy.The underlying theory is that allergy develops already at a prenatal stage and food intakeduring pregnancy has been shown to be significant. Conducting research on allergy isproblematic since it has genetic, as well as enviromental, determinants.ObjectiveThis thesis attempts to conclude and evaluate research on a connection betweensupplementation of omega-3 during pregnancy and allergic outcomes in infants and children.Search strategyThe literature search was conducted in the databases PubMed and Scopus. Among thekeywords chosen were omega 3, supplement, pregnancy and allergy.Selection criteriaHuman RCT, that measured allergy, where the intervention consisted of supplementation withomega-3 for at least ten weeks during pregnancy and ceased at birth.Data collection and analysisThree articles were chosen for this thesis. The articles were examined using templates fromSBU and the quality of evidence was evaluated according to GRADE.Main resultsNone of the articles showed a protective effect on allergic outcome but in one of the studiesthere was significant reduction in eggallergy and another showed significant lower occurrenceof severe eczema.ConclusionsSupplementation with omega-3 during pregnancy does not occur to have an protective effecton allergic outcome in infants and childen but the evidence for this is considered to bemoderate.

Bakgrund: Långvarig smärta är svår att bota. Smärtan är svår att lindra och kan vara mycket påfrestande för kroppen. Sjuksköterskans bemötande kan påverka patientens smärtupplevelse. Ett gott bemötande kan hjälpa patienten att finna tilltro till vården samt lindra smärtan medans ett dåligt bemötande kan förvärra smärtupplevelsen.Syfte: Syftet är att ta reda på hur patienter med långvarig smärta upplever sin smärta samt hur de upplever sjuksköterskans bemötande i omvårdnaden.Metod: En litteraturstudie har genomförts där tio artiklar rörande långvarig smärta har granskats och analyserats och sammanställts i olika teman. Artiklarna har varit både kvalitativa och kvantitativa.

Horses are herbivores that spend almost all day grazing. While grazing they are infected by different endoparasites through ingestion of infective eggs or larvae on pasture. The most significant equine endoparasites in Sweden are the equine roundworm Parascaris equorum, small (Cyathostominae) and large strongyles (Strongylus spp), the tapeworm Anoplocephala perfoliata and the pinworm Oxyuris equi. For many years have horses been dewormed on regularly basis, which has resulted in the development of resistance to many anthelmintic classes. Because of the problems with resistance it is since 2007 necessary to have a prescription on anthelmintics and faecal sampling is also recommended.

Introduction Malignant lymphoma is the most common haematological blood cancer diagnosis. In spring 2013 a questionnaire was handed out to patients with various haematological malignancies. The results showed that the patients requested more verbal and written information about their disease and treatment. Providing information about chemotherapy and how it affects the patient's quality of life is part of the nursing care. Communication between nurse and patient is very important to share experiences and knowledge with each other Aim The aim is to describe the information and communication patients with malignant lymphoma demand, based on their own experience, in meeting with the nurse before and during curative chemotherapy treatment at a haematology outpatient clinic.

Abstract Aims and objectives. To examine whether an intervention with carbohydrate- counting at onset of type 1 diabetes in children, has had any effect on metabolic indicators such as HbA1c , BMI-sds and total daily insulin / kg, 2 months and 1 year after onset by age and gender .Background. The pediatric department at the university hospital of Norrland in Umeå (NUS), has since several years a higher average HbA1c among children 0-17 years, compare with pediatric departments in the rest of Sweden.  Therefore, in autumn 2011, an intervention was made to teach children with diabetes and their parents to count carbohydrates from the onset of diabetes. Using this method they can regulate their insulin doses depending on the amount of carbohydrates they are eating.Design. This is an empirical registry study done on the basis of a quantitative method.

In this essay, the phenomenon and the concept "meditation" are treated. Meditation is a mental training technique where one develops the ability to choose where to put attention and ability to focus. Techniques for meditation is used individually of people who wants to develop themselves as persons and in therapeutic aims of professional within the field of psychology in order to help people to find solutions of problems within themselves. The aim with this essay were to do a qualitative study in order to see how possible effects of meditation influences daily life of contributory practisian's. Issue has been as follows; which effects have one regularly conducting of meditation on people and their lives? Interviews with four experienced meditators were done in India and the material were analyzed afterwards with the aid of thematic analysis, furthermore in order to link the results with clinical research and established theories about meditation.