Syftet med denna uppsats är att undersöka hur undersköterskor i fyra olika verksamheter upplever att deras arbetssituation har förändrats sedan man införde LCP (Liverpool Care Pathway). Vidare belyses hur undersköterskorna menar att samarbete, kommunikation och relation har påverkats och på vilket sätt och i så fall hur. Uppsatsen är skriven utifrån samverkan och ett professionellt förhållningssätt i socialt arbete. Ett annat perspektiv som uppsatsen belyser är på vilket sätt metoden blev introducerad i organisationen, detta utifrån implementeringsprocesser och kommunikationsteorin. Resultatet visar att undersköterskorna upplever en större delaktighet och trygghet i deras arbete idag jämfört med tidigare.

Lame dogs are a common group of patients for the practicing veterinarian. In the literature it is described how a clinical examination can be performed, based on general clinical-, orthopedic- and neurological examination, and visual evaluation of the dog when standing and during motion. For research, objective gait analysis systems are also used to study clinically healthy and lame dogs during motion. The aim of this degree project was to compare objective kinematic gait analysis with a visual evaluation of dogs with different types of lameness. The project was a pilot study to show if objective gait analysis could be used as a support for the visual examination. Ten lame dogs of different breeds and with different diagnoses were included in the study. They were all patients at the University Animal hospital, Uppsala.

Background: The speech- and language deficit aphasia affects 12 000 persons annually in Sweden. Aphasia is caused by injury in the brain and the most common etiology is stroke. According to the tool for describing and assessing aphasia, A-FROM (Kagan et al., 2008), the four following aspects of aphasia need to be considered: severity of aphasia, participation in life situations, communication and language environment and personal factors. Several different interventions and treatments can be performed in every domain. There is scientific evidence for interventions performed by speech and language pathologists; however, the question is yet being discussed since results are unambiguous.Purpose: The main purpose of this study is to investigate which aphasia interventions performed by speech and language pathologists that are supported by evidence.

During the years 2005-2007 several cases of abnormal bleeding were seen after surgery in Bengal cats on veterinary clinics and animal hospitals in Sweden. In this study we have examined if the observed bleedings are due to an inherited defect of the coagulation cascade. Ten Bengal cats were tested for activated partial thromboplastin time (P-APT-time) and one-stage protrombin time (P-PK), and nine of these cats were tested for fibrinogen quantity (P-fibrinogen). Four of the tested cats had shown signs of an abnormal bleeding after surgery, and five of the cats were genetically related to these cats. One cat had a small bleeding wound at the internal base of the right auricle.

Internet's entry into our home has changed our communication capabilities. As a result more and more services in the digital world are available. Besides e.g. shopping, gaming and general information, different social networks now offer preventive and therapeutic health-oriented services. When being asked by several young people, with whom I have been working in a clinical setting, to offer conversations over the Internet that enables both to see and to hear each other in real time, I decided to conduct a pilot study which is presented in this paper. The aim was to investigate the feasibility of offering supportive therapy using video calls over the Internet.

5-hydroxytryptamin (5-HT) is biochemically derived from Tryptophan. Kynurenic acid and quinolinic acid are also known metabolites of tryptophan. 5-HT is considered to play a role in depression and today selective serotonin reuptake inhibitors (SSRIs) are used for treatment of depression. 5-HT may also play a role in pain perception. The aim of this study was to investigate whether a supplement of tryptophan may affect conditions such as depression and/or pain.

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Abstract The aim of this study is to create a pathway through Gustav Sandgren?s short-story collection Skymningssagor and the second collection with that title, based on his social criticism, notions of art and nature, use of fairytale motifs and finally, his view of the metaphoric liberation of mankind. The study is based on a comparative and thematic investigation, illustrated by examples from Sandgren?s short stories. The theoretical framework is based on Eva Nordlinder?s study of the art fairytale in Sekelskiftets svenska konstsaga och sagodiktaren Helena Nyblom (1992) and Konstsaga och Kultursyn (1992) as well as Torben Brostrøm?s study of the folktale in Folksagan och den moderna litteraturen (1992). The investigation shows that Sandgren?s social criticism permeates his short stories, but that his keys to salvation, nature and art (first and foremost music) exist to help mankind rise above our shackles. The investigation also shows that Sandgren?s short stories are firmly placed within the tradition of the fairytale and the romantic notion of a relation between nature and man.  Keywords social criticism, fairytale, nature, music, art, liberation.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: A vegetarian diet, a possible treatment complement for relief of symptoms ofrheumatoid arthritis? A systematic review.Author: Alexandra Ahlsén and Caroline ForsbergSupervisor: Mette AxelsenExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 22, 2012Background: Rheumatoid arthritis (RA) is a chronic remitting polyarthritis that is relapsing.Symptoms are inflammation of the joints with pain, stiffness and degradation of joint tissue.In some cases, also other parts of the body are involved. The treatment consists ofmedications to reduce pain, inflammation and degradation of joint tissue. Today, the offerednutritional treatment is primarily focused on meeting energy requirements and nutrient needs.The diet has also been discussed as symptomatic treatment, and one of the factors believed toinfluence the symptoms is meat.Objective: To assess the evidence as to whether a vegetarian diet affects the symptoms ofrheumatoid arthritis, and if so, to suggest how it can be implemented in practical dieteticswork.Search strategy The databases used in the literature search was PubMed, Scopus, and AMED.The search words used were: "rheumatiod arthritis", "vegetarian", "vegan", "diet", "meat" and"animal protein".Selection criteria: Studies investigating a vegetarian diet on the symptoms of RA wereincluded. Only RCT, clinical trial, controlled clinical trial, human studies and original articlesin English or Swedish were included.

The aim of the study was to examine the retinal ON- and OFF-pathways of the canine electroretinogram (ERG). The ON- and OFF-pathways are used to distinguish objects from their backgrounds. A dark object is discernible from a lighter background using the OFFpathway and the ON-pathway is used to descry a light object upon a darker background. This study shows that the dog ERG has both ON- and OFF-responses and that these responses can be separated by prolonging the flash duration over 50 ms. The dog OFF-response waveform was more similar to the cat OFF-response than the human OFF-response (Frishman, 2006; Zrenner and Gouras, 1979). In this study six female three-year-old Beagle dogs were included. Both background and flash stimuli were provided by LEDs (light emitting diodes) with a wavelength of 470 nm, a wavelength that is absorbed almost as effectively by the canine M/L-cones as by the S-cones. These stimuli gave ERGs with both ON- and OFF-responses.

Syftet med denna systematiska litteraturöversikt var att utreda om det finns stöd i litteraturen avseende vilken betydelse kostens innehåll av polyfenoler och vitaminer kan ha för parodontala sjukdomar. Material och metod: En sökning i PubMed gjordes i mars 2012. Sökningen begränsades till humana studier på engelska och publicerade mellan januari 1990 och mars 2012. Kriterier för inkludering var: ?randomized controlled trial?, ?clinical controlled trial?, ?clinical trial? och ??humans.

Several bulls in Sweden are culled because of lameness. Studies of beef bulls have shown that osteochondrosis is an important underlying cause of hind limb problems (Persson, 2003; Dutra, 1998). Osteochondrosis in horses, dogs, swine, poultry and man are well documentated in the literature, but there are few studies in cattle. The prevalence of osteochondrosis in dairy bulls in Sweden is unknown. The aim of this study was to investigate the presence and localisation of osteochondrosis in the hindlimbs of dairy bulls. This study consists of 48 one-year-old bulls divided into four groups related to which farm they came from.

Background: Chemotherapy and radiation resistance are major causes of failure in cancer treatment. The response to treatment in cancer cells depends on several mechanisms and pathways such as Janus kinases-signal transducers and activators of transcription JAK/STAT pathway. STAT1 was the first described transcription factor in the STAT family. STAT1 is activated by stimulation of signaling proteins such as type II interferon (IFN- ?) and the activated STAT1 translocates from cytoplasm to nucleus.

Bakgrund: Forskning- och utvecklingsarbete är något som bedrivs på många håll inom hälso- och sjukvården. Detta innebär att många patienter som söker vård och behandling kan komma att tillfrågas om att delta i forskning. En person som är sjuk, och i behov av vård, kan uppleva att man i patientrollen hamnar i en beroendeställning i förhållande till vårdpersonalen. Patienten är den hjälpsökande och vårdpersonalen är de som på grund av kunskap och förmåga att hjälpa patienten har en starkare ställning. Att vara patient och medverka i forskning kan innebära att patienten får ökad uppmärksamhet men patienten kan också uppleva att beroendeställningen gentemot vårdpersonalen förstärks.Syfte: Syftet var att beskriva patienters erfarenheter av att delta i forskning.Metod: En litteraturöversikt har gjorts där tio vetenskapliga, kvalitativa artiklar, med begränsning vuxna patienter, har utgjort grunden till resultatet.Resultat: Resultatet presenteras i fyra kategorier, vilka är; Överväganden inför beslut om att delta i forskning, Meningsfullhet av att delta i forskning, Upplevelse av hinder i samband med forskning samt Från känslan av stöd ? till känslan av övergivenhet.Diskussion: Resultatet har diskuterats i relation till livsvärldsperspektivet enligt Dahlberg och Segesten.

Every year many dogs in Sweden are bitten by the adder, a venomous snake (Vipera berus). Despite the fact that adder bites are so common in dogs there have been few investigations made that study the effects of treatment with glucocorticoids, a drug that is commonly used. We have carried out a literature study concerning adder bites in dogs and a prospective study where case history, clinical signs and treatment have been recorded in dogs that were presented at two veterinary hospitals after a confirmed or suspected adder bite. Fifty three dogs were included in the study out of which 22 were treated with glucocorticoids. In our study, the group of dogs treated with glucocorticoids was compared with the group of dogs that did not receive glucocorticoid treatment by the owner or on arrival at the clinic.