Hepatitis E virus, HEV, is a frequent causative agent behind, especially waterborne, infections in developing countries such as India. However, during the last years the number of non-travel-associated infections in industrialised countries, for example US, Germany and Sweden, has increased. The symptoms vary from mild with nausea to icterus and it can even be lethal. There are four different genotypes of HEV and many studies consider HEV infection to be a zoonosis. Scientists have by using phylogenetic analyses found great genetic similarity between strains isolated from humans, pigs and food, such as pork and liver, especially among viruses belonging to genotype 3.

The Clinical Pathology Laboratory at SLU in Uppsala has analysed several blood samples from Dachshunds with severe anemia. As there are no previous studies on this topic, a study was performed to evaluate if Dachshunds are more prone to severe anemia compared with other breeds. In addition, a retrospective case study on Dachshunds with severe anemia was done to search for common risk factors or diseases. Hemoglobin values in samples from 1272 Dachshunds and 2269 German Shepherds analyzed from September 1994 to October 2007 were used to compare the frequency of severe anemia in Dachshund and German shepherd. The samples were identified by laboratory information system.

Background: Infection with Human Papillomavirus, HPV, is one of the world's most common sexual transmitted infections. The virus causes genital warts (condyloma) but certain virus types can cause cancer. The most common cancer type caused by the virus is cancer of the cervix. Nowadays there is a screening program for women between 23 and 60 years of age where Pap smears of the cervix is taken to discover abnormalities at an early stage. Cervical cancer is very common all over the world and this screening program saves many lives, but not in the less developed countries since the screening program is too expensive.

AbstractAim: The aim of this study was to investigate if treatment with ?dry needling? in myofascial triggerpoints (MTrPs) in the rotatorcuff muscles may affect impingement symptoms such as pain during provocative tests, shoulder mobility, and function. The research questions were: Does the value of pain change on the Visual Analog Pain Scale (VAS) between before and after treatment? Do the positive provocative tests for impingement change between before and after treatment? Does the active shoulder mobility change between before and after treatment? Does the self-rated function change between before and after treatment?Method: The study was a prospective randomized intervention study and 19 persons with impingement symptoms (mean ± standard deviation; 58 ± 18 years, and shoulder pain duration 3.9 ± 1.6 months) were randomized into two groups. The groups were tested before, directly after and 3 weeks after treatment.

Studies show that 10-15 percent of Sweden's population, 65 years or older are estimated to have depression or depression symptoms. The symptoms of depression among elderly people are less than symptoms of young people. This could cause that elderly people with depression are not always discovered. Studies show that elderly people who live in residential homes show more signs of depression than elderly people living at home. If elderly people live in a supporting environment, can it prevent that a depression developed.The prevention of depression among elderly people is a topic that is not discussed among previously research.

Syftet med denna studie var att jämföra tandläkarstudenters reella resultat på en Objective Structured Clinical Examination (OSCE) med deras egenskattade resultat. Dessa resultat jämfördes sedan med avseende på genus. Ett flertal studier finns publicerade där man har beskrivit skillnader i självvärdering mellan kvinnor och män på teoretiska examinationer. Dock saknas kunskap där man granskar dessa skillnader vid examination av kliniska moment. Vid teoretiska prov har man funnit att män har en tendens att värdera sina prestationer högre än vad kvinnor gör.

Background: Quality of life is a concept of individual meaning which is perceived differently depending on the person experiencing it. To have a chronic disease in the lung, such as asthma, has an effect on the quality of life. Asthma affects people of all ages. It is a disease that causes a constriction in the patients? airways which leads to a feeling of suffocation which in turn produces a feeling of anxiety.Aim: The purpose is to illuminate which factors affect the quality of life in adult patients with asthma.Method: This is a literary review based on ten articles, both quantitative and qualitative, from four different continents.

Background: Inflammatory bowel disease (IBD) is an umbrella term for ulcerative colitis and Crohn's disease. These are characterized by a chronic inflammation of the intestinal mucosa. Living with chronic illness meant that life changed significantly. Quality of life was affected for these individuals and was stressful in their lives. Aim: The aim was to describe the experiences of living with inflammatory bowel disease. Method: A qualitative literature review was chosen to analyze articles that were related to the aim of this study. Results: Based on the chosen articles five themes were created; Commuting between hope and fear, symptoms of the disease and medication become everyday focus, struggling with  the new identity, desire to control the disease- do I control my illness or does it control me and social relationships are affected. Conclusion: Inflammatory bowel disease is a distressing disease and can cause limitations in social life due to lack of knowledge by others about the disease. The affected felt a loss of control in their life due to the difficulty in managing the symptoms.

Background: Corporal punishment has been banned in Sweden since 1979. Child abuse is known to exist in all cultures and social classes in our society. Therefore the nurse must be aware of this working with children.Aim: The aim of this study was to describe how nurses' can identify signs and symptoms of child abuse.Method: A literature review of ten articles containing six quantitative and four qualitative studies published between the years of 2000 and 2012. A content analysis was performed where similarities emerged in themes and subthemes.Results: The findings were signs and symptoms which concerns physical, psychological and social behaviors seen in child abuse. Additional findings were; an insecurity and lack of knowledge among nurses working with children.

The purpose of this essay is to raise and discuss children?s problems with concentration in two areas, stress and Adhd, where the symptoms are similar to each other. During recent years I have experienced how "difficult" children increasingly have been diagnosed and "stamped" with various combinations of letters. Because of my own children?s diagnoses, this has raised my interest in studying children´s modes of expression and behavior, and I have come to question whether many children who receive a diagnosis of Adhd really are afflicted by it.

Introduction: Breast pain, mastalgia, is a common problem for many women. The pain can cause so much concern that the woman seeks help in health care. The cause of concern is often that that the pain may be due to breast cancer. Women with mastalgia are referred for mammography to investigate the cause of the pain. Experience says that the mammography is mostly normal.Aim: The aim of the study was to get an overall picture of the results of the mammograms performed on Mammography SU / Sahlgrenska in 2011.

The aim of this study was to describe how adolescents experiences their quality of life, and tocompare if there are any differences in how they experiences their QOL depending on wherethey live, big town or smaller town. The aim was also to examine how adolescentsexperienced their schooling. The study is empirically, quantitative with a descriptive andcomparative design. To measure quality of life a tried and tested instrument ? LifeSatisfaction Questionnaire (LSQ) was used.

Background: Sleeping is a condition that is necessary for all people because the body isgiven time to recover. Studies have shown that patients found it difficult to sleep during thehospital stay and it turned out to be several factors that disturbed the sleep during the night.The nurse should note the patient?s need for sleep and take into account environmental andother sleep disturbances to be able to implement nursing interventions. Purpose: The purposeof this study was to elucidate the factors that interfere with patient?s sleep duringhospitalization and nursing care to promote the patient?s ability to sleep.

To support, enhance and, in the future, develop the activity within the county councils in Sweden, IT support systems are currently used to a large extent. The need to document is central to the health care organizations and the counties have come a long way in the introduction of electronic patient record systems (EPR). The aim of the EPR systems is to support the care processes and the clinical professions in their work.This is a master thesis in the area of human-computer interaction (HCI), Department of Information Technology at Uppsala University. The aim of the thesis was to describe and compare the five most common EPR systems in Sweden. The comparison will focus on some usability aspects and on how well they support the users in their clinical practice.

The analysis of acute phase protein serum amyloid A (SAA) has recently been brought into clinical use in veterinary medicine. Some of the difficulties with incorporating the SAA method in clinical practice have been the expensive and rather large equipment required for the method. Due to these difficulties only larger clinics can afford to use the SAA analysis.The company Equinostic has recently developed a smaller instrument that costs one-tenth of a larger instrument. The instrument is named EVA1 and has so far only been used to analyze SAA in horses.The aim of this study was to investigate if the EVA1 instrument could be used to analyze SAA in cats. This study included 24 serum samples from cat, which were first analyzed twice on the EVA1 instrument and then sent to the Strömsholm Referral Animal Hospital in Sweden where they reanalyzed the samples using a validated reference method.