Background:Chronic heart failure (CHF) is a complex clinical condition. The higher survival rate after heart attack and other heart diseases, plus aging population, has led to more CHF patients. Symptoms can have negative impact on exercise capacity, ability to perform activities of daily living and quality of life. Heart failure clinics have been established to help better quality of life. Helping to stabilize and maintain patients´ health can reduce the need of hospital admission.

Background: The prevalence of dementia increases both in Sweden and in the rest of the world. People with dementia often display some types of behavioral and psychological symptoms. These symptoms include, among other things, aggressiveness, inactivity, activity disturbance, anxiety, hallucinations and depression. The symptoms can create a negative impact of those with dementia, their caregivers and their next of kin. Aim: To describe the effect of non-pharmacological treatments have on the behavioral and psychological symptoms of people with dementia.

Abstract- Stress, conformity, groups and self-worth in high-school girlsThe aim of this questionnaire-survey was to investigate the experience of stress and symptomsof stress in high-school girls, and to examine if the experienced symptoms of stress could bepredicted by groups, self-worth and conformity. Another purpose of this study was to describethe girls own thoughts concerning these factors. 80 girls between the ages of 15-18 yearsanswered the questionnaire. The results showed that stress could be predicted by theexperience of conformity, but not by the experience of belonging to a group and self-worth.The most common symptoms of stress were tiredness, problems to concentrate and headache.The girls reported that they thought that girls of their own age were ?slutty and cocky?, andthey thought that it was important to look good, but at the same time many girls were happyabout themselves and they had realised that they had to live with who they are.Keywords: high-scool girls, stress, groups, self-worth, conformity.

The purpose of this study was to examine the impact of the parent training The Incredible Years in clinical settings. The study included 33 families in clinical practice. There were two parts to the study; a main part with a before and after measurement, and a follow-up study on 12 children one year later. On baseline the children (3-9 years) as a group were on the borderline clinical range, (M = 61.8), with 70 % of the children in the borderline or clinical range. The childrens emotional and behavioral problems were measured with Child Behavior Checklist (CBCL).

Background: The prevalence of dementia increases both in Sweden and in the rest of the world. People with dementia often display some types of behavioral and psychological symptoms. These symptoms include, among other things, aggressiveness, inactivity, activity disturbance, anxiety, hallucinations and depression. The symptoms can create a negative impact of those with dementia, their caregivers and their next of kin. Aim: To describe the effect of non-pharmacological treatments have on the behavioral and psychological symptoms of people with dementia.

Objective: The aim of this study was to study the prevalence of depression among patients with arrhythmia, and to investigate if there was any gender difference in the study population regarding depression. Furthermore, differences considering depressive symptoms between patients with arrhythmia and the general population were to be investigated. Method: The self-rating scale MADRS-S was distributed during two weeks to 24 patients with arrhythmia. Twenty-one patients completed the study. Results: 28.5 % of the participants showed symptoms of some level of depression.

The purpose of this study was to examine psychosomaticsymptomsissuesamongst children and adolescents between the ages of 0-18 years and to clarify the underlying factors.Method: Literature study based on 10 scientific articles.Results: Psychosomatic issues amongst children and adolescents, due to stress, were common in Europe and Scandinavia. The symptoms varied between gender and age. The underlying factors were mainly school environmental issues, home conditions, socio-economic situations and disputes with teachers and peers. The symptoms varied from headache, gastro intestinal problems and insomnia to eating disorders, depression and pounding heart.               Conclusion: The future of children?s psychosomatic health depends on interventions on all levels of society since they are affected by everything from school environment and home conditions to unemployment and recession..

This literature review summarizes available data on infection with the parasitic roundworm, Ascaridia galli, as a cause of disease in poultry, including the consequences of a conversion to alternative production systems. Ascaridia galli has a direct life cycle with resistant eggs that survive and are easily spread in the environment, especially in systems with bedding materials where the faecal contact is high. The infection is usually subclinical but depending on the infection dose, the symptoms range from weight loss and diarrhea to mortality. Factors such as the feed composition and genetic variation among different hybrids clearly affect the establishment rate of the infection. Ascaridia galli will probably become an increasing problem, with a shift from the traditional battery cages to alternative systems where the risk of re-infection is high.

Sahlgrenska Academy at University of GothenburgDepartment of Internal Medicine and Clinical NutritionABSTRACTTitle: The connection between IBS and FODMAPsAuthor: Helena Hautamäki and Rebecka BertilssonSupervisor: Sofia KlingbergExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 2013-04-10Background: IBS (Irritable Bowel Syndrome) is a functional gastrointestinal disorder, and is acommon disorder in the western population. The predominant symptoms are diarrhoea,abdominal pain, bloating, constipation, and excessive flatus. Today there are no evidence basedrecommendations concerning dietary factors for patients diagnosed with IBS, but recently certainfactors in the diet that seems to trigger the symptoms have been identified. These factors areshort-chain carbohydrates, Fermentable Oligosaccharides, Disaccharides, Monosaccharides, andPolyols (FODMAPS), which are not completely absorbed in the lumen.Objective: The purpose of this systematic review article is to examine whether there are anyevidence that a diet low in FODMAPs may induce improvement of symptoms in patientsdiagnosed with IBS.Search strategy: The literature search was performed in the databases PubMed, Scopus,Summon and Google Scholar. The keywords were ?Irritable bowel syndrome + FODMAPs?,?Irritable bowel syndrome + diet? and ?FODMAP and diet?.Selection criteria: The inclusion criteria were patients diagnosed with IBS between the ages 18and 69.

This thesis investigates clinical nurses? information seekingand information use through semi-structured interviews withsix nurse practitioners, nurses with further education.Previous research shows that nurses have problemsimplementing evidence-searching at the clinic because oforganization, stress and heritage of an old practice that doesnot incorporate the academic education.The theoretical framework consists of T.D. Wilson?sinformation seeking behavior model and R.H. Orr?s model ofinformation needs.

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.

The aim of the study was to illustrate how music therapy can be used in the care of patients with schizophrenia and other psychotic illness.The method used was a literature review. Scientific articles were searched in PubMed, Cinahl, PsycINFO och Scopus databases with an outcome of ten articles, with in total 330 participants, that underwent quality and outcomes analysis.The results showed that music therapy could provide potential improvement in the patients' social functions and that it could also improve negative, some positive and general schizophrenia and psychotic symptoms in some patients. The form of music therapy used was often creative music activities with music therapist, with or without structure, or individually customized. The length of treatment varied widely. It was not possible to draw conclusions about which type of music therapy was best.

Seventy-two working horses (they had been ridden with bit and bridle within the last two weeks) were examined in the oral cavity. Findings and status were noted. The horses were randomly chosen among individuals without Clinical symptoms from the mouth and gastrointestinal system. The result showed that 93% of the horses had changes in the mucus membranes, 86% in the form of ulcerations. The P2 region was most commonly affected followed by wounds more caudally in the mouth (P3-M3 region).

Posttraumatic Stress Disorder (PTSD) is an anxiety disorder resulting from exposure to a traumatic event. The purpose of this study was to examine the exposure to Potentially Traumatic Events (PTE) and the prevalence of PTSD among students at the University of Lund. Sexdifferences among these variables were also examined. Using surveys as research method, 380 students from five different faculties participated. The results indicated that these students have been more exposed to PTE than the general Swedish population.

The aetiology of osteochondrosis (OC) is known to be complex and multifactorial. The occurrence of bone fragments in joints and their connection to osteochondral disease are no exception. In the hock and stifle joint of the horse this type of lesion has generally been considered to be of osteochondral origin, while the process behind these fragments in the fetlock joint has been up for discussion. The objective of this study was to determine the frequency and the localisation of OC in Swedish warmblooded horses. In order to do so all radiographs of stifle, hock and fetlock joints performed on Swedish warmblooded horses during the period of 1992-1999 at Regiondjursjukhuset in Helsingborg were examined and the material was divided into two groups.