Sahlgrenska Academy at University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: The effect of a high versus low carbohydrate intake on endurance performanceAuthor: Emma Andersson and Josefine DahlqvistSupervisor: Fredrik BertzExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 22, 2013BackgroundCarbohydrates play a significant role in the human metabolism, especially during training. Manystudies have investigated the effects on different carbohydrate intakes on training performance. Thescientific researchers have met a consensus in the fact that a higher intake of carbohydratescompared to a lower carbohydrate intake improves athletic performance. Lately, the increasedinterest in low carbohydrate diets has despite these recommendations gained followers globally.ObjectiveTo determine if a higher carbohydrate intake results in a better endurance performance, comparedto a lower carbohydrate intake, for adult males and females, measured as time to exhaustion, totaldistance covered and power output/cadence. To be able to give nutrition recommendations toendurance athletes based on the current scientific evidence and identify if there is need for furtherresearch in this area.Search strategyThe databases used for the literature search were PubMed and Scopus.

SAMMANFATTNINGÅr 2013 drabbades drygt 55 000 personer i Sverige av cancer. Behandling av cancer görs med kirurgi, strålbehandling, cytostatikabehandling, hormonbehandling och målsökande behandlingar. För att kunna utvärdera och utveckla de olika behandlingarna behövs kliniska studier. Innan en patient ingår i en klinisk studie krävs ett informerat samtycke som skrivs på av den ansvarige prövaren och patienten.Alla patienter har rätt till information och delaktighet avseende den egna vården och behandling. Det är därför viktigt att genom individuellt anpassad information förmedla kunskap, förståelse och insikt om hälsotillstånd, diagnos och metoder för undersökning och behandling.

SAMMANFATTNINGÅr 2013 drabbades drygt 55 000 personer i Sverige av cancer. Behandling av cancer görs med kirurgi, strålbehandling, cytostatikabehandling, hormonbehandling och målsökande behandlingar. För att kunna utvärdera och utveckla de olika behandlingarna behövs kliniska studier. Innan en patient ingår i en klinisk studie krävs ett informerat samtycke som skrivs på av den ansvarige prövaren och patienten.Alla patienter har rätt till information och delaktighet avseende den egna vården och behandling. Det är därför viktigt att genom individuellt anpassad information förmedla kunskap, förståelse och insikt om hälsotillstånd, diagnos och metoder för undersökning och behandling.

Chlamydophila psittaci is a common cause of diseases in parrots ranging from being less serious to more serious. It is also a zoonotic disease which poses serious health problems to humans. The disease is highly under diagnosed. The symptoms in birds are nonspecific and may be indicative of many different diseases which make it harder to diagnose and treat. The purpose of this study was to investigate the prevalence of C.

The telenursing service deals with offering the public guidance as what to do with their health and illness concern. More specifically this service includes triage, support, advice, education, referral, information and coordination. To conduct telephone advice is a complicated task to perform and put specific demands of the nurse?s communication skills.The purpose of this study was to critically review the impact of telephone counseling focused on context of implementation, perspective, design and clinical relevance by a sample of studies within the field.The critical review focused on inconsistencies in the material. Strengths and weaknesses of the studies were explored, with emphasis on detecting areas of skill gaps.Twelve of thirteen studies were made in the context of telenursing.

African Swine Fever (ASF) is one of the most serious transboundary swine diseases because of its high lethality for pigs, socioeconomic consequences, rapid and international spread and the absence of either treatment or vaccine. This Sida Minor Field Study (MFS) was carried out during fall 2010, as part of a larger collaborative research project called ASFUganda, focusing on the epidemiology of the disease in Uganda. The aim with this study was to get more knowledge about the pathology in cases of ASF in Uganda, by studying macroscopic and microscopic lesions in pigs with acute and chronic ASF and to detect the ASF virus (ASFV) in tissues by immunohistochemistry. The pigs were selected from the two different geographical locations in Uganda, Mityana and Gulu district, both with on going confirmed outbreaks of ASF. Necropsies were performed in the field, and the laboratory procedures at the JICA (Japan International Cooperation Agency) Veterinary Pathology Laboratory, Entebbe, Uganda, and at the Department of BVF, SLU, Uppsala, Sweden. Three pigs from an outbreak of ASF in Mityana district showed both the history and the clinical symptoms typical for ASF.

The Northern Raccoon (Procyon lotor) belongs to the Carnivore-family and is a species endemic to North America. Every year hundreds of orphaned raccoon cubs are admitted into the Wildlife Rehabilitation Center of Minnesota (WRCM), a non-profit organization where all injured or orphaned wild animals are admitted and receive quality health care with the goal of being released out into the wild. The WRCM routinely vaccinate all of the admitted raccoon cubs with a killed feline panleucopenia vaccine, but despite this there are outbreaks of parvovirus infection every year where up to 50% of the admitted cubs have been euthanized or died. The objective of this study was to determine whether vaccinating the admitted raccoon kits has any significant protective effect to developing clinical parvoviral disease. A single-blinded cohort study was designed with two parallel, independent groups. One group was given a dose of killed feline parvovirus vaccine at admission, and the other group was not given any vaccination at all. Assignment to the vaccinated or unvaccinated group was on a per-litter basis and done randomly by drawing lots out of a box.

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.

Uppsatsens syfte var att beskriva hur arbetsterapeuter resonerar kliniskt vid bedömning av arbetsförmåga hos personer med neuropsykiatriska funktionsnedsättningar. För denna studie användes en kvalitativ ansats. Semistrukturerade intervjuer genomfördes med fem arbetsterapeuter som jobbar mot arbetsmarknaden. Frågeområdena inspirerades av clinical reasoning ?three track mind? där procedural, interactive och conditional reasoning utgör de tre olika tankemönstren.Resultatet redovisades i fyra kategorier och ett övergripande tema som beskriver arbetsterapeuternas kliniska resonemang: Att forma en frågeställning, Att välja bedömningsmetod, Att utforma en slutrapport och Yrkeskompetens.

This bachelor thesis is intended to gather the knowledge and experimental data on the winter wheat crop production relevant for Swedish conditions, with focus on sowing time, row spacing and seed rate. This essay is a literature study with a minor component based on interviews with farmers producing winter wheat. The work is divided into a background part where basic knowledge of winter wheat physiology, development and environment interactions are described and one part where results of field trials studies are presented. Optimal date of sowing winter wheat depends on annual weather variations. Because it is difficult to forecast the weather the choice of sowing date should be based on weather statistics, production experience and previous results depending on sowing date.

The aim of this study was to learn how students in specialist nurse education with direction towards nurse anaesthetist experienced tutorial given during their specialist placement.  The chosen method of the study was qualitative interview with phenomenological approach. Twelve nurse anaesthetist students were interviewed about their experiences during their placement at operation wards. The interviews were transcribed and analyzed according to Giorgios (1985) analyze method. The result showed that the students considered that a well functioned tutorial was essential for a successful clinic placement. The tutorial considered as satisfactory if the student and the tutor managed to have good communication and a good relation with each other.

Sahlgrenska Academy at University of GothenburgDepartment of Internal Medicine and Clinical NutritionTitle: ?What nutrition therapy has the best outcome on growth in preterm children and/or children born with low birth weight??Author: Josefine Nyström and Rebecca HammarSupervisor: Fredrik BertzExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: April 11, 2013Background: There is a number of reasons why a child is born preterm and with a low birth weight, for instance if the mother is underweight, smoking or exposed for malaria. The negative consequences of being born preterm or with a low birth weigth are many, both on long and short term. According to the WHO preterm birth is the most common direct cause of infant mortality. By providing the right measures in time when it comes to nutrition the mortality can be reduced considerably.Objective: To examine and summarise the scientific ground when it comes to the best nutrition therapy for preterm children and children born with a low birth weight.Search strategy: A systematic literature search was done in the databases Pubmed, Cohrane and Scopus.

In the year of 2001 the largest known cartel in Swedish history wasexposed to the public and brought to justice. Eight years later, afterseveral trials, the so-called Asphalt Cartel was finally found guilty bythe Swedish Market Court for having been cooperating illegally anddistorting prices.The overall purpose of this paper is to study how the cartel wasmanaged in order to be sustained over time. By applying actornetworktheory I examine what kind of heterogeneous materials thatwere combined for purpose of creating the cartel and how in practicethey were held together.In order to understand how the cartel was sustained I also include ananalysis on why it suddenly fell apart in 2001. However, my studyshows that through the years the cartel repeatedly experiencedcrisis, and therefore constantly fell apart and was recreated throughprocesses of negotiation..

Syfte: Syftet med f?ljande systematiska litteratur?versikt var att unders?ka det vetenskapliga underlaget av effekten p? energiintaget vid lunch efter ett intag av havregrynsgr?t till frukost j?mf?rt med annan frukost. Metod: Litteraturs?kningen genomf?rdes i databaserna PubMed och Scopus den 20 mars 2023. S?kningen utgick fr?n tre block utifr?n intervention, utfall och studiedesign. De inkluderade studierna skulle innefatta en population av individer ?18 ?r, en intervention av frukost i form av havregrynsgr?t samt en kontroll som bestod av ?vrig frukost.

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.