Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: BCAA supplementation in patients undergoing resection for liver cancerAuthor: Mikael Semaan and Viktor SjölingSupervisor: Fredrik BertzExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: April 10, 2013BackgroundLiver cancer is the fifth most common cancer worldwide and the third largest to cause death. Protein-energy malnutrition is common in patients with liver disease and they often suffer from changes in the hepatic metabolism of nutrients and other substances. There is a basis for recommending BCAA supplementation in other certain liver diseases. Given the similar clinical picture of liver cancer surgery, it is possible that supplementation of BCAA can be beneficial for these patients as well.ObjectiveThe aim was to study the scientific basis for the effect of branched chain amino acid (BCAA) supplementation in liver cancer patients. Can it improve their recovery in terms of nutritional status and albumin levels, and does it changes the duration of hospital stay, after surgery?Search strategyFive extensive searches were performed on PubMed and Cochrane after appropriate study material.

This Bachelor paper deals with skeletal diseases like osteoporosis and osteoarthritis. 24 medieval individuals from the block Banken 1 in Visby, Gotland were chosen for an osteological analysis. Osteoporosis affects the bone with low bone mineral density and can lead to possible fractures and Osteoarthritis is a degenerative joint disease. A DEXA reading was done at Dr. Roland Alvarssons Doctorial practice in Visby and the results from the DEXA reading showed that none of the individuals suffered from osteoporosis, but one suffered from osteopenia.

Sveriges kulturhistoriska bebyggelse bär viktiga historiska spår och har varit en starktbidragande faktor till samhällets utveckling. Dessa byggnader utgör konkretahistorieberättare som åskådliggör hur samhället har förändrats med tiden. Bevarandet avhistoriska byggnader av detta slag, är därför mycket viktigt för att dessa värden inte skallgå förlorade. Respektive kommun har i detaljplanen möjlighet att skydda bevarandevärdbebyggelse genom att skapa varsamhets- och skyddsbestämmelser för de fastigheter ochområden som anses vara värdefulla ur ett kulturhistoriskt perspektiv. De flesta av dessabyggnader tillhör dock äldre byggnadsbestånd och kräver därför regelbundet underhållsochrenoveringsarbete för att överleva och uppfylla dagens krav på såväl energieffektivitetsom intern komfort.

In the thesis we have shown that it is possible with current technology, to buildneighborhoods that are largely self-sufficient. We have obtained some information aboutongoing work in the field of energy efficient buildings and active house which we have usedto develop a model. The feasibility study for Ranagård we have e.g been forced tofollow laws on groundwater covered, resulting in the construction of basements for singlefamilyhome is not possible. The model that we have built up overtime has been the central part of the work. The model illustrates very well what an activehouse neighborhood means and potential of such an area.

This essay concerns the interpretation of house plans in three-aisled longhouses and hall-buildings, in Scandinavia during Iron Age. Full scale house reconstructions need a better basis of interpretations to understand the patterns of roof supporting post holes in excavated house plans. This has led to the thesis, presented here, that the layout of house plans during Iron Age is based on geometrical proportions. In order to prove this, geometric house plans were applied and compared with excavated house plans in 11different case studies, including the fortification of Fyrkat Denmark. It was found that all house plans in the case studies indicate, that the geometrical proportions 1:2, 1:3 and 2:3 of a given circle must have been used for the basic layout of the roof supporting post holes, using a compass and a straightedge.

This text answers the questions how do we define what a campus is, how the concept of the campus came to exist and how it is used today, and how the Blekinge Institute of Technology (BTH) campus can be designed according to site conditions and the conclusions drawn from case studies at Chalmers University of Technology and Karlstad University. The purpose of the case studies is to gain insight into their campuses advantages and disadvantages. This finally results in an interpretation of how the Blekinge Institute of Technology campus can be planned. A campus is the area of land on which a college or university and its surrounding buildings resides on. Campus as a concept meant a field at first, it later evolved at American universities due to their design of college campuses.

Att möta och stödja närstående till svårt sjuka patienter är en av sjuksköterskans många uppgifter. Författarparet har genomfört en empirisk kvalitativ intervjustudie om hur närstående uppfattar att de blivit bemötta inom kirurgisk verksamhet. Semistrukturerade intervjuer genomfördes med fem stycken deltagare vars anhöriga vårdas eller vårdats för malign sjukdom i övre mag- tarm kanalen inom kirurgisk verksamhet. Syftet med studien var att få ökad kunskap i hur närstående uppfattar bemötandet. Vidare var syftet att ta reda på hur anhöriga önskar bli bemötta.

To be examined in hospitals can sometimes be perceived aspainful by children. Therefore there is a need for something,which can distract children?s attention from their perceivedpain. During my graduation project, I discovered a designopportunity to work with suspended ceiling systems inexamination rooms, as there is not much to look at whilebeing examined.The result, Twig Ceiling is an interactive nature-inspiredbacklit module with colored LEDs. Twig Ceiling has onelayer of pattern that is visible when the module is not litand the second layer of pattern appears when turning onthe light.

A pilot study conducted on four patients, which we received from the Sahlgrenska University Hospital, who were all potential candidates for a cochlear implant. We fitted our test subjects with a pair of frequency compressing hearing aids called Phonak Naida V SP during the study and let them evaluate them for about seven weeks. Measurements made with monosyllabic words throughout the study showed significant differences in speech perception (p?0.05) compared to their regular hearing aids in 3 out of 4 cases. De-activation of the frequency transposed function showed significant decreases in 3 out of 4 cases compared to when it was activated.All test subjects were satisfied with the new hearing aids and chose to keep using them at the end of the study..

Cancer is one of the most common diseases and it affects not only adults but also many adolecents and children every year. Those who are affected of disease face many challenges that will affect their lives. The aim of this literature review was to illuminate adolecents experience of cancer and how it affects them in their daily living. The result showed that the adolecents experience many physical and mental side-effects from disease and treatment. They expressed the need of information, support and understanding from their families, friends, school and care givers.

Cancer is one of the most common diseases and it affects not only adults but also many adolecents and children every year. Those who are affected of disease face many challenges that will affect their lives. The aim of this literature review was to illuminate adolecents experience of cancer and how it affects them in their daily living. The result showed that the adolecents experience many physical and mental side-effects from disease and treatment. They expressed the need of information, support and understanding from their families, friends, school and care givers.

Churches are seen as one of Sweden's most valuable cultural heritage. They bear witness to a living tradition and gives us knowledge of society at large and therefore people's lives at different times. These buildings possesses a high value, which is shared by the vast majority, and they are protected by law. The concept of modern churches is in this essay the churches built after 1940, which is not covered by law. The older churches has therefore a cultural and historical value which the modern churches lack.About 600 churches are built after the year of 1940 and the total number of churches in the country is 3400.

At the farm Fride, in Lojsta at the Southern part of Gotland, my family runs a pig production with 80 part-integrated sows in a ?Familybox-system?. The main parts of the facilities are from the early 90´s and have done their job. The production results have the last years decreased because of new infections so we have to do something before shifting ownership! This degree thesis is meant to answer the question about which the optimal extension would be today. By studying literature, use my own experience and make lots of calculations, I try to find out different opportunities.

Stenebergs sockerbruk is a large log-timber construction, purpose built as a sugar refinery in 1739 and is one of Sweden's oldest industrial buildings constructed entirely out of wood. Despite receiving the status of a listed building (in Swedish: Byggnadsminne) in 1977, there exists today a surprisingly low amount of documentation of the building itself. In order to enhance the existing and lacking building documentation, this case study aims to shed light on the building's log-timber built frame, focusing on how it was constructed, how the long lengths of its walls were handled and what type of joinery and tools were used. A thorough investigation of the building is conducted on site, followed by gathering of information which is then presented through text and illustrations. The findings indicate the orientation of timbers, location of joints and scarfs as well as tool marks which together contribute to the forming of a basis of understanding of the building's construction..

The purpose of this master thesis is to attract attention to the undefined spaces of our urban landscape and emphasize the need of these spaces in the city. The different values of these spaces are here clearly presented so that they can be considered when real estate developers show a particular interest in any one of these undefined spaces. The term undefinied spaces can mean a lot of things. The spaces that I now choose to define as undefined spaces are neither planned nor designed. It could for instance be a piece of leftover land in between two residential areas, or as times change, a formerly planned area might be forgotten and left to its own.