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.

Between 1965 and 1975 a major housing project was carried out in Sweden to resolve a major housing crisis, the so-called one million housing program (Swedish: miljonprogrammet). To raise the standards and create a more attractive housing in these areas is currently a very relevant topic in Sweden.Evidence-based design is the process of basing decisions of the built environment on credible research and studies to achieve the best possible outcome. This method is primarily used in the healthcare sector to improve quality of care and reduce costs by creating healthy environments.The possibility of refurbish apartment buildings from miljonprogrammet using evidence-based design has been studied by means of an extensive literature review and a closer examination of the residential area, Husby in Stockholm, which has been chosen to represent the miljonprogrammet in its entirety. Furthermore, the evidence-based research has been limited to seven fields; nature, noise, color, wayfinding, safe environment, daylight and thermal comfort which has been assessed to be applicable on housing. In order to obtain a comprehensive overview of the different fields, four different subjects were chosen to investigate further within each field; research and studies, laws and regulations, constructional aspect and Husby.

Uppsats för avläggande av filosofie kandidatexamen i Kulturvård, Trädgårdens hantverk och design, 15 hp, 2015..

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.

This study presents some teachers' views on whether today's school is a school for everybody or not. It has also looked into what special resources that are put in for children in special needs. The purpose of this study is to find out some teachers' views and thoughts on the concept of "an Education for everybody" and how these teachers said they worked with children in special needs. After taking part of and processed recent research results and literature, I chose to examine this through qualitative interviews. I interviewed three teachers, one primary school teacher, one special education teacher and one preschool teacher.The conclusions were that the concept of education could be understood in different ways.

A well-planned grave with a sustainable selection of plants facilitates easy maintenance for both staff and the holder of the right of burial. It also helps reduce the negative impact on the environment.As in many other areas, the environment is high on the agenda within the cemetery administration. One of the major concerns is the impact of the choice of plants for the grave. Within the industry there is a great motivation and willingness to adapt to a sustainable work mode and this has spawned a number of project works. In autumn 2009 the partnership project, ?Environmental aspects of planning and maintaining graves?, was started in Movium (at The Swedish University of Agricultural Sciences).

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.

Smoking is a health problem with a negative impact on virtually all body organs. Smoking can cause, for example, lung cancer, cancers in other organs and cardiovascular disease. There is also a social aspect of smoking. If individuals have many smokers in their environment, the risk to start smoking is increased, and for those who already smoke the chance of quitting will be less. Many municipalities today face smoke-free working to reduce smoking and passive smoking adverse effects.

The purpose of this investigation was to investigate how being outdoors and participating in physical activities affect the concentration in a collection situation among children.The methods I chose were observation of two groups of children two times each and interviews with four educators.The results showed that the concentration in the collected situation depends on past activity, where it has taken place and that the environment has an impact. If the previous activity been more active and physical the subsequent collected situation is calmer and the children more concentrate. The facts that the children have been outside in an inspiring environment that encourage playing and movement also have a position impact on the child´s ability to concentrate. The collected situation is an important moment in the preschool day when the kids need to congregate and get a chance for social interaction and a sense of togetherness with all the children and teachers. The conclusion is that there is a relationship between movement, physical activity and an increased concentration.

The purpose of this study is to examine if digital public libraries are serendipitous environments. Serendipity in this instance is defined as finding something unexpected and valuable, while searching for something else.A survey was conducted at two Swedish digital public libraries, where the patrons were asked to fill in a questionnaire online. The questions were based on the work on serendipitous digital environments by Lori McCay-Peet, as well as considerations of human factors that could possibly influence serendipity.The result indicate that a majority of patrons experience serendipity at the digital library, although it?s still more common to do so at the physical library or on other web sites. The result also confirms the importance of taking human factors into account when studying serendipity.

The physical environment is constructed of materials. The materiality of different places contributes to how places can be distinguished and the material can contribute to the construction of place identity. For architects with different orientations the material is one of the principal means by which they can express their idea. The material remains when the design process is finished and instead the material becomes a precondition for how people will perceive and deal with the place. The literature study of the essay examines how the concept of place and materiality is dealt with in different disciplines and how these descriptions are linked to the concept of place identity.

Bacillus anthracis is the causative agent of anthrax, a serious and globally distributed zoonosis affecting a wide range of wild and domestic animals, invariably also humans. However, although known to humans since biblical times, much remains to be elucidated concerning the ecology and transmission of this bacterium. Of particular interest is the Bacillus anthracis spore, the uptake of which is the predominant way to contract anthrax and which is legendary for its resilience in the environment and thus crucial for persistence and spread of the disease. Hence, the aim of this study is to review the natural transmission of Bacillus anthracis and investigate potential means by which soil persisting Bacillus anthracis spores reach concentrations sufficient to infect susceptible hosts. When reviewing the literature, three different theories can be distinguished. Firstly, ?the incubator area? hypothesis suggests that favourable soil factors, possibly in association with amoebas, may constitute an environment supporting repeated spore-bacterium-spore cycling, thus increasing the local amount of spores.

The workplace has a direct impact on the physical, psychological, economic and social well-being of the workers. A healthy workplace leads to increased health among the employees which also makes the employees more productive (Källestål, 2004). A poor working environment can have negative consequences for individuals, companies and society (SOU, 2009:47).This is a qualitative study that investigates companies? view of health promotion and how they practice health promotion in working life. Five private and five public companies, with representatives from the management were interviewed.

The aim of this thesis was to answer a number of questions about the environmental consequences of aircraft de-icing. A further aim was to suggest how the environmental consequences due to the release of de-icing fluids can be measured and reduced.The main impact of the aircraft de-icing on the environment is due to the large oxygen demand for the degradation of glycol based de-icing fluids which are released in the environment. The effect of the increase in oxygen demand depends on where the degradation occurs in the ecosystem. In a sensitive ecosystem, the large demand of oxygen could provide an anaerobic environment which would be harmful for many types of organisms.In order to reduce the negative effects of the applied de-icing fluid, there is some type of collection system at every regular airport in Sweden. The methods of collection can be divided into two general groups, hydrological isolation or vacuum sweeper trucks.

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.