SammanfattningBakgrund: Deep brain stimulation (DBS) i nucleus ventralis intermedius i thalamus (VIM) eller caudala zona incerta (cZi) ger goda effekter på tremorsymptomen för patienter med essentiell tremor. Patienterna som behandlats med DBS kan få bieffekter som i vissa fall leder till talpåverkan, så kallad stimuleringsinducerad dysartri. Huruvida det finns risk för bieffekter som drabbar röstens funktion hos patienter med essentiell tremor saknas studier kring men man vet att grundsjukdomen kan påverka rösten akustiskt samt att vissa patienter utvecklar rösttremor. Att drabbas av en bieffekt efter DBS kan ha en inverkan på hur patienten subjektivt upplever resultatet av behandlingen.   Mål: Att undersöka om patienter med essentiell tremor som genomgått DBS subjektivt upplever någon form av röst- eller talbesvär jämfört med en frisk, ålders- och könsmatchad kontrollgrupp. Metod: I studien deltog sammanlagt 42 deltagare varav 21 tillhörde en patientgrupp med essentiell tremor som genomgått DBS i cZi och de övriga 21 tillhörde en frisk, ålders- och könsmatchad kontrollgrupp. Deltagarna i de båda grupperna fick fylla i två formulär, RHI som berör röstens funktion och SOFT som berör talets funktion.

In 1936 a governmental breeding project was started with aim on military use. The police later came to use dogs from this project as well. In order to utilize dogs that could fit for other purposes training and education of dogs for search of different substances and of guide dogs for blind persons was performed. A political decision to privatize the whole dog programme was taken in 1992. During most part of the time one had serious economical issues since too few of the dogs that were bred could be considered to fulfil the basic demands for service. To satisfy the need of service dogs private bred dogs were bought as well.

Working as a veterinary nurse includes advising animal owners, helping them to make discisions through well-based facts and experience. Preemptive spaying of the healthy bitch brings many advantages and disadvantages. It leads to cessation of gonadal hormone production, and how the exact extent the surgery affects the dog is not yet fully understood. The sex hormones mainly control the reproductive system, but receptors of these hormones are found in many tissues of the body, and have complex relationships with other hormone systems. Spaying decreases the metabolism although the bitch gets an increased appetite, which enhance the risk of obesity, unless the owner restricts food intake.

This study was conducted at the University of Bath, UK, from September to December 2014 as part of an ongoing research project aimed at elucidating how the Grb10 gene might act as a mediator of long-term health effects (such as predisposition to obesity, diabetes, coronary heart disease and hypertension) caused by environmental factors during development. This phenomenon is known as developmental programming. The purpose of this thesis was not primarily to answer any of the broader questions posed by this research project at large since this would require much more data than is reasonable to acquire over the course of a few months, but rather to evaluate the methods used in this project and reveal whether they are working the way they are presumed to. In the research project, which employs mice with the Grb10 gene knocked out as well as wild-type control mice, a dietary restriction model is utilized during gestation, which is supposed to generate offspring with lower birth weight and subsequent detrimental health effects in adulthood. This is supposed to be achieved by restricting the protein content of the pregnant mothers? diet to 9 % (as opposed to the control diet of 20 %) throughout gestation.

Lake Bornsjön is situated 30 km southwest of Stockholm in a rift valley lake and consist three basins outstretched in northwest-southeast direction. The surface area is 6,7 km2 with a maximum depth of 18,3 meters, a mean depth of 9,8 meters and a retention time of the water of 6,5 years. The drainage area is 42 km2 and consists mainly of arable land (ca 1000 ha) and productive forestry land (2500 ha), but in the drainage area there are also restored and fairly newly constructed wetlands.Today the Stockholm area receives its drinking water from Lake Mälaren, but if there would be any pollution of this source, Lake Bornsjön would act as the water source. The area surrounding the lake was bought already in 1899 by Stockholm Stad for protection of the lake and was taken over 1993 by Stockholm Vatten AB. It has been a water protection area from 1988 and it was also accepted as a nature reserve in 1995.