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.

The essay treats how a process of implementation was executed and the teachers? relation to two curricula, Lpo94 and Lgr11, with two different grading systems, which have functioned as models for one and the same year. The purpose is to investigate the ways in which a change in curricula and syllabus affects teachers in their teaching and assessment practice in the subject of Swedish at secondary school. The investigation had a phenomenological approach and was executed by means of in-depth interviews, questionnaires and one observation. The results are based on a methodological triangulation with qualitative and quantitative data where visible similarities and differences are brought out.

Background: Fall injuries are a costly problem for society, with costs ranging up to 14 billion a year. In addition to economic loss accidental falls also creates human value losses and reduced quality of life for its victims. In order to prevent the occurrence of injury related to accidental falls healthcare providers utilize various scientifically developed risk assessment tools, one of them being Downton Fall Risk Index. Method: Empirical, quantitative cross-sectional study. Objective: The purpose of the extended essay was to describe the categories in Downton Fall Risk Index that have a bearing on patients' risk of falling while in hospital and in municipal care, and to illustrate how nurses can use the fall risk assessment tool.

The first information recruiters have access to, when recruiting a new co-worker is the applicant´s CV. It may even happen that the applicants are sending a photo with the CV, which can lead to the possibility that the appearance of the applicant will affect the assessment. Previous research shows that individuals who are regarded as beautiful get a better assessment than those who are considered to be ugly or mediocre looking, but if this can be prevented through awareness, the problem can easily be counteracted. The purpose of this thesis is to, through an experimental study, investigate whether recruiters can avoid being affected by the applicant?s appearance in the assessment of their CV if they receive information about the stereotypical thinking that is tied to a person's appearance.

The aim of this essay was to study if social workers have a gender awareness in the social work they perform and if it appears in the assessment of needs and intervention. A qualitative vignette study with four social workers who handle adult- and addictive clients have been performed. Gender theory is used to interpret the empirical results. The results of the study show that social workers doesn´t see any differences in the clients situation, or make any different assessment of needs depending on if the client is a man or a woman. Social workers also propose the same interventions to men and women.

Ett av syftena med studien var att undersöka skillnader i Ingenjörsstuderande respektive Anställdas uppfattning om Lantmäteriets image som arbetsgivare. Det andra syftet med studien var att se om det förelåg skillnader i uppfattning av en Ideal arbetsgivares image och Lantmäteriets image som arbetsgivare. Studien genomfördes med stöd av en enkätundersökning med Ingenjörsstuderande och Anställda vid Lantmäteriakademin som deltagare. Totalt deltog 102 personer i studien; 55 Ingenjörsstuderande och 47 Anställda. Mätinstrumentet var Employer Attractiveness Scale (EmpAt).

The demand for environmental assessments on buildings and energy consumption is increasing as well as the energy performance requirements for buildings. At the same time it is increasingly common with self-producers of heat and electricity generation.The main purpose with this master thesis is to investigate how time resolution affects the environmental assessment of energy consumption in office buildings connected to district heating (DH). Environmental assessments were done with both attributional LCA and consequential LCA with system expansion.Fortum´s DH system in Stockholm was analyzed and district heating production was simulated in a Matlab-model. Greenhouse gas (GHG) emissions for the production were calculated. The heat demand of the office Gångaren 16 in Stockholm was simulated in IDA ICE.

Social a?ngeststo?rning (SAD) a?r ett a?ngestsyndrom som orsakar stor funktionsnedsa?ttning och fo?rsa?mrad livskvalitet. I fo?religgande studie presenteras fo?rklaringsmodeller till SAD med fokus pa? temperamentsforskning och reinforcement sensitivity theory (RST). Syftet var att genom explorativ faktoranalys identifiera latenta variabler i fra?geformula?ret ?Hur man var som barn? (HMVSB), som administrerats i en klinisk population (n= 100) och i en kontrollgrupp (n= 246).

Äldre personer riskerar i stor utsträckning att drabbas av undernäring och sjuksköterskor har en viktig uppgift i nutritionsarbetet kring dessa personer. Studiens syfte var att mäta attityder till äldres ätande och näringstillstånd. Det validerade instrumentet Staff Attitudes to Nutritional Nursing Care Geriatric scale (SANN-G-skalan) användes. I urvalet ingick sjuksköterskor på särskilt boende och korttidsboende i två kommuner. Två påståenden som handlade om kostpolicy och utbildning i nutrition lades till i enkäten, med möjlighet att lämna kommentar.

Syftet med denna studie var att utveckla fördjupade kunskaper om bedömningshandlingar i matematikklassrummet utifrån ett elevperspektiv och två frågeställningar ställdes:Vad kännetecknar de bedömningshandlingar som kommuniceras under matematiklektioner?Hur uppfattar elever de bedömningshandlingar de tar emot och ger under matematiklektioner utifrån sitt lärande och sin utveckling?Studien genomfördes i form av en fallstudie i en skolklass årskurs fyra. Klassrumsobservationer och elevintervjuer användes för insamling av empiriskt material. Resultatet visar att de bedömningshandlingar som kommuniceras i matematikklassrummet till stor del är handlingar som i forskning beskrivs som gynnsamma för lärandet. Några observationer och uppfattningar skiljer sig i resultatet.

Every plan and program decided on by an authority or municipality, where the environmental impact can be considerable, must be environmentally assessed according to Environmental Code, the Planning and Building Act (PBA) and the Regulation on Environmental Impact Assessment.The purpose of this study is to examine the Environmental Impact Assessment (EIA) for The Region Development Plan for the Stockholm Region, RUFS 2010. The plan was approved by at that time the Regional Planning Office (Regionplanekontoret), which procured the process by consultants. RUFS 2010 includes two merged plans ie. a regional Development Plan (RUP) and the Regional Spatial Plan for Stockholm. It was necessary to establish an environmental assessment of RUP, but not for the regional plan.

Studiens syfte var att undersöka samband mellan terapeuters känslor och behandlingsutfall. 27 terapier undersöktes, som ingick i forskningsprojekt på Ericastiftelsen; Erica Process and Outcome Study (EPOS) och Målprojektet. Terapeuternas känslor undersöktes med hjälp av självskattningsformuläret Feeling Word Checklist (FWC) och samband mellan skattningar och behandlingsutfall mätt med Children´s Global Assessment Scale (CGAS) undersöktes. Sex psykoterapier analyserades kvalitativt utifrån terapeuternas beskrivningar av terapin i regelbundet ifyllda formulär. Huvudresultaten visar att distans i terapins inledningsfas var förknippat med sämre utfall.

BakgrundTotal höftledsoperation är en vanlig och oftast komplikationsfri operation där patienten kan gå från en smärtfylld vardag till en smärtfri vardag. Operationstekniskt skulle en del patienter kunna gå hem väldigt snart. Dock har vi inte kunskapen om vad som krävs för att komma dit. Ett steg i den riktningen är att införa personcentrerad vård där patienten och vården utvecklar sitt samarbete. General Self-Efficacy Scale och Tampa Scale for Kinesiophobia, som mäter rörelserädsla, är två instrument som kan ge information om vilka patienter som behöver mer stöd i sin rehabilitering.

Following changes in society and other influences, the ideology of political parties can evolveover time. For example, theories exist claiming that all parties in Sweden strive towards the"middle".A good example of a political party in Sweden which recently has gained entry toparliament is the Swedish Green Party (Miljöpartiet, MP).MP was initially influenced by a green ideology (ecologism) which started as a globalmovement stating that no other ideologies shared their concerns about the environment. Thegoal of the ideology was to, via an increased influence within the political system and throughsmall-scale production, increases both natural values and people's well being. By becomingelected into parliament it is plausible that the ideology of MP could have changed due to theinfluence of for example, the realities that parliamentary every day represent.The aim with this essay was to study the changes in MP's party program from the yearof 1994 and the most recent, to see if any changes have occurred related to MP's officialideology. The study was conducted using a comparative text analysis.

During the autumn of 2008 I obtained office experience by working at the local government of Örnsköldsvik. I started working on the district green plan of the green structure and that led to the work of this exam paper. The purpose of this exam paper has been to define some standpoints for the green structure of the local government district of Örnsköldsvik. I have used both a larger and a smaller scale to obtain a wide a perspective as possible of the green structure. The larger scale gives an overall view of the whole municipality while the smaller scale is found in the study of the two local areas Centrum and Domsjö. For the local government planning to be able to obtain an agreeable level of verdure to the residents it is necessary that the green structure is brought up on the agenda.