Sammanfattning.Bakgrund:Crush syndrome eller traumatisk rahbdomyolys är vanligt vid större naturkatastrofer som tex jordbävningar. Det kan också uppkomma när personer utsätts för tryck mot musklerna vid tex stroke, intoxikationer, byggnadsras, industriolyckor. Inom ambulanssjukvården i Sverige har vi inte någon behandlingsplan för detta tillstånd och därför kan det finnas en risk att dessa patienter inte får rätt omvårdnad.Syfte:Studiens syfte var att belysa ambulanssjuksköterskans omvårdnad vid risk för Crush syndrome.Metod:En litteraturstudie gjordes för att granska redan publicerat forskningsmaterial. Sökningarna gjordes i databaserna Cinahl och Pubmed. Fem artiklar inkluderades och innehållet analyserades med manifest innehållsanalys.Resultat:De patienter som riskerar att få Crush syndrom har följande symtom: skada på muskelmassa, förlängd kompression, komprimerad lokal cirkulation, puls >120 och onormal urinfärg.

This work is about euthanasia and how to use it on horses, dogs and cats. A description for each animal is done, about when it is time, why, which methods can be used and who is allowed to use them, how and where it shall be done. The methods we have concentrated on are: - Chemical destruction and the most common drugs for euthanatize horses, dogs and cats. - Physical disruption of the brain activity by a captive bolt, only for horses. The captive bolt only makes the horse unconscious and must always be followed by cutting off the vena jugularis. Then the horse dies because of loss of blood. No matter which method used for euthanizing, the animal must be declared to be dead by the operator before other measures. The testing criteria for death: muscle relaxation and cyanosis, cessation of reflex activity and pupillary dilatation, cessation of respiratory activity and cessation of all cardiac activity.

The aim of the present literature study was to describe the significant factors contributing to the development of moral distress and the consequences of moral distress can lead to in the nurse profession. A literature search was performed in the databases Medline through PubMed and Academic Search Elite on the basis of in advanced defined criterions. A total of 19 articles was reviewed and included in the study. The main result revealed that nurses experience moral distress and that it is frequent within the nurse profession. The findings revealed that there seem to be several significant factors in the development of moral distress, such as providing life-sustaining care, competing loyalties, conflicts with the physician, communication barriers, emotional barriers, cultural barriers, regulation and rules and working environment that gives the nurse difficult or unsolved ethical dilemmas.

Background: Practical blood flow restriction (pBFR) combined with resistance training has been proven to facilitate muscle strength despite training at low intensity. However, research investigating the effects of long-term pBFR-training and its periodization with strength training (ST) at a higher intensity is lacking, as well as the effects of occlusion training on blood lactate levels (BLL) over time.Purpose: To compare the effects of 2 weeks of pBFR training followed by 2 weeks of ST (BFR-ST) with 2 weeks of ST followed by 2 weeks of pBFR training (ST-BFR) on anaerobic performace and BLL.Method: 5 adults (age 23 ± 2 years) with a minimum of 1 year of ST experience were recruited and randomized into BFR-ST (n=2) or ST-BFR (n=3). Anaerobic performance was measured using a 30-s Wingate-test and BLL samples were collected <1 and 5 minutes post-Wingate. Data and samples were collected before the intervention and after the 2 protocols.Results: No differences were seen between groups in anaerobic output or BLL after 4 weeks of training (p>0,1 for all values). A decrease in time to peak power (tPP) were seen in both groups with an advantage for BFR-ST (-37 ± 8 %) over ST-BFR (-27 ± 22 %).

Vissa studier som undersökt kombinerad styrketräning och uthållighetsträningjämfört med styrketräning har funnit hämmad styrkeutveckling vid kombinerad träning. Forskning har därför riktats mot att undersöka hur hämmad effekt kan undvikas. Syftet med litteraturöversikten var att genom att granska vetenskaplig litteratur i området beskriva faktorer av betydelse för styrkeutvecklingen i nedre extremitet vid kombinerade uthållighetoch styrketräningsprogram. En beskrivande litteraturstudie gjordes på ämnet. En litteratursökning genomfördes mellan 6-24/9, 2014 i databaserna Scopus, Proquest, Pubmed, Cinahl, AMED, Web Of Sciense.

Det finns en hel del litteratur som lär ut jazzimprovisation, men få som visar vilka musikaliska strukturer som kan användas för att få det att låta ?jazzigt?. I den här kvalitativa studien utforskas därför likheterna mellan fem olika utvalda jazzimprovisationer i piano. I fokus står improvisationernas musikaliska ?språk? ifråga om musikaliska byggstenar eller strukturer.

Ten cows suffering from displacement of abomasum (DA) were treated with two different electrolytesolutions. The DA cows showed symptoms typical for the disease. Four out of 10 cows had a metabolic alkalosis and two a metabolic acidosis. The cows were mildly hypocalcemic, and 9 out of 10 were mildly to moderately hypokalemic. Six out of 10 cows showed muscle fasciculations.

Bakgrund: Inom forskningen studeras styrkeförhållandet i lårets muskler och anges ofta som flexor/extensor kvot (F/E-kvot). Ett sätt att mäta denna kvot är att använda isokinetiska styrketest.  Forskningen är inte överens om ett optimalt styrkeförhållande i denna muskulatur eller om för stor styrkeskillnad kan ge upphov till skada. Om en optimal kvot kan fastställas är det intressant i ett förebyggande och rehabiliterande syfte.  Syfte: Att beskriva och jämföra F/E-kvoten hos en grupp manliga fotbollsspelare med en grupp fysiskt aktiva män mellan 16 och 25 år. Metod: Mätning av maximal isokinetisk styrka i knäledens flexor och extensormuskler genomfördes med Genesis Single. Resultat: Studien fann en F/E-kvot hos fotbollsspelarna på 78,2 % på höger ben och 77 % på vänster ben.

This bachelor thesis is based on interviews with staff from three Egyptian NGOs in Cairo during the spring of 2013. The study examines how three Egyptian NGOs discuss the woman?s situation within the Islamic legal discourse in the contemporary Egypt. The empiric material was analysed through a theoretical framework of gender in Islam, and a discussion of the concept of human rights laws in a local context.The respondents emphasize the societies gender stereotypes as obstacles in the discussion regarding women?s rights.

Farmers are required to make sure that cattles basic needs are met, but still every year cases of neglect occur where the farmer has not complied within the animal welfare law and regulations. The aim of this study was to investigate how cattle are affected physically and behaviourally by neglect in the form of underfeeding, starvation and lack of sanitation, which animals are most vulnerable to the impact and what prospects they have to recover. The study was conducted as a literature study and the results show that these types of neglect have a large impact on the cattle welfare. Underfeeding and starvation causes physical changes leading to reduced milk production, reduced muscle mass, impaired immune function, poor reproductive performance and changes in rumen microflora leading to decreased number of microbes and pH change. Physical changes due to the lack of sanitation consist of increased vulnerability to hoof diseases and mastitis, burns, and increased sensitivity to temperature.

Purpose: To evaluate how a treatment period on four weeks in a warm climate influences physical function, condition and the patient's experience of the climate effect of patients with ankylosing spondylitis. Method: 10 persons with a diagnosis of ankylosing spondylitis went through four weeks of treatment on Centro Forestal Sueco, Marbella. The treatment consisted of both physical and theoretic lessons given of a rehabilitation team. All patients were examinated measured for physical function and condition before treatment, after two weeks and at the end of the treatment. To measure physical function, Timed-Stands Test, Timed Get Up and Go, The Bath Ankylosing Spondylitis Metrology Index, Index of muscle function and functionestimitation of shoulder/arm were used.

In this thesis I discuss about economical and political transition in countries that is consecutively being induced by influential external actors. Looking closer on the role of the EU as a dynamic transitional force, with the intention of examining to what extent the EU can pursuit its interest and modify the economical as well as the political structures of transition countries. With relations to four transition states on the Western Balkans, more precise Bosnia-Herzegovina, Croatia, Serbia-Montenegro and Macedonia (FYROM), I have examined the influential position of the EU. Another feature that is discussed is the approach of the EU and the cause of it in respect to the Western Balkans. Since the end of the crises in Kosovo the EU was given the leading roll in stabilizing and reconstructing the Western Balkans.

Glulam is a product that was engineered to make use of timber in a more efficient way. Bychoosing timber of similar quality and discarding natural defects during production, thedevelopment of a stronger cross-section is achieved.Carbon fiber is a relatively new material with a high tension capacity. This feature is used toexamine how the bending capacity of the beams improve by adhering carbon fiber laminateson the lower edge of the beamsThe strength of the material is tested with three experiments: carbon fiber on the bottom of thebeam (a), carbon fiber attached to the lower sides of the beam (b) and carbon fiber in thebeam, covered with a layer of wood (c)The results show that the first case, where the carbon fiber is attached to the bottom of thebeam, gave the best result with an increase in capacity of 59 % compared to the nonreinforcedcontrol. The other two cases also show an improvement in capacity, beam-type 3had a capacity increase of 47% and beam-type 4 increased with 25 %Tests were also made with glulam beams reinforced with fiberglass, but these tests were notanalyzed in depth because the purpose was to compare the capacity to carbon fiber. Thisbeam improved its capacity by 40.3%.The tests show that carbon fiber as a reinforcement material for glulam is a good choice whenthere is a requirement for stronger cross-sections in both new production and renovation ofold buildings.

Background: Because of the high unhealthy rates among women in the com-mune a project to reduce it have begun. For this reason we have been given the mission from the commune of Sotenäs to study the character of these women's health. Objective: To study the health among permanent employed women in the commune of Sotenäs. Method: Quantitative method. The data have been collected through question-naire survey.

Assessing and measuring post-operative pain in all animals is a challenge, but doing it in small mammals, for example guinea pigs, presents an even larger difficulty. Validated pain scales developed for use in dogs in clinical practice are currently available, but no such scale has been widely accepted for use in guinea pigs in the veterinary setting. In this experimental study, six guinea pigs that had undergone surgery and anaesthesia were observed for behavioural changes that could be associated with pain. The six guinea pigs were also given pain scores with the use of Colorado State University Feline Acute Pain Scale (CSU-APSF), a scale which uses both behaviour when not handled, body tension and response to palpation to evaluate pain intensity. The six guinea pigs showed a number of different behaviours, for example rigid posture, fixed stare and ?wet dog response? (the body is vigourosly shaken), that could be associated with pain.