Aortic insufficiency is a very common valve problem in horses and most often affects older individuals, but nevertheless existent within younger ones. The root cause for aortic insufficiency can be varied, for example; endocarditis, ventricular septum defect or congenital valve disease but the most common are progressive valve degeneration or elite competition. Depending on the root cause, different changes can be observed on the aorta valves, but they do all have the same effect, the valves do not seal properly and blood leaks backwards. Many horses can, even with this deficiency, perform highly without any visible impacts and there is therefore no need to treat those subjects. Most often the symptoms arise at a later stage in life and they are, more often than none, put down for other reasons. In the occurrence of the clinical symptoms showing, treatment guideline is to inhibit these symptoms since the valve degeneration is presently irreversible.

This student report is about canine atopic dermatitis It includes a description of the immunologic mechanisms and how the reaction affects the body. The symptoms are various, most common is pruritus, erythema and alopecia and directly associated with the immunologic reaction. The diagnostic process includes symptoms, physical findings, differential diagnosis, intradermal test and serological test. The options of treatment are several and vary for each patient. The report includes hyposensitization, medical treatment such as corticosteroids, antihistamin and cyclosporine, topical treatment, fatty acid supplements and environmental treatment. The prognosis is individual for each patient due to their different response to the treatment. It may take a while to find the right combination of treatments to achieve satisfactory control of the disease..

Nipahvirus is most likely spread from bats to other species and causes lethal encephalitis in humans and respiratory illness in pigs. Different species are affected with varying severity but it seems to have an unprecedented zoonotic capacity and the humans affected either die or receive permanent brain damage. Full recovery is possible but very uncommon. Pigs that live and are bread in the areas that these bats frequent are constantly in danger of contracting pneumonias and meningitis and they can spread the virus further on to the people who work with the pigs and process their carcasses. These workers could then infect other humans in their immediate surroundings, their families for instance.

AimsThe aim of this study was to conclude whether women living and staff working in a women´s shelter feel experience a need of physical activity in the shelter and also what thoughts women living and staff working in the shelter have regarding possible access to physical activity. Following questions were adressed: Does women living and staff working in the shelter experience that there is a need of physical activity in the shelter? What does women living, and staff working, in the shelter think about the physical activity conducted in the shelter? Why does the women living in the shelter choose to participate in the physical activity? Are there any connections between symptoms which battered women can suffer from and symptoms which scientific studies say can be reduced by physical activity?MethodsThe study is based on five interviews in order to understand and illustrate how women living in a shelter relate to physical activity. The answers from the interviews has been correlated to scientific results and other literature in the area. Literature studies have also derived background information as well as a deeper knowledge regarding in what way violence against women affect the abused woman.ResultsThe results show a need for physical activity at the women?s shelter where this study was conducted.

Background: Postoperative infections are a serious patient safety problem and affects about 3 % of all patients undergoing surgery. The consequences are prolonged hospital stays, high social costs, increased use of antibiotics and impaired quality of life for the patient. It has been shown that postoperative infections may be caused by contamination already in the operating room. Today we know that there is growth of microorganisms on the instrument table´s top, but there is a research gap about the instrument table's edges.Aim: To examine if the sterile drape on the instrument table´s edges are sterile after finished surgery.Method: Contact plates are printed on strategically selected areas on the sterile drapes top and edges. In the pilot study, a total of 51 cultures were taken at the end of three operations which lasted over three hours.Results: Growth on the top surface and the edges of the sterile drape were detected.

The purpose of this study was to describe how women with fibromyalgia experienced their quality of life. The method used was a literature study with a descriptive design. The search for scientific articles was done by the databases Academic Search Elite, CINAHL, Medline via PubMed and Cohrane Library. The articles were quality-tested and the content studied, resulting in four categories as follows. Research involving the physical aspects of the quality of life showed that sleeplessness, tiredness and pain was commonly occurring symptoms in women?s daily life which affected their life-situation.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: A vegetarian diet, a possible treatment complement for relief of symptoms ofrheumatoid arthritis? A systematic review.Author: Alexandra Ahlsén and Caroline ForsbergSupervisor: Mette AxelsenExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 22, 2012Background: Rheumatoid arthritis (RA) is a chronic remitting polyarthritis that is relapsing.Symptoms are inflammation of the joints with pain, stiffness and degradation of joint tissue.In some cases, also other parts of the body are involved. The treatment consists ofmedications to reduce pain, inflammation and degradation of joint tissue. Today, the offerednutritional treatment is primarily focused on meeting energy requirements and nutrient needs.The diet has also been discussed as symptomatic treatment, and one of the factors believed toinfluence the symptoms is meat.Objective: To assess the evidence as to whether a vegetarian diet affects the symptoms ofrheumatoid arthritis, and if so, to suggest how it can be implemented in practical dieteticswork.Search strategy The databases used in the literature search was PubMed, Scopus, and AMED.The search words used were: "rheumatiod arthritis", "vegetarian", "vegan", "diet", "meat" and"animal protein".Selection criteria: Studies investigating a vegetarian diet on the symptoms of RA wereincluded. Only RCT, clinical trial, controlled clinical trial, human studies and original articlesin English or Swedish were included.

Abstract: The purpose of the study was to analyze the experience of being a woman diagnosed with ADHD as an adult. Another aim was to analyze how the women think itwould have influenced them, if they had been diagnosed during childhood.In the study, with a qualitatively approach, three women diagnosed with ADHD were interviewed. The data was analyzed with qualitative content analysis.The result shows that the women perceived affirmation when they received their diagnosis but they also pointed out that they had wished to receive the diagnose during childhood to avoid unnecessary suffering.The conclusion of the study was that it is essential to, as early as possible, follow up deviances in children and adolescents. Therefore, there is a need for more knowledge of how symptoms of ADHD in girls present itself.It is reasonable to believe that if healthcare and school have increased knowledge of symptoms of ADHD in girls, then these girls would be diagnosed at an earlier time.Keywords:ADHD,women,girls,treatment,self?esteem.

In the dog breed Nova Scotia Duck Tolling Retriever (NSDTR) several dogs suffer from joint pain and possibly pain from the muscles. This diffuse disease is called Immune-mediated Non- Erosive Arthritis in Nova Scotia Duck Tolling Retriever. The disease is most likely of autoimmune nature where the etiology still is unknown. The musculoskeletal symptoms of stiffness and shifting lameness are intermittently seen. Some dogs also have dermatological changes and some dogs suffer from pain when opening their mouth. The study included 20 diseased and 20 healthy NSDTR. The purpose was to describe immune-mediated arthritis in NSDTR based on symptoms, results of analysis and effect of treatment. Among the diseased dogs 65% had serum positive for antinuclear antibodies by indirect immunofluorescense (IIF) ANA-test.

Cats and dogs are often unattended by their owners both indoors and outdoors, and therefore there is always a risk that they will get hurt. In the past, poisoning cases was considered unusual, but nowadays they are considered more common. As a veterinary nurse, it is important to know the common symptoms of poisoning, especially when working with emergency veterinary care. A very essential part of the profession as a veterinary nurse is to inform pet owners about the potentially dangerous substances and how poisonings can be prevented. The purpose of this report was to find out what is written scientifically about some common poisonings in dogs and cats and to present available statistics that covers the number of animals poisoned by various substances in Sweden. Hopefully this essay can also be used as a handbook for professionals in animal health care and to assist in educating pet owners. The report mainly covers groceries found in many homes, often easy accessible.

Abstract: The purpose of the study was to analyze the experience of being a woman diagnosed with ADHD as an adult. Another aim was to analyze how the women think itwould have influenced them, if they had been diagnosed during childhood.In the study, with a qualitatively approach, three women diagnosed with ADHD were interviewed. The data was analyzed with qualitative content analysis.The result shows that the women perceived affirmation when they received their diagnosis but they also pointed out that they had wished to receive the diagnose during childhood to avoid unnecessary suffering.The conclusion of the study was that it is essential to, as early as possible, follow up deviances in children and adolescents. Therefore, there is a need for more knowledge of how symptoms of ADHD in girls present itself.It is reasonable to believe that if healthcare and school have increased knowledge of symptoms of ADHD in girls, then these girls would be diagnosed at an earlier time.Keywords:ADHD,women,girls,treatment,self?esteem.

SUMMARYPrevious research has shown that there is a connection between the doorways and postoperative wound infections. Despite recommendations from Socialstyrelsen and the individual hospitals' PM there is still high traffic in the operating theatres. In a hybrid theatre environment combined X-ray techniques of surgery, resulting in it being further two categories inside the operating theatre. This may generate an increase in traffic flow. The study is a prospective, non-participant observation study conducted in the spring of 2013 at a university hospital in western Sweden.

Background: Sweden is a country where vitamin D deficiency seems to be common, partly because of its geographical position, which reduces the availability of UVB radiation, but also that people avoid sunlight due to increased skin cancer risk. Research shows that vitamin D plays an important role in the prevention of many diseases such as cancer as well as autoimmune and neuropsychiatric diseases.Vitamin D is a fat soluble pre-hormone and a collective name for closely related compounds which act as hormones after undergoing a transformation in the body.Humans can utilize vitamin D through diet and produce it in the body by exposing the skin to the sun. Previous observational studies and epidemiological studies have established a hypothesis that there seems to be an association between vitamin D supplementation and reduction of depressive symptoms.Objective: The aim of this study was to investigate if vitamin D supplements may decrease depressive symptoms.Methods: This work is organized as a literature review and article search is made in the database PubMed in January 2012. Keywords used were ?vitamin D and depression? and inclusion criteria were: randomized clinical trials, be conducted on humans, written in English.

Introdukation: Postoperativt illamående och kräkning, PONV (Postoperative Nausea and Vomiting) är en av de vanligaste förekommande biverkningarna postoperativt vilket drabbar cirka en tredjedel av alla opererade patienter. Det är inte bara obehagligt för patienten utan kan även orsaka medicinska komplikationer. Tidigare forskning har konstaterat att illamående och kräkningar är undermåligt dokumenterade i journalerna. Dokumentation medvetandegör problem, utvärderar effekt av insatt åtgärd, utvecklar patientvården samt är betydelsefull i forskningssyfte.Syfte: Syftet med denna studie är att undersöka dokumentation av PONV i patientjournalen samt samstämmigheten mellan intensivvårdssjuksköterskans dokumentation och patientens erfarenhet av PONV.Metod: Mixed methods med deskriptiv kvantitativ design användes i denna tvärsnittstudie. Data inhämtades från patientjournalen och jämfördes med självrapporterad data från patienter.Resultat: Resultatet visade att dokumentation om PONV, oavsett om deltagarna erfor PONV eller inte, saknades i 55 % av alla patientjournaler.

?Postoperativt illamående och kräkning (PONV- Postoperative Nausea and Vomiting) är en vanlig förekommande kirurgisk komplikation. Orsaken till PONV är inte helt fastställd, till skillnad från patofysiologin vid generellt illamående. För patienten innebär PONV ett ökat lidande och längre vistelse på sjukhus. För att förebygga och lindra tillståndet PONV kan sjuksköterskan identifiera riskfaktorer hos patienten.