Bakgrund: Att förebygga, bedöma och behandla smärta är centralt i anestesisjuksköterskans arbete. Barns upplevelser och uttryckssätt vid smärta skiljer sig mycket från vuxnas. Det är därför en stor utmaning för anestesisjuksköterskor att tolka barns uttryck och känslor för att förstå barnet och kunna erbjuda trygghet och smärtlindring. Forskning har visat att barns postoperativa smärta underbehandlas, trots att kunskaperna om barns smärta ökat. Genom att belysa anestesisjuksköterskans upplevelser kan förståelsen för vad som bidrar till en god respektive mindre god postoperativ smärtlindring av barn öka.Syfte: Syftet med denna studie var att beskriva anestesisjuksköterskors erfarenheter i samband med postoperativ smärtlindring av barn.Metod: Semistrukturerade intervjuer genomfördes med åtta anestesisjuksköterskor från ett svenskt länssjukhus i mellersta Norrland.  Insamlad data analyserades med manifest innehållsanalys.Resultat: Utifrån analysen framkom tre kategorier och sju subkategorier.

We have made a litterature study about pain in animals. In this studie we have brought up areas like sign of pains in animals, pain relief and the care perspective. Pain is perceived when body tissue is damaged or nearly damaged by stimuli. Nociceptors, which are receptors placed at nerve endings, responds to a provocation of pain and transmit an impulse along the nerve to the brain via the spinal cord. Pain is urgent or chronic, and can be divided into nociceptive pain (somatic pain and visceral pain) and neuropathic pain. Different pain mechanisms can arise, such as referred pain, which is when signals of pain are referred to other parts of the body.

Bakgrund: Studier har visat att dörröppningar samt rörelse av personal inne på operationssalen ökar mängden bakterier i luften. Vårdrelaterade infektioner är den mest förekommande komplikationen vid kirurgi och skapar onödigt lidande för patienten. Infektionsförebyggande åtgärder såsom ventilation i operationssalen har betydelse för att minska risken för att bakteriebärande partiklar ska kontaminera luften i operationssalen och åstadkomma infektion i operationssåret. Syfte: Syftet med denna observationsstudie var att studera hur frekvent dörrarna öppnades under pågående operation samt identifiera orsakerna till dörröppningarna. Metod: Data från observationer av 27 operationer har sammanställts och analyserats.

Staphylococcus aureus is the most clinically important Staphylococcus species and is associated with high mortality in patients with positive blood cultures. S. aureus bacteria may cause a variety of disease manifestations ranging from minor skin infections to life-threatening conditions such as pneumonia, meningitis, osteomyelitis, endocarditis, toxic shock syndrome (TSS) and sepsis. This microorganism belonging to the gram positive cocci may also be part of the normal flora. In Sweden, penicillinase-stable penicillins are the primary alternatives to treat S.

I samband med kirurgi kan patienterna drabbas av postoperativa komplikationer. Rökning är en av riskfaktorerna för detta. Flera landsting arbetar nu aktivt för att förmå patienterna att göra rökuppehåll i samband med kirurgi. I Sverige röker cirka 10-12 procent av den vuxna befolkningen. Andelen rökare har minskat de senaste åren, men varierar fortfarande beroende på socioekonomisk bakgrund och utbildningsnivå.

Fusarium head blight is a large problem world wide which reduces the yields and the quality of small grains. Shrunken kernels with decreased thousand kernel weight as an effect and pro-duction of mycotoxins are some of the problems caused by infection of Fusarium spp. To avoid toxin contaminated bulks to enter the food and feed chain it is important to have tools for prediction and analysis of the fungi and toxins. Good prediction methods are also impor-tant in the breeding industry since early identification in trials of lines with high resistance or susceptibility simplify the work. To compare different techniques for these objectives this project was initiated.

Bovine viral diarrhoea virus (BVDV) is the causative agent of a complex of disease syndromes in cattle with high economical and welfare impacts. BVDV occurs as two biotypes; cytopathic (BVDVcp) and noncytopathic (BVDVncp) determined by differential effects on cultured cells and can also be divided into two genotypes (BVDV1 and BVDV2) on the basis of genomic diversity. The interaction between BVDV and the host?s immune system is regarded a key aspect in the sequel of BVDV infection. Infection with BVDV normally causes an acute transient infection, with mild to subclinical signs, but occasionally results in severe and even fatal disease.

SAMMANFATTNINGUndertrycksbehandling eller den internationella benämningen NPWT (Negative pressure wound therapy) har under de senaste åren snabb ökat i användande då den har visat sig vara effektiv som behandlingsmetod vid svårläkta sår. Då det saknas kunskaper och erfarenheter kring patientens smärtupplevelse och undertrycksbehandling har syftet med denna studie varit att undersöka förekomsten av smärta hos dessa patienter. Utgångspunkten var fyra frågeställningar: patientens egna upplevelser av smärta, patientens smärtupplevelser utifrån vårdpersonalens perspektiv, vid vilka moment i sårbehandlingsprocessen upplever patienten smärta och hur smärtan påverkar livskvalitén och den psykiska hälsan.Som metod i den här studien har använts litteraturöversikt där datainsamlingen gjorts på ett systematiskt vis utifrån genomtänkta sökord med hjälp av PICO modellen. Femton artiklar valdes ut och analyserades för att samla in ett resultat som svarar på syftet. Dataanalysen genomfördes i sex olika steg.

Background: Infection with Human Papillomavirus, HPV, is one of the world's most common sexual transmitted infections. The virus causes genital warts (condyloma) but certain virus types can cause cancer. The most common cancer type caused by the virus is cancer of the cervix. Nowadays there is a screening program for women between 23 and 60 years of age where Pap smears of the cervix is taken to discover abnormalities at an early stage. Cervical cancer is very common all over the world and this screening program saves many lives, but not in the less developed countries since the screening program is too expensive.

Fusarium head blight is a large problem world wide which reduces the yields and the quality of small grains. Shrunken kernels with decreased thousand kernel weight as an effect and pro-duction of mycotoxins are some of the problems caused by infection of Fusarium spp. To avoid toxin contaminated bulks to enter the food and feed chain it is important to have tools for prediction and analysis of the fungi and toxins. Good prediction methods are also impor-tant in the breeding industry since early identification in trials of lines with high resistance or susceptibility simplify the work. To compare different techniques for these objectives this project was initiated.

In Sweden in January 2005, there is only one producer of organic broilers and none of organic turkeys. But there are, on the other hand, a few small-scale producers whose housing systems to some extent are similar to what is stipulated in the organic standards. The aims of this work are to investigate what housing systems are used by the Swedish small-scale producers of broilers and turkeys, what main challenges they are confronted with and if there is an interest and a possibility for a change-over to organic production. For the first part of this work a literature study was performed with the purpose of detecting the main health problems in conventional as well as smallscale production. A special focus was on coccidiosis and leg weakness as those were considered to be of particular importance. A study was made of Swedish small-scale poultry production units. In two groups of broilers from the same producer and in three flocks of turkeys the level of Eimeria oocysts in faeces and litter was investigated.

India is the country with the highest prevalence of rabies in the world, with about 20?000 human deaths occurring every year. The country also has a heavy burden of free roaming dogs, mainly because of the high amount of edible waste in the streets, which are the main hosts for the disease. Therefore to truly extinguish rabies, the main focus should be on the dogs, both stray dogs and owned. One method is to vaccinate all dogs against rabies.

Various problems with nail disorders have been noticed in the Swedish population of Giant Schnauzer, but the frequencies of these problems are unknown. This could be due to the fact that bad nail quality has several differential diagnoses and lack of diagnostic criteria and diagnostic codes for nail disorders. The main purpose of this study is to review different types of claw defects and diseases of the nail bed in dogs, and to classify and evaluate the proportions in the Swedish Giant Schnauzer population. The nail is a specialized part of the skin. The quick will strengthen and protect the third phalang against the surrounding.

Abstract One of the leading causes of food borne infections in the world is due to Salmonella by con-suming poultry products including eggs and meat. According to US Food and Drug Admin-istration (2009), 2 to 4 million cases of Salmonellosis in humans occur every year only in US. Salmonella causes wide range of diseases with enteric and typhoid fever, food poisoning, di-arrhea and gastro-enteritis. Many serotypes of Salmonella do not have host specificity and cause disease in all kinds of animals and humans. Salmonella has capability to modify accord-ing to the changing environment and it can develop resistance against routine elimination practices of sanitation, chemical treatments and antibacterial drugs. Newly established poultry industries in Pakistan are confronting various infectious diseases including Salmonellosis while in Sweden Salmonella prevalence in animal products con-sumed for humans is extremely low.

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.