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.

Syfte: Att utifrån litteratur beskriva hur sjuksköterskor kan identifiera smärta hos äldre personer med demenssjukdom, samt att undersöka vilka mätinstrument som finns att tillgå för att beskriva smärta. Metod: Litteraturstudien var av deskriptiv design. Litteratursökningen gjordes i databaserna PubMed och Cinahl. Resultat: Resultatet baserades på 14 vetenskapliga artiklar som visar att det finns många uttryck för smärta som sjuksköterskan kan använda sig av för att identifiera smärta hos äldre personer med demenssjukdom. Resultatet visade att det är mycket svårare att identifiera smärta vid omvårdnad av äldre demenssjuka, då de inte kan kommunicera som kognitivt intakta personer.

People spend much of their timeat work and health is affected by how we experience our everyday work situation. Health in the workplace is important for public health and seems to improve the occupational health of theemployees. The pace of work and requirements have hasincreased at work and it's not equal accepted to have an obstacle that makesyour work capacity decreases. Despite this, there are health factors that enable us meet therequirements and can maintaingood health in the workplace. Theaim of the studywas to see if there has beena change in healthcare workers work-related health over time.

The purpose of this bachelor's thesis is to examine how public libraries in Sweden handles their weeding procedures. A series of questions are asked: How does libraries in Sweden motivate weeding? What principles constitutes the procedure of weeding? Which aspects are given most importance when weeding is decided. How does views on weeding differ between libraries of different sizes? How does longer or shorter professional experience influence the view on weeding? The study was done through an online questionnaire which was sent to a number of staff members on different libraries via e-mail.

Back problems are well noticed in horses, especially in horses used for riding. Kissing spines (impingement of the dorsal spinous processes) are often found at radiographic examinations of the thoracic spine. Kissing spines is a radiological diagnosis, indicating that parts of at least two adjacent dorsal spinous processes are in contact with each other. It is not uncommon that horses without clinical signs of back problems have some degree of kissing spines. It is therefore not sufficient with a radiographic examination to say that the cause of pain is kissing spines.

The purpose of this study was to examine work related stressors and related coping strategies among case managers at a domestic violence shelter in the United States. We further wanted to examine whether locus of control among the participants could be related to work related stress and coping strategies. Qualitative interviews were performed with eight case managers to gain knowledge about the stressors and coping strategies they used by examining their thoughts, feelings and experiences. The result showed that the case managers experience a number of stressors in their work environment such as system problems (e.g., lack of re¬sources and time pressure) and emotional stress. Coping responses among the case managers included efforts to alter the problem, so called problem focused coping, efforts to control emo¬tions, so called emotions focused coping and social support from colleagues.

Vaccinology is an ever expanding field. As a member of the veterinary staff it is important to stay up to date with the continuous new scientific data and recommendations that affect the care that our companion animals receive at the veterinary clinic. This paper presents adverse vaccination reactions, their cause, risk factors and suggestions how we can minimize the risk of adverse vaccine events in dogs. Dog owners in Sweden were allowed to answer a questionnaire about adverse events following vaccination. Lethargy, edema and pruritus were among the most frequently seen adverse effects.

Background: In today?s business environment it is important to find new customers. An action that has been widely used is to enter foreignmarkets. Most firms are always seeking to maximize their profits,which can be achieved if an entry into a foreign market is performed.Due the European Union (EU), new economies open theirborders for international trade and foreign investments. In 2004 Poland received membership.

Ryggsmärta, främst i ländryggen, drabbar så mycket som 80 procent av Sveriges befolkning och flera av dem lider av bestående besvär. Smärta är ett komplext och subjektivt fenomen och det kan därför vara en utmaning för sjuksköterskor att ge en god vård till patienter med långvarig ryggsmärta. Sjuksköterskor behöver inte bara ha god kunskap om hur smärta kan lindras utan även kunskap om hur långvarig ryggsmärta kan upplevas i det dagliga livet. Syftet var därför att belysa upplevelser av att leva med långvarig ryggsmärta. En systematisk litteraturstudie genomfördes och resulterade i elva vetenskapliga artiklar.

The honour-related violence and opression got more attention in the years 1999 and 2002, when two young women were murdered in the name of honour in Sweden. Honour-related violence is associated with a so called honour culture, which for many symbolize the oppression of a women. It is a fact that not only girls and women are victims of this culture but also many young men and boys are exposed. The aim of this study is to illustrate how individual social workers handle cases where boys and young men are exposed to violence and oppression on the basis of the theory of discretion. In this study a qualitative research strategy has been used which involves the implementation of semi-structured interviews in the collection of empirical data.

The field rehabilitation in veterinary medicine has expanded over the past ten years. Animalswith disorders in the musculoskeletal system are often treated. The methods used lacksufficient scientific documentation; however claim to affect the animal's function in a positiveway. In order to investigate the efficacy of different rehabilitation modalities, it is important touse validated evaluation tolls. Therefore, a literature study on pain, pain-scales and functionaltest was performed together a pilot study on a functional test.The aim of the present pilot-study was to investigate a functional test, "Bioarth functionalevaluation scale", used in veterinary medicine.

This thesis aimed to investigate how a rising sea level would affect the livable area of the island Fongafale, Tuvalu. Through the IPCC stabilization scenarios it was examined which areas of the island that would be affected by flooding. The local population?s perceptions of the effects of climate change were studied to see how the consequences of a world-wide problem such as global warming affect people's lives. The paper clarified the Tuvaluans place in the discussion of climate refugees, explained IPCC's work and described the results of previous studies concerning people in Fongafales perceptions and concerns about climate-related changes.

In the dog-human relationship humans are the ones who provide the dog with safety and comfort. Ainsworth's Strange Situation Procedure (ASSP), which was originally developed in humans to study the relationship between mothers and infants, has been modified to investigate the emotional bond research dogs have to a familiar person. Twelve research dogs were tested to investigate whether the dogs performed any behaviours indicating a secure-base effect, such as more exploration and play in the presence of a familiar person and proximity-seeking behaviours when this person is or has been absent. In the ASSP the dog enters a room with a familiar person, is introduced to a stranger, is left alone for a short period of time and experiences moments of separation and reunion. A second variation of the ASSP was added where the familiar person was replaced by another, to the dog, unfamiliar person.

It's an everyday experience shared by many that nature can be of help in relieving pain, reducing stress, support mental recovery etc. In the last three decades or so this experience has also found support in a large number of scientific investigations. Among other things the experience of nature has been shown to reduce stress and pain in patients and to boost concentration and reduce impulsive behavior in children. Most of this research however has mainly been concerned with the visual modality. In this thesis the aim has been to focus on the auditory modality in this context by trying to reveal some effects on people from the exposure of nature sounds played indoors in three different environments: a grammar school class room, a kindergarten play room and a post-surgery wake up room at an intensive care unit.

Malignant melanoma represents 4-7% of all canine neoplasms and they are the most common malignant tumors of the oral cavity and digits. These tumors are often aggressive and metastasize quickly. To date there is no effective treatment and survival times are short. Most dogs are euthanized due to complications caused by metastases. Melanin pigment is a hallmark of melanomas and is usually present in large amounts in these tumors.