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674 Uppsatser om Randomized Controlled Trials - Sida 2 av 45

Probiotikas inverkan på sjukdomsförloppet hos intensivvårdspatienter. : En metaanalys till grund för evedensbaserad omvårdnad

Bakgrund och syfte: Intresset för enteral administrering av probiotika i förebyggandet av infektioner och diarré har på senare tid ökat. Nosokomiala infektioner och diarré är ett stort problem hos intensivvårdpatienter.  Syftet med denna studie var att undersöka hur enteral probiotika påverkar sjukdomsförloppet hos intensivvårdspatienter, med avseende på mortalitet, infektioner totalt, ventilatorassocierad pneumoni (VAP) och diarré.Metod: En systematisk litteraturstudie med sökning i Pubmed och Cinahl genomfördes med följande Meshtermer; probiotics, lactobacillus, critical illness och intensive care unit. Därefter genomfördes en metaanalys av randomiserade kontrollerade studier, utförda på vuxna intensivvårdspatienter, där man jämfört patienter som erhållit probiotika med patienter som fått placebo eller annan behandling.Resultat: Totalt 15 studier med sammanlagt 1293 patienter inkluderades. Ingen signifikans med avseenden på mortalitet, infektioner totalt, VAP och diarré kunde utläsas i metaanalysen.

Nordingrå, maj 1675 : en ångermanländsk socken i centrum för trolldomsprocesserna

In May 1675, the local court in the northern Swedish parish of Nordingrå, which had approximately 1,000 inhabitants, held a preliminary investigation on 113 persons accused of witch-craft and superstition. For the majority of the 113, the main accusation was to have travelled to Blåkulla, a place where witches according to Swedish folklore participated in satanic festivities and rites led by the Devil himself. The preliminary investigation was held at the request of The Royal Witch-craft Commission. Nordingrå belonged to the province of Ångermanland, one of the Swedish provinces with the highest number of witch trials in the 1670s. The trials in Nordingrå have, more or less never been examined before, mainly due to the fact that no sentences or penalties were ever imposed.The purpose of this paper is to examine social relations and social conflicts in Nordingrå with the records from the witch trial 1675 as the primary source.

Resultat från tre klonförsök med fågelbär, Prunus avium L, i södra Sverige :

This study was based on measurements of growth and shape of 50 clones of wild cherry, Prunus avium L, in south Sweden and aimed at finding out wether or not any of these clones are useful for commercial propagation. Initially, a short assembly of documented knowledge concerning wild cherry as a timber producing tree species was put together. The study of the 50 clones includes information gathered during the fall of 2006 from four trials located in the counties of Blekinge, Småland and Västergöland. The oldest trial, founded in Tranemåla, Blekinge, in 1992, was focused on offspring and aimed at discerning differences between provenances and at developing an adapted plant material. The other experiments were both clone trials and founded in 2002. These are based on 50 individuals selected from the offspring trial in Tranemåla.

Ger tillägg av ARB till redan pågående behandling med ACE-hämmare hos hjärtsviktspatienter bättre hälso- och kostnadseffekt?

Heart failure is a condition where the heart is incapable of providing adequate blood supply to different organs in the body. The underlying causes of heart failure is some kind of disorder in the heart function, and require careful diagnostics. The basic symptoms that arise from heart failure is difficulty in breathing, that aggravate when lying down, and fatigue. The patients? symptoms and impaired quality of life can be in different stages depending on the severity of the heart failure.

Flockning och förtjockning i High-Rate-förtjockare ? en jämförelse med konventionell förtjockarteknik och lamellsedimentering.

In the process laboratory of Metso minerals (Sala) AB, continuous tests have been made with a laboratory unit High-Rate thickener. The tests are made in order to compare three methods of thickening techniques of suspended solids. The three techniques are High-Rate thickening, conventional thickening and lamella thickening. The High-Rate and the conventional trials are based on a continuous method, while the lamella thickener is based on batch trials. Because the lamella thickener is based on batch trials and there were some optimization problems with the adding point of the flocculant at the continuous trials, it was not feasible to compare the lamella thickener with the other two thickener types.

Energieffektivisering av luftningssteget på Käppalaverket, Lidingö

This master thesis in energy optimization was made during the autumn of 2006 at Käppala wastewater treatment plant in Lidingö, Stockholm. A preceding thesis, where all electricity consumption was mapped, showed that the aeration in the biological treatment is the single largest consumer in the plant, and it is therefore of interest to reduce this cost. The oxygen control strategy used at Käppala WWTP is working well from a nutrient removal point of view, but not from an economic one. The last aerobic zones have a very low oxygen consumption during low loading periods which give rise to enhanced dissolved oxygen concentrations with excessive costs and reduced denitrification as a result. But also during periods of normal loading unnecessary high oxygen concentration are sometimes given.By modifying the aeration control strategy three full-scale experiments have been made, with the intention to reduce the air consumption.

Feta kontra magra mejeriprodukter vid primärprevention av hjärt- kärlsjukdom. En systematisk översiktsartikel

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Whole fat versus low-fat dairy products for primary prevention of cardiovascular disease. A systematic review.Author: Josefine Lindqvist, Robin Järnmark, Mathilde OhlinSupervisor: Mette AxelsenExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 2014-04-09BackgroundResearch indicates that dairy products seems to have a protective impact on the incidence of cardiovascular disease regardless fat content. Paradoxically the Nordic nutrition recommendations recommend an exchange of full fat dairy product to low-fat dairy products.ObjectiveThe aim of this review is to investigate whether the variation in fat content of dairy products have any bearing on the onset of cardiovascular disease. With regard to common risk markers for cardiovascular disease the outcome measures hypertension, hyperlipidemia and weight gain is examined.Search strategyThe searches were made in the databases Medline (23/1-14) and Scopus (6/2-14).Selection criteriaRestrictions: Human Studies, Adults, Randomized Controlled Trials, English.Data collection and analysisTwo RCTs were included. Validation of the separate studies was performed with SBU's review template for individual studies and GRADE was used for summarizing the evidence of outcome measuresMain resultsThe two included studies examined the outcome measures blood pressure, weight and blood lipids.

Probiotika som prevention mot urogenitala sjukdomar

About 10 % of the adult women population in Sweden are treated annually for urinary tract infections. The increasing bacterial resistance towards antibiotics is classified by WHO (World Health Organization) and ECDC (European Centre for Disease Prevention and Control) as one of the greatest treats for human health in a global perspective. To find alternatives scientists are studying the possibility to use probiotics to reduce the frequency of recurring urinary tract infections. This literature study examines five randomized double blinded placebo controlled studies where different strains of Lactobacillus have been used as a prophylactic to women suffering from recurrent urinary tract infections and bacterial vaginosis. Overall the studies do not display enough promising results to recommend the use of probiotics as a prophylax or cure..

Effekten av hormonsubstitution hos äldre män med åldersrelaterad testosteronbrist: en litteraturgranskning

Background: Testosterone is the most important androgenic hormone in the male. Aging is closely associated with reduction of serum testosterone which can lead to reduced muscle mass, muscle strength, bone density, and depression. These symptoms may be counteracted by administration of testosterone. Objective: The purpose of this study was to examine the effects of hormone replacement in men with age-related testosterone deficiency. Method: We performed a systematic review using Randomised Controlled Trials (RCT).

Kan supplementering med omega 3 förbättra syreupptagningsförmågan hos idrottare?

AbstractTitle: Does supplementation with omega 3 improve oxygen uptake among athletes?Author: Jonna Gustafsson and Maria Bohlin Nygren Supervisor: Frode Slinde Examiner: Ingrid Larsson Programme: Programme in dietetics, 180/240 hp Type of paper: Bachelor?s thesis in clinical nutrition, 15 hp Date: May 26, 2015Background: Previous research has shown that omega 3 fatty acids may improve cardiovascular functions by decreased aggregation and increased red blood cell deformability. This produces an increased blood flow and could have a potential effect on oxygen uptake. Optimal aerobic capacity is a determinant factor of performance within endurance exercise.Objective: To compile scientific research of the possibility that omega 3 supplementation could improve oxygen uptake among athletes.Search strategy: The literature research is based on searches in PubMed and Scopus with the terms ?Physical Endurance?, ?Oxygen Consumption?, ?Fatty Acids Omega 3?, ?Dietary Supplements?, ?Exercise?, ?Fatty Acids Essential?, ?Docosahexaenoic Acids?, ?Eicosanoic Acids?, ?Fish Oils?, ?oxygen consumption?, ?maximal oxygen consumption?, ?VO2 max?, ?athlete?, ?omega-3 supplementation?, ?physical endurance?, ??-3?, ?omega-3?, ?Maximal Aerobic Power?, ?Oxygen Uptake?, ?VO2? and ?Maximal Aerobic Capacity?.Selection criteria: Randomized Controlled Trials (RCT) with an intervention of omega 3-supplementation during three weeks or more were included.

Fysisk träning som hjärtrehabilitering efter en myokardieinfarkt: en litteraturstudie

Background: Myocardial infarction is the most common individual disease among people in the west world. In Sweden there are over 50 000 women and men who get myocardial infarction every year and about 40 % of them dies. Exercise training is one part of cardiac rehabilitation and since 1980 Sweden use the guidelines from that time. Aim: The aim was to review exercise-training modalities in cardiac rehabilitation after myocardial infarction and the physiologic- and psychological effects. Method: Facts were obtained by searching through the database PubMed for articles published from 1994 and ten years forward.

POLYFENOLER, VITAMINER OCH PARODONTALA SJUKDOMAR - en systematisk litteraturstudie

Syftet med denna systematiska litteraturöversikt var att utreda om det finns stöd i litteraturen avseende vilken betydelse kostens innehåll av polyfenoler och vitaminer kan ha för parodontala sjukdomar. Material och metod: En sökning i PubMed gjordes i mars 2012. Sökningen begränsades till humana studier på engelska och publicerade mellan januari 1990 och mars 2012. Kriterier för inkludering var: ?randomized controlled trial?, ?clinical controlled trial?, ?clinical trial? och ??humans.

Energieffektivisering i ett reningsverk för skogsindustriellt avloppsvatten genom förfällning av extraktivämnen

Pulp- and papermills expend vast amounts of water in order to produce pulp, paper and cardboard. Hence, they alsocreate vast amounts of waste water which has to be cleaned before it can be released into the receiving body of water. Insuch a wastewater treatment plant, tremendous amounts of energy are expended by the aeration in the biologicalcleaning process. This aeration is necessary to supply the microorganisms that shall decompose organic material withoxygen, which they need for their metabolism. The transfer of oxygen from the gas phase to the liquid phase isprimarily inhibited by surface-active substances in the waste water like resin acids or fatty acids.

Livskvalitet hos patienter med Diabetes typ 2 : en litteraturstudie

AbstractThe aim of this review was to describe how quality of life is experienced among patients with diabetes type 2. Literature search was made in Medline and the keywords used were ?diabetes mellitus type 2? and ?quality of life?. Twenty studies were examined and categorized into four sections: Quality of life during complications due to diabetes type 2, quality of life during various treatments, quality of life during depression and quality of life and aspects in relation to the individual as well as social aspects. The designs of the studies were of a varying kind: randomized controlled studies, comparative studies, correlative studies and descriptive studies.

Marktäckande, lågväxt vegetation på ställverksmark : en biologisk bekämpningsmetod mot ogräs

Unwanted vegetation on the land of electric transforming stations is a problem, in the sense that it contributes to higher fire risks and also constitutes an obstacle for people performing maintenance operations at the station. Such unwanted vegetation is controlled using herbicides and mechanical measures. Since the use of herbicides implies environmental hazards, there is a need to find alternative ways of fighting the unwanted vegetation. Investigation into suitable plants for ground cover, trials in the greenhouse, trials in the field, soil analyses and compilation of experiences from similar trials are parts of this work. The paper also contains analyses of possible environmental benefits and economical gains. There is also a final discussion of some proposals regarding alternative weed controlling methods.

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