Sahlgrenska Academy at University of GothenburgDepartment of Internal Medicine and Clinical NutritionABSTRACTTitle: The connection between IBS and FODMAPsAuthor: Helena Hautamäki and Rebecka BertilssonSupervisor: Sofia KlingbergExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 2013-04-10Background: IBS (Irritable Bowel Syndrome) is a functional gastrointestinal disorder, and is acommon disorder in the western population. The predominant symptoms are diarrhoea,abdominal pain, bloating, constipation, and excessive flatus. Today there are no evidence basedrecommendations concerning dietary factors for patients diagnosed with IBS, but recently certainfactors in the diet that seems to trigger the symptoms have been identified. These factors areshort-chain carbohydrates, Fermentable Oligosaccharides, Disaccharides, Monosaccharides, andPolyols (FODMAPS), which are not completely absorbed in the lumen.Objective: The purpose of this systematic review article is to examine whether there are anyevidence that a diet low in FODMAPs may induce improvement of symptoms in patientsdiagnosed with IBS.Search strategy: The literature search was performed in the databases PubMed, Scopus,Summon and Google Scholar. The keywords were ?Irritable bowel syndrome + FODMAPs?,?Irritable bowel syndrome + diet? and ?FODMAP and diet?.Selection criteria: The inclusion criteria were patients diagnosed with IBS between the ages 18and 69.

Semantic feature analysis (SFA) is a treatment technique used foraphasic word finding difficulties after stroke. The method has earlier beenevaluated with positive outcome regarding words that have been trainedduring intervention while more varied results have been presented regardinguntrained words. The aim of this study was therefore to evaluate the effectsof the method on naming in untrained nouns and verbs, in both confrontationnaming and in discourse. The present study is the first to evaluate SFA withSwedish-speaking persons. A single-subject design was used.

More often consumers demand instant dry soup that can be prepared with a water temperature below 100o C, which is currently not possible, because the dry soup becomes too thin when using water with a lower temperature. In this study, various kinds of starch studies were made to optimize the starch used in the existing product to make it more viscous at both high and low temperatures. The result was that one of the two starches present in the existing product was retained by change in quantity as it contributed to important flavor parameters. The second was removed and replaced with a starch that made the product more viscous at lower temperatures. To find out if the new product differed from the existing product a viscosity measurement and a sensory paired preference test were made.

Feline odontoclastic resorptive lesion (FORL) is a tooth disease affecting both domestic and wild cats. Although FORL was described as early as the 1920´s, the etiology is still unclear. Several hypotheses have been presented but different studies have obtained contradictory results, and today there is no generally accepted etiology. Teeth affected by FORL are characterized by root resorption with progressive destruction of the tooth structure and alveolar bone as a consequence of clast cell activity. The disease is considered very painful when reaching a certain stage.

Through an internship at a nonprofit organization called ATSUB[1], specialized at giving support to non-offending parents to sexually abused children, one of the authors to this study found that there was a lack of care for the parents by governmental operations. While studying the previous research we found a great deficiency when it came to non-offending parents and far most about non-offending fathers. We found studies proving that the child?s non-offending parents are the best support for the child during their healing process. Research also shows that parents must be able to get good support and treatment during their crisis for the parents to be able to support the child, since they?re also in great despair over their child being sexually abused.

Cochlear implant has become a common treatment for people with severe hearing loss. As the field of cochlear implants is developing rapidly a larger group of patients will be implanted. Therefore, it can be of interest to identify which complications are most frequently occurring. Objective: The aim of this study is to identify and present the most common complications in cochlear implant treatment and to identify surgical issues that have to be addressed during implantation. Method: A review of retrospective case studies regarding complications has been made.

The aim of this paper is to make a plan for local treatment with Klucel® G of a book with moulddamage. The biggest problem concerned handling the book without loosing fragments and tohandle pages that were stuck together. In some places as many as six pages where stuck togetherand it was not possible to separate them without loosing material or breaking them. The otherproblem concerned the use of waterbased adhesives that might cause tidelines and paperdistortions as seen in another volume. The use of Klucel® G dissolved in ethylalcohol functionedvery well as strengtheners and also as an adhesive for lamination.

The aim of this study was to investigate the effects of an infusion of hypertonic saline solution (HSS) in combination with an oral waterload on cows suffering from rightsided displacement of the abomasum (RDA). Six dairy cows were treated with 7,2% HSS in a dosis of 5 ml per kg bodyweight. They also received an oral waterload of approximately 15 liters. To monitor changes in fluid-, acid-base- and electrolyte-balance, bloodsamples were collected during the next 24 hours. During this period, the cows also underwent surgery to empty and correct the position of the abomasum.

The purpose of this essay was a follow-up of four female drug abusers with several mental problems ten years after my initial meeting with them at Korsaröds Behandlingshem. Using a qualitative method and interviews with the women, knowledge was obtained regarding their current vital conditions and their subjective experiences of the treatment at Korsaröd. Their perspective on the ethical as well as their desired relationship with staff within social services was also accounted for. When contacted the women lived a content and drug free life in their own flats. The women stayed at Korsaröd approximately five years, and they said that without the treatment they would not be alive today.

Background: Coronary heart disease kills more than 7 million people worldwide each year. High levels of blood fat, cholesterol, contributes significantly to coronary heart disease. Lifestyle changes combined with lipid-lowering drugs, statins, is an effective treatment. But adherence to statins is low, not even a myocardial infarction always contributes to adherence. Adherence requires patient education and good communication between patient and physician.

Many companies today are investing in various computer-based tools to support their planning, decision making or communication processes. However, end users are often reluctant to accept the available information systems, which mean that these investments are extremely risky. Understanding why users choose to accept or reject an information system has proved to be one of the most challenging problems in this research area. Previous studies have focused on users' beliefs and attitudes regarding use intentions, but the results have, however, been both mixed and incomplete. In this study, I have used the Swedish youth? s use intention of mobile banking and a quantitative study was performed based on five different hypotheses derived from previous studies.

Uganda and Tanzania are two countries severely affected by HIV/AIDS. Hence, there are a numbers of associations for PLHA there. In "Global transformations. Politics, economics and culture", Held, Mc Greew, Goldblatt and Perrton focuses None Governmental Organizations as important actors in the globalized world of today, with increased opportunities to influence and affect the politics. The aim of this paper is to investigate the opportunities for associations for PLHA in Tanzania and Uganda to affect in the national level of politics.

In the early 80s, several new synthetic materials have come to be used in the treatment of canvaspaintings, among them Plextol D 360, Plexisol P 550 and Beva 371. Today, many conservatorsfind the information about the long term sustainability of these binding mediums to beincomplete. Evaluation of synthetic materials is mostly done through clinical research, sometimesartificial aging is simulated. The correlation between artificial and natural aging is however notestablished, useful information can therefore be gained through evaluations of actualconservation treatments. The intention of this study is to find out more about how thementioned products perform over time in normal museum conditions.

The purpose of this particular study was to examine the client relationship as described by social workers during the ongoing process of addiction treatment in conjunction with the effects on creating these relationships as affected by government stipulations. As a basis for the study, qualitative interviews were conducted with five separate social workers in the course of their work within addiction treatment. Results from the study were analyzed by means of power and dramaturgically roll theory. The social workers stated that it was of the utmost importance to create a good relationship in order to effectively help the client. The social workers further stated that a good relationship was characterized by the virtues of cooperation, trust, and confidence.

This report describes how the system may be exposed to oscillations and how this can lead to resonance. Resonance is a phenomenon that occurs when a system is affected by external periodic oscillations with frequencies close to the system's natural frequencies. Structures subjected to resonance can risk great damage and destruction, why resonance is something that is important to take into account when designing structures. Alternative ways to counteract resonance is to supply damping in the system. Damping means that the resonance decreases instead of letting the amplitude increase.The report discusses some examples on constructions that have experienced the effect of resonance.