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512 Uppsatser om Residual symptoms - Sida 32 av 35

Inställningen till?Din journal på nätet? hosallmänläkare iUppsala läns landsting

ECG-Screening for young elite athletesAbstractBackgroundSudden cardiac death (SCD) during physical activity is a frightening and emotional tragedy that draws huge media attentions when it occurs. Fortunately it is a relatively uncommon occurrence but happens nonetheless to young athletes who often seems to be in perfect health. SCD is used as a term for sudden unexpected complications on the cardiovascular system that leads to a deadly outcome normally within the first hour of onset of symptoms and the cause is some sort of underlying cardiovascular disease that gets triggered by physical activity.Normally athletes gets divided into two groups dependent on age, over and under 35 years, and this studies focus is on the younger group since it is often during this period athletes are at the elite level. It is also in this category the most unexpected sudden deaths occur that is not due to coronary atherosclerosis, which is the dominant cause of death, and drastically increases, for people over 35 years old.AimThe aim of this study was to scientific and unbiased analyze peer-reviewed clinical articles todescribe the pros, cons and cost to implement an ECG-screening as a standard before physicalactivities for specifically defined elite athletes.MethodA systematic review was performed and after all data collection 21 articles was chosen to beused as a base for both background and analyze. At the end 10 articles was fulfilling the criteria to be used at the analyze and later the results.ResultsThe implementation of ECG-screening has reduced SCD in Italy by 89 % between the years 1979-2004.

Kan omega-3 förebygga uppkomsten av allergi?

Sahlgrenska Academy at University of GothenburgDepartment of Internal medicine and Clinical nutritionAbstractTitel: Can omega-3 prevent the emergence of allergy?? A systematic reviewAuthor: Karin Andersson and Cecilia BjörertzSupervisor: Henriette PhilipsonExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 hpType of paper: Examination paper, 15 hpDate: 2012-05-23Background Today allergy is a major public health issue and one of our most common chronic diseases. It would be most profitable if there was a way to prevent the emergence of allergies, both regarding the community and the individual. The antiinflammatory property of omega-3 influences the immune system and is thought to have a preventive effect on allergic symptoms. To investigate whether the mothers intake of omega-3 during pregnancy and lactation affects the child?s future development of allergy is therefore of high interest.Objective To examine if omega-3 supplement given to mothers during pregnancy, or pregnancy and lactation, is shown to be beneficial in children with heredity to develop allergy.Search strategy Articles were collected from the data bases PubMed, Cochrane and Scopus.

Mögel på Textil -vid import av textila varor

Under lagring och transport av textila varor från Asien kan risken för mögelangrepp vara stor, något som sedan vid uppackning kan vara skadligt för hälsan. Situationen så som det ser ut idag kan medföra stora problem och kostnader hos textilföretag och att hitta möjliga åtgärder för att förebygga skador är därför av stort intresse. För att kartlägga problemen med mögelangrepp på textila material har både informationssökning och praktiskt arbete genomförts. Mögeltillväxt sker då det är gynnsamma betingelser med hänsyn till klimat, näring och syretillgång. För att mögeltillväxt inte ska angripa textila varor finns en rad förebyggande åtgärder som kan vidtas, åtgärder som alla handlar om att göra förutsättningarna på ett eller annat sätt ogynnsamma.

Djuromvårdnad vid fång, bärrandsröta och spiktramp hos häst

60 million years ago the horse was the size of a small dog, and walked on four toes. Today it can weigh up to 500-1000 kg and has evolved to walking on only one phalanx. The anatomy of the horses? legs and hooves allow them to run at high speeds, and at the same time enables them to bear the extremely high concussions applied to the foot at high speeds or jumps. Every horse owner has his or her own opinion on how to manage their horses? hooves, and whether the horse should be shod or unshod. The knowledge, commitment and attention of the owner determine the quality of the hoof care, but also the time between the arising of symptoms of abnormalities of the hoof until care is sought with a farrier or veterinarian. New laws will be applied at the beginning of 2015 which bring on changes in authorization for farriers.

Behandling av hanhundar med deslorelin :

This article presents a survey of male dogs treated with the gonadotropin releasing hormone (GnRH) agonist deslorelin (Suprelorin®, Virbac) at three animal clinics in central Sweden. Filled-in questionnaires from 110 dogs were received. The paper also includes a review of existing litterature concerning reproduction in male dogs, focusing on endocrinology, the effects of gonadectomy and the GnRH agonist deslorelin. Continuous treatment with deslorelin produces infertility in male dogs. The pituitary is initially stimulated by deslorelin leading to a rise in luteinizing hormone (LH) and follicle stimulating hormone (FSH) secretion. As a consequence the testosterone levels also increase temporarily.

Smärtbedöming inom ambulanssjukvården : Hur sjuksköterskor bedömer patientens och vilka faktorer som påverkar bedömningen

Background: The majority of patients requiring medical attention experience some degree of pain. The nurses´ assessment of pain is crucial in reducing the patients suffering in a proper and timely manner. Previous studies have shown that the treatment of pain in a emergency situation is poorly managed. The patients´ pain experience is often under assessed and undertreated which leads to increased suffering for the patient. This results in higher costs for the health care system due to prolonged hospitalization.

Effekter av högt kaliumintag på magnesiumbalansen hos mjölkkor :

Magnesium is one of the most important minerals in the body and it participates in many essential processes, such as energy metabolism and protein synthezis. Magnesium deficiency in cattle may occur when they are let out for pasture in the spring, and is associated with tetany, known as grass staggers. A high yielding dairy cow often loses more magnesium daily in the milk than she has available in the body, and magnesium thereby needs to be provided in the feed to prevent the cow from being affected by deficiency symptoms. The uptake of magnesium is mainly located to the rumen and is not regulated by hormones. The surplus is excreted in the urine by the kidneys.

Hur kan en familjs livskvalitet påverkas då ett barn har födoämnesallergi?

Bakgrund: Nästan vart fjärde barn i Sverige har idag en allergisjukdom med symtom. Att som barn få diagnosen födoämnesallergi har en påverkan på både barnets och hela familjens livskvalitet. Syfte: Syftet med studien var att belysa hur en familjs livskvalitet kan påverkas då ett barn har födoämnesallergi. Metod: Studien baserades på sju vetenskapliga studier, både kvalitativa och kvantitativa. Resultat: Efter att ha granskat studierna framkom tre genomgående teman; upplevelser av oro och rädsla, upplevelser av bristande stöd och information och begränsningar och strategier i det dagliga livet.

Är det inte dokumenterat är det inte gjort!

SAMMANFATTNING Detta examensarbete syftar till att kvalitetssäkra omvårdnaden av hästar med medicinsk kolik på djursjukhusens stationärvårdsavdelning. Genom att bidra med ett förslag till standardvårdplan för hästar med medicinsk kolik vill vi optimera hästens vård och omvårdnad under sjukhusvistelsen. Syftet med att arbeta med standardvårdplaner (SVP) är att skapa högkvalitativ omvårdnad, underlätta dokumentationsarbetet och i förlängningen kunna få mer tid till att se och vårda den enskilde patienten. Kolik är en åkomma med många olika samverkande faktorer, både miljöbetingade och eventuellt ärftliga Kolik i matsmältningskanalen delas ofta in i medicinsk- och kirurgisk kolik och i detta arbete läggs vikten på medicinsk kolik. Huvuddelen (~90 %) av all kolik kräver ingen kirurgi och tillhör därmed gruppen medicinsk kolik. Kolikavsnittet i arbetet är tänkt som en kunskapsöversikt över sjukdomstillståndet och ska användas som ett styrdokument för att trygga en kvalitativ basnivå på omvårdnaden. I standardvårdplanen har ett antal riskområden identifierats och därefter har riskdiagnoser, mål och åtgärder för att uppnå huvudmålet - en kolikfri patient, utarbetats. Därpå utvecklades kryssprotokoll för parametrar vid observation av kolikhäst och för smärtbedömning vid medicinsk kolik. Nyckelord: dokumentation, medicinsk kolik, omvårdnad, standardvårdplan SUMMARY This diploma work aims to assure the quality care of horses with medical colic on the veterinary hospital's stationary ward.

Gränsfall : en undersökning om skillnader mellan inomhus- och utomhusaktiviteter i förskolan

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.

Livskvalitet hos personer med cancersjukdom inom palliativ vård

AbstractBackground: Cancer is a leading cause of death worldwide and accounted for 7.6 million deaths, about 13% of all deaths, in 2008. Several factors can affect patients' quality of life such as physical and psychological symptoms, relationship to people around and the environment. In palliative care professionals need to have good knowledge in order to improve patient quality of life and to give them as good a life as possible in the final stages of life.Aim: The purpose of this overview study is to describe the experiences of quality of life in patients with incurable cancer.Method: We conducted an overview study that was based on ten scientific articles. All articles are qualitative studies, from the year 1995 - 2011, and are from Sweden, Finland, UK, Canada and the USA. Qualitative analysis was used to group the various themes and subthemes for overview study purpose.

Islandshästar med hosta och/eller prestationsnedsättning : skiljer de sig åt jämfört med andra raser?

The purpose of the study was to investigate whether or not Icelandic horses are less severely affected in clinical symptoms of cough or decreased performance than other breeds of horses. A breed variation in chronic respiratory disease severity was suspected based on clinical experience at the Institution for surgery & medicine, large animal, SLU Uppsala. A retrospective journal study of 17 Icelandic horses and 17 Swedish Standardbred horses with chronic problems with cough and/or decreased performance compared several measurements of disease severity. The clinical signs, physical examination and laboratory testing results compared were respiratory rate, abdominal breathing, lung auscultation, endoscopy results, broncho-alveolar lavage (BAL) results and the blood gases pO2 and pCO2. All parameters were available for all 34 individuals except for the blood gases, which were analysed, in only four Icelandic horses and four Swedish Standardbred horses. The only parameters that appeared different between the two groups were respiratory rate and pO2. The four Icelandic horses, which had blood gases analysed, had more severe hypoxemia.

Pedagogisk intervention vid audiologisk rehabilitering med hjälp av en textbok. En randomiserad kontrollerad studie.

Hearing is considered to be the most important sense for the communication between people. Several studies have shown that hearing loss can lead to deterioration in quality of life, reduced social activities, feelings of alienation and hence the increasing incidence of depression symptoms.An early audiological rehabilitation is a prerequisite for proper communication among people with hearing loss. Knowledge has been shown to be of great importance and structured learning and individually targeted approach can be expected to facilitate the audiological rehabilitation.The purpose of this study was to examine the effect of an educational effort for people with hearing loss where the effort was made in the distance within the audiological rehabilitation and was followed-up by professional phone support, through a randomized controlled study.The study group consisted of 69 hearing aid users who were randomized by an independent person into two groups, an intervention group and a control group. The intervention group (n = 33) had access to the book "When the sounds are weaker - on hearing and hearing aids". The group received weekly topic-based information related to the different chapters of the book, in five rounds.

Mineralämnen i fullfoder : studier på 20 mjölkkogårdar i Halland

In 2003 the recommended phosphorus allowance for dairy cows in Sweden was lowered approximately 10 %. For a cow at a production level of 35 kg ECM it decreased from 0,40 to 0,36 % of dry matter. To investigate if the decrease has been implemented at farm level, analysis of following minerals; P, Ca, Mg, K, Na, S, Se, Cu, Mn and Zn was performed on the TMR at 20 farms in Sweden in the summer of 2004. The purpose was to describe the actual allowance of different minerals as compared to the new recommendations. One hypothesis was that the decrease in recommended allowance of phosphorus would lead to the need of new mineral feeds on the market.

Synergonomi och arbetsbelysning för sjuksköterskor inom avancerad hemsjukvård

The main aim of this master thesis was to examine the visual ergonomics and the systematic work environment management concerning lighting issues for nurses within domiciliary care. Further aims were to examine a few existing lighting solutions, to come up with ideas for future possible lighting solutions, and to evaluate if the legal regulations for lighting is satisfying and if the regulations are obeyed in domiciliary nursing.The methods used were a questionnaire completed by 55 nurses, field studies of used lightings in cooperation with a student in industrial esign, test of ten existing lighting solutions in a laboratory environment, and a field test of five existing lighting solutions tested by nine nurses in the home of the patient.The result indicates that 40 % of the asked nurses were dissatisfied with the working light in the patient?s homes. All respondents reported poor working light close to the patient, 50 % reported that this problem occurred daily. One third reported that they had to work in uncomfortable working postures due to insufficient working light, and 15 % reported risk of making mistakes due to the same reason.

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