Background. Anesthetic-related death in small animal anesthesia is about ten times more common than in human anesthesia. Recent research identifies the early postoperative period as particularly risky and highlights the need for regular and careful monitoring of the veterinary patient during this period. Objective. The aims of this study were to investigate whether there are standard procedures in terms of regulated routine patient observations and record-keeping during the early postoperative period at Swedish veterinary clinics, and if there are any guidelines for monitoring the veterinary patient during recovery. Methods. A small survey including ten Swedish veterinary clinics was carried out as well as a literature review. Results.

SAMMANFATTNINGSjuksköterskan tillämpar omvårdnadsprocessen genom att observera, värdera, prioritera, dokumentera och vid behov åtgärda och hantera förändringar i allmäntillståndet, samt motverka komplikationer i samband med sjukdom, vård och behandling. Andningsfrekvens (AF) är den vitalparameter som först förändras och signalerar en förändring i allmäntillståndet. Vid de flesta hjärtstopp på sjukhus finns tecken till försämring hos patienten redan några timmar eller upp till ett dygn före. Syftet var att undersöka sjuksköterskans inställning och följsamhet till att mäta och bedöma AF hos akuta sjuka patienter, för att tidigt upptäcka en försämring i patientens hälsotillstånd. Genom en litteraturstudie framkom fyra teman. Rutiners betydelse, sjuksköterskans inställning till AF och varför den inte mättes, värdet av förändringsarbete samt möjliga arbetssätt för att undvika vårdskador.

Obesity is the most common nutritional disorder, and is defined as an accumulation of excessive amounts of adipose tissue in the body. Obesity is a condition where an animal exceeds its optimum body weight by more than 10-25%. Risk factors associated with obesity may include breed, age, castration or high energy intake relative to energy consumption. The consequences of obesity are believed to be metabolic and hormonal changes, as well as cardiovascular and respiratory diseases, orthopedic problems, tumors and premature death. Prevention and early detection of obesity leads to better health care.

Dampness in the indoor environment have been a major issue of discussion the last decades since more and more people complain about their indoor environment. In the present situation there are difficulties to find what causes people?s discomfort in a damp environment even though there is a strong connection between dampness and human health.The aim of the thesis was to contribute to the work done today to achieve a better indoor environment in damp buildings. The purpose of the work was to evaluate whether the measures issued for dampness in the indoor environment contributes to the improvement of health and environment for those who are living or working in that space. Through a literature review, interview and survey the following three questions were answered to achieve the aim and purpose:How are people affected by the indoor environment in damp buildings?Which are the measures issued to prevent dampness in the indoor environment?Do these interventions contribute to a better indoor environment?How people are affected by the indoor environment in damp buildings and how these problems are prevented were the foundation for the continued work with the survey.

To establish good horse welfare there are several factors that need to be considered. One important factor is the environment in which the horses are kept. In Sweden horses are stabled during long periods of time in the cold season and consequently the stable environment is even more important. The most essential environmental factors in a horse stable are ambient temperature, relative humidity (RH) and concentrations of contaminants in the stable air. The air in a horse stable contains dust, noxious gases, moulds and microorganisms which all can contribute to developing respiratory diseases in horses.

BakgrundVårdrelaterade infektioner (VRI) har funnits lika länge som patienter har vårdats. Redan på 1800-talet steg läkaren Ignaz Semmelweis fram och förespråkade för att skrubba händerna med klorid i syfte att förhindra spridning av bakterier från obduktionsbordet till förlossningsavdelningar. Trots den tidiga kunskapen om god handhygien drabbas patienter världen över av VRI. I Sverige under våren 2012 drabbades 8,9 % av alla somatiskt sjuka patienter som vårdades på något sjukhus av en VRI. Syftet med litteraturstudien har varit att beskriva åtgärder för att förebygga uppkomsten av vårdrelaterade infektioner.MetodEn allmän litteraturstudie baserad på Forsberg och Wengström (2008) har genomförts.

Severe acute respiratory syndrome (SARS) är den epidemi som 2003 spred sig från Guangdong provinsen i Kina till 26 länder runt om i världen. Sjukdomen som orksakades av SARS-coronavirus (SARS-CoV), drabbade under utbrottet 8098 personer och tog 774 liv. SARS är ett utmärkt exempel på hur en dödlig sjukdom kan komma från ?ingenstans? för att snabbt, spridas med hjälp av vårt globaliserade samhälle. Viruset utsöndras med luftvägssekret, feces och urin och kan under fuktiga och gynnsamma omständigheter vara infektionsdugligt i upp till fyra dygn. I regel krävs direktkontakt eller nära kontakt mellan smittbärare och frisk individ för att sprida viruset vidare.

1 MÄTNING AV ANDNINGSMUSKELSTYRKA JÄMFÖRELSE AV NORMALVÄRDEN MELLAN NY OCH BEFINTLIG UTRUSTNING ELIN KELLERSSON Kellersson E, Jämförelse av andningsmuskelstyrke mätning på ny utrustning. Examensarbete i biomedicinsk laboratorievetenskap 15 poäng. Malmö högskola: Hälsa och Samhälle, enheten för biomedicinsk Laboratorievetenskap, 2012. Svaghet i andningsmuskulatur är vanligt hos neuromuskulärt sjuka, lungsjuka och hos vissa patienter som behandlas med steroider. Vid neuromuskulära sjukdomar utgör en progressiv försvagning av andningsmusklerna (främst diafragman) det allvarligaste hotet mot överlevnad. Andningsmuskelstyrkan kan mätas med hjälp av en spirometer, där det maximala inspiratoriska trycket (PI max) och det maximala exspiratoriska trycket (PE max) mäts med hjälp av tryckreceptorer vid en pnemotachograf.

Syfte, hypoteser och frågeställning:Syftet med studien är att undersöka hur kostsammansättning påverkar prestation, upplevelse och fysiologiska parametrar hos unga män, i samband med högintensiv fysisk aktivitet. H1 Fysisk prestation, här definierat som total producerad energi under testtiden (J),maximal kraftutveckling (W) samt ett medelvärde på kraftutveckling (W), på högintensitet är lägre efter intag enligt LCHF-kost jämfört med SNR.H2 Upplevd ansträngning under fysisk prestation skattas högre vid LCHF-kost jämfört medSNR.H3 RER (Respiratory Exchange Ratio) är lägre vid LCHF-kost jämfört med SNR.H4 Laktatnivån i blodet är lägre vid LCHF-kost jämfört med SNR.F Hur påverkas sinnesstämningen av en kosthållning enligt LCHF jämför med SNR?Metod:En experimentell crossover-studie utfördes på nio friska, träningsvana män i åldern 22-25 år. Samtliga deltagare genomgick en kostintervention under två femdagars-perioder på kosthållning enligt LCHF och Svenska Näringsrekommendationer (SNR), separerade med en nio dagars washout-period. Efter respektive kostperiod utfördes tester bestående av RER- mätning på ergometercykel samt upprepade Wingate-test (2 st) då de fick skatta upplevd ansträngning enligt CR100-skalan. I samband med testerna mättes även vikt, fettprocent och laktatvärden.

Honung har en historia inom sårvård som går långt tillbaka i tiden. Idag används honung både inom veterinär- och humanmedicinsk vård. Den honung som används är framförallt Manukahonung från växten Leptospermum scoparium i Nya Zeeland. Honung anses ha ett flertal positiva effekter på sårläkning och här fokuseras på tre av dem: antibakteriell effekt, påskyndad sårläkning samt antiinflammatorisk effekt. Syftet med denna litteraturöversikt är att se vad det finns för vetenskaplig grund till Manukahonungs påstådda effekter och för att få en uppfattning om användbarheten inom veterinärmedicinsk sårvård för hund och katt. Den allmänna uppfattningen är att den antibakteriella effekten hos Manukahonung är bekräftad då flertalet studier har visat detta, även på multiresistenta bakterier.

Handling of animals during anaesthesia is an important field in the profession as a veterinary nurse and in which intubation is an essential part. Hence, adequate knowledge is necessary for the welfare of the animal. The objective of this literature study was to make it useful and trustworthy for veterinary nurses. It is intended to describe and summarize existing scientificity with its benefits and disadvantages within the different areas of intubation techniques and alternative methods of inhalation anaesthetic supplementation for general anaesthesia in rabbits. Endotracheal intubation in rabbits can be complicated and technically demanding due to the anatomy of the oropharynx including the narrowness of this structure, a relatively large tongue, large incisors and a limited mobility of the temperomandibular joint. The obstructed visualization of larynx and the rabbit?s tendency to develop laryngospasm contributes to the difficulty of intubation. Rabbits are susceptible to tracheal injury and multiple intubation attempts can cause tracheal lesions due to repeated damage to the tracheal mucous membrane, although damage can occur after a single intubation attempt as well. An ETT (endotracheal tube) with or without a cuff can be used during orotracheal intubation in rabbits.

SARS [Severe Acute Respiratory Syndrome] penetrated China in spring of 2003, created havoc in the social society, exposed weaknesses within the political system and pushed the nation towards a crisis of confidence. At the same time the crisis revitalised the Party's position, brought people from different social stratum together and had a beneficial impact on the populace's knowledge on health related issues.What makes the SARS crisis in China interesting for further and deeper investigation is the method it chose to respond to its national crisis. They plan of response was indeed a retrogression back to "older" times, using methods and propaganda very much like those used during Mao Zedong and later Deng Xiaoping. The first step of response was denial and cover up of the real situation, which quickly turned to unprecedented transparency, as the magnitude of SARS became known. The Party and the government were quick to proclaim themselves as the bearer of the key knowledge and information on how to best fight the disease, this in sharp contrast to the political trend of more co-operation between the private and public sector and political transparency.

Porcine circovirus type 2 (PCV2) is a common virus present in most parts of the world. PCV2 has been pointed out as the major causative agent to post weaning multisystemic wasting syndrome (PMWS) that affects pigs after weaning. The clinical symptoms of PMWS are impaired growth, diarrhoea, respiratory problems and increased mortality. At autopsy enlarged lymph nodes with depletion of lymphocytes are commonly found. Since 1991 PMWS has spread all over the world and was first described among Swedish pigs in 2003. Although PCV2 is widespread, only some pigs develop PCV2-related diseases. Why this is and what other factors that are required in order for the disease to develop is yet unknown. The main theories involve other infections, for example PRRS, and management issues but also genetic differences between pigs and/or virus strains have been suggested.

Inflammatory airway disease (IAD) is a respiratory disorder that most commonly affects young horses performing at a high level. The clinical signs are often mild but the disorder can cause a marked decrease in performance to a point where the horse has to be taken of training and competing. The aetiology underlying IAD is not yet fully understood. One current theory is that a type I-hypersensitivity reaction due to allergens in the environment is the cause in some horses. The most reliable diagnostic method is a bronchoalveolar lavage (BAL) since it reflects the inflammatory status in the most distal parts of the lungs, which are affected in IAD.

Peritonitis is a potentially life-threatening disease in horses. With no published work from Sweden, the objective of the study was to describe the occurrence and demographics of horses with peritonitis and to evaluate the outcome of treatment in terms of short-term survival during a ten-year period in a large clinic in Sweden. Data were examined in a retrospective manner in 69 horses diagnosed with and treated for peritonitis at Universitetsdjursjukhuset (UDS) in Uppsala between 2002-2012. Demographic data examined included age, breed, gender, history, duration of illness before arriving at UDS, reason for seeking veterinary care, initial clinical findings (general state of health, heart rate, respiratory rate, mucous membrane appearance, rectal temperature, abdominal sounds, rectal examination, nasogastric tube results), abdominocentesis results (abdominal fluid analysis including visual inspection, leukocytes and protein, cytology, bacterial culture and sensitivity pattern), complete blood count (CBC), Serum amyloid-A (SAA) upon presentation and a follow up, plasma fibrinogen, plasma protein and albumin, treatments, length of hospitalisation and outcome. All medical records with the diagnosis of peritonitis were extracted from the medical records system Trofast. All records with any other diagnosis code referring to trauma such as rectal tear or ruptured uterus, recent abdominal surgery, external trauma or rupture in the gastrointestinal tract were excluded. To be included in the study, the peritoneal fluid should contain more than 20.000 cells/?L, have a peritoneal protein value of >30 g/L; or have a significantly changed peritoneal fluid sample (orange with increased turbidity or worse) in cases where no data on cells or protein were available. The horses were divided into two groups; one where the peritonitis was deemed to have an idiopathic aetiology (primary peritonitis) and the other group where the peritonitis had a possible aetiology such as intestinal parasites, impaction etc.