Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Does low fat dairy products reduce blood pressure?Author: Emma Bergman and Naman LimaniSupervisor: Lena HulthénExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 26, 2014Background: It is estimated that at least a third of the population in Sweden have a high blood pressure with genetics, unhealthy diet and physical inactivity as the main contributing causes. High blood pressure is one of the greatest risk factors to develop cardiovascular diseases, which is the leading cause of death worldwide. Milk is a nutritional food product and previous research suggests that low fat dairy products may have blood pressure lowering effect.Objective: The aim was to examine the scientific basis of how low fat dairy products affect blood pressure.Search strategy: Twelve searches were conducted on PubMed and Scopus, where the chosen search terms were combined to produce a broad search as possible in the particular area. The search terms used were dairy, dairy products, milk, blood pressure and hypertension.Selection criteria: Studies on normotensive or hypertensive individuals who received low fat dairy products were included.

Syfte: Syftet med denna systematiska ?versiktsartikel var att unders?ka det vetenskapliga underlaget avseende effekten av vitamin D-supplement p? ickeallergisk astma hos vuxna. Metod: Litteraturs?kningen genomf?rdes i tv? databaser, PubMed och Scopus. S?kningen genomf?rdes med hj?lp av tre s?kblock. Blocken specificerades efter inneh?ll; astma, vitamin D och randomiserade kontrollerade studier (RCT). Studierna som inkluderades i denna systematiska ?versiktsartikel var gjorda p? vuxna personer med icke-allergisk astma och utan samsjuklighet. Interventionen var vitamin D-supplement och kontrollen var placebo.

Sahlgrenska AcademyAt University of GothenburgDepartment of internal medicine and clinical nutritionAbstractTitle: D for depression: Does vitamin D supplementation have apalliative effect on depressive symptoms? ? A systematic reviewAuthor: Emelie Nacksten and Lua Ferreira RangelSupervisor: Fredrik BertzExaminer: Ingrid LarssonProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 22th, 2013BackgroundDepression is one of the major diseases in the world and is ranked by the WHO as the leading causeof disability. Several studies suggest that there is a correlation between low s-25(OH)D levels and theoccurrence of depression. Current research has found enzymes required for synthesis of the active formof vitamin D and its receptors (VDR) in the brain. The potential role of the vitaminas a neuroactive steroid has resulted in an increased interest in investigating the role of vitamin D in thetreatment of depression.ObjectiveStudy the scientific evidence to determine if vitamin D supplementation can relieve depressive symptomsin adults.Search strategyThe literature search was conducted in the databases Scopus, Pubmed, Cochrane and PsychInfo.

Sahlgrenska Academy at University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Coconut water as a rehydration fluid. - Can coconut water be recommended as a better choice than water or sports drink after moderately intense training?Author: My Green, Joakim LundSupervisor: Henriette PhilipsonExaminer: Frode SlindeProgram: Dietician study program, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 26th, 2014Background: Already in the 1960s an alternative to water as a rehydration fluid occurred, the so-called sports drink. Coconut water has in recent years been claimed as the "natural sports drink" in media. Coconut water is sold in shops and fitness centers around the world and has established itself as an alternative to water and sports drink in terms of rehydration after a workout.Objective: To investigate whether there is scientific evidence to recommend coconut water as a rehydration drink after moderately intense exercise ahead of water or sports drink.Search strategy: The search for articles in this systematic review was performed in the databases PubMed, Scopus, Cochrane and GUPEA.

Syftet med den här uppsatsen är att försöka fastställa och tydlig¬göra var gränsen för tilldelning av läsbehörighet för hälso- och sjukvårds¬personal går vid användande av elektroniska patientjournaler. Det finns önskemål från kommuner och landsting om en enda landsomfattande elektronisk patientjournal för varje patient. En av de främsta fördelarna är att tillgängligheten ökar dramatiskt och att det ger administrativa kostnadsbesparingar men en ökad tillgänglighet betyder också ökad risk för obehörigt intrång och att patientens integritet riskerar att kränkas. Det avgö¬rande vid bedömningen av en viss hälso- och sjukvårdspersonals läsbehörighet är behovet av uppgifter för att kunna utföra sina arbetsuppgifter. Det är dock otydligt i lagstiftningen och övrig normering vem som behöver vilka uppgifter för att utföra sitt arbete.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Alcohol consumption after training and its effects on muscle gain and recovery adult menAuthor: Frida Carlstedt, Puck JanssonSupervisor: Frode SlindeExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: April 09, 2014Background: Today, the Swedish population exceeds the recommendations for alcohol intake while advised to move at least thirty minutes a day. It is well established what happens if you drink alcohol before a workout or if you workout the day after an alcohol intake, but it is less well established how muscle gain and recovery are affected by an intake of alcohol in the phase of recovery.Objective: The objective of this review is to investigate if there is a relation between alcohol intake after a workout and effected recovery and muscle gain. This was performed by measuring the outcomes cortisol, testosterone, creatine kinase as well as different measures of muscle strength. The issue was ?Does an intake of alcohol after training affect recovery and muscle gain??Search strategy: A systematic review in the databases PubMed and Scopus with the MeSH-terms: exercise, muscles, recovery of function, training, athletic performance, performance, sport, alcohol drinking, alcohols, alcohol and ethanol.Selection criteria: Criteria for articles to be included in this review were that they would be RCT- and human studies in healthy subjects as well as containing an ethanol intake after a physical activity that consisted of weight training in the form of resistance training or other forms of activity that promotes strength.Data collection and analysis: A systematic search for literature as mentioned above (search strategy) was performed as well as an analysis with the SBU quality review template for randomized studies, and a quality review for each measure of outcome according to Gothenburg University summarized evidence template for measures of outcome.4Main results: Many studies are authored by the same group of researchers and/or are of a lower quality.

Sahlgrenska Academyat University of GothenburgDepartment of internal medicine and clinical nutritionAbstractTitle: Does omega-3 mitigate skin symptoms in psoriatic patients? ? A systematic review about the effects of supplementationAuthor: Anita Borgmästars and Sara LinderSupervisor: Mette AxelsenExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 22, 2012Background: Psoriasis is an inflammatory skin disease with high prevalency. Its treatment is time-consuming and associated with many side effects. Therefore alternative forms of treatment, among them omega-3 supplementation, have been investigated. Omega-3 is a family of polyunsaturated fatty acids whose metabolites participate in the regulation of inflammatory reactions in tissues and may therefore have a positive effect on skin symptoms in patients with psoriasis.Objective: To determine if omega-3 supplementation has a beneficial effect on skin symptoms in psoriasis compared to omega-6 supplementation by rating the evidence quality in available studies.Search strategy: The literature search was conducted in the databases PubMed, Scopus and Amed.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Can an increased intake of omega-3 fatty acids have an effect on testosteronelevels in women with PCOS?Author: Ylva Dernbrant och Helene HagenborgSupervisor: Lena HulthénExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 23, 2012BackgroundPolycystic ovary syndrome affects women of fertile age and consists of elevated testosterone levels and increased insulin resistance along with effects on ovulation and fertility. The elevated level of testosterone often leads to problem with acne and hirsutism, and it is also common with overweight and metabolic syndrome. The nutrition treatment has mainly consisted of energy restriction, together with exercise and drugs to reduce insulin resistance and consequently reduce androgen levels. However, an in-depth knowledge about how the components of our diet can affect further, is lacking.Omega-3-fatty acids can affect insulin resistance and testosterone levels within other groups but today knowledge is lacking if these findings can be transferred to women with PCOS.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Vitamin D supplementation and its effect on body composition in the overweightand obese ? a systematic reviewAuthor: Johanna Blum and Emma Sellin FrimodigSupervisor: Sofia KlingbergExaminer: Ingrid LarssonProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: April 10, 2013Background: There is an increasing burden of overweight and obesity worldwide. Theconditions lead to morbidity and lowered quality of life. Since there is research showing aconnection between obesity and low levels of serum 25(OH)D, this raises the question ifsupplementation of vitamin D may have positive effects on body weight, waist circumference andbody composition in the overweight and obese.Objective: To investigate if there is enough scientific evidence to recommend vitamin Dsupplementation combined with nutrition therapy to overweight and obese patients.Search strategy: The systematic collection of data was performed in the databases PubMed andScopus. Search terms included were ?vitamin D supplementation?, ?obesity? ?cohort?, ?vitamin D?,?vitamin D3 supplementation? and ?overweight?.Selection criteria: Human studies with RCT, CCT or cohort design written in English orSwedish were included.

Vi har fått i uppdrag av enhetschef Viveca Ekdahl-Lindgren vid kvinnokliniken på Sahlgrenska universitetssjukhuset, att undersöka hur stöd och behandling av patienter som utsatts för våldtäkt ser ut. Syftet med uppsats är att beskriva metoder för hur man som kurator kan arbeta med de psykosociala konsekvenser som inte sällan efterföljer en våldtäkt. För att uppnå vårt syfte har vi följande frågeställningar:1. Vilka blir de psykosociala konsekvenserna för de kvinnor som varit utsatta för våldtäkt?2. Hur kan man som kurator arbeta med dessa konsekvenser?Uppsatsen är en kvalitativ studie där vi genomfört fyra intervjuer med kuratorer inom hälso-och sjukvården. Vi har även genomfört en litteraturstudie för att inhämta kunskap som ett komplement till våra intervjuer samt för att bli mer insatta i vårt forskningsområde.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: Oral intake of green tea and its effect on the appearance of UV-induced erythema, erythema solare ? A systematic literature reviewAuthors: Ernita Antoni Mulliqi and Pernilla GustafssonSupervisor: Sofia KlingbergExaminer: Ingrid LarssonProgramme: Dietetics programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: April 10, 2013Background: UV irradiation of the skin can cause erythema, clinically called erythema solare. The condition can exert pain as well as discomfort and may in the long term lead to negative effects including skin cancer. Green tea contains catechins which are substances with anti-inflammatory effect that may have positive effects on the skin. The intake of green tea is believed to have a protective effect against UV irradiation, since green tea extracts in lotions in previous studies have shown to increase the skin tolerance level against UV irradiation.Objective: To examine the scientific basis and determine whether an oral intake of green tea has a protective effect against UV-induced erythema.Search strategy: Searches in the scientific databases PubMed and Scopus were made to find suitable articles.

Sahlgrenska AcademyAt University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstract:Titel: Effect on muscle building associated with alcohol intake after exerciseAuthor: Frida Bond och Linnea DanielssonSupervisor: Frode SlindeExamminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDatum: May 26, 2014Background: Drinking alcohol is often used as something to spice up weekdays as well as more festive occasions. The reverse aspect of alcohol consumption is that the body sees alcohol as toxic and therefore the basis for a number of diseases. Exercise and physical activity have been proven to be good for several welfare diseases such as diabetes and cardiovascular disease. Among people in general, opinion is divided as to how exercise combined with alcohol affects muscle building, but what do science say? Objective: The purpose of this review article is to analyze and summarize the existing scientific data about how the structure of muscles is affected in relation to alcohol intake after exercise.

Att fatta beslut om omvårdnad av patienter i palliativ vård är ett komplext arbete, som bygger på hur vården är organiserad, teoretisk och erfarenhetsmässigt baserad kunskap samt relationer. Genom att skapa trygga relationer med patienten kan beslut fattas som möjliggör patientens delaktighet. Det är också viktigt att vara observant på hur situationsstress hos vårdaren kan bli ett hinder för beslutsfattandet. Syftet med föreliggande studie är att undersöka hur vårdarna fattar beslut vid omvårdnad av döende patienter. Studien genomfördes med sex vårdare från ett hospice i Sverige och som datainsamlingsmetod valdesfokusgruppsintervju.

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: BCAA supplementation in patients undergoing resection for liver cancerAuthor: Mikael Semaan and Viktor SjölingSupervisor: Fredrik BertzExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: April 10, 2013BackgroundLiver cancer is the fifth most common cancer worldwide and the third largest to cause death. Protein-energy malnutrition is common in patients with liver disease and they often suffer from changes in the hepatic metabolism of nutrients and other substances. There is a basis for recommending BCAA supplementation in other certain liver diseases. Given the similar clinical picture of liver cancer surgery, it is possible that supplementation of BCAA can be beneficial for these patients as well.ObjectiveThe aim was to study the scientific basis for the effect of branched chain amino acid (BCAA) supplementation in liver cancer patients. Can it improve their recovery in terms of nutritional status and albumin levels, and does it changes the duration of hospital stay, after surgery?Search strategyFive extensive searches were performed on PubMed and Cochrane after appropriate study material.

Sahlgrenska Academy at University of GothenburgDepartment of Internal Medicine and Clinical NutritionAbstractTitle: The effect of a high versus low carbohydrate intake on endurance performanceAuthor: Emma Andersson and Josefine DahlqvistSupervisor: Fredrik BertzExaminer: Frode SlindeProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 22, 2013BackgroundCarbohydrates play a significant role in the human metabolism, especially during training. Manystudies have investigated the effects on different carbohydrate intakes on training performance. Thescientific researchers have met a consensus in the fact that a higher intake of carbohydratescompared to a lower carbohydrate intake improves athletic performance. Lately, the increasedinterest in low carbohydrate diets has despite these recommendations gained followers globally.ObjectiveTo determine if a higher carbohydrate intake results in a better endurance performance, comparedto a lower carbohydrate intake, for adult males and females, measured as time to exhaustion, totaldistance covered and power output/cadence. To be able to give nutrition recommendations toendurance athletes based on the current scientific evidence and identify if there is need for furtherresearch in this area.Search strategyThe databases used for the literature search were PubMed and Scopus.