Background: Diabetes mellitus is a chronic disease that manifests as an increased level of glucose in the blood. According to the World Health Organization (WHO), 347 million people have diabetes worldwide. In year 2004, 3.4 million people died from the consequences of high blood glucose. In the Swedish population the prevalence of diabetes is estimated to 3-4 %, out of which 85-90% are Type 2. Among senior citizens a prevalence of diabetes is seen in Sweden up to 14 - 15%.

Today's fierce competition means that companies constantly must develop their business and internal processes. Focus on processes and continuous improvement is something that characterizes Lean Production which ICA logistics are applying with their concept Leading Logistics. Standardized routines for handling damaged gods were insufficient at the ICA distribution center in Kungälv. Handling and registration of damaged gods were not performed uniformly, resulting in problems with controlling and monitoring the process.The purpose of this thesis was to analyze and make recommendations how the process of internal handling of damaged gods could be improved. Therefore a comprehensive understanding was needed of the entire material flow through the warehouse and important quality aspects such as product safety and delivery reliability.The methods used are literature reviews, interviews and observations to produce a comprehensive process mapping of the current situation at the distribution center.

Syfte: Syftet med denna studie var att jämföra barn som lider av fetma och normalviktiga barns fysiska aktivitet mätt med cpm, AEE och TEE samt att undersöka om det fanns en skillnad mellan normalviktiga och obesa barn angående hur nära barnens totala energiförbrukning låg i förhållande till NNR:s rekommenderade energiintag. Syftet var även att undersöka hur mycket tid som barnen spenderade i stillasittande, låg samt moderat till högintensiv fysisk aktivitet samt att undersöka om det fanns några skillnader mellan flickor och pojkar avseende fysisk aktivitet. Metod: 25 normalviktiga barn och 25 obesa barn i åldrarna sju till 17 år fick bära ActicalTM accelerometer i två till fyra dagar runt sin fotled. Från barnens journaler hämtades data och utifrån denna beräknades barnens fysiska och totala energiförbrukning per kilo kroppsvikt. Accelerometerns rådata (counts) insamlades och med hjälp av ett dataprogram beräknades counts per minut. För att beräkna tid i stillasittande, lågintensiv samt moderat till högintensiv fysisk aktivitet användes cut off points framtagna av Heil (2006). Resultat: Det fanns en skillnad mellan grupperna avseende både total energiförbrukning (Z= -3,444, p= ,001) och aktivitetsrelaterad energiförbrukning, men skillnaden i aktivitetsrelaterad energiförbrukning var inte statistiskt signifikant (t= 1,796 p=,079).

Claw health has been recorded by claw trimmers at trimming in Sweden since 1996, but data was then captured at each AI association. From 2003 data was captured by central scanning and entered directly to the national cow data base at the Swedish Dairy Association (SDA). This reporting was introduced because SDA wanted to be able to use these records to improve dairy cow claw health by breeding. It is desirable with cows that have healthy claws, because poor claw health can contribute to impaired production and fertility. The claw health report begins with some information about herd, claw trimmer, date et cetera and continues with the part where the claw health is recorded. Here the ID of each cow is filled in and on the same row the conditions for dermatitis, heel horn erosion, sole haemorrhage and sole ulcer are recorded as no lesion (blank), slight lesion (/) or severe lesion (X).

Syfte Syftet med den h?r systematiska litteratur?versikten var att unders?ka evidensen f?r om en viktnedg?ngsbehandling genom energireducerad kost, med eller utan till?gg av fysisk aktivitet, inf?r in vitro-fertilisering (IVF) hos kvinnor med obesitas har en p?verkan p? f?delsetal och graviditetstal. Metod Litteraturs?kningen genomf?rdes i databaserna Pubmed och Scopus den 23 januari 2023. Artikelselektionen utf?rdes systematiskt med hj?lp av en avgr?nsad fr?gest?llning samt inklusions- och exklusionskriterier. Populationen utgjordes av kvinnor med obesitas som planerade att genomg? IVF.

Background:  Heart failure is a multidimensional phenomenon with high mortality. Heart failure is treated with angiotensin converting enzyme (ACE) - inhibitors or angiotensin receptor blockers (ARBs) that counteract neurohormonal stimuli that occur in heart failure, as well as providing vessel dilatation, which reduces symptoms and the need for hospitalization and increases survival. Despite this, only about 50% of heart failure patients survive 6 years after diagnosis with drug therapy, and as heart failure is increasing globally, due to improved care and treatment and increasing life expectancy of the population, there is a great need for new drugs such as LCZ696 that acts by dual inhibition of the renin - angiotensin - aldosterone system and neprilysin inhibition.Objective: The aim of this literature study was to evaluate the efficacy of current treatment and possible future treatments on mortality and morbidity in heart failure patients.Results: The examined articles show that treatment with ACE inhibitors in patients with symptomatic heart failure reduces the risk of total mortality by 16% over 3.5 years, reduces all-cause mortality or hospitalization due to heart failure with NNT (number needed to treat) = 10.4 over 3.5 years and increases median survival by 9.2 months over 12.1 years in patients with asymptomatic heart failure. Treatments with high-dose ACE inhibitors reduce mortality and hospitalization because of cardiovascular causes and hospitalizations from any cause by NNT = 30 over 3 years. Beta-blockers reduce sudden death and total mortality and cardiac death or non - fatal myocardial infarction with NNT = 38 and NNT = 23, respectively, over 12 months.

Hur samverkar de nationella folkhälsomålen med fysisk planering, och på vilket sätt kan folkhälsomålen beaktas för att förbättra förutsättningarna för ökad fysisk aktivitet hos barn? Denna studie är en fallstudie i Hjo kommun. Studien tar utgångspunkt i kommunens folkhälsoproblematik som visar att det finns en hög förekomst av övervikt hos barn. Intentionen är att undersöka vilka organisatoriska processer som kan underbygga det kommunala arbetet med folkhälsomålen, liksom att ta reda på vilka faktorer i den fysiska miljön som skapar förutsättningar för barns fysiska aktivitet. Avsikten med studien har varit att skapa ett underlag för Hjo kommuns översiktliga planering.

As a consequence of increasing wind power installations in the Nordic grid the last years, the need for regulating power has become larger. In the Nordic grid, regulating power is mainly provided by hydro power. One part of the regulating power is called frequency control, which ensures that the grid frequency is stable and close to 50 Hz.However, setting the turbine into frequency controlled operation may cause stress and wear of the components in the mechanical control system. Frequency controlling implies large and frequent servo forces and longer travelling distance of the sliding bearings in the Kaplan turbine.Based on one selected Kaplan turbine, Selsfors G1, measurements and MATLAB calculations have been performed in order to determine forces and movements of the linkage system. With these forces and movements as input, stresses and fatigue have been determined as well as sliding distances, bearing pressures and wear of bearings during a typical lifetime of 40 years.The results indicate that no severe wear exists on the bearings during 40 years of service.

The aim of this study was to analyse ninth graders self reported screen based activities, sedentary time and musculoskeletal symptoms and pain intensity. The other aim was to examine changes regarding musculoskeletal pain and inactivity between ninth graders from a cross sectional study in year 2004. To meet this aim, following questions were designed: How is the relationship between screen based activities, inactivity, musculoskeletal symptoms, pain intensity and differences between girls and boys? How have musculoskeletal symptoms and screen time changed since year 2004?Method: The method used for this study was a quantitative method. The research was carried out using a questionnaire that was answered by pupils from 11 schools from all over Sweden.

Diet and lifestyle are closely interrelated and believed to have a significant influence on four major public diseases - cardiovascular disease, cancer, hypertension and obesity, but also affects functional deficiencies like gluten- and lactose intolerance. Health added-value foods are thought to reduce health-related risks or delay the onset of these major diseases. Therefore, interest among scientists, researchers and the public in general has been growing remarkably over the last decade regarding these special foods. The Swedish market seems to be a good target for health added-values food. However, as there are many risks and cost factors involved for companies to enter the market or invest in R&D, it is important to take a step back and analyze the current market situation.

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.

It is not uncommon for math difficulties and reading difficulties to occur simultaneously. Despite this, math and reading difficulties are thought to have different cognitive profiles where math difficulties are linked to number sense; an innate ability to understand, approximate and manipulate both quantities and numerical information, whereas reading difficulties are linked to phonological ability; an innate ability to understand, create representations of and manipulate phonological information. A possible link between the difficulties is that phonological abilities also could affect mathematical ability. Support for this comes from studies where comorbid math and reading difficulties are associated with more severe difficulties in arithmetic ability compared to those with isolated math difficulties. The purpose of this study is to examine whether isolated math difficulties, isolated reading difficulties and comorbid math and reading difficulties can be linked to deficits in number sense, phonological ability or both of these, and whether comorbid math and reading difficulties differ in performance in mathematical tasks compared to isolated math difficulties for children in second grade.

Hur samverkar de nationella folkhälsomålen med fysisk planering, och på vilket sätt kan folkhälsomålen beaktas för att förbättra förutsättningarna för ökad fysisk aktivitet hos barn? Denna studie är en fallstudie i Hjo kommun. Studien tar utgångspunkt i kommunens folkhälsoproblematik som visar att det finns en hög förekomst av övervikt hos barn. Intentionen är att undersöka vilka organisatoriska processer som kan underbygga det kommunala arbetet med folkhälsomålen, liksom att ta reda på vilka faktorer i den fysiska miljön som skapar förutsättningar för barns fysiska aktivitet. Avsikten med studien har varit att skapa ett underlag för Hjo kommuns översiktliga planering.

Audiological rehabilitation is a complex process and can involve medical, educational, psychological, social and technical proceedings. The audiologist's part in this process is essential. The purpose of the study was twofold: to describe the audiologist's working process and to explore patient records written by audiologists according to structure, content and comprehensiveness. Method. Out of rules and regulations, code of ethics and literature concerning audiological rehabilitation from the audiologist's point of view, a model for the audiologist's working process was developed.

SammanfattningSyfte och frågeställningarStudiens syfte var dels att jämföra/undersöka vilken inställning normalviktiga fysiskt lågaktiva barn har till idrott och fysisk aktivitet med fysiskt aktiva normalviktiga barn, dels att undersöka barnens inställning till egen upplevd hälsa/eget hälsoläge.? Hur skiljer sig normalviktiga fysiskt lågaktiva barns inställning till idrott och fysisk aktivitet sig mot normalviktiga fysiskt högaktivas?? Hur skiljer sig normalviktiga fysiskt lågaktiva barns upplevelse av/vid idrott och fysisk aktivitet sig mot normalviktiga fysiskt högaktivas?? Hur bedömer normalviktiga fysiskt lågaktiva barn sitt hälsoläge jämfört med aktiva?? Vilka omgivningsfaktorer, till exempel föräldrars och kompisars inställning till fysisk aktivitet, har betydelse för barnet?MetodBarnen i studien valdes ut från det tidigare genomförda projektet STOPP (Stockholm Obesity Prevention Project). Studiens två grupper bestod av de 20 % minst aktiva respektive 20 % mest aktiva, baserat på accelerometri. Barn i åldersintervallet 11.5 år -15 år valdes ut. Ett antal frågor från frågeformuläret som användes i Skolprojektet 2001 användes, och tillsammans med ytterligare tillägg konstruerades en ny postenkät.