SAMMANFATTNING  Bakgrund: Patienter på kirurgavdelningar är komplexa såtillvida att de förutom den kirurgiska åkomman kan ha olika medicinska diagnoser vilket ofta komplicerar både vården, behandlingen samt medför svårigheter i att upptäcka ett försämrat tillstånd. För att kunna bedöma patientens tillstånd och få en uppfattning om hur denne mår måste objektiva och lätt mätbara parametrar användas.Modified Early Warning Score (MEWS) är ett poängsystem som mäter några av patientens vitala funktioner och baseras på sex mätbara/bedömningsbara  funktioner: andningsfrekvens, puls, systoliskt blodtryck, kroppstemperatur, vakenhet och urinmängd. Poängsumman varierar mellan 0 och 17, där 0 är normalt. Syfte: Att kartlägga fördelningen av poäng enligt MEWS hos akuta patienter med kirurgiska åkommor på två kirurgavdelningar på ett universitetssjukhus i Sverige samt undersöka vilka åtgärder som vidtagits vid respektive poäng enligt MEWS. Metod: Retrospektiv journalgranskningsstudie  där dokumentation av mätningar med MEWS för 94 patienter granskades. Resultat: Totalt återfanns 229 poäng enligt MEWS varav 76 var från mätningar vid ankomst till avdelning och resterande  153 från mätningar under fortsatt vårdtid. Antalet MEWS-mätningar per patient varierade mellan  1 och 31. Nitton åtgärder som ingår i sjuksköterskans profession kopplade till en poäng enligt MEWS återfanns.

I vår utbildning till lärare inom vård, hälsa och omsorg mötte vi i vår verksamhetsförlagda utbildning många elever med muslimsk bakgrund. En troende muslim bör fasta en månad varje år vilket innebar att dessa elever inte kunde äta eller dricka när de gick i skolan. Vi undrade hur de upplevde det. Syftet med denna studie var att beskriva några muslimska kvinnors upplevelser av att studera på omvårdnadsprogrammet under fastemånaden ramadan. Som undersökningsmetod användes en allmän kvalitativ ansats och vi valde att göra halvstrukturerade intervjuer med sex kvinnor för att samla in vårt material.

The eutrophication of inshore seas, lakes and watercourses is mainly due to leaching of nitrogen and phosphorus (P) from agriculture. Many efforts are made to reduce the lea-kage of phosphorus in Sweden and the Baltic Sea countries. Phosphorus is also a finite resource and the mining of good quality raw material gets more and more difficult. Se-dimentation dams in combination with filters is one relatively new method to separate P from run-off and drainage water from agricultural land. This study was a part of an IVL Swedish Environmental Research Institute?s project which tests the capacity and func-tion for separation of phosphorus in four phosphorus filters.

SUMMARYThis work consists of a review of the medical records of 142 horses that visited the Equine dermatology clinic, at the University Animal Hospital, UDS, at Ultuna, Uppsala, Sweden, between January 2007 and June 2010. The study answers certain main questions like clinical signs responsible for the visit, the most common diagnoses, their diagnostic procedures, treatment modalities and finally, the outcome of treatment.Among 50 diagnoses, four were predominant followed by additional 46 diagnoses, each presenting by few or, in many cases, only one horse. The most common dermatological problem diagnosed was Equine Sarcoid representing 18,3 % of the cases (26/142), which probably reflects the initiation of a Sarcoid treatment-trial in 2007, that resulted in an accumulation of sarcoid horses in the clinic .The second most common diagnosis was Atopy 12 % (17/142) followed by Allergy with skin affection 9,2 % (13/142) and Acute superficial pyodermia 4,9 % (7/142). If the horses were divided into diagnostic groups, the majority (34,5 %) belonged to HA5 group, (Immunological skin diseases), followed by group HA4, (Infectious and inflammatory conditions of the skin) (22,5 %) and HA6, (Neoplasia) (21,8 %). Traumatic skin injuries represented only 2,1 % of the cases, compared to 80 % of horses in the Agria insurance statistics for veterinary care.The most common clinical sign and reasons for veterinary consultation was pruritus (35,9 %), suspected sarcoids (17,6 %), alopecia (12,7 %), nodules (12 %), seborrea, scaling and crusts (9,2 %) and excoriations (5,6 %), respectively, followed by a scattered number of more uncommon symtoms.The diagnostic methods most frequently applied were cytology and biopsy, used in 41,5 % and 36,6 % of the cases, respectively.

Since long, Sweden has had exceptionally low calf mortality compared to most other countries. The tradition has been to keep calves in individual pens. With increasing number of cows per herd there is now a larger interest in more efficient and economical group systems for housing calves. However it has been noticed that bigger herds have more health problems and higher calf mortality than smaller herds. The early signs of disease are harder to detect when the animals are not fed manually.

Urban forests are important for people to get at break and be able to relax in a stressful world. Several studies show that we feel better through being out in the forest and historically this was the normal environment for us. As a result of population growth and urbanization we tend to spend less time in nature nowadays than before. Due to this development urban forests have become a central role in our society as a place where people can fulfill their needs and interests. The management of the urban forest is therefore important, especially for municipalities that own forest which is supposed to be of benefit to local residents.Falköpings municipality owns approximately 260 hectares of forest in the popular and most visited recreational area along Mösseberg?s southern slope.

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.

Subclinical mastitis (SCM) is a well-known problem in the dairy sector, where it causes severe economic losses mainly due to reduced milk production. This is a problem not only in the western world but also in developing countries. Surveys from different developing countries have shown a SCM prevalence of 52.4 ? 88.6 % at cow level and 26.7 ? 63.2 % at quarter-level. To combat mastitis is important to optimize the milk production of the cow.

The top selection of Swedish beef bulls are evaluated yearly by Svensk Köttrasprövning AB at Gismestad. The bulls are selected from six different breeds; Angus, Blonde d´Aquitaine, Charolais, Hereford, Limousin and Simmental, and are kept on straw bedding apart from a concrete alley in front of the feeding area during the six months of evaluation period. The bulls are evaluated according to their fertility scores, growth, exterior and temperament and the exterior, body posture and claw conformation reflect important qualities for their longevity. In spite of good values for fertility, it has been noticed in the last years that the fertility results and longevity have been unsatisfactory and claw and/or bone disorders have been suspected as a contributory cause. Persson et al. (2007) studied breeding bulls from Gismestad and other places, which had been slaughtered due to poor fertility (no pregnancies in the herd during their last year in service).

Sahlgrenska Academyat University of GothenburgDepartment of Internal Medicine and Clinical NutritionTitle: Can nutritional support contribute to the healing of pressure ulcers in elderly patients?Author: Anton Kinnander, Sandra SmidelikSupervisor: Elisabet RothenbergExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: 12-04-11Background The number of elderly patients with co-morbidity is increasing in the western world. It is therefore reasonable to predict increasing incidence and prevalence of pressure ulcers. One study, published 2009, found that as many as 59 % of geriatric patients within the Swedish health care system had developed pressure ulcers. Symptoms vary from mild erythema to severe deep tissue damage and development of pressure varies from hours to weeks.

Equine metabolic syndrome (EMS) it?s a clinical condition that includes obesity, regional adiposity, insulin resistance (IR) and laminitis. A similar syndrome exists in human medi-cine, the metabolic syndrome (MS), were systemic hypertension also is a prominent fea-ture. The systemic hypertension seen in humans with MS is partly due to a vascular endo-thelial dysfunction with an enhanced endothelin-1 (ET-1) mediated vasoconstriction. There are indications that systemic hypertension might be a feature in EMS as well but if ET-1 is involved in the development of the systemic hypertension in horses is not known.

BAKGRUND: CABG blir en allt vanligare åtgärd vid kranskärlssjukdom inom svensk sjukvård. Målet med operationen är att lindra symtom vid kärlkramp och hjärtinfarkt samt att reducera mortaliteten. SYFTE: Syftet var att beskriva patienters emotionella upplevelser under det första året efter en CABG operation. METOD: En allmän litteraturstudie som grundades på kvalitativa vetenskapliga artiklar genomfördes. Resultatet baserades på sju vetenskapliga artiklar som söktes fram via elektroniska databaser och därefter granskades och analyserades.

SAMMANFATTNINGMastit är den vanligaste och mest kostsamma sjukdomen hos mjölkkor. Enligt statistik från Svensk Mjölk har cirka 65 % av alla kor i Sverige mastit någon gång under en laktation. Subklinisk (utan märkbara symtom) mastit utgör det största problemet. De är svåra att upptäcka då även mjölken ser normal ut, vilket resulterar i att den hamnar i tanken och levereras till mejeriet. Mjölk från kor med mastit har ett ökat celltal samt försämrad kvalitet och sammansättning vilket i slutändan medför sämre betalt för lantbrukaren.

The Swedish Welfare Act § 4 says that "Animals must be kept and cared for in a good environment for animals and in such a way that promotes their health and allow them to behave naturally." Pigs in the wild spend 80% of their waking hours walking around and rooting for food, eating and exploring their environment with its snout. Fattening pigs in commercial farms spend 80% lying doing nothing. A lactating sow is lying down most of her day, and only 10-20% of the body surface is in contact with the floor, so the pressure is high on these spots. Piglets lie down and paddle with their legs, with high liquid content in the tissues, several times an hour, to stimulate and massage the sow's udder. In the existing system, these individuals are held more often on floors that are anything but inviting to sleep on.

AbstractOur life-experiences and our background form the way we act and the activities we are involved in. The overall purpose in this thesis has been to study what habits are to be found in different activities related to the outdoors and how these habits have been developed. Hopefully this work can contribute to a better understanding of the meaning of habits in our lives and thereby play a part in a further differentiated talk about habits and knowledge in society. The background and my theoretical approach has been three views of habits:In practice these patterns of habits are not separable so this approach should be seen as a way of making the development of habits clearer. Another purpose is to study how the following concepts can be related to habits: Reflection, master-apprentice, episte?me, techne, phronesis, interest and tacit knowledge.