The aim of this paper was to explain protein degradation in silage and protein quality and biogenic amines in silage and their effects on the health of the dairy cows. After harvest-ing, the plant proteases degrade the proteins in the plant. The protein degrades to different fractions with different digestibilites in the rumen. Fraction A contains non- protein nitro-gen which is peptides, free amino acids and amines. True protein is in the fraction B and is further divided into three subfractions depending on their solubility.

The 1st of January 2009 a new goal was set for the emergency care in Stockholms läns landsting. This new goal stated that 70 per cent of the patients shall not spend more than four hours in the hospital when requesting emergency care. The processes in the emergency room at Södersjukhuset do not cope with this new goal. The authors studied the reasons for this and made suggestions based on the findings. The conclusions were that the emergency room should place doctors much earlier in the emergency care process or implement a system where specialists act as tutors to non-specialized doctors.

In some herds it has been observed that extremely short teats have become a problem; with a negative influence on the milking performance. The aim of this study was therefore to investigate to what degree the quality of the teats and the milk in cows with short teats is affected as compared with cows with normal teat length and furthermore if the milking performance could be improved by using a liner adapted to short teats. This study was divided in two parts. In the first part, it was examined if there were any differences between short teats and teats with normal length with reference to the milking performance, udder emptying, teat treatment, milk quality, and udder health. 11 pairs of cows were used and in each pair of cows one cow had teats shorter than 40 mm while the other cow had teats longer than 50 mm.

Upplevelsen av mötet med akutsjukvården kan vara komplicerad på grund av att det ofta handlar om snabba korta möten där patienterna kan befinna sig i en kris. För att mötet med patienterna ska bli så bra som möjligt är det viktigt att vårdpersonalen har kunskap om hur patienterna upplever mötet med akutsjukvården. Syftet med studien var att få en djupare förståelse för patienters upplevelse av mötet med akutsjukvården. En litteratur studie med kvalitativ ansats gjordes. Studien resulterade i två stycken kategorier positiva och negativa upplevelser.

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.

This Bachelor paper deals with skeletal diseases like osteoporosis and osteoarthritis. 24 medieval individuals from the block Banken 1 in Visby, Gotland were chosen for an osteological analysis. Osteoporosis affects the bone with low bone mineral density and can lead to possible fractures and Osteoarthritis is a degenerative joint disease. A DEXA reading was done at Dr. Roland Alvarssons Doctorial practice in Visby and the results from the DEXA reading showed that none of the individuals suffered from osteoporosis, but one suffered from osteopenia.

Att möta och stödja närstående till svårt sjuka patienter är en av sjuksköterskans många uppgifter. Författarparet har genomfört en empirisk kvalitativ intervjustudie om hur närstående uppfattar att de blivit bemötta inom kirurgisk verksamhet. Semistrukturerade intervjuer genomfördes med fem stycken deltagare vars anhöriga vårdas eller vårdats för malign sjukdom i övre mag- tarm kanalen inom kirurgisk verksamhet. Syftet med studien var att få ökad kunskap i hur närstående uppfattar bemötandet. Vidare var syftet att ta reda på hur anhöriga önskar bli bemötta.

To be examined in hospitals can sometimes be perceived aspainful by children. Therefore there is a need for something,which can distract children?s attention from their perceivedpain. During my graduation project, I discovered a designopportunity to work with suspended ceiling systems inexamination rooms, as there is not much to look at whilebeing examined.The result, Twig Ceiling is an interactive nature-inspiredbacklit module with colored LEDs. Twig Ceiling has onelayer of pattern that is visible when the module is not litand the second layer of pattern appears when turning onthe light.

Today's consumers are demanding more and more from companies and are no longer as easy to im-press as they used to be. It is now the consumers that hold an increasing amount of power over com-panies and not the other way around. This change in consumer behaviour has caused an identity crisis for traditional advertising, and companies are now searching for new ways of reaching their target audience. The purpose of this combined qualitative and quantitative case study is to examine possible risks and possibilities that a retailing company face when communicating through Facebook. Data has been collected through in-depth interviews with company representatives combined with a quantitative study of the company's Facebook followers in order to answer the questions of (1) which possibilities and risks a retailing company face through the use of a Facebook fanpage and (2) if there is a differ-ence in the attitude and behaviour of active respectively passive followers that may have been caused by a retailing company's marketing communication on Facebook.

A pilot study conducted on four patients, which we received from the Sahlgrenska University Hospital, who were all potential candidates for a cochlear implant. We fitted our test subjects with a pair of frequency compressing hearing aids called Phonak Naida V SP during the study and let them evaluate them for about seven weeks. Measurements made with monosyllabic words throughout the study showed significant differences in speech perception (p?0.05) compared to their regular hearing aids in 3 out of 4 cases. De-activation of the frequency transposed function showed significant decreases in 3 out of 4 cases compared to when it was activated.All test subjects were satisfied with the new hearing aids and chose to keep using them at the end of the study..

Cancer is one of the most common diseases and it affects not only adults but also many adolecents and children every year. Those who are affected of disease face many challenges that will affect their lives. The aim of this literature review was to illuminate adolecents experience of cancer and how it affects them in their daily living. The result showed that the adolecents experience many physical and mental side-effects from disease and treatment. They expressed the need of information, support and understanding from their families, friends, school and care givers.

Cancer is one of the most common diseases and it affects not only adults but also many adolecents and children every year. Those who are affected of disease face many challenges that will affect their lives. The aim of this literature review was to illuminate adolecents experience of cancer and how it affects them in their daily living. The result showed that the adolecents experience many physical and mental side-effects from disease and treatment. They expressed the need of information, support and understanding from their families, friends, school and care givers.

Today, there are no regulations saying that cows must have access to some kind of shelter at pasture during the summer. In more tropical countries, it is well-known that dairy cows might suffer from heat stress when exposed to sun and high temperatures. The well-being of the cows is thereby reduced and the production may also decrease. In Sweden, no research has been done in the area and therefore it is now a clear need of improved knowledge.The purpose of this study was to investigate the importance of shade for dairy cows in Sweden. The behaviour of 30 cows was examined to see any differences between cows with access to shade and cows without access to shade.

Introduction: The concept of CSR was first coined in the 1950?s and refers to corporate vol-untary work to contribute to a sustainable society. In Sweden, companies within the finance sector are among the worst when it comes to implementing CSR in their daily work. The debate on whether companies should engage in CSR activities or not, is extremely relevant nowadays. Right now we are facing a time where the demand on companies to take their social responsi-bility becomes more intensified.

The aim of this study was to learn how students in specialist nurse education with direction towards nurse anaesthetist experienced tutorial given during their specialist placement.  The chosen method of the study was qualitative interview with phenomenological approach. Twelve nurse anaesthetist students were interviewed about their experiences during their placement at operation wards. The interviews were transcribed and analyzed according to Giorgios (1985) analyze method. The result showed that the students considered that a well functioned tutorial was essential for a successful clinic placement. The tutorial considered as satisfactory if the student and the tutor managed to have good communication and a good relation with each other.