Diss. (sammanfattning) Linköping : Linköpings universitet, 2008. / Härtill 6 uppsatser. Includes bibliographical references.

Current feed formulations within the aquaculture industry have tended to rely on high dietary lipid thus offsetting relatively expensive protein as a source of energy. In this way, protein can be ‘spared’ for synthesis of new tissue and the high lipid content can also fulfil both fish and consumer essential fatty acid (EFA) requirements. However, the main disadvantage of feeding high lipid levels to farmed fish is a surplus of fat deposition in the flesh and other important tissues, which can detrimentally impact on quality characteristics central to the human consumer. However, based on previous work in other animal models, it is entirely feasible that supplementation of the diet with bioactive fatty acids such as conjugated linoleic acid (CLA) and tetradecylthioacetic acid (TTA) may mitigate the deleterious effects of feeding farmed fish high fat diets by reducing fat deposition in particular. The general objective of this research work was to test the hypothesis that CLA and/or TTA could augment growth, reduce fat deposition and enhance fatty acid composition via incorporation of these bioactive fatty acids, and increase n-3 highly unsaturated fatty acid (HUFA) levels in the flesh of commercially important fish species such as Atlantic salmon (Salmo salar), Atlantic cod (Gadus morhua L.) and rainbow trout (Oncorhynchus mykiss). This project also considered the influence of CLA and TTA on enzymes and transcription factors thought to be pivotal in lipid metabolism and fatty acid oxidation in particular. A subsidiary aim of this research work was to investigate the immunological impact of dietary CLA and TTA administration in these fish. The results of this project have revealed that the hypothesis was only partly proved. There was no effect in growth or biometry after either CLA or TTA supplementation in any of the fish species investigated. Additionally, there were few physiologically significant effects on fat levels on fish as a result of TTA or CLA administration. However, there were a number of effects on fatty acid metabolism including inhibition of steroyl coenzyme desaturase (SCD) in cod and trout in particular and also enhancement of hepatic n-3 HUFA levels in trout. Importantly, it was determined that both TTA and CLA could be incorporated into the flesh thus providing a vehicle through which these bioactive fatty acids can be delivered to the consumer. There were also a number of beneficial effects on activity and gene expression of a number of enzymes and transcription factors thought to be fundamental to the modulation of fatty acid oxidation in particular. However, the effects on gene transcription and biochemistry had little impact at the whole body level. This research work also showed that there were no detrimental effects on immune status after supplementation with dietary CLA or TTA. Conclusively, this thesis has contributed to the overall understanding of the influence of dietary CLA and TTA in farmed fish.

Darbo tikslas. Įvertinti pacientų pasitenkinimą terapinio profilio (neurologo, kardiologo, endokrinologo) ambulatoriškai teikiamomis paslaugomis apskrities ligoninės Konsultacinėje poliklinikoje. Tyrimo metodai. 2008-01-21 – 01-31 apskrities ligoninės Konsultacinėje poliklinikoje atlikta pacientų besikreipiančių neurologo, kardiologo ir endokrinologo konsultacijai anoniminė anketinė apklausa. Išdalinta 400 anketų. Užpildytos 387 anketos (atsako dažnis 96,75%). Statistinė duomenų analizė buvo atlikta personaliniu kompiuteriu, naudojant statistinės analizės SPSS 10.03 programinį paketą. Įvairūs pasitenkinimo aspektai įvertinti pagal Licherto skalę 5 balų sistemoje. Rezultatai. 89,2% respondentų buvo patenkinti arba labai patenkinti paslaugos kokybe. Labiausiai respondentus tenkino neurologo konsultacijos kokybė ir jų pasitenkinimas, išreikštas balų vidurkiu buvo 4,44 iš 5 galimų. 93,7% apklaustųjų buvo patenkinti gydytojų bendravimu. Gydytojų bendravimas labiausiai tenkino neurologo pacientus ir išreikštas balų vidurkiu buvo 4,52. 40,9% respondentų pateko pas gydytojus konsultacijai tą pačią ar kitą dieną, 20,7% - per 3-10 dienų nuo registravimosi. 10,6% respondentų laukė 11-14 dienų, 23,3% pateko po 2-4 savaičių, 4,5% laukė ilgiau nei mėnesį. Laukimo laikas tenkino 65,2% respondentų. Aukštesnio išsilavinimo ar jaunesnio amžiaus respondentai buvo mažiau patenkinti laukimu. Pasitenkinimas kardiologo konsultacijos laukimu buvo didžiausias (4,21 balo). 89,4%... [toliau žr. visą tekstą] / Aim of the study: to evaluate the patients satisfaction with out-patient care services in therapeutic care (neurology, cardiology, and endocrinology) at consultation clinics of county hospital. Material and methods. The anonymous survey was conducted in January 2008 at consultation clinics of county hospital. The sample comprised of patients seeking consultation of neurology, cardiology or endocrinology specialists. Altogether, 400 questionnaires were distributed, out of which 387 counted as properly fulfilled (response rate 96.75%). Statistical data analysis was performed using statistical package „SPSS for Windows 10.03“. The satisfaction items were evaluated using Likert scale (scoring 1 to 5). Results. Altogether, 89.2% of responders were satisfied with the quality of care. Mostly, they were satisfied with neurology consultations (average Likert score 4.44). The communication with physician was also evaluated highly – 93.7% of responders were satisfied with it. Again, this was mostly expressed in neurology (average Likert score 4.52). Access to consultation was different: 40.9% of patients got consultation the same or following day after registration, 20.7% following 3–10 days, 10.6% following 11–14 days, 23.3% following 2–4 weeks, and 4.5% waited for longer than one month. The duration of waiting time was evaluated as satisfactory by 65.2% of responders, with the highest scores in cardiology (average Likert score 4.21). Higher education and younger age was related with... [to full text]

The purpose of the research – to evaluate satisfaction of patients expectations in Vilnius emergency university hospital. The object of the research. In-patient expectations in Vilnius emergency university hospital. The hypothesis of the research- patient’s expectations are not successfully satisfied because of the organizational problems, their analysis is useful in order to make better organizational work. Conclusions. Patient's expectayions satisfaction is influenced by the structure of resources in healthcare organization and person's (patient's) individual characteristics.

Scopo del progetto era valutare lo stato di salute e la qualità dei suoli agricoli lombardi e di alcune sue aree caratterizzate da specifiche criticità ambientali, attraverso un monitoraggio multidisciplinare. L’uso di indicatori biologici accoppiato alle classiche tecniche analitiche ha consentito di implementare le informazioni ottenute dal punto di vista chimico-fisico. Contrariamente al passato infatti, la componente vivente del suolo è diventata fondamentale alla comprensione delle sue condizioni, in quanto esso è stato riconosciuto come sistema strettamente connesso agli altri comparti ambientali, influenzato e caratterizzato da tutti gli organismi che lo compongono. Sulla base di ciò sono state indagate la struttura e le caratteristiche delle comunità microbiche, dei lombrichi e dei protozoi ciliati, le attività enzimatiche del suolo, e la genotossicità delle sostanze inquinanti utilizzando il trifoglio come pianta indicatrice. Abbiamo inoltre avuto modo di applicare alcune tecniche che esulano dal classico monitoraggio, ma che forniscono informazioni preziose circa il comportamento di una sostanza o di un elemento. Si tratta dell’applicazione della diluizione isotopica per determinare la presenza del cromo esavalente in suoli potenzialmente contaminati, e di biosaggi con batteri bioluminescenti per valutare la biodisponibilità di arsenico e mercurio in un Sito di Interesse Nazionale. / The aim of the project was to assess health status and quality of agricultural soils of the Lombardia region, and some areas with critical environmental situations, through a multidisciplinary monitoring. The use of biological indicators coupled to classic analytical techniques, has allowed the implementation of the information obtained from the chemical-physical point of view. Contrary to the past, the living component of the soil has become crucial to better understand its condition, as it has been recognized as a system closely related to other environmental media, influenced and characterized by all organisms that compose it. Basing on this it was investigated the structure and characteristics of microbial communities, earthworms and ciliated protozoa, the enzymatic activities of the soil, and the genotoxicity of pollutants using clover plants as indicator. We also had the opportunity to apply some of the techniques that are outside the classic monitoring, but that can provide valuable information about the behavior of a substance or an element. These techniques are: the application of isotope dilution to determine the presence of hexavalent chromium in potentially contaminated soils, and bioassays with bioluminescent bacteria to assess the bioavailability of arsenic and mercury in a Site of National Interest.

Formål: Å undersøke foreldreerfaringer med tjenester fra Habiliteringstjenesten for barn i Nord-Trøndelag, Norge. Metode: Det ble gjort en deskriptiv tverrsnittsundersøkelse blant foreldre, hvis barn fikk tjenester fra avdelingen i en periode på et år. MPOC-20 NO, et spørreskjema spesielt utviklet for målgruppen og oversatt til norsk, ble brukt. Det inneholder fem faktorer: dyktiggjøring og parterskap, generell informasjon, spesifikk informasjon, helhetlige og koordinerte tjenester og respektfull og støttende omsorg. Det er 3-5 spørsmål innen hver faktor. Resultater: Svarprosenten ble 54,4% og foreldre til barn med større funksjonsvansker var overrepresentert blant svarene. Resultatene bør derfor tolkes med forsiktighet. Resultatene viste at gjennomsnittskår på generell informasjon var lavere enn på de andre faktorene. Gjennomsnittsskår i Nord-Trøndelag var lavere enn resultater fra Canada, men lik resultater fra Uppsala, Sverige. Foreldre til barn under 6 år hadde bedre erfaringer enn foreldre med eldre barn. Foreldre til barn med mindre funksjonsvansker ga bedre tilbakemeldinger. Foreldre under 36 år og mødre hadde bedre erfaringer enn eldre foreldre og fedre. Foreldre som bodde mindre enn 11 dager/mnd sammen med barnet hadde lavere tilfredshet. Å ha en individuell plan og/eller koordinator utgjorde en positiv forskjell på informasjonsområdet, men ikke på de andre faktorene. Konklusjon: Svarene viste at visse områder og kvaliteter ved avdelingens tjenester burde videreutvikles og noen grupper av foreldre burde få et tjenestetilbud bedre tilpasset deres behov. Det bør vurderes andre metoder for rekruttering til spørreundersøkelse og innhenting av svar fra målgruppen for å sikre høyere svarprosent. / Aim: To explore experiences with professional services among parents of disabled children in contact with Childrens Habilitation Department in Nord-Trøndelag, Norway. Method: A descriptive cross-sectional survey among parents, who’s children received services from the Childrens Habilitation Department during one year, was done. MPOC-20 NO, a questionnaire developed for this target group and translated into norwegian, was used. It consists of five factors: enabling/partnership, general information, spesific information, co-ordinated/comprehensive care and respectful/supportive care. Each factor consists of 3 – 5 questions. Results: The respons rate was 54,5%, parents of children with severe disabilities were overrepresented. Thus the results should be interpreted with care. The mean score on general information was lower than on other factors. The mean scores in Nord-Trøndelag was generally lower than in Canada, but about the same as results from Uppsala, Sweden. Parents of children under 6 years had better experiences than parents with older children. Parents with children with minor disabilities were more satisfied than others. Parents under 36 years and mothers had better experiences than older parents and fathers. Parents living together with their child less than 11 days/month were less satisfied than others. Having a key worker and/or an individual service plan made a positive difference on information factors, but not on the other factors. Conclusion: The answers showed that certain areas and qualities of the departments service should be better developed and some groups of parents should get a service delivery more fitted to their needs. Other methods should be considered to recruite parents and collect anwers to ensure a higher response rate. / <p>ISBN 978-91-85721-37-5</p>

Darbo tikslas: Įvertinti Reabilitacijos centro pacientų informuotumą apie jiems teikiamas medicininės reabilitacijos paslaugas. Uždaviniai: 1. Įvertinti reabilitacijos centro pacientų informuotumą apie saugią reabilitaciją. 2. Nustatyti ryšį tarp pacientų informuotumo, socialinių demografinių charakteristikų ir savo sveikatos būklės vertinimo. 3. Nustatyti ryšį tarp pacientų informuotumo apie reabilitacijos paslaugas ir nuomonės apie jiems teikiamų paslaugų kokybę. Tyrimo metodika. 2012 m. birželio - 2013 m. vasario mėnesiais atlikta anoniminė pacientų apklausa reabilitacijos centre teikiančiame stacionarias reabilitacijos paslaugas. Atliekant tyrimą, buvo išdalintos 300 anketų, atsako dažnis 90,6 proc. Anketinių duomenų analizei naudota statistinė programa SPSS 19.0. Rezultatai. 78,3 proc. reabilitacijos centro pacientų mano, kad jų informuotumas paslaugų saugos klausimais yra pakankamas, 5,3 proc. – nepakankamas, o 16,4 proc. respondentų nesupranta sveikatos priežiūros saugos sąvokos. Informuotumas sveikatos priežiūros saugos klausimais nėra susijęs su lytimi, tačiau didesnė dalis vyresnių nei 60 metų amžiaus pacientų (91,3 proc.) lyginant su jaunesniais nei 60 metų amžiaus pacientais (8,7 proc.) teigė nesuprantantys sveikatos priežiūros saugos sąvokos. 84,8 proc. pacientų atsakė, kad suprato visą informaciją, 12,5 proc. – nesuprato, bet pasakė, ko nesuprato, 2,7 proc. nesuprato ir neišdrįso pasakyti, ko nesuprato. Dauguma (88,3 proc.) pacientų, kurie suprato jiems... [toliau žr. visą tekstą] / Research aim: to assess awareness of rehabilitation center patients ‘about provided services of medical rehabilitation. Goals: 1. To assess awareness of rehabilitation center patients ‘about safe rehabilitation. 2. To identify connection among patient‘ awareness, social demographic characteristics and self-health status assessment. 3. To identify connection between patient‘ awareness about rehabilitation services and their opinion on quality of provided services. Research methodic. Research was performed during June 2012 - February 2013 with anonymous questionnaire in rehabilitation center with inpatient rehabilitation services. 300 questionnaires were distributed, response rate 90.6 %. Statistical program SPSS 19.0 was used for data analysis. Results. 78.3 % of rehabilitation patients think that their awareness on safety of services is sufficient, 5.3 % – insufficient and 16.4 % of patients don‘t understand concept of safety of health care. Awareness on safety of health care is not related to gender, but more of older than 60 years patients (91.3 %) comparing to younger than 60 years (8.7 %) stated about misunderstanding in concept of safety of health care. 84.8 % of patients stated that they understood all information, 12.5 % – didn‘t understood and stated what is unclear, 2.7 % didn‘t understood and didn‘t named what is unclear. Mostly of patients (88.3 %), who understood provided information, knew how to behave safely at home. 95.4 % of respondents stated about... [to full text]

Diss. (sammanfattning) Linköping : Linköpings universitet, 2008. / Härtill 6 uppsatser.

Diss. (sammanfattning) Linköping : Univ., 2004. / Härtill 5 uppsatser.

Diss. (sammanfattning) Linköping : Univ., 2003. / Härtill 4 uppsatser.