The impact of evaporative cooling on the thermoregulation and sensible heat loss of sows during farrowing

Pigs are more sensitive to high environmental temperatures explained by the inability of sweating and panting properly when compared to other species of farmed livestock. The evaporative cooling system might favor the thermal comfort of animals during exposure to extreme environmental heat and reduce the harmful effects of heat stress. The purpose of this study was to assess the sensible heat loss and thermoregulation parameters from lactating sows during summer submitted to two different acclimatization systems: natural and evaporative cooling. The experiment was carried out in a commercial farm with 72 lactating sows. The ambient variables (temperature, relative humidity and air velocity) and sows physiological parameters (rectal temperature, surface temperature and respiratory rate) were monitored and then the sensible heat loss at 21days lactation was calculated. The results of rectal temperature did not differ between treatments. However, the evaporative cooling led to a significant reduction in surface temperature and respiratory rate and a significant increase in the sow's sensible heat loss. It was concluded that the use of evaporative cooling system was essential to increase sensible heat loss; thus, it should reduce the negative effects of heat on the sows' thermoregulation during summer.

CHARACTERIZATION AND EVALUATION OF THE POTENTIAL USE OF SLUDGE FROM STP AND WTP IN PAVING

ABSTRACT Water and sewage treatment plants (STP and WTP) generate as byproduct a significant amount of sludge with environment harmful elements. Sending to landfills or depositing on the ground or rivers are respectively expensive and dangerous alternatives. In this scenario, the use of this waste in paving processes is a promising alternative for disposal thereof. In this study, we focused on characterizing sludge and evaluating its use in paving, which showed satisfactory results for use in base and sub-base floors.

Fractionation of Hen Egg and Oat Lipids with supercritical Fluids Chemical and functional Properties of Fractions

Hen eggs and oats (Avena Sativa) are important materials for the food industry. Today, instead of merely satisfying the feeling of hunger, consumers are asking for healthier, biologically active and environmentally friendly products. The growing awareness of consumers’ increasing demands presents a great challenge to the food industry to develop more sustainable products and utilise modern and effective techniques. The modification of yolk fatty acid composition by means of feed supplements is well understood. Egg yolk phospholipids are polar lipids and are used in several applications including food, cosmetics, pharmaceuticals, and special nutrients. Egg yolk phospholipids are excellent emulsifiers, typically sold as mixtures of phospholipids, triacylglycerols, and cholesterol. However, highly purified and characterised phospholipids are needed in several sophisticated applications. Industrial fractionation of phospholipids is usually based on organic solvents. With these fractionation techniques, some harmful residues of organic solvents may cause problems in further processing. The objective of the present study was to investigate the methods to improve the functional properties of eggs, to develop techniques to isolate the fractions responsible for the specific functional properties of egg yolk lipids, and to apply the developed techniques to plant-based materials, too. Fractionation techniques based on supercritical fluids were utilised for the separation of the lipid fractions of eggs and oats. The chemical and functional characterisation of the fractions were performed, and the produced oat polar lipid fractions were tested as protective barrier in encapsulation processes. Modifying the fatty acid compositions of egg yolks with different types of oil supplements in feed had no affect on their functional or sensory properties. Based on the results of functional and sensory analysis, it is evident that eggs with modified fatty acid compositions are usable in several industrial applications. These applications include liquid egg yolk products used in mayonnaise and salad dressings. Egg yolk powders were utilised in different kinds of fractionation processes. The precipitation method developed in this study resembles the supercritical anti-solvent method, which is typically used in the pharmaceutical industry. With pilot scale supercritical fluid processes, non-polar lipids and polar lipids were successfully separated from commercially produced egg yolk powder and oat flakes. The egg and oat-based polar lipid fractions showed high purities, and the corresponding delipidated fractions produced using supercritical techniques offer interesting starting materials for the further production of bioactive compounds. The oat polar lipid fraction contained especially digalactosyadiacylglycerol, which was shown to have valuable functional properties in the encapsulation of probiotics.

Kloorifenoleja sisältävien jätevesien AOP-käsittely

Kirjallisuustyössä tutkittiin tehostetun hapetuksen menetelmiä (engl. Advanced Oxidation Processes, AOPs) kloorifenolien käsittelyssä. Tutkittava aine valittiin US EPA:n (United States Environmental Protection Agency) ympäristölle haitallisten aineiden listalta. Työssä tutkitut AOP-menetelmät olivat otsonointi kasvatetussa pH:ssa, O3/H2O2-prosessi, fotolyyttinen otsonointi (O3/UV), H2O2/UV-prosessi ja Fenton-prosessi (H2O2+Fe2+). AOP-käsittelyssä OH-radikaalien oletetaan pääosin aiheuttavan epäpuhtauksien hapettumisen. Kirjallisuustyössä tutkittiin OH-radikaaleihin vaikuttavien parametrien, kuten pH:n, lämpötilan sekä hapettimien ja hapetettavan aineen konsentraatioiden vaikutusta kloorifenolien hapetusprosessissa. Työn tarkoituksena oli selvittää tehokkain AOP-käsittely kloorifenoleja sisältävien jätevesien käsittelylle. AOP-käsittelyjen tehokkuutta verrattiin hajoamisnopeusvakioiden, puoliintumisaikojen sekä hapettimen kemikaalikulutuksen ja kustannuksen perusteella. Fenton-prosessin ja otsonoinnin pH:ssa 9 todettiin olevan tehokkaimpia menetelmiä kloorifenolien hapetuksessa. Fenton-prosessin hapetusnopeus oli tehokkaampaa 4-CP:n ja 2,4-DCP:n hapetuksessa, kun taas otsonointi pH:ssa 9 hapetti nopeammin 2,3,4,6-TeCP:n ja 2,4,6-TCP:n. Kustannustehokkuuden perusteella Fenton-prosessi oli otsonointia tehokkaampi. Parhaan menetelmän valinta kloorifenoleiden poistamiseksi oli vaikeaa, sillä useissa tutkimuksissa oli tutkittu vain yhtä menetelmää. Lisäksi eri tutkimuksissa käytetyt prosessiolosuhteet olivat erilaiset, joka hankaloitti tutkimusten vertailua. Lopullinen AOP-menetelmän valinta tulisikin suorittaa vasta laboratoriotutkimusten jälkeen.

Fotokatalyyttinen kalvonpesu

Fotokatalyysillä tarkoitetaan spontaania kemiallista reaktiota, joka tapahtuu fotokatalyytin absorboidessa valoa. Reaktio voi tapahtua joko katalyytin pinnalla tai sen läheisyydessä, mutta fotokatalyytti pysyy reaktiossa muuttumattomana. Ominaisuuksiltaan paras ja eniten tutkittu fotokatalyyttinen materiaali on titaanidioksidi, jolla on säteilytettynä kyky hajottaa orgaanisia molekyylejä hiilidioksidiksi ja vedeksi. Fotokatalyysin käyttömahdollisuuksia tutkitaan membraanikalvojen puhdistamisessa kalvojen käyttöiän ja erotustehokkuuden parantamiseksi. Nykyisin kalvojen puhdistamiseen käytetään useimmiten kemiallista pesua, jonka tuloksena on usein haitallisia yhdisteitä sisältävä liuos. Fotokatalyyttinen puhdistus voisi olla ratkaisu ongelmaan, sillä sen avulla voitaisiin puhdistamisessa käytettävien kemikaalien ja siinä muodostuvien jätteiden määrää vähentää. Tämän työn kokeellisessa osassa tutkittiin polyvinyylideenifluoridikalvon (PVDF) kestävyyttä ja puhdistumista fotokatalyyttisissä reaktioissa. PVDF:n on todettu olevan erinomainen kalvomateriaali, koska se on termisesti stabiili ja se kestää hyvin kemikaaleja, kuten orgaanisia liuottimia, happoja ja emäksiä. Työssä todettiin PVDF-kalvon puhdistuvan UV/TiO2-käsittelyn avulla. Kalvo puhdistui parhaiten, kun käytettiin 0,425 m- % TiO2-liuosta. Puhdistumista havainnoitiin sekä puhtaan veden vuon mittauksilla että värjäämällä käsiteltyjä kalvoja ja mittaamalla niiden värinintensiteetti.

Kokemäenjoen suiston kehitys, maaperämuodostumat ja niiden kemialliset piirteet

Suurelta osin Natura-alueeseen kuuluvan Kokemäenjoen suistoalueen kuivan maan ja suiston edustan vesialueen erityyppisten maaperäkerrostumien kerrosjärjestys ja alueellinen jakautuminen selvitettiin pintamaaperän kartoituksella, tutkimuskaivannoilla ja kairauksella. Suiston kerrostumat luokiteltiin viiteen maaperämuodostumaan. Vanhimmasta nuorimpaan, Toukari, Vainio-Mattila, Hevosluoto, Lanajuopa ja Säikkä muodostumaan. Nämä edustavat vanhoja Itämeren altaan ja nuorempia merelle päin etenevän suiston eri osien kerrostumisympäristöjä. Eri muodostumien fysikaaliset ja kemialliset ominaisuudet kuvattiin ja ne eroavat luonteeltaan ratkaisevasti toisistaan. Suiston etenemistä edustavat Hevosluoto- ja Säikkä-muodostumat ovat kontaminoituneet 1900-luvun alkupuolelta lähtien yhä voimakkaammin ihmistoiminnasta kertyvistä raskasmetallipitoisuuksista ja orgaanisista haitta-aineista. Tämä näkyy erityisesti elohopean, kadmiumin, arseenin, lyijyn, sinkin, nikkelin, dioksiinien ja furaanien kokonaispitoisuuksien kasvuna näissä muodostumissa. Pitoisuudet ovat suurimpia muodostumien nuorimmissa osissa. Kuivalla maalla raskasmetallipitoisuudet ylittävät paikoin valtioneuvoston pilaantuneelle maaperälle asettamat kynnysarvot, jolloin säädökset on huomioitava suiston maaperää muokattaessa. Vesialueella nämä kynnysarvot ylittyvät myös orgaanisten haitta-aineiden osalta. Tietyin osin ovat esimerkiksi arseenin ja nikkelin osalta taustapitoisuudet suistoalueen vanhimmassa Toukari muodostumassa jo luontaisesti kynnysarvoja suuremmat. Tämä pitää osata ottaa huomioon maansiirtotoimenpiteitä suunniteltaessa. Suistoon kerrostuvan maa-aineksen ja nopean maankohoamisen vuoksi suisto etenee nykyisin 30-40 m vuodessa merialueelle päin. Tämä mataloittaa vääjäämättömästi suiston edustan vesialueita kerrostumisen siirtyessä merelle päin. Näin myös Natura-alueen ainutlaatuiset biotoopit vähitellen siirtyvät merelle päin.

Tobacco experimental model to induce urinary bladder neoplasms

OBJECTIVE: to develop an experimental model of exposure to tobacco burning (cigarette) products to assess the effects of its chronic use in relation to cancers of the bladder. METHODS: the animals were chronically exposed to the burning tobacco products in a semi-open chamber to simulate smoking. Thirty young Wistar rats were divided into two groups: one with 20 animals simulating smoking for six months, and ten not exposed control animals for the same period. After exposure by inhalation of cigarette smoke, animals were euthanized and subjected to histopathological study of the bladder wall. RESULTS: no tumor was found but mild and non significant alterations. The studies of hemo-oximetry (carboxyhemoglobin and methemoglobin) and the concentration of carbon dioxide (CO2) confirm that the animals were exposed to high concentrations of tobacco smoke and its derivatives. CONCLUSION: no bladder mucosal neoplasia was found in the pathological study of animals. The developed experimental models were highly efficient, practical and easy to use and can be used in other similar studies to determine the harmful effects caused by smoking.

Leukocyte trafficking: a special focus on VAP-1 and CLEVER-1

It is crucial that lymphocytes patrol the body against foreign intruders and that leukocytes invade inflamed tissues to ameliorate the infection or injury. The adhesion molecules in leukocytes and endothelial cells play an essential role in the immune response by directing the traffic of leukocytes. However, the same molecules that guide leukocyte traffic under physiological conditions are also involved in pathological situations, when an overly excessive or harmful inflammatory response leads to tissue destruction and organ dysfunction or tumor growth. Vascular adhesion protein-1 (VAP-1) and Common lymphatic endothelial and vascular endothelial receptor-1 (CLEVER-1) are endothelial molecules that participate in the adhesion of leukocytes to the endothelia. This study was designed to elucidate, using different inflammation models, the role of VAP-1 and CLEVER-1 in leukocyte migration to the inflamed tissue, and to evaluate the use of antibodies against these molecules as an anti-adhesive therapy. Also, the role of CLEVER-1 during tumorigenesis was studied. Blocking the function of VAP-1 with antibodies significantly decreased the accumulation of leukocytes in the inflamed tissue. Targeting CLEVER-1 prevented cell migration via lymphatic vessels, as well as leukocyte traffic during inflammation. Following the anti-CLEVER-1 antibody treatment the number of immune regulating leukocytes in tumors was reduced, which led to a decrease in tumor growth. However, the normal immune response towards immunization or bacterial infection was not compromised. Thus, VAP-1 and CLEVER-1 are both potential targets for antiinflammatory therapies for preventing the harmful accumulation of leukocytes in inflamed areas. Targeting CLEVER-1 may also inhibit tumor growth by reducing immunosuppressive leukocytes in tumors

Influence of preoperative supplementation of omega-3 fatty acid in the healing of colonic anastomoses in malnourished rats receiving paclitaxel

OBJECTIVE: To evaluate the effect of preoperative supplementation of omega-3 fatty acids on the healing of colonic anastomoses in malnourished rats receiving paclitaxel. METHODS: we studied 160 male Wistar rats, divided in two groups: one subjected to malnutrition by pair feeding (M) for four weeks, and another that received food ad libitum (W). In the fourth week, the groups were further divided into two subgroups that received omega-3 or olive oil by gavage. The animals were submitted to colonic transection and end-to-end anastomosis. After the operation, each of the four groups was divided into two subgroups that received intraperitoneal isovolumetric solutions of saline or paclitaxel. RESULTS: mortality was 26.8% higher in the group of animals that received paclitaxel (p = 0.003). The complete rupture strength was greater in well-nourished-oil Paclitaxel group (WOP) compared with the the malnourished-oil Paclitaxel one (MOP). The collagen maturation index was higher in well-nourished-oil saline group (WOS) in relation to the malnutrition-oil-saline group (MOS), lower in malnourished-oil-saline group (MOS) in relation to malnourished-ômega3-saline one (M3S) and lower in the well-nourished-omega3-saline group (W3S) compared with the malnourished-omega3-saline (M3S). The blood vessel count was higher in the malnourished-oil-saline group (MOS) than in the malnourished-oil-paclitaxel group (MOP) and lower in the malnourished-oil-saline group (MOS) in relation to the malnourished-omega3-paclitaxel group (M3P). CONCLUSION: supplementation with omega-3 fatty acids was associated with a significant increase in the production of mature collagen in malnourished animals, with a reversal of the harmful effects caused by malnutrition associated with the use of paclitaxel on the rupture strength, and with a stimulus to neoangiogenesis in the group receiving paclitaxel.

Nikkelin, koboltin, lyijyn ja sinkin selektiivinen erottaminen ioninleimaustekniikalla syntetisoiduilla kelatoivilla erotusmateriaaleilla

Kelatoivat erotusmateriaalit ovat osoittautuneet lupaaviksi haitallisten metallien erottamiseksi vedestä. Puhdistettava vesiliuos sisältää vain harvoin pelkästään erotettavaksi tarkoitettuja metallikationeja, sillä useimmiten mukana on erotusmateriaalien tehokkuutta heikentäviä kationeja. Parantamalla erotusmateriaalin selektiivisyyttä voitaisiin häiritsevien ionien vaikutusta vähentää selvästi. Kandidaatintyön tavoitteena oli tutkia ioninleimaustekniikan avulla syntetisoitujen kelatoivien erotusmateriaalien selektiivisyyttä nikkelille, koboltille, lyijylle ja sinkille. Käyttämällä esimerkiksi nikkelitemplaattia materiaalin synteesivaiheessa materiaalin nikkeliselektiivisyys kasvaa verrattuna perinteiseen synteesitekniikkaan. Tässä työssä tutkittiin erotusmateriaaleja, joissa oli käytetty nikkeli- tai lyijytemplaattia, vertaamalla niitä ilman templaattia syntetisoituihin materiaaleihin. Lisäksi erotustehokkuutta verrattiin kaupalliseen erotusmateriaaliin häiritsevien magnesium- ja kalsiumionien tapauksessa. Lyijyn havaittiin sitoutuvan tehokkaimmin kaikkiin syntetisoituihin materiaaleihin riippumatta nikkelitemplaatin käyttämisestä. Kinetiikkakokeet osoittivat lyijyn sitoutumisnopeudenkin olevan vertailtavista metalleista suurin. Kaikki kokeet suoritettiin huoneenlämpötilassa liuoksen pH-arvon ollessa 7,5. Nikkelitemplaatin käyttö lisäsi materiaalin selektiivisyyttä nikkelille verrattuna templaatittomaan muuten identtiseen materiaaliin. Kuitenkin materiaalien lyijyselektiivisyys oli huomattavasti nikkeliselektiivisyyttä suurempi. Lyijytemplaatin käyttö ei lisännyt lyijyselektiivisyyttä, mutta materiaalin nikkeliselektiivisyys parantui. Materiaaliin sitoutuneet nikkeli-, koboltti- ja sinkkipitoisuudet jäivät huomattavasti vähäisemmiksi verrattuna kaupalliseen materiaaliin. Magnesiumin ja kalsiumin tarttumista syntetisoituihin materiaaleihin tutkittiin myös ja tulosten mukaan IIPD2:een ja IIPD2-Methoxiin sitoutui erittäin vähän magnesiumia ja kalsiumia verrattuna kaupalliseen materiaaliin, jonka kalsiumkapasiteetti oli erityisen suuri. Kyseiset materiaalit soveltuvat tulosten perusteella myös häiritseviä ioneja sisältävien liuosten puhdistamiseen. Näin ollen valittujen kahden materiaalin jatkotutkimuksella olisi mahdollista parantaa nikkelikapasiteettia ja -selektiivisyyttä.

Multibody Simulation Model of the Roller Test Rig

Multibody simulation model of the roller test rig is presented in this work. The roller test rig consists of a paper machine’s tube roll supported with a hard bearing type balancing machine. The simulation model includes non-idealities that are measured from the physical structure. These non-idealities are the shell thickness variation of the roll and roundness errors of the shafts of the roll. These kinds of non-idealities are harmful since they can cause subharmonic resonances of the rotor system. In this case, the natural vibration mode of the rotor is excited when the rotation speed is a fraction of the natural frequency of the system. With the simulation model, the half critical resonance is studied in detail and a sensitivity analysis is performed by simulating several analyses with slightly different input parameters. The model is verified by comparing the simulation results with those obtained by measuring the real structure. Comparison shows that good accuracy is achieved, since equivalent responses are achieved within the error limit of the input parameters.

Field evaluation of safety during gestation and horizontal spread of a recombinant differential bovine herpesvirus 1 (BoHV-1) vaccine

Bovine herpesvirus type 1 (BoHV-1) is recognized as a major cause of respiratory, reproductive disease and abortion in cattle. Vaccination is widely applied to minimize losses induced by BoHV-1 infections; however, vaccination of dams during pregnancy with modified live virus (MLV) vaccines has been occasionally associated to abortions. We have previously reported the development of a BoHV-1 recombinant virus, constructed with basis on a Brazilian BoHV-1 (Franco et al. 2002a) from which the gene coding for glycoprotein E (gE) was deleted (gE-) by genetic manipulation. Such recombinant has been previously evaluated in its potential as a differential vaccine (gE- vaccine) that allows differentiation between vaccinated and infected animals. Here, in the first part of the present study, the safety of the gE- vaccine during pregnancy was evaluated by the intramuscular inoculation of 10(7.4) tissue culture 50 % infective doses (TCID50) of the virus into 22 pregnant dams (14 BoHV-1 seronegative; 8 seropositive), at different stages of gestation. Other 15 pregnant dams were kept as non-vaccinated controls. No abortions, stillbirths or fetal abnormalities were seen after vaccination. Seroconversion was observed in both groups of previously seronegative vaccinated animals. In the second part of the study, the potential of the gE- vaccine virus to spread among beef cattle under field conditions was examined. Four heifers were inoculated intranasally with a larger amount (10(7,6) TCID50) of the gE- vaccine (to increase chances of transmission) and mixed with other sixteen animals at the same age and body condition, in the same grazing area, at a population density equal to the average cattle farming density within the region (one cattle head per 10,000 m²), for 180 days. All animals were monitored daily for clinical signs. Serum samples were collected on days 0, 30, 60 and 180 post-vaccination. Seroconversion was observed only in vaccinated heifers. These results indicate that, under the conditions of the present study, the gE- vaccine virus did not cause any noticeable harmful effect on pregnant dams and on its offspring and did not spread horizontally among cattle.

Meluntorjunta voiteluainetehtaassa

Melu on epämiellyttävää ja tarpeetonta ääntä. Se saattaa olla myös fysiologisesti haitallista aiheuttaen pahimmassa tapauksessa pysyvän kuulovaurion. Tämän diplomityön tavoitteena oli saada vähennettyä työntekijöiden päivittäistä meluannosta alle 80 desibeliin, jotta työntekijöiden työturvallisuus ja työskentelyolosuhteet paranisivat. Työn teoriaosuudessa kerrotaan yleisiä asioita äänestä, sen mittaamisesta, vaikutuksista ihmisiin, laitevalmistajien ja työnantajien velvollisuuksia sekä meluntorjunnan perusteita. Käytännön osiossa käydään läpi aikaisemmin tehtyjen melumittausten tuloksia, esitellään mittauksissa käytettyjä laitteita, esitellään kohteet joihin parannuksia tehtiin ja miten ne tehtiin, sekä käydään läpi kuinka suuri vaikutus kullakin parannuksella on ollut. Lisäksi verrataan ennen parannuksia tehtyjen meluannosmittausten tuloksia parannusten jälkeisiin tuloksiin. Tulokset olivat hyviä, sillä täyttökoneilla työskentelevien työntekijöiden meluannosmäärät putosivat alle 80 desibeliin.

Development of an environmentally friendly method of starch oxidation by hydrogen peroxide and a complex water-soluble Iron catalyst

Oxidized starch is a key component in the paper industry, where it is used as both surfacing sizer and filler. Large quantities are annually used for this purpose; however, the methods for the oxidation are not environmentally friendly. In our research, we have studied the possibility to replace the harmful oxidation agents, such as hypochlorite or iodates and transition metal catalysts, with a more environmentally friendly oxidant, hydrogen peroxide (H2O2), and a special metal complex catalyst (FePcS), of which only a small amount is needed. The work comprised batch and semi-batch studies by H2O2, ultrasound studies of starch particles, determination of low-molecular by-products and determination of the decomposition kinetics of H2O2 in the presence of starch and the catalyst. This resulted in a waste-free oxidation method, which only produces water and oxygen as side products. The starch oxidation was studied in both semi-batch and batch modes in respective to the oxidant (H2O2) addition. The semi-batch mode proved to yield a sufficient degree of substitution (COOH groups) for industrial purposes. Treatment of starch granules by ultrasound was found to improve the reactivity of starch. The kinetic results were found out to have a rather complex pattern – several oxidation phases were observed, apparently due to the fact that the oxidation reaction in the beginning only took place on the surface, whereas after a prolonged reaction time, partial degradation of the solid starch granules allowed further reaction in the interior parts. Batch-mode experiments enabled a more detailed study of the mechanisms of starch in the presence of H2O2 and the catalyst, but yielded less oxidized starch due to rapid decomposition of H2O2 due to its high concentrations. The effect of the solid-liquid (S/L) ratio in the reaction system was studied in batch experiments. These studies revealed that the presence of the catalyst and the starch enhance the H2O2 decomposition.

Relieved after Doctor's Consultation? Primary Health Care Patients' Complaint-related Worries

Worry is one of the central factors in primary health care patients’ experience with their current complaint. Worry is associated with, e.g., patients’ expectations and the outcomes of doctor’s consultations. The aim of this study was to explore primary health care patients’ complaint-related worry and its changes, as well as contributing factors. Furthermore, the reasons behind patients’ pre-consultation worry and possible relief were examined. The study was conducted in a public primary health care centre in Forssa in Southern Finland. Patients, aged 18–39 years, with a current complaint were interviewed before and after a doctor’s consultation. The patients’ characteristics, perceptions of their complaint and their expectations and experiences concerning the consultation were obtained through interviews. In addition, two questionnaires were administered to measure general tendency to illness worry (IWS) and psychiatric symptoms (SCL-90). The patients’ ratings of the intensity of worry and the severity of their complaint were measured with a visual analogue scale (VAS 0–100). Changes in worry were measured by comparing pre- and post-consultation VAS ratings and asking the patients to compare their worry after the consultation with the worry they felt before it. In connection with these ratings the patients also gave reasons for their experiences in their own words. The patients’ doctors assessed the medical severity of the complaints and whether they had found a medical explanation for the complaints. Many patients were very worried before the consultation (65 % scored over 50 points on the VAS). Worry and severity ratings were associated with the duration and course of the complaint, with a general tendency to illness worry and hostility. On average, the patients were less worried after the consultation than before it. Persistent worry was associated with the patients’ uncertainty about their complaint, their perceiving it as severe, expectations for examinations and reporting symptoms of anxiety. Patients were most often worried about the nature of their complaint (e.g. duration or intensity), not knowing what was wrong, the possible harmful effects of the complaint on body functions, the complaint’s prognosis, e.g. will it get better, and their ability to function. Patients were relieved by getting an explanation or treatment or by having a positive view of the complaint’s prognosis. Patients who reported uncertainty (lack of an explanation, worry about the nature of the complaint) or worry about the complaint’s possible bodily harmfulness were relieved by getting an explanation, often accompanied with getting treatment. On the other hand, worries about the ability to function tended to persist. Doctors should bring up patients’ worries for discussion in order to be able to respond to them appropriately. Because it tends to persist, worry about the ability to function should be addressed. Uncertain patients with concerns about their complaint’s bodily harmfulness or psychological consequences need special attention from their doctor.