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1.
Ecol Lett ; 26(1): 184-199, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36335559

RESUMEN

Despite the ubiquitous nature of parasitism, how parasitism alters the outcome of host-species interactions such as competition, mutualism and predation remains unknown. Using a phylogenetically informed meta-analysis of 154 studies, we examined how the mean and variance in the outcomes of species interactions differed between parasitized and non-parasitized hosts. Overall, parasitism did not significantly affect the mean or variance of host-species interaction outcomes, nor did the shared evolutionary histories of hosts and parasites have an effect. Instead, there was considerable variation in outcomes, ranging from strongly detrimental to strongly beneficial for infected hosts. Trophically-transmitted parasites increased the negative effects of predation, parasites increased and decreased the negative effects of interspecific competition for parasitized and non-parasitized heterospecifics, respectively, and parasites had particularly strong negative effects on host species interactions in freshwater and marine habitats, yet were beneficial in terrestrial environments. Our results illuminate the diverse ways in which parasites modify critical linkages in ecological networks, implying that whether the cumulative effects of parasitism are considered detrimental depends not only on the interactions between hosts and their parasites but also on the many other interactions that hosts experience.


Asunto(s)
Parásitos , Animales , Interacciones Huésped-Parásitos , Motivación , Ecosistema , Conducta Predatoria
2.
Parasitology ; 149(4): 534-541, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-35331349

RESUMEN

Environmental stability can have profound impacts on life history trait evolution in organisms, especially with respect to development and reproduction. In theory, free-living species, when subjected to relatively stable and predictable conditions over many generations, should evolve narrow niche breadths and become more specialized. In parasitic organisms, this level of specialization is reflected by their host specificity. Here, we tested how host specificity impacts the reproductive strategies of parasites, a subject seldomly addressed for this group. Through an extensive review of the literature, we collated a worldwide dataset to predict, through Bayesian multilevel modelling, the effect of host specificity on the reproductive strategies of parasitic copepods of fishes or corals. We found that copepods of fishes with low host specificity (generalists) invest more into reproductive output with larger clutch sizes, whereas generalist copepods of corals invest less into reproductive output with smaller clutch sizes. The differences in host turnover rates through an evolutionary timescale could explain the contrasting strategies across species observed here, which should still favour the odds of parasites encountering and infecting a host. Ultimately, the differences found in this study reflect the unique evolutionary history that parasites share both intrinsically and extrinsically with their hosts.


Asunto(s)
Parásitos , Animales , Teorema de Bayes , Especificidad del Huésped , Interacciones Huésped-Parásitos , Reproducción , Especificidad de la Especie
3.
Parasitol Res ; 121(2): 667-673, 2022 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-35067741

RESUMEN

Host manipulation by parasites can shape host behaviour, community structure, and the flow of energy through food webs. A well-known example of host manipulation comes from hairworms (phylum Nematomorpha), which somehow cause their terrestrial insect definitive hosts to enter water, a phenomenon that has received lots of attention in recent years. However, little focus has been directed towards the interactions between hairworms and their aquatic insect hosts and the return of dormant hairworms from water to land. Here, we ask whether hairworm cyst infections impact, either directly or indirectly, the life history of their aquatic transport hosts. By observing the development of last-instar Olinga jeanae (Trichoptera: Conoesucidae) caddisfly larvae naturally infected with Gordius-type hairworm cysts under controlled conditions, we found that higher numbers of cysts per infected caddisfly correlated with a decrease in time to pupation. These new observations suggest that, apart from the striking host manipulation that brings the parasite from land to water, the presence of dormant hairworms is associated with changes in the development of their aquatic hosts, either through direct or indirect mechanisms, which may accelerate their transition from water to land.


Asunto(s)
Helmintos , Holometabola , Parásitos , Animales , Interacciones Huésped-Parásitos , Insectos
4.
Parasitology ; 148(11): 1313-1319, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-34103103

RESUMEN

Every internet search query made out of curiosity by anyone who observed something in nature, as well as every photo uploaded to the internet, constitutes a data point of potential use to scientists. Researchers have now begun to exploit the vast online data accumulated through passive crowdsourcing for studies in ecology and epidemiology. Here, we demonstrate the usefulness of iParasitology, i.e. the use of internet data for tests of parasitological hypotheses, using hairworms (phylum Nematomorpha) as examples. These large worms are easily noticeable by people in general, and thus likely to generate interest on the internet. First, we show that internet search queries (collated with Google Trends) and photos uploaded to the internet (specifically, to the iNaturalist platform) point to parts of North America with many sightings of hairworms by the public, but few to no records in the scientific literature. Second, we demonstrate that internet searches predict seasonal peaks in hairworm abundance that accurately match scientific data. Finally, photos uploaded to the internet by non-scientists can provide reliable data on the host taxa that hairworms most frequently parasitize, and also identify hosts that appear to have been neglected by scientific studies. Our findings suggest that for any parasite group likely to be noticeable by non-scientists, information accumulating through internet search activity, photo uploads, social media or any other format available online, represents a valuable source of data that can complement traditional scientific data sources in parasitology.


Asunto(s)
Colaboración de las Masas/estadística & datos numéricos , Helmintos/fisiología , Interacciones Huésped-Parásitos , Internet/estadística & datos numéricos , Animales , Canadá , Bases de Datos Factuales/estadística & datos numéricos , Demografía , Femenino , Humanos , Masculino , Fotograbar , Densidad de Población , Estaciones del Año , Factores de Tiempo , Estados Unidos
5.
Proc Biol Sci ; 287(1936): 20201081, 2020 10 14.
Artículo en Inglés | MEDLINE | ID: mdl-33049168

RESUMEN

In an era where some find fake news around every corner, the use of sensationalism has inevitably found its way into the scientific literature. This is especially the case for host manipulation by parasites, a phenomenon in which a parasite causes remarkable change in the appearance or behaviour of its host. This concept, which has deservedly garnered popular interest throughout the world in recent years, is nearly 50 years old. In the past two decades, the use of scientific metaphors, including anthropomorphisms and science fiction, to describe host manipulation has become more and more prevalent. It is possible that the repeated use of such catchy, yet misleading words in both the popular media and the scientific literature could unintentionally hamper our understanding of the complexity and extent of host manipulation, ultimately shaping its narrative in part or in full. In this commentary, the impacts of exaggerating host manipulation are brought to light by examining trends in the use of embellishing words. By looking at key examples of exaggerated claims from widely reported host-parasite systems found in the recent scientific literature, it would appear that some of the fiction surrounding host manipulation has since become fact.


Asunto(s)
Interacciones Huésped-Parásitos , Parásitos , Adaptación Fisiológica , Animales
6.
Proc Biol Sci ; 286(1915): 20191827, 2019 11 20.
Artículo en Inglés | MEDLINE | ID: mdl-31744433

RESUMEN

Mermithids (phylum Nematoda) and hairworms (phylum Nematomorpha) somehow drive their arthropod hosts into water, which is essential for the worms' survival after egression. The mechanisms behind this behavioural change have been investigated in hairworms, but not in mermithids. Establishing a similar mechanistic basis for host behavioural change between these two distantly related parasitic groups would provide strong convergent evidence for adaptive manipulation and insight into how these parasites modify and/or create behaviour. Here, we search for this convergence, and also contrast changes in physiology between hosts infected with immature and mature mermithids to provide the first ontogenetic evidence for adaptive manipulation by disentangling host response and pathology from the parasite's apparent manipulative effects. We used SWATH-mass spectrometry on brains of Forficula auricularia (earwig) and Bellorchestia quoyana (sandhopper), infected with the mermithids Mermis nigrescens and Thaumamermis zealandica, respectively, at both immature and mature stages of infection, to quantify proteomic changes resulting from mermithid infection. Across both hosts (and hairworm-infected hosts, from earlier studies), the general function of dysregulated proteins was conserved. Proteins involved in energy generation/mobilization were dysregulated, corroborating reports of erratic/hyperactive behaviour in infected hosts. Dysregulated proteins involved in axon/dendrite and synapse modulation were also common to all hosts, suggesting neuronal manipulation is involved in inducing positive hydrotaxis. Furthermore, downregulation of CamKII and associated proteins suggest manipulation of memory also contributes to the behavioural shift.


Asunto(s)
Anfípodos/parasitología , Proteínas de Artrópodos/genética , Interacciones Huésped-Parásitos , Insectos/parasitología , Mermithoidea/fisiología , Proteoma , Animales , Proteínas de Insectos
7.
Parasitology ; 146(13): 1631-1635, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31397259

RESUMEN

Certain species of parasites have the apparent ability to alter the behaviour of their host in order to facilitate the completion of their own life cycle. While documented in hairworms (phylum Nematomorpha), the ability for mermithid parasites (from the sister phylum Nematoda) to force hosts to enter water remains more enigmatic. Here, we present the first experimental evidence in a laboratory setting that an insect which normally never enters open water (the European earwig Forficula auricularia) will readily enter the water when infected with a mermithid nematode (Mermis nigrescens). Only adult mermithids appear capable of inducing this polarising shift in behaviour, with mermithid length being a very strong predictor of whether their host enters water. However, mermithid length was only weakly associated with how long it took an earwig to enter water following the beginning of a trial. Considering the evidence presented here and its alignment with a proteomic investigation on the same host-parasite system, this study provides strong evidence for adaptive behavioural manipulation and a foundational system for further behavioural and mechanistic exploration.


Asunto(s)
Infecciones por Enoplida/veterinaria , Interacciones Huésped-Parásitos , Insectos/parasitología , Mermithoidea/fisiología , Taxia , Animales , Control de la Conducta , Femenino , Estadios del Ciclo de Vida , Masculino , Proteómica , Agua/parasitología
8.
Parasitology ; 146(11): 1361-1370, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31142396

RESUMEN

New technological methods, such as rapidly developing molecular approaches, often provide new tools for scientific advances. However, these new tools are often not utilized equally across different research areas, possibly leading to disparities in progress between these areas. Here, we use empirical evidence from the scientific literature to test for potential discrepancies in the use of genetic tools to study parasitic vs non-parasitic organisms across three distinguishable molecular periods, the allozyme, nucleotide and genomics periods. Publications on parasites constitute only a fraction (<5%) of the total research output across all molecular periods and are dominated by medically relevant parasites (especially protists), particularly during the early phase of each period. Our analysis suggests an increasing complexity of topics and research questions being addressed with the development of more sophisticated molecular tools, with the research focus between the periods shifting from predominantly species discovery to broader theory-focused questions. We conclude that both new and older molecular methods offer powerful tools for research on parasites, including their diverse roles in ecosystems and their relevance as human pathogens. While older methods, such as barcoding approaches, will continue to feature in the molecular toolbox of parasitologists for years to come, we encourage parasitologists to be more responsive to new approaches that provide the tools to address broader questions.


Asunto(s)
Técnicas Genéticas/instrumentación , Biología Molecular/métodos , Parasitología/métodos , Biología Molecular/instrumentación , Parasitología/instrumentación
9.
J Invertebr Pathol ; 168: 107258, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31610188

RESUMEN

The defence reactions of insects to parasitic invaders are both varied and complex. Melanisation of pathogens is often an important step in insect immunity and can play a key role in isolating parasites. Within samples collected from a subalpine stream in New Zealand during two consecutive seasons (i.e., winter and spring), we observed and categorised different levels of melanotic encapsulation by aquatic insect larvae to dormant Gordius sp. hairworm (Phylum Nematomorpha) cysts, a relatively obscure group of parasites. Some of these insect species act as intermediate transport hosts in the complex life cycle of hairworms. Based on these new observations, we calculated the melanisation response for an abundant species of caddisfly larvae (Olinga sp.) using the proportion of non-melanised cysts per individual host. We tested the hypothesis that season and total number of cysts in an infected host impact its melanisation response. Also, we explored the effect of host body size on the total number of cysts it carries. We found that the total number of cysts does not affect the melanisation response of the host. Season did have an impact on the melanisation response in Olinga sp., with lower levels observed in the spring. Additionally, larger caddisfly larvae harboured more cysts than smaller ones. Since little is known about the cryptic interactions between hairworms and their intermediate hosts, this new information adds some complexity to this poorly understood group of parasites.


Asunto(s)
Helmintos/fisiología , Insectos/parasitología , Animales , Encapsulación Celular , Interacciones Huésped-Parásitos , Inmunidad Celular , Insectos/inmunología , Estadios del Ciclo de Vida , Melaninas/metabolismo
10.
Contemp Clin Trials Commun ; 39: 101227, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-39007106

RESUMEN

Background: Hyperemesis Gravidarum (HG) is a severe form of nausea and vomiting in pregnancy that affects 0.3-3% of women and has profound nutritional, physical and psychological consequences. Research is lacking regarding the most effective management of the condition. In response to patient feedback, a multidisciplinary HG day-case service (IRIS Clinic) was launched in 2020 at The National Maternity Hospital, Ireland. The clinic provides routine, day-case care in a comfortable space with pre-booked appointments. The MDT involves midwives, dietitians, perinatal mental health, obstetrics and pharmacy, and the nature of the clinic enables peer-to-peer support. As this clinic is the first of its kind in Ireland, we aim to assess its effectiveness and feasibility, and suggest recommendations for improvement. Methods: This is a sequential, mixed-methods study that commenced in August 2021. The prospective arm of the study is ongoing and involves enrolling women (n = 50) who are attending the IRIS clinic. Data are collected on first admission (pre-intervention) and approximately 8 weeks' later (post-intervention) relating to symptoms of HG, well-being, food tolerances, quality of life and nutritional intake. Qualitative, semi-structured interviews will be conducted to evaluate women's experiences of attending the clinic. The retrospective arm of the study will be a chart review (n = 200) of women diagnosed with HG to describe assessments, treatments and pregnancy and birth outcomes. Conclusion: The IRIS clinic has the potential to improve pregnancy outcomes and nutritional status among women with HG. If found to be effective and feasible, the model for this clinic could be replicated elsewhere.

11.
Adv Parasitol ; 124: 57-89, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38754927

RESUMEN

For over a century, vector ecology has been a mainstay of vector-borne disease control. Much of this research has focused on the sensory ecology of blood-feeding arthropods (black flies, mosquitoes, ticks, etc.) with terrestrial vertebrate hosts. Of particular interest are the cues and sensory systems that drive host seeking and host feeding behaviours as they are critical for a vector to locate and feed from a host. An important yet overlooked component of arthropod vector ecology are the phenotypic changes observed in infected vectors that increase disease transmission. While our fundamental understanding of sensory mechanisms in disease vectors has drastically increased due to recent advances in genome engineering, for example, the advent of CRISPR-Cas9, and high-throughput "big data" approaches (genomics, proteomics, transcriptomics, etc.), we still do not know if and how parasites manipulate vector behaviour. Here, we review the latest research on arthropod vector sensory systems and propose key mechanisms that disease agents may alter to increase transmission.


Asunto(s)
Vectores Artrópodos , Animales , Vectores Artrópodos/fisiología , Humanos , Artrópodos/fisiología , Enfermedades Transmitidas por Vectores/transmisión , Enfermedades Transmitidas por Vectores/prevención & control , Interacciones Huésped-Parásitos
12.
Women Birth ; 36(4): 349-356, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-36526542

RESUMEN

BACKGROUND: The emotional nature of midwifery practice has been described by several researchers and midwives have reported extremely high burnout levels. Burnout is dynamic and effects individual midwives differently, depending on individual coping abilities and demographic and contextual factors. However, midwives themselves can reduce burnout at an individual level. AIM: This study aimed to explore the concept of burnout with midwives and to ascertain their perspectives on how burnout can be reduced. This paper presents findings in relation to individual midwives' responsibilities for the reduction of burnout. METHODS: This was a Participatory Action Research study. A total of 5 co-operative inquiry meetings were held with practising midwives (n = 21) over a six-month period (October 2018 - March 2019), in a large, urban teaching maternity hospital in Ireland. Data was analysed using Thematic Network Analysis. FINDINGS: Midwives explored in detail the emotional nature of midwifery practice and how this contributes upon midwives' burnout levels. Recommendations were made for individuals to reduce their own burnout levels. These include self-awareness and basic self-care skills. Some specific individual characteristics were suggested as increasing the risk of burnout such as younger, less experienced midwives. CONCLUSION AND RECOMMENDATIONS: Midwives require high levels of self-awareness to identify external demands, which make them more susceptible to burnout, and utilise their own positive coping mechanisms. Basic self-care is also necessary for midwife well-being. However, without commitment from healthcare systems to reduce chronic excessive workload, burnout levels will remain high, which impacts negatively on midwives and the women in their care.


Asunto(s)
Agotamiento Profesional , Partería , Enfermeras Obstetrices , Humanos , Femenino , Embarazo , Agotamiento Profesional/prevención & control , Agotamiento Profesional/psicología , Emociones , Adaptación Psicológica , Encuestas y Cuestionarios , Enfermeras Obstetrices/psicología
13.
Mol Ecol Resour ; 23(5): 990-1001, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-36740220

RESUMEN

Almost every animal trait is strongly associated with parasitic infection or the potential exposure to parasites. Despite this importance, one of the greatest challenges that researchers still face is to accurately determine the status and severity of the endoparasitic infection without killing and dissecting the host. Thus, the precise detection of infection with minimal handling of the individual will improve experimental designs in live animal research. Here, we quantified extracellular DNA from two species of endoparasitic worm that grow within the host body cavity, hairworms (phylum Nematomorpha) and mermithids (phylum Nematoda), from the frass of their insect host, a cave weta (Orthoptera: Rhaphidophoridae) and an earwig (Dermaptera: Forficulidae), respectively. Frass collection was done at two successive time periods, to test if parasitic growth correlated with relative DNA quantity in the frass. We developed and optimized two highly specific TaqMan assays, one for each parasite-specific DNA amplification. We were able to detect infection prevalence with 100% accuracy in individuals identified as infected through post-study dissections. An additional infection in earwigs was detected with the TaqMan assay alone, probably because some worms were either too small or degraded to observe during dissection. No difference in DNA quantity was detected between sampling periods, although future protocols could be refined to support such a trend. This study demonstrates that a noninvasive and minimally stressful method can be used to detect endoparasitic infection with greater accuracy than dissection alone, helping improve protocols for live animal studies.


Asunto(s)
Helmintos , Nematodos , Ortópteros , Animales , Insectos
14.
Women Birth ; 36(6): e661-e668, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-37438233

RESUMEN

PROBLEM: Hyperemesis Gravidarum (HG) is a severe form of nausea and vomiting in pregnancy that affects 1-3 % of women and has profound nutritional, physical and psychological consequences. Previous research identified that women with HG report inadequate infrastructure for day case management. INTRODUCTION: A multi-disciplinary HG day case service (IRIS Hydration Clinic) was launched and provides routine care for women with HG in a dedicated unit. The multi-disciplinary team involves midwives, dietitians, obstetricians and perinatal mental health. AIMS: To explore women's experiences of HG and of attending the dedicated clinic. METHODS: Ten interviews were conducted with women who attended the clinic. Data were transcribed and analysed using Reflexive Thematic Analysis. FINDINGS: The physical and psychological impact of HG was captured. The appreciation for the dedicated clinic was a common theme, regarding having somewhere specific for treatment rather than ad-hoc treatment. 'Relationships' was a significant theme - women described the benefits of continuity of care and the positive impact of peer support. Areas for improvement were explored, such as expansion and extra sensitivity around some women's issues around weight gain/loss. DISCUSSION: HG causes significant ill-health and its impact remains undervalued. Women had highly positive experiences of attending the dedicated HG clinic. The impact of continuity and individualized care in a day-case setting improved women's experiences of this condition. CONCLUSION: The dedicated HG clinic was highly valued by women experiencing the condition. The IRIS clinic provides much-needed validation for a medical condition with little understanding from the general public or many healthcare professionals.

15.
Eur J Midwifery ; 7: 12, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37342764

RESUMEN

INTRODUCTION: Evaluation in healthcare services has become a priority, globally1. The Government of Ireland has highlighted the importance of stakeholder engagement to identify the needs of women in the design and delivery of high-quality health services, driven by necessity rather than financial ability2. The Birth Satisfaction Scale-Revised (BSS-R), an internationally validated tool, and recommended for measuring childbirth satisfaction by the International Consortium for Health Outcomes Measurement (ICHOM)3; however, it has yet to be considered in the Irish context. The aim of the study was to explore birth satisfaction with a sample of new mothers in Ireland. METHODS: A mixed-methods study was conducted including a survey that involved collection of data from the BSS-R 10-item questionnaire from 307 mothers over an 8-week period in 2019, in one urban maternity hospital in Ireland. Quantitative and qualitative data were collected. Qualitative data from the free-text comments of the survey questions were analyzed using content analysis. RESULTS: Overall, women reported positive relationships with their care providers and were satisfied with the communication and support they received, as well as high levels of control and choice. Postnatal care, however, was highlighted as being less satisfactory with staffing levels described as inadequate. CONCLUSIONS: Understanding women's birth experiences and what is important to them could facilitate midwives and other health professionals to improve the quality of their care and develop guidelines and policies that focus on women and their families' needs. The vast majority of women rated their birthing experience as extremely positive. The main elements of care that contributed to a positive birthing experience for women were quality relationships with clinicians, choice and control, and emotional safety.

16.
Int J Parasitol ; 52(5): 293-303, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-34973954

RESUMEN

Community composition, including the relative density of each host species, plays a vital role in the transmission of parasites or disease in freshwater ecosystems. Whereas some host species can effectively transmit parasites, others can act as dead ends (non-viable transmission routes), accumulating large numbers of parasites throughout their life, thus becoming important sinks for parasite populations. Although population sinks have been identified in certain host-parasite systems, robust field estimates of the proportions of parasites that are lost to these hosts are lacking. Here, we quantified the distribution of encysted larval hairworms (phylum Nematomorpha), common parasites in lotic ecosystems, in two subalpine stream communities of New Zealand. With parasite and host population densities calculated per m2, we identified which host species most likely contributed to the transmission of three sympatric hairworm morphotypes identified in both streams, and which species acted as population sinks. We also tested for seasonal patterns and peaks in the abundance of each morphotype in the two communities over the sampling season. Finally, we tested whether hosts emerging from the streams had comparable abundances of hairworm morphotypes throughout the sampling period. For each morphotype, different key sets of host species harboured more hairworms on average (abundance) than others, depending on the stream. For one morphotype in particular, two species of hosts were found to be important population sinks that inhibited over a third of these parasites from completing their life cycle. We also observed a clear peak in abundance for another hairworm morphotype during summer. Our data suggest that hosts emerging from the streams matched their aquatic counterparts with respect to hairworm abundance, indicating no infection-dependent reduction in emergence success. Our findings suggest that, depending on relative community composition, sympatric parasites follow different host transmission pathways, some of which lead to dead ends that potentially impact overall infection dynamics. In turn, this information can help us understand the spread or emergence of disease in both freshwater and terrestrial environments, since hairworms infect terrestrial arthropods to complete their life cycle.


Asunto(s)
Helmintos , Parásitos , Animales , Ecosistema , Interacciones Huésped-Parásitos , Estadios del Ciclo de Vida , Ríos
17.
Women Birth ; 35(2): e163-e171, 2022 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-34130937

RESUMEN

INTRODUCTION: In depth exploration of the burnout phenomenon among midwives is sparse. The concept has been extensively studied, but predominantly reports rates and evaluates interventions to reduce burnout. A definition has yet to be offered in the literature from a midwifery perspective. AIMS: To explore midwives' understandings of burnout, professionally and personally, in the context of contemporary maternity care in Ireland. METHODS: This was a Two-phase Participatory Action Research study. Five co-operative inquiry meetings were held with practising midwives (n=21) over a six-month period between October 2018 and March 2019, in a large, urban teaching maternity hospital in Dublin, Ireland. FINDINGS: We found that multiple factors contributed to midwives' perceptions and understandings of the concept of burnout. Midwives defined burnout as persistent stress and exhaustion, with an associated reduction of their individual coping abilities, motivation, empathy and/or efficacy, is unique to the individual and is primarily, in the midwifery context, caused and inextricably linked to excessive workload. CONCLUSION: Burnout is a complex concept with many entities and its significance and impact within the midwifery profession highlights the importance of its exploration and understanding. This study is the first of its kind to explore, with midwives, the concept of burnout. The elements of stress and exhaustion in the definition mirror existing definitions in the literature.


Asunto(s)
Agotamiento Profesional , Servicios de Salud Materna , Partería , Enfermeras Obstetrices , Femenino , Investigación sobre Servicios de Salud , Humanos , Irlanda , Embarazo
18.
Women Birth ; 35(6): e563-e572, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-35181238

RESUMEN

BACKGROUND: Maternity care organisations have a responsibility to ensure the health and welfare of their staff. Rates of burnout are high in midwifery compared to other professionals. Therefore, exploring how it can be reduced is imperative. AIM: To explore with midwives the contributors to burnout and how best to reduce burnout in a maternity hospital in Ireland. METHODS: A Participatory Action Research study involving Co-operative Inquiry meetings (n = 5) with practising midwives (n = 21) between October 2018 and March 2019, in a large, urban teaching maternity hospital in Ireland. The transcribed data were analysed using Thematic Network Analysis. FINDINGS: Several recommendations were made for maternity organisations, to reduce or prevent burnout. These include improving workplace culture, increasing support and acknowledgement, offering time and space for debriefing and reflection and regular rotation of staff. Consistent staff shortages are, however, a barrier to adhering to these recommendations. CONCLUSION: This study is the first of its kind to offer an in-depth exploration with midwives into the main contributors of burnout and what can be done at an organisational level to reduce burnout among midwives. The findings of this study highlighted the importance of working relationships. Additionally, owing to the nature of midwifery practice, time and space need to be created for midwives to debrief and reflect. However, there is an urgent need for healthcare systems to combat staffing shortages in order for these strategies to be successful.


Asunto(s)
Agotamiento Profesional , Servicios de Salud Materna , Partería , Enfermeras Obstetrices , Obstetricia , Femenino , Humanos , Embarazo , Lugar de Trabajo , Agotamiento Profesional/prevención & control
19.
Parasitol Int ; 90: 102598, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-35568302

RESUMEN

Some parasites modify the phenotype of their host in order to increase transmission to another host or to an environment suitable for reproduction. This phenomenon, known as host manipulation, is found across many parasite taxa. Freshwater hairworms are known for the behavioural changes they cause in their terrestrial arthropod hosts, increasing their likelihood of entering water to exit the host and reproduce. Understanding how infected arthropods move around in the natural environment could help uncover alterations in spatial distribution or movement induced by hairworms in their terrestrial definitive hosts. Moreover, few hairworm-host records exist for New Zealand, so any additional record could help elucidate their true host specificity. Here, we investigated whether infected terrestrial arthropods were more likely to approach streams in two subalpine communities of invertebrates, using a spatial grid of specialised pitfall traps. Although hairworm infection could not explain the movements of arthropod hosts near streams, we found several new host records for hairworms, including the first records for the recently described Gordionus maori. We also found some new host-parasite associations for mermithid nematodes. These records show that the host specificity of hairworms is quite low, suggesting that their diversity and distribution may be greater than what is currently known for New Zealand.


Asunto(s)
Helmintos , Mermithoidea , Animales , Interacciones Huésped-Parásitos , Nueva Zelanda , Ríos
20.
Front Insect Sci ; 2: 938644, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-38468779

RESUMEN

Insects and parasites dominate the biosphere, in terms of known biodiversity and mode of life, respectively. Consequently, insects play a part in many host-parasite systems, either as parasite, host, or both. Moreover, a lot of these systems involve adaptive parasite-induced changes of host phenotype (typically behavior or morphology), which is commonly known as host manipulation. While many host manipulation systems have been described within the last few decades, the proximate mechanisms that underpin host phenotypic change are still largely unknown. Given the intimate co-evolutionary history of host-parasite systems, teasing apart the intricate network of biochemical reactions involved in host manipulation requires the integration of various complementary technologies. In this perspective, we stress the importance of multidisciplinary research on host manipulation, such as high-throughput sequencing methods (genomics and transcriptomics) to search for candidate mechanisms that are activated during a manipulation event. Then, we argue that gene editing technologies, specifically the CRISPR-Cas9 system, are a powerful way to test for the functional roles of candidate mechanisms, in both the parasite and the host. Finally, given the sheer diversity of unique host-parasite systems discovered to date, there is indeed a tremendous potential to create novel non-traditional model systems that could greatly expand our capacity to test the fundamental aspects of behavior and behavioral regulation.

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