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1.
Talanta ; 269: 125435, 2024 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-38070287

RESUMEN

Anthropogenic particles, including microplastics, are receiving ever-increasing concern due to their potential environmental impact. Surveys and monitoring require sampling from many environmental and biological matrices, including natural water, drinking water, sediment, and air. However, there are no standard methods for sampling particles in the environment; thereby, many different approaches are used for both single particle and ensemble distribution or bulk chemical analyses. In the microplastics field, particles are often analyzed on membranes using automated analysis with spectroscopic techniques such as Fourier-transform infrared spectroscopy (FTIR) and Raman spectroscopy. For automated analysis, the filters' properties are crucial. We coated polycarbonate (PC) membranes with 100 nm platinum (Pt) on both side using a e-beam evaporator and evaluated their suitability for filtrating and analysis of environmental samples. The PC membranes have a defined and practical pore size, available in many pore sizes and with circular diameter of 47 mm and 25 mm. Our Pt coated membranes can handle large volumes of fresh and marine waters, high pressure, and various treatment solutions. Moreover, they have good optical properties for imaging with light microscopy (LM) and Scanning Electron Microscopy (SEM), and no disturbing background signal for Raman or FTIR spectroscopy analysis.

2.
Microplast nanoplast ; 3(1): 24, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37920865

RESUMEN

Plastics pollution research attracts scientists from diverse disciplines. Many Early Career Researchers (ECRs) are drawn to this field to investigate and subsequently mitigate the negative impacts of plastics. Solving the multi-faceted plastic problem will always require breakthroughs across all levels of science disciplinarity, which supports interdisciplinary discoveries and underpins transdisciplinary solutions. In this context, ECRs have the opportunity to work across scientific discipline boundaries and connect with different stakeholders, including industry, policymakers and the public. To fully realize their potential, ECRs need to develop strong communication and project management skills to be able to effectively interface with academic peers and non-academic stakeholders. At the end of their formal education, many ECRs will choose to leave academia and pursue a career in private industry, government, research institutes or non-governmental organizations (NGOs). Here we give perspectives on how ECRs can develop the skills to tackle the challenges and opportunities of this transdisciplinary research field and how these skills can be transferred to different working sectors. We also explore how advisors can support an ECRs' growth through inclusive leadership and coaching. We further consider the roles each party may play in developing ECRs into mature scientists by helping them build a strong foundation, while also critically assessing problems in an interdisciplinary and transdisciplinary context. We hope these concepts can be useful in fostering the development of the next generation of plastics pollution researchers so they can address this global challenge more effectively.

3.
Environ Sci Technol ; 57(43): 16541-16551, 2023 10 31.
Artículo en Inglés | MEDLINE | ID: mdl-37853526

RESUMEN

Microplastics (MP) including tire wear particles (TWP) are ubiquitous. However, their mass loads, transport, and vertical behavior in water bodies and overlying air are never studied simultaneously before. Particularly, the sea surface microlayer (SML), a ubiquitous, predominantly organic, and gelatinous film (<1 mm), is interesting since it may favor MP enrichment. In this study, a remote-controlled research catamaran simultaneously sampled air, SML, and underlying water (ULW) in Swedish fjords of variable anthropogenic impacts (urban, industrial, and rural) to fill these knowledge gaps in the marine-atmospheric MP cycle. Polymer clusters and TWP were identified and quantified with pyrolysis-gas chromatography-mass spectrometry. Air samples contained clusters of polyethylene terephthalate, polycarbonate, and polystyrene (max 50 ng MP m-3). In water samples (max. 10.8 µg MP L-1), mainly TWP and clusters of poly(methyl methacrylate) and polyethylene terephthalate occurred. Here, TWP prevailed in the SML, while the poly(methyl methacrylate) cluster dominated the ULW. However, no general MP enrichment was observed in the SML. Elevated anthropogenic influences in urban and industrial compared to the rural fjord areas were reflected by enhanced MP levels in these areas. Vertical MP movement behavior and distribution were not only linked to polymer characteristics but also to polymer sources and environmental conditions.


Asunto(s)
Microplásticos , Contaminantes Químicos del Agua , Agua , Plásticos/análisis , Agua de Mar/análisis , Agua de Mar/química , Tereftalatos Polietilenos , Polimetil Metacrilato , Contaminantes Químicos del Agua/análisis , Monitoreo del Ambiente/métodos
4.
Sci Rep ; 12(1): 15459, 2022 Sep 14.
Artículo en Inglés | MEDLINE | ID: mdl-36104387

RESUMEN

The ubiquitous occurrence of anthropogenic particles, including microplastics in the marine environment, has, over the last years, gained worldwide attention. As a result, many methods have been developed to estimate the amount and type of microplastics in the marine environment. However, there are still no standardized protocols for how different marine matrices should be sampled or how to extract and identify these particles, making meaningful data comparison hard. Buoyant microplastics are influenced by winds and currents, and concentrations could hence be expected to be highly variable over time. However, since both high density and most of the initially buoyant microplastics are known to eventually sink and settle on the seafloor, marine sediments are proposed as a suitable matrix for microplastics monitoring. Several principles, apparatuses, and protocols for extracting microplastics from marine sediments have been presented, but extensive comparison of the different steps in the protocols using real environmental samples is lacking. Thus, in this study, different pre-treatment and subsequent density separation protocols for extraction of microplastics from replicate samples of marine sediment were compared. Two pre-treatment methods, one using inorganic chemicals (NaClO + KOH + Na4P2O7) and one using porcine pancreatic enzymes, as well as one with no pre-treatment of the sediment, were compared in combination with two commonly used high-density saline solutions used for density separation, sodium chloride (NaCl) and zinc chloride (ZnCl2). Both pre-treatment methods effectively removed organic matter, and both saline solutions extracted lighter plastic particles such as polyethylene (PE) and polypropylene (PP). The most efficient combination, chemical pre-treatment and density separation with ZnCl2, was found to extract > 15 times more particles (≥ 100 µm) from the sediment than other treatment combinations, which could largely be explained by the high presence and efficient extraction of PVC particles.


Asunto(s)
Microplásticos , Contaminantes Químicos del Agua , Animales , Monitoreo del Ambiente/métodos , Sedimentos Geológicos , Plásticos , Porcinos , Contaminantes Químicos del Agua/análisis
5.
J Transcult Nurs ; 33(3): 446-455, 2022 05.
Artículo en Inglés | MEDLINE | ID: mdl-35000509

RESUMEN

INTRODUCTION: There is an urgent need for registered nurses with gerontological competence within long-term care (LTC) of older adults. Despite increases of life expectancy, LTC for older adults is not emphasized in nursing curricula in neither Sweden nor Thailand. Thus, the aim was to explore conceptions on gerontological nursing (GN) among Swedish and Thai nurse educators. METHOD: A qualitative phenomenographic method, based on open-ended interviews with five Thai and nine Swedish nurse educators was conducted. RESULTS: The results indicate a paradox between the educators' knowledge about the implications of global aging, their hope of own aging, and LTC. The ethical responsibility of being credible and a source of inspiration in teaching about aging are focused, while GN seem to be less important. DISCUSSION: To increase students' interest in GN, measures need to be taken within the educational arenas, where the educators' own conceptions toward GN, cultural aspects of aging, and LTC are discussed.


Asunto(s)
Bachillerato en Enfermería , Geriatría , Estudiantes de Enfermería , Anciano , Docentes de Enfermería , Humanos , Suecia , Enseñanza , Tailandia
6.
Anal Chem ; 93(49): 16360-16368, 2021 12 14.
Artículo en Inglés | MEDLINE | ID: mdl-34807556

RESUMEN

Herein we report on a deep-learning method for the removal of instrumental noise and unwanted spectral artifacts in Fourier transform infrared (FTIR) or Raman spectra, especially in automated applications in which a large number of spectra have to be acquired within limited time. Automated batch workflows allowing only a few seconds per measurement, without the possibility of manually optimizing measurement parameters, often result in challenging and heterogeneous datasets. A prominent example of this problem is the automated spectroscopic measurement of particles in environmental samples regarding their content of microplastic (MP) particles. Effective spectral identification is hampered by low signal-to-noise ratios and baseline artifacts as, again, spectral post-processing and analysis must be performed in automated measurements, without adjusting specific parameters for each spectrum. We demonstrate the application of a simple autoencoding neural net for reconstruction of complex spectral distortions, such as high levels of noise, baseline bending, interferences, or distorted bands. Once trained on appropriate data, the network is able to remove all unwanted artifacts in a single pass without the need for tuning spectra-specific parameters and with high computational efficiency. Thus, it offers great potential for monitoring applications with a large number of spectra and limited analysis time with availability of representative data from already completed experiments.


Asunto(s)
Aprendizaje Profundo , Microplásticos , Análisis de Fourier , Plásticos , Espectroscopía Infrarroja por Transformada de Fourier
7.
Artículo en Inglés | MEDLINE | ID: mdl-34052753

RESUMEN

Glycosaminoglycans (GAGs) are long linear sulfated polysaccharides implicated in processes linked to disease development such as mucopolysaccharidosis, respiratory failure, cancer, and viral infections, thereby serving as potential biomarkers. A successful clinical translation of GAGs as biomarkers depends on the availability of standardized GAG measurements. However, owing to the analytical complexity associated with the quantification of GAG concentration and structural composition, a standardized method to simultaneously measure multiple GAGs is missing. In this study, we sought to characterize the analytical performance of a ultra-high-performance liquid chromatography coupled with triple-quadrupole tandem mass spectrometry (UHPLC-MS/MS)-based kit for the quantification of 17 free GAG disaccharides. The kit showed acceptable linearity, selectivity and specificity, accuracy and precision, and analyte stability in the absolute quantification of 15 disaccharides. In native human samples, here using urine as a reference matrix, the analytical performance of the kit was acceptable for the quantification of CS disaccharides. Intra- and inter-laboratory tests performed in an external laboratory demonstrated robust reproducibility of GAG measurements showing that the kit was acceptably standardized. In conclusion, these results indicated that the UHPLC-MS/MS kit was standardized for the simultaneous measurement of free GAG disaccharides allowing for comparability of measurements and enabling translational research.


Asunto(s)
Glicosaminoglicanos/orina , Espectrometría de Masas en Tándem/métodos , Adulto , Cromatografía Líquida de Alta Presión/métodos , Humanos , Modelos Lineales , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
8.
Gerontol Geriatr Educ ; 41(1): 109-120, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31319778

RESUMEN

This study focuses on nurse educators' perspectives on teaching gerontology within nursing curricula in two cultures. An increasing aging multi-cultural population with large caring needs requires not only informal elder care provided by family members, but also professional nursing staff trained in gerontology. The aim of this study was to explore how Swedish and Thai nurse educators describe the role of teaching gerontology within nursing educations in Sweden and Thailand. Method: Qualitative open-ended interviews with 13 Swedish and Thai nurse educators were conducted and analyzed with qualitative content analysis. Findings: There is a lack of gerontological nursing competence in faculty, as well as bureaucracy impeding necessary changes of curricula, together with difficulties in highlighting positive and cultural aspects of aging. Conclusions: Pedagogical strategies need to be developed by nurse educators specialized in cross-cultural gerontology to improve current and future nursing educations in both countries.


Asunto(s)
Comparación Transcultural , Docentes de Enfermería/psicología , Enfermería Geriátrica/educación , Adulto , Curriculum , Educación en Enfermería/normas , Femenino , Geriatría/educación , Humanos , Masculino , Persona de Mediana Edad , Investigación Cualitativa , Suecia , Tailandia
9.
Eur J Cancer ; 114: 55-66, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-31059974

RESUMEN

BACKGROUND: Thymidine kinase 1 (TK1) plays a critical role in DNA synthesis and cell proliferation. Recent studies have shown potential for serum TK1 activity (sTKa) as a prognostic marker and indicator of early response to endocrine therapy in advanced breast cancer. The aim of this study is to assess the correlation between sTKa and patient outcome. PATIENTS AND METHODS: The Evaluation of Faslodex versus Exemestane Clinical Trial (EFECT) was a double-blind, double-dummy, randomised trial of fulvestrant versus exemestane after progression on non-steroidal aromatase inhibitor therapy, in postmenopausal women with advanced breast cancer. Retrospective analyses of serum archived from EFECT were conducted. sTKa was assessed using the DiviTum® assay on samples collected at baseline, after three and six months of endocrine therapy, and at disease progression. RESULTS: The median time to progression (mTTP) for patients with low baseline sTKa levels was 5.03 months (95% confidence interval [CI]: 3.91-5.89) versus 2.57 months (95% CI: 2.04-3.52) in patients with high sTKa baseline levels (P < 0.0001). On treatment, patients whose sTKa increased from baseline had a significantly shorter mTTP (3.39 months, 95% CI: 2.14-4.11) than those without an sTKa increase (5.39 months, 95% CI: 4.01-6.68) (P = 0.0045). Similar results were observed in the separate EFECT treatment arms. After adjusting for major prognostic factors, sTKa remained an independent marker. CONCLUSION: sTKa is a potential circulating prognostic marker in patients with advanced breast cancer treated with endocrine therapy. It may also represent a tool for upfront identification of endocrine therapy resistance and early positive response to therapy. Independent validation of these results is warranted.


Asunto(s)
Androstadienos/uso terapéutico , Antineoplásicos/uso terapéutico , Neoplasias de la Mama/tratamiento farmacológico , Fulvestrant/uso terapéutico , Timidina Quinasa/uso terapéutico , Anciano , Androstadienos/farmacología , Antineoplásicos/farmacología , Neoplasias de la Mama/complicaciones , Femenino , Fulvestrant/farmacología , Humanos , Metástasis de la Neoplasia , Pronóstico , Timidina Quinasa/farmacología
10.
Nanotoxicology ; 12(8): 885-900, 2018 10.
Artículo en Inglés | MEDLINE | ID: mdl-30053796

RESUMEN

The use of manufactured nanomaterials is rapidly increasing, while our understanding of the consequences of releasing these materials into the environment is still limited and many questions remain, for example, how do nanoparticles affect living organisms in the wild? How do organisms adapt and protect themselves from exposure to foreign materials? How does the environment affect the performance of nanoparticles, including their surface properties? In an effort to address these crucial questions, our main aim has been to probe the effects of aquatic organisms on nanoparticle aggregation. We have, therefore, carried out a systematic study with the purpose to disentangle the effects of the freshwater zooplankter, Daphnia magna, on the surface properties, stability, and aggregation properties of gold (Au) nanoparticles under different aqueous conditions as well as identified the proteins bound to the nanoparticle surface. We show that Au nanoparticles aggregate in pure tap water, but to a lesser extent in water that either contains Daphnia or has been pre-conditioned with Daphnia. Moreover, we show that proteins generated by Daphnia bind to the Au nanoparticles and create a modified surface that renders them less prone to aggregation. We conclude that the surrounding milieu, as well as the surface properties of the original Au particles, are important factors in determining how the nanoparticles are affected by biological metabolism. In a broader context, our results show how nanoparticles released into a natural ecosystem become chemically and physically altered through the dynamic interactions between particles and organisms, either through biological metabolism or through the interactions with biomolecules excreted by organisms into the environment.


Asunto(s)
Daphnia/metabolismo , Oro/metabolismo , Nanopartículas del Metal/química , Animales , Agua Dulce , Regulación de la Expresión Génica/efectos de los fármacos , Oro/química , Agua/química , Contaminantes Químicos del Agua/química , Contaminantes Químicos del Agua/metabolismo
11.
Sci Rep ; 7(1): 11452, 2017 09 13.
Artículo en Inglés | MEDLINE | ID: mdl-28904346

RESUMEN

The tremendous increases in production of plastic materials has led to an accumulation of plastic pollution worldwide. Many studies have addressed the physical effects of large-sized plastics on organisms, whereas few have focused on plastic nanoparticles, despite their distinct chemical, physical and mechanical properties. Hence our understanding of their effects on ecosystem function, behaviour and metabolism of organisms remains elusive. Here we demonstrate that plastic nanoparticles reduce survival of aquatic zooplankton and penetrate the blood-to-brain barrier in fish and cause behavioural disorders. Hence, for the first time, we uncover direct interactions between plastic nanoparticles and brain tissue, which is the likely mechanism behind the observed behavioural disorders in the top consumer. In a broader perspective, our findings demonstrate that plastic nanoparticles are transferred up through a food chain, enter the brain of the top consumer and affect its behaviour, thereby severely disrupting the function of natural ecosystems.


Asunto(s)
Lesiones Encefálicas/veterinaria , Enfermedades de los Peces/etiología , Cadena Alimentaria , Nanopartículas , Plásticos , Animales , Contaminación Ambiental , Mortalidad , Contaminantes Químicos del Agua
12.
Contemp Nurse ; 53(1): 36-47, 2017 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-27821017

RESUMEN

BACKGROUND: Negative views towards ageing and older adults may be a reason why nurses do not choose to work in gerontological nursing. Studying in another cultural context can challenge these views. The Objective was to explore nursing students' views on ageing and older adults before and after a gerontology course held abroad. DESIGN AND METHOD: A qualitative approach based on content analysis of responses to open-ended questions by 30 Thai nursing students studying a gerontology course in Sweden. RESULTS: Three main categories: positive imprints of ageing, ageing takes its toll, and knowledge leading to action, emerged through sub-categories carrying a view of older adults as not only in need of care, but also as resourceful and competent. Professional healthcare, besides family was seen as potential caregivers in old age. CONCLUSIONS: Studying gerontology abroad can widen views towards ageing and older adults, inspiring nurses to work in gerontological nursing.


Asunto(s)
Envejecimiento/psicología , Curriculum , Bachillerato en Enfermería/organización & administración , Enfermería Geriátrica/educación , Enfermeras Internacionales/psicología , Estudiantes de Enfermería/psicología , Adulto , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Investigación Cualitativa , Suecia , Tailandia
13.
Nanotoxicology ; 10(8): 1160-7, 2016 10.
Artículo en Inglés | MEDLINE | ID: mdl-27181920

RESUMEN

Nanowires (NWs) have unique electrical and optical properties of value for many applications including lighting, sensing, and energy harnessing. Consumer products containing NWs increase the risk of NWs being released in the environment, especially into aquatic ecosystems through sewage systems. Daphnia magna is a common, cosmopolitan freshwater organism sensitive to toxicity tests and represents a likely entry point for nanoparticles into food webs of aquatic ecosystems. Here we have evaluated the effect of NW diameter on the gut penetrance of NWs in Daphnia magna. The animals were exposed to NWs of two diameters (40 and 80 nm) and similar length (3.6 and 3.8 µm, respectively) suspended in water. In order to locate the NWs in Daphnia, the NWs were designed to comprise one inherently fluorescent segment of gallium indium phosphide (GaInP) flanked by a gallium phosphide (GaP) segment. Daphnia mortality was assessed directly after 24 h of exposure and 7 days after exposure. Translocation of NWs across the intestinal epithelium was investigated using confocal fluorescence microscopy directly after 24 h of exposure and was observed in 89% of Daphnia exposed to 40 nm NWs and in 11% of Daphnia exposed to 80 nm NWs. A high degree of fragmentation was observed for NWs of both diameters after ingestion by the Daphnia, although 40 nm NWs were fragmented to a greater extent, which could possibly facilitate translocation across the intestinal epithelium. Our results show that the feeding behavior of animals may enhance the ability of NWs to penetrate biological barriers and that penetrance is governed by the NW diameter.


Asunto(s)
Daphnia/efectos de los fármacos , Mucosa Intestinal/efectos de los fármacos , Nanocables/toxicidad , Contaminantes Químicos del Agua/farmacocinética , Contaminantes Químicos del Agua/toxicidad , Animales , Transporte Biológico , Daphnia/metabolismo , Relación Dosis-Respuesta a Droga , Conducta Alimentaria/efectos de los fármacos , Galio/química , Indio/química , Mucosa Intestinal/metabolismo , Microscopía Fluorescente , Nanocables/química , Tamaño de la Partícula , Permeabilidad , Fosfinas/química , Propiedades de Superficie , Pruebas de Toxicidad , Contaminantes Químicos del Agua/química
14.
Nanotoxicology ; 10(2): 226-34, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26186033

RESUMEN

Welding fumes include agglomerated particles built up of primary nanoparticles. Particles inhaled through the nose will to some extent be deposited in the protein-rich nasal mucosa, and a protein corona will be formed around the particles. The aim was to identify the protein corona formed between nasal lavage proteins and four types of particles with different parameters. Two of the particles were formed and collected during welding and two were manufactured iron oxides. When nasal lavage proteins were added to the particles, differences were observed in the sizes of the aggregates that were formed. Measurements showed that the amount of protein bound to particles correlated with the relative size increase of the aggregates, suggesting that the surface area was associated with the binding capacity. However, differences in aggregate sizes were detected when nasal proteins were added to UFWF and Fe2O3 particles (having similar agglomerated size) suggesting that yet parameters other than size determine the binding. Relative quantitative mass spectrometric and gel-based analyses showed differences in the protein content of the coronas. High-affinity proteins were further assessed for network interactions. Additional experiments showed that the inhibitory function of secretory leukocyte peptidase inhibitor, a highly abundant nasal protein, was influenced by particle binding suggesting that an understanding of protein function following particle binding is necessary to properly evaluate pathophysiological events. Our results underscore the importance of including particles collected from real working environments when studying the toxic effects of particles because these effects might be mediated by the protein corona.


Asunto(s)
Nanopartículas de Magnetita/química , Líquido del Lavado Nasal/química , Corona de Proteínas/química , Soldadura , Humanos , Nanopartículas de Magnetita/ultraestructura , Espectrometría de Masas , Tamaño de la Partícula , Corona de Proteínas/análisis , Inhibidor Secretorio de Peptidasas Leucocitarias/metabolismo
15.
Environ Sci Technol ; 49(1): 553-61, 2015 Jan 06.
Artículo en Inglés | MEDLINE | ID: mdl-25380515

RESUMEN

The use of nanoparticles in consumer products, for example, cosmetics, sunscreens, and electrical devices, has increased tremendously over the past decade despite insufficient knowledge about their effects on human health and ecosystem function. Moreover, the amount of plastic waste products that enter natural ecosystems, such as oceans and lakes, is increasing, and degradation of the disposed plastics produces smaller particles toward the nano scale. Therefore, it is of utmost importance to gain knowledge about how plastic nanoparticles enter and affect living organisms. Here we have administered 24 and 27 nm polystyrene nanoparticles to fish through an aquatic food chain, from algae through Daphnia, and studied the effects on behavior and metabolism. We found severe effects on feeding and shoaling behavior as well as metabolism of the fish; hence, we conclude that polystyrene nanoparticles have severe effects on both behavior and metabolism in fish and that commonly used nanosized particles may have considerable effects on natural systems and ecosystem services derived from them.


Asunto(s)
Conducta Animal/efectos de los fármacos , Exposición a Riesgos Ambientales , Peces/metabolismo , Peces/fisiología , Nanopartículas/toxicidad , Poliestirenos/toxicidad , Animales , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Daphnia/fisiología , Conducta Alimentaria/efectos de los fármacos , Humanos , Hígado/efectos de los fármacos , Hígado/metabolismo , Espectroscopía de Resonancia Magnética , Metabolómica
16.
J Eval Clin Pract ; 20(6): 759-66, 2014 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24815563

RESUMEN

RATIONALE, AIMS AND OBJECTIVES: Changes in Sweden's municipal care have impacted the situation of physiotherapists by the adoption of practice based on research evidence. Even if physiotherapists appear to be in favour of the idea of evidence-based practice, barriers still exist that prevent many from keeping up with current research. The aim of this study was to identify and describe the different ways in which physiotherapists in municipal care perceive the concept of evidence in rehabilitation. METHODS: A phenomenographic design with semi-structured interviews was carried out with physiotherapists working with frail older people in three municipal care units in two neighbouring municipalities in Sweden. The physiotherapists' perceptions of evidence were explored in 12 interviews. RESULTS: Distinct perceptions of the concept of evidence are identified in three categories: 'Confidence with the concept of evidence in relation to measurement instruments'; 'Perception of evidence-based practice as a duty, condition and demand of the profession'; and 'Evidence-based work as a separate rather than directly patient-oriented activity'. CONCLUSIONS: Physiotherapists take full responsibility to comply with what they perceive to be the demands of their profession. However, what evidence actually meant, and therefore what the practical element of this responsibility consisted of, was not as clear.


Asunto(s)
Actitud del Personal de Salud , Práctica Clínica Basada en la Evidencia/métodos , Fisioterapeutas/organización & administración , Competencia Profesional , Autoimagen , Adulto , Anciano de 80 o más Años , Práctica Clínica Basada en la Evidencia/ética , Femenino , Anciano Frágil , Humanos , Entrevistas como Asunto , Aprendizaje , Masculino , Fisioterapeutas/psicología , Relaciones Profesional-Paciente , Investigación Cualitativa , Suecia
17.
Scand J Caring Sci ; 28(4): 793-801, 2014 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-24433250

RESUMEN

INTRODUCTION: In earlier research as well as in political discussion and documents, the topic of evidence has been highlighted as one of the most important concerns in nursing care. This study focuses on understanding what lies behind nurses' ways of acting regarding evidence-based nursing through an illumination of the way they perceive the phenomena. AIM: The aim was to identify and describe the different ways municipal care nurses perceive aspects of working with evidence when nursing frail older adults. METHODS: An explorative design with a phenomenographic approach based on interviews with nurses working with home-based care within the municipality was used in order to gain understanding of nurse's perceptions of the phenomena. RESULTS: Findings revealed that the nurses perceived a variety of aspects when working with evidence when nursing frail older people. Aspects with a spectra of different perceptions shown in the analysis were as follows: Evidence-based nursing as a desired intention/mission, lack of practical supporting structures to apply evidence, lack of confidence in own capacity to apply evidence and a belief that it will work anyway. CONCLUSIONS: Findings reveal that it is a challenge to implement research both on an individual as well as on an organisational level. Understanding the contextual perceptions of evidence by nurses can cast light on the barriers as well as the prerequisites of working with evidence while caring for frail older adults in municipal care.


Asunto(s)
Enfermería Basada en la Evidencia , Anciano Frágil , Personal de Enfermería , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Entrevistas como Asunto , Masculino , Relaciones Enfermero-Paciente
18.
Mol Cancer ; 6: 28, 2007 Apr 13.
Artículo en Inglés | MEDLINE | ID: mdl-17433107

RESUMEN

The latency-associated nuclear antigen (LANA-1) of Human Herpes Virus 8 (HHV-8), alternatively called Kaposi Sarcoma Herpes Virus (KSHV) is constitutively expressed in all HHV-8 infected cells. LANA-1 accumulates in well-defined foci that co-localize with the viral episomes. We have previously shown that these foci are tightly associated with the borders of heterochromatin 1. We have also shown that exogenously expressed LANA-1 causes an extensive re-organization of Hoechst 33248 DNA staining patterns of the nuclei in non-HHV-8 infected cells 2. Here we show that this effect includes the release of the bulk of DNA from heterochromatic areas, in both human and mouse cells, without affecting the overall levels of heterochromatin associated histone H3 lysine 9 tri-methylation (3MK9H3). The release of DNA from the heterochromatic chromocenters in LANA-1 transfected mouse cells co-incides with the dispersion of the chromocenter associated methylcytosin binding protein 2 (MECP2). The localization of 3MK9H3 to the remnants of the chromocenters remains unaltered. Moreover, exogeneously expressed LANA-1 leads to the relocation of the chromocenters to the nuclear periphery, indicating extensive changes in the positioning of the chromosomal domains in the LANA-1 harboring interphase nucleus. Using a series of deletion mutants we have shown that the chromatin rearranging effects of LANA-1 require the presence of a short (57 amino acid) region that is located immediately upstream of the internal acidic repeats. This sequence lies within the previously mapped binding site to histone methyltransferase SUV39H1. We suggest that the highly concentrated LANA-1, anchored to the host genome in the nuclear foci of latently infected cells and replicated through each cell generation, may function as "epigenetic modifier". The induction of histone modification in adjacent host genes may lead to altered gene expression, thereby contributing to the viral oncogenesis.


Asunto(s)
Antígenos Virales/metabolismo , Herpesvirus Humano 8/fisiología , Heterocromatina/metabolismo , Proteínas Nucleares/metabolismo , Animales , Línea Celular Tumoral , ADN de Neoplasias/metabolismo , Células HeLa , Herpesvirus Humano 8/química , Humanos , Proteína 2 de Unión a Metil-CpG/metabolismo , Ratones , Células 3T3 NIH , Eliminación de Secuencia
19.
J Med Virol ; 76(2): 234-40, 2005 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-15834879

RESUMEN

Hantaviruses are known to cause little or no cytopathic effect in vitro, but have been suggested to cause apoptosis. To determine whether different hantaviruses would induce apoptosis to varying degrees, confluent Vero E6 cells were infected with the hemorrhagic fever with renal syndrome (HFRS) causing viruses Hantaan, Dobrava, Saaremaa, and Puumala. However, no difference was found in the percentage of adherent cells, or of cells with condensed nuclei, between non-infected and virus-infected cells at 3, 6, 9, or 12 days after infection. Furthermore, no differences in the percentage of cells with inter-nucleosomal cleavage of DNA between uninfected and Hantaan infected cells could be detected using the TUNEL assay. Possibly, slightly more apoptotic cells, but never more than 5%, were detected after Hantaan infection of non-confluent cells as compared to the negative control. Earlier reported results that Tula hantavirus induces significant apoptosis on Vero E6 cells were also verified, suggesting that non-pathogenic hantaviruses might differ from HFRS-causing strains regarding induction of apoptosis. In conclusion, the results indicated that the HFRS-causing hantaviruses might induce a very low level of apoptosis in dividing cells, but not at all in confluent cells.


Asunto(s)
Apoptosis , Orthohantavirus/fisiología , Animales , Adhesión Celular , Línea Celular Tumoral , Núcleo Celular/ultraestructura , Chlorocebus aethiops , ADN/metabolismo , Orthohantavirus/aislamiento & purificación , Fiebre Hemorrágica con Síndrome Renal/virología , Humanos , Etiquetado Corte-Fin in Situ , Células Vero
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