27 research outputs found

    After colonic surgery: The lived experience of participating in a fast-track programme

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    Postoperative recovery can be accelerated and hospitalization reduced through fast-track programmes. However, documented knowledge is limited and primarily focusing on a medical perspective whereas the patients' perspective lacks documentation. This study describes the lived experience of participating in a fast-track programme after colonic surgery. Sixteen patients were interviewed twice. The interviews were analysed using a descriptive phenomenological approach. Participating in a fast-track programme is characterized by a process where patients experience how the daily regimen works both with them and against them. To succeed in the overall goal of recovering fast according to the evidence-based care plan involves facing dilemmas and mobilizing courage and will to follow the regimen. Support from the professionals is crucial. The participants had a strong desire to comply and regain health; but this role of being a good and cooperative patient had a built-in asymmetric power relationship favouring the professionals' expectations. The complexities of this power relationship were related to both patient factors and contextual factors, e.g. the daily regimen and hospital norms. Although patient participation in care is an accepted ideal, it is demanding and difficult to accomplish. More studies on fast-track programmes are needed, with special attention to patient autonomy and partnership

    Serum levels of mitochondrial inhibitory factor 1 are independently associated with long-term prognosis in coronary artery disease: the GENES Study

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    Background Epidemiological and observational studies have established that high-density lipoprotein cholesterol (HDL-C) is an independent negative cardiovascular risk factor. However, simple measurement of HDL-C levels is no longer sufficient for cardiovascular risk assessment. Therefore, there is a critical need for novel non-invasive biomarkers that would display prognostic superiority over HDL-C. Cell surface ecto-F1-ATPase contributes to several athero-protective properties of HDL, including reverse cholesterol transport and vascular endothelial protection. Serum inhibitory factor 1 (IF1), an endogenous inhibitor of ecto-F1-ATPase, is an independent determinant of HDL-C associated with low risk of coronary artery disease (CAD). This work aimed to examine the predictive value of serum IF1 for long-term mortality in CAD patients. Its informative value was compared to that of HDL-C. Method Serum IF1 levels were measured in 577 male participants with stable CAD (age 45–74 years) from the GENES (Genetique et ENvironnement en Europe du Sud) study. Vital status was yearly assessed, with a median follow-up of 11 years and a 29.5 % mortality rate. Cardiovascular mortality accounted for the majority (62.4 %) of deaths. Results IF1 levels were positively correlated with HDL-C (rs = 0.40; P < 0.001) and negatively with triglycerides (rs = −0.21, P < 0.001) and CAD severity documented by the Gensini score (rs = −0.13; P < 0.01). Total and cardiovascular mortality were lower at the highest quartiles of IF1 (HR = 0.55; 95 % CI, 0.38–0.89 and 0.50 (0.28–0.89), respectively) but not according to HDL-C. Inverse associations of IF1 with mortality remained significant, after multivariate adjustments for classical cardiovascular risk factors (age, smoking, physical activity, waist circumference, HDL-C, dyslipidemia, hypertension, and diabetes) and for powerful biological and clinical variables of prognosis, including heart rate, ankle-brachial index and biomarkers of cardiac diseases. The 10-year mortality was 28.5 % in patients with low IF1 (<0.42 mg/L) and 21.4 % in those with high IF1 (≄0.42 mg/L, P < 0.02). Conclusions We investigated for the first time the relation between IF1 levels and long-term prognosis in CAD patients, and found an independent negative association. IF1 measurement might be used as a novel HDL-related biomarker to better stratify risk in populations at high risk or in the setting of pharmacotherapy

    First assessment of flux rates of jellyfish carcasses (jelly-falls) to the benthos reveals the importance of gelatinous material for biological C-cycling in jellyfish-dominated ecosystems

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    There is accumulating evidence that jellyfish contribute significantly to biological carbon cycling and that their carcasses can have controversial effects on seafloor ecosystems. Moreover, changes in the thermal properties of the ocean, ocean chemistry and direct anthropogenic effects can seriously modify jellyfish populations in surface waters and potentially alter the importance of jellyfish in the biological pump relative to other forms of detritus. However, no studies have ever quantified the flux rate of jellyfish carcasses (jelly-falls) to the seafloor, or quantified how jelly-fall C and N fluxes compare to phytodetrital fluxes. In this study, we documented the seafloor abundance of jelly-falls over a 1-year period in the jellyfish-dominated Lurefjord, western Norway. A total of 9 jelly-falls were documented from 768 seafloor images over the course of the study, equivalent to 0-13.4 mg C m-2 and 0-2.1 mg N m-2 of jellyfish material being deposited in the deep fjord basin. Assuming that jellyfish removal rates and phytodetrital flux rates from nearby fjord environments are similar to Lurefjorden, we estimate that the jellyfish C and N fluxes to the seafloor were 0-72.8 mg C m-2 d-1 and 0-11.2 mg N m-2 d-1 at the time of sampling. In addition, we estimate that the maximum jellyfish carcass flux rates were equivalent to 96 and 160% of the phytodetrital C and N flux that would arrive at the seafloor where the jelly-falls were recorded. These results imply that jelly-falls most likely contribute significantly to detrital C and N fluxes in at least one jellyfish-dominated environment, despite often being recorded in low abundances. If more fjord environments become jellyfish hotspots as a result of water column darkening, the contribution of jellyfish C and N in the biological pump will potentially increase, necessitating the conceptual inclusion of a jelly-pump in future fjord biogeochemical cycling studies

    Seaweed aquaculture in Norway: recent industrial developments and future perspectives

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    The use of cultivated seaweeds as a feedstock for multiple industrial applications has gained increasing interest in the Western World over the past decades. Norway has an extensive coastline and a well-established aquaculture sector offering suitable preconditions for developing large-scale cultivation of seaweed biomass both in monoculture and in Integrated Multi-Trophic Aquaculture (IMTA) systems. Recent efforts from research, industry and public authorities have been committed to develop a Norwegian bio-economy based on cultivated seaweed, focusing on cultivation and processing of the biomass. This review reports on the status of seaweed aquaculture in Norway, supported by production data collected since the delivery of the first commercial cultivation permits at sea in 2014. Although novel product developments are currently limited, future industrial perspectives based on cultivated biomass are being discussed. Upscaling from experimental cultivation schemes to commercial production requires a thorough assessment of the risks and benefits associated with seaweed aquaculture, as well as the development of a regulative framework adapted to this industry. Issues associated with upscaling the macroalgal production that needs to be addressed includes (i) genetic interactions between cultivated and wild crops, (ii) impacts of seaweed cultivation on surrounding ecosystems, (iii) epiphytes and diseases, (iv) area utilization and (v) threats from climate change. Addressing these issues and adapting production practices will ensure the environmental and economic sustainability of an emerging industry based on cultivated seaweed biomass in Norway

    Kelp farming – possible environmental effects, synergies and conflicts with other interests in the coastal zone

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    Prosjektleder Kasper HanckeMan Ăžnsker Ă„ allerede tidlig i utviklingen av tareindustrien ha fokus pĂ„ miljĂžeffekter, bĂ„de i vannmassene og pĂ„ havbunnen. Per i dag mĂ„ vi nĂžye oss med Ă„ vurdere miljĂžeffekter av kommersiell taredyrking og tilknyttede anlegg ut fra en generell forstĂ„else av de naturlig kystnĂŠre marine Ăžkosystemer, da kunnskapen tilknyttet spesifikke effekter av taredyrking er veldig begrenset, selv internasjonalt. MĂ„let med denne rapporten har vĂŠrt Ă„ bidra til Ă„ Ăžke kunnskapsgrunnlaget om mulige positive og negative effekter av kommersiell taredyrking pĂ„ marint miljĂž og Ă„ diskutere synergier og konflikter med andre interesser i kystsonen. Rapporten er en del av prosjektet «KOM TIL TARE – Kommunal tilrettelegging for taredyrking i kystsonen».HerĂžy kommunepublishedVersio

    Nutritional value of the kelps Alaria esculenta and Saccharina latissima and effects of short-term storage on biomass quality

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    Storage of macroalgae in seawater, prior to further processing, is a standard initial pre-treatment step after harvest to avoid rapid degradation of the biomass. In the context of using seaweeds in human food and animal feed products, such practice may affect the nutritional value and the overall quality of the biomass. The effects of seawater storage on the chemical composition (i.e., mineral fraction, carbohydrates, proteins, polyphenols, and fucoxanthin) and surface color of two cultivated kelps (Phaeophyceae), Alaria esculenta and Saccharina latissima, were investigated over a 22-h period. Storage treatments resulted in a rapid decrease in dry weight during the first 2 h (−21.4 and −20.4% in A. esculenta and S. latissima, respectively) with subsequent stabilization. Although it is not clear whether the reduction of dry weight was caused by the release of nutritional compounds from seaweed biomass or water uptake during storage treatment, the results from chemical analyses suggest the combined effect of both mechanisms. Seawater storage increased the ash and sodium contents and reduced carbohydrate and polyphenol levels in both species. Among carbohydrates, the levels of mannitol and glucose (laminaran) were particularly reduced in S. latissima samples while the fucose level, reflecting fucoidans, was reduced in A. esculenta. The protein content remained relatively stable in both species. These results provide evidence of the effect of seawater storage on the quality of the edible kelps A. esculenta and S. latissima. The results will contribute to selecting postharvest strategies adequate for maintaining biomass quality, minimizing losses of valuable compounds and increasing profitability for industrial stakeholders.acceptedVersion© Springer Science+Business Media Dordrecht 2017. This is the authors' accepted and refereed manuscript to the article. Locked until 29 March 2018 due to copyright restriction
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