Capabilities and quality of life in Dutch psycho-geriatric nursing homes: an exploratory study using a proxy version of the ICECAP-O

Contains fulltext : 110478.pdf (publisher's version ) (Open Access)PURPOSE: To validate the ICECAP-O capability measure in psycho-geriatric elderly in nursing homes, we compared the capability scores of restrained and unrestrained clients. Both nursing staff and family were used as proxies for assessing clients' capabilities. METHOD: For 122 psycho-geriatric elderly, a total of 96 nursing professionals and 68 family members completed a proxy questionnaire. We investigated the convergent and discriminant validity of the ICECAP-O and measures of care dependency, health-related quality of life, and overall quality of life. We also directly compared ICECAP-O scores of the 56 clients for whom both nursing staff and family members had completed the questionnaire. RESULTS: Convergent validity between ICECAP-O and care dependency, health-related, and overall quality of life measures could be established, as well as discriminant validity for the restrained and unrestrained groups. Nursing and family proxy ICECAP-O tariffs were not significantly correlated. DISCUSSION: ICECAP-O measures a more general concept than health-related quality of life and can differentiate between restrained and non-restrained psycho-geriatric clients. Since nurses seem to be able to assess the current quality of life of clients using the ICECAP-O more precisely than the family proxies, for now the use of nursing proxies is recommended in a nursing home setting

Diversity of Staphylococcus aureus Isolates in European Wildlife

Staphylococcus aureus is a well-known colonizer and cause of infection among animals and it has been described from numerous domestic and wild animal species. The aim of the present study was to investigate the molecular epidemiology of S. aureus in a convenience sample of European wildlife and to review what previously has been observed in the subject field. 124 S. aureus isolates were collected from wildlife in Germany, Austria and Sweden; they were characterized by DNA microarray hybridization and, for isolates with novel hybridization patterns, by multilocus sequence typing (MLST). The isolates were assigned to 29 clonal complexes and singleton sequence types (CC1, CC5, CC6, CC7, CC8, CC9, CC12, CC15, CC22, CC25, CC30, CC49, CC59, CC88, CC97, CC130, CC133, CC398, ST425, CC599, CC692, CC707, ST890, CC1956, ST2425, CC2671, ST2691, CC2767 and ST2963), some of which (ST2425, ST2691, ST2963) were not described previously. Resistance rates in wildlife strains were rather low and mecA-MRSA isolates were rare (n = 6). mecC-MRSA (n = 8) were identified from a fox, a fallow deer, hares and hedgehogs. The common cattle- associated lineages CC479 and CC705 were not detected in wildlife in the present study while, in contrast, a third common cattle lineage, CC97, was found to be common among cervids. No Staphylococcus argenteus or Staphylococcus schweitzeri-like isolates were found. Systematic studies are required to monitor the possible transmission of human- and livestock- associated S. aureus/MRSA to wildlife and vice versa as well as the possible transmission, by unprotected contact to animals. The prevalence of S. aureus/MRSA in wildlife as well as its population structures in different wildlife host species warrants further investigation

Abdominal aortic aneurysm is associated with a variant in low-density lipoprotein receptor-related protein 1

Abdominal aortic aneurysm (AAA) is a common cause of morbidity and mortality and has a significant heritability. We carried out a genome-wide association discovery study of 1866 patients with AAA and 5435 controls and replication of promising signals (lead SNP with a p value < 1 × 10-5) in 2871 additional cases and 32,687 controls and performed further follow-up in 1491 AAA and 11,060 controls. In the discovery study, nine loci demonstrated association with AAA (p < 1 × 10-5). In the replication sample, the lead SNP at one of these loci, rs1466535, located within intron 1 of low-density-lipoprotein receptor-related protein 1 (LRP1) demonstrated significant association (p = 0.0042). We confirmed the association of rs1466535 and AAA in our follow-up study (p = 0.035). In a combined analysis (6228 AAA and 49182 controls), rs1466535 had a consistent effect size and direction in all sample sets (combined p = 4.52 × 10-10, odds ratio 1.15 [1.10-1.21]). No associations were seen for either rs1466535 or the 12q13.3 locus in independent association studies of coronary artery disease, blood pressure, diabetes, or hyperlipidaemia, suggesting that this locus is specific to AAA. Gene-expression studies demonstrated a trend toward increased LRP1 expression for the rs1466535 CC genotype in arterial tissues; there was a significant (p = 0.029) 1.19-fold (1.04-1.36) increase in LRP1 expression in CC homozygotes compared to TT homozygotes in aortic adventitia. Functional studies demonstrated that rs1466535 might alter a SREBP-1 binding site and influence enhancer activity at the locus. In conclusion, this study has identified a biologically plausible genetic variant associated specifically with AAA, and we suggest that this variant has a possible functional role in LRP1 expression

Genome-wide association identifies nine common variants associated with fasting proinsulin levels and provides new insights into the pathophysiology of type 2 diabetes.

OBJECTIVE: Proinsulin is a precursor of mature insulin and C-peptide. Higher circulating proinsulin levels are associated with impaired β-cell function, raised glucose levels, insulin resistance, and type 2 diabetes (T2D). Studies of the insulin processing pathway could provide new insights about T2D pathophysiology. RESEARCH DESIGN AND METHODS: We have conducted a meta-analysis of genome-wide association tests of ∼2.5 million genotyped or imputed single nucleotide polymorphisms (SNPs) and fasting proinsulin levels in 10,701 nondiabetic adults of European ancestry, with follow-up of 23 loci in up to 16,378 individuals, using additive genetic models adjusted for age, sex, fasting insulin, and study-specific covariates. RESULTS: Nine SNPs at eight loci were associated with proinsulin levels (P < 5 × 10(-8)). Two loci (LARP6 and SGSM2) have not been previously related to metabolic traits, one (MADD) has been associated with fasting glucose, one (PCSK1) has been implicated in obesity, and four (TCF7L2, SLC30A8, VPS13C/C2CD4A/B, and ARAP1, formerly CENTD2) increase T2D risk. The proinsulin-raising allele of ARAP1 was associated with a lower fasting glucose (P = 1.7 × 10(-4)), improved β-cell function (P = 1.1 × 10(-5)), and lower risk of T2D (odds ratio 0.88; P = 7.8 × 10(-6)). Notably, PCSK1 encodes the protein prohormone convertase 1/3, the first enzyme in the insulin processing pathway. A genotype score composed of the nine proinsulin-raising alleles was not associated with coronary disease in two large case-control datasets. CONCLUSIONS: We have identified nine genetic variants associated with fasting proinsulin. Our findings illuminate the biology underlying glucose homeostasis and T2D development in humans and argue against a direct role of proinsulin in coronary artery disease pathogenesis

Large expert-curated database for benchmarking document similarity detection in biomedical literature search

Document recommendation systems for locating relevant literature have mostly relied on methods developed a decade ago. This is largely due to the lack of a large offline gold-standard benchmark of relevant documents that cover a variety of research fields such that newly developed literature search techniques can be compared, improved and translated into practice. To overcome this bottleneck, we have established the RElevant LIterature SearcH consortium consisting of more than 1500 scientists from 84 countries, who have collectively annotated the relevance of over 180 000 PubMed-listed articles with regard to their respective seed (input) article/s. The majority of annotations were contributed by highly experienced, original authors of the seed articles. The collected data cover 76% of all unique PubMed Medical Subject Headings descriptors. No systematic biases were observed across different experience levels, research fields or time spent on annotations. More importantly, annotations of the same document pairs contributed by different scientists were highly concordant. We further show that the three representative baseline methods used to generate recommended articles for evaluation (Okapi Best Matching 25, Term Frequency-Inverse Document Frequency and PubMed Related Articles) had similar overall performances. Additionally, we found that these methods each tend to produce distinct collections of recommended articles, suggesting that a hybrid method may be required to completely capture all relevant articles. The established database server located at https://relishdb.ict.griffith.edu.au is freely available for the downloading of annotation data and the blind testing of new methods. We expect that this benchmark will be useful for stimulating the development of new powerful techniques for title and title/abstract-based search engines for relevant articles in biomedical research.Peer reviewe

A genome-wide association search for type 2 diabetes genes in African Americans.

African Americans are disproportionately affected by type 2 diabetes (T2DM) yet few studies have examined T2DM using genome-wide association approaches in this ethnicity. The aim of this study was to identify genes associated with T2DM in the African American population. We performed a Genome Wide Association Study (GWAS) using the Affymetrix 6.0 array in 965 African-American cases with T2DM and end-stage renal disease (T2DM-ESRD) and 1029 population-based controls. The most significant SNPs (n = 550 independent loci) were genotyped in a replication cohort and 122 SNPs (n = 98 independent loci) were further tested through genotyping three additional validation cohorts followed by meta-analysis in all five cohorts totaling 3,132 cases and 3,317 controls. Twelve SNPs had evidence of association in the GWAS (P<0.0071), were directionally consistent in the Replication cohort and were associated with T2DM in subjects without nephropathy (P<0.05). Meta-analysis in all cases and controls revealed a single SNP reaching genome-wide significance (P<2.5×10(-8)). SNP rs7560163 (P = 7.0×10(-9), OR (95% CI) = 0.75 (0.67-0.84)) is located intergenically between RND3 and RBM43. Four additional loci (rs7542900, rs4659485, rs2722769 and rs7107217) were associated with T2DM (P<0.05) and reached more nominal levels of significance (P<2.5×10(-5)) in the overall analysis and may represent novel loci that contribute to T2DM. We have identified novel T2DM-susceptibility variants in the African-American population. Notably, T2DM risk was associated with the major allele and implies an interesting genetic architecture in this population. These results suggest that multiple loci underlie T2DM susceptibility in the African-American population and that these loci are distinct from those identified in other ethnic populations

Kollektiva uppror sommedlemsaktivism och fackligförnyelse?

I artikeln studeras två kollektiva uppror bland barnmorskor och socionomer. Utgångspunkterna tas i tidigare forskning om nya former för mobilisering bland välfärdsprofessionella yrkesgrupper och forskning om medlemsaktivism som strategi för facklig förnyelse. Genom en jämförande intervjustudie med nyckelinformanter i upproren analyseras både skälen till mobilisering och relationerna till respektive fackförbund. Slutsatserna är att upproren kan ses som en form av medlemsaktivism med syfte att förändra både fackens arbetssätt och politiska prioriteringar. Fackförbunden stödjer upproren på likartade sätt men relationerna bär på en rad spänningar som belyser de komplexa förutsättningarna för facklig förnyelse i offentlig sektor.This article explores two collective revolts among social workers and midwives. The study departs from previous research on mobilization among feminised occupational groups in Sweden and research on members’ activism as union renewal. Based on interviews with key informants in the two revolts, the results show that the collective revolts serve to address both deteriorated working conditions as well as practices and political priorities within the trade unions. Even if the trade unions support the revolts, the support is restricted and several tensions are shown. Tensions that illustrate the complexities and hardship of union renewal, especially in the public sector

The politicisation of caring - a qualitative study about collective resistance among feminised welfare professional groups in Sweden.

This thesis is about collective mobilisation and new forms of resistance among feminised welfare professional groups in contemporary Sweden. The research focus is placed on what these struggles are about, the different practices or repertoires used, and how the activists describe the response from trade unions, managers and political leaders. The key concept that is explored and developed in this thesis is the politicisation of caring. This concept stems from feminist research on nurse’s militancy, which shows that untraditional methods such as mass resignations and sick outs are reoccurring in the nursing profession both historically and in different geographical locations. Furthermore, the argument of previous research is that these unorthodox tactics are inherently linked to gendered relations of power and the specific position created for nurses in health care organisations undergoing neoliberal change. This thesis explores how this theory is also relevant to explore and comprehend the collective mobilisation among other feminised welfare professional groups in contemporary Sweden. The thesis is based on two qualitative case studies and four publications. One study maps the different collective resistance practices or repertoires used by staff in the Swedish health care sector between 2013-2015. Based on empirical data from one strategically chosen page on Facebook “Stöd våra Sjuksköterskor”, an ideal-type model on how caring is politicised in Sweden is presented. Based on a qualitative comparative case study of two collective revolts Nu bryter vi tystnaden bland socialarbetare and Barnmorskor för trygg och säker vård the concept a politicisation of caring is explored and developed from a feminist epistemological position and the notion of situated knowledges. This thesis shows that the collective mobilisation and new forms of resistance in contemporary Sweden can be understood as a politicisation of caring. In terms of why the mobilisation takes place, the study shows that it is the working conditions rather than salaries that is the main reason to mobilise. Thus, highlighting how it is the professional knowledge base that is at stake, and that this collective mobilisation serves to gain a professional jurisdiction that involves empathy and a caring commitment for patients and clients. Drawing on previous research on union renewal and the concept of members’ activism, the two revolts’ descriptions of their relationship to the trade unions are explored. Even if the trade unions support the revolts, this support is limited and the relationship tense, illustrating the complexities and difficulties of union renewal, especially in the public sector. Based on a resistance theoretical framework and concepts from previous research on equality the practices of power used by politicians and managers are also shown. The results show how fear and distance is created and upheld through different techniques of power. Techniques of power that serve to prevent both collective mobilisation and avoid that the issues of deteriorated working conditions and care are interpreted and politicised as unequal relations of power

Social Work Practice on a Community Level - Preparing Social Work Students to Become Active Agents in the Building of Sustainable Societies

The entrenchment of the welfare state and increasing inequalities, are challenges social workers in Sweden (and elsewhere) have to respond to. Within the BA social work programme at the University of Gothenburg, Sweden, one course specifically aims to equip students with knowledge and skills to meet the demands of local and global communities and to become active agents in the shaping of a sustainable society. The course is offered third year students; each semester approximately 120 students take the 3-week full time course. The course builds on three parts: 1) Acquisition and practical application of relevant theoretical positions through a series of lectures with experts in the field of social work, human rights, media & communication, community work and urban development. 2) Building an insight into the processes of social work at a community level and promoting participation in wider public debates through study visits (such as community based youth work field visits, participation in directly broadcasted TV-debates, work-shops in urban planning). 3) Developing skills (such as critical thinking, community advocacy & ecological awareness) to become active agents in the shaping of a sustainable society through student led workshops and seminars. The content of the course responds to a world in constant flux by integrating up to date issues and challenges relevant for social work. While an underlying structure frames the course, these current issues and challenges determine the content of the lectures and focus in workshops and seminars. Collective learning processes are central elements to the course. The course is an unique example of how social work education can meet the challenges of integrating theory and practice, correspond to needs of communities and equip social workers with theoretical and practical skills to become active agents in the work towards a more sustainable and equal society