Eliciting reflections on caring theory in elderly caring practice

Caring theories are the description and conceptualization of the care that is given in caring practise by nurses and other professional caregivers with the aim of verbalizing and communicating caring phenomena. Intermittently, a theory –practice gap is given expression- that theory does not go along with clinical practice in caring

Continuous isoprene measurements in a UK temperate forest for a whole growing season: effects of drought stress during the 2018 heatwave

Isoprene concentrations were measured at four heights below, within and above the forest canopy in Wytham Woods (UK) throughout the summer of 2018 using custom-built gas chromatographs (the iDirac). These observations were complemented with selected ancillary variables, including air temperature, photosynthetically active radiation (PAR), occasional leaf gas exchange measurements and satellite retrievals of normalized difference vegetation and water indices (NDVI and NDWI). The campaign overlapped with a long and uninterrupted heatwave accompanied by moderate drought. Peak isoprene concentrations during the heatwave-drought were up to a factor of 4 higher than those before or after. Higher temperatures during the heatwave could not account for all the observed isoprene; the enhanced abundances correlated with drought stress. Leaf-level emissions confirmed this and also included compounds associated with ecosystem stress. This work highlights that a more in-depth understanding of the effects of drought stress is required to better characterize isoprene emissions

Measurements of stratospheric composition using a star pointing spectrometer

Measurements of stratospheric composition have been made with a novel star-pointing spectrometer. The instrument consists of a telescope that focuses light from stars, planets, or the moon onto a spectrometer and two dimensional CCD array detector. Atmospheric absorptions can be measured, from which atmospheric columns of several gases can be determined. The instrument was deployed in Abisko, 69 deg N, during the European Arctic Stratospheric Ozone Experiment (EASOE). The instrument has the potential for measuring O3, OClO, NO2, and NO3. In this paper, a method for the retrieval of vertical columns is described, and some examples of ozone measurements given

A star-pointing uv-visible spectrometer for remote sensing of the stratosphere

We have constructed a novel instrument for ground-based remote sensing, by mounting a UV-visible spectrometer on a telescope and observing the absorption by atmospheric constituents of light from stars. Potentially, the instrument can observe stratospheric O3, NO3, NO2, and OClO

Renal Drug Transporters and Drug Interactions.

Transporters in proximal renal tubules contribute to the disposition of numerous drugs. Furthermore, the molecular mechanisms of tubular secretion have been progressively elucidated during the past decades. Organic anions tend to be secreted by the transport proteins OAT1, OAT3 and OATP4C1 on the basolateral side of tubular cells, and multidrug resistance protein (MRP) 2, MRP4, OATP1A2 and breast cancer resistance protein (BCRP) on the apical side. Organic cations are secreted by organic cation transporter (OCT) 2 on the basolateral side, and multidrug and toxic compound extrusion (MATE) proteins MATE1, MATE2/2-K, P-glycoprotein, organic cation and carnitine transporter (OCTN) 1 and OCTN2 on the apical side. Significant drug-drug interactions (DDIs) may affect any of these transporters, altering the clearance and, consequently, the efficacy and/or toxicity of substrate drugs. Interactions at the level of basolateral transporters typically decrease the clearance of the victim drug, causing higher systemic exposure. Interactions at the apical level can also lower drug clearance, but may be associated with higher renal toxicity, due to intracellular accumulation. Whereas the importance of glomerular filtration in drug disposition is largely appreciated among clinicians, DDIs involving renal transporters are less well recognized. This review summarizes current knowledge on the roles, quantitative importance and clinical relevance of these transporters in drug therapy. It proposes an approach based on substrate-inhibitor associations for predicting potential tubular-based DDIs and preventing their adverse consequences. We provide a comprehensive list of known drug interactions with renally-expressed transporters. While many of these interactions have limited clinical consequences, some involving high-risk drugs (e.g. methotrexate) definitely deserve the attention of prescribers