A capability perspective on sustainable employability:A Dutch focus group study on organizational, work and personal conversion factors

Objective In the field of work, there is a shift towards more value-based approaches to study the sustainable employability of the present-day worker. The capability approach offers a value based and innovative conceptualisation and framework of sustainable employability characterized by contextuality, normativity and diversity. The capabilities of Dutch employees have been established and validated, yet it is not known which conversion factors on a personal, work and organizational level enable employees to achieve value in work in different Dutch occupational sectors. Methods Our qualitative approach included seven focus groups in different occupational sectors including elderly care, higher education, insurance work, facility management and the oil-, car- and chemical industry. Each focus group included 5–11 participants and took approximately one and a half hour. A qualitative content analysis was used to analyse the data, by combining deductive and inductive coding respectively. Deductive coding involved assigning themes to the conversion of resources into capabilities at the organizational, work and personal level. Results On the organizational conversion level, important themes were cultural aspects, power relations, shortage of personnel and policies for self-management. On the work conversion level, social contacts, communication and workload, tasks and schedules were identified. Social contacts were described as a work value in itself, but also conditional for achieving other work values. On the personal conversion level, experienced work stress, motivation and the ability to achieve values informally within the company. Conclusion From our findings it follows that focus groups are sensitive to identify conversion factors on all three levels of conversion. In addition, companies and their employees might effectively increase work capabilities by being sensitive to all three conversion levels simultaneously. Further research is necessary to study the effect of a capability-based intervention at the work floor

Macroevolutionary and macroecological response of Iberian rodents to late Neogene climatic oscillations and events

Biozones are routinely used for chronological purposes, but their nature is seldomly questioned. Here, we attempt to find the evolutionary-ecological basis for Iberian rodent biozones for the interval 8.5-2 Ma based on currently available paleontological, stratigraphic and paleoclimatic information. Our comparison of biozone boundary age uncertainty intervals to records of marine SST, δ18O and δ13C, terrestrial hydrological proxies and astronomical parameters suggests an orbitally forced climatic origin for the majority of biozones. Zone boundary ages during the late Miocene are mostly associated with humidity changes during 1.2-Myr obliquity nodes and 405-kyr eccentricity minima. Tectonics and strong regional cooling may additionally explain faunal change during the Messinian (7-5 Ma). A partly reversed pattern characterizes most Pliocene zone boundaries, which are mostly associated with wetter conditions during obliquity nodes and 405-kyr eccentricity maxima. A third configuration culminates in the early Pleistocene and consists of the combination of strong obliquity amplitude maxima and 2.4-Myr eccentricity minima. It is suggested that larger-scale, European Neogene mammal (MN) units have an astronomical basis as well, with an important role of 2.4-Myr eccentricity cycle and the 1.2-Myr obliquity cycle, with the latter becoming especially important after the mid-Miocene cooling (∼14 Ma). Whereas rodent events on the Iberian Peninsula during the late Miocene are shaped by replacements within resident communities dominated by dry-adapted clades of true mice (Murinae) and hamsters (Cricetinae), transitions during the cooler Pliocene involve invasions of newly emerging Eurasian clades of 'microtoid hamsters' and voles (Arvicolinae) preferring wetter and cooler environments. A new model of stepwise clade displacement is proposed in which the combination of long-period Milankovitch cycles and gradual long-term climatic change allows for the periodic functioning of migration corridors, along which increasingly pervasive dispersal events by members of new clades cause the gradual extinction of old clades

Glimpses into the molecular pathogenesis of Peyronie's disease

Peyronie's disease (PD) is a fibroproliferative disease of the penis. Since little is known about the molecular pathogenesis of PD, we compared the biochemical make-up of PD plaques with normal tunica albuginea to clarify pathological processes in the scarred tissue. Protein and mRNA levels were measured in plaques and in unaffected pieces of the tunica albuginea. We investigated the presence of myofibroblasts, the deposition of collagens, and some key elements of Wnt and YAP1 signaling at protein level. The expression of 45 genes, all related to collagen homeostasis and extracellular matrix proteins, was quantified. In plaques, more myofibroblasts were present, and we observed an activation of Wnt signaling and YAP1 signaling. Increased levels of the collagens types I and III confirm the fibrotic nature of plaques. The mRNA ratio of collagen types III, IV, and VI to type I was increased. The expression of lysyl hydroxylase 3 was higher, whereas a decreased expression level was seen for fibronectin and cathepsin K. The biochemical composition of plaques was different from unaffected tunica albuginea: the relative and absolute abundance of various extracellular matrix proteins were changed, as well as the quality of collagen and the level of the collagen-degrading enzyme cathepsin K

Further evidence of the involvement of the Wnt signaling pathway in Dupuytren's disease

Genetic background plays an important role in the development of Dupuytren's disease. A genome-wide association study (GWAS) showed that nine loci are associated with the disease, six of which contain genes that are involved in Wnt signaling (WNT2, WNT4, WNT7B, RSPO2, SFRP4, SULF1). To obtain insight in the role of these genes, we performed expression studies on affected and unaffected patient's tissues. Surgically obtained nodules and cords from eight Dupuytren's patients were compared to patient-matched control tissue (unaffected transverse palmar fascia). The Wnt-related genes found in the GWAS, the classical Wnt-downstream protein beta-catenin, as well as (myo) fibroblast markers were analyzed using real-time qPCR and immunohistochemical stainings for mRNA levels and protein levels, respectively. The collagen-coding genes COL1A1 and COL3A1 were highly upregulated on mRNA level, both in cords and nodules. Three Wnt-related genes were found to be differently regulated compared to control tissue: WNT2 was downregulated in nodules, WNT7B was upregulated in nodules, and SFRP4 was upregulated in nodules and cords. Immunohistochemistry revealed significantly less staining of Wnt2 in cords, but significantly more staining for Wnt7b in nodules. There was significantly more staining of alpha-SMA in nodules and cord and beta-catenin in nodules than in control tissue. We found differences in expression, both at mRNA and protein level, in several Wnt-related genes found earlier to be associated with Dupuytren's disease. Of these, Wnt7b was upregulated and found in close association with both alpha-SMA and beta-catenin expressing cells, making it a candidate pro-fibrotic mediator in Dupuytren's disease

The smart activatable P2&3TT probe allows accurate, fast, and highly sensitive detection of Staphylococcus aureus in clinical blood culture samples

Staphylococcus aureus bacteraemia (SAB) is associated with high mortality and morbidity rates. Yet, there is currently no adequate diagnostic test for early and rapid diagnosis of SAB. Therefore, this study was aimed at exploring the potential for clinical implementation of a nuclease-activatable fluorescent probe for early diagnosis of SAB. To this end, clinical blood culture samples from patients with bloodstream infections were incubated for 1 h with the "smart" activatable P2&3TT probe, the total assay time being less than 2 h. Cleavage of this probe by the secreted S. aureus enzyme micrococcal nuclease results in emission of a readily detectable fluorescence signal. Incubation of S. aureus-positive blood culture samples with the P2&3TT probe resulted in 50-fold higher fluorescence intensity levels than incubation with culture-negative samples. Moreover, incubation of the probe with non-S. aureus-positive blood cultures yielded essentially background fluorescence intensity levels for cultures with Gram-negative bacteria, and only ~ 3.5-fold increased fluorescence intensity levels over background for cultures with non-S. aureus Gram-positive bacteria. Importantly, the measured fluorescence intensities were dose-dependent, and a positive signal was clearly detectable for S. aureus-positive blood cultures with bacterial loads as low as ~ 7,000 colony-forming units/mL. Thus, the nuclease-activatable P2&3TT probe distinguishes clinical S. aureus-positive blood cultures from non-S. aureus-positive blood cultures and culture-negative blood, accurately, rapidly and with high sensitivity. We conclude that this probe may enhance the diagnosis of SAB

Yeast Infections after Esophagectomy:A Retrospective Analysis

Esophageal malignancy is a disease with poor prognosis. Curative therapy incorporates surgery and is burdensome with high rates of infection morbidity and mortality. The role of yeast as causative organisms of post-esophagectomy infections is poorly defined. Consequently, the benefits of specific antifungal prophylactic therapy in improving patient outcome are unclear. Therefore, this study aimed at investigating the incidence of yeast infections at the University Medical Center Groningen among 565 post-esophagectomy patients between 1991 and 2017. The results show that 7.3% of the patients developed a yeast infection after esophageal resection with significantly increased incidence among patients suffering from diabetes mellitus. For patients with yeast infections, higher Acute Physiology and Chronic Health Evaluation (APACHE) II scores, more frequent intensive care unit readmissions, prolonged hospital stays and higher mortality rates were observed. One-year survival was significantly lower for patients with a yeast infection, as well as diabetes mellitus and yeast-positive pleural effusion. We conclude that the incidence of yeast infections following esophagectomy is considerable, and that patients with diabetes mellitus are at increased risk. Furthermore, yeast infections are associated with higher complication rates and mortality. These observations encourage further prospective investigations on the possible benefits of antifungal prophylactic therapy for esophagectomy patients

Image-guided in situ detection of bacterial biofilms in a human prosthetic knee infection model:a feasibility study for clinical diagnosis of prosthetic joint infections

Purpose Due to an increased human life expectancy, the need to replace arthritic or dysfunctional joints by prosthetics is higher than ever before. Prosthetic joints are unfortunately inherently susceptible to bacterial infection accompanied by biofilm formation. Accurate and rapid diagnosis is vital to increase therapeutic success. Yet, established diagnostic modalities cannot directly detect bacterial biofilms on prostheses. Therefore, the present study was aimed at investigating whether arthroscopic optical imaging can accurately detect bacterial biofilms on prosthetic joints. Methods Here, we applied a conjugate of the antibiotic vancomycin and the near-infrared fluorophore IRDye800CW, in short vanco-800CW, in combination with arthroscopic optical imaging to target and visualize biofilms on infected prostheses. Results We show in a human post-mortem prosthetic knee infection model that a staphylococcal biofilm is accurately detected in real time and distinguished from sterile sections in high resolution. In addition, we demonstrate that biofilms associated with the clinically most relevant bacterial species can be detected using vanco-800CW. Conclusion The presented image-guided arthroscopic approach provides direct visual diagnostic information and facilitates immediate appropriate treatment selection

A new rodent chronology for the late Neogene of Spain

The number of late Neogene Spanish micromammal-containing continental sections with a correlation to the Geomagnetic Time Scale is steadily growing. Nonetheless, well-calibrated sections with dense micromammal records are still rare, biostratigraphic correlations between basins are not straightforward, and ages of uncalibrated sites are poorly constrained. Here, we aim at improving the chronology of Iberian micromammal sections and sites for the interval 8.5–2 Ma by: (i) analyzing qualitative and quantitative similarities between rodent assemblages and turnover in the different basins, (ii) formulating a system of fifteen Iberian assemblage biozones, and (iii) constraining the ages of zone boundaries, assuming isochroneity across basins. Age uncertainty ranges for most known Iberian micromammal sites are obtained by combining regional biozone boundary ages with local magnetostratigraphic records, sedimentation rates and/or evolutionary rates. In addition, our results include new, integrated stratigraphic records from the Jumilla-La Celia and Teruel Basins, which are used to constrain the thus far poorly dated interval covering the latest Tortonian and earliest Messinian (8–7 Ma)

Macroevolutionary and macroecological response of Iberian rodents to late Neogene climatic oscillations and events

Biozones are routinely used for chronological purposes, but their nature is seldomly questioned. Here, we attempt to find the evolutionary-ecological basis for Iberian rodent biozones for the interval 8.5–2 Ma based on currently available paleontological, stratigraphic and paleoclimatic information. Our comparison of biozone boundary age uncertainty intervals to records of marine SST, δ18O and δ13C, terrestrial hydrological proxies and astronomical parameters suggests an orbitally forced climatic origin for the majority of biozones. Zone boundary ages during the late Miocene are mostly associated with humidity changes during 1.2-Myr obliquity nodes and 405-kyr eccentricity minima. Tectonics and strong regional cooling may additionally explain faunal change during the Messinian (7–5 Ma). A partly reversed pattern characterizes most Pliocene zone boundaries, which are mostly associated with wetter conditions during obliquity nodes and 405-kyr eccentricity maxima. A third configuration culminates in the early Pleistocene and consists of the combination of strong obliquity amplitude maxima and 2.4-Myr eccentricity minima. It is suggested that larger-scale, European Neogene mammal (MN) units have an astronomical basis as well, with an important role of 2.4-Myr eccentricity cycle and the 1.2-Myr obliquity cycle, with the latter becoming especially important after the mid-Miocene cooling (∼14 Ma). Whereas rodent events on the Iberian Peninsula during the late Miocene are shaped by replacements within resident communities dominated by dry-adapted clades of true mice (Murinae) and hamsters (Cricetinae), transitions during the cooler Pliocene involve invasions of newly emerging Eurasian clades of ‘microtoid hamsters’ and voles (Arvicolinae) preferring wetter and cooler environments. A new model of stepwise clade displacement is proposed in which the combination of long-period Milankovitch cycles and gradual long-term climatic change allows for the periodic functioning of migration corridors, along which increasingly pervasive dispersal events by members of new clades cause the gradual extinction of old clades

Elimination of Schistosoma mansoni Adult Worms by Rhesus Macaques: Basis for a Therapeutic Vaccine?

Infection with blood-dwelling schistosome worms is a major cause of human disease in many tropical countries. Despite intensive efforts a vaccine has proved elusive, not least because the chronic nature of the infection provides few pointers for vaccine development. The rhesus macaque appears unique among animal models in that adult worms establish but are eventually lost. We investigated whether this was due to pathological or immunological causes by monitoring the fate of a schistosome infection, and were able to rule out escape of worms from the portal system as a result of egg-induced vascular shunts. A substantial worm population established in all animals but there was a wide variation in the numbers recovered at 18 weeks. We observed a strong inverse association between the rapidity and intensity of the IgG response and worm burden. Rather than an acute lethal attack, immune-mediated elimination of worms appeared to be a prolonged process directed against vital components of exposed surfaces, causing worms to starve to death. We suggest that if the mechanisms deployed by the rhesus macaque could be replicated in humans by administration of key recombinant antigens, they would form the basis for a vaccine with both prophylactic and therapeutic properties