Background pain in persons with chronic leg ulcers: An exploratory study of symptom characteristics and management

This exploratory descriptive study aimed to describe characteristics and management of background pain related to chronic leg ulcers. A total of 121 participants were recruited from two wound care clinics using a consecutive sampling method. Data were obtained through screening interview, clinical examination, and questionnaires. The mean average background pain intensity was 4.5 (SD 2.56) (CI 95% 4.0-5.0). Pain interfered mostly with general activity (mean 4.3), sleep (mean 4.1), and walking ability (mean 4.0) (0-10 NRS). The most frequently reported descriptors of background pain were ‘tender’, ‘stabbing’, ‘aching’, and ‘hot-burning’. Most of the participants stated that the pain was intermittent. Less than 60% had analgesics prescribed specifically for ulcer related pain, and the respondents reported that pain management provided a mean pain relief of 45.9% (SD 33.9, range 0-100). The findings indicate that ulcer related background pain is a significant problem that interferes with daily function, and that pain management in wound care is still inadequate.publishedVersio

Predator–prey overlap in three dimensions: cod benefit from capelin coming near the seafloor

Spatial overlap between predator and prey is a prerequisite for predation, but the degree of overlap is not necessarily proportional to prey consumption. This is because many of the behavioural processes that precede ingestion are non-linear and depend on local prey densities. In aquatic environments, predators and prey distribute not only across a surface, but also vertically in the water column, adding another dimension to the interaction. Integrating and simplifying behavioural processes across space and time can lead to systematic biases in our inference about interaction strength. To recognise situations when this may occur, we must first understand processes underlying variation in prey consumption by individuals. Here we analysed the diet of a major predator in the Barents Sea, the Atlantic cod Gadus morhua, aiming to understand drivers of variation in cod's feeding on its main prey capelin Mallotus villosus. Cod and capelin only partly share habitats, as cod mainly reside near the seafloor and capelin inhabit the free water masses. We used data on stomach contents from ~2000 cod individuals and their surrounding environment collected over 12 years, testing hypotheses on biological and physical drivers of variation in cod's consumption of capelin, using generalized additive models. Specifically, effects of capelin abundance, capelin depth distribution, bottom depth and cod abundance on capelin consumption were evaluated at a resolution scale of 2 km. We found no indication of food competition as cod abundance had no effect on capelin consumption. Capelin abundance had small effects on consumption, while capelin depth distribution was important. Cod fed more intensively on capelin when capelin came close to the seafloor, especially at shallow banks and bank edges. Spatial overlap as an indicator for interaction strength needs to be evaluated in three dimensions instead of the conventional two when species are partly separated in the water column.publishedVersio

Incidence, characteristics, and associated factors of pressure injuries acquired in intensive care units over a 12-month period: A secondary analysis of a quality improvement project

Objectives: To determine the 12-month cumulative incidence, characteristics, and associated factors of pressure injuries acquired in Intensive Care Units. Setting: Four intensive care units in a Norwegian University Hospital. Research methodology: A prospective observational cohort study using data from daily skin inspections during a quality improvement project. We used descriptive statistics and logistic regression. Variables associated with the development of intensive care unit-acquired pressure injuries are presented with odds ratios (OR), and 95% confidence intervals. Results: The 12-month cumulative incidence of patients (N = 594) developing intensive care unit-acquired pressure injuries was 29 % (172/594) for all categories and 16 % (95/594) when excluding category I pres- sure injuries (no skin loss). Cumulative incidence for patients acquiring medical device-related pressure injuries was 15 % (91/594) and 11 % (64/594) for category II or worse. Compression stockings (n = 51) and nasogastric tubes (n = 22) were the most frequent documented medical devices related to pressure injuries. Development of pressure injuries category II or worse was significantly associated with vasoactive drug infusions (OR 11.84, 95 % CI [1.59; 88.13]) and longer intensive care unit length of stay (OR 1.06, 95 % CI [1.04; 1.08]). Conclusion: The 12-month cumulative incidence of intensive care unit-acquired pressure injuries was relatively high when category I pressure injuries were included, but comparable to other studies when category I was excluded. Some medical device-related pressure injuries were surprisingly frequent, and these may be prevented. However, associated factors of developing pressure injuries were present and deemed non-modifiable. Implications for clinical practice: Awareness about pressure injury prevention is needed in the intensive care unit considering high incidences. Nurses can detect category I pressure injuries early, which may be reversed. Our findings show several factors that clinicians can control to reduce the risk of pressure injuries in the intensive care unit.Incidence, characteristics, and associated factors of pressure injuries acquired in intensive care units over a 12-month period: A secondary analysis of a quality improvement projectpublishedVersio

Toktrapport fra det norsk/russiske økotoktet i Barentshavet og nærliggende områder

The aim of the joint Norwegian/Russian ecosystem survey in the Barents Sea and adjacent waters, August-October (BESS) is to monitor the status and changes in the Barents Sea ecosystem and provide data to support stock advice and research. The survey has since 2004 been conducted annually in the autumn, as a collaboration between the Institute of Marine Research (IMR) in Norway and the Polar branch of the VNIRO (PINRO) in Russia. The general survey plan and tasks were agreed upon at the annual IMR-PINRO Meeting in March 2022. Ship routes and other technical details are agreed on by correspondence between the survey coordinators. BESS aims at covering the entire Barents Sea. Ecosystem stations are distributed in a 35×35 nautical mile regular grid, and the ship tracks follow this design. Exceptions are the area around Svalbard (Spitsbergen), some additional bottom trawl hauls for demersal fish survey indices estimation, and additional acoustic transects for the capelin stock size estimation. Survey start for the Russian vessel was significantly delayed, resulting in REEZ being covered two-three months later than NEEZ. This resulted in reduced area coverage, decrease in the numbers of trawl hauls, and lack of standard pelagic trawl sampling. In NEEZ, RV “Kronprins Haakon” was cancelled due to difficult economic situation, making it necessary to allocate one of the two remaining vessels to the area west and north of Svalbard (Spitsbergen). This resulted in low coverage in this area, and problems with synoptic coverage in north-east of Svalbard (Spitsbergen) and thus increased uncertainty in assessment of demersal fish (e.g. Greenland halibut) and capelin. The 19-th joint Barents Sea autumn Ecosystem Survey (BESS) was carried out in two periods. The Norwegian research vessels “G.O. Sars” and “Johan Hjort” covered NEEZ in the period 16-th August to 03-th October, providing data to stock assessment, 0-group fish abundance indices, and state and changes descriptions which is comparable with earlier survey years in NEEZ. The Russian research vessel “Vilnyus” covered REEZ in the periods 20-th to 30-th September and 22-th October to 3-rd December. Survey coordinators in 2022 were Dmitry Prozorkevich (PINRO) and Geir Odd Johansen (IMR). Exchange of Russian and Norwegian experts between each country’s respective vessels did not take place in 2022. We would like to express our sincere gratitude to all the crew and scientific personnel onboard RVs “Vilnyus”, “G.O. Sars” and “Johan Hjort” for their dedicated work, as well as all the people involved in planning and reporting of BESS 2022. This report is a summary of observations and status assessment based on the survey data. Even though the survey was not well completed, the data obtained are the main source of knowledge about the ecosystem of the Barents Sea.Survey report from the joint Norwegian/Russian Ecosystem Survey in the Barents Sea and the adjacent waters August- December 2022publishedVersio

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Linking tagging technology and molecular genetics to gain insight in the spatial dynamics of two stocks of cod in Northeast Atlantic waters

The Northeast Arctic cod (Gadus morhua L.: NEAC) is thought to be the most abundant cod stock in the North Atlantic, while the catches of the partially co-occurring Norwegian coastal cod (NCC) stocks have dramatically decreased in recent years. At the same time, reports on climate change have caused a growing concern about climate impact on life in the ocean. For effective management it is necessary to be able to partition the variability in fish populations into environmental, genetic and fisheries effects. In the present study we have combined information from molecular genetic methods and electronic data storage tags (DST) to study spatial dynamics, such as distribution, behaviour and environmental conditions experienced by individuals fish from the two cod stocks NEAC and NCC in spawning area Lofoten in the North-east Atlantic

Cod Consume Capelin

Working Document #20 to Arctic Fisheries Working Group 200