17 research outputs found

    Optimizing well-pregnancy care on Prince Edward Island

    No full text
    While pregnancy is a normal, transitional life event many women experience, the need exists for competent, holistic health care during this time in their lives. On Prince Edward Island, 90% of perinatal care is administered by obstetricians following a medical model of care; this is 30% greater than the national average (Public Health Agency of Canada [PHAC], 2009). Pregnancy outcomes on P.E.I., in regards to folic acid supplementation, high pre-pregnancy and pregnancy body mass indexes (BMI), overweight or obese expectant mothers, substance use, and breastfeeding consistently fall outside national averages (P.E.I. Reproductive Care Program [P.E.I. RCP], 2008; PHAC, 2009, 2012). An initiative to implement nurse practitioner-led perinatal care for healthy pregnant women can help to address these outcomes by ensuring appropriate ongoing physical assessment, addressing psychosocial needs, and increasing perinatal education to women and their families during the preconception, prenatal, and postpartum periods. The initiative will include communication to key stakeholders, and a timeline of planned activities and will follow the PHAC’s (2001) Project Evaluation to assess success of the project

    Dataset for: High resolution studies of hydride transfer in the ferredoxin:NADP+ reductase superfamily

    No full text
    Ferredoxin-NADP+ reductase (FNR) is an FAD-containing enzyme best known for catalyzing the transfer of electrons from ferredoxin (Fd) to NADP+ to make NADPH during photosynthesis. It is also the prototype for a broad enzyme superfamily, including the NADPH oxidases (NOXs) that all catalyze similar FAD-enabled electron transfers between NAD(P)H and one-electron carriers. Here we define further mechanistic details of the NAD(P)H ⇌ FAD hydride-transfer step of the reaction based on spectroscopic studies and high resolution (~1.5 Å) crystallographic views of the nicotinamide-flavin interaction in crystals of corn root FNR Tyr316Ser and Tyr316Ala variants soaked with either nicotinamide, NADP+, or NADPH. The spectra obtained from FNR crystal complexes match those seen in solution and the complexes reveal active site packing interactions and patterns of covalent distortion of the FAD that imply significant active site compression that would favor catalysis. Furthermore, anisotropic B-factors show that the mobility of the C4 atom of the nicotinamide in the FNR:NADP+ complex has a directionality matching that expected for boat-like excursions of the nicotinamide ring thought to enhance hydride transfer. Arguments are made for the relevance of this binding mode to catalysis, and specific consideration is given to how the results extrapolate to provide insight to structure-function relations for the membrane-bound NOX enzymes for which little structural information has been available
    corecore