A Wholistic Model of Cancer Care for Nursing Practice

90 leavesNursing today is affected by challenges to the beliefs and values underlying the delivery of health care services. Though nursing theory development, nursing has embraced a new paradigm in which the scientific medical model is being replaced by a model based on the concept of wholism. Key ideas representing a wholistic paradigm of health appear with increasing frequency in the nursing literature, demonstrating the diffusion of a new and different perspective of the practice of nursing. The purpose of this study was to develop a wholistic model of cancer care for nursing practice. The theoretical foundation for the model was derived largely from the nursing theory proposed by Margaret Newman, crisis theory and cancer nursing theory. Case studies from oncology nursing practice also were used in the development of the model. The wholistic model of cancer care for nursing practice developed embraces the new emerging nursing paradigm that redefines health to include a broader definition that allows the person with cancer to enter the health care system in a new way, as an equal partner, and to convert the cancer experience into a positive growth process. The wholistic model incorporates nursing's metaparadigm concepts of nursing, person, environment and health as well as the additional concepts of hope, wholism, movement, transformation and disorder. The focus is on the whole person that includes the cancer and views the patterns of interaction of the person and environment as the path to health. A health within illness perspective has implications for advanced clinical nursing practice. This model adds to the advancement of nursing theory development and nursing philosophy by considering illness as an opportunity for awareness and growth. It also shifts the focus of health care from fighting the enemy of illness to learning about oneself through the illness experience. The model also has implications for nursing practice, education and administration

Assessing children\u27s emerging literacy through retelling

The whole language concept is being implemented into many language arts instructional programs. This concept focuses on nurturing children\u27s emerging literacy through their involvement in the language processes. In creating meaning while engaged in whole units of language, children extend their thinking-language abilities

A meta-analysis of Boolean network models reveals design principles of gene regulatory networks

Gene regulatory networks (GRNs) describe how a collection of genes governs the processes within a cell. Understanding how GRNs manage to consistently perform a particular function constitutes a key question in cell biology. GRNs are frequently modeled as Boolean networks, which are intuitive, simple to describe, and can yield qualitative results even when data is sparse. We generate an expandable database of published, expert-curated Boolean GRN models, and extracted the rules governing these networks. A meta-analysis of this diverse set of models enables us to identify fundamental design principles of GRNs. The biological term canalization reflects a cell's ability to maintain a stable phenotype despite ongoing environmental perturbations. Accordingly, Boolean canalizing functions are functions where the output is already determined if a specific variable takes on its canalizing input, regardless of all other inputs. We provide a detailed analysis of the prevalence of canalization and show that most rules describing the regulatory logic are highly canalizing. Independent from this, we also find that most rules exhibit a high level of redundancy. An analysis of the prevalence of small network motifs, e.g. feed-forward loops or feedback loops, in the wiring diagram of the identified models reveals several highly abundant types of motifs, as well as a surprisingly high overabundance of negative regulations in complex feedback loops. Lastly, we provide the strongest evidence thus far in favor of the hypothesis that GRNs operate at the critical edge between order and chaos.Comment: 12 pages, 8 figure

Unconventional secretion by autophagosome exocytosis

In this issue, Duran et al. (2010. J. Cell Biol. doi: 10.1083/jcb.200911154) and Manjithaya et al. (2010. J. Cell Biol. doi: 10.1083/jcb.200911149) use yeast genetics to reveal a role for autophagosome intermediates in the unconventional secretion of an acyl coenzyme A (CoA)–binding protein that lacks an endoplasmic reticulum signal sequence. Medium-chain acyl CoAs are also required and may be important for substrate routing to this pathway

Unconventional secretion of Acb1 is mediated by autophagosomes

Evidence is presented for an unconventional protein secretion pathway that is conserved from yeast to Dictyostelium discoideum in which Acb1 may be sequestered into autophagosomal vesicles, which then fuse (either directly or indirectly) with the plasma membrane (see also the companion paper from Manjithaya et al. in this issue)

Biogenesis of a novel compartment for autophagosome-mediated unconventional protein secretion

A novel membrane structure called CUPS is assembled during the secretion of unconventional cargo such as Acb1

Organelle tethering by a homotypic PDZ interaction underlies formation of the Golgi membrane network

Formation of the ribbon-like membrane network of the Golgi apparatus depends on GM130 and GRASP65, but the mechanism is unknown. We developed an in vivo organelle tethering assaying in which GRASP65 was targeted to the mitochondrial outer membrane either directly or via binding to GM130. Mitochondria bearing GRASP65 became tethered to one another, and this depended on a GRASP65 PDZ domain that was also required for GRASP65 self-interaction. Point mutation within the predicted binding groove of the GRASP65 PDZ domain blocked both tethering and, in a gene replacement assay, Golgi ribbon formation. Tethering also required proximate membrane anchoring of the PDZ domain, suggesting a mechanism that orientates the PDZ binding groove to favor interactions in trans. Thus, a homotypic PDZ interaction mediates organelle tethering in living cells

Influence of Race on Microsatellite Instability and CD8+ T Cell Infiltration in Colon Cancer

African American patients with colorectal cancer show higher mortality than their Caucasian counterparts. Biology might play a partial role, and prior studies suggest a higher prevalence for microsatellite instability (MSI) among cancers from African Americans, albeit patients with MSI cancers have improved survival over patients with non-MSI cancers, counter to the outcome observed for African American patients. CD8+ T cell infiltration of colon cancer is postively correlated with MSI tumors, and is also related to improved outcome. Here, we utilized a 503-person, population-based colon cancer cohort comprising 45% African Americans to determine, under blinded conditions from all epidemiological data, the prevalence of MSI and associated CD8+ T cell infiltration within the cancers. Among Caucasian cancers, 14% were MSI, whereas African American cancers demonstrated 7% MSI (P = 0.009). Clinically, MSI cancers between races were similar; among microsatellite stable cancers, African American patients were younger, female, and with proximal cancers. CD8+ T cells were higher in MSI cancers (88.0 vs 30.4/hpf, P<0.0001), but was not different between races. Utilizing this population-based cohort, African American cancers show half the MSI prevalence of Caucasians without change in CD8+ T cell infiltration which may contribute towards their higher mortality from colon cancer

Characterization of Yeast Extracellular Vesicles: Evidence for the Participation of Different Pathways of Cellular Traffic in Vesicle Biogenesis

Background: Extracellular vesicles in yeast cells are involved in the molecular traffic across the cell wall. In yeast pathogens, these vesicles have been implicated in the transport of proteins, lipids, polysaccharide and pigments to the extracellular space. Cellular pathways required for the biogenesis of yeast extracellular vesicles are largely unknown. Methodology/Principal Findings: We characterized extracellular vesicle production in wild type (WT) and mutant strains of the model yeast Saccharomyces cerevisiae using transmission electron microscopy in combination with light scattering analysis, lipid extraction and proteomics. WT cells and mutants with defective expression of Sec4p, a secretory vesicleassociated Rab GTPase essential for Golgi-derived exocytosis, or Snf7p, which is involved in multivesicular body (MVB) formation, were analyzed in parallel. Bilayered vesicles with diameters at the 100–300 nm range were found in extracellular fractions from yeast cultures. Proteomic analysis of vesicular fractions from the cells aforementioned and additional mutants with defects in conventional secretion pathways (sec1-1, fusion of Golgi-derived exocytic vesicles with the plasm