Omaishoitajien toiveet ja odotukset hoitopaikalle lakisääteisten vapaapäivien ajaksi

Opinnäytetyön tavoitteena oli selvittää millaisia toiveita ja odotuksia omaishoitajilla oli hoitopaikalle, jossa heidän omaishoidettavaansa hoidetaan lakisääteisten vapaapäivien ajan. Halusimme tietää myös oliko yhteistyökumppanimme Kaislakoti Oy tuttu hoivapaikkana omaishoitajille, jotka osallistuivat tutkimukseemme. Tutkimustyyppi on kvalitatiivinen. Tutkimusaineisto kerättiin haastattelemalla kuutta omaishoitajaa teemahaastattelumenetelmällä. Haastateltavat pyydettiin Hiiden Seudun Omaishoitajayhdistyksen toimesta järjestetyistä tilaisuuksista, joihin osallistuimme. Haastattelut tehtiin 2013 alkuvuodesta. Jaoimme myös 30 puolistrukturoitua kyselylomaketta täytettäväksi omaishoitajille. Kyselylomakkeista palautui 11 kappaletta. Tutkimustuloksista kävi ilmi, että omaishoitajat toivoivat hoitopaikalta aktivoivaa toimintaa hoidettavalleen, jotta tämän toimintakyky ei heikentyisi hoitojakson aikana. Tärkeäksi koettiin myös kuntouttava toiminta ja palveluiden monipuolisuus, joiden tulisi olla muokattavissa vastaamaan jokaisen henkilökohtaisia tarpeita. Hoitopaikan tärkeimpinä kriteereinä pidettiin sen kodinomaisuutta, turvallisuutta ja viihtyisyyttä. Omaishoitajat odottivat hoitopaikalta täysihoitoa, jossa heidän hoidettavansa otettaisiin kokonaisvaltaisesti huomioon. Omaishoitajat tunsivat tarvitsevansa tukea tilanteissa, joissa heidän oma toimijuutensa ja terveydentilansa heikentyy. Tutkimustuloksista selvisi, että omaishoitajien jaksamista tukevia muotoja ovat loma ja mahdollisuus saada luotettava ja turvallinen sijaishoitopaikka nopeasti. Työelämäkumppanimme Kaislakoti ei ollut tunnettu kuin parin omaishoitajan kohdalla. Tutkimustulostemme pohjalta Kaislakoti voi kehittää tulevaisuudessa tunnettavuuttaan ja pystyy koordinoimaan toimintaansa omaishoitajien toiveita vastaavaksi. Avainsanat Omaishoito, vapaapäivät, omaishoitajien toiveet, sijaishoitoThe purpose of the study was to determine what kinds of wishes and expectations the caregivers had pertaining the home of elderly care, where their care recipients are being taken care of during statutory holidays. Furthermore, we wanted to know whether the caregivers were familiar with our partner Kaislakoti Oy as a care center. The research method was qualitative. The data was collected by interviewing six caregivers using a thematic interview method. The interviewees were recruited at the events organized by the Association of Caregivers of Hiiden’s Region. We held the interviews at the beginning of the year 2013. We also handed out 30 semi-structured questionnaires to be filled out by the caregivers. Eleven of the questionnaires were returned. The results of the study indicated that caregivers wish their care recipient refreshing activi-ties so that the care recipient’s performance would not deteriorate during the course of treatment. Rehabilitative activities and the versatility of services were also viewed as im-portant, and both should be flexible in order to meet every care recipient’s personal needs. The most important criteria of a home for elderly care were, according to the interviewees, homeliness, safety, and comfort. The caregivers expect full care where their care recipients would be comprehensively tak-en into consideration. The results showed that factors supporting the caregiver’s endur-ance are for example vacation and the fact that it’s fast and easy to get a reliable and safe substitute home of elderly care for their care recipient. Our partner Kaislakoti was not well-known amongst the caregivers as only two of them recognized it. Based on the results of our study Kaislakoti can develop it’s recognition in the future and is able to coordinate its actions to meet the expectations of the caregivers. Keywords Caring, Wishes of the Caregivers, Home of Elderly Car

Preliminary characterization of echinoderm assemblages in circalittoral and bathyal soft bottoms of the northern Alboran Sea

Echinoderms, with 7.272 species described so far (based on WORMS), provide an ecosystemic role which can be important depending on their habitat, and including tag species (Manjón-Cabeza et al., 2014; Palma-Sevilla 2015) or even dominant ones (Iken et al., 2010; Hughes et al., 2012). Despite the increasing knowledge on their taxonomy, studies on ecological and assemblage composition and structure of echinoderms are very scarce compared to those for other invertebrate groups, being this information essential for improving the knowledge on Mediterranean ecosystems (Coll et al., 2010). The Alboran Sea, in the junction of the Atlantic Ocean and the Mediterranean Sea and the European and African continental margins, represents a biodiversity hotspot due to the overlapping of species from those basins and continents, including some endemic components (Coll et al., 2010). Regarding echinoderms of the Alboran Sea, most previous studies focussed on infralittoral bottoms, with very few for circalittoral and bathyal ones (Manjón-Cabeza et al, 2014; Sibuet, 1974). Nevertheless, these studies generally included faunistic lists (Ocaña & Pérez-Ruzafa, 2004; Manjón-Cabeza et al., 2014), sometimes with identification keys, ecological and distributional data of some species and rarely on the assemblage composition and structure (Palma-Sevilla, 2015), which represent the main aim of this study on echinoderm assemblages of circalittoral and bathyal soft bottoms of the Alboran Sea. During the MEDITS survey expeditions (April-May 2014-2015) on board the R/V Miguel Oliver (Fig. 1), 35 samples were collected using a beam trawl (horizontal and vertical openings of 1.3 and 1.2 m, respectively, and a mesh size of 10 mm in the codend) at depths from 40 to 774 m in the Alboran Sea (Fig. 1). Hauls were done at a speed of ca. 2 knots during 5-10 (shelf stations) and 15 minutes (slope stations). Echinoderms were separated, identified to the lowest possible taxonomic leveland specimens counted and weighed to the nearest 0.5 g. Abundance and biomass data were standardized to 1000 m2 according to the sampling area of each haul. Echinoderm assemblages were characterized according to the dominance and frequency of occurrence of species in the samples and considering different ecological indexes. Multivariate methods (CLUSTER, nMDS, SIMPER, ANOSIM) were applied, based on the Bray & Curtis similarity index, for detecting and contrastingassemblages in relation to depth and 4 geographic areas of the Alboran Sea with different influence of Atlantic waters (Occidental-Esteponato Málaga, Central-Málaga to Motril, Oriental-Motril to Almería and Alboran Island). Fig. 1. Location of beam-trawl samples (dots) collected during 2014 and 2015 MEDITS expeditions in the northern Alboran Sea. At present 39 taxa have been detected, mostly belonging to Ophiuroidea and Asteroidea (28.2 and 25.6% of all species, respectively), followed by Holothuroidea (23.1%), Echinoidea (17.9%) and Crinoidea (5.1%). Regarding abundance, a total of 54689 individuals have been collected, being Ophiuroidea (98.6% of all individuals), Holothuroidea (0.6%) and Crinoidea (0.4%) the top-dominant classes. Regarding biomass, ophiuroids also dominated (52.8%), followed by asteroids (16.1%) and holothuroids (15.0%). Considering other faunistic groups, echinoderms were the most abundant phyllum in the samples (60.7%) and the fifth one in biomass (7.6%). The dominant (for both abundance and biomass) and frequent genera included Ophiocten (displaying dominances >90%) Hymenodiscus, Luidia and Astropecten for asteroids, Antedon and Leptometra for crinoids, Dendrochirotida and Molpadidae for holothuroids, and Brissopsis and Echinocyamus for echinoids (Fig. 2). Fig. 2. Some echinodermscollected in circalittoral and bathyal soft bottoms of the Alboran Sea using beam-trawl during the MEDITS expeditions. A: Ophiocten; B: Dendrochirotida sp.; C: Brissopsis; D: Anseropoda; E: Luidia. Multivariate analyses indicated groupings of samples and significantly different echinoderm assemblages in relation to depth (RANOSIM=0.22, p0.05). Shelf assemblages displayed lower intra-group similarities (<20% similarity in SIMPER) than the slope ones (ca. 40%). Species characterizing the shelf assemblages belonged to the genera Astropecten, Antedon, Ophiothrix among others, whereas those of the slope belonged to the genera Luidia (L. sarsi), Hymenodiscus, Ophiocten, Leptometra and Amphiura

Fungal Planet description sheets: 371–399

Novel species of fungi described in the present study include the following from Australia: Neoseptorioides eucalypti gen. & sp. nov. from Eucalyptus radiata leaves, Phytophthora gondwanensis from soil, Diaporthe tulliensis from rotted stem ends of Theobroma cacao fruit, Diaporthe vawdreyi from fruit rot of Psidium guajava, Magnaporthiopsis agrostidis from rotted roots of Agrostis stolonifera and Semifissispora natalis from Eucalyptus leaf litter. Furthermore, Neopestalotiopsis egyptiaca is described from Mangifera indica leaves (Egypt), Roussoella mexicana from Coffea arabica leaves (Mexico), Calonectria monticola from soil (Thailand), Hygrocybe jackmanii from littoral sand dunes (Canada), Lindgomyces madisonensis from submerged decorticated wood (USA), Neofabraea brasiliensis from Malus domestica (Brazil), Geastrum diosiae from litter (Argentina), Ganoderma wiiroense on angiosperms (Ghana), Arthrinium gutiae from the gut of a grasshopper (India), Pyrenochaeta telephoni from the screen of a mobile phone (India) and Xenoleptographium phialoconidium gen. & sp. nov. on exposed xylem tissues of Gmelina arborea (Indonesia). Several novelties are introduced from Spain, namely Psathyrella complutensis on loamy soil, Chlorophyllum lusitanicum on nitrified grasslands (incl. Chlorophyllum arizonicum comb. nov.), Aspergillus citocrescens from cave sediment and Lotinia verna gen. & sp. nov. from muddy soil. Novel foliicolous taxa from South Africa include Phyllosticta carissicola from Carissa macrocarpa, Pseudopyricularia hagahagae from Cyperaceae and Zeloasperisporium searsiae from Searsia chirindensis. Furthermore, Neophaeococcomyces is introduced as a novel genus, with two new combinations, N. aloes and N. catenatus. Several foliicolous novelties are recorded from La Réunion, France, namely Ochroconis pandanicola from Pandanus utilis, Neosulcatispora agaves gen. & sp. nov. from Agave vera-cruz, Pilidium eucalyptorum from Eucalyptus robusta, Strelitziana syzygii from Syzygium jambos (incl. Strelitzianaceae fam. nov.) and Pseudobeltrania ocoteae from Ocotea obtusata (Beltraniaceae emend.). Morphological and culture characteristics along with ITS DNA barcodes are provided for all taxa

Hypoglycemia in noncritically ill patients receiving total parenteral nutrition: a multicenter study. (Study group on the problem of hyperglycemia in parenteral nutrition; Nutrition area of the Spanish Society of Endocrinology and Nutrition

[eng] Objective Hypoglycemia is a common problem among hospitalized patients. Treatment of hyperglycemia with insulin is potentially associated with an increased risk for hypoglycemia. The aim of this study was to determine the prevalence and predictors of hypoglycemia (capillary blood glucose <70 mg/dL) in hospitalized patients receiving total parenteral nutrition (TPN). Methods This prospective multicenter study involved 19 Spanish hospitals. Noncritically ill adults who were prescribed TPN were included, thus enabling us to collect data on capillary blood glucose and insulin dosage. Results The study included 605 patients of whom 6.8% (n = 41) had at least one capillary blood glucose <70 mg/dL and 2.6% (n = 16) had symptomatic hypoglycemia. The total number of hypoglycemic episodes per 100 d of TPN was 0.82. In univariate analysis, hypoglycemia was significantly associated with the presence of diabetes, a lower body mass index (BMI), and treatment with intravenous (IV) insulin. Patients with hypoglycemia also had a significantly longer hospital length of stay, PN duration, higher blood glucose variability, and a higher insulin dose. Multiple logistic regression analysis showed that a lower BMI, high blood glucose variability, and TPN duration were risk factors for hypoglycemia. Use of IV insulin and blood glucose variability were predictors of symptomatic hypoglycemia. Conclusions The occurrence of hypoglycemia in noncritically ill patients receiving PN is low. A lower BMI and a greater blood glucose variability and TPN duration are factors associated with the risk for hypoglycemia. IV insulin and glucose variability were predictors of symptomatic hypoglycemia