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1.
Mar Pollut Bull ; 191: 114970, 2023 Jun.
Article in English | MEDLINE | ID: mdl-37141800

ABSTRACT

Invasive species have been a focus of concern in recent decades, becoming more problematic due to the cumulative impacts of climate change. Understanding the interactions among stress factors is essential to anticipate ecosystems' responses. Hereby, robust modeling frameworks must be able to identify the environmental drivers of invasion and forecast the current and future of their potential distribution. These studies are essential for the management of invasions and to be prepared for the future we are facing. Here we demonstrate that taxonomic misidentifications may lead to absolutely erroneous predictions, by using as an example one of the worst invasive species in the Mediterranean Sea (Lophocladia lallemandii), which has been misidentified for three decades and now is correctly identified. Consequently, and bearing in mind overall trends in species misidentification due to the loss of taxonomic expertise and the presence of cryptic species, among others, attempts to understand and predict species involved in invasion processes must always first consider taxonomic studies.


Subject(s)
Ecosystem , Rhodophyta , Introduced Species , Rhodophyta/physiology , Climate Change , Mediterranean Sea
2.
Proc Biol Sci ; 288(1965): 20212384, 2021 12 22.
Article in English | MEDLINE | ID: mdl-34933599

ABSTRACT

Understanding the resilience of temperate reefs to climate change requires exploring the recovery capacity of their habitat-forming species from recurrent marine heatwaves (MHWs). Here, we show that, in a Mediterranean highly enforced marine protected area established more than 40 years ago, habitat-forming octocoral populations that were first affected by a severe MHW in 2003 have not recovered after 15 years. Contrarily, they have followed collapse trajectories that have brought them to the brink of local ecological extinction. Since 2003, impacted populations of the red gorgonian Paramuricea clavata (Risso, 1826) and the red coral Corallium rubrum (Linnaeus, 1758) have followed different trends in terms of size structure, but a similar progressive reduction in density and biomass. Concurrently, recurrent MHWs were observed in the area during the 2003-2018 study period, which may have hindered populations recovery. The studied octocorals play a unique habitat-forming role in the coralligenous assemblages (i.e. reefs endemic to the Mediterranean Sea home to approximately 10% of its species). Therefore, our results underpin the great risk that recurrent MHWs pose for the long-term integrity and functioning of these emblematic temperate reefs.


Subject(s)
Anthozoa , Ecosystem , Animals , Climate Change , Coral Reefs , Longitudinal Studies , Mediterranean Sea
3.
Mar Pollut Bull ; 173(Pt B): 113099, 2021 Dec.
Article in English | MEDLINE | ID: mdl-34798431

ABSTRACT

Understanding the interactions between various stressors, and the resulting cumulative impacts they exert, is essential in order to predict the potential resilience of marine habitats to climate change. Crustose coralline algae (CCA) are a major calcifying component of marine habitats, from tropical to polar oceans, and play a central role as ecosystem engineers in many rocky reefs. These species are increasingly threatened by the stress of climate change. However, the effects of other stressors linked to global change, such as invasive species, have scarcely been addressed. We have studied the interactive effects of invasive algae and global warming on CCA, combining observational and experimental approaches. CCA sensitivity to invasive algae is heightened when they are concurrently exposed to elevated seawater temperature, and the interaction between these two stressors triggers drastic synergistic effects on CCA. The reduction and eventual disappearance of these "ecosystem foundation species" may undermine ecological functioning, leading to the disappearance and/or fragmentation of the communities associated with them.


Subject(s)
Coral Reefs , Ecosystem , Hydrogen-Ion Concentration , Oceans and Seas , Seawater
4.
Sci Rep ; 7(1): 5069, 2017 07 11.
Article in English | MEDLINE | ID: mdl-28698582

ABSTRACT

The differential response of marine populations to climate change remains poorly understood. Here, we combine common garden thermotolerance experiments in aquaria and population genetics to disentangle the factors driving the population response to thermal stress in a temperate habitat-forming species: the octocoral Paramuricea clavata. Using eight populations separated from tens of meters to hundreds of kilometers, which were differentially impacted by recent mortality events, we identify 25 °C as a critical thermal threshold. After one week of exposure at this temperature, seven of the eight populations were affected by tissue necrosis and after 30 days of exposure at this temperature, the mean % of affected colonies increased gradually from 3 to 97%. We then demonstrate the weak relation between the observed differential phenotypic responses and the local temperature regimes experienced by each population. A significant correlation was observed between these responses and the extent of genetic drift impacting each population. Local adaptation may thus be hindered by genetic drift, which seems to be the main driver of the differential response. Accordingly, conservation measures should promote connectivity and control density erosion in order to limit the impact of genetic drift on marine populations facing climate change.


Subject(s)
Anthozoa/physiology , Climate Change , Ecosystem , Adaptation, Physiological , Animals , Geography , Species Specificity , Stress, Physiological , Temperature
5.
Sci Rep ; 7: 42404, 2017 02 15.
Article in English | MEDLINE | ID: mdl-28198382

ABSTRACT

Overexploitation leads to the ecological extinction of many oceanic species. The depletion of historical abundances of large animals, such as whales and sea turtles, is well known. However, the magnitude of the historical overfishing of exploited invertebrates is unclear. The lack of rigorous baseline data limits the implementation of efficient management and conservation plans in the marine realm. The precious Mediterranean red coral Corallium rubrum has been intensively exploited since antiquity for its use in jewellery. It shows dramatic signs of overexploitation, with no untouched populations known in shallow waters. Here, we report the discovery of an exceptional red coral population from a previously unexplored shallow underwater cave in Corsica (France) harbouring the largest biomass (by more than 100-fold) reported to date in the Mediterranean. Our findings challenge current assumptions on the pristine state of this emblematic species. Our results suggest that, before intense exploitation, red coral lived in relatively high-density populations with a large proportion of centuries-old colonies, even at very shallow depths. We call for the re-evaluation of the baseline for red coral and question the sustainability of the exploitation of a species that is still common but ecologically (functionally) extinct and in a trajectory of further decline.


Subject(s)
Anthozoa , Ecosystem , Animals , Biomass , Conservation of Natural Resources , Mediterranean Sea , Population Density
6.
Proc Biol Sci ; 282(1818): 20150587, 2015 11 07.
Article in English | MEDLINE | ID: mdl-26511045

ABSTRACT

Ocean acidification is receiving increasing attention because of its potential to affect marine ecosystems. Rare CO2 vents offer a unique opportunity to investigate the response of benthic ecosystems to acidification. However, the benthic habitats investigated so far are mainly found at very shallow water (less than or equal to 5 m depth) and therefore are not representative of the broad range of continental shelf habitats. Here, we show that a decrease from pH 8.1 to 7.9 observed in a CO2 vent system at 40 m depth leads to a dramatic shift in highly diverse and structurally complex habitats. Forests of the kelp Laminaria rodriguezii usually found at larger depths (greater than 65 m) replace the otherwise dominant habitats (i.e. coralligenous outcrops and rhodolith beds), which are mainly characterized by calcifying organisms. Only the aragonite-calcifying algae are able to survive in acidified waters, while high-magnesium-calcite organisms are almost completely absent. Although a long-term survey of the venting area would be necessary to fully understand the effects of the variability of pH and other carbonate parameters over the structure and functioning of the investigated mesophotic habitats, our results suggest that in addition of significant changes at species level, moderate ocean acidification may entail major shifts in the distribution and dominance of key benthic ecosystems at regional scale, which could have broad ecological and socio-economic implications.


Subject(s)
Carbon Dioxide/pharmacology , Ecosystem , Seawater/chemistry , Acids/chemistry , Animals , Anthozoa/physiology , Bryozoa/physiology , Carbonates/chemistry , Hydrogen-Ion Concentration , Laminaria/physiology , Mediterranean Sea , Rhodophyta/physiology
8.
Rev. calid. asist ; 25(6): 327-333, nov.-dic. 2010. tab, ilus
Article in Spanish | IBECS | ID: ibc-82451

ABSTRACT

Objetivo. Conocer la percepción de los trabajadores de Atención Primaria del Área 7 respecto a su calidad de vida profesional (CVP) y describir su evolución desde el año 2004. Material y métodos. Estudio descriptivo transversal. Se realiza en junio de 2008, en el Área 7 de Atención Primaria. Los participantes son todos los profesionales del Área (n=1003). Las mediciones principales son: Cuestionario CVP-35, anónimo y autoadministrado y variables sociodemográficas y profesionales que pudieran tener relación con la CVP. Se estudió la variación de los resultados respecto a los años 2004 y 2006. Resultados. La tasa de respuesta fue del 47%, siendo las medias: percepción global de demandas=6,09, percepción del apoyo directivo=5,10 y motivación intrínseca=7,56. Por estamentos, enfermería-fisioterapeutas y auxiliares son los más motivados, con mejor percepción de apoyo directivo y mejor CVP sentida. Los sujetos que desempeñan tareas directivas puntúan mejor los ítems relacionados con percepción de apoyo directivo y presentan mayor motivación intrínseca. Se observa cierta mejoría en los resultados de percepción de apoyo directivo, demandas y calidad de vida. Conclusiones. El análisis por ítems nos permite, partiendo de los peor valorados, establecer líneas de mejora y evaluar sus resultados. Así pues, observamos cierta mejoría de los resultados, en consonancia con las intervenciones desarrolladas que daban respuesta a demandas percibidas en años previos. Algunas de las intervenciones han sido recientemente implantadas, siendo necesario seguir evaluando su efectividad a través de la aplicación de este cuestionario(AU)


Objective. To describe the QoPL as perceived by Primary Care workers in the Primary Care Area 7 and to describe the progress since 2004. Material and methods. Cross – sectional study carried out in the Primary Care Area 7 in June 2008. Participants were all primary care workers (n=1003). Main measurements were: the CVP-35 questionnaire (anonymous and self-administered) and socio-demographic and professional variables that could be associated with QoPL. Results were compared to those obtained in previous years (2004–2006). Results. Positive answers: 47%. By dimension, average scores were: perception of demands: 6.09, managerial support: 5.10 and intrinsic motivation: 7.56. Nurses, physiotherapists, and nursing assistants had significantly higher scores in intrinsic motivation, managerial support and quality of life. The individuals who carried out management activities had higher scores in managerial support and intrinsic motivation items. Slight improvements were seen in perception of demands, managerial support and quality of life. Conclusions. Item analysis allows us to develop improvement plans and subsequently evaluate their results. In this sense, we observed slight improvements, according to planned strategies, based on perceived demands in previous years. Some of these strategies have been recently introduced, so future evaluations using the CVP-35 questionnaire are needed in order to analyse their effectiveness(AU)


Subject(s)
Humans , Male , Female , Quality of Life , Professional Practice/classification , Professional Practice/ethics , Primary Health Care/classification , Primary Health Care/standards , Cross-Sectional Studies , Surveys and Questionnaires/classification , Surveys and Questionnaires , Motivation
9.
Rev Calid Asist ; 25(6): 327-33, 2010.
Article in Spanish | MEDLINE | ID: mdl-20591713

ABSTRACT

OBJECTIVE: To describe the QoPL as perceived by Primary Care workers in the Primary Care Area 7 and to describe the progress since 2004. MATERIAL AND METHODS: Cross - sectional study carried out in the Primary Care Area 7 in June 2008. Participants were all primary care workers (n=1003). Main measurements were: the CVP-35 questionnaire (anonymous and self-administered) and socio-demographic and professional variables that could be associated with QoPL. Results were compared to those obtained in previous years (2004-2006). RESULTS: Positive answers: 47%. By dimension, average scores were: perception of demands: 6.09, managerial support: 5.10 and intrinsic motivation: 7.56. Nurses, physiotherapists, and nursing assistants had significantly higher scores in intrinsic motivation, managerial support and quality of life. The individuals who carried out management activities had higher scores in managerial support and intrinsic motivation items. Slight improvements were seen in perception of demands, managerial support and quality of life. CONCLUSIONS: Item analysis allows us to develop improvement plans and subsequently evaluate their results. In this sense, we observed slight improvements, according to planned strategies, based on perceived demands in previous years. Some of these strategies have been recently introduced, so future evaluations using the CVP-35 questionnaire are needed in order to analyse their effectiveness.


Subject(s)
Health Personnel , Occupational Health , Quality of Life , Cross-Sectional Studies , Female , Humans , Male , Primary Health Care , Spain , Surveys and Questionnaires , Urban Population
10.
Rev Neurol ; 50 Suppl 2: S33-9, 2010 Feb 08.
Article in Spanish | MEDLINE | ID: mdl-20205140

ABSTRACT

INTRODUCTION: In Parkinson's disease there are patients with isolated and multiple cognitive impairment, and their cognitive performance ranges from normal to an advanced degree of dementia. Most patients present an executive deficit, either in isolation or combined with other cognitive disorders, which is considered to be the most characteristic aspect of the disease, and 30-40% of those affected will end up with a clinically-defined dementia. DEVELOPMENT: The presence of a mild cognitive disorder in patients with Parkinson means that the risk of dementia appearing at some time during the development of the disease is high. The dementia associated with Parkinson's disease is specifically related with neuropsychiatric signs and symptoms, which may have three possible explanations: disorders affecting the mesolimbic pathways, diffuse limbic and cortical compromise, or associated Alzheimer-type phenomenology. Psychotic episodes tend to present more often in patients with dopaminergic treatment and the clinical spectrum of Parkinson-related psychosis covers visual illusions, visual-audio-olfactory hallucinations, delirium and severe paranoid hallucinatory psychosis. All the antiparkinsonian drugs can give rise to hallucinations and psychosis, but the dopamine agonists are the ones with the greatest capacity to do so. CONCLUSIONS: In managing these problems, it is crucial for prevention as well as diagnosis and treatment to be carried out as soon as they are detected. Doses of antiparkinsonian drugs must be reduced, although this is not usually enough, and so it will be necessary to associate atypical antipsychotics, which act mainly on 5-HT receptors and, in most cases, do not produce D2 blockage.


Subject(s)
Cognition Disorders/etiology , Cognition Disorders/physiopathology , Mental Disorders/etiology , Mental Disorders/physiopathology , Parkinson Disease/complications , Parkinson Disease/physiopathology , Cognition Disorders/diagnosis , Cognition Disorders/drug therapy , Dementia/diagnosis , Dementia/drug therapy , Dementia/etiology , Dementia/physiopathology , Dopamine Agonists/therapeutic use , Hallucinations/chemically induced , Humans , Mental Disorders/diagnosis , Mental Disorders/drug therapy , Parkinson Disease/drug therapy , Psychotic Disorders/diagnosis , Psychotic Disorders/drug therapy , Psychotic Disorders/etiology , Psychotic Disorders/physiopathology
11.
Rev. neurol. (Ed. impr.) ; 49(7): 476-482, 1 oct., 2009. tab
Article in Spanish | IBECS | ID: ibc-94839

ABSTRACT

Introducción. Existe una estrecha relación entre las hormonas sexuales femeninas y el sueño. Esto conlleva la existencia de diferencias relacionadas con el género tanto en la estructura del sueño normal como en la incidencia de diferentes trastornos del sueño. Objetivo. Revisar los cambios en las características del sueño que experimentan las mujeres en diferentes etapas de su ciclo vital (edad fértil, menstruación, embarazo, menopausia y posmenopausia), así como las patologías del sueño más frecuentes en las que se da una mayor diferencia entre géneros (insomnio, apnea obstructiva del sueño, síndrome de piernas inquietas y narcolepsia-cataplejía). Desarrollo. En cuanto al sueño normal, se ha informado de que las mujeres tienen una mayor calidad de sueño objetiva en comparación con los hombres (mayor tiempo, menor latencia de inicio y mayor grado de eficiencia del sueño); sin embargo, se quejan más frecuentemente de problemas de sueño. Por otra parte, diferentes etapas en la vida de la mujer se asocian con importantes cambios hormonales y fisiológicos que favorecen la alteración del patrón de sueño normal y, con ello, un posible aumento del riesgo de manifestar trastornos del sueño. Conclusiones. Las razones que subyacen en las diferencias de género en los trastornos del sueño se atribuyen a las diferencias en el sueño normal, en las manifestaciones clínicas y factores de riesgo de los trastornos del sueño, y en la respuesta-dosis óptimas de tratamiento (AU)


Introduction. There is a strong link between female sex hormones and sleep. This implies the existence of sex differences both in the structure of sleep as in the incidence of various sleep disorders. Aim. To review the changes in the pattern of sleep experienced by women along different stages of their life cycle (fertile period, menstruation, pregnancy, menopause and postmenopause), as well as the most frequent sleeping pathologies in which there exist more gender differences (insomnia, obstructive sleep apnea syndrome, restless legs syndrome and narcolepsy). Development. About normal sleeping has been reported a higher quality of it, in women compared with men (increased sleeping time, reduced sleep onset latency, and a greater efficiency of sleeping), but they frequently complain of sleep problems. Moreover, different stages in the life of women are associated with significant physiological and hormonal changes that favour the disruption of normal sleep pattern and by this way, possibly, increase risk to suffer sleep disorders. Conclusions. The reasons that underlie in gender differences in sleeping disorders are attributed to differences in normal sleep pattern, in the clinical manifestations and risk factors for sleep disorders, and in the results and optimal dose of treatments (AU)


Subject(s)
Humans , Female , Sleep Wake Disorders/epidemiology , Sleep Apnea, Obstructive/epidemiology , Restless Legs Syndrome/epidemiology , Age and Sex Distribution , Risk Factors , Sleep Initiation and Maintenance Disorders/epidemiology , Narcolepsy/epidemiology , Disorders of Excessive Somnolence/epidemiology , Estrogens
12.
Rev Neurol ; 49(7): 376-82, 2009.
Article in Spanish | MEDLINE | ID: mdl-19774533

ABSTRACT

INTRODUCTION: There is a strong link between female sex hormones and sleep. This implies the existence of sex differences both in the structure of sleep as in the incidence of various sleep disorders. AIM: To review the changes in the pattern of sleep experienced by women along different stages of their life cycle (fertile period, menstruation, pregnancy, menopause and postmenopause), as well as the most frequent sleeping pathologies in which there exist more gender differences (insomnia, obstructive sleep apnea syndrome, restless legs syndrome and narcolepsy). DEVELOPMENT: About normal sleeping has been reported a higher quality of it, in women compared with men (increased sleeping time, reduced sleep onset latency, and a greater efficiency of sleeping), but they frequently complain of sleep problems. Moreover, different stages in the life of women are associated with significant physiological and hormonal changes that favour the disruption of normal sleep pattern and by this way, possibly, increase risk to suffer sleep disorders. CONCLUSIONS: The reasons that underlie in gender differences in sleeping disorders are attributed to differences in normal sleep pattern, in the clinical manifestations and risk factors for sleep disorders, and in the results and optimal dose of treatments.


Subject(s)
Sex Characteristics , Sleep Wake Disorders/physiopathology , Sleep/physiology , Female , Gonadal Steroid Hormones/metabolism , Humans , Menopause/physiology , Menstrual Cycle/physiology , Sleep Wake Disorders/classification
13.
Neurologia ; 24(3): 177-80, 2009 Apr.
Article in Spanish | MEDLINE | ID: mdl-19418294

ABSTRACT

INTRODUCTION: Several epidemiological studies have demonstrated that there is a genetic factor of susceptibility in Multiple Sclerosis (MS) and that the environmental factors play an important important role in their development. Smoking is among the environment factors studied. In fact, several studies have established a relationship between smoking and multiple sclerosis, although most of them did not find significant results or found that these were contradictory. OBJECTIVE: To evaluate the influence of the smoking habit on the risk of suffering MS. METHODS: This was a case-control matched study with 138 patients diagnosed of MS according to the McDonald criteria who were paired with the same number of controls of the same gender, residents in the same city and having the same age +/-2 years. Demographic data, smoking status (never, always smokers, ex-smokers), Kurtzke disability status scale (EDSS) and type of MS were collected. RESULTS: Out of a total of 138 MS patients (93 women, 43 men), 110 had relapsing-remitting MS, 20 secondary progressive MS and 7 primary progressive MS. Most of the patients were smokers and ex-smokers (63%). In the control group, only the 41,3% were smokers/ex-smokers. Moreover, the age of onset for smoking was earlier in the case group. CONCLUSION: Being a smoker/ex-smoker implies a 27% greater risk of developing MS compared to those who have never smoked. This risk is statistically significant for women but not for men due to the low number of them in the sample.


Subject(s)
Multiple Sclerosis , Smoking/adverse effects , Adult , Case-Control Studies , Environment , Female , Genetic Predisposition to Disease , Humans , Male , Middle Aged , Multiple Sclerosis/etiology , Multiple Sclerosis/genetics , Multiple Sclerosis/physiopathology , Risk Factors
14.
Neurología (Barc., Ed. impr.) ; 24(3): 177-180, abr. 2009. ilus, tab
Article in Spanish | IBECS | ID: ibc-62225

ABSTRACT

Introducción. Diversos estudios epidemiológicos demuestranque en la esclerosis múltiple (EM) existe un factor genético de susceptibilidad,así como que los factores ambientales juegan un papelprominente en el desarrollo de la misma. Entre los factores ambientalesestudiados se encuentra el tabaco. De hecho, varios estudiosestablecen relación entre fumar y EM, pero la mayoría de ellos nohallaron resultados significativos o éstos fueron contradictorios.Objetivo. Evaluar la influencia del hábito tabáquico en el riesgode padecer EM.Material y métodos: Estudio caso-control pareado con 138 pacientesdiagnosticados de EM según los criterios de McDonald y el mismonúmero de controles del mismo sexo, residentes en el mismo municipioy la misma edad ±2 años. Se recogieron los datos demográficos, statusde fumar, escala de discapacidad de Kurtzke (EDSS) y tipo de EM.Resultados. De los 138 pacientes (93 mujeres, 43 hombres), 110presentaban EM remitente recurrente, 20 EM secundariamente progresivay 7 EM primariamente progresiva. La mayoría de los pacientesresultaron ser fumadores y exfumadores (63%) frente al (41,3%)de los controles. Asimismo, la edad de inicio en el hábito de fumar fuemás precoz en los casos que en los controles.Conclusión. Ser fumador/exfumador implica un 27% más deriesgo de desarrollar EM frente a los nunca fumadores. Este riesgo esestadísticamente significativo en mujeres y no en varones, probablementedebido al bajo número de los mismos en el total de la muestra (AU)


Introduction. Several epidemiological studies have demonstratedthat there is a genetic factor of susceptibility in MultipleSclerosis (MS) and that the environmental factors play an importantrole in their development. Smoking is among the environmentfactors studied. In fact, several studies have established arelationship between smoking and multiple sclerosis, althoughmost of them did not find significant results or found that thesewere contradictory.Objective. To evaluate the influence of the smoking habit onthe risk of suffering MS.Methods. This was a case-control matched study with 138patients diagnosed of MS according to the McDonald criteria whowere paired with the same number of controls of the same gender,residents in the same city and having the same age ±2 years.Demographic data, smoking status (never, always smokers, exsmokers),Kurtzke disability status scale (EDSS) and type of MSwere collected.Results. Out of a total of 138 MS patients (93 women, 43 men),110 had relapsing-remitting MS, 20 secondary progressive MS and7 primary progressive MS. Most of the patients were smokersand ex-smokers (63%). In the control group, only the 41,3% weresmokers/ex-smokers. Moreover, the age of onset for smoking wasearlier in the case group.Conclusion. Being a smoker/ex-smoker implies a 27% greaterrisk of developing MS compared to those who have neversmoked. This risk is statistically significant for women but not formen due to the low number of them in the sample (AU)


Subject(s)
Humans , Male , Adult , Middle Aged , Smoking/adverse effects , Multiple Sclerosis , Risk Factors , Multiple Sclerosis/etiology , Multiple Sclerosis/genetics , Multiple Sclerosis/physiopathology , Genetic Predisposition to Disease , Environment , Case-Control Studies
15.
An Med Interna ; 25(3): 113-6, 2008 Mar.
Article in Spanish | MEDLINE | ID: mdl-18560677

ABSTRACT

OBJECTIVES: To evaluate the knowledge and skills of nurses on the management of inhaled therapy in different hospitalization wards. MATERIAL AND METHODS: We carried out a cross-sectional study, in which nurses were asked to perform a practical demonstration of the management of a pressurized canister with an inhalation chamber, without previous theoretical instruction about the technique. The inhalation technique was evaluated step by step following the recommendations of the Spanish Society of Pneumologists and Chest Surgeons (SEPAR). RESULTS: We could obtain the participation of 144 of the 177 nurses working in different wards (29 males, 115 females, mean age 42.5 + 7 years). Previous knowledge of the management of inhalers was declared by 85.4%. We found that 70.8% of the nurses did not correctly perform all the steps: 24.5% made only one mistake, while the rest had mistakes in two or more steps. The most common mistakes were: not to perform a slow and deep exhalation before using the inhaler (27.3%), not to hold the breath after the inhalation (24.4%), and not to wait 30 seconds between inhalation manoeuvres (21.5%). When evaluating different wards, we found that 44.4% of the nurses in the Short Stay Unit performed the technique correctly in contrast to 31.3% of the nurses in the Pneumology Ward. CONCLUSIONS: The percentage of mistakes in the inhalation technique by the nursing personnel was high. The health personnel must have an adequate level of training in order to correctly instruct the patient, because the efficacy of inhaled treatment greatly depends on the adequacy of the technique.


Subject(s)
Clinical Competence , Nebulizers and Vaporizers , Nursing , Adult , Cross-Sectional Studies , Female , Humans , Male , Referral and Consultation
16.
An. med. interna (Madr., 1983) ; 25(3): 113-116, mar. 2008. tab
Article in Es | IBECS | ID: ibc-65191

ABSTRACT

Objetivo: valorar los conocimientos y adiestramiento del personal de enfermería con el paciente respiratorio en el manejo de la terapia inhalada en distintas salas de hospitalización.Material y métodos: se diseñó un estudio prospectivo con 144 enfermos/as mediante una encuesta individual en la que se solicitó a cada unode ellos una demostración práctica del manejo del cartucho presurizado con cámara inhalatoria, sin realizar una instrucción teórica previa sobrela técnica. Se revisó la técnica inhalatoria siguiendo los pasos establecidos en la normativa SEPAR.Resultados: participaron 144 de los 177 enfermeros/as (81,4%) que trabajan en las diferentes salas de hospitalización (29 varones, 115 mujeres,edad media 42,5 + 7 años). El 85,4% (123/144) reconocía tener conocimientos previos del manejo de los inhaladores. Tras la demostración práctica se comprobó que el 70,8% de los enfermeros realizaban incorrectamente algún paso de la maniobra inhalatoria; de ellos el 24,5% cometió un sólo error y el resto dos o más. Los errores más frecuentes fueron: no efectuar una espiración lenta y profunda antes de iniciar la inhalación (27,3%), no aguantar la respiración durante 10 segundos (24,4%), y no esperar 30 segundos antes de iniciar la siguiente inhalación (21,5%). Analizando estos resultados por salas de hospitalización, el 44,4% de la Unidad de Corta Estancia efectuaba correctamente la técnica frente al 31,3% en Neumología. Conclusiones: el porcentaje de errores en la técnica de inhalación es elevado por parte del personal de enfermería. Es importante que el personal sanitario posea un grado de conocimientos adecuado para poder instruir adecuadamente al paciente, ya que de ello depende en gran medida la eficacia del tratamiento


Objectives: To evaluate the knowledge and skills of nurses on the management of inhaled therapy in different hospitalization wards. Material and methods: We carried out a cross-sectional study, in which nurses were asked to perform a practical demonstration of the management of a pressurized canister with an inhalation chamber, without previous theoretical instruction about the technique. The inhalation technique was evaluated step by step following the recommendations of the Spanish Society of Pneumologists and Chest Surgeons (SEPAR). Results: We could obtain the participation of 144 of the 177 nurses working in different wards (29 males, 115 females, mean age 42.5 + 7 years). Previous knowledge of the management of inhalers was declared by 85.4%. We found that 70.8% of the nurses did not correctly perform all the steps: 24.5% made only one mistake, while the rest had mistakes in two or more steps. The most common mistakes were: not to perform a slow and deep exhalation before using the inhaler (27.3%), not to hold the breath after the inhalation (24.4%), and not to wait 30 seconds between inhalation manoeuvres (21.5%). When evaluating different wards, we found that 44.4% of the nurses in the Short Stay Unit performed the technique correctly in contrast to 31.3% of the nurses in the Pneumology Ward. Conclusions: The percentage of mistakes in the inhalation technique by the nursing personnel was high. The health personnel must have an adequate level of training in order to correctly instruct the patient, because the efficacy of inhaled treatment greatly depends on the adequacy of the technique


Subject(s)
Humans , Male , Female , Adult , Nebulizers and Vaporizers/trends , Nebulizers and Vaporizers , Health Knowledge, Attitudes, Practice , Oxygen Inhalation Therapy/nursing , Pulmonary Disease, Chronic Obstructive/therapy , Asthma/nursing , Data Collection/methods , Nursing Staff , Nebulizers and Vaporizers/supply & distribution , Prospective Studies , Signs and Symptoms
17.
Aquat Toxicol ; 81(2): 137-43, 2007 Feb 28.
Article in English | MEDLINE | ID: mdl-17196674

ABSTRACT

Metals and polycyclic aromatic hydrocarbons (PAHs) contaminate sediments and waters of coastal areas threatening early stages of invertebrate development. Effects on these stages may largely determine the decline and even disappearance of invertebrate populations in polluted environments. Our study aimed to determine the possible influence of metals (Cu and Cd) and PAHs on larval settlement and consecutive survival of two widespread sponges of the Mediterranean: Crambe crambe and Scopalina lophyropoda. Larvae of both species were exposed to Cu and Cd for a short period during 1 week, and settlement and following (6 months) survival of juvenile were monitored. Short exposures to copper and cadmium at the concentrations used did not affect C. crambe settlement compared with SW control, and no effect on consecutive survival of juveniles was observed. In contrast, short pulses of copper and cadmium at the concentrations used enhanced Scopalina lophyropoda settlement and did not affect the consecutive survival of juveniles with respect to SW controls. Furthermore, experiments designed to assess the effects of short exposures to PAHs and the combined effect of contamination by Cu(2+) and PAHs on larval settlement, were conduced during 10 days on C. crambe larvae. Hydrocarbons, differently than copper and cadmium, inhibited the settlement of sponge larvae to a certain extent. The synergetic negative effect of copper and hydrocarbons on C. crambe settlers may cause a decline of populations in areas with both sources of contamination. The present study provides the only available data on toxicity of copper, cadmium and hydrocarbon toxicants on sponge larval settlement.


Subject(s)
Cadmium/toxicity , Copper/toxicity , Polycyclic Aromatic Hydrocarbons/toxicity , Porifera/drug effects , Water Pollutants, Chemical/toxicity , Animals , Crambe Sponge/drug effects , Larva/drug effects , Mediterranean Sea , Survival Analysis , Time Factors
18.
Environ Pollut ; 141(3): 452-8, 2006 Jun.
Article in English | MEDLINE | ID: mdl-16271813

ABSTRACT

We examined the effects of exposure to copper pollution on the Atlanto-Mediterranean sponge Chondrosia reniformis. We transplanted sponges from an unpolluted control area to a harbour with a moderately high concentration of copper and measured several biological sponge variables. No effect of this habitat was detected on sponge growth, shape, heat-shock protein expression or metal accumulation. However, a decrease in the clearance rate, an increase in the collagen/cell rate (due to a decrease in the cellular components) and a lower survival rate after 4 months of the sponges transplanted to the harbour was observed. We suggest that copper may alter the sponge physiology, by reducing pumping capacity, which may ultimately lead to sponge death. Consequently, copper pollution exerts strong negative effects on this organism.


Subject(s)
Copper/toxicity , Porifera/metabolism , Water Pollutants, Chemical/toxicity , Animals , Blotting, Western , Collagen/analysis , Copper/analysis , Environmental Monitoring/methods , Heat-Shock Proteins/analysis , Mediterranean Sea , Porifera/chemistry , Porifera/drug effects , Toxicity Tests , Water Pollutants, Chemical/analysis
19.
Mar Pollut Bull ; 46(10): 1273-84, 2003 Oct.
Article in English | MEDLINE | ID: mdl-14550340

ABSTRACT

The effect of low levels of pollution on the growth, reproduction output, morphology and survival of adult sponges and settlers of the sponge Crambe crambe were examined. We transplanted sponges from a control area to a contaminated site and measured the main environmental variables (chemical and physical) of both sites during the study period. Except some punctual differences in particulate organic matter, silicates, nitrates, and water motion, most environmental variables in the water were similar at both sites during the study months. Mainly copper, lead and OM concentrations in the sediment, and water motion were significantly higher at the polluted site and may be implicated in the biological effects observed: decrease in the percentage of specimens with embryos, increase in shape irregularity and decrease in growth rate. Individuals naturally occurring at the polluted site and those transplanted there for four months accumulated ten times more copper than either untouched or transplant controls. Although lead concentration in sediment did not differ between sites, native specimens from the contaminated site accumulated this metal more than untouched controls. Vanadium concentration also tended to increase in the sponges living at or transplanted to the contaminated site but this difference was not significant. C. crambe is a reliable indicator of metal contamination since it accumulates copper, lead and vanadium in high amounts. At the contaminated site, sponge growth, fecundity and survival were inhibited, whereas sponge irregularity ending in sponge fission was promoted. All these effects may compromise the structure and dynamics of the sponge populations in sheltered, metal-contaminated habitats.


Subject(s)
Geologic Sediments/analysis , Metals, Heavy/toxicity , Porifera/drug effects , Porifera/physiology , Animals , Mediterranean Sea , Reproduction/drug effects , Water Pollution, Chemical
20.
Environ Toxicol Chem ; 20(11): 2588-93, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11699786

ABSTRACT

Crambe crambe is a toxic Mediterranean sponge that inhabits the sublittoral rocky bottoms, including some contaminated habitats. We investigated whether contamination by copper induced stress proteins in C. crambe and whether such stress might alter the production of chemical defenses. The monoclonal antibody used cross-reacted with two heat shock proteins (HSP) of 54 and 72 kDa. Both proteins were induced to a greater or lesser extent by copper contamination. The HSP54 accumulated more than HSP72, which, in contrast, appeared to respond faster and be less persistent. In a field experiment, we found a higher accumulation of HSP54 in individuals naturally inhabiting a copper-contaminated site than in those transplanted to this site four months earlier. In contrast, HSP72 was significantly induced only in the individuals transplanted to the contaminated site. In the laboratory, both proteins were induced by copper at 30 microg/L but inhibited at 100 microg/L. The highest mean values of HSP54 and HSP72 corresponded to the sponges, which showed the lowest mean values of toxicity. Thus, toxicity and production of HSP displayed opposite trends, which seems to indicate a preferential investment in cell repair at the expense of toxic molecules under stress conditions.


Subject(s)
Copper/adverse effects , Heat-Shock Proteins/biosynthesis , Porifera/physiology , Water Pollutants/adverse effects , Adaptation, Physiological , Animals , Dose-Response Relationship, Drug , Environment
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