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1.
Chemosphere ; 209: 480-488, 2018 Oct.
Article in English | MEDLINE | ID: mdl-29940531

ABSTRACT

There is significant current interest in the application of magnetic (magnetite or maghemite) nanoparticles functionalised with chelating agents for the environmental remediation of metal contaminated waters and solutions. Whilst there is a body of knowledge about the potential remediation efficacy of such engineered nanoparticles from studies involving synthetic solutions of single metals, there is relatively little data involving mixed-metal solutions and virtually no studies about nanoparticle performance in chemically complex environmental solutions representing those to which a scaled-up nanoremediation process might eventually be applied. Therefore, we investigated the ability of diethylenetriaminepentaacetic acid (DTPA)-functionalised, silica-coated maghemite nanoparticles to extract potentially toxic (Cd, Co, Cu) and "non-toxic" (Ca, Mg) metals from solution (initial [metal] = 10 mg L-1; pH range: 2-8) and to extract a wider range of elements (As, Ca, Cd, Co, Cr, Cu, Mg, Na, Pb, Zn) from leachate obtained from 10 different contaminated soils with variable initial pH, (semi-)metal and dissolved organic carbon (DOC) concentrations. The functionalised nanoparticles could extract the potentially toxic metals with high efficiency (in general >70%) from single metal solutions and with efficiencies that were either unaffected or reduced from the soil leachates. Kd values remained high (>500 L kg-1), even for the soil leachate extractions. Our findings show that DOC and relatively high concentrations of non-toxic elements do not necessarily reduce the efficiency of metal contaminant removal by DTPA-functionalised magnetic nanoparticles and thus demonstrate the remediation potential of such particles when added to chemically complex soil-derived contaminated solutions.


Subject(s)
Environmental Restoration and Remediation , Magnetite Nanoparticles/chemistry , Metals, Heavy/isolation & purification , Pentetic Acid/chemistry , Soil Pollutants/chemistry , Soil/chemistry , Soil Pollutants/analysis
2.
Chemosphere ; 183: 519-527, 2017 Sep.
Article in English | MEDLINE | ID: mdl-28570895

ABSTRACT

The ability of diethylenetriaminepentaacetic acid (DTPA)-functionalised, silica-coated magnetic nanoparticles to adsorb Pb and Zn from single and bi-metallic metal solutions and from solutions containing dissolved organic carbon was assessed. In all experiments 10 mL solutions containing 10 mg of nanoparticles were used. For single metal solutions (10 mg L-1 Pb or Zn) at pH 2 to 8, extraction efficiencies were typically >70%. In bi-metallic experiments, examining the effect of a background of either Zn or Pb (0.025 mmol L-1) on the adsorption of variable concentrations (0-0.045 mmol L-1) of the other metal (Pb or Zn, respectively) adsorption was well modelled by linear isotherms (R2 > 0.60; p ≤ 0.001) and Pb was preferentially adsorbed relative to Zn. In dissolved organic carbon experiments, the presence of fulvic acid (0, 2.1 and 21 mg DOC L-1) reduced Pb and Zn adsorption from 0.01, 0.1 and 1.0 mmol L-1 solutions. However, even at 21 mg DOC L-1 fulvic acid, extraction efficiencies from 0.01 to 0.1 mmol L-1 solutions remained >80% (Pb) and >50% (Zn). Decreases in extraction efficiency were significant between initial metal concentrations of 0.1 and 1.0 mmol L-1 indicating that at metal loadings between c. 100 mg kg-1 and 300 mg kg-1 occupancy of adsorption sites began to limit further adsorption. The nanoparticles have the potential to perform effectively as metal adsorbents in systems containing more than one metal and dissolved organic carbon at a range of pH values.


Subject(s)
Benzopyrans/chemistry , Environmental Pollutants/analysis , Lead/analysis , Magnetite Nanoparticles/chemistry , Pentetic Acid/chemistry , Silicon Dioxide/chemistry , Zinc/analysis , Adsorption , Humic Substances , Hydrogen-Ion Concentration , Models, Theoretical , Solutions , Surface Properties
3.
Org Biomol Chem ; 14(9): 2731-41, 2016 Mar 07.
Article in English | MEDLINE | ID: mdl-26846582

ABSTRACT

The reaction of geraniol with different lithium carbenoids generated from n-BuLi and the corresponding dihaloalkane has been evaluated. The reaction occurs in a chemo and stereoselective manner, which is consistent with a directing effect from the oxygen of the allylic moiety. Furthermore, a set of polyenes containing allylic hydroxyl or ether groups were chemoselectively and stereoselectively converted into the corresponding gem-dimethylcyclopropanes in one single step in moderate to good yields mediated by a lithium carbenoid generated in situ by the reaction of n-BuLi and 2,2-dibromopropane.


Subject(s)
Cyclopropanes/chemical synthesis , Lithium/chemistry , Methane/analogs & derivatives , Propanols/chemistry , Cyclopropanes/chemistry , Methane/chemistry , Molecular Structure , Stereoisomerism
4.
Sci Total Environ ; 466-467: 564-76, 2014 Jan 01.
Article in English | MEDLINE | ID: mdl-23955250

ABSTRACT

In blubber of ringed seals (Phoca hispida) from Ulukhaktok, NT, residues of DDT, other organochlorine pesticides, and PCBs declined between 1972 and 2010. The rate of decline varied: concentrations of the DDT-group began to fall after 1981, whereas those of PCBs fell rapidly between 1972 and 1981, and then slowed. Concentrations of cis- and trans-chlordane and of HCB in both sexes, and of cis-nonachlor in males, declined slowly between 1978 and 2010; those of other organochlorine pesticides remained steady. Exponential half-lives of p,p'-DDT and p,p'-DDE in female seals are about 9 and 36 y (corresponding to initial declines of 7.8% and 1.9% per year, respectively) and those of PCB congeners from about 20 to 60 y (declines of 3.2% to <1.5% per year); the more refractory residues may be detectable for centuries to come. Exploratory PCA of PCB congener distribution identified temporal changes apparently not related to molecular structure.


Subject(s)
Environmental Exposure , Hydrocarbons, Chlorinated/metabolism , Phoca/metabolism , Water Pollutants, Chemical/metabolism , Adipose Tissue/chemistry , Animals , Arctic Regions , Chromatography, Gas , Environmental Monitoring , Female , Insecticides/metabolism , Male , Northwest Territories , Polychlorinated Biphenyls/metabolism , Seasons
5.
J Control Release ; 166(2): 95-105, 2013 Mar 10.
Article in English | MEDLINE | ID: mdl-23220107

ABSTRACT

Dendritic cells (DCs) play crucial roles in initiating and promoting immune defences, providing a pivotal target for vaccines. Although nanoparticle/nanogel-based delivery vehicles are showing potential for delivering vaccines to the immune system, there is little information on their characteristics of interaction with DCs. While particle uptake by DCs has been shown, the mechanism of cell targeting has not been studied. Moreover, it is still unclear how particle surface decoration influences the handling of such vaccines by DCs. Accordingly, chitosan nanogels carrying a model antigen, ovalbumin (ova), were analysed for interaction with and processing by DCs. Nanogel surfaces decorated with alginate (alg) or mannosylated alginate (alg-man), were used for targeting particular DC receptors. DC uptake of particles was observed, being dependent on endosomal-based processes. Inhibiting PI3-kinase or lipid raft activities impaired the uptake, which was only reduced, indicating the involvement of more than one endocytic pathway; notably, this was observed with both nanogel-delivered or free ova. Importantly, surface decoration of particles was less influential on particle uptake, contrasting with the ova cargo which played the major role. Such influence of the vaccine cargo has to date been largely ignored. When receptors interacting directly with ova were blocked, this altered the uptake of alg-nanogels and alg-man-nanogels carrying ova. The nanogels did have an influential role, in that modulation of DC functional activity owed more to the nanogel structure. Using an in vitro restimulation assay with ova-specific lymphocytes, nanogel-delivered and free ova were similarly effective at inducing specific antibody. Nanogel-delivered ova with mannose surface decoration was superior to free ova for inducing interferon-γ production by T-lymphocytes. Together, the data demonstrates that particle-based vaccine delivery should consider the influences of both the surface decoration and the vaccine cargo; each can influence different aspects of the interaction with DCs. Such combined influences are likely to impinge on the characteristics of the immune response induced.


Subject(s)
Dendritic Cells/immunology , Polyethylene Glycols , Polyethyleneimine , Vaccines/administration & dosage , Alginates , Animals , Apoptosis/drug effects , B-Lymphocytes/drug effects , B-Lymphocytes/immunology , Chemistry, Pharmaceutical , Dendritic Cells/metabolism , Drug Delivery Systems , Drug Design , Excipients , Interferon-gamma/pharmacology , Mannose , Microscopy, Fluorescence , Nanogels , Nanoparticles , Surface Properties , Swine , T-Lymphocytes/drug effects , T-Lymphocytes/immunology , Viscosity
6.
Environ Sci Technol ; 46(8): 4427-33, 2012 Apr 17.
Article in English | MEDLINE | ID: mdl-22428683

ABSTRACT

The association between changing sea ice conditions and contaminant exposure to Arctic animals interests Inuvialuit harvesters, communities, and researchers. We examined organochlorine contaminant (OC) concentrations in the blubber of 90 male adult ringed seals (Phoca hispida) sampled from the subsistence harvest in Ulukhaktok (formerly Holman), NT, Canada, just prior to break-up of the sea ice (1993-2008). OC blubber concentrations were assessed with respect to year and sea ice break-up date. HCB and age- and blubber-adjusted concentrations of p,p'-DDT and ΣCHB (chlorobornane) significantly decreased over the study period. With respect to the timing of the spring break-up, highly lipophlic OCs, such as p,p'-DDE and PCB 153, were higher during years of early ice clearing (at least 12 days earlier than the mean annual break-up date), whereas no trends were observed for α, ß, and γ isomers of HCH, trans- and cis-chlordane, oxychlordane, or ΣCHB. The higher contaminant concentrations found in earlier break-up years is likely due to earlier and/or increased foraging opportunities. This situation also has potential for enhancing bioaccumulation and biomagnification of contaminants over the long-term if projected changes continue to result in lighter and earlier ice conditions.


Subject(s)
Hydrocarbons, Chlorinated/analysis , Ice Cover , Phoca , Water Pollutants, Chemical/analysis , Adipose Tissue/chemistry , Animals , Arctic Regions , Canada , Environmental Monitoring , Male
7.
Parasite Immunol ; 33(2): 81-94, 2011 Feb.
Article in English | MEDLINE | ID: mdl-21226721

ABSTRACT

The effects of nanogel encapsulation of recombinant NcPDI (recNcPDI) following vaccination of mice by intranasal or intraperitoneal routes and challenge infection with Neospora caninum tachyzoites were investigated. Nanogels were chitosan based, with an alginate or alginate-mannose surface. None of the mice receiving recNcPDI intraperitoneal (i.p.) (without nanogels) survived, whereas intranasal (i.n.) application protected 9 of 10 mice from disease. Association of recNcPDI with nanogels improved survival of i.p. vaccinated mice, but nanogels without recNcPDI gave similar protection levels. When nanogels were inoculated via the i.n. route, 80% of the mice were protected. Association of recNcPDI with the alginate-coated nanogels protected all mice against disease. Quantification of the cerebral parasite burden showed a significant reduction of parasite numbers in most experimental groups vaccinated i.n., except those vaccinated with alginate-mannose nanogels with or without recNcPDI. For i.p. vaccinated groups, no significant differences in cerebral infection densities were measured, but there was a reduction in the groups vaccinated with recNcPDI associated with both types of nanogels. Analysis of the immune responses of infected mice indicated that association of recNcPDI with nanogels altered the patterns of cytokine mRNA expression profiles, but had no major impact on the antibody subtype responses. Nevertheless, this did not necessarily relate to the protection.


Subject(s)
Chitosan/administration & dosage , Coccidiosis/prevention & control , Drug Carriers/administration & dosage , Neospora/immunology , Polyethylene Glycols/administration & dosage , Polyethyleneimine/administration & dosage , Protein Disulfide-Isomerases/immunology , Protozoan Vaccines/immunology , Administration, Intranasal , Animals , Brain/parasitology , Coccidiosis/immunology , Disease Models, Animal , Female , Injections, Intraperitoneal , Mice , Mice, Inbred BALB C , Nanogels , Neospora/enzymology , Protein Disulfide-Isomerases/administration & dosage , Protozoan Vaccines/administration & dosage , Survival Analysis , Vaccination/methods , Vaccines, Synthetic/administration & dosage , Vaccines, Synthetic/immunology
9.
Environ Sci Technol ; 43(10): 3646-51, 2009 May 15.
Article in English | MEDLINE | ID: mdl-19544867

ABSTRACT

We examined a unique time series of ringed seal (Phoca hispida) samples collected from a single location in the western Canadian Arctic between 1973 and 2007 to test for changes in total mercury (THg) in muscle tissue associated with (1) year and (2) length of ice-free season. We found no temporal trend with muscle THg whereas a curvilinear relationship existed with the length of ice-free season: seals attaimed higher THg in short (2 months) and long (5 months) ice-free seasons. delta 15N and delta13C in muscle tissue did not illustrate significant trends with ice-free days. We estimated that the turnover time of THg in muscle was about twice as long as stable isotope turnover in muscle, possibly explaining the lack of trend with stable isotopes in association with ice-free duration. Our discussion explains how summer environmental conditions may influence the composition of prey (mercury exposure) available to ringed seals. Results offer insight into how marine mammals may respond to directional changes in the Arctic ice-free season.


Subject(s)
Environmental Monitoring , Ice , Mercury/analysis , Phoca/metabolism , Seasons , Animals , Arctic Regions , Canada , Ecosystem , Female , Geography , Ice Cover , Least-Squares Analysis , Male , Muscles/metabolism , Regression Analysis , Time Factors
10.
Sci Total Environ ; 407(18): 5139-46, 2009 Sep 01.
Article in English | MEDLINE | ID: mdl-19560798

ABSTRACT

Trends in alpha-, beta-, and gamma-hexachlorocyclohexane (HCH) concentrations were examined in blubber lipid of ringed seals (Phoca hispida) from Ulukhaktok (Holman), NT (Canada) sampled at intervals between 1978 and 2006. alpha-HCH usually represented approximately 90% of the total HCH isomers. alpha-HCH and gamma-HCH concentrations showed no change over the sampling interval, but beta-HCH concentrations increased significantly, about 8-10-fold in females and 4-5-fold in males. Residue concentrations showed no dependence on age. Concentrations (all data as ng/g lipid, GM (range)) of alpha-HCH were significantly higher (P<0.001 by t-test) in males (217 (93.9-517), n=37) than those in females (138 (40.9-402), n=38). beta-HCH concentrations did not differ between the sexes. Concentrations of gamma-HCH were significantly higher (P<0.05) in males (6.74 (0-46.7)) than in females (4.35 (0-19.0)). Although global emissions of both alpha-HCH and beta-HCH have declined since the early 1980's, the "signal" of HCH emission changes has not yet resulted in a "response" in ringed seal residue concentrations. In the light of our current understanding of the dynamics of HCH in the Arctic, we conclude that any such response may not be detected by retrospective analyses of the sort describe here at least for another decade or so, because of the longevity of the seals.


Subject(s)
Hexachlorocyclohexane/analysis , Animals , Arctic Regions , Female , Male , Seals, Earless
11.
Sci Total Environ ; 351-352: 344-68, 2005 Dec 01.
Article in English | MEDLINE | ID: mdl-16154619

ABSTRACT

Organochlorine pesticides and PCBs were analysed in blubber from beluga (Delphinapterus leucas), or white whales, collected at 15 sites in the Canadian Arctic between 1993 and 2001. The objective of the study was to define and interpret the spatial trends of major organic contaminants in northern beluga in terms of sources and transport pathways, and the biological factors influencing accumulation. When compared on a lipid weight basis, the concentrations of beta-HCH, cis-CHL and SigmaCHL, cis-nonachlor, heptachlor epoxide and p,p'-DDT were significantly higher in males than females at all five sites in the eastern Arctic where the two sexes were harvested. The differences were attributed to losses from the females during fetal development and lactation as reported in previous studies. Major compounds increased with age in males at most sites, however the lack of a significant increase with age at some sites was in part due to high organochlorine concentrations in young year classes (2-5 years), particularly at eastern sites such as Iqaluit and Pangnirtung. Lower concentrations of SigmaHCH and SigmaDDT compounds in young males in 2001 relative to 1995 at Hendrickson Island could be due to declining levels in the environment, changes in the diet, or differences in organochlorine loads transferred from the female after birth. Age-corrected least square mean concentrations in males showed significantly higher levels of many compounds, such as p,p'-DDE and SigmaCHB, at south Baffin Island sites than those in the west. Two notable exceptions were HCBz and beta-HCH which were higher in the west. Methoxyclor was detected in males at Sanikiluaq (58 ng g-1) and in both sexes at Kimmirut, but at no other sites. Principal component analysis grouped the 16 sites into five major groupings based on the similarity of normalised organochlorine pesticide and PCB levels. Sites from the western Arctic were grouped by higher proportions of HCBz, beta-HCH and gamma-HCH and higher chlorinated PCBs. Endosulfan and alpha-HCH comprised a larger proportion of total organochlorine residues in the northern Hudson Bay sites, while methoxychlor, chlordane compounds and octachlorobiphenyls were enriched at Sanikiluaq in eastern Hudson Bay. The analysis showed that the relative amounts of several key compounds are similar in the beluga stocks over large spatial areas (i.e. eastern versus western sites), however, some stocks have distinct fingerprints which can be used to differentiate them from adjacent stocks. Ratios of major HCH isomers largely corresponded with air and surface water measurements conducted during the 1990s, but low alpha-/beta- and alpha-/gamma-HCH ratios in all three western Arctic collections indicate rapid losses of the alpha-isomer from the food web, proportionately higher beta- and gamma-isomers in the Beaufort Sea, or a combination of the two processes. Chlordane residue patterns generally correspond to those from previous studies, however, interpretation of spatial trends are difficult due to the aging of the probable sources in the south, possible atmospheric input from new sources and complex transport pathways.


Subject(s)
Beluga Whale , Hydrocarbons, Chlorinated/analysis , Water Pollutants, Chemical/analysis , Adipose Tissue/chemistry , Animals , Arctic Regions , Canada , Environmental Monitoring , Female , Male , Pesticides/analysis , Principal Component Analysis
12.
Sci Total Environ ; 351-352: 391-412, 2005 Dec 01.
Article in English | MEDLINE | ID: mdl-16055166

ABSTRACT

Beluga whales have been hunted for food by Native People in the Canadian Arctic since prehistoric time. Here we report the results of analyses of total mercury in samples of liver, kidney, muscle and muktuk from collections over the period 1981-2002. We compare these results with human consumption guidelines and examine temporal and geographic variation. Liver has been analyzed more frequently than other organs and it has been used as the indicator organ. Mercury accumulates in the liver of the whales over time so that the whale ages are usually linked statistically to their levels of mercury in liver. Virtually all the samples of 566 animals analyzed contained mercury in liver at concentrations higher than the Canadian consumption guideline of 0.5 microg g-1 (wet weight) for fish. (There is no regulatory guideline for concentrations in marine mammals in Canada.) Samples from locations in the Mackenzie Delta in the western Canadian Arctic and from Pangnirtung in the eastern Canadian Arctic were obtained more often than from other location and these offered the best chances to determine whether levels have changed over time. Statistical outlier points were removed and the regressions of (ln) mercury in liver on age were used to calculate the level of mercury in whales of age 13.1 years in order to compare age-adjusted levels at different locations. These age-adjusted levels and also the slopes of regressions suggested that levels have increased in the Mackenzie Delta over the sampling period although not in a simple linear fashion. Other locations had fewer collections, generally spread over fewer years. Some of them indicated differences between sampling times but we could not establish whether these differences were simply temporal variation or whether they were segments of a consistent trend. For example, the levels in whales from Arviat were considerably higher in 1999 than in 1984 but we have only two samples. Similarly, samples from Iqaluit in 1994 exceeded considerably those in 1993 and the interval seems too short to reflect any regional temporal trend and more likely represent an extreme case of year-to-year variation. Previous analyses of data from geographically distinct groups had suggested that whales in the western Canadian Arctic had higher levels of mercury than those from the eastern Canadian Arctic. The present analysis suggests that such regional differences have diminished and are no longer statistically significant. No site has indicated significant decreases in more recent samples. The levels of total mercury in the most analyzed organs fell in the order of liver (highest levels), kidney, muscle and muktuk (lowest level). While muktuk had the lowest level of the organs most frequently analyzed, it is the preferred food item from these whales and it still exceeded the consumption guideline in most instances.


Subject(s)
Beluga Whale/metabolism , Food Contamination , Mercury/metabolism , Water Pollutants, Chemical/metabolism , Animals , Arctic Regions , Canada , Environmental Monitoring , Female , Humans , Kidney/chemistry , Kidney/metabolism , Liver/chemistry , Liver/metabolism , Male , Mercury/analysis , Muscles/chemistry , Muscles/metabolism , Selenium/analysis , Skin/chemistry , Skin/metabolism , Tissue Distribution , Water Pollutants, Chemical/analysis
13.
Carbohydr Res ; 332(2): 157-66, 2001 May 18.
Article in English | MEDLINE | ID: mdl-11434373

ABSTRACT

The regioselective C-3-O-acylation and O-methylation of a range of 4,6-O-benzylidene-beta-D-gluco- and galactopyranosides has been studied. Regioselectivity is achieved by forming the copper chelate of the 2,3-diol using either sodium hydride and copper(II) chloride, or copper(II) acetylacetanoate, or copper(II) acetate, prior to introduction of the acylating or methylating agent.


Subject(s)
Galactose/analogs & derivatives , Glucose/chemical synthesis , Acylation , Alkylation , Chelating Agents/chemistry , Chromatography, Thin Layer , Copper/chemistry , Galactose/chemical synthesis , Galactose/chemistry , Glucose/analogs & derivatives , Glucose/chemistry , Methylation , Nuclear Magnetic Resonance, Biomolecular , Organometallic Compounds/chemistry , Structure-Activity Relationship
14.
Equine Vet J ; 33(7): 707-13, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11770994

ABSTRACT

We postulated that all horses exposed to the bites of Culcoides (midges) would have an antibody response to the antigen secreted in Culcoides saliva, but that IgE antibody would be restricted to allergic individuals. Using immunohistology on sections of fixed Culicoides, we have demonstrated the presence of antibodies in horse serum which recognise Culicoides salivary glands. Antibodies were detected in the serum of horses with insect dermal hypersensitivity and in the serum of normal horses exposed to Culicoides bites. In contrast, no antibodies were detected in serum from native Icelandic ponies which had not been exposed to Culicoides. Anti-salivary gland IgG antibodies were detected in serum from both allergic and healthy horses exposed to Culicoides. IgE antibodies were only detected in horses with signs of insect dermal hypersensitivity, they were not found in serum of healthy controls nor in the serum of horses with a history of hypersensitivity but in remission at the time of sampling. Using western blotting we confirmed the presence of antibodies to Culicoides antigens and demonstrated that individual horses react to different numbers of antigens. This paper demonstrates the ability of serum from allergic horses to detect Culcoides antigens and will enable further studies to isolate and characterise the allergens.


Subject(s)
Ceratopogonidae/immunology , Dermatitis/veterinary , Horse Diseases/immunology , Hypersensitivity/veterinary , Immunoglobulin E/blood , Immunoglobulin G/blood , Insect Bites and Stings/veterinary , Animals , Blotting, Western/veterinary , Dermatitis/etiology , Dermatitis/immunology , Horse Diseases/etiology , Horses , Immunohistochemistry/veterinary , Insect Bites and Stings/immunology , Salivary Glands/immunology
15.
IDrugs ; 4(3): 283-5, 2001 Mar.
Article in English | MEDLINE | ID: mdl-16025385
16.
Nephrol Nurs J ; 28(3): 346-7, 2001 Jun.
Article in English | MEDLINE | ID: mdl-12143457

ABSTRACT

Screening for the presence of APL for hemodialysis dependent individuals is yet another critical link where medical and nursing interventions will prolong vascular access survival and decrease morbidity. Because of the continuity they provide, hemodialysis nurses and advanced practice nurses are in excellent positions to identify individuals with persistent vascular thrombosis and make recommendations for further screening.


Subject(s)
Antiphospholipid Syndrome/complications , Arteriovenous Shunt, Surgical/adverse effects , Kidney Failure, Chronic/complications , Thrombosis/etiology , Antiphospholipid Syndrome/blood , Antiphospholipid Syndrome/diagnosis , Arteriovenous Shunt, Surgical/nursing , Causality , Female , Humans , Kidney Failure, Chronic/therapy , Mass Screening/methods , Middle Aged , Recurrence , Renal Dialysis/instrumentation , Renal Dialysis/nursing
17.
CANNT J ; 10(4): 32-7, 2000.
Article in English | MEDLINE | ID: mdl-15709338

ABSTRACT

In 1997, a nursing care model task group was formed to develop a framework to guide the development of the nursing care delivery system in a newly merged hospital corporation. A collective group of experienced and motivated nurses in the renal program met to develop an integrated renal nursing professional practice model. In addition it was recognized that a city-wide model involving the two acute care renal centres would be advantageous. The challenge was to clearly articulate the professional roles and relationships of nurses and nurse practitioner/clinical nurse specialists in a constantly changing environment. This process provided the opportunity to identify key trends influencing renal care and possibilities for changing practice. Networking across the corporations was enhanced, partnerships were formed, and a sense of value for the work that was being undertaken developed. The group's endeavours resulted in an integrated nursing professional practice model that emphasizes accountability and continuity and places value on therapeutic relationships. Another strength of the model is the acknowledgement of the collaborative nature of the multidisciplinary team. After two years of development, the model was implemented. A city-wide Renal Nursing Professional Practice Council has been established in order to provide leadership in evaluating the model. This will include assessing the success of implementation, impact on patient/family care, and collaborative rewards experienced by staff. Future planning will address the potential need for a multidisciplinary focus within the practice council.


Subject(s)
Kidney Diseases/nursing , Models, Nursing , Nurse Clinicians/organization & administration , Specialties, Nursing/organization & administration , Attitude of Health Personnel , Communication , Cooperative Behavior , Forecasting , Humans , Interprofessional Relations , Leadership , Nephrology , Nurse's Role , Nursing Evaluation Research , Nursing Methodology Research , Nursing Process , Outcome and Process Assessment, Health Care , Patient Care Team/organization & administration , Philosophy, Nursing , Professional Autonomy , Professional Practice , Qualitative Research
18.
CANNT J ; 10(4): 38-42, 2000.
Article in English | MEDLINE | ID: mdl-15709339

ABSTRACT

The purpose of this paper is to report the results of a descriptive study undertaken to examine the scope of practice of five Masters-prepared nephrology nurse practitioner/clinical nurse specialists (NP/CNS) in a mid-size university teaching hospital program. Four of the NP/CNSs practised in three acute care sites, and one in the regional dialysis program. Impetus for the study came from two sources. First, a sixth person practising in the role was retiring and was not to be replaced. Second, the current three-site model for acute care was being transformed into a two-site model, thus creating opportunities to reduce variability in practice among the NP/CNSs. The study examined the activities of the NP/CNS role through the completion of a time documentation tool (TDT) by five nurse practitioners on each of 10 consecutive days of practice. The TDT was adapted from Ackerman's Model of Advanced Practice (1996). The model outlines five domains of practice for advanced practice nurses (APN): direct comprehensive care, support of systems, research, education, and publication and professional leadership. The NP/CNSs spent an average of 9.21 hours at work daily with a range of 8.6 to 10.3 hours. The TDT captured an average of 8.6 hours of working time with a range of 7.3 to 9.9 hours. An average of 72% of time was spent in clinical practice (range 64-83%). An average of 16% (range 11-20%) of time was spent in support of systems. Research (average 4%, range 3-7%), education (average 6%, range 3-16%), and publication and professional leadership (average 2%, range 0-6%) figured less prominently. The major activities performed within the clinical practice domain and the support of systems domain showed less variability across sites than was anticipated. The results of the study have helped the NP/CNSs and their management colleagues analyze and adapt the role to changing clinical requirements and economic realities.


Subject(s)
Nephrology , Nurse Clinicians/organization & administration , Nurse Practitioners/organization & administration , Nurse's Role , Cooperative Behavior , Education, Nursing, Continuing , Education, Nursing, Graduate , Hospitals, University , Humans , Interprofessional Relations , Job Description , Leadership , Models, Nursing , Nurse Clinicians/education , Nurse Practitioners/education , Nursing Evaluation Research , Nursing Research , Nursing Staff, Hospital/education , Patient Education as Topic , Publishing , Renal Dialysis/nursing , Time and Motion Studies
19.
J Am Optom Assoc ; 70(4): 240-4, 1999 Apr.
Article in English | MEDLINE | ID: mdl-10457700

ABSTRACT

BACKGROUND: Automated perimeters (in general) are similar; however, caution may be exercised when visual field results from two different instruments are compared. The purpose of this study was to compare threshold measurements in the central field between the Synemed (Optifield 1) Glaucoma Test and the Humphrey 30-2 test in a young patient population. METHODS: One hundred twenty subjects were tested. The subjects were selected according to specific criteria considering ocular and systemic disease and refractive error. The ages ranged from 15 to 35 years, with a mean age of 25.9 years. The central 30 glaucoma test was used with the Synemed instrument, and the 30-2 test was used with the Humphrey instrument. Mean threshold values for the entire field, hemifields, quadrants, and sectors were compared between instruments. RESULTS: The difference in the mean value for the collective threshold values for each pattern for each instrument were calculated and compared. The difference between the instruments for the mean dB threshold value for each pattern was less than the expected short-term fluctuation and therefore are equivalent for clinical purposes. CONCLUSION: For the patterns examined here, the Synemed Optifield 1 and Humphrey Field Analyzer provided comparable results in this population.


Subject(s)
Glaucoma/diagnosis , Visual Field Tests/methods , Visual Fields , Adolescent , Adult , Electronic Data Processing , Humans , Prospective Studies , Sensitivity and Specificity
20.
ANNA J ; 26(1): 17-21; discussion 22-3, 1999 Feb.
Article in English | MEDLINE | ID: mdl-10222853

ABSTRACT

The purpose of this study, which used a descriptive qualitative design, was to describe adolescents' experiences of the treatment regimen that follows renal transplantation in order to gain a better understanding of their experience. Five adolescents each participated in one in-depth, semistructured interview. Participants were asked to speak about the requirements of the recommended regimen related to medications, blood pressure and fluid monitoring, and diet and activity restrictions. The interviews were analyzed using Giorgi's data analysis method. The following overarching theme was identified: Weighing risks and taking chances. The consequences of the regimen and adhering or nonadhering to it were evident in the physiological, social, and psychological domains. Following the initial period, the adolescents were more selective in their adherence to the regimen, based on their perceptions of the risks involved in modifying the regimen. The modifications made to the posttransplantation regimen, which at times placed the adolescents' health at risk, were influenced by how the regimen interfered with their daily routines, such as school, leisure activities, and peer reactions as well as changes in their self-concept and self-image.


Subject(s)
Attitude to Health , Kidney Failure, Chronic/psychology , Kidney Transplantation/psychology , Postoperative Care/psychology , Psychology, Adolescent , Adolescent , Female , Humans , Kidney Failure, Chronic/surgery , Male , Nursing Methodology Research , Risk-Taking , Surveys and Questionnaires
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