No description available.

Syftet var att beskriva förekomst av risk för eller undernäring samt vanligast insatta och typ av förebyggande åtgärder bland personer i särskilt boende samt att undersöka om det fanns skillnader i förekomst av risk för eller undernäring hos personer med neuropsykologiska problem jämfört med personer utan sådana problem. Studien hade en beskrivande och jämförande design med kvantitativ ansats. Datat inhämtades från kvalitetsregistret Senior alert. Deltagarna i studien utgjordes av 341 personer från en kommun i Mellansverige. Resultatet visade att 41,9 % hade risk för eller var undernärda enligt MNA-SF. BMI <22 poäng hade 23,5 %. Under de senaste tre månaderna hade 21,5 % gått ner i vikt, 12,3 % hade minskat sitt födointag och neuropsykologiska problem som lätt förvirring/demens hade 49,3% medan 18,8% hade svår förvirring/demens eller depression. Lätt till svår förvirring/demens eller depression medförde signifikant högre risk för att drabbas av undernäring eller att de var undernärda. De vanligaste förebyggande åtgärderna var att skapa en trevlig måltidsmiljö, minska nattfastan, ge mellanmål och berika maten.

No description available.

Accidental spills of hydrocarbons from underground storage tanks or pipelines are a common cause of subsurface contamination. Anthropogenic hydrocarbon contamination of soil is a global issue throughout the industrialised world. In England and Wales alone, 12% of all serious contamination incidents in 2007 were hydrocarbon related. Biodegradation could be in situ process leading to a decrease of benzene concentrations in groundwater. Recently, monitored natural attenuation has become an effective alternative to the more active remediation methods for the in situ treatment of contaminated subsurface environments. The main objective of this study was to examine the possibility of adopting monitored natural attenuation as a remediation technique for the contaminated groundwater aquifer. In this natural attenuation study, the following tasks were conducted bioremediation investigation, biological first-order decay rates, Mann-Kendall Test model and BIOSCREEN model for the contaminated groundwater aquifer. In this study, a full-scale natural bioremediation investigation was conducted at a petroleum hydrocarbon spill site. In this study, The calculated biodegradation capacity (8.261 mg/L) at this site is much higher than the detected concentrations of petroleum-hydrocarbons (3-4 mg/L) within the most contaminated area inside the plume. Thus, natural biodegradation should be able to remove the contaminants effectively. The calculated biological first-order decay rates for benzene were between 1.7¡Ñ10-3-9.0¡Ñ10-4 day-1 respectively. Mann-Kendall test was applied to analyze the trend of contaminant variations. Results show that the S-value of monitor wells SW-1W, SW-4W, SW-42W, SW-23W, SW-30W, SW-67W and SW-70W were -2.23607, -1.16276, -1.52053, -1.34164, -1.26323, 0 and -1.34164, respectively. The negative S values reveal that the all contaminants tended to decrease. This indicates that the hydrocarbon plume at this site is not expanding, and has been contained effectively by the natural attenuation mechanisms. BIOSCREEN model from the groundwater analyses indicate, a first-order decay model reached the downgradient monitor well located 220 m from the spill location. that approximately 89% of the contaminate removal was due to biodegradation processes. The study of petroleum-hydrocarbons bacterial consortium were include Aquincola tertiaricarbonis L10¡BBosea sp. GR060219¡BBrachymonas petroleovorans strain CHX¡BHydrogenophaga sp. p3(2011)¡BHydrogenophaga sp.¡BMethylibium sp. YIM 61602¡BMycobacterium sp.¡BRhodoferax sp. IMCC1723¡BRhodoferax sp.¡BUncultured Rhodocyclaceae bacterium clone Elev_16S_975¡BUncultured Rhodocyclaceae bacterium clone eub62B1¤ÎUncultured Beggiatoa sp. clone GE7GXPU01BJTWR. Thus, the in situ bioremediation technology has the potential to be developed into an environmentally, economically and naturally acceptable remediation technology. Evidences for the occurrence of natural attenuation include the following: (1) depletion of dissolved oxygen, nitrate, and sulfate; (2) production of dissolved ferrous iron, sulfide, and CO2; (3) decreased BTEX concentrations and BTEX as carbon to TOC ratio along the transport path; (4) increased alkalinity and microbial species; (5) limited spreading of the BTEX plume; and (6) preferential removal of certain BTEX components along the transport path. Results indicate that natural attenuation can effectively contain the plume, and biodegradation processes played an important role on contaminant removal.

Contamination of groundwater by petroleum-hydrocarbons is a serious environmental problem. Monitored natural attenuation (MNA) is a passive remedial approach to degrade and dissipate contaminants in groundwater. In this study, a full-scale natural bioremediation investigation was conducted at a gasoline spill site. Results show that the concentrations of major contaminants [benzene, toluene, ethylbenzene, and xylenes (BTEX)] dropped to below detection limit before they reached the downgradient monitor well. This indicates that natural biodegradation process was the major cause of the contaminant reduction. In this study, 1,2,4-trimethylbenzene (1,2,4-TMB) was used as tracer to calculate the biological decay rates of BTEX. The calculated biological first-order decay rates for ethylbenzene, m+p-xylene, toluene, benzene, and o-xylene were 1.5¡Ñ10-3, 1.2¡Ñ10-3, 7.0¡Ñ10-4, 6.7¡Ñ10-4, and 1.2¡Ñ10-4, respectively. Mann-Kendall test was applied to analyze the trend of contaminant variations. Results show that the S-value of four monitor wells (CT-4, CT-41, CT-42, and CT-7) were -0.52, -1.57, -0.52, and -1.22, respectively. The negative S values reveal that the all contaminants tended to decrease. This indicates that the hydrocarbon plume at this site is not expanding, and has been contained effectively by the natural attenuation mechanisms. Evidences for the occurrence of natural attenuation include the following: (1) depletion of dissolved oxygen, nitrate, and sulfate; (2) production of dissolved ferrous iron, sulfide, and CO2; (3) decreased BTEX concentrations and BTEX as carbon to TOC ratio along the transport path; (4) increased alkalinity and microbial species; (5) limited spreading of the BTEX plume; and (6) preferential removal of certain BTEX components along the transport path. Results also show that the biodegradation capacity (46.02 mg/L) for BTEX and 1,2,4-TMB was much higher than the detected contaminants within the plume. Results indicate that natural attenuation can effectively contain the plume, and biodegradation processes played an important role on contaminant removal.

Chronic obstructive pulmonary disease (COPD) is one of the most widespread diseases globally. A commonly reported symptom is impaired nutritional status, which is often discussed in the literature as difficult to assess. Because nurses play a key role in the care of patients with COPD, knowledge needs to be supplemented with clinically relevant methods that can be used for identification of nutritional needs. The overall aim of this thesis is to investigate factors associated with the nutritional status of persons with COPD and to describe the assessment of nutritional status in different settings and for persons of varying ages. Both qualitative and quantitative methods were used. Two studies with descriptive and exploratory designs (I, II) and two studies with comparative (III), and correlational design (IV). In three of the studies participants were persons with COPD (I, III, IV), whereas one involved registered nurses (RNs). Qualitative data were collected using diaries (I), vignettes (II) and interviews (I, II) and analyzed using qualitative content analysis. Data collection (III, IV) included body size and body composition measurements, assessment of nutritional status using the Mini Nutritional Assessment (MNA), the Malnutrition Universal Screening Tool (MUST), the Evaluation of Nutritional Status (ENS), and lung function measurements. These were analyzed using statistical methods. The main findings from the interviews with 13 respondents in PHC in study I showed that eating difficulties alone do not cause reduced nutritional intake for persons with COPD. Eating is only one aspect in a chain of meal-related situations that involve additional physiological and psychological demands. Assessment of nutritional status, performed by 19 RNs, consisted mainly of single observations. For a half of the RNs it was more important to establish trustful relationships with patients than to give nutritional information, while the other RNs had different opinions on when it was best to provide nutritional information and assess nutritional status. Study III findings showed poor nutritional status for nearly half of the 50 older participants. Many who were identified as malnourished lived alone and were dependent on daily community services. Six out of the 81 participants in Study IV were similarly identified as malnourished by each of the three instruments (MNA, MUST and ENS). There was a significant correlation between each of the instruments and body composition, assessed as fat-free mass index (FFMI). The MNA Short Form (MNA-SF) incorrectly identified thirteen participants’ nutritional status as not needing attention for their nutritional status. To be evaluated as ‘in need of qualified help with nutrition’ by the ENS the respondents needed to be identified as malnourished by the MNA. A general conclusion is that nutritional status is complex for persons with COPD and is difficult to measure by currently recommended methods. Individuals’ experiences are important to elicit because some of their experiences, in combination with RNs’ judgement, might serve as a hindrance for nursing care and delay the sharing of important information. The methods currently recommended for identification of nutritional status should be used with caution, and assessment should not depend on one single method. The findings from this thesis can contribute to early accurate identification of nutritional status and prompt interventions that have importance for an improved disease trajectory and better quality of life for individuals with COPD.

No description available.

No description available.

Kroniskt obstruktiv lungsjukdom (KOL) leder till ökat energibehov, relaterat till ökat andningsarbete och brister i näringsintag är vanligt hos patienter med KOL. Näringsmässigt stöd för patienter med KOL, som lider av nutritionsproblem, är en viktig del av omvårdnaden vid KOL. Syftet var att beskriva och jämföra nutritionsstatus, lungfunktion och boendesituation hos patienter med KOL inom primärvård. Studien har en beskrivande och komparativ design och genomfördes som en tvärsnittsstudie. Urval och datainsamling baserades på en tidigare studie och studiegruppen innehöll 81 deltagare. För att bedöma nutritionsstatus användes bedömningsinstrumentet Mini Nutritional Assessment (MNA). Resultatet visade att de inkluderade patienterna med KOL, som var ensamboende, bedömdes ha sämre nutritionsstatus än de icke ensamboende. Jämförelsen mellan lungfunktion och nutritionsstatus visade inget signifikant samband. De inkluderade kvinnorna bedömdes ha sämre nutritionsstatus än männen. Sjuksköterskans uppgift är att i ett tidigt skede identifiera patienter med risk för undernäring. Det bör finnas en medvetenhet om att kvinnliga och ensamboende patienter med KOL kan löpa en ökad risk att få nutritionsproblem. Inom primärvård bör patienter med KOL erbjudas information och stöd för individuellt anpassad egenvård, för att hjälpa dem att undvika nutritionsproblem.

The full crystal structures of three polymorphs of 4-methyl-2-nitroacetanilide (MNA) are described. The white form (MNA-l), is the most stable form. The least stable form is the amber farm (MNA-2). The yellow form (MNA-3) has been found to change in a topotactic manner into the white form. The relationships between the three polymorphs are discussed and possible mechanisms to account for the topotactic phase changes are presented. The polymorphs show different i.r. and Raman spectra in the solid state. These spectra, and those of deuterated analogues are interpreted and their differences explained. A study of the proton and 13-C n.m.r. spectra show that the conformation of flexible MNA molecules is markedly dependent on the nature of the solvent. The ability of other o-nitroacetanilides to exist in a white (intermolecular) and yellow (intramolecular hydrogen bonded) forms has been examined. Finally, details of the synthesis of these compounds and an account of the examination of MNA polymorphs by differential scanning calorimetry (d.s.c) are described. A description of computer programs used, including one in BASIC which will enable the contents of unit cell(s) to be viewed, is given.