| 1. |
- Cuss, Chad, et al.
(författare)
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Advanced residuals analysis for determining the number of PARAFAC components in dissolved organic matter
- 2016
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Ingår i: Applied Spectroscopy. - Thosand Oaks : Sage Publications. - 0003-7028 .- 1943-3530. ; 70:2, s. 334-346
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Tidskriftsartikel (refereegranskat)abstract
- Parallel factor analysis (PARAFAC) has facilitated an explosion in research connecting the fluorescence properties of dissolved organic matter (DOM) to its functions and biogeochemical cycling in natural and engineered systems. However, the validation of robust PARAFAC models using split-half analysis requires an oft unrealistically large number (hundreds to thousands) of excitation–emission matrices (EEMs), and models with too few components may not adequately describe differences between DOM. This study used self-organizing maps (SOM) and comparing changes in residuals with the effects of adding components to estimate the number of PARAFAC components in DOM from two data sets: MS (110 EEMs from nine leaf leachates and headwaters) and LR (64 EEMs from the Lena River). Clustering by SOM demonstrated that peaks clearly persisted in model residuals after validation by split-half analysis. Plotting the changes to residuals was an effective method for visualizing the removal of fluorophore-like fluorescence caused by increasing the number of PARAFAC components. Extracting additional PARAFAC components via residuals analysis increased the proportion of correctly identified size-fractionated leaf leachates from 56.0 ± 0.8 to 75.2 ± 0.9%, and from 51.7 ± 1.4 to 92.9 ± 0.0% for whole leachates. Model overfitting was assessed by considering the correlations between components, and their distributions amongst samples. Advanced residuals analysis improved the ability of PARAFAC to resolve the variation in DOM fluorescence, and presents an enhanced validation approach for assessing the number of components that can be used to supplement the potentially misleading results of split-half analysis.
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| 2. |
- Dellenborg, Liselott (Lisen), 1966, et al.
(författare)
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Factors that may promote the learning of person-centred care: an ethnographic study of an implementation programme for healthcare professionals in a medical emergency ward in Sweden
- 2019
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Ingår i: Advances in Health Sciences Education. - : Springer Science and Business Media LLC. - 1382-4996 .- 1573-1677. ; 24:2, s. 353-381
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Tidskriftsartikel (refereegranskat)abstract
- While person-centred care has gained increasing prominence in recent decades as a goal for healthcare systems, mainstream implementation remains tentative and there is a lack of knowledge about how to develop person-centred care in practice. This study therefore aimed to explore what may be required in order for person-centred care programmes to be successful. The study used an ethnographic method of data collection. This consisted of closely following an implementation programme on a medical emergency ward in a Swedish hospital. Data consisted of participant observation and informal interviews with healthcare providers and their management leaders while they were in the process of training to use person-centred care. These interlocutors were using action learning methods under the guidance of facilitators. Our findings revealed that although the programme resulted in some of the processes that are central for person-centred care being developed, organisational factors and a lack of attention to ethics in the programme counteracted these positive effects. The study highlights the importance of facilitating mechanisms to produce desired results. These include management leaders’ learning about the dynamic and collective nature of learning processes and change. They also include allowing for inter-professional dialogue to enable managers and professionals to reflect deeply on professional boundaries, disciplinary knowledge and power relations in their teams. Teamwork is essential for the development of person-centred care and documentation, in accordance with this specific implementation programme, is also indispensable. The space for inter-professional dialogue should also accommodate their various perspectives on the aims of care and organizational reality.
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| 3. |
- Erichsen Andersson, Annette, 1966, et al.
(författare)
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Iterative co-creation for improved hand hygiene and aseptic techniques in the operating room : experiences from the safe hands study
- 2018
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Ingår i: BMC Health Services Research. - : Springer Science and Business Media LLC. - 1472-6963. ; 18:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Hand hygiene and aseptic techniques are essential preventives in combating hospital-acquired infections. However, implementation of these strategies in the operating room remains suboptimal. There is a paucity of intervention studies providing detailed information on effective methods for change. This study aimed to evaluate the process of implementing a theory-driven knowledge translation program for improved use of hand hygiene and aseptic techniques in the operating room.METHODS: The study was set in an operating department of a university hospital. The intervention was underpinned by theories on organizational learning, culture and person centeredness. Qualitative process data were collected via participant observations and analyzed using a thematic approach.RESULTS: Doubts that hand-hygiene practices are effective in preventing hospital acquired infections, strong boundaries and distrust between professional groups and a lack of psychological safety were identified as barriers towards change. Facilitated interprofessional dialogue and learning in "safe spaces" worked as mechanisms for motivation and engagement. Allowing for the free expression of different opinions, doubts and viewing resistance as a natural part of any change was effective in engaging all professional categories in co-creation of clinical relevant solutions to improve hand hygiene.CONCLUSION: Enabling nurses and physicians to think and talk differently about hospital acquired infections and hand hygiene requires a shift from the concept of one-way directed compliance towards change and learning as the result of a participatory and meaning-making process. The present study is a part of the Safe Hands project, and is registered with ClinicalTrials.gov (ID: NCT02983136 ). Date of registration 2016/11/28, retrospectively registered.
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| 4. |
- Hirst, Catherine, et al.
(författare)
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Characterisation of Fe-bearing particles and colloids in the Lena River basin, NE Russia
- 2017
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Ingår i: Geochimica et Cosmochimica Acta. - Cambridge : Elsevier. - 0016-7037 .- 1872-9533. ; 213, s. 553-573
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Tidskriftsartikel (refereegranskat)abstract
- Rivers are significant contributors of Fe to theocean. However, the characteristics of chemically reactive Fe remain poorly constrained, especially in large Arctic rivers, which drain landscapes highly susceptible to climate change and carbon cycle alteration. The aim of this study was a detailed characterisation (size, mineralogy, and speciation) of riverine Fe-bearing particles (> 0.22 µm) and colloids (1 kDa – 0.22 µm) and their association with organic carbon (OC), in the Lena River and tributaries, which drain a catchment almost entirely underlain by permafrost. Samples fromthe main channel and tributaries representing watersheds that span a wide rangein topography and lithology were taken after the spring flood in June 2013 and summer baseflow in July 2012. Fe-bearing particles were identified, usingTransmission Electron Microscopy, as large (200 nm – 1 µm) aggregates of smaller (20 nm - 30 nm) spherical colloids of chemically-reactive ferrihydrite.In contrast, there were also large (500 nm – 1 µm) aggregates of clay (illite) particles and smaller (100 - 200 nm) iron oxide particles (dominantly hematite) that contain poorly reactive Fe. TEM imaging and Scanning Transmission X-raymicroscopy (STXM) indicated that the ferrihydrite is present as discrete particles within networks of amorphous particulate organic carbon (POC) and attached to the surface of primary produced organic matter and clay particles.Together, these larger particles act as the main carriers of nanoscale ferrihydrite in the Lena River basin. The chemically reactive ferrihydrite accounts for on average 70 ± 15 % of the total suspended Fe in the Lena River and tributaries. These observations place important constraints on Fe and OC cycling in the Lena River catchment area and Fe-bearing particle transport to the Arctic Ocean.
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| 5. |
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| 6. |
- Kutscher, Liselott, 1976-
(författare)
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Export and sources of organic carbon in the Lena River basin, Northeastern Siberia
- 2016
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Permafrost areas are considered to be one of the largest terrestrial storages of carbon. In a warming climate these areas are expected to experience changes in carbon transport to rivers and the oceans due to permafrost thawing, which could enhance erosion, change water flow pathways and increase greenhouse gas emissions. Large amounts of the carbon transported from the terrestrial environment to rivers are in the form of natural organic matter (NOM). The Lena River basin in northeastern Siberia, which is mainly underlain by continuous permafrost, is the largest contributor of NOM to the Arctic Ocean. In this study we present a spatial data set of NOM, including concentrations and stable carbon isotope values (δ13C) of dissolved (DOC) and particulate organic carbon (POC) as well as carbon and nitrogen ratios (C/N) from 77 sample stations in the Lena River and its tributaries. The samples were collected during two field seasons in July 2012 and June 2013.The results from this study showed large spatial variations in concentrations, annual export and fluxes of organic carbon. These variations were primarily due to variations in discharge and topography. The δ13C and C/N indicated that terrestrial sources such as plants and soil organic matter (SOM), were the main sources of the dissolved organic matter (DOM), while particulate organic matter (POM) was mainly derived from aquatic produced material or SOM. There were clear differences in δ13C and C/N of DOM between sampling years, indicating more surficial flow pathways in samples collected earlier in the summer compared to samples collected later in the summer. The δ13C of POM was correlated with water temperatures and topography, showing that tributaries with origin in mountainous areas in general had soil derived POM and lower water temperatures, while tributaries from lowland areas had higher water temperatures and more influence of aquatic sources. We suggest that this pattern is probably due to differences in water flow pathways. Shifts in export of NOM from drainage areas underlain by permafrost will likely be dependent of spatial changes in hydroclimate and the depth of the active layer in a warming climate.
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| 7. |
- Kutscher, Liselott, et al.
(författare)
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Spatial variation in concentration and sources of organic carbon in the Lena River, Siberia
- 2017
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Ingår i: Journal of Geophysical Research - Biogeosciences. - New York. - 2169-8953 .- 2169-8961. ; 122
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Tidskriftsartikel (refereegranskat)abstract
- Global warming in permafrost areas is expected to change fluxes of riverine organic carbon (OC) 22 to the Arctic Ocean. Here OC concentrations, stable carbon isotope signatures (δ13C) and carbon-23 nitrogen ratios (C/N) are presented from 22 sampling stations in the Lena River and 40 of its 24 tributaries. Sampling was conducted during two expeditions: the first in July 2012 in the south 25 and southeastern region and the second in June 2013 in the northern region of the Lena basin. 26 The data showed significant spatial differences in concentrations and major sources of OC. Mean 27 sub-catchment slopes were correlated with OC concentrations, implying that mountainous areas 28 in general had lower concentrations than lowland areas. δ13C and C/N data from tributaries 29 originating in mountainous areas indicated that both dissolved and particulate OC (DOC and 30 POC) were mainly derived from soil organic matter (SOM). In contrast, tributaries originating in 31 lowland areas had larger contributions from fresh vegetation to DOC, while aquatically produced 32 OC was the major source of POC. We suggest that these differences in dominant sources 33 indicated differences in dominant flow pathways. Tributaries with larger influence of fresh 34 vegetation probably had surficial flow pathways, while tributaries with more SOM influence had 35 deeper water flow pathways. Thus, the future export of OC to the Arctic Ocean will likely be 36 controlled by changes in spatial patterns in hydroclimatology and the depth of the active layers 37 influencing the dominant water flow pathways in Arctic river basins.
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| 8. |
- Murphy, Melissa, et al.
(författare)
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Tracingsilicate weathering processes in the permafrost-dominated Lena River watershedusing lithium isotopes
- 2019
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Ingår i: Geochimica et Cosmochimica Acta. - : Saunders Elsevier. - 0016-7037 .- 1872-9533. ; 245, s. 154-171
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Tidskriftsartikel (refereegranskat)abstract
- Increasing global temperatures are causing widespread changes in the Arctic, including permafrost thawing and altered freshwater inputs and trace metal and carbon fluxes into the ocean and atmosphere. Changes in the permafrost active layer thickness can affect subsurface water flow paths and water-rock interaction times, and hence weathering processes. Riverine lithium isotope ratios (reported as δ7Li) are tracers of silicate weathering that are unaffected by biological uptake, redox, carbonate weathering and primary lithology. Here we use Li isotopes to examine silicate weathering processes in one of the largest Russian Arctic rivers: the Lena River in eastern Siberia. The Lena River watershed is a large multi-lithological catchment, underlain by continuous permafrost. An extensive dataset of dissolved Li isotopic compositions of waters from the Lena River main channel, two main tributaries (the Aldan and Viliui Rivers) and a range of smaller sub tributaries are presented from the post-spring flood/early-summer period at the onset of active layer development and enhanced water-rock interactions. The Lena River main channel (average δ7Lidiss ~19‰) has a slightly lower isotopic composition than the mean global average of 23‰ (Huhet al., 1998a). The greatest range of [Li] and δ7Lidiss are observed in catchments draining the south facing slopes of the Verkhoyansk Mountain Range. South-facing slopes in high-latitude, permafrost dominated regions are typically characterised by increased summer insolation and higher daytime temperatures relative to other slope aspects. The increased solar radiation on south-facing catchments promotes repeated freeze-thaw cycles, and contributes to more rapid melting of snow cover, warmer soils, and increased active layer thaw depths. The greater variability in δ7Li and [Li] in the south-facing rivers likely reflect the greater infiltration of melt water and enhanced water rock interactions within the active layer. A similar magnitude of isotopic fractionation is observed between the low-lying regions of the Central Siberian Plateau (and catchments draining into the Viliui River), and catchments draining the Verkhoyansk Mountain Range into the Aldan River. This is in contrast to global rivers in non permafrost terrains that drain high elevations or areas of rapid uplift, where high degrees of physical erosion promote dissolution of freshly exposed primary rock typically yielding low δ7Lidiss, and low lying regions exhibit high riverine δ7Li values resulting from greater water-rock interaction and formation of secondary mineral that fractionates Li isotopes. Overall, the range of Li concentrations and δ7Lidiss observed within the Lena River catchment are comparable to global rivers located in temperate and tropical regions. This suggests that cryogenic weathering features specific to permafrost regions (such as the continual exposure of fresh primary minerals due to seasonal freeze-thaw cycles, frost shattering and salt weathering), and climate (temperature and runoff), are not a dominant control on δ7Li variations. Despite vastly different climatic and weathering regimes, the same range of riverine δ7Li values globally suggests that the same processes govern Li geochemistry – that is, the balance between primary silicate mineral dissolution and the formation (or exchange with) secondary minerals. This has implications for the use of δ7Li as a palaeo weathering tracer for interpreting changes in past weathering regimes.
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| 9. |
- Sun, Xiaole, et al.
(författare)
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Stable silicon isotopic compositions of the Lena River and its tributaries : Implications for silicon delivery to the Arctic Ocean
- 2018
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Ingår i: Geochimica et Cosmochimica Acta. - : Elsevier BV. - 0016-7037 .- 1872-9533. ; 241, s. 120-133
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Tidskriftsartikel (refereegranskat)abstract
- Silicon isotope values (delta Si-30(DSi)) of dissolved silicon (DSi) have been analyzed in the Lena River and its tributaries, one of the largest Arctic watersheds in the world. The geographical and temporal variations of delta Si-30(DSi) range from +0.39 to +1.86% with DSi concentrations from 34 to 121 mu M. No obvious patterns of DSi concentrations and delta Si-30(DSi) values were observed along over 200 km of the two major tributaries, the Viliui and Aldan Rivers. In summer, the variations of DSi concentrations and delta Si-30(DSi) values in the water are either caused by biological uptake by higher plants and phytoplankton or by mixing of water masses carrying different DSi concentrations and delta Si-30(DSi) values. DSi in tributaries from the Verkhoyansk Mountain Range seems to be associated with secondary clay formation that increased the delta Si-30(DSi) values, while terrestrial biological production is likely more prevalent in controlling delta Si-30(DSi) values in Central Siberian Plateau and Lena Amganski Inter-River Area. In winter, when soils were frozen, the delta Si-30(DSi) values in the river appeared to be controlled by weathering and clay formation in deep intrapermafrost groundwater. During the spring flood, dissolved silicate materials and phytoliths were flushed from the upper thawed soils into rivers, which reset delta Si-30(DSi) values to the values observed prior to the biological bloom in summer. The results indicate that the Si isotope values reflect the changing processes controlling Si outputs to the Lena River and to the Arctic Ocean between seasons. The annual average delta Si-30(DSi) value of the Lena Si flux is calculated to be +0.86 +/- 0.3 parts per thousand using measured delta Si-30(DSi) values from each season. Combined with the estimate of + 1.6 +/- 0.25 parts per thousand for the Yenisey River, an updated delta Si-30(DSi) value of the major river Si inputs to the Arctic Ocean is estimated to be + 1.3 +/- 0.3 parts per thousand. This value is expected to shift towards higher values in the future because of the impacts from a variety of biological and geochemical processes and sources under global warming.
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| 10. |
- Wennberg, Maria, et al.
(författare)
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Mercury concentrations in pregnant women in circumpolar Sweden (Kiruna)
- 2018
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- High exposure to mercury have been found in populations living in circumpolar areas, due to high consumption of sea food and accumulation of mercury closer to the north pole. The developing fetus is especially sensitive to effects of mercury. Exposure to mercury has previously been examined in pregnant women in Sweden, but not in pregnant women residing in Sweden north of the polar circle.In the years 2015-2016, mercury was measured in whole blood from 51 pregnant women living in the city of Kiruna in circumpolar Sweden, taking part in an international comparison between eight circumpolar countries. This report presents the Swedish results on mercury concentrations and associations with some exposure determinants. Also, compliance to dietary advice on fish consumption, appointed to fertile women, was examined.The median concentration of total-Hg in whole blood was 0.40 μg/L (min, max; <0.40, 1.88) among the 51 pregnant women in Kiruna. This is similar or lower compared to concentrations of mercury in pregnant women in other parts of Sweden. None of the women in the study had concentrations of mercury that are considered as dangerous.Mercury concentrations were associated with total fish consumption but not to consumption of predatory fish, known to be higher in mercury. All of the women in the study had knowledge about dietary advice on fish consumption. One woman exceeded the recommended consumption of predatory fish, limited due to risk of high mercury content, but this woman did not have high concentrations of mercury. While the vast majority of women thus followed the recommendations of not eating too much polluted fish, only 15 % of the women reported sufficient fish consumption to comply with the dietary advice (2-3 times/week).In conclusion, pregnant women in circumpolar Sweden have low exposure to mercury, and do not deviant from pregnant women in other parts of Sweden. Knowledge about dietary advice on fish consumption appointed to fertile women is very good. The public health concern though, is that pregnant women in circumpolar Sweden do not eat enough fish.
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| 11. |
- Wikström, Ewa, 1967, et al.
(författare)
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The Safe Hands Study: Implementing aseptic techniques in the operating room : Facilitating mechanisms for contextual negotiation and collective action
- 2019
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Ingår i: American Journal of Infection Control. - : Elsevier BV. - 0196-6553 .- 1527-3296. ; 47:3, s. 251-257
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Even though hand hygiene and aseptic techniques are essential to provide safe care in the operating room, several studies have found a lack of successful implementation. The aim of this study was to describe facilitative mechanisms supporting the implementation of hand hygiene and aseptic techniques.METHODS: This study was set in a large operating room suite in a Swedish university hospital. The theory-driven implementation process was informed by the literature on organizational change and dialogue. Data were collected using interviews and participant observations and analyzed using a thematic approach. The normalization process theory served as a frame of interpretation during the analysis.RESULTS: Three facilitating mechanisms were identified: (1) commitment through a sense of urgency, requiring extensive communication between the managers, operating room professionals, and facilitators in building commitment to change and putting the issues on the agenda; (2) dialogue for co-creation, increasing and sustaining commitment and resource mobilization; and (3) tailored management support, including helping managers to develop their leadership role, progressively involving staff, and retaining focus during the implementation process.CONCLUSIONS: The facilitating mechanisms can be used in organizing implementation processes. Putting the emphasis on help and support to managers seems to be a crucial condition in complex implementation processes, from preparation of the change process to stabilization of the new practice.
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