Person-centered home-based rehabilitation for persons with Parkinson's disease: A scoping review.

Background: Due to vague, initial symptoms, persons with Parkinson's disease (PD) usually receive a definitive diagnosis after a prolonged period of time. At the time of diagnosis, they have already experienced limitations in activities of daily living and quality of life and are thus in need of immediate rehabilitation.

Objective: To describe the existing knowledge on the rehabilitation of persons with PD suitable to a home environment and to describe the person-centeredness, interprofessionality and clinical effectiveness of existing rehabilitation activities.

Annual variation in predation risk is related to the direction of selection for brain size in the wild.

The direction of predator-mediated selection on brain size is debated. However, the speed and the accuracy of performing a task cannot be simultaneously maximized. Large-brained individuals may be predisposed to accurate but slow decision-making, beneficial under high predation risk, but costly under low risk.

Working in home healthcare and suggestions for development.

In order to describe nurses' experiences of working in home health care and their suggestions for the development of this public health-care sector, interviews with 18 home health-care nurses were analyzed with qualitative thematic content analysis. The nurses perceived the working shifts either affirmative or non-affirmative, depending on the contextual and organizational factors affecting nurses' workload. The more the nurses perceived they could influence their work, the more engaged they were in patient-related nursing activities, patient-centeredness, collaboration, and forward planning.

Comparison of boreal acid sulfate soil microbial communities in oxidative and reductive environments.

Due to land uplift after the last ice age, previously stable Baltic Sea sulfidic sediments are becoming dry land. When these sediments are drained, the sulfide minerals are exposed to air and can release large amounts of metals and acid into the environment. This can cause severe ecological damage such as fish kills in rivers feeding the northern Baltic Sea.

The paradox of nest reuse: early breeding benefits reproduction, but nest reuse increases nest predation risk.

Many animals build new nests every breeding season instead of saving time by reusing old ones. One hypothesis is that nest reuse leads to increased predation risk if predators memorize nest locations and revisit these sites. Here we examine patterns in the prevalence of facultative nest reuse.

A process evaluation of a mobile cooperation intervention: A mixed methods study.

Background: A mobile cooperation intervention was developed to facilitate the cooperation of nursing students with nurse teacher and to improve the students' clinical learning outcomes. The intervention consisted of training in a mobile application's functionality and its use during clinical practicum cooperation procedures.

Objectives: To describe the development of a mobile application for student-teacher cooperation and to examine the acceptability of the mobile cooperation intervention for advancing intervention development.

Hair cortisol concentration in Siberian flying squirrels is unrelated to landscape and social factors.

Intact ecosystems are being lost or modified worldwide, and many animal species are now forced to live in altered landscapes. A large amount of scientific studies have focused on understanding direct effects of habitat alterations on species occurrence, abundance, breeding success, and other life history aspects. Much less attention has been placed on understanding how habitat alterations impact on the physiology of species, e.

The Objective Structured Clinical Examination in evolving nurse practitioner education: A study of students' and examiners' experiences.

Assessment of advanced clinical competence is essential for safe practice and achieving international standards for nurse practitioners. It is of particular interest for countries that have recently been introduced to advanced nursing roles to investigate examination forms that ensure quality in nurse practitioner education. The aim of this study was to explore and describe the nurse practitioner students' and examiners' experiences with Objective Structured Clinical Examination, which is an exam form for assessing clinical competence.

Eco-physiological responses of copepods and pteropods to ocean warming and acidification.

We compare physiological responses of the crustacean copepod Calanus pacificus and pelagic pteropod mollusk Limacina helicina to ocean temperatures and pH by measuring biomarkers of oxidative stress, antioxidant defences, and the activity of the respiratory electron transport system in organisms collected on the 2016 West Coast Ocean Acidification cruise in the California Current System. Copepods and pteropods exhibited strong but divergent responses in the same habitat; copepods had higher oxygen-reactive absorbance capacity, glutathione-S-transferase, and total glutathione content. The ratio between reduced to oxidised glutathione was higher in copepods than in pteropods, indicating lower oxidative stress in copepods.

Professional care at home: Patient-centredness, interprofessionality and effectivity? A scoping review.

The aim of this scoping review was to describe the state of knowledge on professional care at home with regard to different perspectives on patient-centredness, content of care, interprofessional collaboration, competence framework and effectivity. A scoping review, n = 35 papers, from four databases (EBSCO, CINAHL, Medline, Swemed) were reviewed between May and August 2018 using the terms: hospital-at-home, hospital-in-the-home, advanced home healthcare, hospital-based home care or patient-centered medical home. Criteria for inclusion in this review included full text papers, published between 2001 and 2018, in English, Swedish or Finnish.

Scrutinizing assortative mating in birds.

It is often claimed that pair bonds preferentially form between individuals that resemble one another. Such assortative mating appears to be widespread throughout the animal kingdom. Yet it is unclear whether the apparent ubiquity of assortative mating arises primarily from mate choice ("like attracts like"), which can be constrained by same-sex competition for mates; from spatial or temporal separation; or from observer, reporting, publication, or search bias.

Indirect DNA extraction method suitable for acidic soil with high clay content.

DNA extraction is an essential procedure when investigating microbial communities in environmental samples by sequencing technologies. High clay soils can be problematic as DNA adsorbs to the clay particles and can thereby be preserved from lysed, non-viable cells for a substantial period of time. In order to accurately estimate the intact and living microbial community in the soil, extracellular DNA from dead, remnant bacterial cells needs to be removed prior to DNA extraction.

Building-Related Environmental Intolerance and Associated Health in the General Population.

People frequently attribute adverse symptoms to particular buildings when exposure to pollutants is low, within nonhazardous levels. Our aim was to characterize building-related intolerance (BRI) in the general population. Data were derived from two population-based questionnaire surveys, the Västerbotten and Österbotten Environmental Health Study.

Associations between hyperacusis and psychosocial work factors in the general population.

Purpose: We investigated the association between hyperacusis and aspects of psychosocial work environment in a general population. The objectives were to investigate (1) prevalence and characteristics (among age, sex, access to social support at home, education, smoking, physical exercise, and perceived general health) of hyperacusis in a general working population and (2) associations between hyperacusis and psychosocial factors in the work environment. The psychosocial work aspects included effort, reward, overcommitment, worry, and social and emotional support.

Shared environmental effects bias phenotypic estimates of assortative mating in a wild bird.

Assortative mating is pervasive in wild populations and commonly described as a positive correlation between the phenotypes of males and females across mated pairs. This correlation is often assumed to reflect non-random mate choice based on phenotypic similarity. However, phenotypic resemblance between mates can also arise when their traits respond plastically to a shared environmental effect creating a (within-pair) residual correlation in traits.

Establishing a Europe-wide foundation for high quality midwifery education: The role of the European Midwives Association (EMA).

A cornerstone of European policy involves freedom of movement of individuals between member countries, which applies equally to those who use and provide maternity care. To promote and support safe, high quality maternity care, minimum standards for midwifery education and practice have been published, including Directives EEC/80/154 and EEC/80/155 which support the recognition of professional qualifications. These Directives established a minimum standard for midwifery education, including the duration and content of theoretical and practical education.

First evidence of neonicotinoid residues in a long-distance migratory raptor, the European honey buzzard (Pernis apivorus).

The evidence of negative impacts of agricultural pesticides on non-target organisms is constantly growing. One of the most widely used group of pesticides are neonicotinoids, used in treatments of various plants, e.g.

To breed or not to breed: drivers of intermittent breeding in a seabird under increasing predation risk and male bias.

Intermittent breeding may be adaptive for long-lived species subjected to large accessory reproductive costs, but it may also reflect reduced adaptation to the environment, reducing population growth. Nevertheless, environmental influences on breeding propensity, particularly that of predation risk, remain poorly understood and difficult to study, because non-breeders are typically not identified. Female eiders Somateria mollissima from the Baltic Sea provide an excellent testbed, because nesting females have been exposed to intensifying predation and growing male bias that may increase female harassment.

Oxidative stress and antioxidant defense responses in Acartia copepods in relation to environmental factors.

On a daily basis, planktonic organisms migrate vertically and thus experience widely varying conditions in their physico-chemical environment. In the Gulf of Finland, these changes are larger than values predicted by climate change scenarios predicted for the next century (up to 0.5 units in pH and 5°C in temperature).

Increased male bias in eider ducks can be explained by sex-specific survival of prime-age breeders.

In contrast to theoretical predictions of even adult sex ratios, males are dominating in many bird populations. Such bias among adults may be critical to population growth and viability. Nevertheless, demographic mechanisms for biased adult sex ratios are still poorly understood.

Chemical and microbiological evaluation of novel chemical treatment methods for acid sulfate soils.

Naturally occurring sulfide rich deposits are common along the northern Baltic Sea coast that when exposed to air, release large amounts of acid and metals into receiving water bodies. This causes severe environmental implications for agriculture, forestry, and building of infrastructure. In this study, we investigated the efficiency of ultrafine-grained calcium carbonate and peat (both separately and in combination) to mitigate acid and metal release.

Comorbidity of Airway Inflammatory Diseases in Chemical and Building-Related Intolerance.

Objectives: This study investigated comorbidity in chemical intolerance (CI) and building- related intolerance (BRI) with (i) chronic sinusitis, chronic obstructive pulmonary disease, allergic and nonallergic asthma and allergic rhinitis, and (ii) airway inflammatory symptoms.

Methods: Data from two population-based questionnaire surveys, the Västerbotten and Österbotten Environmental Health Studies, were used. The participants were categorized as CI or BRI and referents, and binary logistic regression analysis was applied.