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Nording, Malin L.
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Publications (10 of 60) Show all publications
Lindgren, L., Holmlund, S., Choudri, T., Nording, M. L., Vinnars, M.-T. & Lindqvist, M. (2025). "Deprived of my autonomy." Women's experiences and self-concepts of Hyperemesis Gravidarum: a qualitative study. Sexual & Reproductive HealthCare, 44, Article ID 101086.
Open this publication in new window or tab >>"Deprived of my autonomy." Women's experiences and self-concepts of Hyperemesis Gravidarum: a qualitative study
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2025 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 44, article id 101086Article in journal (Refereed) Published
Abstract [en]

Objective: Hyperemesis Gravidarum affects women's health on a physical, psychological, and socioeconomic level, and they express a need for acknowledgement from family and healthcare providers. Historically associated with hysteria, Hyperemesis Gravidarum may still be stigmatised due to lingering perceptions of it as a psychological issue. To enhance understanding of the disease's impact on women's health, this study aimed to explore women's experiences and self-concepts of Hyperemesis Gravidarum.

Methods: Participants were recruited from a social media platform with the following criteria: i) women in Sweden with Hyperemesis Gravidarum who debuted before week 22 of pregnancy, ii) who gave birth within the last four years, and iii) who received intravenous fluid therapy during their illness. Data were gathered through 15 digital, individual, semi-structured, in-depth interviews and were analysed with Reflexive Thematic Analysis.

Results: The mean age of participants was 32. The majority experienced HG within 12–36 months before the interview and were living with a partner. The overarching theme, "Deprived of my Autonomy", depicts the woman's transition from being responsible, reliable and hard-working to becoming a woman who perceived herself as disempowered, unprioritised and dependent.

Conclusion: The women experienced a new perception of themselves as unable to meet their own and others' expectations in managing pregnancy, family, and work and as individuals disbelieved by the healthcare system. Healthcare professionals' neglectful attitudes may contribute to self-stigma with isolation, and low social support as a result. Healthcare professionals must recognise the impact of dismissive behaviour and implement validating and empowering support structures.

Place, publisher, year, edition, pages
Elsevier, 2025
Keywords
Hyperemesis gravidarum, Life experiences, Personal autonomy, Pregnancy complications, Qualitative research, Self-concept
National Category
Public Health, Global Health and Social Medicine Gynaecology, Obstetrics and Reproductive Medicine
Identifiers
urn:nbn:se:umu:diva-237650 (URN)10.1016/j.srhc.2025.101086 (DOI)001447965400001 ()40088682 (PubMedID)2-s2.0-86000732864 (Scopus ID)
Funder
Region Västerbotten
Available from: 2025-04-23 Created: 2025-04-23 Last updated: 2025-04-23Bibliographically approved
Bratthäll, T., Figueira, J. & Nording, M. L. (2024). Influence of divalent cations on the extraction of organic acids in coffee determined by GC-MS and NMR. Heliyon, 10(5), Article ID e26625.
Open this publication in new window or tab >>Influence of divalent cations on the extraction of organic acids in coffee determined by GC-MS and NMR
2024 (English)In: Heliyon, E-ISSN 2405-8440, Vol. 10, no 5, article id e26625Article in journal (Refereed) Published
Abstract [en]

The perceived flavor of coffee varies depending on the composition of the brewing water, and the influencing mechanisms are poorly understood. To investigate the effect of dissolved divalent cations on the extraction of organic acids in coffee, magnesium and calcium chloride salts were added pre- and post-brew. Citric, malic, lactic and quinic acid were analyzed using gas chromatography – mass spectrometry and nuclear magnetic resonance techniques. At concentrations typically found in drinking water, the salts resulted in limited variation of the acid content, while ten-fold higher salt concentrations produced more pronounced variations. Comparisons between pre- and post-brew additions showed similar acid content in most cases, suggesting that extraction of acids proceeds independent of the water composition. Interactions taking place post-brew may, however, influence the perceived flavor. A scientific basis for water quality recommendations in the coffee industry is long overdue and this work provides experimental and analytical contributions to continued research.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Calcium, Coffee brewing, GC-MS, Magnesium, NMR, Organic acid
National Category
Analytical Chemistry
Identifiers
urn:nbn:se:umu:diva-222672 (URN)10.1016/j.heliyon.2024.e26625 (DOI)001195843600001 ()38434259 (PubMedID)2-s2.0-85188208664 (Scopus ID)
Available from: 2024-04-16 Created: 2024-04-16 Last updated: 2024-04-16Bibliographically approved
Lindgren, L., Holmlund, S., Dunge, J., Nording, M. L., Vinnars, M.-T. & Lindqvist, M. (2024). “Navigating in a maze without a map“. Partners’ experiences of hyperemesis gravidarum- a qualitative study. Sexual & Reproductive HealthCare, 40, Article ID 100976.
Open this publication in new window or tab >>“Navigating in a maze without a map“. Partners’ experiences of hyperemesis gravidarum- a qualitative study
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2024 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 40, article id 100976Article in journal (Refereed) Published
Abstract [en]

Objective: A supportive environment for women with Hyperemesis Gravidarum is crucial but not always provided. There is a lack of research regarding Hyperemesis Gravidarum, its impact on the family, and the partner's perception of supporting their spouse. Thus, this study aims to explore partners’ experiences of Hyperemesis Gravidarum during their spousés pregnancy.

Methods: Data were gathered through 13 individual, semi-structured, in-depth, digital interviews with partners of women who had experienced Hyperemesis Gravidarum and analysed with Qualitative Content Analysis. The partners were recruited through advertisement on a social media platform and were exclusively males, representing 8 of 21 Swedish regions. The mean age was 34, and they had, on average, 1 previous child. The mean time from the experience to the interview was 12 months.

Findings: The main theme, “Navigating in a maze without a map”, explains partners’ situation as stressful and demanding when their spouse suffers from Hyperemesis Gravidarum, with insufficient support and guidance from healthcare providers. The analysis resulted in three themes: “Standing alone with a demanding responsibility”, “Being in a lottery when facing healthcare”, and “Climbing the mountain together.” The themes display challenges within everyday life and healthcare, as well as strained relations within the family.

Conclusion: Partners experience a need to support their spouse in every aspect of daily life and advocate for adequate healthcare. Healthcare professionals must support and acknowledge the partners' struggles during the demanding situation with Hyperemesis Gravidarum.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Family support, Hyperemesis Gravidarum, Pregnancy complication, Qualitative research, Social support, Spouses
National Category
Public Health, Global Health and Social Medicine
Identifiers
urn:nbn:se:umu:diva-224934 (URN)10.1016/j.srhc.2024.100976 (DOI)001236795000001 ()38696948 (PubMedID)2-s2.0-85191863598 (Scopus ID)
Funder
Region Västerbotten
Available from: 2024-05-30 Created: 2024-05-30 Last updated: 2025-04-24Bibliographically approved
Ramström, M., Holst, B. S., Lindberg, R. & Nording, M. L. (2024). Oxylipin profiling by LC-ESI-MS/MS in canine serum and plasma to investigate ovulation-specific changes. Prostaglandins & other lipid mediators, 170, Article ID 106790.
Open this publication in new window or tab >>Oxylipin profiling by LC-ESI-MS/MS in canine serum and plasma to investigate ovulation-specific changes
2024 (English)In: Prostaglandins & other lipid mediators, ISSN 1098-8823, E-ISSN 2212-196X, Vol. 170, article id 106790Article, review/survey (Refereed) Published
Abstract [en]

New biomarkers that are directly associated with canine ovulation would be of value to ensure mating on optimal days of heat. In this study, canine plasma and serum were analyzed with liquid chromatography electrospray ionization tandem mass spectrometry (LC-ESI-MS/MS) to quantify a broad range of oxylipins for the purpose of developing a method for biomarker discovery studies in canine reproduction. A majority of the 67 oxylipins probed for were detected at comparable levels in both sample types, but more oxylipins at higher concentrations were detected in serum than in plasma. Nine of the oxylipins were detected in a pilot study of serum at levels that significantly differed (p ≤ 0.1) between time-points before (n = 10), during (n = 10) and after (n = 10) ovulation, and might serve as putative biomarkers for canine ovulation. One oxylipin (20-HETE) was significantly altered after adjusting for multiple comparisons. In conclusion, the results showed that the LC-ESI-MS/MS method was suitable for quantification of canine oxylipins, revealing important similarities and differences between plasma and serum profiles as well as preliminary ovulation-specific changes in a subset of the investigated oxylipins.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Dog, Mass spectrometry, Ovulation, Oxylipin, Prostaglandin
National Category
Clinical Science
Identifiers
urn:nbn:se:umu:diva-216887 (URN)10.1016/j.prostaglandins.2023.106790 (DOI)001111382700001 ()37918556 (PubMedID)2-s2.0-85176391214 (Scopus ID)
Available from: 2023-12-12 Created: 2023-12-12 Last updated: 2023-12-12Bibliographically approved
Larsson, N., Nording, M. L., Tydén, J., Johansson, J., Lindberg, R. & Haney, M. (2023). Oxylipin profiles during the first day of mechanical ventilation in an intensive care unit cohort: research letter [Letter to the editor]. Anesthesiology, 138(5), 561-563
Open this publication in new window or tab >>Oxylipin profiles during the first day of mechanical ventilation in an intensive care unit cohort: research letter
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2023 (English)In: Anesthesiology, ISSN 0003-3022, E-ISSN 1528-1175, Vol. 138, no 5, p. 561-563Article in journal, Letter (Other academic) Published
Place, publisher, year, edition, pages
Wolters Kluwer, 2023
National Category
Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:umu:diva-206880 (URN)10.1097/ALN.0000000000004518 (DOI)000989777900012 ()36857438 (PubMedID)2-s2.0-85152244324 (Scopus ID)
Available from: 2023-04-20 Created: 2023-04-20 Last updated: 2023-09-05Bibliographically approved
Späth, J., Brodin, T., Falås, P., Niinipuu, M., Lindberg, R., Fick, J. & Nording, M. (2022). Effects of conventionally treated and ozonated wastewater effluent on the damselfly larva oxylipidome in response to on-site exposure. Chemosphere, 309, Article ID 136604.
Open this publication in new window or tab >>Effects of conventionally treated and ozonated wastewater effluent on the damselfly larva oxylipidome in response to on-site exposure
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2022 (English)In: Chemosphere, ISSN 0045-6535, E-ISSN 1879-1298, Vol. 309, article id 136604Article in journal (Refereed) Published
Abstract [en]

Pharmaceutical residues discharged through insufficiently treated or untreated wastewater enter aquatic environments, where they may adversely impact organisms such as aquatic invertebrates. Ozonation, an advanced wastewater treatment technique, has been successfully implemented to enhance the removal of a broad range of pharmaceuticals, however diverse byproducts and transformation products that are formed during the ozonation process make it difficult to predict how ozonated wastewater may affect aquatic biota. The aim of this study was to investigate effects on fatty acid metabolites, oxylipins, in a common invertebrate species, damselfly larvae, after on-site exposure to conventional wastewater treatment plant (WWTP) effluent and additionally ozonated effluent at a full-scale WWTP. Subsequent ozonation of the conventionally treated wastewater was assessed in terms of i) removal of pharmaceuticals and ii) potential sub-lethal effects on the oxylipidome. Northern damselfly (Coenagrion hastulatum) larvae were exposed for six days in the treatment plant facility to either conventional WWTP effluent or ozonated effluent and the effects on pharmaceutical levels and oxylipin levels were compared with those from tap water control exposure. Ozonation removed pharmaceuticals at an average removal efficiency of 67% (ozone dose of 0.49 g O3/g DOC). Of 38 pharmaceuticals detected in the effluent, 16 were removed to levels below the limit of quantification by ozonation. Levels of two oxylipins, 12(13)-EpODE and 15(16)-EpODE, were reduced in larvae exposed to the conventionally treated wastewater in comparison to the tap water control. 15(16)-EpODE was reduced in the larvae exposed to ozonated effluent in comparison to the tap water control. One oxylipin, 8-HETE, was significantly lower in larvae exposed to conventional WWTP effluent compared to ozonated effluent. In conclusion, the study provides proof-of-principle that damselfly larvae can be used on-site to test the impact of differentially treated wastewater.

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Benthic invertebrate, Liquid chromatography tandem mass spectrometry, Metabolomics, Oxylipin, Ozonation, Sewage, Wastewater treatment plant
National Category
Environmental Sciences Ecology Other Chemistry Topics
Research subject
Ecotoxicology
Identifiers
urn:nbn:se:umu:diva-194323 (URN)10.1016/j.chemosphere.2022.136604 (DOI)000866476600001 ()36179924 (PubMedID)2-s2.0-85139047262 (Scopus ID)
Funder
Swedish Research Council Formas, 2018-00823
Note

Originally included in thesis in manuscript form. 

Available from: 2022-05-02 Created: 2022-05-02 Last updated: 2023-09-05Bibliographically approved
Claeson, A.-S., Lindberg, R. H., Gouveia-Figueira, S. & Nording, M. L. (2022). Feasibility and reliability of measures of bioactive lipids in human plasma and nasal mucosa. Journal of chromatography. B, 1206, Article ID 123357.
Open this publication in new window or tab >>Feasibility and reliability of measures of bioactive lipids in human plasma and nasal mucosa
2022 (English)In: Journal of chromatography. B, ISSN 1570-0232, E-ISSN 1873-376X, Vol. 1206, article id 123357Article in journal (Refereed) Published
Abstract [en]

Analysis of bioactive lipids is increasingly useful in clinical studies, and there is a need for non-invasive and easy-to-use sampling methods that meet the demands of reliability. Samples that can be taken by a non-professional and that can be taken repeatedly so as to provide more detailed information about the inflammatory process are often desired. In this study, the feasibility of non-invasive sampling of nasal mucosa and saliva for the analysis of bioactive lipid mediators (e.g. oxylipins and endocannabinoids) was evaluated in a pilot study (n = 10). In a second study, the reliability (relative and absolute) of sampling of these lipid mediators derived from nasal mucosa and from plasma was assessed by calculation of the intraclass correlation coefficient and Bland–Altman’s limit of agreement. Samples were taken at the same time of day on two occasions from a cohort of individuals with and without building-related intolerance (n = 37). Nasal mucosa proved to be a suitable matrix for the analysis of bioactive lipids and was therefore included in the study on reliability together with the plasma samples. Relative reliability varied among the identified oxylipins and endocannabinoids. Arachidonic acid derivatives showed generally better reliability. Absolute reliability measures also varied indicating that only a subset of the oxylipins and endocannabinoids were suitable as biomarkers in either nasal mucosa or plasma and should therefore be used with caution for that purpose.

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Nasal mucosa, Plasma, Oxylipins, Endocannabinoids, Feasibility, Reliability
National Category
Clinical Laboratory Medicine Analytical Chemistry Otorhinolaryngology
Identifiers
urn:nbn:se:umu:diva-199602 (URN)10.1016/j.jchromb.2022.123357 (DOI)000826227100006 ()2-s2.0-85133720136 (Scopus ID)
Funder
Swedish Research Council Formas, 2016–01364
Available from: 2022-09-22 Created: 2022-09-22 Last updated: 2022-09-22Bibliographically approved
Späth, J., Brodin, T., McCallum, E., Cerveny, D., Fick, J. & Nording, M. L. (2022). Metabolomics reveals changes in metabolite profiles due to growth and metamorphosis during the ontogeny of the northern damselfly. Journal of insect physiology, 136, Article ID 104341.
Open this publication in new window or tab >>Metabolomics reveals changes in metabolite profiles due to growth and metamorphosis during the ontogeny of the northern damselfly
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2022 (English)In: Journal of insect physiology, ISSN 0022-1910, E-ISSN 1879-1611, Vol. 136, article id 104341Article in journal (Refereed) Published
Abstract [en]

Many insects have complex life cycles where a drastic ontogenetic change happens between the larval stages and the adult stage, i.e. metamorphosis. Damselflies (order Odonata, suborder Zygoptera) are widely distributed and ecologically important semi-aquatic insects with a complex life cycle. Phenotypic changes over damselfly ontogeny have been documented, however, if and how metabolite profiles are also changing is currently unknown. Here we used a metabolomics methodology to gain insights into the metabolic changes during the life cycle of the Northern damselfly (Coenagrion hastulatum). Hatchlings of wild-caught damselflies were reared in the laboratory and metabolomics analyses using liquid chromatography and gas chromatography coupled to mass spectrometry were carried out at three larval stages and on adult damselflies. Additionally, a subset of larvae was exposed to wastewater effluent to assess how metabolite profiles responded to an environmental stressor. A total of 212 compounds belonging to several classes (e.g. amino acids, fatty acids, sugars) were annotated. Across metamorphosis, we found that damselflies shifted from protein catabolism to lipid catabolism. Wastewater effluent exposure resulted in ontogenetic stage-dependent changes of individual metabolites, but not to a marked extent. Overall, our study is one of the first to describe changes of metabolite profiles during ontogeny of an insect, and it provides a first step towards a greater understanding of the physiological changes occurring during general insect—but especially damselfly—ontogeny.

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Chromatography, Complex life cycle, Mass spectrometry, Odonata, Semi-aquatic invertebrate, Wastewater treatment plant effluent
National Category
Environmental Sciences Ecology
Identifiers
urn:nbn:se:umu:diva-190144 (URN)10.1016/j.jinsphys.2021.104341 (DOI)000787580200009 ()34843740 (PubMedID)2-s2.0-85120348992 (Scopus ID)
Funder
Swedish Research Council Formas, 2018-00823
Available from: 2021-12-09 Created: 2021-12-09 Last updated: 2023-09-05Bibliographically approved
Larsson, N., Lehtipalo, S., Gouveia-Figueira, S., Claesson, J., Pourazar, J., Isaksson Mettävainio, M., . . . Nording, M. L. (2022). Plasma and bronchoalveolar lavage fluid oxylipin levels in experimental porcine lung injury. Prostaglandins & other lipid mediators, 160, Article ID 106636.
Open this publication in new window or tab >>Plasma and bronchoalveolar lavage fluid oxylipin levels in experimental porcine lung injury
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2022 (English)In: Prostaglandins & other lipid mediators, ISSN 1098-8823, E-ISSN 2212-196X, Vol. 160, article id 106636Article in journal (Refereed) Published
Abstract [en]

Inflammatory signaling pathways involving eicosanoids and other regulatory lipid mediators are a subject of intensive study, and a role for these in acute lung injury is not yet well understood. We hypothesized that oxylipin release from lung injury could be detected in bronchoalveolar lavage fluid and in plasma. In a porcine model of surfactant depletion, ventilation with hyperinflation was assessed. Bronchoalveolar lavage and plasma samples were analyzed for 37 different fatty acid metabolites (oxylipins). Over time, hyperinflation altered concentrations of 4 oxylipins in plasma (TXB2, PGE2, 15-HETE and 11-HETE), and 9 oxylipins in bronchoalveolar lavage fluid (PGF, PGE2, PGD2, 12,13-DiHOME, 11,12-DiHETrE, 13-HODE, 9-HODE, 15-HETE, 11-HETE). Acute lung injury caused by high tidal volume ventilation in this porcine model was associated with rapid changes in some elements of the oxylipin profile, detectable in lavage fluid, and plasma. These oxylipins may be relevant in the pathogenesis of acute lung injury by hyperinflation.

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Biomarkers, Inflammation, Lung injury, Mechanical ventilation, Oxylipins, Swine
National Category
Cell Biology Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:umu:diva-193703 (URN)10.1016/j.prostaglandins.2022.106636 (DOI)000792010100002 ()35307566 (PubMedID)2-s2.0-85127156336 (Scopus ID)
Available from: 2022-04-28 Created: 2022-04-28 Last updated: 2023-09-05Bibliographically approved
Späth, J., Fick, J., McCallum, E., Cerveny, D., Nording, M. L. & Brodin, T. (2022). Wastewater effluent affects behaviour and metabolomic endpoints in damselfly larvae. Scientific Reports, 12(1), Article ID 6830.
Open this publication in new window or tab >>Wastewater effluent affects behaviour and metabolomic endpoints in damselfly larvae
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2022 (English)In: Scientific Reports, E-ISSN 2045-2322, Vol. 12, no 1, article id 6830Article in journal (Refereed) Published
Abstract [en]

Wastewater treatment plant effluents have been identified as a major contributor to increasing anthropogenic pollution in aquatic environments worldwide. Yet, little is known about the potentially adverse effects of wastewater treatment plant effluent on aquatic invertebrates. In this study, we assessed effects of wastewater effluent on the behaviour and metabolic profiles of damselfly larvae (Coenagrion hastulatum), a common aquatic invertebrate species. Four key behavioural traits: activity, boldness, escape response, and foraging (traits all linked tightly to individual fitness) were studied in larvae before and after one week of exposure to a range of effluent dilutions (0, 50, 75, 100%). Effluent exposure reduced activity and foraging, but generated faster escape response. Metabolomic analyses via targeted and non-targeted mass spectrometry methods revealed that exposure caused significant changes to 14 individual compounds (4 amino acids, 3 carnitines, 3 lysolipids, 1 peptide, 2 sugar acids, 1 sugar). Taken together, these compound changes indicate an increase in protein metabolism and oxidative stress. Our findings illustrate that wastewater effluent can affect both behavioural and physiological traits of aquatic invertebrates, and as such might pose an even greater threat to aquatic ecosystems than previously assumed. More long-term studies are now needed evaluate if these changes are linked to adverse effects on fitness. The combination of behavioural and metabolomic assessments provide a promising tool for detecting effects of wastewater effluent, on multiple biological levels of organisation, in aquatic ecosystems.

Place, publisher, year, edition, pages
Nature Publishing Group, 2022
National Category
Environmental Sciences Ecology
Research subject
Ecotoxicology
Identifiers
urn:nbn:se:umu:diva-194322 (URN)10.1038/s41598-022-10805-9 (DOI)000787775900076 ()35474093 (PubMedID)2-s2.0-85128919569 (Scopus ID)
Funder
Swedish Research Council Formas, 2018-00823Swedish Research Council Formas, 2018-00828The Kempe Foundations
Available from: 2022-05-02 Created: 2022-05-02 Last updated: 2023-09-05Bibliographically approved
Projects
Novel treatment of air pollution responses in respiratory disease [2010-02070_Vinnova]; Umeå University
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