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Biomedical subjects

C Menke

Publications and source records attributed to C Menke.

4 recordsLinked to original sources
PubMed2001

Psychosocial adjustment of patients and caregivers prior to allogeneic bone marrow transplantation.

There are many studies that examine the psychosocial adjustment of survivors of bone marrow transplantation (BMT). On the other hand, there are relatively few studies that examine the psychosocial adjustment of patients prior to BMT, and even fewer that focus on the psychosocial adjustment of the patient's caregiver. The purpose of the present study was to assess performance status and psychosocial adjustment to illness, mood and stress response of patients and caregivers prior to admission for allogeneic BMT. Forty patients and their 39 caregivers were assessed using standardized measures. One-fourth of the patients reported clinical levels of psychosocial maladjustment on the Psychosocial Adjustment to Illness Scale and had greater adjustment problems than BMT survivors. Approximately one-third (35%) and one-quarter (23%) of the patients reported significant symptoms of intrusive and avoidance stress responses, respectively on the Impact of Events Scale. Caregivers reported more impairments in family relationships than patients, but overall reported similar distress to that of patients. Information about the pre-BMT process appears to be critical to understanding the psychosocial impact that BMT can have on patients and their caregivers.

Adult↗
PubMed2000

[Importance of herd management in loose housing systems in the social behavior of dairy cows].

In five loose housed dairy herds three different kinds of herd management were tested in two variants with respect to frequencies of agonistic social behaviour. Treatments were (1) a short (0.5 h) and a long (3 h) fixation time in the feeding rack, (2) single and group (3 animals) introduction of new heifers into the herd and (3) an open and a closed outdoor yard during nighttime. The investigated agonistic behaviour patterns were: pushing and chasing. The herds were observed in the evening after milking during one four-hour period starting one hour after opening the feeding rack when testing treatment (3) and immediately after opening the feeding rack when testing treatment (1) and (2). Statistical analysis were carried out with the Wilcoxon signed-ranks test for matched samples. Effects of fixation time differed inconsistently and were not significant. In 3 out of 5 farms the frequency of agonistic behaviour was lower, when cows were restrained 3 h in the feeding rack compared to 0.5 h. In two of these 3 herds, the animals had the possibility to drink water from bowls directly at the feeding rack, in the third herd the food was silage which has a higher water content. Therefore in these herds, the agonistic interactions at the drinking facility in the stable after opening the feeding rack was low. Contrary, in the two other herds, with dry feed (hay) and no drinking bowls at the feeding rack, frequency of agonistic behaviour was higher after the long restraint which might be due to higher competition at the drinking facilities. Agonistic interactions per cow as well as per new introduced heifer were lower (p < or = 0.05) when only a single heifer was introduced to the herd compared to the introduction of a group of 3 heifers. The frequency of agonistic social behaviour of horned dairy cows that had access to a yard at night was significantly lower compared to the situation when the yard was closed over night (p < or = 0.05). This may be due to the higher space allowances per cow but also to the additional structuring of the locomotion area.

Animal Husbandry↗
PubMed1998

Information preferences, reading ability, and emotional changes in outpatients during the process of obtaining informed consent for autologous bone-marrow transplantation.

BACKGROUND: The complexity of autologous bone marrow transplantation (ABMT) imposes increased demands for disclosure of information to patients. This study describes the information preferences, reading ability, and emotional balance (affect) of adult patients at the time of outpatient informed consent. METHODS: Thirty patients were enrolled. The Derogatis Affects Balance Scale was used to determine each patient's emotional status before and after outpatient informed consent. The Information Styles Questionnaire was used to measure information preferences, and the Wide Range Achievement Test was used to measure reading ability. RESULTS: Every patient had at least average reading ability. Almost 90% of the patients preferred maximum amounts of detailed information. A significant change in total affectivity was seen after informed consent (p = 0.005), and the predominant pattern of change was decreases in both positive and negative affects, with a significant improvement in the positive-affects ratio. CONCLUSION: ABMT candidates tend to read well and prefer maximum amounts of information. The informed consent process is associated with significant change in the balance between positive and negative patient emotions, and the dominant pattern is neutralization of both the positive and the negative emotions. This neutralization is more pronounced for the negative emotions, suggesting that the informed consent process may make patients feel better overall.

Adolescent↗