bluuebunny/crossref_metadata_2025_split huggingface dataset:
Experiences of health‐promoting self‐care in people living with rheumatic diseases
Authors: Arvidsson Susann , Bergman Stefan , Arvidsson Barbro , Fridlund Bengt , Tops Anita Bengtsson 
Published: February 2011

arvidsson s., bergman s., arvidsson b., fridlund b. & tops a.b. (2011) Experiences of health‐promoting self‐care in people living with rheumatic diseases. Journal of Advanced Nursing67(6), 1264–1272.AbstractAim.  This paper is a report of a study that explores and describes the meaning of the phenomenon of health‐promoting self‐care as experienced by people living with rheumatic diseases.Background.  People with rheumatic diseases estimate health status as low and health belief and health status influence self‐care behaviours. Several self‐care behaviours are used in the efforts to mitigate the diseases.Method.  The study had a descriptive phenomenological approach based on a reflective life‐world perspective. Data were gathered in 2007 by unstructured open‐ended interviews with 12 individuals living with rheumatic diseases.Findings.  The meaning of health‐promoting self‐care as experienced by people living with rheumatic diseases was that self‐care takes place against a background of continual hope and belief to influence health in positive ways. Self‐care was a way of life and implied being ready to understand and respond to signals from the body. Three inter‐related constituents elucidated their experiences: dialogue, power struggle and choice. Self‐care was experienced as dialogues with the body and with the immediate environment. In order to respond to signals from the body, power struggles were required to be entered into when fighting the diseases. Choices were required to be made and things that were beneficial for the body were prioritized.Conclusion.  In this study, the meaning of health‐promoting self‐care as experienced by people living with rheumatic diseases was that self‐care was a way of life. This meant to be ready to understand and respond to signals from the body. Self‐care required dialogues, power struggles and choices.
Access to respite breaks for families who have a relative with intellectual disabilities: a national survey
Authors: McConkey Roy , Kelly Fionnola , Craig Sarah 
Published: February 2011

mcconkey r., kelly f. & craig s. (2011) Access to respite breaks for families who have a relative with intellectual disabilities: a national survey. Journal of Advanced Nursing67(6), 1349–1357.AbstractAims.  This paper reports the findings of a national study of the variations in the provision and correlates of respite breaks to families.Background.  Internationally, respite breaks are a major support service to family carers, demand for which often exceeds supply for persons with an intellectual disability. Hence, the length of breaks available to families has to be rationed. Nurses are often involved in such decisions.Method.  National data on the use of respite breaks by over 4000 families in a full calendar year (2008) were analysed to examine the variation within the Republic of Ireland on two indicators: namely the proportion of carers who had any access to breaks and the median number of days they had received.Findings.  Striking differences across health service areas were found on both indicators of usage. These were not solely attributable to the availability of provision but also reflected variations in the criteria local services used to allocate places. However, those persons with more severe disabilities were given priority, whereas carer characteristics were not a major influence. Contact with social workers and community nurses also increased the likelihood of carers receiving respite breaks.Conclusion.  Intra‐country comparisons of service delivery should assist planners in creating more equitable access to respite breaks and the development of more explicit eligibility criteria for their use. Nurses are well placed to lead on this.
An analysis of parental roles during haematopoietic stem cell transplantation of their offspring: a qualitative and participant observational study
Authors: Larsen Hanne Bækgaard , Heilmann Carsten , Johansen Christoffer , Adamsen Lis 
Published: February 2011

larsen h.b., heilmann c., johansen c. & adamsen l. (2011) An analysis of parental roles during haematopoietic stem cell transplantation of their offspring: a qualitative and participant observational study. Journal of Advanced Nursing67(7), 1458–1467.AbstractAim.  The aim of this study was to investigate the parents’ experiences and reflections on their parental role while taking care of their child.Background.  Parents of children undergoing treatment with allogeneic haematopoetic stem cell transplantation for life threatening diseases in protective isolation, experience distress related to the child’s care. Parents struggle to cope with the stress related to the child’s disease, treatment and survival possibilities.Methods.  During the period 2007–2009, eight participant studies and 16 in‐depth interviews were performed and analysed using a theoretical ideal type construction and an interactionistic approach.Results.  Three ideal types of approaches were identified (1) expertise‐mindedness, (2) dialogue‐mindedness and (3) the approach of the socially challenged parents. Expertise‐minded parents base their rationality for care and interactions on medical knowledge. It is important for dialogue‐minded parents that emotions are included in the rationality for care. Being able to manage these two approaches requires emotional work in the form of both surface‐ and deep acting from the parents. Socially challenged parents fail to adapt to either of the two approaches since they often fail to manage the required emotional work.Conclusion.  The three described ideal types give a new perspective on the complex interactions that occur between parents, child and staff during treatment with haematopoetic stem cell transplantation. Understanding the rationality behind the different approaches adopted by parents may assist medical staff to understand the parents’ rationality for care of their child and to identify socially challenged parents who need help in managing the care of their child.
The impact of caregivers’ singing on expressions of emotion and resistance during morning care situations in persons with dementia: an intervention in dementia care
Authors: Hammar Lena M , Emami Azita , Götell Eva , Engström Gabriella 
Published: February 2011

Aims and objectives.  The aim was to describe expressions of emotions and resistiveness to care among persons with dementia (PWD), during morning care situations without and with music therapeutic caregiving (MTC).Background.  Effective caregiving is dependent on the interpersonal relationship between nurse and patient. PWD suffer from major cognitive impairment, making interaction with others problematic. Such patients often react with problematic behaviours such as resistance and anger towards the care activity and the caregiver. Earlier research suggests that MTC – when caregivers sing for or together with PWD during caregiving – can reduce resistance and evoke positive emotions in PWD.Design.  This was an intervention study whereby MTC was implemented during morning care situations while PWD were being cared for.Method.  The study included ten, 66–92‐year‐old men and women with severe dementia living in a nursing home in Sweden. Video observations of eight weekly sessions, consisting of four recordings of usual morning care and four recordings of morning care with MTC, provided data. The resistiveness to care scale and the observed emotion rating scale were used for analysis.Results.  Pull away was the most common resistant behaviour under both conditions. The PWDs’ expressions of resistant behaviour, such as pull away, grab object and adduction, were significantly reduced under the intervention situation. Positively expressed emotions, specifically pleasure and general alertness, significantly increased under the MTC intervention compared with the ‘usual’ morning care sessions.Conclusions.  MTC can be an effective nursing intervention to provide PWD a more pleasant experience of morning care situations as it decreases resistant behaviour and increases positive emotions.Relevance to clinical practice. MTC offers a potential non‐pharmacologic treatment that can be used in caring for PWD.
Estimating seed and pollen movement in a monoecious plant: a hierarchical Bayesian approach integrating genetic and ecological data
Authors: MORAN EMILY V. , CLARK JAMES S. 
Published: February 2011

AbstractThe scale of seed and pollen movement in plants has a critical influence on population dynamics and interspecific interactions, as well as on their capacity to respond to environmental change through migration or local adaptation. However, dispersal can be challenging to quantify. Here, we present a Bayesian model that integrates genetic and ecological data to simultaneously estimate effective seed and pollen dispersal parameters and the parentage of sampled seedlings. This model is the first developed for monoecious plants that accounts for genotyping error and treats dispersal from within and beyond a plot in a fully consistent manner. The flexible Bayesian framework allows the incorporation of a variety of ecological variables, including individual variation in seed production, as well as multiple sources of uncertainty. We illustrate the method using data from a mixed population of red oak (Quercus rubra,Q. velutina,Q. falcata) in the NC piedmont. For simulated test data sets, the model successfully recovered the simulated dispersal parameters and pedigrees. Pollen dispersal in the example population was extensive, with an average father–mother distance of 178 m. Estimated seed dispersal distances at the piedmont site were substantially longer than previous estimates based on seed‐trap data (average 128 m vs. 9.3 m), suggesting that, under some circumstances, oaks may be less dispersal‐limited than is commonly thought, with a greater potential for range shifts in response to climate change.
Diagnosis of drug hypersensitivity in children and adolescents: Discrepancy between physician‐based assessment and results of testing
Authors: Seitz Cornelia S. , Bröcker Eva‐B. , Trautmann Axel 
Published: February 2011

To cite this article: Seitz CS, Bröcker E‐B, Trautmann A. Diagnosis of drug hypersensitivity in children and adolescents: Discrepancy between physician‐based assessment and results of testing. Pediatric Allergy Immunology 2011; 22: 405–410.AbstractBackground:  Diagnosis of drug hypersensitivity is often based on history alone. But such a vague diagnosis may cause limitations of therapeutic options in the future. To confirm or rule out drug hypersensitivity, skin testing, in vitro studies, and challenge tests are necessary. However, the diagnostic value of this complex and time‐consuming allergologic work‐up, especially in children, remains controversial.Objective:  Aim of this retrospective analysis was to compare the results of diagnostic testing in children and adolescents with drug hypersensitivity diagnosed on clinical grounds, i.e., temporal relationship and observation of symptoms alone.Methods:  We studied 43 children and adolescents (23 females, 20 males, mean age 13) with a history of immediate or delayed hypersensitivity symptoms in temporal relation to drug treatment using standardized skin testing followed by oral challenges. Patients with suspected penicillin hypersensitivity were further evaluated with in vitro tests.Results:  Drug hypersensitivity was excluded in 40 patients by tolerated oral challenge tests with the incriminated drug. In two patients, positive challenge tests confirmed non‐steroidal anti‐inflammatory drug hypersensitivity. One patient with amoxicillin‐associated exanthema developed positive late skin test reactions to aminopenicillins.Conclusion:  In childhood and adolescence, allergologic testing in cases of suspected drug hypersensitivity is of importance both to establish a correct diagnosis and to prevent unjustified withholding of a drug or class of drugs.
Endophthalmitis as primary clinical manifestation of fatal fusariosis in an allogeneic stem cell recipient
Authors: Kapp M. , Schargus M. , Deuchert T. , Springer J. , Wendel F. , Loeffler J. , Grigoleit G.U. , Kurzai O. , Heinz W. , Einsele H. , Stuhler G. 
Published: February 2011

M. Kapp, M. Schargus, T. Deuchert, J. Springer, F. Wendel, J. Loeffler, G.U. Grigoleit, O. Kurzai, W. Heinz, H. Einsele, G. Stuhler. Endophthalmitis as primary clinical manifestation of fatal fusariosis in an allogeneic stem cell recipient. Transpl Infect Dis 2011: 13: 374–379. All rights reservedAbstract: The occurrence of infections due to previously rare opportunistic pathogens is increasing despite the use of novel treatment strategies for immunocompromised patients. Here, we report the case of a patient presenting with fever, muscle pain, and bilateral endophthalmitis after allogeneic hematopoietic stem cell transplantation. Fusarium solani was isolated from peripheral blood samples and identified as the cause of gradual bilateral vision loss, despite appropriate antifungal prophylaxis, and therapy including vitrectomy and intraocular instillation of antifungal agents. The patient became comatose; basal meningitis involving both optic nerves was suspected based on magnetic resonance tomography. The patient died 8 days later due to septic multi‐organ failure. Autopsy revealed that both kidneys, but no other organs, were infiltrated by Fusarium. No fungus was found in cerebral tissues or cerebrospinal fluid. Our case demonstrates some of the typical clinical features of systemic fusariosis and its potentially fatal outcome. The clinical observations reported here may help clinicians caring for immunocompromised patients to accelerate diagnosis and initiate treatment early at the onset of this fatal complication, and highlight the urgent need for interdisciplinary management of invasive fusariosis.
Incidences and associations of cystic ovaries with production and reproduction traits in dairy cattle1
Authors: Ashmawy A. A. , Vogt D. W. , Garverick H. A. , Youngquist R. S. 
Published: February 2011

SummaryData were from the records of 243 Guernsey and 453 Holstein cows owned by the University of Missouri‐Columbia. Records were collected from 1977 through 1987. Lactational incidence of cystic ovaries (cysts) averaged 37.9 and 38.2% in Guernsey and Holstein breeds, respectively. Incidence of cystic ovaries was not significantly different between seasons however, it appeared higher during autumn month for both breeds.Multiple logistic regressions with a stepwise option indicated that the effects of year of calving and preceding days dry increased the incidence of cysts in Guernseys. In Holsteins, incidence was increased with increasing preceding calving interval and age; year of calving showed a curvilinear relationship with cyst incidence.In both breeds, cows with cysts produced more milk and fat but also had more days open than their noncystic contemporaries. Cyst development did not affect days in milk or number of services per conception.Repeatability of cyst development was .20 in Guernseys and .06 in Holsteins. Corresponding estimates on a normal distribution scale were .33 and .10, respectively.ZusammenfassungAuftreten zystischer Ovarien und Zusammenhänge mit Leistungs‐ und Reproduktionsmerkmalen bei MilchrindernDas Datenmaterial stammt von 243 Guernsey‐ und 453 Holstein‐Kühen der Universität von Missouri‐Columbia, und ist von 1977 bis 1987 erhoben worden. Häufigkeiten zystischer Ovarien (Zysten) je Laktation waren 37.9 und 38.2% in Guernsey und Holstein. Die Häufigkeit zystischer Ovarien war zwischen Kalbesaisonen ähnlich, obwohl in beiden Rassen eine Steigerung im Herbst vorhanden zu sein schien.Multiple logistische Regression mit stufenweiser Option ergab Jahreswirkungen und eine zunehmende Zystenhäufigkeit in Guernseys mit längerer Trockenzeit. In Holsteins stieg die Häufigkeit mit zunehmenden vorübergehenden Kalbintervall und Alter, und Kalbejahr zeigte eine kurvilineare Beziehung mit Zystenhäufigkeit.In beiden Rassen haben Kühe mit Zysten mehr Milch und Fett produziert und längere Güstzeit gezeigt als ihre nichtzystischen Stallgefährtinnen. Die Entwicklung von Zysten beeinflußte nicht Melktage und auch nicht Zahl der Besamungen pro Konzeption.Die Wiederholbarkeit der Zystenentwicklung war 0.2 in Guernseys und 0.06 in Holsteins, was auf der normalen Verteilungsskala Werten von 0.33 und 0.10 entspricht.
The influence of selection on reaction to stress in mice
Authors: Kolataj A. , Rysińska J. , Flak P. 
Published: February 2011

SummaryThe experiments were conducted on 6 week old mice selected for weight gains and on unselected control mice. The mice were given hormone injections: ACTH 5 mg/kg, adrenalin 10 μg/kg and insulin 3 U/kg.After ACTH injections an increase of glucose level in the blood and aldolase activity in liver and kidney tissues was observed, after adrenalin in the selected mice only; after insulin injection decrease of glucose level in the blood as well as aldolase activity in the liver and in the kidney.LDH activity in the liver and in the kidney did not change significantly after injections of those hormones.The results obtained in our experiment indicate that blood glucose and kidney LDH respond in selected animals differently to exogenic hormones application than in unselected ones while for other substances no interactions are evident.ZusammenfassungSelektionseinfluß auf Streßreaktionen bei Mäusen. II. Einfluß von ACTH, Adrenalin und Insulin auf Aldolase‐ und LDH‐ Aktivität in Leber und NierenDer Versuch wurde an 6 Wochen alten Mäusen durchgeführt, die einer Selektionslinie für hohe Gewichtszunahmen und einer Kontrolle entstammten. Den Mäusen wurden Hormoninjektionen verabreicht: ACTH 5 mg/1kg, Adrenalin 10 μg/1 kg und Insulin 3 u/1 kg.Nach ACTH Injektion wurde ein Anstieg des Glucosespiegels im Blut und der Aldolaseaktivität in Leber‐ und Nierengewebe festgestellt, bei Adrenalininjektion aber nur in selektierten Mäusen; nach Insulininjektion verminderte sich Glucose im Blut und Aldolase in Leber und Nieren.LDH Aktivität in Leber und Niere unterschied sich nach Injetion dieser Hormone nicht signifikant. Die Ergebnisse dieses Versuches zeigen, daß Blut‐Glucose und Leber‐Aldolase bei selektierten Mäusen auf Injektion exogener Hormone anders reagieren als bei Kontrollen und in den übrigen Substanzen sich aber keine Interaktionen andeuten.
Economic indices using breeding values predicted by BLUP
Authors: Schneeberger M. , Barwick S. A. , Crow G. H. , Hammond K. 
Published: February 2011

SummaryA situation is described where breeding values (BVs) predicted by Best Linear Unbiased Prediction for selection criteria are used to predict an aggregate breeding objective consisting of traits that may or may not have been measured. The index weights by which the predicted BVs are multiplied are the same for all animals with the same available predicted BVs, and they depend only on the genetic variances and covariances among the selection criteria and the traits in the objective, and on the economic values of these traits. The variance of the index and expected genetic gains in both the selection criteria and the traits of the objective, however, depend on the inbreeding coefficient and the prediction error variances and covariances of the predicted BVs for each animal. When these prediction error variances and covariances are not available for all animals approximations based on assumed “standard” animals might be used to give an indication of the direction in which the population will move under selection.ZusammenfassungWirtschaftliche Indices aus mit BLUP geschätzten ZuchtwertenMit BLUP (Best Linear Unbiased Prediction) geschätzte Zuchtwerte (ZW) für meßbare Selektionskriterien werden zum Schätzen eines Zuchtzieles verwendet, welches sowohl gemessene als auch nicht gemessene Merkmale enthalten kann. Die Indexgewichte, mit denen die geschätzten ZW multipliziert werden, sind für alle Tiere mit den gleichen verfügbaren ZW identisch. Sie hängen nur von den genetischen Varianzen und Kovarianzen der Selektionskriterien und der Merkmale im Zuchtziel und den wirtschaftlichen Gewichten für diese Merkmale ab. Die Varianz des Indexes und die erwarteten Zuchtfortschritte in den einzelnen Indexkriterien und Merkmalen im Zuchtziel hängen dagegen vom Inzuchtkoeffizienten und den Varianzen und Kovarianzen der geschätzten ZW (prediction error variances and covariances) für jedes Tier ab. Wenn die Varianzen und Kovarianzen der geschätzten ZW nicht für jedes Tier verfügbar sind, können auf angenommenen “Standardtieren” beruhende Näherungen verwendet werden, um einen Hinweis zu erhalten, in welche Richtung sich die Population bei Selektion nach diesem Index verschieben wird.
Growth and egg production traits in chickens as influenced by major histocompatibility types and background genomes
Authors: Dunnington E. A. , Larsen A. S. , O'Sullivan N. P. , Siegel P. B. 
Published: February 2011

SummaryAn experiment was conducted with populations of White Leghorn chickens that had been selected for high (HA) or low (LA) antibody response to sheep erythrocytes and were segregating at the major histocompatibility complex (MHC) for B‐system alloantigens B13 and B21. Results were quantified in terms of body weights, age and body weight at sexual maturity, egg production, egg weights, egg components and incidence of avian leukosis shedders. In many cases, background genome (HA or LA) by MHC type (B13 or B21) interactions were present, suggesting that both particular alleles and the genetic environment in which they exist may alter physiological performance.ZusammenfassungEinfluß von Histokompatibilitätstypen und Rest‐Genotypen auf Wachstum und Legeleistung von GeflügelDie zwei verwendeten Weiße Leghorn Populationen waren für hoch (HA) oder niedrigen (LA) Antikörperreaktion auf Schafe Erythrozyten selektiert worden und hatten im Histokompatibilitätsbereich (MHC) die B‐System Alloantigene B13 und B21. Die Wirkung dieser Genotypen sowie des Restgenoms auf Körpergewicht, Alter und Gewicht bei Geschlechtsreife, Legeleistung, Eigewicht, Eizusammenset‐zung und Ausmaß von Ausscheidung von Geflügelleukoseantigen wurden untersucht. In vielen Fällen waren Interaktionen zwischen Restgenom (HA) oder (LA) mit MHC‐Typ (B13) oder (B21) vorhanden, so daß der Eindruck entsteht, daß sowohl bestimmte Allele wie auch das genetische Umfeld, in dem sie existieren, physiologische Leistungen beeinflußt.