Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 13 de 13
Filter
1.
Transplant Proc ; 50(1): 92-98, 2018.
Article in English | MEDLINE | ID: mdl-29407338

ABSTRACT

BACKGROUND: Medication nonadherence is a common problem in renal transplant recipients (RTRs). Mobile health approaches to improve medication adherence are a current trend, and several medication adherence apps are available. However, it is unknown whether RTRs use these technologies and to what extent. In the present study, the mobile technology affinity of RTRs was analyzed. We hypothesized significant age differences in mobile technology affinity and that mobile technology affinity is associated with better cognitive functioning as well as higher educational level. METHODS: A total of 109 RTRs (63% male) participated in the cross-sectional study, with an overall mean age of 51.8 ± 14.2 years. The study included the Technology Experience Questionnaire (TEQ) for the assessment of mobile technology affinity, a cognitive test battery, and sociodemographic data. RESULTS: Overall, 57.4% of the patients used a smartphone or tablet and almost 45% used apps. The TEQ sum score was 20.9 in a possible range from 6 (no affinity to technology) to 30 (very high affinity). Younger patients had significantly higher scores in mobile technology affinity. The only significant gender difference was found in having fun with using electronic devices: Men enjoyed technology more than women did. Mobile technology affinity was positively associated with cognitive functioning and educational level. CONCLUSIONS: Young adult patients might profit most from mobile health approaches. Furthermore, high educational level and normal cognitive functioning promote mobile technology affinity. This should be kept in mind when designing mobile technology health (mHealth) interventions for RTRs. For beneficial mHealth interventions, further research on potential barriers and desired technologic features is necessary to adapt apps to patients' needs.


Subject(s)
Kidney Transplantation/psychology , Medication Adherence/psychology , Telemedicine/methods , Transplant Recipients/psychology , Adult , Age Factors , Aged , Cognition , Cross-Sectional Studies , Educational Status , Female , Humans , Male , Middle Aged , Postoperative Period , Surveys and Questionnaires , Young Adult
2.
Nervenarzt ; 85(5): 589-95, 2014 May.
Article in German | MEDLINE | ID: mdl-23579875

ABSTRACT

BACKGROUND: In Germany empirical research on the (mental) health of immigrants is still insufficiently investigated. METHODS: The symptom severity of depressiveness (Beck Depression Inventory, BDI) and of somatoform complaints (Screening for Somatoform Symptoms, SOMS-2) were measured in 254 Turkish and 164 German patients in primary care. RESULTS: Turkish patients showed a higher age-adjusted severity of depressive and somatoform symptomatology compared with German patients. The most pronounced depressive symptoms of the Turkish patients were fatigue and irritability and of the German patients sleep disorders and fatigue. Of the Turkish patients 19.29 % achieved the cut-off value for a clinically relevant depression (≥ 18 points) but this was achieved by only 7.93% of the German sample (p = 0.001). The most common somatoform symptoms of the Turkish patients were back pain and pain in the arms or legs and in the German patients back pain and joint pain dominated. CONCLUSIONS: The results indicate a higher mental distress in Turkish compared to native German patients.


Subject(s)
Depression/epidemiology , Depression/psychology , Somatoform Disorders/epidemiology , Somatoform Disorders/psychology , Stress, Psychological/epidemiology , Stress, Psychological/psychology , Transients and Migrants/psychology , Adolescent , Adult , Age Distribution , Aged , Aged, 80 and over , Comorbidity , Female , Germany/epidemiology , Humans , Male , Middle Aged , Prevalence , Primary Health Care/statistics & numerical data , Risk Factors , Sex Distribution , Transients and Migrants/statistics & numerical data , Turkey/epidemiology
3.
Chirurg ; 81(9): 820-5, 2010 Sep.
Article in German | MEDLINE | ID: mdl-20730409

ABSTRACT

Living donor liver transplantation (LDLT) offers the option to reduce organ scarcity and thereby waiting list mortality. The crucial ethical problem of LDLT is the fact that the well being of a donor is being jeopardized for the improvement of quality of life of the recipient. To preserve mental health of the donors, psychosomatic evaluation should be conducted including examination of the coping capacity, the mental stability of the donor and the voluntary nature of the donation. Thus a comprehensive disclosure of information to donors is necessary. Realistic outcome expectations, family relationships without extreme conflicts, sufficient autonomy of the donor-recipient relationship and social and familiar support are predictors facilitating a favorable psychosocial outcome for the donor. Before and after LDLT the health-related quality of life of the donors is similar or increased in comparison to the general population. Psychiatric complications following LDLT can occur in 13% of the donors. Female donors, donors who have surgical complications themselves and donors with unrealistic outcome expectations should be given psychotherapeutic support before they are admitted to living liver donation. Urgent indications in the case of acute liver failure and the donation by adult children for their parents are particular stress factors. For the safety of the donor, these combinations should be avoided whenever possible.


Subject(s)
Hepatectomy/psychology , Liver Transplantation/methods , Living Donors/psychology , Quality of Life , Adult , Child , Family , Female , Humans , Living Donors/supply & distribution , Male , Mental Disorders/epidemiology , Mental Disorders/etiology , Parent-Child Relations , Psychotherapy , Social Support , Truth Disclosure
4.
Transplant Proc ; 41(6): 2595-8, 2009.
Article in English | MEDLINE | ID: mdl-19715982

ABSTRACT

Levels of psychosocial functioning were assessed according to Transplantation Evaluation Rating Scale (TERS) in 113 patients prior to lung transplantation. The prevalence of mental disorders was 20%; in addition impaired mental status was observed in 12 (11%) patients. The most frequent diagnoses were dependence on tobacco (9%), adjustment disorders (4%), and dependence on alcohol (2%). In the clinical interview, 87 patients (77%) were assessed as eligible, 20 (18%) as risky, and 6 (5%) as high-risk candidates. The TERS total scores between the eligibility groups differed significantly (F = 19.5; df = 112; P < .001). There were no significant effects of gender and age. Significant inverse correlations were estimated between the TERS score and educational status (r = -.291; P = .002). TERS allows a standardized evaluation of lung transplant candidates with good discrimination into eligibility groups. General psychosocial adaptation is mainly based on the educational level, a factor that should be examined in psychosomatic assessments.


Subject(s)
Lung Transplantation/physiology , Psychiatric Status Rating Scales , Psychophysiologic Disorders/diagnosis , Social Alienation/psychology , Waiting Lists , Adolescent , Adult , Aged , Alcoholism/epidemiology , Depressive Disorder/epidemiology , Female , Humans , Interviews as Topic , Lung Diseases/classification , Lung Diseases/surgery , Lung Transplantation/psychology , Male , Medicine , Mental Disorders/epidemiology , Middle Aged , Patient Selection , Prevalence , Smoking/epidemiology , Social Adjustment , Social Behavior , Young Adult
5.
Eur Surg Res ; 40(1): 7-13, 2008.
Article in English | MEDLINE | ID: mdl-17717419

ABSTRACT

BACKGROUND: Liver transplantation is currently recognized as the optimal treatment for both early hepatocellular carcinoma in the setting of cirrhosis (HCC) as well as for alcoholic liver disease (ALD). The purpose of this study was to evaluate the outcome of patients with HCC and ALD in the absence of viral hepatitic infections. METHODS: Twelve recipients were transplanted with a diagnosis of HCC and ALD in the absence of viral hepatitis during a 6-year period. Nine received deceased donor livers, and 3 live donor grafts. Our results were compared to those obtained by a search of the world literature. RESULTS: The postoperative course was uneventful in all but one patient. All recipients experienced a good quality of life postoperatively. Three-year overall and recurrence-free survival rates were 82 and 73%, respectively. Nine patients are currently alive, after a median follow-up of 29 months. CONCLUSION: This is the first study to evaluate liver transplantation for HCC in ALD. Although outcomes are excellent, the evaluation of patients with ALD and HCC constitutes a challenging topic in transplantation surgery, especially when live liver donation is considered. An interdisciplinary structured approach is recommended, with special emphasis on ethical considerations.


Subject(s)
Carcinoma, Hepatocellular/surgery , Liver Cirrhosis, Alcoholic/surgery , Liver Neoplasms/surgery , Liver Transplantation/ethics , Aged , Carcinoma, Hepatocellular/complications , Disease-Free Survival , Female , Humans , Liver Cirrhosis, Alcoholic/complications , Liver Neoplasms/complications , Living Donors , Male , Middle Aged , Prospective Studies , Quality of Life , Recurrence
6.
Aliment Pharmacol Ther ; 26(2): 291-303, 2007 Jul 15.
Article in English | MEDLINE | ID: mdl-17593075

ABSTRACT

AIM: To investigate the efficacy of two anti-viral protocols in hepatitis C virus-reinfected liver transplant recipients. METHODS: In this prospective study, 26 liver transplant patients were treated with standard interferon-alpha2b for 12 months or standard interferon-alpha2b for 3 months followed by pegylated interferon-alpha2b for 9 months. Interferon was combined with ribavirin in all patients. The histological course of the study population was compared with an untreated historic control group (n = 38) with similar baseline characteristics. RESULTS: The sustained virological response rates in the standard interferon group and in the pegylated interferon group were 27.3% and 26.7%, respectively. Only 29% of patients with sustained virological response had end of treatment histological response, whereas 47% of viral non-responders showed end of treatment histological response. The percentage of patients with histological improvement was significantly higher in the study population when compared to the controls. Univariate analysis indicated that hepatitis C virus genotype non-1, high baseline alanine aminotransferase, the time interval between liver transplant and interferon therapy and the body mass index predicted sustained virological response. In the multivariate model, baseline alanine aminotransferase and the body mass index remained a significant predictor of sustained virological response. CONCLUSIONS: Both treatment regimens offer similar efficacy profiles. Failure to eradicate hepatitis C virus should not lead to treatment discontinuation if serial liver biopsies demonstrate histological response.


Subject(s)
Antiviral Agents/therapeutic use , Hepatitis C/drug therapy , Interferon-alpha/therapeutic use , Liver Transplantation , Ribavirin/therapeutic use , Aged , Case-Control Studies , Drug Therapy, Combination , Female , Humans , Interferon alpha-2 , Male , Middle Aged , Polyethylene Glycols , Prospective Studies , Recombinant Proteins , Regression Analysis
7.
Transplant Proc ; 36(5): 1489-91, 2004 Jun.
Article in English | MEDLINE | ID: mdl-15251366

ABSTRACT

Allograft reinfection with hepatitis C virus (HCV) in transplant recipients occurs commonly and represents a major concern in the transplant setting. Suppression of viral replication in HCV transplant patients should prevent or delay progression to cirrhosis and graft failure. In this ongoing study, we present preliminary data from a prospective trial of standard interferon (IFN) alpha-2b (2 million units daily) for 3 months and subsequent peginterferon (PEG IFN) alpha-2b (1.5 microg/kg/week) for 9 months. IFN therapy was combined with ribavirin (10 to 12 mg/kg). So far, HCV has become undetectable by qualitative PCR in 33% of patients while 25% had a reduction of HCV RNA to undetectable by the bDNA assay and 42% had no virological response after 6 months of therapy. A biochemical response was detected in 42% of patients. Improvement of inflammatory activity was observed in 42% of patients after 6 months. In three patients anemia necessitated administration of erythropoietin and three patients received granulocyte-colony stimulating factor (G-CSF) due to leucopenia [corrected] In conclusion, we observed that daily IFN alpha-2b and subsequent PEG IFN alpha-2b therapy in combination with ribavirin provides biochemical and virological benefits in transplant recipients with established recurrent HCV infection.


Subject(s)
Hepatitis C/drug therapy , Hepatitis C/surgery , Interferon-alpha/therapeutic use , Liver Transplantation , Ribavirin/therapeutic use , Adult , Alanine Transaminase/blood , Drug Administration Schedule , Drug Therapy, Combination , Female , Humans , Interferon alpha-2 , Interferon-alpha/administration & dosage , Liver Function Tests , Liver Transplantation/physiology , Male , Middle Aged , Polyethylene Glycols , Recombinant Proteins , Recurrence
11.
Psychother Psychosom Med Psychol ; 51(12): 438-46, 2001 Dec.
Article in German | MEDLINE | ID: mdl-11774046

ABSTRACT

Psychosomatic research has resulted in a huge pool of data concerning the psychic state of transplant patients and their relatives during the course of organ transplantation. It has been possible as well to describe important psychosocial prognostic factors, influencing both somatic and psychosocial outcome after transplantation. The following review article gives an overview of the results that are relevant to daily psychosomatic practice in transplantation medicine. It mainly deals with the problems of transplant patients and their relatives. The special issues of living related organ donation cannot be subject of this review. Finally the article tries to show perspectives for the development of psychosomatic interventions in the treatment of organ transplant patients.


Subject(s)
Psychophysiologic Disorders/psychology , Transplantation/psychology , Family , Humans , Psychophysiologic Disorders/etiology , Tissue Donors/psychology , Transplantation/adverse effects
12.
Article in German | MEDLINE | ID: mdl-11824257

ABSTRACT

In the Essen University Clinic for Psychotherapy and Psychosomatics, between January and December 2000, 54 potential liver donors and 12 kidney donors were examined. All the kidney donors were found to be suitable; 7 potential liver donors were rejected on psychosomatic grounds. Reasons for the rejection were addiction (1 donor), suspected financial dependency of the donor on the recipient (1 donor) and, in the case of one donor not related to the recipient, the apparent lack of a special emotional attachment. During the actual evaluation interview, 4 potential donors reversed their original decision. Such a psychosomatic evaluation is a great help for donors in clarifying their motives and their decision.


Subject(s)
Adaptation, Psychological , Liver Transplantation/psychology , Living Donors/psychology , Motivation , Personality Assessment , Germany , Humans , Informed Consent/legislation & jurisprudence , Kidney Transplantation/psychology , Patient Care Team
13.
Int Clin Psychopharmacol ; 13(2): 79-82, 1998 Mar.
Article in English | MEDLINE | ID: mdl-9669188

ABSTRACT

The duration of the postexcitatory inhibition after transcranial magnetic stimulation was investigated in 16 patients with drug-induced parkinsonism and in 20 healthy control individuals. In the patients, the chlorpromazine-equivalent of the neuroleptic medication was determined, and the severity of the drug-induced parkinsonism was measured using the Simpson-Angus Scale score. Group comparison (U-test) revealed a significant shorter postexcitatory inhibition in patients than in control individuals. Regression analyses showed a negative correlation between the Simpson-Angus scale score and the duration of the postexcitatory inhibition. The correlation only reached significance for a group of patients who received at least one butyrophenone derivate. No clear-cut relation was found between the chlorpromazine equivalent and the postexcitatory inhibition. These results indicate that drug-induced parkinsonism shares features of genuine Parkinson's disease. Furthermore, it seems possible to assess the extrapyramidal side effect of butyrophenone derivates, but not for other neuroleptic drugs, by means of the method described.


Subject(s)
Electromagnetic Fields , Excitatory Postsynaptic Potentials/physiology , Motor Cortex/physiology , Parkinson Disease, Secondary/physiopathology , Parkinson Disease, Secondary/therapy , Adult , Antipsychotic Agents/adverse effects , Basal Ganglia Diseases/chemically induced , Basal Ganglia Diseases/physiopathology , Electromyography , Female , Humans , Male , Middle Aged , Parkinson Disease, Secondary/chemically induced
SELECTION OF CITATIONS
SEARCH DETAIL
...