RESUMEN
Individuals with autism spectrum disorder (ASD) often exhibit increased anxiety, even in non-stressful situations. We investigate general anxiousness (anxiety trait) and responses to stressful situations (anxiety state) in 22 adolescents with ASD and 32 typically developing controls. We measured trait anxiety with standardized self- and parent-reported questionnaires. We used a Biopac system to capture state anxiety via skin conductance responses, mean heart rate and heart rate variability during high- and low-anxiety tasks. Results reveal higher trait anxiety in adolescents with ASD (p < 0.05) and no group difference in state anxiety. Increased parent-reported trait anxiety may predict decreased state anxiety during high-stress conditions. Together, these findings suggest that higher trait anxiety may result in dampened physical responses to stress.
Asunto(s)
Trastornos de Ansiedad/diagnóstico , Trastornos de Ansiedad/psicología , Trastorno del Espectro Autista/diagnóstico , Trastorno del Espectro Autista/psicología , Relaciones Interpersonales , Pensamiento , Adolescente , Trastornos de Ansiedad/epidemiología , Trastorno del Espectro Autista/epidemiología , Niño , Estudios de Cohortes , Femenino , Frecuencia Cardíaca/fisiología , Humanos , Masculino , Estimulación Luminosa/métodos , Autoinforme/normas , Estrés Psicológico/diagnóstico , Estrés Psicológico/epidemiología , Estrés Psicológico/psicología , Encuestas y Cuestionarios/normasRESUMEN
The purpose of this study was to develop and evaluate a skill training aimed at increasing the social competence of caregivers of nursing home residents suffering from dementia. Herewith, the professional burden and occupational stress of the caregivers should be reduced and the quality of life of dementia patients should be increased. The contents of the training focused on problems and strategies in the communication with dementia patients and the communication with colleagues. The effectiveness of the intervention was tested in a controlled training study using a multiple control group design and process measurement. The participants of the trainings were 53 nursing home professionals, who were in daily contact with residents suffering from dementia. The results of the study verify effects for all relevant variables. The "social competence" of the caregivers increased and their "work stress" decreased while the "quality of life of dementia patients" increased. Therefore it can be concluded that training the social competence of nursing home professionals is a method to indirectly reduce their work stress and support dementia patients. The results of research in this program underline very clearly that the developed training is an effective option to improve the situation of dementia care in nursing homes. To make the intervention widely applicable we are currently developing a "multiplier program" in a follow-up project.
Asunto(s)
Competencia Clínica/estadística & datos numéricos , Comunicación , Demencia/enfermería , Educación en Enfermería/organización & administración , Relaciones Enfermero-Paciente , Casas de Salud/estadística & datos numéricos , Enseñanza/métodos , Anciano , Anciano de 80 o más Años , Educación en Enfermería/métodos , Educación en Enfermería/estadística & datos numéricos , Femenino , Alemania/epidemiología , Humanos , Masculino , Evaluación en Enfermería , Evaluación de Programas y Proyectos de SaludRESUMEN
The program Kommunikations-TAnDem was developed with the primary purpose of increasing the communication competence of family caregivers of dementia patients. Further aims were to reduce the burden of family caregivers and to increase the quality of life of dementia patients. The effectiveness of the Kommunikations-TAnDem was tested in a controlled training study with 22 participants using a waiting-group control design and process measurement. The results of the study verify effects for the variables "Communication competence", "Caregivers knowledge about communication in dementia", "Quality of life of dementia patients" and "Directly perceived burden of family caregivers. Therefore it can be concluded that the Kommunikations-TAnDem is a method of indirectly supporting dementia patients by training the family caregivers. The results of research in this program underline very clearly the relevance of the inclusion of the family caregivers in intervention programs and the importance of communication competence for the well-being of dementia patients and their caregivers.
Asunto(s)
Cuidadores/educación , Comunicación , Demencia/diagnóstico , Demencia/enfermería , Educación en Salud/métodos , Evaluación de Resultado en la Atención de Salud , Alemania , Humanos , Resultado del TratamientoRESUMEN
In the human host, infection with the protozoan parasite, Toxoplasma gondii, most commonly involves the eye and/or the brain. Previous work indicates a relative susceptibility of the human retinal vascular endothelium to infection with the T. gondii tachyzoite, which may contribute to this tissue localization. To facilitate the investigation of potential adhesive interactions between parasite and endothelium in the retina, we have modified the Woodruff-Stamper assay, originally described to study lymphocytic-endothelial binding. Vascular endothelium was identified in sections of human retina by Alexa Fluor 594-tagged anti-von Willebrand factor antibody. Binding of yellow fluorescent protein-expressing tachyzoites to endothelium under conditions of flow, simulated by rotation on an orbital shaker, was quantified in a masked fashion using imaging software. We observed multiple yellow spots in contact with Alexa Fluor 594-positive retina, indicating binding of T. gondii tachyzoites to retinal vascular endothelium. This modification of the Woodruff-Stamper assay provides an opportunity to evaluate potential host receptors for T. gondii on the retinal vascular endothelium. In addition, the assay suggests a methodology that could be used to examine adhesion of other microbes to microvasculature in different tissues.
Asunto(s)
Bioensayo , Endotelio Vascular/parasitología , Vasos Retinianos/parasitología , Toxoplasma/patogenicidad , Animales , Humanos , Adherencias Tisulares , Toxoplasma/crecimiento & desarrolloRESUMEN
Because microorganisms are easily dispersed, display physiologic diversity, and tolerate extreme conditions, they are ubiquitous and may contaminate and grow in many food products. The behavior of microbial populations in foods (growth, survival, or death) is determined by the properties of the food (e.g., water activity and pH) and the storage conditions (e.g., temperature, relative humidity, and atmosphere). The effect of these properties can be predicted by mathematical models derived from quantitative studies on microbial populations. Temperature abuse is a major factor contributing to foodborne disease; monitoring temperature history during food processing, distribution, and storage is a simple, effective means to reduce the incidence of food poisoning. Interpretation of temperature profiles by computer programs based on predictive models allows informed decisions on the shelf life and safety of foods. In- or on-package temperature indicators require further development to accurately predict microbial behavior. We suggest a basis for a "universal" temperature indicator. This article emphasizes the need to combine kinetic and probability approaches to modeling and suggests a method to define the bacterial growth/no growth interface. Advances in controlling foodborne pathogens depend on understanding the pathogens' physiologic responses to growth constraints, including constraints conferring increased survival capacity.
Asunto(s)
Microbiología de Alimentos , Bacterias/crecimiento & desarrollo , Humanos , Concentración de Iones de Hidrógeno , Investigación , TemperaturaRESUMEN
A combined temperature and water activity model for the growth of psychrotrophic pseudomonads was developed using turbidimetric data. Psychrotrophic pseudomonads were isolated from various modified and whole milks. The fastest growing strain was identified and used to develop the model. Generation time estimates calculated by turbidimetric and viable count data differed but this difference was constant with respect to temperature and was incorporated into the modelling process so that all models are constructed to predict generation times equivalent to those calculated by viable counts, the standard method for enumerating microorganisms in food products.
Asunto(s)
Microbiología de Alimentos , Calor/efectos adversos , Leche/microbiología , Modelos Biológicos , Pseudomonas/crecimiento & desarrollo , Microbiología del Agua , Agua/química , Animales , Recuento de Colonia Microbiana , Predicción/métodos , Modelos Lineales , Modelos Logísticos , Nefelometría y Turbidimetría , Pseudomonas/metabolismo , RefrigeraciónRESUMEN
The reliability of the predictive model for the growth of psychrotrophic pseudomonads was evaluated both under controlled laboratory conditions and in industry conditions using various milks, milk-based products, meat and meat products. The validation process involved monitoring the growth of pseudomonads at various temperatures and comparing the observed generation times to those predicted by the model using bias and accuracy factors. For fluctuating temperatures bias and accuracy factors were used to compare the predicted and observed times to reach various population densities. The psychrotrophic pseudomonad model was shown to predict accurately the growth of pseudomonads in the products tested. In some instances knowledge of the lag phase duration was required to maximise the performance of the model.
Asunto(s)
Microbiología de Alimentos , Calor/efectos adversos , Modelos Biológicos , Pseudomonas putida/crecimiento & desarrollo , Agua/química , Animales , Conservación de Alimentos , Industria de Procesamiento de Alimentos , Predicción/métodos , Modelos Lineales , Modelos Logísticos , Productos de la Carne/microbiología , Leche/microbiología , Valor Predictivo de las Pruebas , Pseudomonas putida/metabolismo , Sesgo de SelecciónRESUMEN
The relationship between maximum specific growth rates (mu max) determined from viable counts and turbidimetric measurements for a range of bacterial species is examined in order to assess the potential of turbidimetric methods in predictive microbiology. Two methods for the estimation of mu max from turbidimetric data are presented. One is based on absorbance and the other on transmittance measurements. Both are compared to estimates obtained by viable count methods. Calibration factors, a function to correct the non-linearity of absorbance measurements, and variance stabilising transformations for corrected absorbance measurements and for viable count data, are determined. It is concluded that turbidimetric measurements may be used reliably for estimation of mu max.