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1.
Front Psychiatry ; 15: 1406590, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38736622

RESUMO

Introduction: Research points to a relationship between owner personality and strength of attachment to one's pet, with implications for psychological health. So far, studies in this area, albeit sparse, have focused on the 'Big Five' traits of owner personality. The 'Dark Triad' is a cluster of traits that has also been linked to emotional deficits, but has been overlooked in relation to pet attachment. This study therefore examined the association between owner personality and pet attachment, focusing on both the 'Big Five' and 'Dark Triad' traits of personality. Methods: A cross-sectional design was employed to collect quantitative data from dog and cat owners across the globe between May-June 2023. A purpose-designed online survey collected sociodemographic details, along with information on pet ownership, strength of the pet-owner bond and participant personality, assessed using the Big Five personality scale and the Short Dark Triad scale. The survey was fully completed by 759 dog and 179 cat owners. Results: Analysis revealed significant correlations between many of the participants' personality traits, both within and between scales. Strength of pet attachment was positively correlated with neuroticism and conscientiousness, and, more weakly, to Machiavellianism. Regression analysis revealed that females, dog owners, people over the age of 50 and individuals who had children under 18 years to care for were more strongly attached to their pets than others. Both neuroticism and conscientiousness were found to be significant predictors of participants' pet attachment scores. None of the Dark Triad traits significantly predicted the criterion. Discussion: This study points to a relationship between strength of attachment to one's pet and owner personality, at least as measured using the Big Five approach to personality assessment. There was little to support an association between the Dark Triad traits and strength of attachment to one's pet, although the link between these characteristics and attachment styles is still unknown. The investigation lends support for the idea that high attachment levels are associated with personality traits aligned to psychological ill-health. Further work is recommended in this area, with a greater focus on both strength and quality (e.g., attachment style) of the pet-owner bond.

2.
Blood Adv ; 8(11): 2753-2764, 2024 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-38429097

RESUMO

ABSTRACT: Despite the global unrelated donor (URD) registry size, the degree to which URD availability is a transplant barrier is not established. We evaluated the availability of 3,843 URDs requested for 455 diverse adult patients (predominantly with acute leukemia). URDs for non-Europeans were more likely to be domestic and had markedly lower Donor Readiness scores. Of URDs requested for confirmatory HLA-typing (CT) alone (ie, without simultaneous workup), 1,894 of 3,529 (54%) were available. Availability of domestic URDs was 45%. Donor Readiness score was highly predictive of CT availability. More non-European patients (n = 120) than Europeans (n = 335) had >10 URDs requested and <5 available. Of workup requests (after CT or CT-workup), <70% (604/889 [68%]) were available. More non-Europeans had <2 URDs available. URD availability for CT was markedly worse for non-Europeans, with availabilities for African, non-Black Hispanic, and Asian patients being 150/458 (33%), 120/258 (47%), and 119/270 (44%), respectively, with further decrements in URD workup availability. Our data suggest the functional size of the URD pool is much smaller than appreciated, mandating major operational changes for transplant centers and donor registries. Likelihood of donor availability should have a high priority in donor selection. Considering patient ancestry and URD Donor Readiness scores, centers should pursue, and registries permit, simultaneous pursuit of many URDs and abandon futile searches. Patients should be informed about their likelihood of donor availability and alternative options. Finally, although registries should address high URD attrition and speed procurement, use of all HLA-disparate graft types is needed to facilitate timely transplant for all.


Assuntos
Transplante de Células-Tronco Hematopoéticas , Doadores não Relacionados , Humanos , Doadores não Relacionados/provisão & distribuição , Masculino , Transplante Homólogo , Feminino , Adulto , Etnicidade , Sistema de Registros , Pessoa de Meia-Idade , Grupos Raciais , Voluntários
3.
Animals (Basel) ; 14(2)2024 Jan 22.
Artigo em Inglês | MEDLINE | ID: mdl-38275806

RESUMO

Equine-Assisted Services (EASs) are commonplace in today's society, but vary widely in both theoretical and practical applications. Until now, practitioners' experiences and perspectives in relation to these services have received little attention. To address this, a purpose-designed online questionnaire was distributed to EAS practitioners, exploring issues relating to the nature of the service provided, practice patterns, practitioner education, perceived knowledge, challenges faced and the future direction of these services. An analysis revealed a significant association between practitioners' backgrounds and the nature of the service offered, as well as perceived knowledge. Median EAS training received to first practice was 20 days of block release over a year; however, nearly half of the sample (42.4%) reported less training than this. Equine-specific training was more limited, with 41.5% of practitioners having no horse-relevant qualifications. The most important challenges reported by practitioners involved client and equine welfare, financial sustainability and raising awareness of EAS. This research highlights the diverse nature of EAS and also raises important challenges and possible opportunities for development. Findings suggest that more progress is needed to professionalise and legitimise the area to support and help practitioners provide the best service for all concerned.

4.
Transplant Cell Ther ; 29(5): 312.e1-312.e5, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-36822475

RESUMO

For patients in need of allogeneic transplantation who lack an HLA-identical sibling, an 8/8 HLA allele-matched unrelated donor (URD) is a standard alternative. However, delays in URD procurement can adversely impact patient care. Recipient genotype and search assessment (MSKv1.0)-based tools can predict search prognosis for many, but both tools have lower performance in non-European ancestry patients. Using the MSKv1.0 tool, we analyzed searches from 1530 potential allograft recipients (including 863 who underwent transplantation) with the aim of creating an optimized MSKv2.0 search prognosis tool that can classify a URD search as either Good or Poor with a high level of accuracy while also limiting an ambiguous Fair search prognosis regardless of patient ancestry. By MSKv2.0, the 8/8 URD search prognosis distribution was 57% Good, 21% Fair, and 22% Poor in Europeans and 15% Good, 21% Fair, and 63% Poor in non-Europeans. Importantly, compared to MSKv1.0, the likelihood of Fair categorization was reduced to <25% with comparable Fair rates (P = .847) in both European and non-European groups. Moreover, all patients with an MSKv2.0 Good prognosis had an 8/8 URD identified, and almost all of those who underwent transplantation had an 8/8 URD (Europeans, 99%; non-Europeans, 98%; P = .504). The MSKv2.0 tool also was highly accurate at classifying Poor searches, with <10% identifying an 8/8 URD, and almost all patients who underwent transplantation (Europeans, 95%; non-Europeans, 96%) receiving an alternative donor. Using preliminary search results, MSKv2.0 accurately classifies patients by likelihood of 8/8 URD procurement, greatly facilitating triage to 8/8 URD (Good prognosis) or alternative donor (Poor prognosis) transplantations.


Assuntos
Transplante de Células-Tronco Hematopoéticas , Doadores não Relacionados , Humanos , Transplante de Células-Tronco Hematopoéticas/métodos , Alelos , Prognóstico , Transplante Homólogo
5.
Nutrients ; 14(15)2022 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-35893882

RESUMO

The COVID-19 pandemic exacerbates the complexities of food inequity. As one of the social determinants of health, food insecurity significantly impacts overall health across the life course. Guided by the Getting to Equity Framework, this qualitative community-engaged participatory project examines the impact of the pandemic on food security among adults in Washington, DC. Semi-structured interviews (n = 79) were conducted by trained community health workers between November 2020 and December 2021 at corner stores. Data analysis was performed using thematic network analysis in NVivo. Results are grouped into four key themes: (1) impact of the pandemic on food access, including expanded services and innovative solutions to meet needs; (2) coping and asset-based strategies at the individual and community level; (3) sources of information and support, and (4) impact of the pandemic on health and well-being. The importance of lived experience research in public health is increasingly recognized as an innovative approach that offers benefits through community engagement and empowerment.


Assuntos
COVID-19 , Adulto , COVID-19/epidemiologia , District of Columbia/epidemiologia , Insegurança Alimentar , Segurança Alimentar , Humanos , Pandemias
6.
Blood Adv ; 5(7): 2003-2011, 2021 04 13.
Artigo em Inglês | MEDLINE | ID: mdl-33843984

RESUMO

Donor KIR and recipient HLA combinations that minimize inhibition and favor activation of the NK repertoire are associated with improved outcomes after allogeneic hematopoietic cell transplantation (HCT) in patients with myeloid neoplasia. We prospectively evaluated a weighted donor ranking algorithm designed to prioritize HLA-compatible unrelated donors (URDs) with weak inhibitory KIR3DL1/HLA-Bw4 interaction, followed by donors with nontolerized activating KIR2DS1, and finally those with KIR centromeric B haplotype. During donor evaluation, we performed KIR genotyping and ranked 2079 URDs for 527 subjects with myelodysplastic syndrome (MDS) or acute myelogenous leukemia (AML). Among all patients, 394 (75%) had at least 1 KIR-advantageous donor, and 263 (50%) underwent HCT. In patients with AML, KIR3DL1 weak inhibition provided protection from relapse. Compared with KIR3DL1-Weak Inhibiting donors, KIR3DL1-Noninteracting donors were associated with increased risk of relapse (HR, 2.97; 95% CI, 1.33-6.64; P = .008) and inferior event-free survival (EFS; HR, 2.14; 95% CI, 1.16-3.95; P = .015). KIR3DL1-Strong Inhibiting donors were associated with HR, 1.65 (95% CI, 0.66-4.08; P = .25) for AML relapse and HR, 1.6 (95% CI, 0.81-3.17; P = .1) for EFS when compared with the use of KIR3DL1-weak inhibiting donors. Donor KIR2DS1/HLA-C1 status and centromeric KIR haplotype-B content were not associated with decreased risk of AML relapse. There was no benefit to KIR-based donor selection in patients with MDS. This study demonstrates that donor KIR typing is feasible, and prioritization of donors with certain KIR3DL1 genotypes may confer a protection from relapse after HCT in patients with AML.


Assuntos
Transplante de Células-Tronco Hematopoéticas , Leucemia Mieloide Aguda , Genótipo , Humanos , Leucemia Mieloide Aguda/genética , Leucemia Mieloide Aguda/terapia , Estudos Prospectivos , Estudos Retrospectivos
7.
Orthop Nurs ; 39(6): 395-401, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33234910

RESUMO

BACKGROUND: Many patients are discharged with aspirin (ASA) as an anticoagulant after joint replacement surgery. In studies in which ASA was prescribed, doses were frequently missed. Adherence to postoperative ASA regimen is critical to preventing thrombotic complications. This randomized controlled study evaluated the impact of an existing medication adherence smartphone application (app) on adherence to twice daily ASA 81 mg for 35 days after knee or hip arthroplasty. METHODOLOGY: Patients were randomized to either the app (intervention) group or the usual care (control) group. All patients received a baseline interview with a survey and demographics collected prior to randomization, a 36-day follow-up call for phone pill count, and a 6-week in-office interview with surveys and an in-person pill count. A convenience sample of 195 patients enrolled; 122 completed pill counts at both baseline and end of study. Ages ranged from 29 to 89 (mean: 60.4, SD: 10.1) years. The majority had a bachelor's degree or higher (59.3%), made more than $75,000 (or were retired; 51.9%), were of White race (75.9%), and female (53.8%). There were no significant demographic differences between the groups. RESULTS: There were no significant group differences in final pill counts, adherence (reasons for missed pills), or ASA Medication self-efficacy scores. However, the intervention group scored significantly higher on the ASA Adherence measure (general ease in and ability to take ASA; p = .020). Higher ASA Adherence scores were associated with lower pill counts at the end of study (better adherence) in the intervention group. There was a high rate of attrition related to failure to bring the ASA to hospital or to the follow-up appointment. CONCLUSIONS: Although there were no significant differences in final pill counts between groups, the app group reported more ease in taking pills. With smartphone use virtually ubiquitous, this project provided an opportunity to educate patients and nurses about how technology can support medication adherence. It was also an excellent opportunity to involve clinical nurses in a funded research project.


Assuntos
Aspirina/administração & dosagem , Fibrinolíticos/administração & dosagem , Adesão à Medicação/estatística & dados numéricos , Aplicativos Móveis , Smartphone , Artroplastia/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/prevenção & controle , Inquéritos e Questionários , Tromboembolia Venosa/prevenção & controle
8.
PLoS One ; 15(10): e0241344, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33108399

RESUMO

It is now widely agreed that a positive affective state is a crucial component of animal well-being. The judgment bias test represents a widespread tool used to assess animals' optimistic/pessimistic attitude and to evaluate their emotional state and welfare. Judgment bias tests have been used several times with dogs (Canis familiaris), in most cases using a spatial test with a bowl placed in ambiguous positions located between a relatively positive trained location (P) which contains a baited bowl and a relatively negative trained location (N) which contains an empty bowl. The latency to approach the bowl in the ambiguous locations is an indicator of the dog's expectation of a positive/negative outcome. However, results from such tests are often inconclusive. For the present study, the judgment bias test performance of 51 shelter dogs and 40 pet dogs was thoroughly analysed. A pattern emerged with shelter dogs behaving in a more pessimistic-like way than pet dogs. However, this difference between the two populations was detected only when analysing the raw latencies to reach the locations and not the more commonly applied adjusted score (i.e. average latency values). Furthermore, several methodological caveats were found. First of all, a non-negligible percentage of dogs did not pass the training phase, possibly due to the experimental paradigm not being fully suited for this species. Second, results showed a high intra-dog variability in response to the trained locations, i.e. the dogs' responses were not consistent throughout the test, suggesting that animals may not have fully learned the association between locations and their outcomes. Third, dogs did not always behave differently towards adjacent locations, raising doubts about the animals' ability to discriminate between locations. Finally, a potential influence of the researcher's presence on dogs' performance emerged from analyses. The implications of these findings and potential solutions are discussed.


Assuntos
Viés , Cães/psicologia , Julgamento , Animais de Estimação/psicologia , Estatística como Assunto , Animais , Feminino , Aprendizagem , Masculino , Otimismo , Pessimismo , Tempo de Reação , Olfato/fisiologia
9.
Biol Blood Marrow Transplant ; 26(4): 734-744, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31756534

RESUMO

How cord blood (CB) CD34+ cell content and dose and 8-allele HLA match vary by patient ancestry is unknown. We analyzed cell content, dose, and high-resolution HLA-match of units selected for CB transplantation (CBT) by recipient ancestry. Of 544 units (286 infused, 258 next-best backups) chosen for 144 racially diverse adult patients (median weight, 81 kg), the median total nucleated cell (TNC) and CD34+cell +contents were higher for Europeans than for non-Europeans: 216 × 107versus 197 × 107 (P = .002) and 160 × 105 versus 132 × 105 (P = .007), respectively. There were marked cell content disparities among ancestry groups, with units selected for Africans having the lowest TNC (189 × 107) and CD34+ cell (122 × 105) contents. Units for non-Europeans were also more HLA-mismatched (P = .017). When only the 286 transplanted units were analyzed, the adverse effect of reduced cell content was exacerbated by the higher weights in some groups. For example, northwestern Europeans (high patient weight, high unit cell content) had the best-dosed units, and Africans (high weight, low unit cell content) had the lowest. In Asians, low cell content was partially compensated for by lower weight. Marked differences in 8-allele HLA-match distribution were also observed by ancestry group; for example, 23% of units for northwestern Europeans were 3/8 to 4/8 HLA-matched, compared with 40% for southern Europeans, 46% for white Hispanics, and 51% for Africans. During the study period, 20 additional patients (17 non-Europeans; median weight, 98 kg) did not undergo CBT owing to the lack of a suitable graft. CB extends transplantation access to most patients, but racial disparities exist in cell content, dose, and HLA match.


Assuntos
Transplante de Células-Tronco de Sangue do Cordão Umbilical , Transplante de Células-Tronco Hematopoéticas , Adulto , Alelos , Sangue Fetal , Teste de Histocompatibilidade , Humanos
10.
Orthop Nurs ; 38(6): 367-372, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31764900

RESUMO

BACKGROUND: Constipation after orthopaedic surgery occurs frequently, likely due to a combination of high levels of opioid medications for severe pain management and mobility limitations after surgery. It can result in serious complications, increased cost, and patient discomfort. PURPOSE: This study evaluated a natural food-based fiber solution to prevent constipation in postoperative orthopaedic patients. METHODS: A posttest control group-randomized study design was used. Dependent variables were presence of postoperative constipation, time to first bowel movement (BM), and total number of postoperative BMs. Descriptive statistics, Student's t tests, and Mann-Whitney nonparametric 2-group tests with chi-square analysis were used. Level of significance for all tests was p < .05. Forty-six participants were evaluated. RESULTS: Ages were similar for both the intervention and control groups. Bowel Function Index (BFI) scores were not significantly different (p = .448). No significant group differences were present for the individual BFI item scores (p > .05). The number of patients with a BM during the first 3 days was not significantly different (p = .489). There were no significant differences found between the 2 groups regarding laxative administration (p > .05 for all laxatives). CONCLUSION: Further studies are indicated that address natural fibers and pharmaceutical methods for the prevention of constipation after spinal surgery.


Assuntos
Constipação Intestinal/prevenção & controle , Laxantes/administração & dosagem , Preparações Farmacêuticas , Período Pós-Operatório , Fusão Vertebral/efeitos adversos , Idoso , Analgésicos Opioides/uso terapêutico , Defecação/efeitos dos fármacos , Feminino , Humanos , Masculino , Enfermagem Ortopédica , Inquéritos e Questionários
11.
Orthop Nurs ; 38(5): 311-316, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31568119

RESUMO

The ability of patients to adhere to medication regimens is considered critical to achieving optimal results. Many patients are discharged with aspirin (ASA) as an anticoagulant for venous thrombosis embolism prophylaxis after joint replacement surgery. In studies where ASA was prescribed as an antithrombotic after selected orthopaedic surgeries, both lack of understanding and missing doses were identified as factors that affected adherence rates (D. , ). The purpose of this study was to explore the preliminary impact of a preset telephone alarm on medication adherence in adults prescribed ASA for 35 days after knee or hip arthroplasty. This was a randomized controlled trial (n = 79). Adherence was measured with a four-question self-reporting tool. Average age was 61 years. The majority were female (59.5%) and Caucasian (62.0%) with college or graduate degree-level education (78.5%). When comparing the groups, there were no significant differences between the two groups for the demographics of age, gender, and race. The alarm group had significantly better adherence rates, with fewer people who forgot to take their ASA; only 29.7% of the alarm group ever forgot to take their medication compared with 59.5% of the no-alarm group (p = .008). It seems that simple cell phone alarms can serve as effective reminders to patients to take selected medications as prescribed.


Assuntos
Artroplastia de Quadril/efeitos adversos , Artroplastia do Joelho/efeitos adversos , Aspirina/uso terapêutico , Telefone Celular/instrumentação , Fibrinolíticos/uso terapêutico , Adesão à Medicação , Tromboembolia Venosa , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Autorrelato , Tromboembolia Venosa/tratamento farmacológico , Tromboembolia Venosa/prevenção & controle
12.
Animals (Basel) ; 9(9)2019 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-31484446

RESUMO

Cat breeds differ enormously in their behavioural disposition, a factor that can impact on the pet-owner relationship, with indirect consequences for animal welfare. This study examined whether lateral bias, in the form of paw preference, can be used as a tool for assessing breed differences in emotional reactivity in the cat. The paw preferences of 4 commonly owned breeds were tested using a food-reaching challenge. Cats were more likely to be paw-preferent than ambilateral. Maine Coons, Ragdolls and Bengals were more likely to be paw-preferent than ambilateral, although only the Bengals showed a consistent preference for using one paw (left) over the other. The strength of the cats' paw use was related to cat breed, with Persians being more weakly lateralised. Direction of paw use was unrelated to feline breed, but strongly sex-related, with male cats showing a left paw preference and females displaying a right-sided bias. We propose that paw preference measurement could provide a useful method for assessing emotional reactivity in domestic cats. Such information would be of benefit to individuals considering the acquisition of a new cat, and, in the longer term, may help to foster more successful cat-owner relationships, leading to indirect benefits to feline welfare.

13.
Blood Adv ; 3(7): 939-944, 2019 04 09.
Artigo em Inglês | MEDLINE | ID: mdl-30917950

RESUMO

Availability of 8/8 HLA-allele matched unrelated donors (URDs) is a barrier for ethnic and racial minorities. We prospectively evaluated receipt of 8/8 HLA-allele matched URD or either 7/8 URD or cord blood (CB) transplants by patient ancestry from 2005 to 2017. Matched URDs were given priority if they were available. Of 1312 patients, 723 (55%) received 8/8 URD, 219 (17%) 7/8 URD, 319 (24%) CB, and 51 (4%) had no 7/8 or 8/8 URD or CB graft. Europeans were more likely to receive an 8/8 URD transplant than non-Europeans (67% vs 33%) and less likely to have no URD or CB graft (1% vs 9%). Southern Europeans received 8/8 URD transplants (41%) at rates similar to those of Asians (34%) and white Hispanics (35%); Africans were the least likely (18%) to undergo 8/8 URD transplantation. CB and 7/8 URDs extended transplant access to all groups. In 742 recent patients, marked racial disparity in 8/8 URD access between groups observed in earlier years persisted with only a modest increase in the percentage of 8/8 URD transplants. Of 78 recent African patients, 46% received a CB transplant and 14% had no 7/8 or 8/8 URD or CB graft. Increasing registry size has not resolved the racial disparity in URD access, which emphasizes the importance of alternative graft sources.


Assuntos
Transplante de Células-Tronco Hematopoéticas/ética , Histocompatibilidade/imunologia , Racismo/estatística & dados numéricos , Transplantes/estatística & dados numéricos , Doadores não Relacionados , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Transplante de Células-Tronco de Sangue do Cordão Umbilical/etnologia , Transplante de Células-Tronco Hematopoéticas/etnologia , Humanos , Lactente , Pessoa de Meia-Idade , Estudos Prospectivos , Transplante Homólogo/ética
14.
Sci Rep ; 8(1): 6660, 2018 04 27.
Artigo em Inglês | MEDLINE | ID: mdl-29703989

RESUMO

Certain personality traits (e.g. anxiousness, fearfulness), are known to affect the cognitive processing of environmental stimuli, such as the judgement of ambiguous stimuli (judgement bias). Our aim was to assess if personality traits are predictive of a more or less 'pessimistic' or 'optimistic' judgement bias in the domestic dog. We assessed dog personality (N = 31) using two validated protocols: the Dog Mentality Assessment (standardised battery test) and the CBARQ (owner-based survey). We used a common task based on the animals' latency to approach a bowl placed in one of three ambiguous positions (Near Positive, Middle, Near Negative) between a baited (Positive) and a non-baited food bowl (Negative) to assess judgement bias. Linear Mixed Model analyses revealed that dogs scoring higher on sociability, excitability and non-social-fear had shorter response latencies to bowls in an ambiguous location, indicating a more 'optimistic' bias. In contrast, dogs scoring higher on separation-related-behaviour and dog-directed-fear/aggression traits were more likely to judge an ambiguous stimulus as leading to a negative outcome, indicating a more 'pessimistic' bias. Results, partially consistent with previous findings in humans, indicate that personality plays a role in the cognitive processing of environmental stimuli in the domestic dog.


Assuntos
Comportamento Animal , Cães/psicologia , Julgamento , Personalidade/fisiologia , Análise e Desempenho de Tarefas , Animais , Viés , Tempo de Reação
15.
Behav Processes ; 149: 1-7, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29391215

RESUMO

This study explored the relationship between four measures of canine paw preference to establish whether the distribution, direction or strength of motor bias was consistent between tasks. Thirty-two dogs had their paw preferences tested using the Kong ball, tape, lift paw and First-stepping tests. A smaller sample were re-tested 6 months later. The distribution of the dogs' paw preferences was not significantly different from that expected by chance for the Kong ball and lift paw tests; dogs were significantly more inclined towards ambilaterality on the tape and First-stepping tests. More female dogs employed their right paw on the lift paw test; males were more likely to be ambilateral or left-pawed. There was no significant correlation in the direction of dogs' paw use for any tests. The First-stepping and lift paw tests were positively correlated for strength of paw use. Analysis revealed a significant correlation in direction and strength of dogs' paw use between the first and second attempts of all measures, except the tape test. Findings suggest that paw preference in the dog is not consistent between tasks, although stable over time. The study raises questions as to which test of paw preference is the most appropriate to employ.


Assuntos
Cães , Pé/fisiologia , Lateralidade Funcional/fisiologia , Animais , Feminino , Masculino , Caracteres Sexuais
16.
Biol Blood Marrow Transplant ; 24(5): 1057-1062, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29287807

RESUMO

A strategy to rapidly determine if a matched unrelated donor (URD) can be secured for allograft recipients is needed. We sought to validate the accuracy of (1) HapLogic match predictions and (2) a resultant novel Search Prognosis (SP) patient categorization that could predict 8/8 HLA-matched URD(s) likelihood at search initiation. Patient prognosis categories at search initiation were correlated with URD confirmatory typing results. HapLogic-based SP categorizations accurately predicted the likelihood of an 8/8 HLA-match in 830 patients (1530 donors tested). Sixty percent of patients had 8/8 URD(s) identified. Patient SP categories (217 very good, 104 good, 178 fair, 33 poor, 153 very poor, 145 futile) were associated with a marked progressive decrease in 8/8 URD identification and transplantation. Very good to good categories were highly predictive of identifying and receiving an 8/8 URD regardless of ancestry. Europeans in fair/poor categories were more likely to identify and receive an 8/8 URD compared with non-Europeans. In all ancestries very poor and futile categories predicted no 8/8 URDs. HapLogic permits URD search results to be predicted once patient HLA typing and ancestry is obtained, dramatically improving search efficiency. Poor, very poor, andfutile searches can be immediately recognized, thereby facilitating prompt pursuit of alternative donors.


Assuntos
Algoritmos , Teste de Histocompatibilidade , Doadores não Relacionados/provisão & distribuição , Adulto , Idoso , Transplante de Células-Tronco Hematopoéticas , Humanos , Pessoa de Meia-Idade , Probabilidade , Grupos Raciais , Transplante Homólogo
17.
Orthop Nurs ; 36(4): 287-292, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28737637

RESUMO

BACKGROUND: Patients may not understand the importance of medication adherence when discharged with aspirin (ASA) as an anticoagulant for venous thromboembolism (VTE) prophylaxis after joint replacement surgery. PURPOSE: The purpose of this study was to examine self-reported rates of adherence to postoperative use of ASA for VTE prophylaxis. METHODS: This was an exploratory, descriptive study using a convenience sample of 99 participants. Adherence was measured with a 4-question self-reporting tool. RESULTS: Thirty-seven percent were male and 76% were Caucasian, and median age was 63 years. Ninety-two percent had the dosage correct, 76% knew how long to take the medication, and 100% of the sample was still taking the ASA; 40% had forgotten to take 1 or more doses of the medication. No associations were noted. Overall compliance was 44%. CONCLUSION: A significant number missed 1 or more doses. This is an opportunity for nurses to work with patients on innovative ways to improve adherence.


Assuntos
Artroplastia/efeitos adversos , Aspirina/administração & dosagem , Fibrinolíticos/administração & dosagem , Conhecimentos, Atitudes e Prática em Saúde , Adesão à Medicação/estatística & dados numéricos , Complicações Pós-Operatórias/prevenção & controle , Tromboembolia Venosa/prevenção & controle , Adulto , Idoso , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Autorrelato , Estatísticas não Paramétricas
18.
J Comp Psychol ; 131(4): 317-325, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28517942

RESUMO

Limb use, an indicator of hemispheric functioning, may be a useful predictor of cognitive bias and hence vulnerability to welfare risk. The relationship between cognitive bias and motor asymmetry, however, has been subject to little investigation. This study explored the association between motor asymmetry and cognitive bias in the domestic dog, a species that displays lateral bias in the form of paw preferences and exhibits positive and negative affective states. Thirty pet dogs had their paw preferences assessed using the Kong ball test. The subjects' affective state was assessed using a cognitive bias test in which the animals' latency to approach a bowl placed in 1 of 3 ambiguous positions was recorded. Animals veering more toward a left-paw preference were found to be significantly slower to approach the bowl placed in 1 of the ambiguous positions than ambilateral or right-pawed dogs. Left-pawed subjects approached the bowl located at the 3 ambiguous positions at roughly the same speed, while ambilateral and right-pawed animals became increasingly slower to approach the bowl the further it was located from the baited food bowl. The study points to a possible relationship between cognitive bias and paw preference in the dog, with left-pawed animals being more negative or "pessimistic" in their cognitive outlook than right-pawed or ambilateral individuals. It is proposed that limb preference testing might offer a more practical and straightforward way of identifying individuals at risk from poor welfare by virtue of how they perceive the world than more time-consuming cognitive bias tests. (PsycINFO Database Record


Assuntos
Comportamento Animal/fisiologia , Cães/fisiologia , Lateralidade Funcional/fisiologia , Comportamento Espacial/fisiologia , Temperamento/fisiologia , Animais , Feminino , Masculino
19.
J Comp Psychol ; 131(3): 246-256, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28414470

RESUMO

Behavioral laterality reflects the cerebral functional asymmetry. Measures of laterality have been associated with emotional stress, problem-solving, and personality in some vertebrate species. Thus far, the association between laterality and personality in the domestic dog has been largely overlooked. In this study, we investigated whether lateralized (left or right) and ambilateral dogs differed in their behavioral response to a standardized personality test. The dog's preferred paw to hold a Kong ball filled with food and the first paw used to step-off from a standing position were scored as laterality measures. The Dog Mentality Assessment (DMA) test was used to assess 5 personality traits (e.g., sociability, aggressiveness) and a broader shy-boldness dimension. No differences emerged between left- and right-biased dogs on any personality trait. Instead, ambilateral dogs, scored using the Kong test, scored higher on their playfulness (Z = -1.98, p = .048) and Aggressiveness (Z = -2.10, p = .036) trait scores than did lateralized (irrespective of side) dogs. Also, ambilateral dogs assessed by using the First-Stepping test scored higher than lateralized dogs on the Sociability (Z = -2.83, p = .005) and Shy-Boldness (Z = -2.34, p = .019) trait scores. Overall, we found evidence of a link between canine personality and behavioral laterality, and this was especially true for those traits relating to stronger emotional reactivity, such as aggressiveness, fearfulness, and sociability. (PsycINFO Database Record


Assuntos
Comportamento Animal/fisiologia , Medo/psicologia , Lateralidade Funcional/fisiologia , Personalidade , Resolução de Problemas/fisiologia , Agressão , Animais , Cães
20.
Biol Blood Marrow Transplant ; 23(6): 965-970, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28263918

RESUMO

The availability of cord blood (CB) and haploidentical (haplo) donors in all patient populations is not established. We have investigated the addition of haplo-CD34+ cells to CB grafts (haplo-CBT) to speed myeloid engraftment. Thus, we have prospectively assessed CB and haplo donor availability in adult patients without 8/8 HLA-allele matched unrelated donors (URDs). Analysis of 89 patients eligible for haplo-CBT revealed 4 distinct patient groups. First, 6 patients (7% of total, 33% non-European) underwent CBT only as they had no suitable family members to type. In group 2, 49 patients (45% non-European) received haplo-CBT using the first haplo donor chosen. Group 3 (n = 21, 76% non-European) underwent CBT with/without haplo. In this group, the first haplo donor chosen failed clearance in 20 patients and transplantation was too urgent to permit donor evaluation in 1. Fifty-three haplo donors were evaluated (2 to 6 per patient) for 21 group 3 patients, and 43 of 53 (81%) haplos failed clearance for predominantly medical and/or psychosocial reasons. Group 4, (n = 13, 85% non-European with a high median weight of 96 kilograms) had no CB grafts with/without no haplo donors. Overall, African patients had the worst donor availability with only 65% having a suitable CB graft and only 44% having a suitable haplo donor. Additionally, in non-European patients, a greater number of haplos required evaluation/patient to secure a suitable haplo graft. Although these data should be confirmed in a larger study, it suggests that there are barriers to the availability of both CB and haplo grafts in adult patients without 8/8 URDs, especially in those with African ancestry, and has multiple practical implications for patient management.


Assuntos
Transplante de Células-Tronco de Sangue do Cordão Umbilical/métodos , Seleção do Doador/métodos , Grupos Raciais , Transplante Haploidêntico/métodos , Doadores não Relacionados/provisão & distribuição , Adolescente , Adulto , Idoso , Transplante de Células-Tronco de Sangue do Cordão Umbilical/etnologia , Neoplasias Hematológicas/terapia , Histocompatibilidade , Humanos , Pessoa de Meia-Idade , Estudos Prospectivos , Adulto Jovem
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