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Biomedical subjects

D C Adams

Publications and source records attributed to D C Adams.

At least 19 recordsLinked to original sources
PubMed2006

Effects of dam nutrition on growth and reproductive performance of heifer calves.

A 3-yr study was conducted with heifers (n = 170) whose dams were used in a 2 x 2 factorial arrangement of treatments to determine the effects of late gestation (LG) or early lactation (EL) dam nutrition on subsequent heifer growth and reproduction. In LG, cows received 0.45 kg/d of a 42% CP supplement (PS) or no supplement (NS) while grazing dormant Sandhills range. During EL, cows from each late gestational treatment were fed cool-season grass hay or grazed sub-irrigated meadow. Cows were managed as a single herd for the remainder of the year. Birth date and birth weight of heifer calves were not affected (P > 0.10) by dam nutrition. Meadow grazing and PS increased (P = 0.02; P = 0.07) heifer 205-d BW vs. feeding hay and NS, respectively. Weight at prebreeding and pregnancy diagnosis were greater (P < 0.04) for heifers from PS dams but were unaffected by EL nutrition (P > 0.10). There was no effect (P > 0.10) of LG or EL dam nutrition on age at puberty or the percentage of heifers cycling before breeding. There was no difference (P > 0.10) in pregnancy rates due to EL treatment. Pregnancy rates were greater (P = 0.05) for heifers from PS dams, and a greater proportion (P = 0.005) of heifers from PS dams calved in the first 21 d of the heifers' first calving season. Nutrition of the dams did not influence (P < 0.10) heifers' average calving date, calving difficulty, and calf birth weight during the initial calving season. Weight at the beginning of the second breeding season was greater (P = 0.005) for heifers from PS dams but was not affected by maternal nutrition during EL (P > 0.10). Dam nutrition did not affect (P > 0.10) heifer ADG or G:F ratio. Heifers from PS dams had greater DMI (P = 0.09) and residual feed intake (P = 0.07) than heifers from NS cows if their dams were fed hay during EL but not if their dams grazed meadows. Heifers born to PS cows were heavier at weaning, prebreeding, first pregnancy diagnosis, and before their second breeding season. Heifers from cows that grazed meadows during EL were heavier at weaning but not postweaning. Despite similar ages at puberty and similar proportions of heifers cycling before the breeding season, a greater proportion of heifers from PS dams calved in the first 21 d of the heifers' first calving season, and pregnancy rates were greater compared with heifers from NS dams. Collectively, these results provide evidence of a fetal programming effect on heifer postweaning BW and fertility.

Animal Feed↗
PubMed2006

Phenotypic plasticity in two marine snails: constraints superseding life history.

In organisms encountering predictable environments, fixed development is expected, whereas in organisms that cannot predict their future environment, phenotypic plasticity would be optimal to increase local adaptation. To test this prediction we experimentally compared phenotypic plasticity in two rocky-shore snail species; Littorina saxatilis releasing miniature snails on the shore, and Littorina littorea releasing drifting larvae settling on various shores, expecting L. littorea to show more phenotypic plasticity than L. saxatilis. We compared magnitude and direction of vectors of phenotypic difference in juvenile shell traits after 3 months exposure to different stimuli simulating sheltered and crab-rich shores, or wave-exposed and crab-free shores. Both species showed similar direction and magnitude of vectors of phenotypic difference with minor differences only between ecotypes of the nondispersing species, indicating that plasticity is an evolving trait in L. saxatilis. The lack of a strong plastic response in L. littorea might be explained by limits rather than costs to plasticity.

Animals↗
PubMed2006

Estimation of undegradable intake protein in forages using neutral detergent insoluble nitrogen at a single in situ incubation time point.

Two experiments were conducted to evaluate the use of neutral detergent insoluble nitrogen (NDIN) at a single in situ incubation time point to estimate the undegradable intake protein (UIP) in forages as well as to compare rates of NDIN degradation. Forage samples in Exp. 1 comprised diet samples collected from range and meadow pastures monthly from May through September. In Exp. 2, clipped samples of alfalfa, birdsfoot trefoil, kura clover, and smooth bromegrass, and diet samples of the mixed legume-grass and smooth bromegrass were evaluated. Forage samples were incubated in situ for their mean retention time (MRT) estimated from IVDMD plus a 10-h passage lag to yield the total MRT (TMRT). Samples were also incubated for 0 h, 10 h, 75% TMRT, and 96 h. Undegradable intake protein was measured at 75% TMRT and TMRT, and calculated using fractional rates of degradation and passage with a 10-h passage lag. Rates of ruminal NDIN degradation were calculated using the slope of the regression of the natural logarithm of the potentially degradable NDIN remaining (96-h undegradable fraction subtracted) against time. The estimated UIP values obtained using 75% TMRT were highly correlated with those obtained using fractional rates of degradation and passage plus accounting for a 10-h passage lag in Exp. 1 (R2 = 0.95) and Exp. 2 (R2 = 0.98). Rates of NDIN degradation of range and meadow samples in Exp. 1 were slower (P < 0.05) from 0 to 10 h in May and June compared with rates from 10 h to 75% TMRT, but rates of degradation were not different (P = 0.34 to 0.71) for the rest of the collection periods. Rates of degradation were not different from 0 to 10 h and 10 h to 75% TMRT in Exp. 2 for diet (P = 0.82) or clipped samples (P = 0.86). The UIP of the forages in these experiments was accurately estimated using NDIN at a single in situ incubation time point equivalent to 75% of the TMRT, and rates of protein degradation can be obtained at this time point when 0- and 96-h incubations are included.

Animal Feed↗
PubMed2006

Effects of pre- and postpartum nutrition on reproduction in spring calving cows and calf feedlot performance.

Crossbred, spring-calving cows (yr 1, n = 136; yr 2, n = 113; yr 3, n = 113) were used in a 3-yr experiment to evaluate the influence of supplemental protein prepartum and grazing subirrigated meadow postpartum on pregnancy rates and calf feedlot performance. A 2 x 2 factorial arrangement of treatments was used in a switchback design. From December 1 to February 28, cows grazed dormant upland range in 8 pastures (32 +/- 2 ha each). The equivalent of 0.45 kg of supplement/cow per d (42% CP) was provided to half of the cows on a pasture basis 3 d/wk. For 30 d before the beginning of breeding (May 1 to May 31), half of the cows grazed a common subirrigated meadow (58 ha), and the remainder was fed grass hay in a drylot. Cow BW and BCS were monitored throughout the year, and steer calf performance was determined until slaughter. Feeding supplement prepartum improved (P = 0.01 to P < 0.001) BCS precalving (5.1 vs. 4.7) and prebreeding (5.1 vs. 4.9) and increased (P = 0.02) the percentage of live calves at weaning (98.5 vs. 93.6%) but did not affect (P = 0.46) pregnancy rate (93 vs. 90%). Calves born to dams fed supplement prepartum had similar (P = 0.29) birth weight (37 vs. 36 kg) but greater (P = 0.02) weaning weight (218 vs. 211 kg). However, steer feedlot DMI (8.53 vs. 8.48 kg), ADG (1.6 vs. 1.6 kg), and carcass weight (369 vs. 363 kg) were not affected (P = 0.23 to P = 0.89) by prepartum supplementation. Allowing cows to graze subirrigated meadow postpartum improved (P < 0.001) BCS prebreeding (5.2 vs. 4.9) but did not affect (P = 0.88) pregnancy rate (92 vs. 91%). Allowing cows to graze subirrigated meadow increased (P = 0.01) calf weaning weight (218 vs. 211 kg) but not (P = 0.62 to P = 0.91) feedlot DMI (8.4 vs. 8.3 kg), ADG (1.6 vs. 1.6 kg), or carcass weight (363 vs. 362 kg) of their steer calves. Increased percentage of live calves at weaning as a result of feeding supplemental protein increased net returns at weaning and after finishing in the feedlot. Net returns were increased by allowing cows to graze subirrigated meadow postpartum regardless of whether calves were marketed at weaning or after finishing in the feedlot.

Animal Feed↗
PubMed2004

Building beef cow nutritional programs with the 1996 NRC beef cattle requirements model.

Designing a sound cow-calf nutritional program requires knowledge of nutrient requirements, diet quality, and intake. Effectively using the NRC (1996) beef cattle requirements model (1996NRC) also requires knowledge of dietary degradable intake protein (DIP) and microbial efficiency. Objectives of this paper are to 1) describe a framework in which 1996NRC-applicable data can be generated, 2) describe seasonal changes in nutrients on native range, 3) use the 1996NRC to predict nutrient balance for cattle grazing these forages, and 4) make recommendations for using the 1996NRC for forage-fed cattle. Extrusa samples were collected over 2 yr on native upland range and subirrigated meadow in the Nebraska Sandhills. Samples were analyzed for CP, in vitro OM digestibility (IVOMD), and DIP. Regression equations to predict nutrients were developed from these data. The 1996NRC was used to predict nutrient balances based on the dietary nutrient analyses. Recommendations for model users were also developed. On subirrigated meadow, CP and IVOMD increased rapidly during March and April. On native range, CP and IVOMD increased from April through June but decreased rapidly from August through September. Degradable intake protein (DM basis) followed trends similar to CP for both native range and subirrigated meadow. Predicted nutrient balances for spring- and summer-calving cows agreed with reported values in the literature, provided that IVOMD values were converted to DE before use in the model (1.07 x IVOMD - 8.13). When the IVOMD-to-DE conversion was not used, the model gave unrealistically high NE(m) balances. To effectively use the 1996NRC to estimate protein requirements, users should focus on three key estimates: DIP, microbial efficiency, and TDN intake. Consequently, efforts should be focused on adequately describing seasonal changes in forage nutrient content. In order to increase use of the 1996NRC, research is needed in the following areas: 1) cost-effective and accurate commercial laboratory procedures to estimate DIP, 2) reliable estimates or indicators of microbial efficiency for various forage types and qualities, 3) improved estimates of dietary TDN for forage-based diets, 4) validation work to improve estimates of DIP and MP requirements, and 5) incorporation of nitrogen recycling estimates.

Animal Nutritional Physiological Phenomena↗
PubMed2003

Supplementation to meet metabolizable protein requirements of primiparous beef heifers: II. Pregnancy and economics.

Metabolizable protein (MP) requirements of spring calving heifers increase over the winter due to advancing gestation. The MP content of grazed winter forage is low, which may result in an MP deficiency. The objective was to compare the response of supplementing pregnant yearling heifers to meet MP requirements versus conventional CP supplementation. In 1997-98 and in 1998-99, pregnant, March-calving heifers (2,120 animals; 358 kg) at two locations of a commercial ranch in the Nebraska Sandhills, were used following breeding through calving as 2-yr-olds (cows). Heifers were randomly allotted to one of two supplementation treatments (about 265 heifers/treatment) each year at each of two locations (Ashby and Whitman, NE). Treatments were 1) supplementation to meet MP requirements (MPR) or 2) supplementation to meet CP requirements (CPR). Heifers grazed upland range and meadow and were offered supplements three times weekly from mid-September to mid- or late-February. Increasing amounts of meadow hay were fed from mid-December through calving. After supplementation ended in February, heifers were managed in one group at each location until the following October. Body weights and body condition scores were taken in September, February, and October. Two-yr-old pregnancy rates were determined via rectal palpation in October. Capital budgeting techniques were used to determine the economic return of supplementation strategies. There were no differences in BW (P = 0.41) or body condition score (P = 0.99) change during the winter among treatment groups across years and locations, but MPR cows were heavier (425 kg) than CPR cows (421 kg) at the time of 2-yr-old pregnancy testing (P = 0.07). Pregnancy rate was higher (P = 0.001) in the MPR (91%) compared to the CPR treatment (86%). Regression analysis showed that the response of the MPR treatment on pregancy rates tended to be negatively correlated with precalving body condition score (P = 0.11), body condition score loss over the winter (P = 0.07), and body condition score at weaning of the first calf (P = 0.08). The improvement in 2-yr-old pregnancy by supplementing to meet MP requirements improved the value of each bred heifer by 13.64 dollars. We conclude that balancing MP requirements during gestation may result in a subsequent increase in 2-yr-old pregnancy and increase the value of young females.

Animal Feed↗
PubMed2003

Undegradable intake protein supplementation of compensating spring-born steers and summer-born steers during summer grazing.

Three trials were conducted to determine the effects of previous winter gain (Trials 1 and 3) and age of calf (Trials 1 and 2) on response to undegradable intake protein (UIP) supplementation during summer grazing. In Trial 1, 48 spring-born steers (243 kg) were used in a 4 x 2 factorial arrangement. Steers were wintered at four rates of gain: 0.65 (FAST), 0.24 (SLOW), 0.38 (S/F), and 0.38 (F/S) kg/d. The intermediate rates of gain (S/F and F/S) were created by switching steers from slow to fast or fast to slow midway through the wintering period. Following winter treatments, steers were assigned to one of two summer treatments: supplemented (S) or nonsupplemented (NS). In Trial 2, 32 summer-born steers were wintered at an ADG of 0.25 kg/d and allotted to the same summer treatments as Trial 1. The supplement was formulated to supply 200 g/d of UIP. Steers from both trials grazed upland Sandhills range from May to September 1998. In Trial 3, 49 spring-born steers (228 kg) were used in a 2 x 7 factorial arrangement of treatments. Steers were wintered at two rates of gain, 0.71 (FAST) and 0.24 kg/d (SLOW) and then assigned randomly to one of six levels of UIP supplementation or an energy control. Protein supplements were formulated to deliver 75, 112.5, 150, 187.5, 225, or 262.5 g/d of UIP. Sources of UIP for all trials were treated soybean meal and feather meal. In Trial 1, there were no (P > 0.05) winter by summer treatment interactions, and UIP supplementation increased (P = 0.0001) pasture gains over NS steers. In Trial 2, supplementation increased (P = 0.001) pasture ADG of summer-born steers by 0.15 kg/d compared with NS steers. In Trial 3, a winter gain by UIP supplementation interaction was observed (P = 0.09). Gain of FAST steers responded quadratically (P = 0.09) across UIP levels, with the maximum gain occurring at the 150 g/d UIP level. The SLOW steers responded linearly (P = 0.02) to increasing UIP levels; however, the response was negative. Levels of UIP above 150 g/d reduced steers gains; therefore, the data were reanalyzed excluding these levels. These new analyses showed that FAST steers responded linearly (P = 0.08; 0.2 kg/d) to increasing UIP, whereas the SLOW steers had no response to UIP. In Trials 1 and 3, SLOW steers experienced compensatory gain and had higher gains overall. We concluded that previous winter gain affected the response to UIP supplementation with the FAST winter gain group having a greater response.

Age Factors↗
PubMed2003

Supplementation to meet metabolizable protein requirements of primiparous beef heifers: I. Performance, forage intake, and nutrient balance.

Three experiments were conducted to evaluate the response of supplementing primiparous heifers based on the metabolizable protein (MP) system during pregnancy and lactation. In Exp. 1, 12 pregnant, March-calving heifers (432 +/- 10 kg) grazing Sandhills range were randomly allotted to one of two treatments: supplementation based on either the MP system (MPR) or the CP system (CPR). Supplements were fed to individual heifers from October to February and no hay was offered. Grazed forage organic matter intake (FOMI) was measured in November, January, and February. In Exp. 2, 18 heifers (424 +/- 8 kg) were randomly allotted to one of three treatments: 1) supplementation based on the MP system with hay fed in January and February (average 2.0 kg/d; MPR/hay), 2) supplementation based on the CP system, with hay fed in January and February (CPR/hay), or 3) supplementation based on the MP system, with no hay fed (MPR/no hay). Supplements were fed from October to February, and FOMI was measured in December and February. In Exp. 3, lactating 2-yr-old cows (394 +/- 7 kg) maintained on meadow hay were supplemented to meet either 1) MP requirements (LMPR) or 2) degradable intake protein requirements (LDIPR). Body weight (BW) and body condition score change, hay intake, and milk production were measured. In Exp. 1, grazed FOMI decreased (P = 0.0001) from 1.9% of BW in November to 1.2% in February, but no differences among treatments were detected for FOMI or BW change. In Exp. 2, grazed FOMI declined (P = 0.0001) from 1.7% of BW in December to 1.1% in February, with no differences among treatments. Heifers on the MPR/hay and CPR/hay treatments had higher (P = 0.0018) total intake (grazed forage + hay intake) in February (1.7% BW) than the MPR/no hay heifers (1.1% BW). Heifers on the MPR/no hay treatment had a lower weight (P = 0.02) and tended (P = 0.11) to have a lower BCS than heifers on other treatments. In Exp. 3, the LMPR cows had higher (P = 0.02) ADG than LDIPR cows (0.41 and 0.14, respectively), but treatment did not affect milk production. Organic matter hay intake averaged 2.4% of BW. We conclude that supplementation to meet MP requirements had little benefit to heifer performance during gestation, but increased weight change during lactation. Because grazed forage intake decreased from 1.9 to 1.1% of BW with advancing gestation, supplemental energy is necessary to reduce weight and condition loss of gestating hefiers grazing dormant Sandhills range.

Animal Feed↗
PubMed2002

Dried poultry waste for cows grazing low-quality winter forage.

Two trials conducted in 1996-97 measured BW and body condition score changes of cows fed different sources of degradable intake protein, including dried poultry waste and soybean meal, while grazing low-quality winter forages. In Trial 1, 60 spring-calving cows (5 yr; 555 kg) were used in an individual supplementation trial. Cows were gathered three times a week, sorted into individual pens, and fed their respective supplement. Cows grazed dormant native Sandhills winter range (common pasture) and were assigned to one of six supplemental treatments: 1) no supplement, 2) urea, 3) 22% dried poultry waste + urea, 4) soybean meal, 5) 22% dried poultry waste + soybean meal, or 6) 44% dried poultry waste. All supplements were based on wheat middlings and soybean hulls and were formulated to contain 44% CP. Thirty-six cows were selected randomly (six per treatment) for a 5-d measurement of forage intake from December 16 through December 20, 1996. Cows receiving supplements gained more weight (P < 0.001) and maintained greater body condition (P < 0.001) than unsupplemented cows. Cows receiving urea gained less (P < 0.10) than cows receiving a source of natural protein, but body condition remained similar. No differences were found in daily forage or total organic matter intake (P > 0.10). In Trial 2, cows grazed corn residues. Forty-eight spring-calving cows were group-fed supplements in one of six 4-ha paddocks. Cows received supplements containing either soybean meal or dried poultry waste that were the same as the soybean meal and 44% dried poultry waste supplements fed in Trial 1; gains were not different (P > 0.10). Under the economic conditions that existed at the time of these experiments, the supplement containing dried poultry waste resulted in a savings of $.04 per cow per day and a total savings of $3.20 per cow over an 80-d period. Feeding a supplement containing dried poultry waste resulted in performance similar to that when feeding a more conventional supplement containing soybean meal.

Animal Feed↗
PubMed2001

A model for phylogenetic inference using structural and chemical covariates.

We investigated whether or not evolutionary change in DNA sequence data was homogeneous across different classes of base pairs. DNA sequences for eight protein-coding mitochrondrial genes were obtained for 38 vertebrate taxa from GenBank. Each nucleotide site in the alignment was classified according to a number of covariates, including its codon position, genetic code degeneracy, and hydrophobicity. The evolutionary transition matrix for each base was estimated by tracing implied character changes under parsimony on a known phylogenetic tree. Canonical variates analyses of the inferred transition matrices were performed for each gene to determine whether or not different classes of bases behaved similarly. We found five distinct clusters of transition matrices that could be roughly defined by combinations of codon position and degeneracy. This pattern was consistent among all genes. A stochastic model of rate variation based on the interaction of the covariates was developed to assess the statistical significance of the clusters. The five-group classification was found to explain significantly more sequence variation than did a codon only classification, a codon degeneracy classification, or a codon and degeneracy classification. The same five-group classification was found for all genes tested, suggesting a common process underlying the molecular evolution of the mitochondrial genome. These results confirm that there are classes of base pairs that evolve differently, and suggest that models of sequence evolution that incorporate covariate information may be useful in developing nucleotide substitution models that more accurately reflect evolutionary history.

Animals↗
PubMed2001

Effects of stable flies (Diptera: Muscidae) on weight gains of grazing yearling cattle.

Differences in weight gains caused by stable flies, Stomoxys calcitrans (L.), on grazing yearling steer/calves averaged 0.2 kg per steer in a 3-yr study on canyon range pastures in West Central Nebraska, Stable fly numbers averaged 0.85 per front leg on treated calves and 3.64 per front leg on control calves. In 2 of the 3 yr after the grazing trials were completed, the calves were placed in a feedlot and fed a finishing ration. Compensatory gain did not occur in the feedlot after the stable fly stress was removed.

Animals↗
PubMed2000

Ecological character displacement in Plethodon: biomechanical differences found from a geometric morphometric study.

Ecological character displacement describes a pattern where morphological differences between sympatric species are enhanced through interspecific competition. Although widely considered a pervasive force in evolutionary ecology, few clear-cut examples have been documented. Here we report a case of ecological character displacement between two salamander species, Plethodon cinereus and Plethodon hoffmani. Morphology was quantified by using linear measurements and landmark-based geometric morphometric methods for specimens from allopatric and sympatric populations from two geographic transects in south-central Pennsylvania, and stomach contents were assayed to quantify food resource use. Morphological variation was also assessed in 13 additional allopatric populations. In both transects, we found significant morphological differentiation between sympatric populations that was associated with a reduction in prey consumption in sympatry and a segregation of prey according to prey size. No trophic morphological or resource use differences were found between allopatric populations, and comparisons of sympatric populations with randomly paired allopatric populations revealed that the observed sympatric morphological differentiation was greater than expected by chance. The major trophic anatomical differences between sympatric populations relates to functional and biomechanical differences in jaw closure: sympatric P. hoffmani have a faster closing jaw, whereas sympatric P. cinereus have a slower, stronger jaw. Because salamanders immobilize prey of different sizes in different ways, and because the observed sympatric biomechanical differences in jaw closure are associated with the differences in prey consumption, the observed character displacement has a functional ecological correlate, and we can link changes in form with changes in function in this apparent example of character displacement.

Analysis of Variance↗
PubMed2000

Assessing quality of life in patients with head and neck cancer: cross-validation of the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Head and Neck module (QLQ-H&N35).

OBJECTIVE: To evaluate the reliability and validity of a new, disease-specific quality-of-life measure for patients with head and neck cancer: the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire--QLQ-H&N35. DESIGN: Cross-sectional study using questionnaire data and medical chart review. SETTING: Academic tertiary care otolaryngology clinic. PARTICIPANTS: One hundred twenty ambulatory patients, including 30 patients with advanced head and neck cancer in each of the following stages of treatment: (1) prior to treatment, (2) during active treatment, (3) within 6 months of completing treatment, and (4) more than 6 months after completing treatment. In addition, (5) a comparison group of 40 patients without malignant disease was included (total sample, N = 160). MAIN OUTCOME MEASURES: Scores on EORTC Quality of Life Core Questionnaire (QLQ-C30) and head and neck module (QLQ-H&N35), Profile of Mood States, and Impact of Events Scale. RESULTS: The QLQ-H&N35 demonstrated acceptable reliability (internal consistency). It successfully discriminated between cancer patients and the comparison group, and among subgroups of cancer patients at different phases of treatment (construct validity). The instrument was sensitive to the effects of radiation treatment and to site of disease. Its low-to-moderate correlations with the EORTC core questionnaire indicated that the QLQ-H&N35 provided unique information (discriminant validity). Scores were significantly associated with a number of demographic variables. CONCLUSION: Results support the use of this disease-specific measure to assess quality of life among patients with advanced head and neck cancer.

Activities of Daily Living↗
PubMed2000

Coping with head and neck cancer during different phases of treatment.

BACKGROUND: Little is known about how patients cope with head and neck cancer despite its devastating impact on basic functioning. This study examined coping patterns among patients at different phases of illness. METHODS: Participants were 120 patients with advanced disease, who were grouped according to the following phases of illness: (1) pretreatment, (2) on treatment, (3) <6 months after treatment, and (4) >6 months after treatment. Coping was assessed with the COPE questionnaire, and outcome measures assessed general distress (Profile of Mood States) and illness-specific distress (Impact of Events Scale). RESULTS: Use of specific coping responses differed among the groups. Denial (p <.05), behavioral disengagement (ie, giving up or withdrawing, p <.05), suppression of competing activities (ie, focusing exclusively on the illness, p <.01), and emotional ventilation (p <.10) were most characteristic of patients who were receiving or had recently completed treatment. There were no differences in flexibility of coping or overall effort expended, but patients who were on treatment or who had recently completed treatment used the greatest number of strategies. Generally, denial, behavioral disengagement, and emotional ventilation were associated with greater distress. CONCLUSIONS: Results suggest that phase of illness may be important in shaping patients' responses to life-threatening illness.

Adaptation, Physiological↗
PubMed2000

A multidimensional measure of religious involvement for cancer patients: the Duke Religious Index.

Despite increasing interest in the relationship between religious involvement and health outcomes for cancer patients, research has been limited by the lack of appropriate measures. Few of the many instruments available are well suited to cancer patients. The current study examined the psychometric properties of one recently developed measure, the Duke Religious Index (DRI), which assesses several aspects of religious involvement. The DRI was evaluated in two distinct samples: 104 cancer patients receiving treatment at a bone marrow transplantation program and 175 gynecology clinic patients. The instrument demonstrated good internal consistency (coefficient alphas 0.87-0.94). Moderate to high correlations with other measures of religiosity provided support for convergent validity. Modest relationships with other measures commonly used in psychosocial oncology (e.g., optimism, social support, purpose in life) indicated that the instrument provides unique information (all rs's < 0. 42). Small relationships with social desirability response bias, negative affect, and relationship cohesion further supported the divergent validity of the instrument (all rs's < 0.22). The DRI was significantly associated with demographic characteristics but not with medical variables. Findings support the value of the DRI for use in oncology settings.

Adult↗
PubMed2000

Arterial blood pressure and heart rate discrepancies between handwritten and computerized anesthesia records.

UNLABELLED: Previous publications suggest that handwritten anesthesia records are less accurate when compared with computer-generated records, but these studies were limited by small sample size, unblinded study design, and unpaired statistical comparisons. Eighty-one pairs of handwritten and computer-generated neurosurgical anesthesia records were retrospectively compared by using a matched sample design. Systolic arterial pressure (SAP), diastolic arterial pressure (DAP), and heart rate (HR) data for each 5-min interval were transcribed from handwritten records. In computerized records, the median of up to 20 values was calculated for SAP, DAP, and HR for each consecutive 5-min epoch. The peak, trough, standard deviation, median, and absolute value of the fractional rate of change between adjacent 5-min epochs were calculated for each case. Pairwise comparisons were performed by using Wilcoxon tests. For SAP, DAP, and HR, the handwritten record peak, standard deviation, and fractional rate of change were less than, and the trough and median were larger than, those in corresponding computer records (all with P: < 0.05, except DAP median and HR peak). Considering together all the recorded measurements from all cases, extreme values were recorded more frequently in computerized records than in the handwritten records. IMPLICATIONS: The discrepancies between handwritten and computerized anesthesia records suggest that some of the data in handwritten records are inaccurate. The potential for inaccuracy should be considered when handwritten records are used as source material for research, quality assurance, and medicolegal purposes.

Adolescent↗