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Biomedical subjects

E Wertz

Publications and source records attributed to E Wertz.

6 recordsLinked to original sources
PubMed2004

[An assessment of stress in adolescent inpatients].

UNLABELLED: Hospitalisation often remains stressful for adolescents. Therefore the improvement of life conditions and management of poorly adolescents during their hospital stay grows into an important concern in the medical staff. However, there is a lack of standardized instruments for an objective and reproducible assessment of problems related to this subject. The Hospital Stress Rating Scale (HSRS), validated in hospitalized adult patients, seems to be an interesting tool allowing an assessment of the level of stress and to specify the stressful factors. SUBJECTS AND METHODS: During ten months, 107 adolescent inpatients, 39 males and 68 females, aged on average 13.5 +/-1.5 years, were included in the study. In addition to the HSRS, in a version adapted for adolescents, two other self-report questionnaires were used: the Toulouse Stress Rating Scale (TSRS), which is a rating scale validated to assess the level of stress and to identify the clinical manifestations of stress in adolescents, and the Toulouse Coping Rating Scale (TCRS), which is a rating scale validated to assess the coping style of adolescents in stressful situations. The sociodemographic and clinical characteristics of the studied subjects were collected by a standardized questionnaire. RESULTS: A significant correlation was found between the HSRS mean total score and the TSRS mean total score. The HSRS item by item analysis showed that the nature of the stressors varied according to the clinical characteristics of the subjects. Lastly, the coping style was found having a significant influence on the level of stress reported by the subjects. CONCLUSION: Even if they were obtained in a relatively small sample, these results show that the HSRS is a useful tool to assess the stress reported by the hospitalized adolescents. Such an instrument may be useful to plan aid and preventive strategies and to assess their impact in hospitalized adolescents.

Adolescent↗
PubMed2001

Early weaning and postweaning nutritional management affect feedlot performance of angus x simmental heifers and the relationship of 12th rib fat and marbling score to feed efficiency.

Early-weaned Angus x Simmental heifers were used to evaluate the effects of postweaning nutritional management on feedlot performance, carcass merit, and the relationship of intramuscular and subcutaneous fat deposition to the feed efficiency among heifers fed for a high-quality market. Sixteen heifers were weaned at 73+/-5.5 d of age and grazed on endophyte-infected tall fescue for 18 mo before entering the feedlot (early-weaned-P). Eighty heifers from the following year's calf crop were weaned at 71+/-5.5 d of age and allowed either ad libitum access to a 25% concentrate diet (early-weaned-25C) or limit-fed a 90% concentrate diet (early-weaned-90C) to achieve a similar ADG. Following a 119-d growing period, 16 early-weaned-90C and 16 early-weaned-25C calves were paired based on BW and growth rate and individually fed during the finishing period along with the early-weaned-P heifers. Ultrasound measurements of s.c. and i.m. fat were recorded at approximately 60-d intervals throughout the finishing period. Feed efficiency was regressed against s.c. and i.m. fat, and i.m. fat was regressed on s.c. fat. Despite a similar ADG, early-weaned-90C calves gained more efficiently (P < or = 0.05) in the feedlot than early-weaned-25C calves. Heifers finished as yearlings tended (P < or = 0.10) to gain faster but gained less efficiently (P < or = 0.01) than early-weaned-90C heifers finished as calves. The rate of s.c. and i.m. fat deposition was similar between early-weaned-90C and early-weaned-25C heifer calves. The calves were grouped together for comparison to yearlings. Feed efficiency decreased quadratically (P < or = 0.01) as s.c. fat cover increased. The rate at which feed efficiency decreased relative to increasing s.c. fat cover was similar regardless of age at feedlot entry. However, heifers finished as calves gained more efficiently (P < or = 0.01) than yearlings at any given fat thickness. Feed efficiency decreased linearly (P < or = 0.01) as i.m. fat increased among heifers finished as calves. Additionally, heifers finished as calves deposited i.m. fat at a faster rate relative to s.c. fat (P < or = 0.01) than yearlings. These data suggest that heifers finished as calves produce high-quality carcasses with less s.c. fat cover while gaining more efficiently than heifers finished as yearlings.

Adipose Tissue↗
PubMed1997

Unity and power: lessons from baccalaureate entry.

Education for nurses has been a contentious issue within and outside of the nursing profession since the American Nurses Association's 1965 support of the baccalaureate degree in nursing as basic educational criteria for the professional nurse (American Nurses Association, 1965). For 10 years, North Dakota has remained the only state to have achieved this educational goal, and North Dakota nurses have been able to defend this position against repeated challenges within the state since 1985. This article places nursing education within the context of the evolving, sweeping changes that are impacting all providers in the health care arena. The authors explain how and why North Dakota nurses were able to accomplish the standardization of nursing education for two levels of nurses: registered nurses and licensed practical nurses. The article describes the positive outcomes for nurses and clients that have occurred over the past 10 years.

American Nurses' Association↗