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J Muff

Publications and source records attributed to J Muff.

At least 19 recordsLinked to original sources

From the wings of night: dream work with people who have acquired immunodeficiency syndrome.

Nurses who work with seriously ill and dying patients are engaged in helping them live fully until they die. Most theories of death and dying deal with conscious activities only. Yet many people find relief form the fear and loneliness of life-threatening illness if given the opportunity to express their totality, meaning their unconscious as well as conscious processes. Working with the mind may not be enough. Attending to the unconscious through dream work can allow inner healing to occur, which can support that person as he or she moves into the unknown. The article describes the AIDS Dreamwork Project, the goals of which are to understand patients better and to help them better understand themselves, to help them live and die more consciously, and to discern patterns in their dreams that may be unique to people with acquired immunodeficiency syndrome. Six themes have been identified in the dreams collected so far: wake-up dreams; reassurance dreams; dreams of opposition, separation, or coming together; transition dreams; transformation dreams; and spiritual or archetypal dreams.

Acquired Immunodeficiency Syndrome

The number of circulating CD34+ blood cells predicts the colony-forming capacity of leukapheresis products in children.

In children, only a few guidelines are available for optimizing peripheral blood progenitor cell (PBPC) harvesting. We analyzed by means of flow cytometry and clonogenic assays 60 harvest products obtained from 20 children by standardized leukapheresis after treatment with chemotherapy and CSF. In addition, 27 fresh blood samples obtained prospectively during the mobilization phase were studied. CFU-GM/kg significantly correlated with MNC/kg, CD34+ cells/kg and CD34+33- cells/kg in apheresis products (P < 0.001). In fresh blood samples, CFU-GM/ml significantly correlated with MNC/ml, CD34+ cells/ml and CD34+33- cells/ml (P < 0.001). The numbers of CD34+ cells/ml, CD34+33- cells/ml and MNC/ml in 19 blood samples taken prior to leukapheresis were compared with CFU-GM/kg harvested and thawed after cryopreservation applying multiple regression analysis with stepwise variable selection. The number of circulating CD34+ cells/ml prior to leukapheresis highly correlated with and was predictive for the number of collected CFU-GM/kg (P < 0.001). In addition, a significant correlation (P < 0.05) between the number of progenitor cells/kg reinfused and the time to myeloid and platelet recovery was found in children undergoing high-dose therapy. Our data indicate that a single leukapheresis will be sufficient to obtain a minimum number of 5 x 10(4) CFU-GM/kg if the pre-harvest number of circulating CD34+ cells is > or = 10(5)/ml. Thus, our results will help to optimize PBPC transplantation in children.

Adolescent

[Stem cell apheresis--experiences in children].

Stem cell apheresis, as a means to support patients during aplasia, has become an important support in the management of patients with various malignant diseases in need for heavy therapeutic regimens. Progress in this field is due, among other reasons, to better knowledge of pathophysiology in haematopoiesis and of the functioning of cytokines. Furthermore, the technical feasibility of apheresis has been improved to such an extent as to allow for collection of a stem cell-containing fraction almost in pure form. Our experience with stem cell apheresis is relatively short but includes also children between the ages of 1 and 21 years (median: 5 1/2 years). Whereas the clinical results have been published elsewhere, we here report our experience in terms of safety, using the Fresenius AS 104 machine.

Adolescent

On paradox in nursing.

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Adaptation, Psychological

What ails us?

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Humans

Hard refusals.

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Adaptation, Psychological

Images of life on the verge of death: dreams and drawings of people with AIDS.

TOPIC: Dreams of people with AIDS help illuminate unconscious activities that can be used to guide the people to a peaceful death. PURPOSE: To explore dreams of the people with AIDS in an attempt to understand unconscious processes SOURCE: Dreams and drawings of three people with AIDS. CONCLUSIONS: Dreams and drawings can be used to understand the unconscious processes of people with AIDS and to help them toward a peaceful death.

Acquired Immunodeficiency Syndrome