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Biomedical subjects

L Dahl

Publications and source records attributed to L Dahl.

12 recordsLinked to original sources

Clinicians can agree in assessing relationship patterns in psychotherapy. The Core Conflictual Relationship Theme method.

This study examines interjudge agreement on formulations of dynamic themes in psychotherapy, using a session-based method, namely, the Core Conflictual Relationship Theme. Agreement was assessed by two methods: one was based on themes that were tailor-made for each case, while the other was based on coding themes into a standard set of categories. To assess agreement on the tailor-made formulations, a paired-comparisons procedure was used. For a sample of 35 patients, the similarity ratings for matched cases were significantly higher than for purposely mismatched cases. Using the standard set of categories, agreement was also good; weighted kappa values ranged from .61 to .70. The results also demonstrate reliability for the location of the relationship episodes, which form the database for the Core Conflictual Relationship Theme. Our positive results suggest that this guided clinical method can be used reliably as a measure of relationship patterns in psychotherapy; our results provide the first moderate-sized sample demonstration of clinicians' agreement in formulating this complex concept.

Attitude of Health Personnel

The concentration of hyaluronate in amniotic fluid.

The concentration of sodium hyaluronate has been determined in amniotic fluid by a specific radioassay. It shows a large individual variation. The mean concentration is approximately 20 micrograms/ml at Weeks 16-20 of the gestational period. It drops to approximately 1 micrograms/ml at Week 30 and is then constant until the end of the pregnancy.

Amniotic Fluid

Low renal papillary plasma flow in both Dahl and Kyoto rats with spontaneous hypertension.

Abnormally low plasma flow to renal papilla characterizes Dahl hypertension. When eating a normal Na diet (0.3% NaCl) both hypertension-sensitive (S) rats and hypertension-resistant (R) rats, 16 weeks old, have fairly normal blood pressure (BP), averaging 144 and 129 mm Hg, respectively. However, even in this barely hypertensive state, 18 S rats had a 31% lower papillary plasma flow (Lilienfield method) than 22 R rats, 19.2 ml/100 g of papilla per min compared to 25.6 (P less than 0.001). When a high (8%) NaCl diet was fed for 7 days, R rats increased papillary plasma flow from 25.6 on 0.3% NaCl to 33.8 on 8% NaCl, a 32% rise (P less than 0.001). S rats increased papillary flow from 20.4 to 24.8, a 22% rise (P less than 0.05). When a high (8%) NaCl diet was fed for 4 weeks, R rats increased papillary plasma flow from 25.7 ml/100 g per min on 0.3% NaCl to 29.5 ml/100 g per min on 8% NaCl, a 15% rise (P less than 0.025). S rats increased papillary flow from 17.7 to 20.0 ml/100 g per min (not significant). S rats on 8% NaCl had a papillary flow 32% lower than R rats on 8% NaCl (P less than 0.001). BP of S rats rose to 162 mm Hg after 4 weeks on 8% NaCl; in R rats, BP did not rise at all. S rats on 0.3% NaCl have a low papillary flow even in a borderline hypertensive state. When challenged with 8% NaCl, R rats increased papillary flow, an adaptation possibly important for the natriuresis. S rats failed to achieve this same high papillary flow. Lacking this adaptation, hypertension may then conceivably occur in S rats to accomplish natriuresis through a "pressure natriuresis" mechanism. Papillary flow also decreased by 11% in 26 Kyoto 17-week-old spontaneously hypertensives (BP, 182 mm Hg) compared to 24 Kyoto normotensives (BP, 118 mm Hg), 29.5 vs 33.2 ml/100 g per min (P less than 0.001). Thus, low papillary flow exists in both hypertensions.

Animals

Psychological perception of nursing aides' work. An attitude study in a geriatric hospital.

To evaluate the psychological perception of nursing aides' work a questionnaire study was performed in a long-term care (geriatric) hospital. 233 out of 273 nursing aides participated (85.4%). Seven scales were obtained: relation with supervisors and workmates, perceived need for information, satisfaction with the work itself, perceived need for education, perceived demand for physical and psychic strength, perceived strain, adjustment to geriatric work. Differences were found between young and older nursing aides, e.g. the young nursing aides percerived less demand for physical and psychic strength and the older nursing aides had a better adjustment to geriatric work. The most important factors for the overall satisfaction with the work were satisfaction with the work itself, perceived strain, and adjustment to geriatric work. Comparisons were also made between the nursing aides and industrial workers and employees.

Adolescent

Project bed rest.

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Health Education