scholarly journals The Actualization of the Transplantation Complex on the Axis of Psychosomatic Totality—Results of a Qualitative Study

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 455
Author(s):  
Marie Eichenlaub ◽  
Barbara Ruettner ◽  
Annina Seiler ◽  
Josef Jenewein ◽  
Annette Boehler ◽  
...  
Keyword(s):  
Data Analysis ◽  
Lung Transplant ◽  
Patient Adherence ◽  
Psychological Treatment ◽  
Qualitative Approach ◽  
The Body ◽  
Transplant Patients ◽  
Lung Transplants ◽  
Psychological Processing ◽  
Positive Effect

Although transplantation medicine is not new, there is a clinically justified gap in the existing literature with respect to the psychological processing of lung transplants. The present study aims to examine whether lung transplantation leads to an actualization of psychological, e.g., oral-sadistic fantasies. Following a qualitative approach, 38 lung transplant patients were interviewed three times within the first six months after transplantation. Data analysis focused on identifying unconscious and conscious material. The inter-rater reliability for all codes was calculated using Krippendorff’s Alpha (c-α-binary = 0.94). Direct and implicit evidence of a so-called transplantation complex was detected e.g., regarding the “incorporation” of the dead donor and his lungs. These processes occur predominantly at an imaginary level and are related to the body. Our findings emphasize that such psychological aspects should be borne in mind in the psychological treatment of lung-transplant patients in order to improve the processing of lung transplants, and that this might have a positive effect on patient adherence.

Sinonasal Posttransplant Lymphoproliferative Disorder in Pediatric Lung Transplant Patients

2005 ◽  
Vol 133 (1) ◽  
pp. 38-41 ◽  
Author(s):  
Brian W. Herrmann ◽  
Stuart C. Sweet ◽  
David W. Molter
Keyword(s):  
Cystic Fibrosis ◽  
Head And Neck ◽  
Lymphoproliferative Disorder ◽  
Lung Transplant ◽  
Nasal Polyposis ◽  
Case Series ◽  
Posttransplant Lymphoproliferative Disorder ◽  
Transplant Patients ◽  
Occult Disease ◽  
Lung Transplants

OBJECTIVE: To evaluate sinonasal manifestations of posttransplant lymphoproliferative disorder (PTLD) in the pediatric lung transplant population. STUDY DESIGN AND METHODS: Case series of children less than 18 years presenting with PTLD after pulmonary transplantation at St Louis Children's Hospital between Jan 1, 1990 and Dec 31, 2003. RESULTS: Two hundred eighty-two lung transplants were performed in 246 children. Thirty-two cases of histopathologically confirmed PTLD were identified with 8 (25%) presenting in the head and neck. Sinonasal PTLD was the most common site of head and neck involvement (63%), with 40% of patients presenting with occult disease. All patients with sinonasal PTLD had longstanding nasal polyposis related to cystic fibrosis ( P = 0.07). CONCLUSIONS: This is, to our knowledge, the first report identifying an increased frequency of sinonasal PTLD after pediatric pulmonary transplantation, particularly in children with cystic fibrosis and associated nasal polyposis. Because sinonasal PTLD may be asymptomatic, this region should receive close scrutiny on surveillance evaluations.

scholarly journals Prevalence and Incidence of Clostridioides difficile Colonization Among a Cohort of Transplant Patients

2020 ◽  
Vol 41 (S1) ◽  
pp. s357-s357
Author(s):  
Scott Curry ◽  
Danielle Gill ◽  
Aisha Vanderhorst ◽  
Kate Kiley ◽  
Carolina Cassandra Salgado
Keyword(s):  
Lung Transplant ◽  
Positive Culture ◽  
Marrow Transplant ◽  
Incidence Rates ◽  
Allogeneic Bone ◽  
Transplant Patients ◽  
Clostridioides Difficile ◽  
History Of ◽  
Lung Transplants

Background: Allogeneic bone marrow transplant (BMT) as well as liver, heart, and lung transplant patients have high reported incidence rates of Clostridioides difficile infection (CDI). The prevalence and incidence of asymptomatic colonization with Clostridioides difficile (ACCD) in this group is not known. Methods: ACCD was defined as the presence of C. difficile on screening cultures without positive clinical testing for CDI ±1 week from the date of sampling. Patients undergoing BMT as well as liver, heart, and lung transplants at MUSC between October 2017 and October 2019 were cultured for C. difficile at admission for transplant then once weekly during inpatient admissions and at each outpatient follow-up for 90 days after transplantation. Testing for CDI occurred at the discretion of treating physicians and was done by PCR. Transient ACCD was defined as a positive culture from samples collected <7 days apart, and persistent ACCD was defined as having 2 or more positive cultures collected a minimum of 7 days apart. Results: The baseline prevalences of ACCD were 1 of 5 (20%), 0 of 2 (0%), 1 of 40 (3%), and 2 of 16(13%) for lung, heart, liver and BMT patients, respectively. Of 63 patients, 3 had a pretransplant history of CDI, 2 of whom had baseline ACCD. Incident ACCD occurred in 23 of 63 patients (37%) (Table 1). Overall, ACCD was observed in 30 of 63 patients (48%). Of the 30 patients with ACCD, 14 displayed persistent asymptomatic colonization, whereas 16 displayed transient asymptomatic colonization. Also, 5 patients in the cohort were diagnosed with CDI after transplantation, of whom 3 had ACCD prior to or following CDI. Conclusions: The baseline prevalence of C. difficile colonization in transplant patients (6.3%) was not substantially greater than those observed in recent studies of hospitalized inpatients, but the incidence of new colonization events (37%) was high in this patient population with numerous pretransplant risk factors for CDI.Funding: NoneDisclosures: None

scholarly journals The life and death construct in heart transplant patients

2018 ◽  
Vol 18 (1) ◽  
pp. 48-56 ◽  
Author(s):  
Ana M Palmar-Santos ◽  
Azucena Pedraz-Marcos ◽  
Juan Zarco-Colón ◽  
Milagros Ramasco-Gutiérrez ◽  
Eva García-Perea ◽  
...  
Keyword(s):  
Heart Transplant ◽  
Organ Transplant ◽  
Qualitative Approach ◽  
The Body ◽  
Subjective Experiences ◽  
Life And Death ◽  
Definition Of Death ◽  
Transplant Patients ◽  
Technological Advances ◽  
Definition Of

Background: The technological advances of medicine, and specifically the techniques of organ transplants, have allowed crossing the border of life and death. This is especially relevant in the case of heart transplant, since its symbolism requires a redefinition not only of these traditional concepts, but also of the body or of one’s own identity. Aims: To explore the experiences of patients after receiving a heart from a donor. Methods: A phenomenological qualitative approach, through Merleau Ponty and Levinas perspectives, was conducted to capture the subjective experiences of heart transplant patients. We conducted 22 in-depth interviews: 12 with heart transplant patients from two hospitals in Madrid (Spain), and 10 with relatives who lived with them. Results: The line between life and death is erased for heart transplant patients. Three main themes arose from the analysis: towards death, the frontier between life and death, and towards life. The need to redefine the concepts of life and death is structured around issues such as the thought of facing one’s own death and the concept of gift and resurrection. Conclusion: Organ transplant techniques open the door to a new definition of death, of the identity of the body and its parts and the limits of life. Considering the cultural, legal, psychological, social and symbolic elements involved in the heart transplant process, a qualitative approach provides new avenues of understanding the clinical process from the patients’ perspective.

scholarly journals Budaya Iyakyaker dalam Peningkatan Nilai-Nilai Sosial di Distrik Sorong Kota

heritage ◽  
2020 ◽  
Vol 1 (2) ◽  
pp. 149-155
Author(s):  
Herningsih Herningsih
Keyword(s):  
Data Analysis ◽  
Cultural Values ◽  
Social Values ◽  
Qualitative Approach ◽  
The Body ◽  
Analysis Techniques ◽  
Regional Language ◽  
The Social ◽  
Language Area ◽  
Regional Languages

Abstract This study aims to describe and analyze cultural values in increasing social values in the Sorong Kota district with the focus of the study covering: culture, customs and values on the character of the Biak Tribe in Sorong Kota District. This study uses a qualitative approach with data collection techniques using interviews, observation and documentation and data analysis techniques, namely data reduction, data presenter, data presenter and research conclusions using the results of the study show that the social values that occur are not only a benchmark in ethnic culture/customs. breed but has a major role to tie a sibling association and a customary system, the customary system includes regional languages, regional languages are ancestral cultures that are beginning to be eroded by time, regional language culture is the body of ancestral customs so it must be preserved, because culture (language area) is a systematic one that describes the existence of a person in the ethnicity/origin of a person.   Abstrak Penelitian ini bertujuan untuk mendeskripsikan dan menganalisis tentang budaya iyakyaker dalam peningkatan nilai sosial di distrik sorong kota dengan fokus kajian mencakup: budaya, adat dan Nilai terhadap karakter masyarakat Suku Biak di Distrik Sorong Kota. Penelitian ini menggunakan pendekatan kualitatif dengan Tehnik pengumpulan data mengunakan diantaranya Wawancara, observasi dan dokumentasi dan Teknik Analisis Data yaitu reduksi data, penyaji data, penyaji data dan kesimpulan penelitian mengunakan Hasil penelitian menunjukan bahwa nilai sosial yang terjadi tidak hanya sebagai patokan dalam budaya/adat suku biak akan tetapi memiliki peran utama untuk mengikat suatu perkumpulau saudara dan sistem adat, sistem adat tersebut diantaranya bahasa daerah, Bahasa daerah merupakan budaya leluhur yang mulai terkikis oleh jaman, Budaya bahasa daerah merupakan raga dari adat leluhur sehingga harus tetap dilestarikan, karena budaya (bahasa daerah) merupakan salah satu sistematis yang mengambarkan tentang keberdaan seseorang dalam suku/asal-usul seseorang itu berasal. Kata Kunci: Budaya, Adat, Nilai Sosial

scholarly journals 2673. Risk Factors for Clostridium difficile Infection in Lung Transplant Patients

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S938-S938
Author(s):  
Joseph L DeRose ◽  
Peter Axelrod ◽  
Rafik Samuel ◽  
Heather Clauss
Keyword(s):  
United States ◽  
Risk Factors ◽  
Clostridium Difficile ◽  
Lung Transplantation ◽  
Clostridium Difficile Infection ◽  
Lung Transplant ◽  
The United States ◽  
Transplant Recipients ◽  
Transplant Patients ◽  
Lung Transplants

Abstract Background Clostridium difficile infection is a serious and common illness affecting almost 500,000 people in the United States each year. Solid-organ transplant recipients are at increased risk for this infection, with lung transplant patients being at the highest risk. Temple University Hospital (TUH) in Philadelphia has performed the most lung transplants in the United States over the last 2 years. Methods A retrospective case–control study was performed to identify patients diagnosed with C. difficile following lung transplantation at our institution between January 1, 2014 and April 30, 2018 (N = 35). We randomly selected control patients (N = 35) who had lung transplantation performed during this time but did not develop C. difficile infection. The study objectives were to characterize risk factors that are associated with C. difficile infection in lung transplant recipients and compare clinical outcomes in recipients with and without C. difficile. Statistical analysis was performed using Epi Info (CDC, Atlanta GA). Results The average age was 62.4 years, 64.7% were male, 75% were white and 69.1% of transplants were performed for underlying idiopathic pulmonary fibrosis. 52.9% of patients had “non-severe” C. difficile infection as defined by the 2018 Infectious Disease Society of America guidelines. Patients with C. difficile infection were more likely to have been treated for cytomegalovirus (CMV) viremia (OR 8.2, 95% CI 2.4–28.2, P = 0.0006) and were more likely to have received third- to fifth-generation cephalosporins (OR 4.0, 95% CI 1.4–11.2, P = 0.01) and/or carbapenems (OR 3.7, 95% CI 1.4–9.9, P = 0.02). Patients with C. difficile infection were more likely to experience multiple hospitalizations when compared with C. difficile-negative patients (3.6 vs. 8.4, P = 0.003). 22 of the 68 evaluable patients died during the study period, 9 of whom had C. difficile infection (P = NS). Conclusion Patients who received lung transplants and developed C. difficile infection were more likely to be treated for CMV viremia, receive antibiotics including cephalosporins and/or carbapenems and require repeat hospitalizations when compared with control patients who did not develop C. difficile infection following transplant. Disclosures All authors: No reported disclosures.

scholarly journals A comparison of airway microbiota in donors and recipients of lung transplants

2019 ◽  
Vol 29 (2) ◽  
pp. 184-188
Author(s):  
M. Sh. Khubutiya ◽  
A. M. Gasanov ◽  
E. A. Tarabrin ◽  
T. V. Chernen’kaya ◽  
T. E. Kallagov ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Lung Transplant ◽  
Bacterial Flora ◽  
Pulmonary Complications ◽  
Post Transplant ◽  
Transplant Patients ◽  
Donor Lung ◽  
Bronchial Washing ◽  
Lung Transplants ◽  
Marginal Donors

This study was aimed at investigation of relationships between bronchial washing culture in post-transplant recipient and bronchial flora of the lung donor. Methods. A comparative analysis of bronchial washing cultures from 30 post-transplant lung recipients was performed. All lung donors were stratified to ideal, suboptimal and marginal donors according to the lung transplant suitability. Results. As a result, development of post-transplant pulmonary complications was directly related to bacterial flora of the donor lung. The incidence of pneumonia in post-transplant patients was 3.3% after transplantation of ideal donor lungs, 20% after transplantation of suboptimal donors lungs and 100% after transplantation of marginal donor lungs. Conclusion. The rate of pneumonia in transplanted lungs was directly related to bronchial flora in the donor lungs. This should be taken into account when planning antibacterial therapy after lung transplantation.

scholarly journals Evaluation of school literation movements in improving student discipline

2021 ◽  
Vol 6 (1) ◽  
pp. 174
Author(s):  
Desy Natalia Sinambela ◽  
Syarwani Ahmad
Keyword(s):  
Student Achievement ◽  
Data Analysis ◽  
Service Evaluation ◽  
Qualitative Approach ◽  
Learning Activities ◽  
Literacy Programs ◽  
Student Discipline ◽  
Reading Habit ◽  
Analysis Techniques ◽  
Positive Effect

The goal of this study is to assess SMP Negeri 7 Palembang's School Literacy Movement in Improving Student Discipline. With the CIPP model, this analysis uses a qualitative approach that includes: 1. 1. Evaluating Meaning, 2. Evaluating Input, 3. Evaluation of Operation, and 4. Service Evaluation. The data analysis techniques used in this study are data reduction, presentation of data, conclusion and verification. The analyzed data is the product of SMP Negeri 7 Palembang citizens' interviews, observations, and documentation. This research shows that the School Literacy Movement's assessment of enhancing student discipline, The school has provided such facilities and resources in support of literacy programs, which include reading cornersBy providing 15 minutes to read before carrying out learning activities at the reading habit level,  And with some students, the School Literacy Movement has a positive effect on the work of literacy programs carried out by student achievement, It can be done and in SMP Negeri 7 Palembang there is a growth of character as well as a decision that this School Literacy Movement must be strengthened.

scholarly journals A85 COLON CANCER SCREENING IN PATIENTS ASSESSED FOR LUNG TRANSPLANTATION

2020 ◽  
Vol 3 (Supplement_1) ◽  
pp. 99-100
Author(s):  
D Sanders ◽  
J J Telford ◽  
R Levy
Keyword(s):  
Colon Cancer ◽  
British Columbia ◽  
Cancer Screening ◽  
Ct Colonography ◽  
Lung Transplant ◽  
Colon Cancer Screening ◽  
Chronic Obstructive ◽  
Average Risk ◽  
Transplant Patients ◽  
Lung Transplants

Abstract Background Colorectal Cancer (CRC) mortality is significantly higher after a lung transplant (1). CRC screening for average risk patients in British Columbia is done with Fecal Immunochemical Testing (FIT) every two years (2), however colonoscopy is currently the standard modality in patients undergoing lung transplant assessments in British Columbia. The yield of using FITs or Fecal Occult Blood Testing (FOBT) and colonoscopy in screening for lung transplant assessments in Canada is unknown. Aims To review the colon cancer screening results for all lung transplants done in British Columbia from 2013 to 2018. Methods This is a retrospective chart review of the 222 lung transplants done from January 2013 to December 2019. Results 220 patients were transplanted during this time period. 2 patients were re-transplanted. 136 of the 220 lung transplant patients were male (62%). The most common indication for transplantation was interstitial lung disease (44%), followed by chronic obstructive pulmonary disease (30%), cystic fibrosis (7%), and pulmonary hypertension (4%). Colonoscopies were performed in 127 of the 220 patients. Computed tomography (CT) colonography was performed in 15 of the 220 patients, and a FOBT or FIT was performed in 200 of the 220 patients. No colon cancers were found by colonoscopy or CT colonography (0/142). Of the colonoscopies performed, 38 % (49/127) had adenomatous or serrated polyps removed. Of these 36% (18/49) had high risk pathology. The positive predictive value of a FIT/FOBT positive for a polyp was 51.4 % (CI 37.6–65.1%). Conclusions The value of non-invasive screening modalities in pre-lung transplant patients are modest. Program screening should be tailored to the lung transplant candidate’s risk of CRC and the risk of an invasive procedure with a known complication rate. Funding Agencies None

Coming Together Through Falling Apart

2019 ◽  
Vol 40 (2) ◽  
pp. 151-168
Author(s):  
Heather Churchill ◽  
Jeremy M. Ridenour
Keyword(s):  
Data Analysis ◽  
Qualitative Data ◽  
Structural Changes ◽  
Systematic Approach ◽  
Qualitative Approach ◽  
Psychological Assessments ◽  
Transference And Countertransference ◽  
Testing Data ◽  
Psychoanalytically Oriented Psychotherapy

Abstract. Assessing change during long-term psychotherapy can be a challenging and uncertain task. Psychological assessments can be a valuable tool and can offer a perspective from outside the therapy dyad, independent of the powerful and distorting influences of transference and countertransference. Subtle structural changes that may not yet have manifested behaviorally can also be assessed. However, it can be difficult to find a balance between a rigorous, systematic approach to data, while also allowing for the richness of the patient’s internal world to emerge. In this article, the authors discuss a primarily qualitative approach to the data and demonstrate the ways in which this kind of approach can deepen the understanding of the more subtle or complex changes a particular patient is undergoing while in treatment, as well as provide more detail about the nature of an individual’s internal world. The authors also outline several developmental frameworks that focus on the ways a patient constructs their reality and can guide the interpretation of qualitative data. The authors then analyze testing data from a patient in long-term psychoanalytically oriented psychotherapy in order to demonstrate an approach to data analysis and to show an example of how change can unfold over long-term treatments.

PERILAKU ASUH ORANGTUA OVER PROTECTIVE TERHADAP PERKEMBANGAN SOSIAL ANAK DI TK ISLAM KHAIRA UMMAH IKUR KOTO KECAMATAN KOTO TANGAH KOTA PADANG

Generasi Emas ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. 21
Author(s):  
Fifi Febiola ◽  
Izzati Izzati
Keyword(s):  
Data Analysis ◽  
Social Development ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
Study Methods ◽  
The Social ◽  
Protective Parenting

This study aims to describe the symptoms of over protective foster behsvior towards the social development of children in islamic kindergartens Khaira Ummah Ikur Koto Kecamatan Koto Tangah Kota Padang. This study uses a qualitative approach with descriptive study methods. The researcher uses parents and teachers as informants. How to use the date used by researchers is observasi, interviews, and documentation. Based one the descriptive and data analysis, it can be concluded that the research shows that parents provide parenting patterns that tend to be over protective of their children. This is indicated by the form of protective provided by parents to their children, and does not provide an opportunity for children to be able to do it themselves. The over protective parenting has an impact on children’s social development, namely children are difficult to adapt to the new environment, prefer to play alone, and result in children not being independent.

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