RESUMEN
The onset of lactation marks a significant turning point in a heifer's life, and prior experience with the milking routine could have positive effects on animal welfare and productivity. The objectives of this multifarm (n=5) study were to investigate (1) whether prelactation training sessions affected behavior during milking, cardiac activity, human avoidance distance, and milk yield, and (2) whether these responses would be modified by the heifer's initial level of fear of humans. Trained heifers (TH, n=30) experienced the routine in the milking parlor on at least 10 d prepartum, whereas untrained heifers (UH, n=29) entered the parlor for the first time after calving. Behavior and cardiac activity were recorded on d 1 and 7 after calving, and an avoidance test was carried out on the day of integration into the dairy herd as well as on d 1, 7, and 28 postpartum. Each animal's initial level of fear of humans was classified as high or low based on the first human avoidance distance measured toward an unknown person. Results showed that TH showed less stepping and kicking during the udder preparation phase in the parlor and UH had higher probabilities to put their ears flat on the head, clamp their tail between the hind legs, and have their eyes wide open throughout the different phases in the milking parlor. Heart rate decreased from d 1 to 7, increased from before to during and to after milking and was slightly elevated in TH compared with UH. Milk yield did not differ between TH and UH. Human avoidance distance was not influenced by training, but distance decreased in heifers with a high initial level of fear of humans across repetitions of the test, whereas heifers with a low initial level of fear of humans had generally short avoidance distances. However, initial level of fear of humans neither determined behavior and heart rate during milking nor milk yield of TH and UH. The results indicate that the training regimen applied in the present study habituated heifers, to some extent, to the milking routine.
Asunto(s)
Bovinos/fisiología , Industria Lechera , Habituación Psicofisiológica , Animales , Reacción de Prevención , Femenino , Frecuencia Cardíaca , Humanos , Lactancia , Liechtenstein , Leche/metabolismo , Actividad Motora , Postura , Estaciones del Año , Estrés Fisiológico , SuizaRESUMEN
OBJECTIVES: To assess the effectiveness of an intervention for providing information and support to HIV-positive donors on changes in their sexual behavior, and to assess which donor characteristics are predictive of behavior change. DESIGN: Subjects were randomly assigned to a structured intervention or community referral group. Follow-up assessments were conducted every 6 months. SETTING: New York City, New York, USA. PARTICIPANTS: A cohort of 271 HIV-infected persons who donated blood to the New York Blood Center. INTERVENTION: Donors randomized to the structured intervention program met individually with a nurse for counseling and were offered a six-session support group. The program was designed to provide information, encourage safer sexual behavior and provide support. MAIN OUTCOME MEASURES: Sexual behavior, psychological distress and psychological help seeking, and immune function. RESULTS: In both groups there was a large decrease over time in reports of unsafe sexual activity. However, more than 30% of participants in both groups reported unsafe sexual activity at the 1-year follow-up visit. Donors randomized to the structured intervention program did not report significantly more behavior change at the 1-year follow-up. CONCLUSIONS: Better programs to promote behavior change in seropositive individuals are needed.
Asunto(s)
Infecciones por VIH/psicología , Educación del Paciente como Asunto , Adulto , Estudios de Cohortes , Femenino , Humanos , Masculino , Persona de Mediana Edad , New York , Conducta SexualRESUMEN
OBJECTIVES: Understanding more about the psychological state of persons notified of human immunodeficiency virus (HIV) infection is critical for designing notification and counseling programs that will have the most positive effect. METHODS: The subjects were blood donors who had been notified of HIV infection by the New York Blood Center. A nurse elicited a medical history, performed a limited medical examination, and asked the subjects to complete a questionnaire that included questions about drug use, sexual behavior, and psychological characteristics. The subjects completed another questionnaire approximately 2 weeks later. RESULTS: The average depressive symptom scores for both men and women were substantially higher than scores typically found in representative population samples. More than a quarter of the men and more than a third of the women reported seeking psychological or psychiatric services in the first few weeks following notification. CONCLUSIONS: Anticipating and meeting individuals' psychological needs may be necessary if HIV screening programs are to address effectively the needs of persons infected with HIV.
Asunto(s)
Donantes de Sangre/estadística & datos numéricos , Trastorno Depresivo/epidemiología , Infecciones por VIH/diagnóstico , VIH-1 , Adaptación Psicológica , Adolescente , Adulto , Donantes de Sangre/psicología , Consejo/normas , Trastorno Depresivo/etiología , Trastorno Depresivo/enfermería , Escolaridad , Femenino , Estudios de Seguimiento , Infecciones por VIH/epidemiología , Infecciones por VIH/psicología , Humanos , Masculino , Estado Civil , Tamizaje Masivo/normas , Persona de Mediana Edad , Modelos Psicológicos , Análisis Multivariante , Ciudad de Nueva York/epidemiología , Aceptación de la Atención de Salud , Pruebas Psicológicas , Grupos Raciales , Índice de Severidad de la Enfermedad , Conducta Sexual , Apoyo Social , Abuso de Sustancias por Vía Intravenosa/complicaciones , Abuso de Sustancias por Vía Intravenosa/epidemiologíaRESUMEN
BACKGROUND: To learn more about how people who did not volunteer for testing react to information about HIV infection, we assessed short-term behavior changes in HIV-positive blood donors. METHODS: Blood donors who were notified at the New York Blood Center that they were HIV positive were asked to participate in a study. A nurse elicited a medical history, performed a limited medical examination, and asked participants to complete a questionnaire that included questions about drug use, sexual behavior, and psychological characteristics. Participants were asked to return in 2 weeks to complete another questionnaire. RESULTS: Many fewer men and women reported engaging in unsafe sexual behaviors in the 2 weeks preceding the follow-up visit than had reported such behaviors prior to notification. These changes were greater than those other investigators have reported, but about 40% of the participants still reported unsafe sexual activity at the follow-up interview. CONCLUSIONS: To make nonvolunteer screening programs for HIV infection more effective in reducing the spread of HIV infection, we need to learn more about how to help people change their high-risk behaviors.