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Biomedical subjects

A D Milner

Publications and source records attributed to A D Milner.

At least 289 records · Page 16Linked to original sources

Visuo-spatial performance following posterior parietal and lateral frontal lesions in stumptail macaques.

Three groups of four monkeys were trained to negotiate a small hand ("stylus") maze, and to use a "pointer" to guide response in a two-choice position discrimination task. One group was given bilateral lesions of posterior parietal cortex, and the second bilateral lesions of lateral frontal cortex. Postoperative impairment on the maze was evident in three of the four parietal animals, and both operated groups showed impairment on the pointer task. Since maze performance was positively associated with speed of stylus recovery in a control version of the task but was not correlated with pointer task performance, it is suggested that the parietal deficit resulted primarily from a sensory-motor dyscoordination rather than a spatial perceptual disorder. The latter could however be the cause of parietal impairment on the pointer task. Error analysis suggests an interpretation of the frontal deficit on the pointer task in terms of perseveration on position.

Animals↗

Form perception in stumptail macaques following posterior parietal and lateral frontal lesions.

Monkeys with bilateral posterior parietal and lateral frontal ablations were compared with normal animals on a series of four tests for their ability to relate elements of a visual pattern on the basis of the Gestalt principle of proximity. The operated animals showed no clear impairment on these tests of perceptual grouping. The three groups of monkeys were then trained to discriminate two faces and tested for generalisation to different views of the same faces. The pariental-operated monkeys showed less generalisation than the other animals to lateral mirror-images of the training stimuli, but more generalisation to inverted mirror-images. It is concluded that any deficit in "gestalt" perception following such lesions must be at a relatively high level.

Animals↗

Nebulized sodium cromoglycate in young asthmatic children. Double-blind trial.

Seventeen asthmatic children under 5 years of age took part in a double-blind controlled trial of nebulized sodium cromoglycate solution. Daily symptom scores kept by the parents showed improvement in 11 children during active treatment, and a significant improvement in scores for cough by day and night was obtained for the group as a whole.

Aerosols↗

Pressure and volume changes during the first breath of human neonates.

The pressure and volume changes associated with the first breath were measured in 17 healthy term babies, using oesophageal balloons and a reverse plethysmograph. 5 babies expanded their lungs with less than --20 cmH2O (--2 kPa). The characteristic opening pressure pattern previously described was seen in only one baby, whose initial volume change was an expiratory one. It is concluded that opening pressures greater than 10 cmH2O (0.96 kPa) are rarely seen in term healthy infants.

Humans↗

Apnoea induced by airflow obstruction.

Total obstruction of the airways caused all respiratory efforts to stop on 15 occasions in 10 preterm babies. This was not seen in 60 studies on 38 term babies. These findings suggest that failure to achieve an oral airway may not be the only mechanism by which upper airway obstruction might cause the cot death syndrome.

Airway Obstruction↗

Effects of continuous distending pressure on lung volumes and lung mechanics in the immediate neonatal period.

The effects of CPAP and CNEP on lung mechanics and lung volumes were investigated in a group of 12 healthy newborn infants. Both resulted in a mild suppression of respiration. The fall in TPR50 was far greater during CPAP than during CNEP. Both led to a one third fall in dynamic compliance. Approximately 50% of the distending pressure was transmitted to the mediastinal structures whether applied as CPAP or CNEP.

Airway Resistance↗

Lung function in childhood. I. The forced expiratory volumes in healthy children using a spirometer and reverse plethysmograph.

Measurements of FEV0-5, FEV0-75 and FEV1 and FVG have been made on 241 healthy schoolchildren using a spirometer and a reverse plethysmorgraph system. The results obtained by the two systems were very similar. The FEV0-75 was selected as the most appropriate forced expiratory volume for routine clinical use. Normal data charts for FEV0-75 and FVG are presented.

Adolescent↗

Lung function in childhood. III. Measurement of airflow resistance in healthy children.

Indices of airflow resistance have been obtained in a group of 248 healthy London schoolchildren from recordings of peak expiratory flow rate (PEFR), forced expiratory volume in 0-75 seconds (FEV 0-75) and maximum mid-expiratory flow (MMEF) and two more direct methods, airways resistance (Raw) measured plethysmographyically and total respiratory resistance (PT) by the forced oscillation technique. The normal data are presented.

Adolescent↗

Betamethasone 17 valerate aerosol and disodium chromoglycate in severe childhood asthma.

Eleven children with severe perennial asthma and a poor clinical response to disodium cromoglycate were studied in a 4-month, double blind trial involving 1 month's treatment with placebo, disodium cromoglycate, betamethasone 17 valerate, and both drugs combined according to a predetermined random design. Each drug apparently reduced symptoms and improved daily peak flow and fortnightly spirometric measurements compared with placebo, but the improvement after betamethasone 17 valerate was greater in part because of the way this group of patients was selected. There did not appear to be any additional benefit when both drugs were used together. Betamethasone 17 valerate was not compared with beclomethasone diproprionate aerosol and there is no reason to believe it may be superior. Corticosteroid aerosols have potential hazards which may prove to equal those of long-term systemic steroids, but they offer the prospect of satisfactory control of symptoms without the risk of growth suppression in children with severe asthma. Disodium cromoglycate remains the drug of choice in severe childhood asthma and the use of corticosteroid aerosols should be confined to those children who fail to respond satisfactorily to disodium cromoglycate.

Adolescent↗

Effect of bronchodilators on respiratory resistance in infants and young children with bronchiolitis and wheezy bronchitis.

Rutter, N., Milner, A. D., and Hiller, E. J. (1975). Archives of Disease in Childhood, 50, 719. Effect of bronchodilators on respiratory resistance in infants and young children with bronchiolitis and wheezy bronchitis. Respiratory resistance was measured using a forced oscillation technique in 16 infants and young children with bronchiolitis and wheezy bronchitis. Measurements were made before and after administration of nebulized salbutamol or isoprenaline. No significant change in resistance was found.

Airway Resistance↗

Lung function in childhood. 2. Thoracic gas volumes and helium functional residual capacity measurements in healthy children.

The helium dilution functional residual capacity (FRC) and the total gas volume by plethysmograph (TGV) were measured on 236 healthy London schoolchildren. There was no difference between the results obtained by the boys and girls. The results of the TGV were higher than the FRC values. From the results, normal data charts have been devised for clincial use.

Adolescent↗