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Biomedical subjects

A G Morgan

Publications and source records attributed to A G Morgan.

At least 127 records · Page 7Linked to original sources

Transfer of computer-aided diagnosis of dyspepsia from one geographical area to another.

This paper reports a comparison in Airedale District General Hospital between computer-aided diagnosis of dyspepsia and endoscopy in a prospective unselected series of 165 patients. Patients were interviewed immediately before endoscopy and the findings analysed by a small desk-top computer-aided system. Each 'new' patient was compared by the computer with a group of 360 similar patients from Leeds (25 miles away). Overall, 83% of the positive lesions found at endoscopy were correctly predicted by the computer, including all but three of the 22 cases of gastric cancer. It is suggested (1) that there is little loss of accuracy in transferring the computer-aided system from one locality to another; and (2) that a computer-aided analysis of the patient interview may be of value in selecting 'high-risk' patients for intensive investigation.

Diagnosis, Computer-Assisted↗

Macrophage clearance function and immune complex disease in New Zealand Black/White F1 hybrid mice.

Macrophage clearance function in NZB, NZW, NZB/W, Ajax and B10D2 new mice was assessed by measurement of the rate of clearance (KPVP) of intravenously-injected 125I-labelled polyvinylpyrrolidone (PVP). There were significant strain and age-related variations in KPVP. In particular there was a marked fall in KPVP in NZB/W mice with increasing age. This fall was most apparent in female NZB/W and preceded the age at which renal disease usually develops in these animals. We suggest that ineffective macrophage function and production of low affinity antibody contribute to the early development of immune complex glomerulonephritis in these mice.

Age Factors↗

A nutritional survey in the elderly: blood and urine vitamin levels.

In this survey of vitamin levels in 93 acute geriatric admissions to hospital, none had a completely normal nutritional profile. Twenty-two patients had over 50% of test abnormal and for all patients the average % of abnormal tests was 29%. The most common abnormalities were albumin, leucocyte vitamin C, vitamin E, carotene and nicotinic acid where over 50% of patients had abnormal results. Transferrin and vitamin A levels were abnormal in over 30% of patients while there was little evidence for riboflavin or thiamine malnutrition. It is postulated that an inadequate dietary intake, due to disease or to physical and mental deterioration was the most likely cause of these multiple nutritional abnormalities.

Age Factors↗

Potassium balance and acid-base changes in patients undergoing regular haemodialysis therapy.

Serial measurements of total body potassium in 21 patients with chronic renal failure being treated with three 10-hour periods of dialysis per week, against a dialysate fluid containing 1.5 mEq of potassium per litre, showed no evidence of potassium depletion. Mild hyperkalaemia was found in some patients before dialysis, correlated with the pre-dialysis hydrogen ion concentration. Hypokalaemia occurred during dialysis in almost half of the studies made; the plasma potassium concentration, however, rose to normal levels within two to four hours of stopping dialysis. A delay in the movement of potassium from the cells into the extracellular fluid is suggested as a cause for the observed hypokalaemia.In all but one patient the pre-dialysis blood pH was normal, but rose to alkalaemic levels during dialysis. A pronounced degree of hypocapnia was noted before dialysis, and this was not altered by a rising blood pH during dialysis. It is suggested that a stimulus to respiration other than the hydrogen ion gradient between the brain cells and cerebral spinal fluid may produce the observed hypocapnia.

Acid-Base Equilibrium↗

Acetazolamide and sodium bicarbonate in treatment of salicylate poisoning in adults.

Ten adults suffering from salicylate overdosage were treated successfully with a combination of sodium bicarbonate and acetazolamide to exploit the increase in salicylate clearance which is known to occur in very alkaline urine. The advantages of the method include the absence of important complications and the small volume of fluid required.

Acetazolamide↗