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Biomedical subjects

A W Ward

Publications and source records attributed to A W Ward.

At least 19 recordsLinked to original sources

Cross-bridge cycling theories cannot explain high-speed lengthening behavior in frog muscle.

The Huxley 1957 model of cross-bridge cycling accounts for the shortening force-velocity curve of striated muscle with great precision. For forced lengthening, however, the model diverges from experimental results. This paper examines whether it is possible to bring the model into better agreement with experiments, and if so what must be assumed about the mechanical capabilities of cross-bridges. Of particular interest is how introduction of a maximum allowable cross-bridge strain, as has been suggested by some experiments, affects the predictions of the model. Because some differences in the models are apparent only at high stretch velocities, we acquired new force-velocity data to permit a comparison with experiment. Using whole, isolated frog sartorius muscles at 2 degrees C, we stretched active muscle at speeds up to and exceeding 2 Vmax. Force during stretch was always greater than the peak isometric level, even during the fastest stretches, and was approximately independent of velocity for stretches faster than 0.5 Vmax. Although certain modifications to the model brought it into closer correspondence with the experiments, the accompanying requirements on cross-bridge extensibility were unreasonable. We suggest (both in this paper and the one that follows) that sarcomere inhomogeneities, which have been implicated in such phenomena as "tension creep" and "permanent extra tension," may also play an important role in determining the basic force-velocity characteristics of muscle.

Animals↗

Careers of medical women.

In autumn 1977 91% of the women who had graduated from United Kingdom medical schools in 1949-51 (early cohort) and 1965 (late cohort) were practising medicine. Over the first 12 years after qualification the late cohort was marginally more active in medicine and had more members in career and training posts than the early cohort. On the survey date 1 October 1977 (26-28 years after qualification) the participation index of the early cohort was 0.73 and of the late cohort (12 years) 0.65. Both cohorts show the bimodal career pattern characteristic of British women's occupational experience.

Career Choice↗

Women in psychiatry.

Of the 1863 women who first gained a registrable qualification from the UK medical school during 1949 to 1951 (early cohort) and in 1965 (late cohort) and believed to be living on 1st October 1977, 74 per cent responded to a postal questionnaire. It was found that 9 per cent of these were not in current practice, and of the remainder, 9 per cent (111) were practising psychiatry. Their participation in medicine was as high or higher than their contemporaries in other branches of medicine. A higher but non-significant proportion (57 per cent) had achieved career posts than other practitioners (54 per cent). Psychiatry was the tenth (early) and sixth (late) most popular choice of specialty on graduation. Psychiatrists resembled other hospital practitioners but not non-hospital practitioners in citing interest, liking, or aptitude as their reason for choosing their current specialty. Of the practising psychiatrists, 37 per cent held the diploma of membership of the Royal College of Psychiatrists; these were engaged in more sessions per week and more often held career posts than the remainder.

Career Choice↗

Older women entrants to medicine.

In a study of women who first obtained a registrable qualification from a British Medical School in the years 1949-51 (early cohort) and 1965 (late cohort) it was found that 83% qualified when aged 21-25, 12% when aged 26-30, 3% when aged 31-35 and 2% when over 36. There was a higher level of practice over the 12 years after qualification by the older entrants, and these also obtained career posts earlier than the younger entrants.

Age Factors↗

Physiotherapy: its prescription and implementation for orthopaedic out-patients.

During a three-month period, 1462 (29%) of the new out-patients seen by 18 orthopaedic surgeons were prescribed physiotherapy. The rates of referral among the surgeons ranged widely, from 15% to 56%, and the differing characteristics of the patients did not account for these variations. For specific conditions examined, physiotherapy appeared to be one of a range of possible therapies. The majority of prescriptions gave clinical details and specified the type of treatment, but its duration was specified in less than half; the frequency and aims of treatment were hardly ever given. Nearly 90% of the patients completed their course. Fourteen different types of treatment were applied, but only four of these--heat, exercises, electrical stimulation, and traction--were applied to more than 3% of the patients. Physiotherapists nearly always carried out the treatments prescribed and augmented them in nearly a quarter of cases, usually with heat and/or exercises.

England↗

Mortality of bereavement.

The death rate of a group of 87 widowers and 279 widows was followed for two years from the death of their spouses. The life tables for England and Wales 1970-2 indicated that the expected number of deaths would be 6 men and 11 women. The actual numbers (9 men and 11 women, 5.5%) were not significantly different, though there were more widowers' deaths during the first six months of bereavement. There was no significantly greater mortality among those whose spouses had died in hospital; but when this had occurred the health of the second spouse was likely to have been poorer than that of those whose spouses had died at home.

Aged↗

Telling the patient.

The general practitioners of 279 patients who died from malignant disease were asked whether they discussed the diagnosis and prognosis with the patients. Thirteen per cent did so. They were more likely to discuss with women than men, and social class patients 1 and 2 than classes 3, 4, and 5. They thought that notwithstanding whether or not the matter had been discussed nevertheless 46 per cent of the patients knew. The chief carers (usually relatives) of the patients thought that 54 per cent of the patients knew.

Attitude to Death↗