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Biomedical subjects

A Wells

Publications and source records attributed to A Wells.

187 records · Page 11Linked to original sources

Emotional, cognitive, and behavioral characteristics of medical outpatients: a preliminary analysis.

The authors examined the relationship among emotional, cognitive, and behavioral factors in 65 new outpatients attending neurology and cardiology clinics. The patients completed the Hospital Anxiety and Depression Scale, the Illness Perception Questionnaire, the Somatosensory Amplification Scale, the Private Body Consciousness Scale, and the Health Anxiety Questionnaire. A principal component factor analysis revealed two factors, somatosensory amplification/anxiety and depression/pessimism, that together accounted for 44% of the variance. The factors the authors identified may be useful as a basis for understanding different patterns of illness behavior. The use of these factors may help to rationalize and refine the large number of existing measures and simplify the assessment process, as well as contributing to the development of treatment interventions.

Adolescent↗

Hyperadrenocorticism and hyperprogesteronemia in a cat with an adrenocortical adenocarcinoma.

A seven-year-old, neutered male domestic shorthair cat was evaluated for poorly regulated diabetes mellitus and increased skin fragility. Imaging studies revealed a right adrenal gland tumor, but cortisol testing did not support a diagnosis of hyperadrenocorticism. Serum concentrations of progesterone and testosterone were increased compared with a group of normal cats, and the clinical signs were attributed to hyperprogesteronemia. At necropsy, a diagnosis of adrenocortical adenocarcinoma was confirmed, and immunohistochemical staining confirmed the presence of progesterone within the tumor. Clinical signs of hyperadrenocorticism in cats may occur due to increased serum concentrations of hormones other than cortisol.

Adenocarcinoma↗

Homophobia and nursing care.

Homophobia, according to Blumenfield (1992) is both the belief that heterosexuality is or should be the only acceptable sexual orientation and the fear and hatred of those who are sexually attracted to those of the same sex. This definition forms the basis for this article, which explores whether living in a homophobic society affects the mental health of gay people and whether gay people are able to access appropriate services should they suffer from a mental illness. The article also examines whether nurses hold homophobic attitudes and if so, the extent to which these affect their work with mentally ill gay clients.

Attitude of Health Personnel↗

Issues in training and development.

In the last report in this series describing re-engineering at The Leicester Royal Infirmary NHS Trust, the implications of a re-engineered patient process on the training and development of staff are discussed.

England↗

The effects of sodium orthovanadate, noradrenaline and angiotensin II on isolated perfused rat kidney glomerular-tuft diameter.

The effects of sodium orthovanadate, angiotensin II (A II) and noradrenaline (NA) were studied on the isolated perfused rat kidney (IPRK) and on the diameter of the glomerular capsule and tuft. Vanadate (4.5 microM), A II (20 nM) and NA (17.3 microM) increased the total resistance of the IPRK. There was a simultaneous increase in glomerular filtration rate with vanadate and A II, but a decrease with NA. The glomerular tuft/capsule diameter ratio decreased significantly from 0.85 (control) to 0.81, 0.81 and 0.78 for vanadate, A II, and NE treated kidneys, respectively. The decrease in ratio was associated with an increase in diameter of the glomerular capsule for A II and NE. This finding accompanied with simultaneous rise in TPR and GFR in the case of vanadate and A II, indicates that the post capillary efferent arteriolar vasoconstriction is a component in the mechanism of action with A II and vanadate. Evidence for such a component is less clear for NA because GFR decreases and TPR increases. Vanadate may affect both with a predominance on the efferent arteriole. The data indicate that histological measurements of glomerular size lead to a better understanding of the mechanisms of vasoactive drugs acting on the kidney.

Angiotensin II↗