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Biomedical subjects

B Reynolds

Publications and source records attributed to B Reynolds.

At least 37 records · Page 2Linked to original sources
PubMed1998

CleftNet (Scotland): a network for the treatment of cleft palate speech using EPG.

Electropalatography (EPG) has proven its effectiveness in changing abnormal articulatory placement in cleft palate speech but clinicians often do not have ready access to such equipment. In order to improve access to EPG therapy, a network has been established which electronically links cleft palate centres throughout Scotland with EPG specialists based at Queen Margaret College (QMC), Edinburgh. The network was set up through a collaborative project entitled 'CleftNet Scotland', funded by the Scottish Office Department of Health. In this paper, the rationale and overarching aims of CleftNet Scotland are described and the efficacy of this form of EPG therapy illustrated by descriptions of two cases.

Child↗
PubMed1997

Quality of life and sexuality following radical prostatectomy in patients with prostate cancer who use or do not use erectile aids.

OBJECTIVES: It is well established that prostate cancer patients undergoing radical prostatectomy may experience disruptive side effects, most notably urinary incontinence and erectile dysfunction. The purpose of this study is to compare relevant outcomes between patients awaiting radical prostatectomy for prostate cancer and patients who already underwent the surgery, taking into account type of prostatectomy and use of erectile aids. METHODS: We compared self-reports of global quality of life, sexuality, urinary continence, and physical capabilities in 86 nerve-sparing patients, 89 standard-prostatectomy patients, 74 prostatectomy patients who used erectile aids, and a comparison group of 45 patients awaiting radical prostatectomy. RESULTS: Regardless of type of surgery, use of erectile aid, or preoperative status, most patients reported good quality of life. The best outcomes in sexuality were reported by patients who used erectile aids, who appeared similar in sexuality to patients awaiting surgery. When differences were detected, standard prostatectomy patients who did not use erectile aids scored worse in most areas of sexuality than nerve-sparing patients who did not use erectile aids. There were no differences in frequency of urinary leakage among the three surgery subgroups. CONCLUSIONS: Although most patients reported problems in sexual and urinary function, global quality of life does not appear to be compromised following radical prostatectomy. Findings suggest that postsurgical sexuality differs depending on type of prostatectomy and use of erectile aids, while urinary function is similar across surgery groups. We conclude that erectile aids should be offered routinely to patients who are ineligible for nerve-sparing surgery or experience erectile difficulties following the nerve-sparing procedure.

Aged↗
PubMed1997

The effect of electrode size on transvenous defibrillation energy requirements: a prospective evaluation.

Recent technological advances have resulted in high success rates for implantation of nonthoracotomy defibrillation lead systems. Further decreases in defibrillator size, facilitating pectoral placement, will depend in part on lowering defibrillation energy requirements. The purpose of this study was to determine if endocardial defibrillation energy requirements are influenced by electrode size. Thirteen adult mongrel dogs were studied under general anesthesia. A 9 Fr integrated bipolar pace/sense/defibrillation electrode (cathode) was positioned transvenously at the RV apex. The second defibrillation electrode (anode) was positioned at the junction of the RA and SVC. Two diameters of the proximal electrode, 7 Fr and 11 Fr, were sequentially tested in random order in each animal. The DFT for each electrode was determined using a 50-V up-down method. Energy, leading edge voltage, and current, current distribution, and total resistance were measured. The mean defibrillation voltage threshold with the 11 Fr proximal electrode was significantly less than with the 7 Fr proximal electrode (551.1 +/- 76.5 V vs 588.5 +/- 54.6 V, P < 0.01). Similarly, the mean DFT with the 11 Fr electrode was less than with the 7 Fr electrode (20.7 +/- 5.7 J vs 23.3 +/- 4.4 J, P < 0.01). Lower DFTs were found using the larger electrode in 11 of the 13 animals studied. However, there was no difference in defibrillation lead impedance between the two electrode systems. Endocardial defibrillation energy requirements may be lowered with a larger diameter proximal electrode. The mechanism by which this occurs may be due to a more even distribution of current gradients with the larger electrode. Determination of the optimal electrode size requires evaluation in humans, as this may allow further reduction in defibrillation energy requirements and defibrillator size.

Animals↗
PubMed1997

The level of lipopolysaccharide-binding protein is significantly increased in plasma in patients with the systemic inflammatory response syndrome.

Currently, there is no way to predict with a high degree of sensitivity and specificity which patients are likely to develop systemic inflammatory response syndrome (SIRS) following systemic infection, trauma, organ rejection, or blood loss. The level of human lipopolysaccharide-binding protein (LBP) was determined in the plasma of 22 patients with a clinical diagnosis of early SIRS. Twenty-nine plasma samples from healthy volunteers were used as controls. The mean level of LBP in the plasma of healthy volunteers was 7.7 micrograms/ml (standard deviation, 6.2 micrograms/ml). Twenty-one of 22 patients (95%) with SIRS had an LBP level on admission at least 2 standard deviations above the mean LBP level for a healthy volunteer control group (range, 4.9 to 114.2 micrograms/ml; mean, 36.6 micrograms/ml; standard deviation, 22.2 micrograms/ml; P < 0.0001). The level of LBP in the plasma of the majority of patients with early SIRS is significantly increased compared to that in healthy controls. The sensitivity, specificity, and predictive value of elevated plasma LBP levels in patients with SIRS remain to be determined.

Acute-Phase Proteins↗
PubMed1997

Power scalers: the new boom in contemporary periodontics.

The choice of which type of instrumentation to use remains the decision of the practitioner. It all depends on what goal the clinician hopes to achieve, the resources, and the physical set up within which they work. While speed in debridement, coupled with ease of use and comfort to the patient and practitioner are all important, the primary goal must always remain the optimal healing and success of the dental procedure. With improved tip designs and efficiency, power scaling has the ability to improve dental hygiene and periodontal care in the future.

Crystallography↗
PubMed1996

The effect of sampling frequency on chemical parameters in acid-sensitive streams.

We assessed the effects of different simulated sampling regimes (weekly, fortnightly, monthly and bimonthly) on parameters describing the water chemistry of 72 streams in acid-sensitive areas of Wales. For pH, sulphate, total hardness and aluminium, reduced sampling frequency had no discernible or systematic effect on the apparent annual mean chemistry relative to the values derived from weekly data. Standard deviations and coefficients of variation were either unaffected, or were reduced. However, sampling frequency had a moderate effect on mean pH when the data were separated into seasons: winter mean pH increased on average by 0.13 units and summer means decreased on average by 0.12 units, when using bimonthly data relative to weekly. Extreme values were detected less effectively at lower sampling frequencies, significantly altering the intercept and/or the slope of the strong relationships between the means and minimum pH or maximum Al. These effects almost certainly reflect the exclusion of extreme events (summer drought and winter floods) from low sample frequencies and reveal limitations in the use of mean values from periodic sampling programmes for summarising some aspects of site chemistry. Nevertheless, previously established relationships between mean stream chemistry, land use and stream biology were still strong at all sampling frequencies. Clear recommendations about the needs to fully parameterise episodic fluctuations depend on unanswered questions about: (i) whether biota respond to mean or episodic chemical conditions and (ii) whether baseflow chemistry, episodic fluctuations, or some combination of these, will best reflect trends in acidification.

Journal Article↗
PubMed1994

Spatial patterns concentrations in upland Wales in relation to catchment forest cover and forest age.

Data on nitrate nitrogen were collected weekly during 1984 from 136 sites on streams in upland Wales. Mean nitrate concentrations in summer (0.02 to 1.5 mg litre(-1)) were significantly lower (P<0.001) than in winter (0.02 to 1.26 mg litre(-1)), particularly at sites with mature conifers (>30 years old). Mean concentrations increased significantly with the average age of conifers on each catchment (P<0.001), and with increasing areal cover by trees over 30 years old (P<0.001). Nitrate concentrations increased significantly with stream total hardness (P<0.001), possibly reflecting nitrogen mineralisation in soils of higher base status. Concentrations also increased with stream chloride (P<0.001), which is predominantly atmospherically derived, implying that increased nitrate occurred where general atmospheric inputs of solutes were increased. After accounting for variation in hardness, residual nitrate concentrations still increased with the average age of the conifers (P<0.001), and with catchment cover by mature trees (P<0.001). We infer that some additional nitrate under older conifers is thus independent of catchment sources associated with increasing hardness. Two possibilities are increased inputs and decreased retention of nitrogen within the ecosystem of maturing conifer forest. Residual nitrate after accounting for variations in chloride also increased significantly with conifer age (P<0.01) and cover (P<0.01), a pattern implying that some sources of nitrate may also be independent of increased sea-salt deposition. We allude to the possibility that additional nitrogen deposition adds to nitrogen throughputs from maturing forests, and we discuss the potential ecological role of additional nitrogen in runoff.

Journal Article↗
PubMed1994

The influence of clients' perceptions of the helping relationship in the development of an empathy scale.

The paper includes a discussion about the origins of items on a measure of cognitive-behavioural empathy. This scale was originally produced by the author as a teaching tool for an empathy education programme (for RNs) and subsequently developed into a quantitative measure of empathy. The instrument is being used as part of a triangulated approach for data collection on research into the effectiveness of an educational programme about registered nurses' empathy. Antecedents of the initial item pool for the scale stem from theoretical views about empathy, the professional experience of others, and the researcher's experience with clients. While this scale has undergone some investigation for reliability and validity, this work will only be summarized briefly. The major focus for the paper is clients' reports of interpersonal conditions which they perceive as being helpful, or unhelpful, in respect of building therapeutic nurse-client relationships.

Attitude to Health↗
PubMed1994

A critique: Watson's caring ideology. The proper focus of psychiatric nursing?

1. Watson's (1989) conceptualization of care possesses limited clinical utility in psychosocial contexts, given that there already exists an extensive lineage of human concepts of helping, within various psychotherapeutic traditions. 2. Watson's (1989) use of language delimits any utility that the "caring" construct might possess, Watson's conceptualization of caring is an inappropriate focus for psychiatric nursing, and historical precedents exist for many of the propositions upon which the science of caring is based. 3. Four decades of psychiatric nursing practice research and education render Watson's notion of a "science of caring" redundant.

Empathy↗
PubMed1994

The T alpha 1 alpha-tubulin promoter specifies gene expression as a function of neuronal growth and regeneration in transgenic mice.

We have previously demonstrated that one member of the alpha-tubulin multigene family, termed T alpha 1 in rats, is regulated as a function of neuronal growth and regeneration. To elucidate the molecular mechanisms responsible for coupling gene expression to morphological differentiation, we have isolated the T alpha 1 gene, have fused 1.1 kb of the 5' flanking region to a nuclear lacZ reporter gene, and have generated transgenic mice. Analysis of these transgenic mice demonstrated that marker gene expression was specific to the CNS and PNS, with expression in vivo at embryonic day 13.5 being similar to expression of the endogenous gene. Moreover, the induction of transgene expression was correlated temporally with neuronal commitment in developing neural crest-derived peripheral neurons and in the developing retina. Immunocytochemical analysis of mixed primary embryonic brain cultures confirmed that transgene expression was specific to neurons, with the majority of neurons, but not astrocytes or oligodendrocytes, expressing beta-galactosidase. Transgene expression in vivo was maintained in developing neurons until early in postnatal life, subsequent to which its expression decreased coincident with neuronal maturation. The transgene was then reinduced in regenerating facial motoneurons following unilateral axotomy of the facial nerve. Thus, 1.1 kb of 5' flanking sequence from the T alpha 1 gene contains the sequence elements responsible for specifying gene expression to embryonic neurons and for subsequently regulating gene expression in both developing and mature neurons as a function of morphological growth.

Animals↗
PubMed1994

Topoisomerase II mediated DNA lesions induced by acridine-4-carboxamide and 2-(4-pyridyl)quinoline-8-carboxamide.

Acridine-4-carboxamide and 2-(4-pyridyl)quinoline-8-carboxamide represent a new generation of antitumor intercalators related to amsacrine (m-AMSA), a classic topoisomerase II-targeted drug. We examined the ability of these tricyclic carboxamides to induce DNA lesions that reflect the stabilization of topoisomerase II cleavage complexes. DNA-protein cross-links (DPC) and DNA double-strand breaks (DSB) were assessed in mouse fibrosarcoma cells (line 935.1). DPC were rapidly formed and readily reversible. A bell-shape concentration dependence suggested a self-inhibition of DPC at higher drug levels. In isolated nuclei, DPC formation by 2-(4-pyridyl)quinoline-8-carboxamide required ATP and was inhibited by novobiocin, a topoisomerase II inhibitor. Acridine-4-carboxamide and 2-(4-pyridyl)quinoline-8-carboxamide were also potent inducers of DSB. In contrast to DPC, however, DNA breaks continued to increase with drug concentration. These DSB were masked (presumably by non-covalently associated proteins) when analyzed by nucleoid sedimentation. Thus, while both DPC and DSB seemed to be topoisomerase mediated, at least some DSB appeared to lack the enzyme bound covalently. DNA lesions by tricyclic carboxamides occurred, in general, at drug concentrations comparable to those needed to inhibit cell survival. Also, the tricyclic carboxamides inhibited the catalytic activity of isolated topoisomerase II. The results indicate that tricyclic carboxamides interfere with the action of topoisomerase II. However, the mechanisms of enzyme inhibition by these drugs differ from the classical trapping of topoisomerase in covalent cleavage complex m-AMSA.

Acridines↗
PubMed1993

Influence of soil hydrological pathways on stream aluminium chemistry at Llyn Brianne, mid-wales.

Storm runoff in afforested catchments at Llyn Brianne is acidic and Al-bearing. At baseflows, stream water is well-buffered with low Al levels. This paper presents the results of a study into how hydrological pathways account for these variations in stream-water chemistry. The investigation was carried out in the LI1 catchment; a 0.4-ha subcatchment covered by stagnohumic gley soils was monitored between October 1988 and September 1989. An instrumented hill-slope was established to identify the hydrological pathways that control the hydrochemistry of storm runoff draining from the subcatchment. Perched watertables developed in the surface horizons of the soil during storm episodes and produced lateral flow above the impeding subsoil. This near-surface flow path was responsible for generating acid, Al-rich storm runoff. Some water drained vertically through the soil profile into the underlying slope drift; seepage from groundwater in the drift sustained baseflows. Buffering reactions in the groundwater zone reduced the acidity and Al levels of baseflows. These hydrochemical characteristics are likely to be representative of other areas of stagnohumic gley soils, which cover 19% of the LI1 catchment: these soils may therefore provide a substantial source of acid, Al-bearing storm runoff in LI1 and similar afforested catchments.

Journal Article↗
PubMed1993

A case of deletion 14(q22.1-->q22.3) associated with anophthalmia and pituitary abnormalities.

An interstitial deletion of the region q22.1-->q22.3 of chromosome 14 is described in a child with bilateral anophthalmia, dysmorphic features including micrognathia, small tongue, and high arched palate, developmental and growth retardation, undescended testes with a micropenis, and hypothyroidism. Interstitial deletions of the long arm of chromosome 14 are extremely rare, but this case seems to confirm that the region q22 is specifically concerned with pituitary and eye development.

Abnormalities, Multiple↗
PubMed1992

Effects of clearfelling on stream and soil water aluminium chemistry in three UK forests.

Data are presented demonstrating how clearfelling has changed soil and stream water aluminium chemistry. For soil waters, a strong empirical relationship was observed between inorganic aluminium (Al(inorg)) and total inorganic anion (TIA) concentrations. Before felling, chloride and sulphate accounted for the largest proportion of the TIA concentration. After felling, in soils where nitrification was active, nitrate became increasingly important. Where this led to an increase in TIA, Al(inorg) concentrations increased. Over five years, nitrate concentrations have fallen, along with TIA, resulting in a sympathetic decline in Al(inorg). Streams draining clearfelled areas initially became more acid, although chloride and sulphate concentrations decreased. Stream water nitrate concentrations increased soon after felling and remained higher than controls for up to four years. While nitrate concentrations were high, Al(inorg) remained unchanged. Subsequently, as nitrate and TIA decreased, Al(inorg) also declined to concentrations below those in the control stream. Clearfelling upland forests will not necessarily result in immediate improvements in water quality, although long-term benefits may be seen before canopy-closure of the next crop.

Journal Article↗