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Biomedical subjects

C D Ward

Publications and source records attributed to C D Ward.

63 records · Page 4Linked to original sources

Evaluation of text telephones designed for people with impaired hearing or speech.

PURPOSE: The primary aim of this study was to assess a range of desktop text telephones and to provide comparative data to enable healthcare professionals and users to make informed choices when selecting products. Our second objective was to highlight the effect of different product features on ease of communication. METHODS: We used three methods of evaluation. (1) User trials of seven desktop textphones were carried out by 28 people. (2) The same desktop textphones, along with three portable models, were appraised by two independent assessors. (3) All 10 products were discussed by groups of hearing and hearing-impaired users-112 in all. RESULTS AND CONCLUSIONS: Participant ratings, user comments, and observations of sample conversations all revealed that ease of communication was greatly influenced by the type of technology employed to connect the textphone to the telephone network. Overall, conversations held on text telephones with a direct connection were more successful and produced fewer garbled messages than those made with an acoustic connection. Although individual preferences were expressed, other defining features such as the size of keyboard, display type and size of text did not have a comparable impact on communication. Future research and development could focus on the design of products that would cater simultaneously for the communication needs of hearing, deaf and speech-impaired users.

Adolescent↗

Predicting fallers in a community-based sample of people with Parkinson's disease.

BACKGROUND: The risk of people with Parkinson's disease (PD) falling is greater than that of the general population but to date, disease-specific predictors of falling have not been identified. OBJECTIVES: To identify one or more features, which would predict individuals at risk of falling during a 3-month prospective follow-up study. METHOD: A battery of standardised tests administered in the home and the laboratory with a 3-month follow-up telephone interview. RESULTS: Sixty-three people with PD were recruited from GP practices. Eleven interview variables and six gait laboratory variables were used with subsamples (55 and 44 subjects, respectively) to fit predictive models for identifying future fallers. The number of falls in the previous year was the most important variable, without exception, to be selected as a predictor in various logistic regression models. A history of two or more falls had a sensitivity of 86.4% (95% CI 67.3-96.2%) and a specificity of 85.7% (95% CI 71.2-94.2%) in predicting falling in the next 3 months. CONCLUSION: Healthcare workers should be asking their patients with PD regularly and carefully about falling, and should consider instigating programmes of fall management for patients with PD who have fallen two or more times in the previous 12 months.

Accidental Falls↗

Tissue fluoroacetate residues in prairie dogs dosed with low-level sodium monofluoroacetate.

A total of 83 black-tailed prairie dogs (Cynomys ludovicianus) from South Dakota were subjected to low-level treatment with sodium monofluoroacetate (Compound 1080) in the laboratory (0.01-0.30 mg 1080/kg). The acute oral median lethal dose (LD50) of 1080 administered by oral gavage was established at 0.173 mg/kg. To assay fluoroacetate residues, 8 kinds of tissue from each of 10 prairie dogs dead of low-level 1080 poisoning were analyzed by capillary gas chromatography-mass spectrometry. Of the total of 79 tissues analyzed, 73 contained less than 100 ppb fluoroacetate, and 67 contained less than 50 ppb fluoroacetate. To test the effect of secondary poisoning on non-target species, 8 European ferrets (Mustela furo) were fed ground whole carcasses of prairie dogs dead of low-level 1080 poisoning, with no observable ill effects on the ferrets.

Animals↗