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Biomedical subjects

D Bond

Publications and source records attributed to D Bond.

16 recordsLinked to original sources
PubMed2001

A longitudinal study of hippocampal volume in first episode psychosis and chronic schizophrenia.

Brain abnormalities have been identified in patients with schizophrenia, but what is unclear is whether these changes are progressive over the course of the disorder. In this longitudinal study, hippocampal and temporal lobe volumes were measured at two time points in 30 patients with first episode psychosis (mean follow-up interval=1.9 years, range 0.54-4.18 years) and 12 with chronic schizophrenia (mean follow-up interval=2.3 years, range 1.03-4.12 years) and compared to 26 comparison subjects (mean follow-up interval 2.2 years, range 0.86-4.18 years). Hippocampal, temporal lobe, whole-brain and intracranial volumes (ICV) were estimated from high-resolution magnetic resonance images. Only whole-brain volume showed significant loss over the follow-up interval in both patient groups. The rate of this volume loss was not different in the first episode group compared to the chronic group. There were no changes in either hippocampal or temporal lobe volumes. The negative findings for the hippocampus and temporal lobes may mean that the abnormalities in these regions are stable features of schizophrenia. Alternatively, the period before the onset of frank psychotic symptoms may be the point of greatest risk for progressive change.

Adolescent↗
PubMed2001

Determinants of carotid microembolization.

PURPOSE: Earlier studies have highlighted risk factors for perioperative stroke after carotid endarterectomy, such as female sex, preoperative symptoms, and cerebral infarction. In this study, we investigated the relationship between these factors and perioperative microembolization. METHODS: A total of 235 patients were entered in the study at two centers. Transcranial Doppler ultrasound scanning was possible in 190 patients (81%) and was performed for 1 hour preoperatively and continuously intraoperatively as a means of detecting microemboli and monitoring mean middle cerebral artery velocity. The findings of transcranial Doppler ultrasound scanning were related to perioperative risk factors by means of univariate analysis. RESULTS: Microemboli were detected in 28 (15%), 79 (42%), and 98 (52%) patients preoperatively, during carotid artery dissection, and after closure of the artery, respectively. Having 10 or more emboli after carotid artery closure was more common in women (P = .04) and in patients with symptomatic carotid artery disease (P = .04) and was demonstrated in three of the six patients who had a perioperative stroke. These three patients also had preoperative evidence of cerebral infarction and an intraoperative middle cerebral artery velocity less than 40 cm/s. CONCLUSION: In this study, perioperative microembolization was more common in women and patients with symptomatic carotid artery disease. These findings may explain the increased risk of carotid surgery in these patients.

Adult↗
PubMed2000

A randomised controlled trial of dietary energy restriction in the management of obese women with gestational diabetes.

A randomised controlled trial was designed to determine the effect of moderate 30% maternal dietary energy restriction on the requirement for maternal insulin therapy and the incidence of macrosomia in gestational diabetes. Although the control group restricted their intake to a level similar to that of the intervention group (6,845 kiloJoules (kJ) versus 6,579 kJ), the resulting cohort could not identify any adverse effect of energy restriction in pregnancy. Energy restriction did not alter the frequency of insulin therapy (17.5% in the intervention group and 16.9% in the control group). Mean birthweight (3,461 g in the intervention group and 3,267 g in the control group) was not affected. There was a trend in the intervention group towards later gestational age at commencement of insulin therapy (33 weeks versus 31 weeks) and lower maximum daily insulin dose (23 units versus 60 units) which did not reach statistical significance. Energy restriction did not cause an increase in ketonemia.

3-Hydroxybutyric Acid↗
PubMed1999

Elevated lead exposure in American woodcock (Scolopax minor) in Eastern Canada.

We investigated the degree and incidence of elevated lead (Pb) accumulation in the American woodcock (Scolopax minor) in eastern Canada by measuring the concentration of Pb in undamaged wing bones of 1,588 birds from Ontario, Quebec, Nova Scotia, and New Brunswick. Overall median bone-Pb concentrations were 21 microgram/g (DW) for adults and 11 microgram/g for young of the year. A high proportion of birds had elevated Pb concentrations, compared with other wild bird species. Fifty-two percent of adults and 29% of young of the year had bone concentrations exceeding 20 microgram/g. Pb concentration varied significantly with age, gender, and geographical region (p </= 0.0001). Mean Pb concentrations were lower for young of the year than for adults and lower for males than for females in both age groups. Atlantic Canada (New Brunswick and Nova Scotia) tended to have the highest frequency of individuals with elevated Pb accumulation. Potential sources of Pb exposure in woodcock include ingestion of spent lead shot from hunting, ingestion of Pb-contaminated soil, and/or ingestion of Pb-contaminated earthworms.

Aging↗
PubMed1993

Interviewing deaf children, the interviewer effect: a research note.

A highly structured diagnostic interview, the Child Assessment Schedule (CAS), was used to investigate the influence of the interviewer's signing ability and cultural status on the outcome of psychiatric assessments of signing deaf children and adolescents. Preliminary findings suggest that linguistic competence of the interviewer had a significant effect on the range of symptoms elicited at interview. In particular that poor competence leads to the masking of a child's emotional difficulties.

Adolescent↗
PubMed1991

Factors affecting the determination of total mercury in biological samples by continuous-flow cold vapor atomic absorption spectrophotometry.

The acidic reduction of Hg using a continuous-flow analytical system was evaluated. With 25% SnCl2 as the reductant, characteristic concentrations (sensitivities) of 0.44 microgram/L (open cell) and 0.29 microgram/L (flow-through cell) were obtained using inorganic Hg2+ standards in 1.5% HCl. When CH3Hg+ standards were used, absorption signals were an order of magnitude lower, indicating that Sn(II) is incapable of producing Hg degree from organic Hg in this acidic reduction system. Addition of CdCl2 to the SnCl2 reductant, as suggested by Magos (1) for the reduction of organomercurials under alkaline conditions, was without beneficial effect. Similarly, combining Sn with another reducing agent (hydroxylamine hydrochloride), or a strong alkaline solution (40% NaOH), in the reaction coil of the flow-through system did not significantly enhance the Hg absorption signal for either inorganic or organic Hg. Recovery of Hg from spiked liver homogenates digested at 70-80 degrees C using a HNO3/H2SO4/HCl procedure and stabilized with 0.5 mM K2Cr2O7 was > 85% using either inorganic Hg2+ or CH3Hg+, indicating that this digestion procedure successfully breaks the C-Hg bond to form readily reducible Hg species. Using L-cysteine to stabilize standards of inorganic Hg2+ in HCl caused significant depressions of the Hg absorption signal at L-cysteine concentrations > 0.001% (approximately 0.5 mM); 0.1% L-cysteine caused total suppression of the Hg signal. These results indicate that: (1) acidic reduction of Hg by Sn in this continuous-flow system requires breakdown of organomercurials prior to analysis; (2) tissue digestion using HNO3/H2SO4/HCl followed by the addition of K2Cr2O7 to stabilize Hg2+ achieves this breakdown and allows good recovery of total Hg; and (3) use of L-cysteine to complex and prevent losses of Hg should be avoided in systems using acidic reduction of Hg. Concentrations of endogenous tissue sulfhydryls are generally lower than those associated with depressed absorbance signals during the acidic reduction of Hg.

Animals↗
PubMed1984

Vascular complications following total hip arthroplasty. A review of the literature and a report of two cases.

Major vascular, nonthromboembolic complications of total hip arthroplasty are rare: only 23 have been reported over the last 20 years. This is a report of two additional cases. In an 84-year-old woman, the external iliac artery was lacerated following removal of the acetabular component. Two such injuries have been reported previously, but this is the first case that resulted from a posterolateral approach to the hip. In a 69-year-old woman, a heretofore unrecorded complication consisted of external iliac vein compression occurring 20 months after total hip arthroplasty and culminating in iliac artery thrombosis and an ischemic foot. A below-knee amputation was performed after removal of the total hip components.

Aged↗
PubMedDate not supplied

Orthopaedics: patient assessment before surgery.

The potential for pre-admission assessment clinics has been discussed for many years, but only recently have such clinics been developed. This article reviews how one clinic was conceived and developed. The perceived benefits included improved patient care, opportunity for informed choice, reduction in patient cancellation rates and improved utilisation of theatre time.

Humans↗