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Biomedical subjects

D J Galloway

Publications and source records attributed to D J Galloway.

35 records · Page 2Linked to original sources
PubMed1987

Dietary manipulation during experimental colorectal carcinogenesis: a morphological study in the rat.

The effect of the dietary manipulation of fat and fibre on the gross pathological, histopathological and scanning electron microscopic appearances of colonic mucosa was studied before and during experimental carcinogenesis in 232 male Albino Swiss rats. Carcinogen treated animals were given 12 consecutive weekly injections of Azoxymethane in a dose of 10 mg/kg per week. The animals were divided between four dietary groups (1: high fat high fibre, 2: low fat high fibre, 3: high fat low fibre and 4: low fat low fibre). The colorectal morphology was assessed at autopsy using standard histopathological techniques. In addition, scanning electron microscopic studies on selected samples were performed. A scoring system was introduced to allow a more accurate comparison of the surface architectural appearances. The high fat low fibre diet was associated with the greatest risk for macroscopic tumour production and the low fat high fibre diet with the lowest risk. Statistically significant differences between each of the dietary groups were noted with the exception of the comparison for tumour induction between the high fat high fibre and low fat high fibre dietary groups. Histopathological analysis confirmed the inter dietary relationships with respect to the extent of neoplastic change. The scanning electron microscopic study revealed that both dietary manipulation and carcinogen treatment influenced the surface characteristics. Control animals fed diet 2 (low fat high fibre) but not treated with carcinogen, showed the greatest deviation from the normal appearances. Animals treated with carcinogen and fed diet 3 (high fat low fibre) consistently showed the greatest surface abnormalities.

Animals↗
PubMed1987

Morphological and cell kinetic effects of dietary manipulation during colorectal carcinogenesis.

The effect of dietary manipulation of fat and fibre on the structural and cell kinetic characteristics of colonic mucosa was studied before and during experimental carcinogenesis in 232 male Albino Swiss rats. Carcinogen treated animals were given 12 weekly injections of azoxymethane (10 mg/kg/week). The animals were divided between four dietary groups (1) high fat, high fibre, (2) low fat, high fibre, (3) high fat, low fibre and (4) low fat, low fibre. Pathological and cell kinetic information together with details of certain faecal characteristics was collected when the animals were killed 4, 20, and 28 weeks after starting their experimental diet. Tumour induction was significantly influenced by diet. The highest risk of colorectal tumour development was found in groups fed diet 3: high fat, low fibre (p less than 0.03). In contrast, diet 2: low fat, high fibre was associated with the lowest risk. The proportion of histologically proven colonic tumours occurring in each dietary group was: diet 1-10.9%, diet 2-3.6%, diet 3-63.7%, diet 4-21.8%. Scanning electron microscopic (SEM) studies done on selected samples indicated both dietary and azoxymethane related alterations in crypt unit integrity. The most marked surface architectural changes were seen in carcinogen treated animals maintained on diet 3 (high fat, low fibre). Stathmokinetic analysis revealed considerable intergroup variability. Both fat and fibre produced significant effects, principally during the preneoplastic phase of carcinogenesis. Faster proliferative activity tended to be found in animals at low risk of tumour induction (diet 2), slower proliferation being more characteristic of animals at high risk (p less than 0.05). The findings suggest that both topographical and cell kinetic parameters have an important relationship with promoting and protecting dietary factors during the development of colorectal cancer.

Animals↗
PubMed1986

Experimental colorectal cancer: the relationship of diet and faecal bile acid concentration to tumour induction.

Epidemiological studies have consistently suggested an aetiological relationship between certain dietary constituents, faecal bile acid (FBA) concentration and colorectal cancer. This study was designed to examine the effect of the dietary manipulation of fat and fibre on tumour induction and on various faecal characteristics in Albino Swiss rats. A total of 232 animals were maintained on one of four different diets for 4, 20 and 28 weeks respectively. The diets were classified as high fat high fibre, low fat high fibre, high fat low fibre and low fat low fibre. The groups were further sub-divided according to the administration of systemic azoxymethane (10 mg/kg per week) or saline over 12 consecutive weeks. The high fat low fibre diet was associated with the highest risk for tumour production and the low fat high fibre diet with the lowest risk. Statistically significant differences between all the diets were noted with the exception of a comparison between the high fat high fibre and low fat high fibre diets. The highest total concentration of free FBA was found in the faeces from animals fed low fibre containing diets. The results show a clear influence of both fat and fibre on tumour induction while, in this model, fibre was the principle determinant of faecal bile acid concentration.

Animals↗
PubMed1986

Gastrointestinal tuberculosis.

In the developed countries gastrointestinal tuberculosis is no longer common in clinical practice. In this setting the importance of the condition lies in the vagaries of its presentation and the fact that it is eminently treatable, usually by a combination of chemotherapy and surgery. The clinical features and complications of gastrointestinal tuberculosis are highlighted by the seven cases which we report. Diagnosis and treatment of this condition is discussed and attention is drawn to the importance of case notification. Clinicians should bear in mind the diagnosis of gastrointestinal tuberculosis when dealing with any patient with non-specific abdominal symptoms.

Adult↗
PubMed1985

Nitrous oxide and wound healing.

Following a paravertebral surgical incision, mature, female rats under ether anaesthesia were exposed to either 3% nitrous oxide, continuously for 48 h, or 50% nitrous oxide, 4 h each day for 7 days. For each exposure group, a similar number of rats was exposed to atmospheres containing no nitrous oxide. Wound healing was assessed by measurement of the breaking strengths of wound samples. No statistically significant influence on breaking strength could be attributed to nitrous oxide following either exposure sequence.

Animals↗
PubMed1985

Analgesia by wound infiltration after surgical excision of benign breast lumps.

Wound infiltration with bupivacaine provided complete postoperative pain relief in 14 of 19 women undergoing excision biopsy of a benign breast lump under general anaesthesia. Fifteen patients formed a control group in whom the wound was infiltrated with saline. They had inadequate relief of pain despite receiving significantly more opioid analgesia than the bupivacaine group in the postoperative period. The analgesia from bupivacaine usually outlasted the postoperative pain. No adverse reactions were apparent.

Adolescent↗
PubMed1984

Colorectal cancer in young adults.

This retrospective study reviews our experience of the management of colorectal cancer in 481 consecutive patients. Details of presentation, surgery, Dukes staging, histological grading, recurrence and survival were analysed. We have compared patients 50 years of age and over with their younger counterparts. Thirty-six (7.5%) were less than 50 years of age. Half of the older group presented to hospital within 3 months of the onset of symptoms. Only 17.5% of the younger group presented so promptly (p less than 0.01). There was a higher proportion of younger patients with metastatic disease at the time of presentation. While there was no evidence to suggest a more aggressive surgical approach in the younger patients, 27.8% had adjuvant therapy compared with only 14.2% of the over 50s (p less than 0.05). The median survival was significantly better in the younger group (p less than 0.02).

Adult↗
PubMed1984

A clinical assessment of electroanalgesia following abdominal operations.

A prospective randomized controlled trial was performed to assess the value of transcutaneous electrical stimulation as an analgesic technique for postoperative pain. Forty patients who underwent cholecystectomy were studied. Patients in group A (control group) complained of more severe wound pain than either patients in group B (wound stimulation) or group C (remote stimulation). However, the treated groups showed no evidence of a significant reduction in opiate demand or of improved ventilatory function.

Abdomen↗
PubMed1983

The pre-operative electrocardiogram: an assessment.

Electrocardiography is of limited value in pre-operative screening for cardiac disease. A short questionnaire has been shown to be helpful in assessing cardiac status and could permit a 30% reduction in the number of pre-operative ECGs performed.

Adolescent↗
PubMed1983

Early detection of obstructed ureter by ultrasound following renal transplantation.

Serial ultrasound examinations were carried out following 144 renal transplants. Eleven patients (8%) required surgery for ureteric obstruction and in all cases the ultrasound correctly identified the obstruction at an early stage. One false positive result was obtained with the ultrasound and this compared favourably with both the intravenous urogram (IVU) and isotope renogram. There were false positive and false negative results with both the IVU and renogram in addition to which neither of these techniques, particularly the IVU, is as simple or atraumatic for the patient as the ultrasound. Serial ultrasound examinations have a useful role in the detection of ureteric obstruction as well as being of value in the detection of perinephric fluid collections and acute rejection.

Diagnostic Errors↗
PubMed1982

The pedestrian problem: a 12-month review of pedestrian accidents.

Three hundred and sixty-one pedestrians involved in road accidents in the course of a year have been studied. Fourteen of the pedestrians died following hospital admission, and analysis of data from Strathclyde Police showed that another 16 pedestrians died at the roadside. Certain characteristics of the whole group are reviewed and a plea is made for more appropriate use of available statistics in the production of practical road safety legislation.

Accidents, Traffic↗
PubMed1981

Effect of naftidrofuryl on the metabolic response to surgery.

In a randomised study of 34 patients undergoing elective operations of moderate severity naftidrofuryl infusion significantly improved postoperative nitrogen balance. The control group excreted 26.2 +/- 2.7 g nitrogen in the first three postoperative days. A group treated with naftidrofuryl excreted 18.0 +/- 1.6 g nitrogen in the same period (p less than 0.0005). The preoperative nutritional state of patients treated with naftidrofuryl did not differ from that of the controls. Though hormonal changes causing an improvement in nitrogen balance could not be excluded by this study, the results show that naftidrofuryl infusion may stimulate postoperative catabolism of endogenous carbohydrate and fat, thus sparing tissue protein.

Adolescent↗
PubMed1981

Road traffic accident related morbidity as seen in an accident and emergency department.

This paper describes some of the findings of a prospective study of victims of road traffic accidents arriving at the Western Infirmary's Accident and Emergency Department over a period of 12 months. More than half the accidents occurred during leisure hours thus likely to stretch the resource of the hospital services. More than a third of the total number of patients were young male drivers. Serious injuries were significantly more often sustained among pedestrians who were often older. Victims of motor-cycle accidents less often escaped serious injuries. Blood ethanol studies on a small sample suggested that male pedestrians were often highly intoxicated. A public health education programme is regarded as a primary measure in preventing a large proportion of serious morbidity and mortality especially amongst pedestrians.

Accidents, Traffic↗
PubMed1980

Prevention of skateboard injuries.

Skateboarding has become extremely popular in the United Kingdom, and it is estimated that over two million skateboards have been sold. Previous surveys have shown the dangers of the sport, fractures of the limbs being a particularly common form of injury. Consequently the provision of skateboard parks and the wearing of adequate protective clothing were considered necessary to reduce to severity of the injuries sustained. Our survey does not support this view, and suggests that fractures are more likely to occur in people with full protective clothing and skating in a park. The reasons for this are discussed. It is also suggested that expert instruction in the use of the skateboard has been neglected as a means of accident prevention.

Adolescent↗