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Biomedical subjects

D Jones

Publications and source records attributed to D Jones.

At least 757 records · Page 42Linked to original sources

The need for a comprehensive counselling service for nursing students.

The responses to 'given situations' in a questionnaire administered to 50 nursing students indicate that they are conscious of high stress factors in nursing. Role conflict is created when they are given instructions in the wards contrary to what they are taught in the schools of nursing. Some of the responses also indicated that learners may be developing attitudes which are contrary to what they are taught in the schools of nursing. Some of the response also indicated that learners may be developing attitudes which are contrary to good nursing practice as a protection from external pressure. The majority of the respondents had opportunities for discussion of their problems, but 28% were unsure about available facilities. The author argues that the counselling needs of nursing students must be met by provision of a comprehensive counselling service.

Counseling↗

Analysis of variability in pylon transducer signals.

A pylon transducer has been used to provide force and moment data relating to the stance phase of gait of below-knee amputees fitted with modular types of PTB prostheses. The data has been collected and modified using digital processing systems with particular interest in quantifying shape differences in the loading information curves. Earlier tests illustrated the need for more data to provide statistical support for conclusions. However, the requirements for more data greatly increased the data handling and storage problems. A method was devised whereby those features considered significant from an information point of view could be extracted from the transducer signals and then combined. The statistical combination of features was made to allow objective comparisons of strides for a particular subject.

Analysis of Variance↗

Cimetidine prevents reduction in gastric mucosal blood flow during shock.

This study evaluated Cimetidine's possible role in regulating gastric mucosal blood flow in the anesthetized, stressed miniature swine. Stress consisted of hemorrhagic shock to a mean arterial pressure of 50 mm Hg. Twenty-one animals were divided into three experimental groups: untreated controls, preshock Cimetidine treatment group, and postshock Cimetidine treatment group. Gastric mucosal blood flows were determined (microsphere method) during a stabilization period and after 90 minutes of shock. Central hemodynamic indices were monitored throughout each experiment. In the fundus, mucosal blood flow decreased 59% in the controls, 11% in the preshock, and 28% in the postshock Cimetidine groups. Antral mucosal blood flow decreased 57% in controls, 19% in the preshock, and 33% in the postshock Cimetidine groups. In the corpal mucosa, blood flow decreased 53% in controls, 11% in the preshock group, and 41% in the postshock Cimetidine group. Cimetidine administration, both before and after shock, conferred significant protection on mucosal blood flow changes related to shock. Preshock drug administration had a significantly greater protective effect than postshock treatment on blood flow in the corpal mucosa.

Animals↗

Staff appraisal.

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Achievement↗

Cardiomyopathy in an adult with Bartter's syndrome and hypokalemia. Hemodynamic, angiographic and metabolic studies.

A case of an adult with Bartter's syndrome (hyperplasia of the juxtaglomerular complex with hyperaldosteronism and hypokalemic alkalosis) is described; the patient had the unusual manifestation of cardiomyopathy, probably secondary to severe hypokalemia. Results of metabolic studies and kidney biopsy were consistent with Bartter's syndrome; angiographic and hemodynamic findings were abnormal. The cardiomyopathy was confirmed at autopsy after the patient's sudden death. Conclusions from this case are that severe hypokalemia can pose a serious threat both immediately in the form of dangerous arrhythmias and in the long term in the form of cardiomyopathy.

Adult↗

Bacteriuria in geriatric hospital patients its correlates and management.

Significant bacteriuria is associated with dementia, incontinence of faeces and of urine in long-stay hospital patients. Bacteriuria in these patients is a fluctuating condition: it occurred in 47% of an initially sterile control group during the course of a year. Management with urinary antiseptics and an initial course of antibiotics is more successful than antibiotics on demand. However, since the condition is so fluctuating, it is doubtful if any treatment is usually needed other than the prevention of faecal incontinence.

Aged↗

A numerical taxonomic survey of Listeria and related bacteria.

A numerical taxonomic study was performed on named strains of Listeria, Erysipelothrix, Microbacterium thermosphactum, Lactobacillus, Streptococus, Propionibacterium, Kurthia and some possibly related bacteria using I43 unit characters covering a wide range of properties. The strains fell into six main clusters: (A) Listeria; (B) Microbacterium thermosphactum, Lactobacillus, Streptococcus; (C) Gemella, Erysipelothrix; (D) Kurthia and mainly aerobic corynebacteria; (E) Propionibacterium, Staphylococcus; (F) mainly Cellulomonas. The genus Listeria contained three subgroups corresponding to (I) Listeria monocytogenes, (2) Listeria grayi and (3) non-haemolytic listeria strains. Listeria murrayi did not appear to be sufficiently distinct from Listeria grayi to warrant separate species status. The genus Erysipelothrix was quite separate from the genus Listeria. Microbacterium thermosphactum was related to both the genera Listeria and Lactobacillus but formed a separate phenon that could appropriately be given generic rank. There were four distinct subgroups amongst the streptococci examined. Gemella strains appeared as a distinct phenon related to Erysipelothrix and the streptococci. The lactobacilli grouped into four phena largely corresponding to the subgenera Betabacterium, Streptobacterium and Thermobacterium and to the species Lactobacillus mali. Custers A, B, and C displayed a relatively close association to each other and it is recommended that all be included in the family Lactobacillaceae.

Culture Media↗

An assessment of the value of examination of the hip in the newborn.

The Norwich Health District (population 400,000) has been studied during a five-year period in an attempt to assess the value of examination of the hip in the newborn. It is confirmed that complicated deliveries produce higher rates of neonatal instability. But, in sixteen out of the seventeen cases with hip dislocations diagnosed late, delivery had been normal. It is estimated that after normal deliveries, hospital doctors detect only 50%, and family doctors only 28%, of cases of instability of the hip. It is concluded: 1) that the problem of congenital dislocation of the hip will not be eliminated by neonatal examination alone, even if skill in clinical examination could be improved and maintained; 2) that repeated examinations should be considered mandatory until the child is walking. In this regard, the value of the sign of limitation of abduction requires study; 3) that the public should be made aware by an appropriate health education programme that the problem of congenital dislocation of the hip has not yet been solved.

Delivery, Obstetric↗

Perinatal care of low-risk mothers and infants. Early discharge with home care.

A family-centered perinatal-care program featuring collaboration by nurse practitioners, obstetricians, pediatricians, and paramedical personnel was developed to enhance family participation and achieve a shorter but safe hospital stay. Discharge from the hospital was permitted as early as 12 hours after delivery. A perinatal nurse practitioner made daily home visits. The program's safety, feasibility, and acceptability to patients was studied by comparison of 44 patients so treated (study group) with 44 receiving traditional care (controls). Twenty-one study families, but no controls, went home within 24 hours. The study and control groups had no significant differences or trends in numbers of types of morbidity during hospitalization or the six-week post-partum period. The expense of the program is approximately equaled by hospital costs saved through early discharge. The results indicate that early discharge with home-care follow-up observation as described is safe, economically feasible, and well accepted by patients.

Adult↗

Characterization of an adenylate cyclase system sensitive to histamine H2-receptor excitation in cells from dog gastric mucosa.

A method of preparing viable cells from dog gastric mucosa is described. Cyclic AMP in these cells is elevated by histamine and 4-methyl histamine but 2-methyl histamine is only a weak agonist. The effects on cyclic AMP levels are inhibited competitively by metiamide and burimamide which give apparent KBvalues of 3.5x10-7 M and 2.3x10-6 M, respectively. These values are similar to those reported for other histamine H2-receptor systems. The H1-receptor antagonists, mepyramine and chlorpheniramine, have no inhibitory effect on the histamine induced elevation of cyclic AMP: promethazine inhibits the system but not by a competitive mechanism. It is concluded that the histamine stimulated adenylate cyclase system is probably located in the parietal cell component.

Adenylyl Cyclase Inhibitors↗

Organochlorine and mercury residues in the harp seal (Pagophilus groenlandicus).

Samples of blubber, liver, kidney and brain, obtained from 10 male, 6 female neonatal, and 4 lactating female harp seals (Pagophilus groenlandicus), were analysed for DDT, dieldrin, PCB, and total mercury. Methyl mercury levels in blood were also determined. Biocide deposition was not significantly different in female and male ten day old pups. There were no significant differences in biocide levels in the liver of the 14/+ day old males, but in blubber there were significant differences in dieldrin and DDT. There was no clear relationship between biocide levels in the 6-18 year old lactating adults and their pups. Younger adult seals (6 and 7 years) were found to have higher levels of PCB and sigmaDDT levels in their blubber than did older females (10 and 18 years). Wide intraspecific variation was noted in organochlorine and mercury residue levels. Pups taken in 1973 were found to have lower organochlorine residues than pups taken in the same area in 1971. Preliminary investigation indicates that detectable amounts of organochlorine and mercury residues are capable of crossing the placenta in the harp seal.

Adipose Tissue↗