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Biomedical subjects

D R Thompson

Publications and source records attributed to D R Thompson.

At least 127 records · Page 7Linked to original sources

Recording patients blood pressure: a review.

This paper reviews the proper technique which should be adopted by the nurse in order to obtain accurate blood pressure measurements. Although this is difficult using conventional instruments, statistics uniformly confirm the harmful significance of an elevated blood pressure. Any nurse delivery high quality care must be able to carry out nursing procedures skillfully and accurately. The methodology of blood pressure recording is discussed, analysed and evaluated. It is well-documented that there are many potential sources of error in recording blood pressure, including poor technique and observer bias. The paper deals with these and highlights some of the dilemmas that this technique presents to the nurse. A claim is made that many nurses are often inadequately trained in blood pressure measurement, and with increasing reliance on the nurse for records, much more attention need to be focused on this area.

Blood Pressure Determination↗

A study of institutionalized mentally retarded patients in Manitoba. I: Classification and preventability.

This preliminary report concerns the types, and the possibility of prevention, of mental retardation found among 406 patients less than 20 years of age and with IQs less than or equal to 50 who had been admitted to institutions for the retarded in Manitoba prior to 1977. The retardation appeared to be of genetic origin in 27.8 per cent of cases, and acquired in a further 30.3 per cent. 31 per cent of the genetic and 55 per cent of the acquired, or 25.4 per cent of the total group, are considered to have been avoidable, given the full application of current techniques and knowledge.

Adolescent↗

Suspected poisoning of sheep by Ixiolaena brevicompta.

A mortality in sheep attributed to poisoning by Ixiolaena brevicompta is described. Clinical signs included reduced exercise tolerance, weakness and recumbency or sudden death. Elevated serum creatinine phosphokinase concentration and dystrophic muscle lesions were found consistently. Extensive losses occurred but only in sheep forced to eat herbage in which mature, seeded I. brevicompta predominated.

Animals↗

Effect on discourse on processing of left- and right-embedded syntactic structures.

This study attempted to obtain information on the processing of syntactic structures under conditions of related and unrelated discourse. Eye movements were recorded while 30 competent adult readers silently read right-embedded or left-embedded sentences in conditions of unrelated sentences and in conditions of cohesive paragraphs. Analysis of eye movements for number and duration of forward fixations and regressions showed that left-embedded sentences were significantly more difficult to process than right-embedded sentences. However, context also significantly affected the visual processing of syntactic structures.

Discrimination Learning↗

Night blindness, characteristic facies, and skeletal abnormalities in two brothers.

Two brothers are described with a similar physical appearance characterised by minor periorbital anomalies, malar flatness, a maxillary overbite, retrognathia, sloping shoulders, joint hyperextensibility, and minor radiological anomalies. In addition, they had a slowly progressing night blindness, myopia, and extinguished electroretinograms. The mother had mild expression of some of the physical anomalies and a decreased electroretinogram response to red light. We have been unable to find any report of similarly affected children. The possible modes of inheritance are discussed.

Abnormalities, Multiple↗

Phenotypic correlations in patients with ring chromosome 22.

This paper reports two patients with a ring 22 chromosome which has been confirmed by Q-banding. The literature contains 19 patients with a ring G-group chromosome which has been shown by chromosome banding to be a ring 22. The most commonly reported features in affected patients have included: retardation with disproportionate verbal delay, reduced head circumference, hypotonia, unsteady gait, large ears with abnormal configuration, and epicanthic folds. The importance of these, as well as other, less often noted findings, is discussed in relation to a possible r(22) syndrome.

Abnormalities, Multiple↗

The development of a programme of research in cardiac rehabilitation.

This paper describes the experiences of initiating and developing a coherent programme of research and development in cardiac rehabilitation. It charts the evolution of the research programme from its origins in a few small scale studies and sets the context in which this research was carried out. The paper goes on to describe the valuable lessons learned in undertaking clinical research, such as serving an apprenticeship, receiving supervision and working as a member of a team. Finally, the paper, in acknowledging the importance of research training, shows how this has culminated in the author leading and managing a programme of research, bringing together a research team, disseminating and implementing research and collaborating with colleagues from other disciplines.

Clinical Nursing Research↗

Depression and anxiety as predictors of outcome after myocardial infarction.

OBJECTIVE: The objective of this study was to investigate the significance of emotional distress immediately after a myocardial infarction as a predictor of physical, psychological, and social outcomes and resource use. METHODS: In an epidemiological survey, demographic and cardiological data were obtained for all patients from a defined geographical area who had had a myocardial infarction (according to diagnostic criteria of the Monitoring Trends and Determinants in Cardiovascular Disease [MONICA] trial). Hospital survivors were interviewed and were asked to complete self-report assessments on mental state and quality of life. Full replies were available at baseline for 347 subjects. Self-report follow-up questionnaire information was collected 3 months and 1 year later. RESULTS: Fifteen percent of patients scored as probable cases of anxiety or depression. They were more likely than noncases to report preinfarct distress and poor adjustment (as indicated on the 36-item Medical Outcome Study short form). There was an improvement at 3 months, but there was little overall or individual change after that time. Anxiety and depression did not predict subsequent mortality but did significantly predict poor outcome at 1 year on all dimensions of the 36-item short form quality-of-life measure and on specific measures of everyday activity and reports of chest pain, use of primary care resources, and secondary prevention lifestyle changes. CONCLUSIONS: Subjects who are distressed in the hospital are at high risk of adverse psychological and quality-of-life outcomes during the ensuing year. Our findings strengthen the argument for in-hospital identification and treatment of patients with depression and anxiety after myocardial infarction.

Adult↗

Buy low, sell high: the development of an informal theory of economics.

Two experiments were conducted to examine the development of economic understanding among 5-, 7-, and 9-year-olds (n = 31, 29, and 32, respectively). Most 5-year-olds exhibited understanding of the goal of acquiring desired goods but not of the goals of seeking profits, acquiring goods inexpensively, or competing successfully with other sellers. In contrast, most 7-year-olds and a large majority of 9-year-olds showed understanding of all of these concepts. The older children's understanding of these key concepts and the relations among them suggested that they had constructed an informal theory of economics, qualitatively different from the psychologically based understanding of the 5-year-olds. Increased information-processing skills appeared to be among the sources of this new understanding.

Age Factors↗