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Biomedical subjects

D W Moore

Publications and source records attributed to D W Moore.

At least 19 recordsLinked to original sources

Abuse of patients in nursing homes: findings from a survey of staff.

Despite persistent allegations that abuse of nursing home residents is widespread, the topic has received only limited research attention. Data are presented from a survey of a random sample of 577 nurses and nursing aides working in long-term care facilities. Rates of abuse based on staff self-reports are presented, and subgroups of staff who are more likely to engage in abusive behaviors are identified.

Adolescent

Coccidian parasites (Apicomplexa: Eimeriidae) from insectivores. II. Six new species from Japanese shrew moles (Talpidae).

Thirty-eight of 51 (74.5%) shrew moles collected in Japan were infected with from one to four species of Eimeria and/or Isospora including six of six Dymecodon pilirostris and 32 of 45 (71.1%) Urotrichus talpoides. Four eimerians and two isosporans were identified and all are described as new species. Sporulated oocysts of Eimeria amorphospora n. sp. were subspheroid/ellipsoid, 21.1 x 17.9 (18-25 x 16-21) micrometers. Sporocysts were amorphous, gelatinoid envelopes greater than or equal to 20.3 x 7.5 (17-24 x 7-9) micrometers. Sporozoites were enclosed together within a membrane in each sporocyst. This species was found in 9 of 45 (20%) U. talpoides. Sporulated oocysts of Eimeria gonocilia n. sp. were subspheroid/ellipsoid, 28.8 x 24.4 (25-30 x 21-28) micrometers; a highly ornate outer oocyst wall gave the appearance of a ciliated ball. Sporocysts ovoid, pointed at both ends, were 17.0 x 9.9 (15-19 x 7-11) micrometers; this species was found in 4 of 45 (8.9%) U. talpoides. Sporulated oocysts of Eimeria talpoidei n. sp. were asymmetrical ovoid, 20.6 x 13.3 (18-23 x 12-15) micrometers, with sporocysts lacrimiform, 12.0 x 5.8 (10-14 x 5-7) micrometers. This species was found in 7 of 45 (15.6%) U. talpoides. Sporulated oocysts of Eimeria honshuensis n. sp. were ellipsoid, 15.5 x 11.4 (13-18 x 10-13) micrometers, with sporocysts ovoid, 9.1 x 5.2 (8-10 x 4-6) micrometers. This species was found in 10 of 45 (22.2%) U. talpoides and in 5 of 6 (83.3%) D. pilirostris. sporulated oocysts of Isospora dymecodi n. sp. were subspheroid/ellipsoid, 15.8 x 12.6 (13-17 x 11-13) micrometers, with sporocysts ovoid, 9.1 x 5.2 (8-10 x 4-6) micrometers. This species was found in 10 of 45 (22.2%) U. talpoides and in 5 of 6 (83.3%) D. pilirostris. Sporulated oocysts of Isospora dymecodi n. sp. were subspheroid/ellipsoid, 15.8 x 12.6 (13-17 x 11-13) micrometers, with sporocysts ellipsoid, 10.9 x 6.9 (10-13 x 6-8). This species was found in six of six D. pilirostris. Sporulated oocysts of Isospora urotrichi n. sp. were spheroid/subspheroid, 13.4 x 12.4 (11-16 x 9-14) micrometers, with sporocysts ovoid, 9.2 x 6.3 (8-11 x 5-7) micrometers. This species was found in 27 of 45 (60%) U. Talpoides. Only 14 of 38 (36.8%) infected hosts (one D. pilirostris, 13 U. talpoides) were seen to be naturally infected with only one coccidian species when sampled.

Animals

Productivity of different cow genotypes: culling rates and early calf performance.

Records of Jersey-sired (Jx), Santa Gertrudis-sired (Sx), Charolais-sired (Cx) and straightbred Hereford (H) cows were examined to determine culling rates, birth dates, weaning weights and average daily gains of their first, second and third calves. Culling categories were defined on the basis of number of calves weaned before removal from the herd. Calf performance data were analyzed by cow breed group and cow culling category. A second-degree polynomial model fit the data of all breeds, and accounted for a greater proportion of variation in percentage culled than did the linear model (P less than .05). Total percentage culled through the study were 71, 67, 54 and 53 for the H, Sx, Cx and Jx cows, respectively. Culling rates in the H and Sx cows tended to be higher at earlier ages than in the Cx and Jx cows. Cow-culling category was a significant source of variation only on birth date of first calves. Cows culled after one calf had calves that were born later than cows in the other two categories (P less than .05). Birth date, weaning weight and average daily gain of first calves varied with cow breed in that Jx cows had calves that were born earlier, gained faster and weaned heavier than first calves from the other breed groups (P less than .05). First calves from Sx and Cx cows gained faster (P less than .05) than calves from H cows.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals

Valgus deformity of the ankle in myelodysplastic patients. Correction by stapling of the medial part of the distal tibial physis.

Thirteen patients with myelodysplasia and associated valgus deformities of the ankle had stapling of the medial part of the distal tibial physis. The pattern of neural involvement in these patients was responsible for characteristic muscle imbalances across the tibiotalar and subtalar joints which led to the valgus deformities. Stapling was performed in twenty-five ankles, fifteen of which had previously been treated unsuccessfully with various soft-tissue and bone procedures. Twelve of the patients were followed until closure of the physis. The average preoperative valgus deformity at the tibiotalar joint was 10 degrees and the average amount of correction was 16 degrees. There were no major complications in our series. All patients retained the ability to walk postoperatively, and there was no increase in the need for bracing. Stapling of the medial part of the distal tibial epiphysis has proved to be a safe and simple procedure for correction of valgus deformities of the ankle in myelodysplastic patients.

Ankle Joint

Ruptured anterior spinal artery aneurysm: repair via a posterior approach.

A case of aneurysm at the junction of the vertebrospinal and anterior spinal arteries at the level of C-1 is presented. There was severe intracranial subarachnoid hemorrhage with subsequent right hemiplegia and 6th nerve palsies. Angiograms showed an anomalous arrangement of the arteries, but no arteriovenous malformation was seen. The lesion was repaired via a posterior approach. Anatomical and technical considerations of this approach are discussed. A review of the pertinent literature is presented.

Adult