Biomedical subjects

G Bowman

Publications and source records attributed to G Bowman.

At least 19 recordsLinked to original sources

PubMed1997

Over managed.

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Decision Making, Organizational↗

PubMed1995

Productivity and profitability differences between pseudorabies-infected and pseudorabies-noninfected farrow-to-finish swine herds.

Productivity and economic effects of pseudorabies were estimated for a mean-size, farrow-to-finish swine enterprise. A Delphi technique was used to elicit productivity effects from an expert panel. Enterprise budgets for pseudorabies-infected and noninfected herds were constructed by use of these productivity estimates, as well as by use of economic data from secondary sources. Data examined to determine effects on productivity included preweaning, nursery, and growing/finishing pig mortality; breeding hog mortality; feed conversion; labor; and veterinary services and medication expenses. Results indicated that profitability was lowered in infected herds by approximately $6/cwt of swine produced.

Animal Husbandry↗

PubMed1994

Lower brain-stem origin of the median nerve N18 potential.

A patient undergoing intraoperative median nerve somatosensory evoked potential (MSEP) and brain-stem auditory evoked response (BAER) monitoring showed changes during basilar artery aneurysm clipping. There was loss of the BAER wave V, with preservation of waves I and III. Simultaneously, there also was loss of the MSEP N20 potential, with preservation of the N18, N13 and Erb's point potentials. The patient died and autopsy showed an infarct involving the whole rostro-caudal extent of the pontine tegmentum. This combination of electrophysiologic and pathologic findings may help answer questions regarding the exact generators of different MSEP potentials. In particular, it implies that medullary structures can generate the N18 potential.

Brain Stem↗

PubMed1994

A clinical study of the parameters and effects of temporary arterial occlusion in the management of intracranial aneurysms.

Temporary occlusion of intracranial arteries has emerged as a valuable technical adjunct in the management of intracranial aneurysms. The current study considered 121 patients (from a group of 234 consecutive aneurysm patients treated during a 2-yr period) who underwent elective temporary arterial occlusion. Twenty-one patients were excluded from further study because of an intraoperative rupture of an aneurysm, the elective sacrifice of afferent or efferent vessels, or the performance of an extracranial-intracranial arterial bypass graft; the remaining 100 patients underwent elective temporary occlusion under a standard neuroanesthetic regimen, including etomidate-induced burst suppression, normotension, normovolemia, and normothermia. In the postoperative period, radiographic evidence of ischemic brain injury in the distribution of the arteries occluded was selected as the end point for the failure of occlusion tolerance. The parameters evaluated with respect to this end point included the duration and nature of the temporary arterial occlusion, the number of the occlusive episodes, the specific vascular territory occluded, patient age, neurological status, presence of subarachnoid hemorrhage, vasospasm, and aneurysm size. Several parameters were found to be related to the postoperative development of ischemic injury. Patients more than 61 years of age and those in poor neurological condition (Hunt and Hess Grades III to IV) did not tolerate temporary occlusion as well as patients who were younger and in better condition. Patients occluded for less than 14 minutes routinely tolerated the iatrogenic ischemia; the 95% confidence level for the toleration of occlusion without the development of infarction occurred at 19 minutes. All patients occluded for more than 31 minutes had both clinical and radiographic evidence of cerebral infarction.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

PubMed1993

Cerebral arterial diameters during changes in blood pressure and carbon dioxide during craniotomy.

Forty-five measurements of diameters of 12 human cerebral arteries were performed during 10 craniotomies under moderate changes in mean blood pressure and end tidal CO2. The mean change in blood pressure was 30 +/- 16 mm Hg (standard deviation) and that of end tidal CO2 was 14 +/- 6 mm Hg (standard deviation). These changes were induced with nitroprusside, phenylephrine, and adjustment of ventilator rate. Measurements were made through the operating microscope focused at the highest power, with meticulous attention to constant angle and distance from the artery. The mean diameter change in the large cerebral arteries (carotid, middle cerebral artery, vertebral artery) was less than 4%, but the smaller arteries (anterior cerebral artery, M2 segment of middle cerebral artery) showed diameter changes as large as 29% and 21% to end tidal CO2 and blood pressure changes, respectively. These data suggest that at the time of craniotomy, diameters of the large cerebral vessels do not significantly change during moderate variations in blood pressure and CO2, but that larger changes may occur in smaller vessels. This constancy of diameter suggests that the transcranial Doppler velocities obtained during intraoperative monitoring of craniotomies may closely reflect blood flow through the insonated artery.

Aneurysm, Ruptured↗

PubMed1990

Independence and status--two different work methods.

This paper describes a study to establish whether there were hidden benefits from the changes occurring in nursing work methods. Of particular interest were the feelings of independence and status of qualified nursing staff operating within two discrete work environments, namely a) primary nursing, b) task allocation nursing. A nine item questionnaire with Likert scale was used as the measure. It was hypothesised that those nurses working with primary nursing would 1) feel more independence and, 2) have a higher sense of status than their counterparts in the traditional task-centred environment.

Female↗

PubMed1989

Education: key areas of change needed in nursing.

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Curriculum↗

PubMed1989

Ward leadership styles.

The purpose of this study was to devise a leadership style scale based in the authoritarian/democratic concept of leadership and to test it with a group of nurses. The working hypothesis was that nurses, working by primary nursing methods, would have a more democratic attitude to leadership than those nurses working in a traditional task allocation system. Recent papers such as that of Henry & Tuxill (1) plead for the caring professions to take on board the concept of the 'person'. Not only is the traditional model of nursing care seen as bad for the patient; it is seen also as harmful to the nurses. Fretwell (2) describes the task system as essentially an industrial model rather than a professional one which tends to satisfy the needs of the doctor rather than the patient or nurse. Kinston (3) describes nursing decision-making and work as Level I work (tradesmen). Current models of care that individualize the nurse's response to work and decision-making become Level II type (professional). Primary nursing fulfils the need for professionalizing nursing and meeting the need for more independence as well as respecting the patient as a 'person' with the organisation there to facilitate interaction between qualified nurse and patient. Changes in attitude and relationships are essential if work is to change from task to person-centred. Styles of leadership in nurses need to alter as our orientation to care issues change (4).(ABSTRACT TRUNCATED AT 250 WORDS)

Hospital Units↗

PubMed1988

The comparative value of noninvasive testing for diagnosis and surveillance of deep vein thrombosis.

This is a prospective analysis of 351 patients in two distinct groups undergoing ascending phlebography, impedance plethysmography (IPG), and/or phleborheography (PRG) within the same 24-hour period. One hundred twenty patients also had a 125I-fibrinogen uptake test (RFUT). The two patient groups consisted of the following: those patients evaluated because of suspicion of deep vein thrombosis (DVT) (diagnostic) and those patients at high risk for postoperative DVT (total joint replacement) who had routine noninvasive testing and ascending phlebography (surveillance). The overall sensitivities for IPG and PRG were significantly better in the diagnosis group (71% [69 of 97 patients] and 78% [82 of 105], respectively) compared with the surveillance group (20% [14 of 71] and 27% [17 of 63], respectively) (p less than 0.0001). The sensitivities for IPG and PRG detecting proximal (A/K) thrombi was 83% (68 of 82 patients) and 92% (79 of 86) in the diagnosis group compared with 32% (11 of 34) and 33% (9 of 27) in the surveillance group (p less than 0.0001). Although there was no difference in overall incidence of DVT between the diagnosis group (56%, 118 of 212 patients) and the surveillance group (55%, 76 of 139), the results can be explained by the difference in A/K thrombi (84% [99 of 118] and 47% [36 of 76]) (p less than 0.001) and occlusive A/K thrombi (84% [58 of 69] and 23% [7 of 31]) (p less than 0.0001), respectively. Of the patients with A/K thrombi, 97% (67 of 69) in the diagnosis group had hemodynamically detectable thrombi compared with only 48% (12 of 25) in the surveillance group (p less than 0.001). Combining the RFUT with the noninvasive studies for surveillance significantly improved the sensitivity for both A/K and distal thrombi. Patient selection also appears to have a significant influence on the results of the combination of IPG and RFUT when the current surveillance group is compared with similarly performed studies in a previously reported diagnosis group. The location and magnitude of thrombi in any patient population can be skewed depending on indications and timing of testing, thereby significantly affecting the sensitivity of noninvasive tests. IPG and PRG are reliable for evaluating patients with suspected DVT. However, patients with postoperative DVT have a high incidence of nonocclusive thrombi. Because noninvasive hemodynamic tests cannot identify accurately postoperative DVT, they cannot be used to generate epidemiologic data or as end points for studies evaluating efficacy of prophylaxis in patients undergoing total joint replacement, and anatomic studies of the deep venous system continue to be required.

Fibrinogen↗

PubMed1983

Effects of interactions between amphetamine and food deprivation on covariation of muricide, consummatory behaviour and activity.

Four experiments were conducted to study covariation of muricide, consummatory behaviour and general activity under conditions involving interactions between food deprivation and anorexia induced by low doses of d-amphetamine. Two basic experimental designs were used: (a) dosage of amphetamine was varied, with duration of deprivation constant at 22 hr; and (b) deprivation was varied, with a constant amphetamine dose of 1.0 mg/kg body weight. In general, effects of both types of manipulation on eating, drinking, general activity, and muricidal behaviour were consistent with earlier reports of effects when either deprivation or amphetamine-induced anorexia was varied separately. Rank order correlations supported the conclusions that relations between muricide, eating behaviour and general activity were both dose and time dependent. However, there also was evidence that such covariations existed for some, but not all, parameters of these behaviours, eg. differences in the median effective doses of amphetamine; differences in threshold doses; and differences in durations of deprivation required to counteract effects of amphetamine. A dissociation of muricide and eating behaviour was strikingly evident when all satiated animals injected with normal saline engaged in muricidal behaviour and when increasing deprivation had no significant influence on carcass consumption or muricidal behaviour of saline treated subjects. The present results are interpreted as essentially inconsistent with concepts in which covariation of muricide and consummatory behaviour is considered to depend: (a) upon a common set of physiological conditions, or (b) upon one being the antecedent of the other. However, results are consistent with a model in which each behaviour has its own basic physiological condition(s) which may be activated concomitantly.

Aggression↗

PubMed1979