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Biomedical subjects

G Freeman

Publications and source records attributed to G Freeman.

At least 55 records · Page 3Linked to original sources
PubMed1985

Priority given by doctors to continuity of care.

The attitude of 297 general practitioners in the Wessex region to continuity of care was assessed by postal questionnaire; there were 280 complete replies (94% response). One-third of the doctors were asked to define continuity of care; the remaining two-thirds were asked to rank six priorities of practice organization one of which concerned continuity of care. In addition, all doctors were asked whether they used a personal or combined list. A wide variety of definitions for continuity of care was offered but the majority of doctors (61%) specified care by one doctor. Personal continuity was rated highest by significantly more doctors in large practices (list size of 10 000 or more) than in small practices and doctors in large practices were also more likely to use personal lists.

Attitude to Health↗
PubMed1984

Ocular infection with orf virus.

Orf virus infection of the pericanthal eyelid skin and conjunctiva was diagnosed by electron microscopy. Orf is a paravaccinia virus responsible for contagious pustular dermatitis in sheep and goats. It occasionally affects humans. The patient was a farmwife who had recently handled lambs. She had a raised ulcerating lesion at the inner canthus, follicular conjunctivitis, and lymphadenopathy. Treatment with 35% idoxuridine in dimethylsulfoxide on the skin and 0.5% idoxuridine ointment on the conjunctiva led to resolution after three weeks.

Adult↗
PubMed1984

Exercise induced "Mobitz type II" second degree AV block in a patient with chronic bifascicular block (right bundle branch block and left anterior hemiblock).

A 55 year old healthy man with chronic bifascicular block (right bundle branch block and left anterior hemiblock) had a near syncopal episode. A treadmill test showed exercise induced Mobitz type II AV block manifested clinically by paradoxical slowing of the heart rate and decreased blood pressure. True His Purkinje block and pseudo AV block due to His extrasystoles were documented by an electrophysiological study.

Blood Pressure↗
PubMed1983

Beneficial effects of dopamine combined with intravenous nitroglycerin on hemodynamics in patients with severe left ventricular failure.

Hemodynamic effects of dopamine and intravenous nitroglycerin alone, and in combination, were studied in 27 patients with severe left ventricular failure. Dopamine alone increased cardiac index from 1.8 to 2.5 l/min/m2 but also increased wedge pressure from 24 to 30 mm Hg and heart rate from 88 to 101 beats/min. Arterial oxygen saturation fell from 92% to 87% (p less than .001). Nitroglycerin alone had a lesser effect on cardiac index (1.8 to 2.2 l/min/m2) but decreased wedge pressure from 26 to 16 mm Hg and heart rate from 91 to 86 beats/min. Arterial oxygen saturation fell from 91% to 90% (NS). Combined dopamine and nitroglycerin administration resulted in optimal hemodynamics, with cardiac index of 2.9 l/min/m2, wedge pressure of 17 mm Hg, and heart rate of 96 beats/min. Arterial oxygen saturation remained low at 88% in spite of the reduction in left ventricular filling pressure, which probably reflects increased intrapulmonary right-to-left shunting coupled with increased pulmonary blood flow. These results suggest that the combination of dopamine with intravenous nitroglycerin should be considered for patients with severe left ventricular dysfunction who require temporary pharmacologic support.

Adult↗
PubMed1980

A quantitative study of stenosis in the respiratory bronchiole of the rat in NO2-induced emphysema.

Rats of similar age and size were exposed continuously to nitrogen dioxide (NO2) at a concentration of about 15 ppm in air for 1, 2, 3, and 4 wk and 2, 3, 4, 5, 7, 13, 15, and 17 months. Large increases in lung volume and lesions of the small airways and their epithelium and that of adjacent alveoli developed. The lesions in the terminal bronchioles involved hypersecretion and asggregation of cellular debris and free cells in their lumena. A calibrated grid fitted to an eyepiece was used to measure the diameters of all patent bronchioles at the proximal point of the first alveolar "break" in the respiratory bronchiole. The terminal bronchioles and their short respiratory bronchioles inthe NO2-exposed animals developed stenosis, which increased with time. The maximum change, occurring after 17 months of exposure, was a 45.6% reduction in bronchiolar diameter. Over-all constriction was underestimated because nonpatent sections of bronchioles were excluded The ratio of lung volume to bronchiolar diameter in exposed animals also increased with time as a result of the rising volume and the falling bronchiolar diameter. Probable are discussed.

Animals↗
PubMed1979

Sales of nonprescription cold remedies: a unique method of influenza surveillance.

In 1976, the National Institute of Allergy and Infectious Disease sponsored a nationwide network for influenza surveillance. In this paper, in addition to reporting the surveillance findings in Los Angeles, sales of nonprescription cold remedies in a large supermarket chain were evaluated as an indicator of influenza activity in the community. Twenty-seven isolates of influenza B occurred between February 17 and April 26, 1977. Peak influenza B activity occurred from mid-March to early April, 1977. A 5-10% increase in percent of respiratory and febrile respiratory illness seen in outpatient clinics was observed in late December and January. No variation in these statistics occurred during the peak of influenza activity. In contrast, sales of nonprescription cold remedies were apparently influenced by influenza B activity. Peak sales (345% increase) occurred 4 wk after the first influenza B isolate and 1 wk before peak influenza activity was documented by peak rates of isolation.

Adult↗
PubMed1978

Quantitation of damage to the alveolar epithelium by means of type 2 cell proliferation.

The purpose of this study was to determine whether the amount of alveolar epithelial tissue damaged during exposure of NO2 could be quantified by measuring the proliferative response to Type 2 cells. To accomplishe this, we used tissues from previously published experiments in which rats had been exposed to NO2 and the proliferative response to Type 2 cells had been measured during a 5-day period. The proportion of alveolar epithelium damaged was determined by stereologic examination with electron microscopy of tissue sections from those rats exposed to NO2 for 24 hours. These values were then compared with the total proliferative response to Type 2 cells for the 5 days of exposure. The study demonstrated that increasing tissue damage is assocaited with a greater proliferative response to Type 2 cells. The high degree of correlation (r = 0.93) indicates that the proliferative response of Type 2 cells can be used as an indirect means to quantify acute damage to the alveolar epithelium.

Animals↗
PubMed1978

Limited exposure of rats to H(2)SO(4) with and without O3.

The purpose of this study was to determine the effects of sulfuric acid (H(2)SO(4)) alone and with ozone (O(3)) on rats. To accomplish this, rats were exposed for 8 hours daily to an atmosphere containing either nebulized H(2)SO(4), H(2)SO(4) plus 0.9 ppm O(3), or 0.9 ppm O(3). The atmosphere in the exposure chambers was maintained at a fairly constant temperature and humidity. Nebulized H(2)SO(4) was delivered uniformly to provide a particle size of about 0.3 micron mass median diameter (MMD) and a mass concentration of 2 mg/m(3). In preliminary experiments, animals exposed to 2 mg/m(3) of H(2)SO(4) daily for 82 days showed very slight morphologic injury to the respiratory tract. In contrast, biological effects were readily demonstrable in rats exposed to H(2)SO(4) plus O(3) or to O(3) alone, possibly with some enhancement of effect in animals exposed to the mixture. The effects observed were characteristic of the response to O(3) alone.

Aerosols↗