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Biomedical subjects

H Talbot

Publications and source records attributed to H Talbot.

11 recordsLinked to original sources
PubMed2004

Evaluation of a local anaesthesia regimen following mastectomy.

Breast surgery can be emotionally distressing and physically painful. Acute pain following surgery is often related mainly to the axillary surgery and is aggravated by arm and shoulder movement. We conducted a prospective double-blind, randomised, placebo-controlled trial to determine the influence of local anaesthetic irrigation of axillary wound drains on postoperative pain during the first 24 h following a modified Patey mastectomy (mastectomy with complete axillary node clearance). The treatment group received bupivacaine irrigation through the axillary wound drain 4-hourly for 24 h postoperatively. Controls received irrigation with normal saline. Morphine via a patient controlled analgesia pump was used for postoperative analgesia. Morphine consumption, visual analogue and verbal rating pain scores were recorded. There were no statistical differences in morphine requirements or pain scores between the two groups, nor were there differences in anti-emetic or supplemental analgesic consumption. Bupivacaine irrigation used in this manner does not appear to offer an effective contribution to postoperative analgesia.

Adult↗
PubMed2000

Image analysis of insulation mineral fibres.

We present two methods for measuring the diameter and length of man-made vitreous fibres based on the automated image analysis of scanning electron microscopy images. The fibres we want to measure are used in materials such as glass wool, which in turn are used for thermal and acoustic insulation. The measurement of the diameters and lengths of these fibres is used by the glass wool industry for quality control purposes. To obtain reliable quality estimators, the measurement of several hundred images is necessary. These measurements are usually obtained manually by operators. Manual measurements, although reliable when performed by skilled operators, are slow due to the need for the operators to rest often to retain their ability to spot faint fibres on noisy backgrounds. Moreover, the task of measuring thousands of fibres every day, even with the help of semi-automated image analysis systems, is dull and repetitive. The need for an automated procedure which could replace manual measurements is quite real. For each of the two methods that we propose to accomplish this task, we present the sample preparation, the microscope setting and the image analysis algorithms used for the segmentation of the fibres and for their measurement. We also show how a statistical analysis of the results can alleviate most measurement biases, and how we can estimate the true distribution of fibre lengths by diameter class by measuring only the lengths of the fibres visible in the field of view.

Journal Article↗
PubMed1995

Proportions of eggs laid by Aedes aegypti on different substrates within an ovitrap in Trinidad, West Indies.

Ovitraps were exposed outdoors during wet and dry seasons in Trinidad to determine the proportions of eggs laid on three substrates: the widely-used hardboard 'paddle' (P), the water surface (W) and the inside surface of the ovitrap wall (S) in three types of blackened ovitrap: round, glass (RG), round, plastic (RP) and rectangular, plastic (SP). Of the 3556 eggs obtained, most (86.4%) were laid during the wet season when statistically significant differences were detected between substrates but not between ovitrap types. Most eggs (> 80%) were laid on P, significantly fewer (P < 0.005) on W, on S and on W + S, thus confirming the superiority of the paddle as a device for monitoring oviposition activity. Implications of these findings for the interpretation of Aedes studies using ovitraps are discussed.

Aedes↗
PubMed1994

Factors affecting urine EIA sensitivity in the detection of Chlamydia trachomatis in men.

OBJECTIVE: This study examined the effects of four variables on the detection of Chlamydia trachomatis in urine from men by enzyme immunoassay (EIA). These variables were: symptoms and signs of urethritis, urine polymorphonuclear leucocytes (PMN), inclusion counts from urethral chlamydia cell cultures and the time between testing and last voiding. METHODS: Included were patients with and without symptoms and/or signs of urethritis attending the Edmonton Sexually Transmitted Disease Clinic. Men were asked to submit a 20 ml volume urine sample. Urethral swabs were collected for gram stain, chlamydia and gonorrhea culture. RESULTS: A total of 318 men were evaluated of whom 47 had chlamydia. Excluding six men who were coinfected with gonorrhoea, sensitivities and specificities of the Microtrak, Chlamydiazyme and IDEIA systems were 78.1% and 99.6%, 75.6% and 100%, and 80.5% and 97.8% respectively. Last void time did not affect the sensitivity. However, sensitivity was best when applied to men with severe evidence of urethritis. CONCLUSION: There is evidence that urine EIA could be used to detect chlamydia in men with acute urethritis but not in those without signs of urethritis.

Chlamydia Infections↗
PubMed1993

Minocycline compared with doxycycline in the treatment of nongonococcal urethritis and mucopurulent cervicitis.

OBJECTIVE: To compare the efficacy and tolerability of minocycline versus doxycycline in the treatment of nongonococcal urethritis and mucopurulent cervicitis. DESIGN: Randomized, double-blind trial. SETTING: Sexually transmitted disease clinics. PATIENTS: 151 men and 102 women with nongonococcal urethritis, mucopurulent cervicitis or whose sexual partner had either condition or a positive culture for Chlamydia trachomatis. INTERVENTIONS: Minocycline, 100 mg nightly, or doxycycline, 100 mg twice daily, each administered for 7 days. MEASUREMENTS: At each visit (days 14 +/- 3, 28 +/- 5, and 49 +/- 7) patients were questioned regarding symptoms, signs, drug compliance, and sexual contact. Cultures for C. trachomatis, Ureaplasma urealyticum, and Mycoplasma hominis were obtained at each visit. RESULTS: 253 patients were enrolled (133, doxycycline; 120, minocycline). Chlamydia trachomatis was initially isolated from 31% of men and 39% of women. Men with a positive smear had a higher symptom/sign score (P < 0.001) and were more likely to have chlamydia (P = 0.004). Positive endocervical smears were not associated with symptoms or signs (P > 0.2) but correlated with isolation of chlamydia (P < 0.001). One hundred sixty-two patients (64%) completed the study. The proportion with urethritis or cervicitis did not differ by treatment group at any follow-up visit (P > 0.08). Unprotected sexual contact did not affect clinical or microbiological cure rates. Adverse effects occurred more frequently in the doxycycline group (men: 43% versus 26%; P = 0.05; women: 62% versus 35%; P = 0.009). Although the proportion with dizziness did not differ by drug administered (P = 0.1), dizziness was reported more often by women (11% versus 3%). CONCLUSIONS: Minocycline, 100 mg nightly, was as effective as doxycycline, 100 mg twice daily, each given for 7 days in the treatment of nongonococcal urethritis and mucopurulent cervicitis. Vomiting and gastrointestinal upset occurred more frequently in the doxycycline group.

Adolescent↗
PubMed1986

A dynamic model for studying flow of water in single trees.

Flow of water in a single tree was modeled in terms of the Darcy equation using a catena of four compartments: root, stem (further divided into discs), branches and leaves. Within each compartment or disc, water content was related to both water potential and conductivity of the xylem tissue using power or logarithmic functions, thus introducing both capacitance and variable resistance to flow in the model. Transpiration from the leaves to the atmosphere was used as the upper boundary to the model, and the soil-root interface as the lower boundary. Parameters for the water content, water potential and conductivity functions, together with physical dimensions were obtained by direct measurement or from the literature. A sensitivity analysis showed that the largest changes in simulated water potential and flow were associated with changes in the parameters directly controlling conductivity. Simulation of both smoothed diurnal changes and stepwise changes showed a phase lag down the tree, with flow tending to approach a steady state, but with changes in the gradients of water potential, water content and conductivity. A preliminary test of the model was made against field data using the Penman-Monteith equation to estimate the transpiration rate in a well-watered Pinus contorta Dougl. stand. Stem flow, water potential and water content were measured directly on a representative tree, which was subsequently harvested to provide dimensions and laboratory estimations of the parameters in the functions by direct measurement.

Journal Article↗
PubMed1986

Edinburgh breast education campaign on breast cancer and breast self-examination: was it worth while?

A health education campaign was carried out at the start of a large trial of screening for breast cancer in Edinburgh. After preliminary studies the campaign concentrated on talks to small groups of women by specially trained health visitors. Over a year, 12,000 women attended. Systematic evaluation after 12 months showed that selected women who heard the talks were more knowledgeable about breast cancer, and a random sample of women in Edinburgh had a small but significant improvement in knowledge compared with women in Aberdeen. However, the random sample did not report an increase in the practice of breast self-examination (BSE) and there was no increase in workload for general practitioners. It is suggested that BSE is more likely to be accepted if combined with a physical examination.

Adult↗
PubMedDate not supplied

Orbital retractors.

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Humans↗