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Biomedical subjects

J Goodall

Publications and source records attributed to J Goodall.

At least 19 recordsLinked to original sources
PubMed1991

Helping a child to understand her own testicular feminisation.

Children do not think as adults do. They would therefore be less worried than adults are about a diagnosis with serious or ominous implications, yet they are commonly left uninformed until someone judges that they are old enough to understand. For most, this means delivery of painful information during the very vulnerable teenage years. A better approach is to unfold the truth stage by stage, matching simple statements to the child's conceptual growth until the personal implications are finally realised as part of a maturing process. Use of this approach for a child with testicular feminisation is described.

Androgen-Insensitivity Syndrome↗
PubMed1991

Assessment of an immunoturbidimetric method for measuring equine serum haptoglobin concentrations.

Serum haptoglobin was measured by immunoturbidity in Thoroughbreds stabled in three Newmarket yards for nine months. The mean serum haptoglobin value for horses housed in Stable 1 was 1.43 +/- 0.68 g/litre, similar to values in grazing adult ponies. The mean monthly haptoglobin values remained constant. For horses in Stable 2 there was an increase in serum haptoglobin values in June and July whereas, in Stable 3, the increases early in the training season were associated with an increase in serum viral titres. In equine serum, haptoglobin values estimated in g/litre by immunoturbidimetry were twice the haemoglobin binding capacity (HbBC). The correlation coefficient, between the methods, exceeded 0.96. Surgical interference caused a 2- to 3-fold increase in serum haptoglobin, with levels peaking between three and five days post surgery. The concomitant presence of haematomata following surgical interference (castration) resulted in the disappearance of haptoglobin from the circulation. There was no significant increase in serum haptoglobin levels following vaccination of Thoroughbreds against influenza and tetanus. However inhalation of influenza virus by vaccinated and non-vaccinated ponies resulted in a 2- to 3-fold increase in both groups of ponies, peaking seven to 10 days post infection. Serum haptoglobin proved to be a useful indicator of infection/inflammation and haemolytic disease in the horse and could be used to monitor the health status of stabled Thoroughbreds.

Animals↗
PubMed1991

What do parents expect antenatally and do babies teach them?

Antenatal inquiry of 658 parents in the North Staffordshire District Health Authority showed at least 13% to lack knowledge about a baby's potential for personal interaction when under 1 week old. Mothers and fathers varied significantly, independent of parity. Experienced parents expected later smiles. Two hundred and seventy eight of the same families were questioned three to four months after birth. Most parents had observed their baby's early responsiveness. Specific responses (Looking, listening) were noted earlier when anticipated and looked for. Significant among postnatal non-responders was their antenatal selection of predominantly impersonal stimulation for a baby. The greatest degree of warmth noted in postnatal observations correlated notably with a father's antenatal interest and postnatal support from him and their friends, a mother's commitment to breast feeding and her knowledge that a very young baby can see, like faces, and cries for emotional reasons. This highlights areas for antenatal tuition and postnatal encouragement, aiming to enhance warm early mutual regard between parents and child.

Adolescent↗
PubMed1990

Love and loss. Conversations with parents of babies with spinal bifida managed without surgery, 1971-1981.

Looking back over the span of years surveyed, it appears that a sad experience, even many years ago, commonly leaves residual pain. This can be modified by sympathetic support enabling parents and baby to interact, although such interaction is not without painful as well as pleasurable effects. Coming to terms with loss may take longer than was previously thought. This study highlights the need for bereavement care, which aims to leave families with positive rather than negative feelings. Perhaps, for mental health, the eventual feelings about past happenings are more important than the happenings themselves, although we have also shown that a greater insight into the needs of parents at the time modified their long-term feelings for the good, some even indicating that they had been enriched by the whole experience. The interviews suggested that parents who were involved with their baby's care were more able to accept the reality of their loss and to adjust to the experience of pain and grief than was possible for those who had been kept apart from their children. This supports conclusions by other grief counsellors (e.g. Warden 1983).

Adaptation, Psychological↗
PubMed1979

Malnutrition and the family: deprivation in kwashiorkor.

The background to social and emotional deprivation is discussed and applied to a study of kwashiorkor in East African children. A group of 107 children with kwashiorkor was compared with 111 controls. Age, sex and tribe were all found to have significances of their own: fifty of each group were therefore matched for these three factors. Ten other factors were found to be significant in the background of children with kwashiorkor, all of which could be associated with social or emotional deprivation or both (see Table 14). It is concluded that, in childhood, sustained personal care and affection are essential to normal growth.

Adult↗
PubMed1979

A social score for kwashiorkor: explaining the look in the child's eyes.

Following the observation that many children with kwashiorkor had a deprived look in their eyes, the guardians of 107 children with kwashiorkor and 111 controls were interviewed about their home life, in a survey made at New Mulago Hospital, Kampala, between 1969 and 1972. A child's age, sex and tribe were found to have an influence on the nutritional state, therefore 50 of each group were matched for these variables. Ten significant associations were found which distinguished kwashiorkor patients from the control group. Children with kwashiorkor were more likely to be attended by someone other than the mother; to have changed attendants when ill; to have a pregnant mother; and to have separated parents. Further to these, singletons of split partnerships were at special risk; breast-feeding had stopped; weaning was begun for bad reasons; a child was more often living away from the parents and had been sent away coincident with weaning. The fathers tended to be poor. It is suggested that these 10 factors could be used as a social scoring system in assessing the risk of incipient kwashiorkor.

Age Factors↗
PubMed1978

Extramammary Paget's disease.

In a 74-year-old man extramammary Paget's disease of the scrotal and perianal areas masqueraded as tinea cruris and chronic dermatitis for 7 years before it was diagnosed. Topical therapy with 1% 5-fluorouracil cream resulted in clinical improvement but not histologic clearing.

Aged↗
PubMed1977

The recent rise to the alpha-rank in a population of free-living chimpanzees.

The recent rise of a high-ranking adult male chimpanzee to the alpha male position of the Gombe National Park's Kasakela chimpanzee community is reported. The male Figan is the fourth individual to assume this status in the wild chimpanzees' social hierarchy during Goodall's 16 year study in Tanzania. The paper describes the overthrow of the previous top-ranking male, and the manner in which Figan has maintained his new position after the take-over. Emphasis is placed upon his relationship with his elder male sibling, Faben, and the second highest-ranking male in the community, Evered.

Aggression↗
PubMed1977

Competition for meat between chimpanzees and baboons of the Gombe National Park.

Both chimpanzees (Pan troglodytes) and baboons (Papio anubis) at the Gombe National Park in Western Tanzania are know to catch and eat meat. There are five occasions recorded when chimpanzees were seen to seize prey from baboons and five other occasions when there was evidence strongly suggesting that an appropriation had taken place. This paper describes these observations.

Animals↗
PubMed1977

Infant killing and cannibalism in free-living chimpanzees.

Male chimpanzees at the Gombe National Park were twice seen to attack 'stranger' females and seize their infants. One infant was then killed and partially eaten: the other was 'rescued' and carried by three different males. Once several males were found eating a freshly killed 'stranger' infant. A similar event was observed in Uganda by Dr. Suzuki and Dr. Nishida reports an incident from the Mahali Mountains, Tanzania. A different kind of killing occurred at Gombe when a female and her daughter killed and ate three infants of other females of the same community during a 2-year period. There is evidence suggesting that other infants may have died in this way. The paper draws attention to puzzling aspects of infant killing and cannibalism in chimpanzees.

Aggression↗