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Biomedical subjects

J Goodfellow

Publications and source records attributed to J Goodfellow.

65 records · Page 4Linked to original sources
PubMed1976

An unusual case of subluxation of C.3-C.4.

A case is reported of spontaneous subluxation of C.3 on C.4 in a 6-year-old boy due to an upper respiratory infection after surgical treatment for muscular torticollis.

Cervical Vertebrae↗
PubMedDate not supplied

Clinical evaluation of the Philips 5306B electronic blood pressure monitor.

A patient-recorded home blood pressure series using an electronic manometer is used increasingly to provide a representative sample of blood pressure (BP) and to avoid frequent office visits and office rises in BP. Few of the many available electronic manometers have undergone rigorous testing and validation against a standard mercury manometer. We have evaluated fully the commonly used Philips 5306B electronic manometer against a Hawksley random zero mercury manometer employing a randomized, single-blind, crossover design and statistical analyses that have been validated previously. Although correlation coefficients greater than 0.9 were achieved for both systolic and diastolic pressure, the electronic manometer gave systolic and diastolic readings that differed from the mercury manometer by greater than or equal to +/- 5 mmHg in some 33% of patients and by greater than or equal to +/- 1- mmHg in some 18% of patients. Thus, in common with most electronic manometers, the Philips 5306B needs to be improved to correlate more closely with the standard mercury manometer to enhance its clinical usefulness.

Blood Pressure↗
PubMedDate not supplied

Measuring outcomes in care of the elderly.

This observational study was designed to assess whether routine measurement of outcomes using standard instruments is possible as part of clinical routine in care of the elderly, and to establish if such instruments are responsive to clinical change. Indices of functional status, cognitive function and subjective health status were collected routinely on admission and discharge in 540 inpatients and 340 patients attending a day hospital. Data collection became integrated into clinical routine. Response rates were generally good and yielded acceptably complete data. For inpatients, outcome was reflected by measurement of survival, physical function (Barthel index) and social status, each of these indicators showing significant change between admission and discharge. For day hospital patients, neither these, nor the Nottingham ADL scale, nor a health status indicator proved sufficiently responsive to clinical change to merit recommendation as outcome indicators for routine use in older patients. In ambulatory care in older patients, such as those attending a day hospital, new approaches are needed to measure clinical outcomes.

Activities of Daily Living↗
PubMedDate not supplied

Resurfacing of femoral head after osteotomy: a report of three cases.

Three cases of osteotomy for osteoarthritis of the hip which demonstrate the ability of cartilage to resurface previously eburnated areas are presented. These cases support the claim that cartilage regeneration of the femoral head after osteotomy does take place. Histologically, this new surface consists of fibrocartilage.

Aged↗
PubMedDate not supplied

Natural history of anterior knee pain: a 14- to 20-year follow-up of nonoperative management.

We describe a consecutive series of girls with idiopathic anterior knee pain in adolescence and who were treated nonoperatively. At a mean follow-up of 16 years, 22% had no pain, 71% thought that their symptoms were better than at presentation, 88% used analgesics rarely or not at all, and 90% continued to participate regularly in sports. Nevertheless, about one in four of the patients continued to have significant symptoms for < or = 20 years after presentation. No features were identified that predicted those patients in whom symptoms would persist. We conclude that surgical treatment of idiopathic anterior knee pain in adolescents is not justified until a procedure has been shown to provide a better outcome than that reported here or until a way has been found to distinguish the few patients who will not get better spontaneously from the majority who will.

Adolescent↗