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Biomedical subjects

J L Morris

Publications and source records attributed to J L Morris.

At least 127 records · Page 7Linked to original sources

Intraventricular extension of a ruptured basilar artery aneurysm.

Penetration of the floor of the third ventricle by a saccular basilar bifurcation aneurysm accounted for a primary intraventricular hemorrhage in a 75-year-old women. This unusual relationship between the aneurysm and the third ventricle was clearly demonstrated by a computed tomographic (CT) scan only after the interface between the aneurysm and the ventricle was projected in a plane parallel to the ventricular floor. The CT scan interpretation was corroborated by an autopsy study. The principle of varying the plane of projection in order to obtain optimum delineation of the relationships of an aneurysm is well established in angiography, but has not previously been reported in the study of aneurysms by CT scan.

Aged↗

The radiology of external carotid-internal carotid anastomosis.

Surgical anastomosis between branches of the external and internal carotid arteries may be beneficial in selected cases of transient ischaemic attacks and reversible ischaemic neurological deficit. It is the responsibility of the radiologist, at the time of initial angiographic evaluation, to recognise patients who might benefit from this procedure. Postoperatively, angiography is valuable in assessing the surgical results. This report describes the investigations necessary for the adequate evaluation of these patients in both the pre- and post-operative state.

Carotid Artery, External↗

Localization of intracranial lesions from CT scans.

Accurate localization of intracranial lesions from data derived from CT scans is necessary in the planning of surgery or radiotherapy. Several methods have been described previously. This report describes a simple method for localization which has many advantages over other methods without loss of accuracy.

Brain Diseases↗

Renal vascular anatomy of the toad (Bufo marinus).

The renal vasculature of the toad, Bufo marinus, was studied mainly by means of scanning electron microscopy of vascular corrosion casts. All arterial branches terminated in a glomerulus. Each glomerulus was supplied by only one afferent arteriole. No shunts between afferent and efferent arterioles were observed. The glomerular channels appeared to be permanent capillaries. No evidence supporting the theory of freely shifting glomerular blood channels was found. Efferent arterioles radiated out towards the dorsal surface of the kidney where they connected with peritubular vessels. The renal portal veins produced an anastomosing plexus on the dorsal surface of the kidney, giving rise to the peritubular vessels. Peritubular vessels ran radially toward the ventral surface of the kidney, where they formed the roots of the renal veins. Attention is drawn to the possibility of hairpin countercurrent exchange between the capillary-like efferent arterioles and the peritubular vessels in the dorsal kidney.

Animals↗

Behavioral contracting in a burn care facility: a strategy for patient participation.

Behavioral contracting is a valuable tool for resolving persistent behavioral problems interfering with the treatment and recovery of severely burned patients. Coercive bidding of the patients for more control occurs in an environment where they experience extreme forms of loss of control and associated enforced regression. The ensuing conflicts between patient and staff often lead to breakdown in mutual cooperation, with deleterious effects on patient-staff morale. Staff experience highly ambivalent feelings toward a problem patient and may wish to withdraw from him, feeling threatened in their image of themselves as competent professionals. Beyond reducing disruptive conflicts on the ward, behavioral contracting aims to mobilize patient and staff around common and explicit goals, and to maximize patient cooperation and productive control in the recovery process. Contracts are valuable because: 1) they facilitate productive communication about issues which underlie patient-staff conflict; 2) they facilitate solutions to problem interactions between patients and staff; 3) they afford both patients and staff a sense or self-control. We provide a rationale for behavioral contracting and discuss the indications for initiating contracts with hospitalized burn patients, and describe methods for developing, implementing, and managing behavioral contracts in order to improve communication and effectiveness in patient-staff interactions.

Adolescent↗

Cardio-respiratory changes during pneumoencephalography.

Carbon-respiratory changes associated with changes in posture and injection of intrathecal oxygen were studied in fifeen patients undergoing pneumoencephalography in a Phillips isocentric chair, while breathing spontaneously and anaesthetised with halothane in oxygen. Haemodynamic changes associated with changes in posture were of a minor nature. A rise in PaCO2 occurred in the prone position in two obese patients. There were significant rises in blood pressure following injection of more than 5 ml of oxygen as a bolus into the subarachnoid space.

Adult↗

Cerebral angiotomography.

This study was undertaken with two main objectives: (a) to ascertain in the practicability of two simple types of apparatus and (b) to evaluate the clinical situations in which the procedure was most likely to be helpful. Aneurysms, arteriovenous malformations, vascular diseases, tumors, including pituitary tumors, and head injuries were studied. The technique was found to be most useful in aneurysms, arteriovenous malformations and pituitary tumors.

Arteriovenous Malformations↗

Motor innervation of the toad iris (Bufo marinus).

The sphincter pupillae muscle cells in the iris of Bufo marinus contract autonomously in response to bright light, causing a rapid constriction of the pupil. A strong sympathetic beta-adrenergic inhibition of the sphincter pupillae is apparent in this species. The inhibitory fibers can originate in the second, third, or fourth ventral spinal roots. No strong, consistent excitatory innervation of the toad iris was detected, even by transmural stimulation of the isolated iris. Pupilloconstriction occasionally resulted from stimulation of the 3rd or 5th cranial nerves, but the effect was small (10-20% of the magnitude of the light response) and inconsistent. It therefore appears that the toad must regulate pupillary diameter by balancing myogenic contraction, in direct response to light, against neurogenic (sympathetic) relaxation of the sphincter pupillae.

Adrenergic Fibers↗