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Biomedical subjects

J M Powell

Publications and source records attributed to J M Powell.

36 records · Page 2Linked to original sources
PubMed1986

Decreased circumcision rate with videotaped counseling.

Despite the lack of medical indication for routine circumcision in the newborn, neonatal circumcision continues to be done on the vast majority of male infants in the United States. A trial of videotaped "informed consent" counseling was undertaken to determine whether such counseling could affect the parental choice about circumcision. We studied the circumcision frequency rate (CFR) after videotape counseling. We compared it to the rates following standard oral counseling. Videotaped counseling, in contrast to the standard physician-parent oral counseling, significantly reduced the incidence of parents' requests for routine neonatal circumcision.

Circumcision, Male↗
PubMed1985

Bacterial and viral pathogens causing fever in infants less than 3 months old.

We studied 182 sick, febrile (temperature greater than 38 degrees C) infants less than 3 months of age, who presented at our Tripler Army Medical Center, Honolulu, during a one-year period, to determine the relative causes of fever in this age group. Blood, cerebrospinal fluid, urine, nasopharyngeal secretions, and stool specimens were cultured for bacterial and viral pathogens. Paired acute and convalescent sera were collected to serologically confirm infection in infants from whom viral isolations were obtained only from the nasopharynx or stool. A viral pathogen was isolated in 75 infants (41%) and a bacterial pathogen was isolated in 27 infants (15%). Nonpolio enteroviruses were the most common pathogens demonstrated. They were isolated from 64 infants (35%), and 40 (62%) of these infants had aseptic meningitis, the most frequently made diagnosis. Urinary tract infection was the most common bacterial infection observed. It occurred in 20 infants (11%) and was most often seen without associated pyuria in uncircumcised male infants. Salmonellosis, the second most common bacterial infection, was observed in six infants (3%), and two of these did not have diarrhea or other gastrointestinal tract symptoms. No infant had septicemia and only one infant had bacterial (group B streptococcal) meningitis.

Bacterial Infections↗
PubMed1984

Schizophrenic patients and their families. A survey in a psychiatric service based on a DGH unit.

We identified the population of schizophrenic patients under 65 in a geographically defined area. The number using psychiatric services based on a new District General Hospital unit in the course of one year was 364, a prevalence of 2.2 per 1000 adult population. Half the patients lived in supportive private households, most often with spouses or mothers. More women than men married and retained supporters. Patients and their primary supporters were interviewed separately. The PSE Catego programme classed 47 per cent of patients as psychotic. Supporters reported disturbed behavior in 65 per cent of patients, and restricted social performance in 78 per cent. There was evidence of hardship (emotional and physical ill-health, problems with children) in 90 per cent of households. Supporters' subjective distress was directly related to the presence of psychosis and disturbed behaviour and inversely related to the duration of the illness. Drop-out and failure to take medication appeared to be causes of the relatively high prevalence of psychosis.

Adolescent↗
PubMed1983

Septic arthritis caused by Kingella kingae.

Kingella kingae is a slow-growing, fastidious gram-negative coccobacillus that is a normal inhabitant of the oropharynx of man, but it has rarely been implicated as a human pathogen. Two cases of septic arthritis caused by this organism are reported along with a review of seven previously reported cases of infections caused by this organism. Bone and joint infections predominate. Gram's-stained smears of pus from bone or joint fluid aspirate have been negative for organisms, and a delay of growth in cultures with initial difficulty in classification of the isolate is characteristic. Kingella kingae organisms have been uniformly sensitive to the penicillins and all other commonly used antibiotics that were tested. Response to treatment was good in all nine patients found to have infections caused by this organism.

Anti-Bacterial Agents↗
PubMed1979

Fit of porcelain fused-to-metal crown and bridge castings.

The dimensional accuracy of porcelain fused to metal crown and bridge castings was determined on truncated cone-shaped steel dies. Ni-Cr castings produced in manufacturers' laboratories were consistently undersize, while precious metal castings were consistently oversize. Ni-Cr castings, produced in NBS laboratories using a modified investing technique, were routinely oversize.

Chromium↗
PubMedDate not supplied

In vitro wear response of composite resin, amalgam, and enamel.

A two-body, wear-testing method was developed and the test results were used for comparing and ranking the rate of wear for an amalgam, an experimental composite resin, and a commercial composite resin. The ranking of wear found by this method was the same as that shown by clinical research for the rate of wear of amalgam and commercial composite resin.

Composite Resins↗
PubMedDate not supplied

Management practice effects on phosphorus losses in runoff in corn production systems.

Phosphorus losses in runoff from cropland can contribute to nonpoint-source pollution of surface waters. Management practices in corn (Zea mays L.) production systems may influence P losses. Field experiments with treatments including differing soil test P levels, tillage and manure application combinations, and manure and biosolids application histories were used to assess these management practice effects on P losses. Runoff from simulated rainfall (76 mm h(-1)) was collected from 0.83-m2 areas for 1 h after rainfall initiation and analyzed for dissolved reactive P (DRP), bioavailable P, total P (TP), and sediment. In no-till corn, both DRP concentration and load increased as Bray P1 soil test (STP) increased from 8 to 62 mg kg(-1). A 5-yr history of manure or biosolids application greatly increased STP and DRP concentrations in runoff. The 5-yr manure treatment had higher DRP concentration but lower DRP load than the 5-yr biosolids treatment, probably due to residue accumulation and lower runoff in the manure treatment. Studies of tillage and manure application effects on P losses showed that tillage to incorporate manure generally lowered runoff DRP concentration but increased TP concentration and loads due to increased sediment loss. Management practices have a major influence on P losses in runoff in corn production systems that may overshadow the effects of STP alone. Results from this work, showing that some practices may have opposite effects on DRP vs. TP losses, emphasize the need to design management recommendations to minimize losses of those P forms with the greatest pollution potential.

Agriculture↗
PubMedDate not supplied

Comparison of estimates of first-year dairy manure nitrogen availability or recovery using nitrogen-15 and other techniques.

Measurements of dairy manure nutrient availability to crops typically show great variability. Approaches that are more accurate are needed to improve manure management and reduce nutrient loss to the environment. In this study, we compared direct (15N recovery) and indirect (difference method [Diff Meth] and fertilizer equivalence [FE] approach) methods of determining first-year dairy manure N availability or recovery during three cropping seasons. A field experiment was conducted on a Plano silt loam (fine-silty, mixed, superactive, mesic Typic Argiudolls) planted to corn (Zea mays L.). Plots received either manure, fertilizer N, or no N. Microplots receiving 15N-labeled manure were also established each study year. Manure was applied to a new plot each cropping season. Whole-plant N uptake was the best crop parameter to use for FE estimates. Estimates of N availability by relative effectiveness (Rel Eff), which are derived from the Diff Meth, and FE were similar (32 and 41%, respectively) and higher than unlabeled N or 15N recovery measurements because these indices factor in N use efficiency. Measures of the Rel Eff of manure N use were highly affected by control plot N uptake. The FE approach is less influenced by control plots, but it requires the inclusion of several more treatments and use of mathematical functions to describe crop response to N. These limitations are reflected in the wide ranges obtained for N availability estimates (-60 to 148%). Although apparent N recovery by the Diff Meth (14%) or direct measurements of 15N recovery (16%) were close on average, variability tended to be much lower for the 15N method. In addition, the Diff Meth was highly dependent on initial soil conditions. Use of 15N-labeled manure, although more costly and time-consuming, provided more consistent and reliable results.

Biological Availability↗