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Biomedical subjects

J Ritchie

Publications and source records attributed to J Ritchie.

At least 91 records · Page 5Linked to original sources

"Abnormal" responses of ejection fraction to exercise, in healthy subjects, caused by region-of-interest selection.

We performed serial exercise equilibrium radionuclide angiography in eight normal subjects with each subject executing three tests: control, after nitroglycerin, and after propranolol. The left-ventricular ejection fraction (EF) was calculated by two methods: (a) fixed region-of-interest (FROI) using a single end-diastolic ROI, and (b) variable region-of-interest (VROI) where an end-diastolic and end-systolic region of interest were used. Abnormal maximal EF responses occurred in five of eight subjects during control using FROI but in zero of eight employing VROI (p < 0.05). After nitroglycerin, three of eight subjects had abnormal responses by FROI, but zero of eight were abnormal by VROI (p < 0.05). After propranolol, blunted EF responses occurred in three of seven by both methods. Falsely abnormal EF responses to execrise RNA may occur due to the method of region-of-interest selection in normal subjects with normal or high ejection fractions.

Adult↗

Social characteristics of a sample of solo mothers.

In 1978 a sample of 158 solo mothers was interviewed by third year psychology students under the supervision of the author to obtain data both on their child rearing practices (for comparison with data obtained the year before from a sample of dual parents) and on their social circumstances. These data indicate that in the case of women who had previously been married, most aspects of their life, with the exception of finance, are now improved. Freedom from conflict and greater independence are cited as the advantages of being a solo parent; loneliness and responsibility are the major disadvantages. Parents and friends are the chief sources of support.

Female↗

A dental attachment for medical students.

All final-year medical students at the University of Zimbabwe (formerly Rhodesia) are required to do a week's dental attachment. The course comprises tutorial sessions, practical sessions and clinical demonstrations. The major aim is to equip medical graduates of the Godfrey Huggins School of Medicine with the dental knowledge and expertise required by medical practitioners in Zimbabwe.

Curriculum↗

Oral health of Rhodesia African first year student teachers.

A basic oral health survey was carried out on a random sample of first year African student teachers attending four teachers' colleges in Rhodesia. The number examined and interviewed was 309. Methods and criteria used are those described in the second (1977) edition of the World Health Organization manual Oral health surveys - Basic methods. Prevalences of dental caries were 31.0% for the 142 male students and 59.5% for the 167 female students. The difference is statistically significant (P less than 0.001). Mean DMFTs were 0.74 for men and 2.02 for women. The prevalences of "intense gingivitis" were 52.8% for male students and 34.7% for female students. This difference also is significant (P less than 0.005). The major treatment requirements are for one-surface fillings and prophylaxis with oral hygiene instruction. Dental service utilization is low. Less than 10% of the sample had obtained dental care in the previous 12 months. The main reason for seeking care was pain. Self-assessments of oral health needs were not valid. The stated desire for fillings is greater than for extractions. A need has been demonstrated for dental health education aimed at the prevention of disease and the encouragement, use and demand for quality care services.

Adolescent↗

Pain from distension of the pelvic colon by inflating a balloon in the irritable colon syndrome.

The effects of inflating a balloon introduced through a sigmoidoscope to 35 cm in the pelvic colon have been observed and compared in 67 patients with the irritable colon syndrome and in 16 normal and constipated subjects acting as controls. Inflation to 60 ml caused pain in 6% of the controls at a mean diameter of 3.8 cm and in 55% of patients with the irritable colon syndrome (diameter 3.4 cm). An estimate of gut wall tension at this volume of inflation showed it to be normal in patients with the irritable colon syndrome; the incidence of pain in relation to wall tension was increased nearly tenfold in the irritable colon group. Inflation of the balloon to different volumes was normally painless to a maximum acceptable diameter which remained constant for each study under constant conditions; continued inflation eventually gave rise to pain without increasing the diameter. The pain was felt in the hypogastrium in 40%, in one or both iliac fossae in 31%, and in the rectum in 21%; the other 8% felt pain in the back or elsewhere and there were no significant differences between clinical groups. Exceptionally, in 6% of the controls, and in 52% of patients with the irritable colon syndrome, pain occurred at balloon diameters that could still be increased by 10% or more with further inflation. This was probably the outcome of a low threshold for visceral pain in the section of bowel in contact with the balloon. Colonic hyperalgesia of this kind, possibly a random occurrence, may be an important contributory factor in the aetiology of the irritable colon syndrome.

Anthropometry↗