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Biomedical subjects

M H Lewis

Publications and source records attributed to M H Lewis.

At least 181 records · Page 10Linked to original sources
PubMed1981

Ultradian rhythms in stereotyped and self-injurious behavior.

Institutionalized profoundly mentally retarded persons who exhibited stereotyped motor movements, including self-injurious behavior, were observed continuously in their typical environments for periods of 8 to 14 hours on each of several days. In addition to targeting stereotyped responses, we collected data pertaining to activities, settings, other behavioral states, and social interactions. Spectral and cross-spectral analyses were conducted on data from each daily session. Power spectra indicated a marked ultradian or less than 24-hour rhythm for each subject on each day. Spectral density estimates were thought to reflect the influence of rhythmic changes in the institutional environment and, to a less degree, the influence of an endogenous rest--activity rhythm.

Adolescent↗
PubMed1980

A computer-based scintigraphic method for sizing acute inferior myocardial infarcts.

A modeling procedure, employing multiple 99mTc-PYP myocardial scintigrams, was applied to acute inferoposterior myocardial infarcts in 12 dogs. Four modeling schemes were developed, and the model volume predictions were correlated with morphometrically determined infarct masses. Correlation values ranged from r = 0.66 (p less than 0.02) to r = 0.80 (p less than 0.005), suggesting that the method may enable noninvasive quantitative sizing of acute inferoposterior myocardial infarcts.

Animals↗
PubMed1979

N-Acetyl-beta-D-glucosaminidase activity in normal and chronic lymphocytic leukaemic lymphocytes.

N-Acetyl-beta-D-glucosaminidase (EC 3.2.1.30) activity was measured fluorimetrically in: (a) lymphocytes from 20 normal donors, (b) enriched B and T lymphocyte populations prepared by E rosette sedimentation from 8 normal subjects, (c) lymphocytes from 15 untreated B cell chronic lymphocytic leukaemic patients. The pH profiles and optima (4.7) were similar in all preparations. Normal B lymphocytes had higher activity than normal T lymphocytes and both these preparations and normal unfractionated lymphocytes had significantly higher activity than chronic lymphocytic leukaemic lymphocytes. The apparent Michaelis constants were similar in normal unfractionated, B enriched and T enriched lymphocytes, whereas a reduced affinity for the enzyme was observed in the leukaemic lymphocytes. The difference in enzyme content between normal and chronic lymphocytic leukaemic lymphocytes cannot therefore be explained on the basis of a high B cell percentage in patients with chronic lymphocytic leukaemia.

Acetylglucosaminidase↗
PubMed1979

Ultrasonography and tumor-associated antigens. The concept of combining noninvasive tests in the screening for pancreatic cancer.

A total of 134 patients suspected of having pancreatic cancer were given preoperative ultrasonic examinations. A total of 54 cases had a final diagnosis of pancreatic cancer histologically confirmed. The diagnostic sensitivity and specificity of the ultrasonographies were 76% and 91% or 87% and 74%, depending on whether doubtful results were called abnormal or normal. "Doubtful" results were defined as those that stated that pancreatic cancer was "possible" or "could not be excluded." When these results were divided into abnormal and normal groups on the basis of the patients' preoperative serum carcinoembryonic antigen and pancreatic oncofetal antigen levels, the sensitivity and specificity of the combined tests may prove to be a more accurate means of screening patients for pancreatic cancer than ultrasonography alone.

Adenocarcinoma↗
PubMed1979

Pre-operative intravenous feeding--a controlled trial.

Seventy-four patients with a pre-operative diagnosis of stomach or oesophageal cancer were entered into a randomized, controlled clinical trial to assess the value of a short course of pre-operative intravenous nutrition. The effectiveness of this treatment was assessed by the clinical course and monitored by means of immune and biochemical profiles. Pre-operative parenteral nutrition given over a 7-10-day period resulted in a significant reduction in the incidence of postoperative wound infections. Clinical benefit was confined to those patients who had a low serum albumin on admission to hospital. It is doubtful whether this limited benefit justifies the routine use of intravenous feeding, with its attendant hazards, in the pre-operative preparation of patients with upper gastrointestinal cancer.

Aged↗
PubMed1979

Non-operative differentiation between pancreatic cancer and chronic pancreatitis.

Eighty-five of 186 patients investigated for suspected pancreatic cancer had an unequivocal final diagnosis of either pancreatic cancer (58 patients) or chronic pancreatitis (27 patients). They had been studied prospectively using ultrasonography, computerized tomography, radionuclide scanning, endoscopic retrograde cholangiopancreatography (ERCP), selective celiac and superior mesenteric angiography, duodenal drainage studies, cytologic studies, serum carcinoembryonic antigen assay, and pancreatic oncofetal antigen assay, The results were compared to determine which test would most frequently and reliably differentiate between pancreatic cancer and pancreatitis in a patient believed to have one or other disease. Criteria for interpreting results, first for highest rate of correct diagnoses, and second for highest accuracy were derived. Applying these criteria, ultrasonography achieved the highest rate of correct diagnoses (97% of patients diagnosed with 84% accuracy). ERCP, duodenal drainage studies, and cytology were the most accurate tests ((86% accuracy each test) but, with this accuracy, ERCP most frequently gave a diagnosis (diagnosis rate: ERCP--70%, duodenal drainage--32%, cytology--35%). The results suggest that ultrasonography is the best noninvasive test, and that a combination of ERCP, pancreatic juice assay and cytology in a single procedure may prove to be the best discriminating investigation.

Adult↗
PubMed1979

Surgical treatment of pancreatic cancer.

The problems encountered in the surgical treatment of pancreatic cancer are outlined on the basis of a review of the literature published in the last 15 years and the authors' experience with 157 patients over the period 1970 to 1977. The overwhelming evidence favors resection as opposed to any palliative procedure. Although the number of patients eligible for 5-year follow-up is small, the data suggest that total pancreatectomy with regional lymphadenectomy may be the most appropriate operation.

Biopsy, Needle↗
PubMed1977

Acute folate deficiency associated with intravenous nutrition with aminoacid-sorbitol-ethanol: prophylaxis with intravenous folic acid.

Preoperative folate levels were initially normal in 30 patients with gastrointestinal tract disease but fell within 48 h by 60-95% in 20 patients who received intravenous nutrition for 6-12 d with aminoacid-sorbitol-ethanol (ASE). This depression persisted in patients not given folate supplements. Folate levels in 10 control patients not given ASE showed only minimal decline. Haematological changes were reduced to a minimum in 10 patients given 0.5 mg i.v. folic acid daily whilst eight unsupplemented patients showed evidence of megaloblastic haemopoiesis. Three of these eight patients developed thrombocytopenia and/or leukopenia which was fatal in one patient.

Aged↗
PubMed1975

Authoritarianism and All in the Family.

A questionnaire survey of a random sample of the adult population of Portland, Maine (N = 233) was used to determine (a) any relationship between authoritarianism and viewing the television program All in the Family, and (b) viewers' perceptions of the major character, Archie Bunker. No relationship was found to exist between authoritarianism and viewing. Archer Bunker was found to be a likable loser. Viewers generally disagreed with him and found him dissimilar to themselves. High authoritarians judged him slightly more positively on all dimensions than did low authoritarians. Recent speculation as to the popularity and effects of the show were discussed in terms of the data.

Adult↗