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Biomedical subjects

M Hayward

Publications and source records attributed to M Hayward.

At least 73 records · Page 4Linked to original sources
PubMedDate not supplied

Event-related potential (ERP) correlates of performance of intelligence tests.

Any relationship between measures of cognitive function and brain electrical activity would be of considerable importance in the objective assessment of patients suspected of intellectual impairment. In healthy subjects, we have found a strong correlation between the event-related potentials evoked by a digit probe identification task and scores on intelligence tests (WAIS). Responses from subjects with higher performance on IQ tests are significantly 'more negative' than those from subjects with lower IQ. The characteristics of these IQ-dependent electrophysiological features suggest that they may be related to the subject's ability to focus on a task.

Adult↗
PubMedDate not supplied

Wave form variations in auditory event-related potentials evoked by a memory-scanning task and their relationship with tests of intellectual function.

The inter-subject wave form variability of auditory event-related potentials (ERPs) evoked by digit probe identification in a memory-scanning task (Sternberg paradigm) and the effects of reaction time (RT) and task difficulty were studied in 26 healthy subjects. The response wave forms were compared with the performance of psychological tests of intelligence and memory. ERPs to 1-digit sets consisted of a sequence of waves identified as P100, N170, P250, N290, P400, P560 and N640. The major inter-subject difference in the response wave form was either the presence or absence of the late parietal positive wave P560. This wave occurred significantly more often in responses associated with larger memory sets and slow RT, suggesting that its presence reflects subjective difficulty in performing a task. With increasing set size, the P400 showed variable effects in different subjects, ranging from relative preservation of amplitude, through attenuation, to replacement or overlap by a broad surface-negative wave. This predominantly 'negative-going' effect of increasing task difficulty on the P400 was significantly correlated with scores of psychological tests; the greater the amplitude difference between the responses to easy and more difficult tasks, the better the scores, suggesting that these wave form changes reflect a more effective cognitive processing mechanism.

Acoustic Stimulation↗
PubMedDate not supplied

The virtual mole clinic: preliminary results from the Plymouth skin cancer screening study using telemedicine.

This study evaluated a skin cancer screening service between primary and secondary care in Plymouth using a store and forward telemedicine system. The primary objective was to minimize the time from a patient presenting to a GP with a suspicious lesion to the lesion being assessed and diagnosed by a plastic surgeon. This study retrospectively assessed the practical, technical and operational aspects of incorporating telemedicine into everyday practice and patient satisfaction. Both the GP practice and plastic surgeons were equipped with the appropriate technology for creating, transmitting and accessing an electronic telemedicine record (ETR) via an ISDN 2 line. Patients with suspicious lesions accessed the GP via Mole Check Clinics. The GP captured and transmitted an ETR consisting of digital images and relevant clinical data. In a virtual mole clinic, the plastic surgeon accessed and reviewed the ETR. The expert opinion was entered directly into the ETR and transmitted to the GP within 48 hours. All patients were offered a face-to-face consultation at a real mole clinic within 7 days. Outcomes demonstrated patient and clinician satisfaction and the ability to deliver high quality diagnostic images and resulting expert opinion. This study informed a larger study for future applications of telemedicine.

Humans↗
PubMedDate not supplied

Investigation of muscle imbalance in the leg in symptomatic forefoot pes cavus: a multidisciplinary study.

The cross-sectional areas of the peroneal and anterior muscle compartments at the same level in the upper leg were measured using magnetic resonance imaging in 41 cases of forefoot pes cavus. The pes cavus group included idiopathic cases and pes cavus associated with Charcot-Marie-Tooth disease, Friedreich's ataxia, cerebral palsy, status postpoliomyelitis, nerve trauma, and spinal cord tethering. Thirty-nine of these cases were symptomatic. The results were compared with studies of 11 normal controls. It was found that in the majority of cases of forefoot cavus, the peroneal compartment was enlarged relative to the anterior compartment when compared with the normal controls. Biopsies of the tibialis anterior and peroneus longus muscles in 18 patients with forefoot pes cavus showed that any relative expansion of the peroneus longus was not due to pseudohypertrophy. Overaction of the peroneus longus in comparison to its antagonist the tibialis anterior is proposed as an important factor in the pathogenesis of the majority of symptomatic cases of forefoot pes cavus.

Adolescent↗
PubMedDate not supplied

Cardiopulmonary resuscitation: are practitioners being realistic?

Cardiopulmonary resuscitation (CPR) is now established medical practice for all in-hospital cardiac arrests except where a specific 'do not resuscitate' (DNR) order is in place. This article explores many of the ethical and moral issues surrounding CPR and the use of DNR orders. It examines the success rate of in-hospital CPR and raises the question of what constitutes outcome success by illustrating that at best only 15% of resuscitated patients survive to hospital discharge. The article proposes that both patients and healthcare professionals grossly overestimate the success of CPR and suggests that many elderly patients might choose not to be resuscitated if they were allowed to make an informed choice. It concludes by suggesting that further work needs to be undertaken with regard to early assessment of all in-hospital patients, combined with realistic and frank communication between healthcare professionals and patients if futile, undignified and costly deaths are to be avoided.

Aged↗
PubMedDate not supplied

School for scandal.

Explore the source record for details and available documents.

Education, Nursing↗
PubMedDate not supplied

Women's sexual health care: bringing down the barriers.

This paper follows the course of a health promotion project aimed at encouraging sexually active women to carry and use barrier contraceptives to maintain positive sexual health. It was carried out by four nursing students on a night diploma course at the University of Portsmouth. Having established a need and target group, an academic course project was transformed into a local community health project, thus crossing the space between education and the service sector.

Adolescent↗