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Biomedical subjects

M Reynolds

Publications and source records attributed to M Reynolds.

At least 127 records · Page 7Linked to original sources
PubMed1981

The only solution.

Explore the source record for details and available documents.

Accident Prevention↗
PubMed1979

CPK-MB isoenzume determinations in blunt chest trauma.

To identify the most sensitive screening test for cardiac contusions, a series of 35 patients with blunt chest trauma was evaluated with serial electrocardiograms (ECGs)- creatine phosphokinase isoenzymes, and serum enzymes (serum glutamic-oxaloacetic transaminase, lactic dehydrogenase, and creatine phosphokinase). Twenty of the 35 patients had diagnoses of cardiac contusions by ECG. Three with contusions developed complications. Although isoenzyme elevation was present in most patients sustaining blunt chest trauma, no complications of the injury were seen in patients with elevated enzymes and normal ECGs. The ease of obtaining ECGs and their reliability in identifying patients who will have complications make it the best screening procedure for the diagnosis of cardiac contusions.

Adolescent↗
PubMed1979

The evaluation of tiodonium chloride as an antiplaque and anticaries agent. II. In vitro antimicrobial activity and in vivo anticaries activity in animals.

The efficacy of tiodonium chloride as an antimicrobial, antiplaque, and anticaries agent was examined. It proved to be an effective antibacterial agent and reduced in vitro plaque formation at concentrations below its bacteriostatic level. It reduced caries in rats when used in the food at 600 microgram/gm but was not effective as a mouthrinse at up to 0.3%.

Animals↗
PubMed1978

No news is bad news: patients' views about communication in hospital.

One hundred patients on four general surgical wards in a large teaching hospital were interviewed about the information they had received about their illness and what they had been told about the investigations they had undergone. Fifty-five of them expressed some dissatisfaction and 14 were strongly dissatisfied. The way in which ward rounds were conducted was heavily criticised, but most patients did not object to the teaching of medical students at the bedside. Twenty-four patients would have liked more explanation about why investigations were performed, and 38 though that they had not been told enough about the results of their investigations. This lack of information led to anxiety and fear. The findings suggest that more effort is needed to improve communication between doctors and patients.

Attitude↗
PubMed1976

Tracheo-innominate artery erosion: Successful surgical management of a devastating complication.

Successful management of a patient with tracheo-innominate artery erosion requires the rapid institution of specific resuscitative and operative measures. Ten patients seen at the Charity Hospital of Louisiana in New Orleans and 127 documented cases from the world literature were analyzed regarding predisposing factors, diagnostic features, resuscitative measures and operative treatment. Diagnoses associated with abnormal neck positioning were seen in 48% of patients with tracheo-innominate erosions. In 69% of 96 instances, the site of erosion was located at the cannula end and implicates excessive anterior pressure. Caution is recommended in those patients with abnormal neck positions, low placed tracheostomy stomas and individuals with asthenic habitus. Resuscitative measures were highly successful when the tracheal ballon was inflated or when the method of retrosternal finger pressure was used. All personnel providing care for patients with tracheostomies should be aware of the initial measure of ballon inflation. Operative measures which permanently interrupted the innominate artery in the area of possible future erosion were the most successful. Of the 22 cases in which the innominate artery was sacrificed, only one had evidence of cerebral ischemia. Timely institution of proper measures can result in salvage of an unexpected number of these otherwise dramatic fatalities.

Adolescent↗
PubMed1975

Hepatitis-associated-antigen-positive hepatitis in a tuberculosis unit.

An outbreak of hepatitis-associated-antigen-(HB Ag)-positive hepatitis in a hospital unit for the care of male patients with pulmonary tuberculosis is described. Sixty-four patients were studied of whom 37 were HB Ag positive. Hepatitis developed in at least 20 and was icteric in 11. The illness was mild, without fatality due to hepatitis and persistent jaundice did not occur. A carrier state developed in 15 of 24 HB Ag-positive patients followed up for more than six months and was unrelated to the presence or absence of initial hepatitis. Spread of HB Ag to domestic and medical staff occurred and following the discharge of the patients, household contacts became positive. Five, all wives of patients, developed jaundice. Faeces and sputum were HB Ag negative in seropositive cases. The origin of the outbreak remains undetected. The probability of non-parenteral transmission of HB Ag in this outbreak is discussed. Closure of the unit, isolation of HB Ag-positive cases with separate toilet and kitchen facilities, and discharge of patients when their respiratory condition allowed, resulted in prevention of further spread and eventually all patients were discharged from the unit.

Adolescent↗
PubMed1974

Linoleate and fatty-acid patterns of serum lipids in multiple sclerosis and other diseases.

The linoleic acid content of serum lipids was measured in 47 patients with multiple sclerosis, 29 patients with other neurological diseases, 35 patients with acute non-neurological illnesses, and 49 healthy control subjects. Reduced linoleic acid content of serum lipids was not specific to multiple sclerosis and occurred in all ill patients with acute non-neurological illness. The fatty-acid pattern of serum lipids in illness resembles that of essential fatty-acid deficiency. It seems that this pattern of reduced linoleic acid content with increased oleic, palmitic, and palmitoleic acid content may be a general phenomenon in ill patients.

Acute Disease↗
PubMed1972

Electrolytes and water in the brain and cerebrospinal fluid of the foetal sheep and guinea-pig.

1. Samples of cisternal cerebrospinal fluid (c.s.f.) and blood plasma have been obtained nearly simultaneously from foetal sheep of different ages, the foetus having been exteriorized and maintained in a normal state with respect to its blood gases and arterial pH. The brains were removed from these foetuses and also from foetal guinea-pigs after exsanguination.2. A comprehensive study has been made of the concentrations of water, chloride, sodium, potassium, calcium and magnesium in blood plasma, c.s.f. and brain from foetal sheep and in brain from foetal guinea-pigs during development in utero. Maternal arterial blood plasma, cisternal c.s.f. and brain from the sheep and brain from the guinea-pig have been analysed for comparison.3. Concentrations of the ions analysed in foetal blood plasma are similar to those found by others in the sheep and other species. In the case of calcium, the results suggest an active maintenance of the concentration of this ion in foetal plasma by the placenta.4. The chloride concentration in c.s.f. at ages between 65 days and term (147 days) averaged 1.19 times that in foetal plasma, but only 1.08 at 45-50 days; the sodium concentration in c.s.f. was also slightly reduced at this time. The increase in the c.s.f./plasma ratios for chloride and sodium appears to coincide with the first development of the blood-brain and blood-c.s.f. barriers to non-electrolytes.5. Magnesium was at a slightly higher concentration in c.s.f. than in plasma at all foetal ages and did not vary with age. The concentrations of potassium and calcium in c.s.f. were high at early ages and fell to reach adult concentrations after birth: the mechanisms determining the concentrations of the various ions in c.s.f. develop at very different, largely independent, rates.6. The water content of the cerebral hemispheres of the foetal sheep was stable at 90% of the wet weight till 105 days and fell thereafter. The contents of chloride, sodium and potassium followed paraboloid relations with age. Chloride and sodium reached a peak of 62 and 81 m-equiv/kg respectively between 89 and 105 days in the sheep. Potassium was at a minimum of 65 m-equiv/kg at the same time. The content of water and these electrolytes in the cerebral hemispheres of the foetal guinea-pig underwent similar changes, the maxima and minimum occurring as in the sheep at two-thirds of the total length of the pregnancy, namely 65 days in the guinea-pig. At 46 days in the guinea-pig, chloride in brain reached 53 m-equiv/kg, sodium was 68 m-equiv/kg and potassium was 75 m-equiv/kg. In contrast to the sheep, no reversal of the sodium-potassium ratio occurred. These changes in water and electrolytes probably represent a rise, a peak and a decrease in the volume of the extracellular space of cerebral cortex, but changes in the volume occupied by a cell-type, containing much intracellular chloride and sodium, could also contribute to this phenomenon.7. The calcium content in the cerebral hemispheres of the foetal sheep remained at about 3.0 m-equiv/kg throughout pregnancy. Magnesium in the cerebral hemispheres of both the foetal sheep and the guinea-pig showed a trough in concentration during pregnancy which corresponded approximately in position to the minimum in potassium content and the maxima in chloride and sodium contents. Lowest values were 9.6 m-equiv/kg at 105 days in the sheep and 9.5 m-equiv/kg at 51 days in the guinea-pig.

Animals↗