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Biomedical subjects

N Parker

Publications and source records attributed to N Parker.

At least 55 records · Page 3Linked to original sources

Population genetics of coagulant factor IX: frequencies of two DNA polymorphisms in five ethnic groups.

Two frequently used restriction-enzyme polymorphisms (RFLPs) of coagulant F.IX, TaqI and XmnI, have been examined in five ethnic groups: white Americans, black Americans, East Indians, Chinese, and Malays. There is a distinct "cline" in the frequencies of both polymorphisms, from white Americans to Malays. The rarer type 2 alleles of both polymorphisms, in which middle recognition sites are present--and which in our sample reach their highest frequencies in white Americans--are marginally higher in four groups of Europeans previously reported by others. The frequencies of the rarer alleles are significantly higher in Europeans than in black Americans and East Indians, and these alleles are essentially absent in Chinese and Malays. The frequency of heterozygosity diminishes in the same order, being zero in Malays for both polymorphisms. The polymorphisms are in strong linkage disequilibrium, and in all groups the type 1 allele for TaqI is disproportionately accompanied by the type 1 allele for XmnI. The paucity of type 2 alleles and the low rate of heterozygosity in four non-European groups suggest that the polymorphisms will be of little diagnostic value south of Gibraltar and east of Suez. This prediction is confirmed by the observed haplotype frequencies in the black American and the Oriental groups.

Alleles↗

Hereditary whispering dysphonia.

An Australian family group is described where at least twenty members have inherited torsion dystonia and two siblings with an affected mother have similar clinical manifestations, but have also the biochemical and pathological changes found in Wilson's disease. Whispering dysphonia was the commonest presenting symptom, and a diagnosis of hysteria was invariably made if the family history was not known. This group emphasises the enormously varied ways in which torsion dystonia may be manifested in one family, and raises the possibility of a disturbance in copper transport in diseases of the basal ganglia other than Wilson's disease.

Adolescent↗

Clinical evaluation of the rapid carbohydrate degradation microtube method for identification of Neisseria species.

The rapid carbohydrate degradation (Carr Microbiologicals Wichita, Kans.) microtube method is a new test system designed for the identification of Neisseria spp. The system consists of four microtubes containing different carbohydrates in a peptone-Bitone basal medium. This method was evaluated for accuracy and speed in identifying species of Neisseria. Of the 386 clinical isolates used in this study, 98.4% were correctly identified to species level in 4 h with the rapid carbohydrate degradation system; parallel testing of the same isolates with conventional cystine-tryptic agar resulted in 96.1% accuracy in 48 h.

Bacteriological Techniques↗

Mechanical haemolytic anaemia after valve repair operations for non-rheumatic mitral regurgitation.

Two cases are described in which severe mechanical haemolytic anaemia developed shortly after operation for repair of non-rheumatic mitral regurgitation. One patient had a "floppy" valve and the other cleft mitral leaflets, and both had chordal rupture. In both there was residual regurgitation after repair though in one this was initially only trivial. Clinically manifest haemolysis ceased after replacement of the valve by a frame-mounted xenograft. There are two previously reported cases in which haemolytic anaemia followed an unsuccessful mitral valve repair operation. Subclinical haemolysis or mild haemolytic anaemia may occur with unoperated valve lesions, but hitherto frank haemolytic anaemia has been observed only when turbulent blood flow is associated with the presence of a prosthetic valve or patch of prosthetic fabric. In these four cases, however, polyester or Teflon sutures were the only foreign material, and it is suggested that when these are used for the repair of leaflets, particularly in non-rheumatic mitral valve disease, they may increase the damaging effect of turbulence on circulating red blood cells.

Aged↗

Personality change following accidents. The report of a double murder.

A monozygotic twin assaulted his wife and daughter, killing both in an extremely brutal manner. Three years previously he had been like his co-twin today: a dutiful husband and father, an extremely hard-working and successful farmer, and a devout Christian known throughout the district for his gentle and considerate manner. His life changed following two frightening accidents after which he developed severe anxiety symptoms necessitating in-patient psychiatry treatment. This highlights the importance of psychological effects from an accident in producing marked personality change.

Accidents, Traffic↗

Psychosomatics of accidents.

Psychological factors play an important role in the cause of accidents, while personality traits and emotional reactions influence the individual's adaptation to injury and residual disability. Psychosomatic disturbances are one of the consequences of an unsuccessful resolution of this process and an account is give of its many facets with special reference to Papua new Guinea.

Accidents↗

Malingering: a dangerous diagnosis.

Karl Kast, a migrant with a bad back, was examined by four Brisbane orthopaedic surgeons who all independently agreed that there was no physical basis for his complaint. After brooding over this for months, he resolved to kill these doctors and shot three (killing two) before taking his own life. This tragedy and its background are summarized, and a second instance is recorded where a surgeon could have been killed by another accident litigant. There is more to emotional disturbance after injury than a mere quest for compensation. Doctors who hold this simple belief may be at risk if they do not carefully handle the rare cases of severe and dangerous mental illness which masquerade as malingering.

Australia↗

Murderers: a personal series.

One hundred people who were accused either of murder (70 persons) or of attempted murder (30 persons) in Queensland were personally examined by the writer. The methods, motives, and ways of prevention of homicide are discussed. A considerable preportion of murderers in this series were either mentally ill or severely emotionally disturbed at the time the crime was committed, and at least one in 10 of these murders could have been prevented. It is recommended that the treatment and assessment of potentially violent psychotic patients should be undertaken more carefully, and that the antipsychiatrist campaigns for the freedom of the individual should be tempered with a consideration for public safety.

Aggression↗

Accident litigants with neurotic symptoms.

Experience gained from an examination of 750 consecutive accident litigants leads to the conclusion that the aetiology of neurotic symptoms after accidents is so complex that diagnostic labels implying single causation give a false and oversimplified picture. Terms such as "compensation neurosis", "traumatic neurosis", "Mediterranean back", "postconcussion syndrome" and many others illustrate preconceived ideas of causation which are in most cases not warranted, and it is recommended that this group of patients be considered under the general label of sufferers from "accident neurosis". The many symptoms which occur are discussed, and it is found that they present in such endless variety, and in varying severity from mild to completely disabling; they do not cluster in any consistent way to justify the delineating of discrete syndromes which are artificial and misleading; their existence confuses rather than clarifies our understanding of these unfortunate people.

Accidents↗

Malingering.

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Accidents, Traffic↗