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Biomedical subjects

P Fleming

Publications and source records attributed to P Fleming.

At least 73 records · Page 4Linked to original sources
PubMed1995

Dental caries experience of children in remission from acute lymphoblastic leukaemia in relation to the duration of treatment and the period of time in remission.

The dental condition of 54 children aged 3-19 years who were in remission from acute lymphoblastic leukaemia was examined in relation to the duration of their chemotherapy and their period of time in remission. There were no significant differences in the number of early ('white spot') lesions or in the total dental caries experience in relation to the duration of chemotherapy. Children who were longest in remission had significantly more white spot lesions in permanent teeth but not in primary teeth, and there was no significant difference in dental caries experience. Children who had received nystatin treatment for more than a year had significantly more white spot lesions in permanent teeth than those who had received nystatin for shorter periods.

Administration, Oral↗
PubMed1994

A method for filtering respiratory oscillations.

We present a method based on dynamical systems theory which can be used to filter time series in a way which is superior to classical Fourier decomposition. This method is applied to three data-sets, taken from respiratory measurements of two children in quiet and REM sleep. Our purpose is to filter the several different oscillatory mechanisms which operate, in order to provide clearer signals on which further analysis and diagnosis can be based.

Humans↗
PubMed1994

Physicians' expectations for quality nutrition expertise and service in prenatal care.

OBJECTIVES: To identify physicians' needs and expectations related to quality nutrition services in prenatal care; to rank service characteristics by importance in making nutrition referral decisions; and to identify nutrition services physicians would likely add to their practice. DESIGN: We used a market research survey based on the quality service management model. SETTING: We selected prenatal care as the setting because diet plays an important role in the health of the mother and the infant; specific recommendations exist for physicians to provide for nutrition assessment and counseling during pregnancy; and dietitians are not uniformly represented and used in obstetrics practices. SUBJECTS: The survey population consisted of all members of a state obstetrics and gynecology society (N = 352). A return rate of 37% was achieved. ANALYSIS: Data were analyzed using descriptive statistics and qualitative analytic methods. RESULTS: Responses from 130 physicians revealed an expectation that dietitians working in prenatal care must have expertise in prenatal nutrition and skillfully work with patients to achieve compliance with individualized care plans. To be judged excellent, physicians indicated that nutrition care would have to produce desired outcomes in patients. Good communication, documentation, and availability of the dietitian were also important. Financial issues were not of great concern to the respondents. APPLICATION: The findings from this study help pinpoint opportunities for dietitians to develop and strengthen relationships with physician-customers for the provision of quality nutrition service in prenatal care. Important characteristics of quality nutrition service include timely and effective counseling followed by conscientious documentation and feedback to physician.

Adult↗
PubMed1994

Early cystometrograms can predict the response to intravesical instillation of oxybutynin chloride in myelomeningocele patients.

Recent reported experiences with intravesical medications in neurogenic bladder patients prompted us to evaluate this form of therapy in 28 myelomeningocele patients who could not tolerate oral anticholinergic agents or did not have adequate control on these agents. A pretreatment cystometrogram was performed followed by intravesical administration of oxybutynin chloride, with a repeat cystometrogram 3 hours later. Patients then began twice daily intravesical oxybutynin for a minimum of 4 months. The mean bladder capacity increased by 41%, the mean intravesical pressure decreased by 47% and compliance improved. Five patients achieved continence and 62% had less wetting while on intravesical therapy. The immediate posttreatment cystometrogram was predictive of the response to intravesical therapy on followup studies. Unfortunately, patient compliance was poor, with only 13 of the 28 patients remaining on therapy for the duration of the study.

Administration, Intravesical↗
PubMed1994

Localized prepubertal periodontitis in a 5-year-old child: investigations and clinical observations over a 3-year period.

A 5-year-old boy presented with persistent generalized gingival inflammation. Clinical and radiographic examination supplemented by immunological and microbiological investigation led to a diagnosis of localized prepubertal periodontitis. The child was subsequently monitored for 3 years and despite treatment there was continued bone loss related to his primary teeth. This case highlights the need for liaison between specialists in paediatric dentistry, periodontology, immunology and microbiology in order to diagnose prepubertal periodontitis and to establish a rational basis for treatment to prevent progression to juvenile periodontitis.

Aggressive Periodontitis↗
PubMed1994

Ectopic eruption of transposed mandibular permanent lateral incisors beneath primary first molars. Case report.

Mandibular permanent lateral incisors showing bilateral transposition and ectopic eruption were seen beneath primary first molars on bitewing radiographs in a female aged 9 years. This report chronicles management of the case during the mixed dentition period. Appropriate space maintenance after extraction of mandibular primary first molars, cuspids and lateral incisors on both sides facilitated eruption and repositioning of the permanent lateral incisors without the need to sever supracrestal gingival fibres.

Child↗
PubMed1993

Study of the dental health of children in remission from acute lymphoblastic leukaemia in Northern Ireland.

The dental health of 54 children in remission from acute lymphoblastic leukaemia was compared with a similar number of matched healthy control subjects. Frequency of dental attendance was similar in both groups but most children in remission from leukaemia attended a hospital dentist, whereas children in the control group visited a dentist in general practice or in the public health service. Children in remission from leukaemia used fluoride supplements significantly more frequently than their controls. There was no difference in plaque or gingivitis scores between groups. Children in remission from leukaemia had a significantly lower number of decayed primary teeth (d) than their matched controls but there were no significant differences between study and control groups of m, f or dmft values. There was a significantly greater number of extracted teeth (M) and a significantly greater overall decay experience (DMFT) in the permanent dentition of children in remission from leukaemia compared to their controls. There were no significant differences between study and control groups for D or F values. The mean number of sealed teeth per patient was significantly higher in the study than in the control group.

Adolescent↗
PubMed1993

Urban-nonurban distribution of HIV infection in childbearing women in the United States.

Women account for an increasing proportion of AIDS cases in the United States, and the number reported from small cities and rural areas is growing. To better describe the geographic characteristics of the human immunodeficiency virus (HIV) epidemic in women, we analyzed data for more than 1.6 million newborn specimens tested for maternal antibody to HIV-1 in 35 states in 1989. To provide comparable geographic units for analysis, seroprevalence rates were calculated for state-designated health districts, which are groups of counties defined for the planning and delivery of health services. Health districts with > or = 75% of the population residing in urban areas as defined by the 1990 census were considered urban. Prevalence of HIV infection ranged from 0 to 12.2 per 1,000, with the highest rates found in urban health districts, primarily those on the East coast; however, high rates were also found in some nonurban districts, particularly in the South. Rates among black women were three to 35 times higher than in white women in nine states, regardless of urbanicity. These findings should be used to focus prevention activities and direct health care planners to urban and rural areas in need of HIV-related services for women.

Adolescent↗
PubMed1993

Cot death. Bereavement care for families.

Our society does not easily acknowledge or cope with death; nor do we allow people to grieve. The death of a baby is particularly distressing and has both short and long-term implications for the families concerned. Community health professionals have a key role in supporting bereaved families. In the first of a two-part series on care of families experiencing a sudden infant death, Alison Stewart and Peter Fleming review the effects of cot death on the family and suggest how health professionals can help families come to terms with their bereavement.

Aftercare↗
PubMed1993

Cot death: follow up support for families with subsequent children.

Sudden infant death is the major cause of post-neonatal mortality in industrialised countries. For parents, the sudden, unexpected and inexplicable death of their baby can be devastating. Long-term support and follow-up care is needed. In the second of two articles Alison Stewart, Peter Fleming and Thelma Howell describe a follow-up support scheme offered to parents in Avon who have experienced a cot death and subsequently go on to have another child or children.

Aftercare↗
PubMed1991

Analysis of an emergency dental service provided at a children's hospital.

An analysis was undertaken of the evening, weekend and public-holiday emergency dental service provided at the Royal Belfast Hospital for Sick Children during one calender year (1987). Dental emergencies accounted for 4% of all attendances during these periods at the Accident & Emergency Department. Toothache, with or without abscess, was the most frequent dental complaint (49%) and abscesses were most frequently associated with primary first molars. Acute trauma was the second most frequent dental complaint (39%) and traumatic injuries were most commonly caused by falls and bicycle accidents. Tooth displacement was was the most common dental injury of primary and permanent teeth. Complaints other than toothache, abscess or traumatic injury accounted for only 12% of dental emergencies.

Abscess↗