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Biomedical subjects

P L Judd

Publications and source records attributed to P L Judd.

10 recordsLinked to original sources

Wheelchair-mounted integrated control systems for multiply handicapped people.

Integrated control systems allow disabled people access to multiple functions from a single input device (for example a set of switches). Multiply handicapped users are thereby able to switch efficiently between wheelchair control, communication, computer access and control of their environment, without third-party help. Integrated systems have been developed for multiply handicapped children and adults in the Barnsley area. The design philosophy has concentrated upon utilizing, wherever possible, commercially available assistance devices and remotely controlling these via logic-based integrated control systems tailored to the needs and abilities of the individual client. This approach presents few problems as the inputs to commercially available devices are often based on simple switch control. The systems already supplied have proved, after an initial training period, to be easy to operate and have led to a considerable improvement in quality of life for the users. Computer-based, wheelchair-mounted integrated systems are now being developed. A prototype system currently emulates the logic-based controllers described above, employing the screen to display information on the current status of the system. Future development will move toward a more flexible system which will be able to read a variety of input signals and control a large number of outputs. The system will also have the facility to utilize software-based communications, keyboard emulation and environmental control packages as well as business and education software. Such a system could be easily set up, via software, for use by any disabled person.

Biomedical Engineering

Melanotic neuroectodermal tumor of infancy.

The case of a 2-month-old male infant treated for melanotic neuroectodermal tumor of infancy is presented to demonstrate the importance of early treatment in the containment of the growth of such lesions. Although the lesion itself is rare, the posterior maxillary location and involvement of the optic nerve in this patient's lesion made his case even less typical of those commonly documented in the literature. Complete surgical excision of the lesion was not possible in this patient because of the gross mutilation it would have caused. There was no evidence of the tumor recurring in 18 months of follow-up examinations. These results support the current theories regarding the debulking effect in conjunction with bodily defenses on residual tumor cells and the effect of the removal of stimulatory cells on invading peripheral cells. This case points out the importance of an early and rapid investigation of a mass that initially occurs on the alveolar ridge of an infant.

Humans

Composite resin short-post technique for primary anterior teeth.

A technique using a "mushroom shaped" composite resin short post constructed inside the pulp-treated root canal provides sufficient retention to build a composite resin crown on the reinforced superstructure of the remaining crown dentin. This technique was tested for 1 year in 92 teeth; they showed no failures of retention of the short post. Recurrent caries and severe bruxism--factors beyond operator control--posed some problems that were readily resolved.

Child, Preschool

Development of a multidisciplinary feeding profile for children who are dependent feeders.

The multidisciplinary feeding profile (MFP) is the first statistically based protocol for the quantitative assessment of feeding disorders in severely disabled children. This assessment can be completed in 30-45 min with foods and facilities that are available in homes, hospitals, and chronic care units. This paper describes the state of current testing methods, the parameters of successful feeding activity, the development of the test protocol, and the results of statistical analyses.

Adolescent

The multidisciplinary feeding profile: a statistically based protocol for assessment of dependent feeders.

The development of the multidisciplinary feeding profile entailed a level of statistical analyses not commonly utilized in test development. This paper describes the statistical analyses and offers an explanation of why specific statistical tests were chosen. It also serves to identify where clinical knowledge and experience overrode specific statistical tests.

Persons with Disabilities

Feeding disorders research and teams: a new challenge for dentistry.

Feeding disorders, which include masticatory and cerebral disabilities, present a major problem for disabled persons, but only in the last decade have health professionals shown an increased interest in the diagnosis and management of patients with such problems. Dentists are experts in the diagnosis and treatment of disorders of the oral-facial region, yet they have either worked in intradisciplinary isolation or have not demonstrated their interest in patients with feeding disorders. Consequently, those involved in the assessment and treatment of persons with feeding disorders are not aware of the contributions dentists have made to the basic and clinical data base of feeding assessment and therapy. Dentistry is simply not mentioned in rehabilitation. The opportunity now exists for dentistry to inform others of our expertise in the field from both a research and a clinical perspective. The basic and clinical base of dental therapeutics and its role in the diagnosis and treatment of disorders of the masticatory apparatus and of swallowing are reviewed here. It is hoped that this review will stimulate interest among dentists to take part in the rehabilitation of patients with feeding disorders through the use of the extensive data base within the profession.

Deglutition Disorders