Biomedical subjects
Publications and source records attributed to R Webster.
To improve the quality of palliative care, we recommend the establishment, in larger hospitals, of regionalized units with medical directors. The current concept that the acute hospital is not appropriate for the admission of the terminally ill is rejected as is the need for the establishment of further free-standing hospices.
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Rosemary Webster describes an initiative taken in Mersey Region to ensure all nurses understand the importance of standard setting. The initiative, prompted by a number of factors, saw the establishment of a steering group whose Statement of Purpose outlined a framework for standard setting in each district. As a result, nurses are now playing a leading role in this increasingly important aspect of health care.
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In accordance with the Soviet-American collaboration program on influenza and ARD, cooperative field studies were undertaken in 1975 in the USSR in order to test the field and laboratory methods for studies on influenza virus ecology. In the Rostov region of the USSR, virological and serological examinations of 321 birds of 25 species were carried out. Virological tests were performed with 678 biological specimens and in various serological tests 308 blood serum specimesn from wild birds were examined. Examinations of specimens of washings and organs of birds revealed no hemagglutinating agents. The paper presents the results of studies of avian blood serum specimens in the HI test, neuraminidase activity inhibition test and the immunodiffusion test.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Passages of the A/seal/Massachusetts/1/80 strain in different biological systems (chick embryos, mice, chickens, organ cultures of human embryo trachea) yielded variants differing from the original virus both in their biological and antigenic properties. The M20 variant selected in passages of the seal virus in mouse lungs differed from the latter only in biological but not antigenic properties. The OC20 and C20 variants produced by passages of the seal virus in organ cultures and chicken lungs differed from the original virus only antigenically. The antigenic properties were examined by the HI test using monoclonal antibodies to the A/seal/Massachusetts/1/80 strain. In addition, the HI test with the selected variants and individual clones of the seal virus as well as recombinants produced with this virus revealed variability of the epitope of hemagglutinin reacting with monoclone 71/4. Because mice, chickens and chick embryos had no specific antibodies to the A/seal/Massachusetts/1/80 strain, a conclusion is drawn on the possibility of antigenic variability of influenza A virus in nonimmune hosts.
Recombination of a human influenza virus with an avian influenza virus produced a H2Nav2 recombinant with the antigenic properties analogous to those of avian influenza virus (H2Nav2) isolated from wild ducks in the Far East, USSR. Recombination of two avian influenza viruses yielded a recombinant H2N2, an antigenic analogues of influenza A/Singapore/1/57 (H2N2) virus which had started an epidemic of influenza in 1957.
An 18-month-old boy presented with a six-month history of irritation OD. Examination under anesthesia found a 7 mm cyst involving the inferior aspect of the iris OD. There was elevated intraocular pressure, marked injection of the episclera and conjunctiva, and shallowing of the anterior chamber. The cyst was excised. Microscopic examination detected compression of the iris stroma that was caused by an intrastromal cyst lined with nonkeratinizing epithelium forming two layers. Most cystic lesions of the iris that arise during the neonatal period result from separation of the epithelial layers of the iris. In this case, in the absence of trauma, the cyst appeared to have resulted from a developmental inclusion of conjunctival epithelium into the iris stroma.
It is not the purpose of this article to list the stethoscopic findings in various diseases, nor to discuss such conditions in detail, all of which may be found in any good text book of medicine. Rather, an attempt will be made to assess the significance of the stethoscope, with its limitations, in clinical diagnosis. Does it in fact now have a role of any importance, or is it merely carried as the doctor's traditional badge of office?
The incidence of heart disease in the Asian population in the UK is high and mortality from coronary heart disease for both Asian men and women is also higher than for non-Asians. The need to provide more information on cardiac rehabilitation programmes is highlighted. Cultural factors influence how Asian people perceive the heart, health and health care practices. A number of methodological issues are pertinent to conducting research involving ethnic groups, namely inter vs intra group differences, victim blaming, sampling, measurement, language issues and researcher effect. The aim of the study is to design, refine and validate a number of tools for use with Asian people in relation to cardiac rehabilitation. Preliminary and tentative conclusions suggest that cardiac rehabilitation services need a higher profile within the Asian community and that established approaches to data collection may need to be challenged if accurate and relevant feedback is to be achieved.