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Biomedical subjects

R Woods

Publications and source records attributed to R Woods.

At least 55 records · Page 3Linked to original sources
PubMed1996

Brain metabolism patterns are sensitive to attentional effort associated with a tone recognition task.

Using positron emission tomography with the tracer 18-fluoro-D-deoxyglucose, we assessed regional cerebral glucose utilization patterns (rCMRglu) associated with three performance levels in a forced choice, tone recognition task. Four normal subjects responded with one hand when they heard a high-frequency tone (1500 Hz), and with the other hand when they recognized a low-frequency tone (750 Hz). The EASY (EAS) condition accuracy average was 96%, the INTERMEDIATE level accuracy averaged 89%, and the DIFFICULT (DIF) recognition task accuracy average was 77%. Statistical parametric mapping (SPM94) analysis revealed that the DIF minus EAS contrast is associated with a marked metabolic elevation in the right middle and inferior temporal gyri and the gyrus fusiformis. The EAS minus DIF contrast revealed greater rCMRglu in the right medial geniculate body. Enhanced activity in right temporal lobe structures may reflect a role in auditory memory and "image" visualization. The medial geniculate enhancement may reflect tone frequency assessment.

Adult↗
PubMed1996

Use of the respiratory stimulant doxapram in southern elephant seals (Mirounga leonina).

The use of doxapram to stimulate breathing was examined in southern elephant seals chemically restrained with ketamine and xylazine. Animals which were breathing spontaneously received doxapram (approximately 0.5, 1, 2, or 4 mg/kg) or saline into the extradural intravertebral vein. Doxapram caused a dose-dependent increase in the depth and rate of respiration which began within one minute, peaked after two minutes and lasted for up to five minutes. A dose of 2 mg/kg appeared to be safe and effective for the stimulation of respiration, while 4 mg/kg caused arousal and shaking. Doxapram (2 mg/kg) was tested on 14 occasions in animals which had developed apnoea during chemical restraint. Doxapram had no effect when administered into the extradural intravertebral vein and appeared to be of more benefit when administered directly into the lungs via an endotracheal tube, but it was not effective in all cases. There was evidence to suggest that the endotracheal tube prevented some of the animals from breathing. The effect of intubation and endotracheal doxapram administration was therefore examined in 19 apnoeic and 31 spontaneously breathing seals. Intubation induced apnoea in animals at low levels of chemical restraint and endotracheal doxapram was unreliable for the stimulation of breathing.

Animals↗
PubMed1996

Brain activation induced by estimation of duration: a PET study.

Duration information about a visual stimulus requires processing as do other visual features such as size or intensity. Using positron emission tomography, iterative H215O infusions, and statistical parametric mapping, we investigated the neural correlates of time processing. Nine normal subjects underwent six serial rCBF. Three tasks were studied: (a) A temporal generalization task (D task) in which the subjects had to judge (by pressing one of two keys) whether the duration of the illumination of a green LED was equal to or different from that of a previously presented standard; (b) An intensity generalization task (I task) in which the judgment concerned the intensity of the LED; and (c) A control task (C task) in which the subjects had to press one of the two keys at random in response to LED illumination. A significant increase in rCBF during the D task, compared to that during the C task, was observed in right prefontal cortex, right inferior parietal lobule, anterior cingulate cortex, vermis, and a region corresponding to the left fusiform gyrus. A significant increase in rCBF during the I task, compared to that during the C task, was observed in right prefontal cortex, right inferior parietal lobule, right extrastriate cortex, anterior cingulate cortex, left inferior parietal lobule, vermis, and two symmetrical regions corresponding to the fusiform gyri. No significant activation was observed in the D task when compared to that in the I task. We propose that these cortical maps are best explained by the recruitment of visual attention and memory structures, which play a major role in prospective time judgements as indicated by behavioral studies. The data also suggest that the temporal dimension of a visual stimulus is processed in the same areas as other visual attributes.

Adult↗
PubMed1996

Chemical restraint of southern elephant seals (Mirounga Leonina); use of medetomidine, ketamine and atipamezole and comparison with other cyclohexamine-based combinations.

A study was conducted to assess the effectiveness of the alpha-2 agonist medetomidine for sedation of pre-moulting, mature female southern elephant seals (Mirounga leonina). Two animals were sedated with a single intramuscular dose of medetomidine (0.013 and 0.027 mg kg-1). A further two groups of five animals received medetomidine (0.017 mg kg-1) combined with ketamine (1.90 mg kg-1) and, 20 min later, either saline or the alpha-2 antagonist atipamezole (0.04 mg kg-1) intravenously. Medetomidine alone did not give sufficient restraint to permit intravenous access. The response appeared to be similar to previous findings with ketamine and xylazine. Administration of atipamezole had little effect upon the level and timecourse of restraint. Ketamine and medetomidine seem to offer few advantages over ketamine and xylazine or other cyclohexamine-drug combinations for routine chemical restraint of southern elephant seals.

Anesthetics, Dissociative↗
PubMed1996

Physician, heal thyself: the health and mortality of Victorian doctors.

Since the work of Dr William Ogle in 1886 the health and mortality of members of the Victorian medical profession has been a relatively neglected subject. 'Physicians, surgeons and general practitioners' represents probably the only occupation whose mortality experience--both in terms of age and cause of death--may be traced continuously since the 1860s. Ogle's work, together with that based on the Registrar General's Decennial Supplements, shows how vulnerable especially young doctors were to high mortality risks. Their use in conjunction with data compiled by the Friendly Societies also suggests that before the twentieth century members of the medical profession may have experienced substantial periods of work-preventing illness which would certainly have affected their ability to make a satisfactory living. It is also clear that among members of the medical profession there were substantial variations in life chances; that Fellows of the Royal colleges fared far better than their less well-placed colleagues, but that among Fellows the surgeons and physicians shared similar experiences.

History, 19th Century↗
PubMed1996

Anal pathology in patients with Crohn's disease.

BACKGROUND: A distinctive feature of patients suffering from Crohn's disease is a predisposition to develop a variety of anal complications. The aetiology of such conditions is unclear, and the reported incidence of anal involvement in Crohn's disease varies party due to the various criteria used for classification. This study aims to review the management of patients with symptomatic anal pathology associated with Crohn's disease at St Vincent's Hospital, Melbourne. METHODS: A database of 306 patients with Crohn's disease referred to the department between January 1978 and October 1994 was reviewed to identify those patients with symptomatic anal disease. The anal pathology was recorded and classified. Demographic data and the clinical and surgery history of the patient were recorded. RESULTS: Of the 306 patients with Crohn's disease, 129 (42.4%) were identified as having symptomatic anal pathology. Patients were likely to present with anal symptoms after they had been diagnosed as having intestinal Crohn's disease (46.1%). The commonest presentations were perianal abscess (29.5%), anal fissure (27.6%), and low anal fistula (26.7%). A minority of patients presented with high/complex anal fistulae (3.8%), or recto-vaginal fistulae (5.2%). Five per cent of patients had Crohn's disease localized to the anal area. The pattern of intestinal disease in the remaining patients was small bowel 21.1%. small bowel and colon 31.9%, and colon 43.0%. A total of 244 local anal and surgical procedures were performed on these patients; the commonest of these were drainage of an abscess (38.5%), examination under anaesthetic (29.1%), and laying open of a low anal fistula (22.5%). Following surgical treatment, the recurrence rate for perianal abscesses was 13%, and for low anal fistulae 6%. CONCLUSIONS: The majority of patients with Crohn's disease who develop anal pathology have an excellent prognosis. A minority of patients develop complex anal complex anal fistulae and these remain a therapeutic challenge.

Adult↗
PubMed1996

[Functional mapping of the motor and primary sensorial cortex using magnetic resonance techniques. II. Image analysis techniques].

Functional Magnetic Resonance Imaging (fMRI) techniques to investigate brain function are now available on clinical MR systems. However, the software packages provided with the MR equipment to analyze the functional images are often inadequate. In the present study, two registration algorithms for correcting motion artifacts and three procedures of statistical analysis (t-test, correlation analysis, Kolmogorov-Smirnov test) were compared using programs implemented on a graphic workstation. For both registration algorithms, transformation parameters for in plane translations and rotation of images were significantly affected by the task, being higher during sequential finger movements than during the control (visual imagery) condition. Regions of interest were identified on the anatomical images and their boundaries automatically projected on functional images. The number of significantly activated pixels in the pre- and postcentral areas was not significantly different after the registration with the two procedures. The percentage of pixels of the pre- and postcentral areas whose signal intensity was significantly different between the two tasks decreased with respect to the adopted threshold of significance as a power function. For an area identified outside the brain, the same relation was linear: no activated pixel was found for p < 0.001. The application of the t-test or of the correlation analysis yielded similar results. The analysis of the profile of mean normalized signal intensity showed higher increases in signal intensities during the motor task in the precentral gyrus than in the postcentral gyrus. This appears to be due to a greater number of activated pixels during motor performance. The application of registration procedures, the identification of the regions of interest on the basis of the anatomical images and appropriate statistical analyses allow a more detailed characterization of task-related activation.

Adult↗
PubMed1995

A placental clock controlling the length of human pregnancy.

We report the existence of a 'placental clock', which is active from an early stage in human pregnancy and determines the length of gestation and the timing of parturition and delivery. Using a prospective, longitudinal cohort study of 485 pregnant women we have demonstrated that placental secretion of corticotropin-releasing hormone (CRH) is a marker of this process and that measurement of the maternal plasma CRH concentration as early as 16-20 weeks of gestation identifies groups of women who are destined to experience normal term, preterm or post-term delivery. Further, we report that the exponential rise in maternal plasma CRH concentrations with advancing pregnancy is associated with a concomitant fall in concentrations of the specific CRH binding protein in late pregnancy, leading to a rapid increase in circulating levels of bioavailable CRH at a time that coincides with the onset of parturition, suggesting that CRH may act directly as a trigger for parturition in humans.

Biological Clocks↗
PubMed1995

Crohn's disease: a colon and rectal department experience.

This study reviewed a series of patients with Crohn's disease managed by surgeons of the Department of Colon and Rectal Surgery, St Vincent's Hospital, Melbourne, since 1978. There were 306 patients: 171 males and 135 females. The mean age at diagnosis was 33.4 years (ranger 11-93). The distribution of the disease was small bowel 32.3%, small bowel and colon 26.5%, colon 39.9%, and anal disease alone 1.6%. A total of 416 abdominal operations were performed on 204 patients. The commonest indications for surgery were failed medical therapy (21.9%), small bowel obstruction (15.9%), enteric fistula (10.1%), and intra-abdominal abscess (10.1%). The most frequently performed procedures were ileocolic resection with anastomosis (28.8%), small bowel resection (9.4%), and total colectomy and ileostomy (7.0%). Postoperative complications included anastomotic leaks in 4.0%, intra-abdominal abscess formation in 3.6%, and enterocutaneous fistulae developed in 6%. Three patients died during the review period. During follow up (mean 84.4), 30% of patients developed recurrence requiring further surgery at a mean of 72.7 months postoperatively. The most frequent site for a recurrence was the pre-anastomotic terminal ileum (61.7%). In conclusion, the majority of patients with Crohn's disease will require resectional surgery at some stage. This can be performed with a low mortality and morbidity, and a recurrence rate of around 5% per year.

Adolescent↗
PubMed1995

Antagonism of some cyclohexamine-based drug combinations used for chemical restraint of southern elephant seals (Mirounga leonina).

This study examined the use of 4 antagonists of chemical restraint in mature female southern elephant seals (Mirounga leonina) that were restrained with ketamine and diazepam, ketamine and xylazine, or tiletamine and zolazepam. The antagonists were: 4-aminopyridine, yohimbine, doxapram and sarmazenil. The effects of the antagonists on the animal's time to first movement forward and recovery, heart rate, respiratory rate and venous blood gas and pH values, and level of chemical restraint were recorded. Sarmazenil (1.0 mg/kg) and doxapram (5.0 mg/kg) partially antagonised 50:1 ketamine: diazepam (ketamine = 3.0 mg/kg, diazepam = 0.06 mg/kg) and tiletamine and zolazepam (tiletamine = 0.5 mg/kg, zolazepam = 0.5 mg/kg). However, the rapid recovery after low doses of anaesthetics means that antagonism is usually unnecessary, and it may increase the likelihood of shaking. Routine antagonism of ketamine and xylazine (ketamine = 3.0 mg/kg, xylazine = 0.5 mg/kg) is more useful given its usually delayed recovery time and potential for thermoregulatory problems. For this purpose yohimbine (0.06 mg/kg) offered advantages over doxapram in giving a smoother recovery with less aggression. 4-aminopyridine (0.2 mg/kg) prolonged chemical restraint by 100:1 ketamine:diazepam (ketamine = 3.0 mg/kg, diazepam = 0.03 mg/kg) and ketamine and xylazine, and should be contraindicated. Doxapram (5.0 mg/kg) was the most useful general antagonist for all groups of drugs but shaking was seen and a lower dose is recommended.

4-Aminopyridine↗
PubMed1995

Electrophysiology of K+ transport by midgut epithelium of lepidopteran insect larvae. III. Goblet valve patency

The midgut epithelium of lepidopteran insect larvae contains characteristic goblet cells possessing an apical cavity surrounded by goblet cell apical membrane (GCAM) and guarded from the gut lumen by a valve-like structure. The currently accepted model of active K+ secretion by the midgut of lepidopteran insect larvae locates the major active step at the GCAM, implying that actively transported K+ reaches the gut lumen by passing through the valve. The major question for these studies was whether K+ could pass through the valve by diffusion in free solution. Using tetramethylammonium (TMA+) as a surrogate for K+, and exploiting the high sensitivity of standard K+-selective ion-exchange resin to quaternary amines, we used K+-selective intracellular electrodes to measure the rate of access of apically applied TMA+ to the goblet cavity. TMA+ failed to gain access to more than half of the cavities. For those cavities to which it did gain access, the influx and efflux rates and predicted equilibrium concentrations of TMA+ were too low to be consistent with diffusive exit of transported K+ along the same path. Upon superfusion with cytochalasin E, a disrupter of actin-based cytoskeleton, the TMA+ influx rates immediately increased for those cavities previously accessible to TMA+, but not for those previously inaccessible. Increases in TMA+ influx suggestive of spontaneous valve opening were not observed. The results are consistent with an indirect route of access of TMA+ to goblet cavities. We conclude that goblet valves are closed in vitro. Assuming that the goblet cavity is part of the transport route, actively transported K+ must exit the cavity to the gut lumen by a mechanism that does not involve diffusion in free solution.

Journal Article↗
PubMed1995

Detection without correction: problems in assessing the quality of English ecclesiastical and civil registration.

Reliable, good quality source material is required for any demographic study. By selecting specific examples from York during the parish register period and Sheffield during the civil registratiion period deficiencies in both ecclesiastical and civil registration are discussed with reference to how they affect infant and adult mortality calculations. In particular, the extent to which the deaths of very young infants were registered is considered in detail. Bourgeois-Pichat's biometric test, Farr's early life tables and Coale and Demeny's model life tables have all been used to correct inaccuracies within original sources. We consider the limitations of each of these methods and suggest that a reassessment of the quality of vital registration data and the methods used to make corrections is needed in order to make further advances in historical demography possible.

Child↗
PubMed1995

Tuberculosis in a wild Australian fur seal (Arctocephalus pusillus doriferus) from Tasmania.

Tuberculosis was found in a wild, mature male Australian fur seal (Arctocephalus pusillus doriferus) at Hobart, Tasmania on 8 March 1992. We observed fibrogranulomatous and pyogranulomatous lesions in the lung, pleura, lymph nodes and spleen. The SDS/PAGE profile of this Tasmanian isolate was similar to other seal strains; however, differences were detected using pTBN12 and insertion sequence IS6110 probes.

Animals↗
PubMed1994

Use of midazolam, pethidine, ketamine and thiopentone for the restraint of southern elephant seals (Mirounga leonina).

Thirty-two pre-moulting female southern elephant seals (Mirounga leonina) were heavily sedated with midazolam (0.04 mg/kg) combined with pethidine (4 mg/kg). This combination made it possible to give the seals intravenous injections and was rapidly antagonised by naloxone. After sedation with midazolam and pethidine, 2 to 3 mg/kg intravenous thiopentone or ketamine induced light immobilisation for approximately five minutes and allowed the animals to be intubated. Prolonged deep levels of restraint were achieved after sedation with midazolam and pethidine by repeated intravenous doses of approximately 1.5 mg ketamine/kg at 10 minute intervals, to maintain restraint for 60 minutes.

Animals↗