Plain films: the acute abdomen.
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Biomedical subjects
Publications and source records attributed to S Field.
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The views of 40 health visitors from the Cambridge health district on their working relationship with general practitioners are presented. Patterns of attachment and facilities at the work base are described. The health visitors gave ratings for the frequency and facility of their contact with the general practitioners, the types of patients referred to them and their overall relationship with the doctors. The health visitors' own suggestions for improvement in the relationship are discussed.
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We measured the oxygen cost of breathing (VO2resp) in 13 patients with cardiorespiratory disease requiring artificial ventilation as the difference between the oxygen consumption during spontaneous respiration (VO2tot) and that during artificial ventilation (VO2nonresp). Average VO2tot was 312 +/- 90 ml/min (mean +/- 1 SD), whereas VO2nonresp was 246 +/- 38 ml/min (p less than 0.01). Average VO2resp was 75 +/- 82 ml/min (range, 8 to 286), representing 24% of VO2tot or 8.7 +/- 8.9 ml O2/L ventilation. In normal resting adults, VO2resp in 5 to 10 ml/min, about 1 to 3% VO2tot, or 0.25 to 2.5 ml O2/L ventilation. The VO2resp had an exponential relationship with FEV1 (r = 0.97) in 6 patients who had had prior spirometry. Because minute ventilation was normal in our patients (8.8 +/- 2.2 L/min), the elevated VO2resp represented an increase in the work of breathing as well as a decrease in the efficiency of the respiratory muscles. These results suggest that, where O2 transport is compromised, artificial ventilation may release substantial quantities of oxygen for use by other body systems.
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This paper describes the methods employed and the results of a very large vision screening program co-sponsored by the State College of Optometry SUNY and WABC-TV. The paper is designed so that other groups might organize a similar public service program.
In the rat isolation has both short- and long-term influences upon behavior. Rats isolated at any age will show increases in timidity and aggression, but both effects can be reversed by periods of social housing. However, isolation before 50 days of age has permanent effects upon behavior. We have previously found that rats between 25 and 45 days of age may be protected from the deleterious effects of isolation by short daily periods of social contact if, during these daily contact periods, the rats engage in intense bouts of rough-and-tumble play. In this study we examined the permanence of the effects of isolation on the rat, mouse, guinea pig and gerbil. As predicted by the play hypothesis, species which do not engage in extensive social play do not show permanent deficits if isolated prior to 50 days. Only rats which engage in long bouts of rough-and-tumble play between 20 and 50 days show any permanent behavioral effects of isolation during this period.
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