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Biomedical subjects

W Adams

Publications and source records attributed to W Adams.

At least 55 records · Page 3Linked to original sources
PubMed1991

Unexplained fluctuations in the risk for schizophrenia by month and year of birth.

Variation in their year and month of birth was studied in the 13,661 schizophrenics born between 1914 and 1960 known to the Scottish Psychiatric Case Register. Year-to-year fluctuations in the number of schizophrenics per 10,000 live births were outside chance limits. So were month-to-month fluctuations between January 1932 and December 1960, and this was largely due to fluctuations in the numbers of schizophrenics born in February, March, April and May. Time-lagged correlations with mean monthly temperatures suggest that in these same four months the incidence of schizophrenia is influenced by temperature six months previously - the lower the temperature in the autumn the higher the incidence of schizophrenic births the following spring. If these findings can be confirmed in other data sets, they would suggest that some influence which varies consistently with season and temperature is contributing to the aetiology of schizophrenia and may exert its effects as early as the third or fourth month of foetal development.

Cohort Studies↗
PubMed1990

Nurses' documentation about pressure ulcers.

Documentation in a patient's medical record is a nurse's legal and professional responsibility. Descriptive charting about pressure ulcers is critical since it may affect treatment modalities. The purpose of this research was to examine what nurses chart about pressure ulcers. The IAET Standards of Care Dermal Wounds: Pressure Ulcers (1987) was used as a guide. Nursing notes from 167 medical records were examined. None of the nurses' notations contained 100 percent of the items examined in this study. The most frequently occurring descriptor was location (74.2%). This research documents deficiencies in nurses' charting about pressure ulcers.

Aged↗
PubMed1989

Physiologic changes as patients get older.

As the population ages, primary care physicians are treating increasing numbers of elderly patients. Although certain physiologic changes are known to be age-related, they do not occur uniformly in elderly persons, and it may be difficult to distinguish signs of normal aging from those of disease. Thus, individualized care is important, and with thoughtful diligence, primary care physicians can often improve the quality of life for their elderly patients.

Aging↗
PubMed1989

Potent angiotensin II antagonists with non-beta-branched amino acids in position 5.

Amino acids with lipophilic side chains that contain more than one functional group on the beta-carbon, i.e. a beta-branched hydrocarbon moiety, are required in position 5 of angiotensin II (AII) analogue with potent agonist activity. This requirement for agonist activity does not follow for AII analogues with potent antagonist activity. Straight-chain amino acids may be substituted into position 5 of [Sar1,X5,Ile8]AII with retention or enhancement of antagonist activity, e.g. (X5,pA2 rabbit aorta) Phe, 9.15; Tyr, 9.6; His, 9.0; Glu,9.0; Nle, 8.85, compared to Ile, 9.1. beta-Branched side chains can still enhance the antagonist activities of [Sar1,X5,Ile8]AII analogues, e.g. X5 = (beta Me)Phe, pA2 = 9.3. An X-ray crystal structure of the Boc-(beta Me)Phe DCHA salt, prepared for the synthesis of [Sar1,-(beta Me)Phe5, Ile8]AII, revealed an S,S configuration of alpha- and beta-carbon atoms. Contrary to previous literature reports, chemical nonequivalence of the deta-protons of Pro was observed in the 1H NMR spectra of [Sar1,X5,Ile8]AII analogues bearing both beta-branched X5 side chains (X5 = Ile) and non-beta-branched X5 side chains (X5 = Ala, His).

Angiotensin II↗
PubMed1988

Effects of D-amino acid substitution on antagonist activities of angiotensin II analogues.

The synthesis and biological activities of angiotensin II (AII) analogues are described and compared to the literature. D-Amino acid substitution was employed to search for novel AII antagonists that would also display reduced partial agonist activity. Substitution of D-amino acids into the interior positions 2-7 of [Sar1,Ile8]-AII gave rise to inactive compounds or weak antagonists. Substitution of D-amino acids into position 8 gave rise to potent antagonists in vivo including [Sar1,D-Phe8]-AII 8, [Sar1,D-(alpha Me)Phe8]-AII (35), [Sar1,D-Trp8]-AII (32), [Sar1,D-Phg8]-AII (29), [Sar1,D-Peg8]-AII (30), and [Sar1,D-Phe8]-AII-NH2 (31). The structural requirements for D-AA8 analogues (antagonists) showed similarities with those of L-AA8 analogues (agonists). The latter three analogues, 29-31, were considerably more potent in vivo than their in vitro affinities would indicate, suggesting that these analogues may resist carboxypeptidase-like degradation. While partial agonist activity was not removed by D-AA8 substitution, [Sar1,D-Phe8]-AII-NH2 (31) displays lower partial agonist activity than [Sar1,Ile8]-AII. A receptor model is presented that highlights the difference between [L-AA8]-AII analogue agonist activity and [D-AA8]-AII analogue antagonist activity.

Amino Acids↗
PubMed1988

The importance of residues 2 (arginine) and 6 (histidine) in high-affinity angiotensin II antagonists.

The structure-antagonist activity relationship is described for analogues of [Sar1,Ile8]angiotensin II substituted in position 2 (arginine) and position 6 (histidine). An extreme sensitivity of potency to alterations in these positions was observed, suggesting that both residues are important for binding. Evidence is presented suggesting that the position 6 histidine side chain in angiotensin II (AII) is not involved in receptor stimulation. The structure-activity relationship is also explored for both [des-Asp1] AII (AIII) and [des-Asp1,Ile8]AII analogues substituted in position 2 (arginine). The substitution of D-N-methylalanine, D-(NMe)Ala, into position 2 of both [des-Asp1]AII and [des-Asp1,Ile8]AII gives analogues 39 and 40 that appear to be more potent than the native [Arg2]peptides and that are the most potent AIII agonists and antagonists described to date.

Angiotensin II↗
PubMed1988

Hepatocellular carcinoma in western Sydney.

All the cases of proven hepatocellular carcinoma seen at Westmead Hospital, Sydney between January 1980 and the end of 1987 were reviewed. Hepatitis B infection was the major predisposing condition. Six patients had taken significant doses of sex steroids. Seventeen of the patients were cirrhotic at the time of diagnosis and in seven of these there was a significant history of alcohol abuse. AFP was elevated in only 15 of the 34 patients. Multiple regression analysis revealed that the single, independent determinant of a raised AFP level was found to be presence of Hepatitis B infection. Resection was possible in 10 patients. In the last ten months, seven patients have been treated by embolisation of the tumour with Adriamycin bonded to lipidol. Survival was influenced by the presence or absence of cirrhosis but not by evidence of Hepatitis B infection. The prognosis for patients with hepatocellular carcinoma in Australia is as dismal as it is in any other country. Although a rare tumour its incidence may well increase as the community now contains relatively greater numbers of immigrants from areas where the risk of developing a hepatocellular carcinoma is higher and because of the number of drug addicts who are frequently exposed to Hepatitis B infection. With the exception of patients with Hepatitis B infection, screening with AFP holds little promise in the Caucasian community.

Biomarkers, Tumor↗
PubMed1982

Effect of methylphenidate on thought processing time in children.

Methylphenidate is commonly prescribed for children in order to improve attentional aspects of their behavior. However, resultant long-term academic improvement in these children is negligible. To investigate this discrepancy, a reaction time paradigm was utilized with 10 males and 2 females (mean age was 9.8 years; SD, 1.6 years) diagnosed as having an attentional deficit disorder. Using a double-blind procedure with methylphenidate and a placebo, a decrease in simple reaction time was found in the medication condition. However, no drug effect was found on decision times using a choice reaction time task. It was concluded that methylphenidate and perhaps other stimulant medications affect attentional processes in hyperactive youth but may not affect those higher cortical processes required to make long-term academic gains.

Achievement↗
PubMed1982

The dilemma of anonymous reporting in child protective services.

Anonymous reports are routinely accepted for investigation as part of a nationwide effort to counteract child abuse and neglect. However, these reports pose practical difficulties for investigators and frequently prove false. The authors discuss the results of their study of anonymous reporting in one catchment area, which has implications for risk assessment and legislative and administrative changes in child protection services policy.

Adolescent↗
PubMed1981

Nebulised cromoglycate, theophylline, and placebo in preschool asthmatic children.

Sixteen children aged under 5 years with chronic asthma completed a double-blind crossover trial of treatment with oral choline theophyllinate (6.7 mg/kg four times daily) and nebulised sodium cromoglycate (20 mg four times daily). The trial comprised three 8-week treatment periods during which active sodium cromoglycate, active choline theophyllinate, and placebo were given in random order. Symptom scores for sleep disturbance, cough, wheeze, and daily activities were similar during the three treatment periods if results were analysed using Friedman's non-parametric analysis of variance. However the Mantel-Haenszel test showed that sodium cromoglycate was superior to placebo (P less than 0.05) in maintaining normal daily activities. Either regimen is safe and well tolerated by young children.

Activities of Daily Living↗
PubMed1981

Lack of behavioral effects from Feingold diet violations.

Children were included in this challenge study if according to parental report (1) the child's hyperactive behavior had been noticeably improved for at least 3 mo. as a result of adherence to the Feingold diet and (2) dietary violations such as those used in the study were reported to have a noticeable negative effect. Evaluations of 14 objective measures in a double-blind, cross-over design yielded no significant differences between diet infraction and noninfraction conditions. In addition to questioning the stated efficacy of the diet, findings suggest that one should not depend solely on parental report when evaluating a dietary effect and should also weight potential negative effect of adherence to the diet.

Attention Deficit Disorder with Hyperactivity↗
PubMed1980

Treatment of assaultive hair pulling in a multihandicapped youth.

The course of treatment for hair pulling in a moderately retarded, visually impaired 9-year-old male is described along with the effectiveness of an ammonia inhalation procedure to eliminate this behavior. However, before discovering this successful procedure, other well-known techniques such as DRO, TO, overcorrection, and shaping all failed. Since rapid treatment effectiveness could be assumed to be the norm, given the operant literature, the extensive course of treatment reported here serves to document that perseverance may also be a necessary component of successful behavior management strategies.

Aggression↗
PubMed1978

Regional variations in mortality from ischaemic heart and cerebrovascular disease in Britain.

In middle-aged men and women, mortality from ischaemic heart disease and cerebrovascular disease is highest in the north and west of Britain. The worst region is West Central Scotland. Statistical analysis using a linear logistic model shows that the differences between the regions are significant and the yearly fluctuation in numbers of deaths contributes little to the overall variation.

Adult↗