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Biomedical subjects

W Williams

Publications and source records attributed to W Williams.

169 records · Page 10Linked to original sources

Does the presentation of audiometric test data have a positive effect on the perceptions of workplace noise and noise exposure avoidance?

Research and 'common knowledge' has for many years accepted that education and feedback supplied to individuals during and immediately after workplace health assessments provides valuable information to workers about their health. Further, if more relevant and detailed information could be supplied then awareness and preventative action may increase proportionately. This research carried out with a rural Australian population has shown that preventative action did not increase in proportion to a corresponding increase in the amount and variety of information provided in connection with hearing health status. Two research groups underwent hearing tests, both with pure tone audiometry (PTA) while the second group also underwent otoacoustic emission (OAE) testing. Test results were presented to the subjects at the conclusion of their test session. An analysis of questionnaire responses at six week and twelve months follow up showed that more information did not result in increased preventative action. Barriers seem to exist such that individuals feel that they are not able to effectively act to reduce overall noise exposure. While self-efficacy initially increased, it declined to close to its initial value over the longer period. Other measures such as perceived susceptibility to hearing loss and the benefits of exposure reduction significantly increased and remained at the same increased level after twelve months. So, while overall awareness of noise and the risks of exposure were increased after both types of hearing test there was no increased hearing health benefit due to additional testing and hearing information.

Adult↗

Instruction and the improvement of hearing protector performance.

Too often, in spite of the encouragement of those who advocate the removal of noise from the workplace as the preferred solution to noise exposure, hearing protectors are provided as the first line of defence against noise. Unfortunately hearing protectors are too often supplied with no real instruction or education in their use. This degrades their performance considerably. In this project the attenuation performance of one particular model of earplug was compared with and without instructions to test subjects. The instructions given were the most basic as commonly supplied on the plastic packaging containing the plugs. The attenuation performance (SLC80) of the plugs with the instructions was 16 dB greater than without the instructions. Overall performance was improved in every octave band with smaller associated standard deviations. The comparison showed that even with a very modest amount of instruction attenuation performance can be significantly improved.

Ear Protective Devices↗

An egg drop associated with splenomegaly in broiler breeders.

A new disease in broiler breeders known in Australia as Big Liver and Spleen Disease (BLS) is described from field observations, retrospective record analysis, and detailed study of a selected flock. BLS has a predilection for adult birds. It is characterized clinically by a sudden drop in egg production, splenomegaly, hepatomegaly, and increased mortality and histologically by a period of lymphoproliferation followed by a period of lymphoid destruction that coincides with the clinical signs. Epidemiology suggests an infectious cause, though initial attempts at isolation of a causative agent have been unsuccessful, and it is serologically distinct from the common avian viral and mycoplasma diseases.

Animals↗

Patient-perceived side effects to antihypertensive drugs.

The Hypertension Detection and Follow-up Program (HDFP) used two methods to collect data on drug side effects. First, questions were asked during annual home visits by nontherapist interviewers, and second, responses were elicited by questionnaire at each clinic visit. Frequency of side effects as reported by the participants was similar in stepped care and referred care participants. Among the stepped care participants attending clinic, 75 percent continued to report at least one of the side effects reported at baseline. New symptoms (not previously reported) were less frequent, reported by 14 percent. Although medications were discontinued in 17 percent of the HDFP participants due to side effects, less than 2 percent of those reporting side effects had their drug discontinued for the symptom they reported. We concluded that questionnaire-elicited reports of drug side effects are a relatively poor index of side effects.

Antihypertensive Agents↗

Dietary induction of sudden death syndrome in broiler breeders.

Sudden death syndrome in broiler breeders at the point of lay was a serious problem in Australia for 18 months. This condition was reproduced by a combination of dietary and management practices. Chickens fed a diet low in potassium, phosphorus, protein, and energy had plasma potassium and phosphorus levels significantly lower than the levels seen in the controls. The plasma values of the test breeders were similar to levels seen in field cases. There was a significant difference (P less than 0.01) in the venous acid-base balance between the test chickens and controls. Test chickens were alkalotic and had a 6% mortality rate between 18 and 30 weeks of age.

Acid-Base Equilibrium↗