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Biomedical subjects

A B Davis

Publications and source records attributed to A B Davis.

At least 19 recordsLinked to original sources

Recurrent bacterial vaginosis: association with vaginal sponge use.

A hypothesis-generation study was conducted to examine risk factors for bacterial vaginosis recurrences among women participating in a randomized controlled trial of male sexual partner treatment. Of the 140 women enrolled in the trial, 72 had a normal vaginal gram-stained slide at the first follow-up visit and were included in this analysis. Nineteen of the 72 (26.2%) women developed a bacterial vaginosis recurrence documented by a vaginal gram-stained slide during the 6-week follow-up period. Of the 19 women, 4 of 6 sponge users (66%) developed a bacterial vaginosis recurrence (RR 2.93, 95% CI: 1.43-6.02). Logistic regression analysis supported the association between sponge use and bacterial vaginosis recurrences (adjusted RR 2.71, 95% CI: 1.06-6.99) but revealed that an apparent protective effect of diaphragm use was due to the confounding effect of sexual partner treatment. Our hypothesis is that bacterial vaginosis recurrences may be due to factors other than sexual transmission, such as sponge use. Further studies are needed to examine risk factors for bacterial vaginosis recurrences. In the interim, physicians might suggest another form of contraception to their sponge-using patient with frequent bacterial vaginosis infections.

Adolescent

Dental machines then and now.

The earliest dentists brought instruments and techniques from Europe as well as tools used by mechanics, watch makers, jewelers and artists. This historical journey through machinery history is a study in contrast to the machines of the present.

Dental Equipment

Prevalence of gastroesophageal reflux in elderly patients in a primary care setting.

Despite the aging of our population, there remains a paucity of information about gastroesophageal reflux (GER) in the elderly. To assess the prevalence and characteristics of GER within this patient population, questionnaires evaluating symptoms associated with GER were administered to 313 consecutive patients 62 yr old or older from a primary care setting. Fourteen percent of these patients reported having at least weekly heartburn. Ambulatory 24-h esophageal pH monitoring was accomplished in 54 of the 313 patients surveyed. Twenty percent (11/54) of this subgroup exhibited increased acid contact time (pH less than 4 for more than 6% of the monitoring period). Twenty-two percent (12/54) complained of heartburn, yet only six individuals (11%) exhibited both symptomatic and objective indications of acid reflux. Surprisingly, 31% (17/54) of the patients studied exhibited significant alkalinity within the distal esophagus (pH greater than 8 for greater than 1.5% of the monitoring period). Whereas 29% of these patients (5/17) reported heartburn, 40% of those reporting heartburn (2/5) had acid GER as well as excessive alkalinity. In contrast to patients with acid GER--none of whom reported pulmonary symptoms--24% (4/17) of these patients with esophageal alkalinity reported wheezing, nocturnal cough, or paroxysmal nocturnal dyspnea. Of the four patients with significant distal esophageal exposure to both acid and alkali, two reported heartburn and a third reported dysphagia. In addition to the somewhat higher prevalence of acid reflux than anticipated, a surprisingly high prevalence of esophageal alkalinity was observed.

Aged

Early sexual activity of delinquent adolescents.

Sexual experiences of 1255 adolescents admitted to a juvenile detention facility were assessed through their responses to a health history questionnaire. More than 80% reported sexual experience. Age at first intercourse acknowledged by females was early (mean 13 years) but rarely prepubertal and was similar for blacks and nonblacks. Males commonly reported beginning sexual experience before age 10 years (40% in blacks and 20% in nonblacks). Sexual activity continued in most, with 73% of the sexually experienced teens reporting intercourse in the month prior to admission. Reports of recent sexual activity increased with age in all race/gender groups. For females, 26% reported sexual misuse compared to 2% of the males. Willingness to answer questions about sexual experiences varied with the question and increased with age. Prepubertal sexual activity is a more common phenomenon than is generally acknowledged. To what extent the experiences reported in our study represent the norm for behavior among individuals of similar background requires further study.

Adolescent

Basal cell carcinoma of the nipple: case report and review of the literature.

An unusual case of basal cell carcinoma of the nipple from a 66-year-old women is presented. It is important to differentiate this lesion from other nipple-areolar tumors, especially Paget's disease. This report reviews the literature and adds a case that represents the third reported instance of this tumor of the female nipple.

Aged

Laboratory instruments in the history of psychology.

The importance of laboratory instruments as sources for the writing of the history of psychology is stressed, and illustrated through the use of examples where their study has been profitable. Most importantly, the role of the Hipp chronoscope in the reaction-time experiment is discussed, and the importance of various changes introduced into its design by James McKeen Cattell is shown. A photograph, first exhibited by the Department of Psychology of Clark University at the 1893 World's Columbian Exposition in Chicago is included, and further illustrates the importance of these instruments to historians.

History, 19th Century