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Biomedical subjects

A W Diamond

Publications and source records attributed to A W Diamond.

10 recordsLinked to original sources

Seabirds at risk around offshore oil platforms in the north-west Atlantic.

Seabirds aggregate around oil drilling platforms and rigs in above average numbers due to night lighting, flaring, food and other visual cues. Bird mortality has been documented due to impact on the structure, oiling and incineration by the flare. The environmental circumstances for offshore hydrocarbon development in North-west Atlantic are unique because of the harsh climate, cold waters and because enormous seabird concentrations inhabit and move through the Grand Banks in autumn (storm-petrels, Oceanodroma spp), winter (dovekies, Alle alle, murres, Uria spp), spring and summer (shearwaters, Puffinus spp). Many species are planktivorous and attracted to artificial light sources. Most of the seabirds in the region are long-distance migrants, and hydrocarbon development in the North-west Atlantic could affect both regional and global breeding populations. Regulators need to take responsibility for these circumstances. It is essential to implement comprehensive, independent arm's length monitoring of potential avian impacts of offshore hydrocarbon platforms in the North-west Atlantic. This should include quantifying and determining the nature, timing and extent of bird mortality caused by these structures. Based on existing evidence of potential impacts of offshore hydrocarbon platforms on seabirds, it is difficult to understand why this has not been, and is not being, systematically implemented.

Animal Migration↗

Urban mobile resuscitation: training and service.

The establishment of a Mobile Resuscitation Unit based on a District General Hospital is described. The Unit is manned by hospital-trained ambulance men and by an anaesthetist when necessary. The training of the ambulance men, organization of the service and the results are discussed. The authors recommend the establishment of such a unit in association with an urban district general hospital for the immediate care of all patients who suddenly become seriously ill, regardless of the cause of their illness or accident.

Allied Health Personnel↗

General anaesthesia for the mentally handicapped. A study based on anaesthesia for dental surgery.

The establishment of a general anaesthetic unit for dental surgery in a hospital for the mentally subnormal is described. The problems encountered in sedating the mentally handicapped patient in such a way as to permit an unhindered induction of anaesthesia are described together with the evolution of a technique of premedication using nitrazepam and droperidol. The medical problems complicating anaesthesia found in this group of patients are enumerated and their effects on the development of a suitable anaesthetic technique are described.

Adolescent↗

Postoperative extradural analgesia following thoracic surgery: a feasibility study.

The feasibility of providing postoperative analgesia using thoracic extradural blockade following thoracotomy has been assessed. Extradural block was produced by intermittent injections of 0.5% bupivacaine with adrenaline 1:200,000 or a continuous infusion of 0.25% or 0.125% bupivacaine. The only toxic symptom was drowsiness which was most frequent after a continuous infusion of 0.25% bupivacaine and with arterial plasma bupivacaine concentrations above 1.5 mug/ml. Arterial hypotension was a troublesome complication with all techniques although stability of arterial pressure was more easily achieved with a continuous infusion technique. However, this produced a high incidence of urinary retention. Practical aspects and effectiveness of providing extradural analgesia in patients following thoracotomy are discussed.

Aged↗

Immediate care of burns.

The assessment, first aid treatment and immediate care of severely burned patients in the Accident and Emergency Department have been reviewed and the factors which influence the decision to transfer a case to a specialist Burns Unit have been discussed.

Analgesia↗

Seabirds as indicators of changes in marine ecosystems: ecological monitoring on Machias Seal Island.

Changes in marine ecosystems can be manifested in many different ways, on different temporal and spatial scales. Seabirds are top consumers in marine foodwebs and offer opportunities to detect and assess the biological effects of changes in physical parameters (sea-surface temperature [SST], salinity, depth of thermocline etc.) of the marine ecosystem. We compare six-eight years' of data on the biology (diet, and breeding success) of four species of seabird (arctic tern Sterna paradisaea and common tern S. hirundo, which feed at the sea surface; and Atlantic puffin Fratercula antica and razorbill Alca torda, which dive 30-60 m for their prey) breeding on Machias Seal Island (MSI) in the Bay of Fundy with both our own meteorological and oceanographic measurements, and with standard measurements from conventional sources. These are compared with fisheries data on changes in the main prey of all the seabirds concerned (juvenile or '0-group' herring Clupea harengus) which are the most direct link between the seabirds and the physical properties of the marine system. We explore relationships between seabird productivity and diet, and other aspects of both herring biology (larval surveys, and fat content) and oceanography (SST data from the island, and remotely sensed data from the entrance to the Bay of Fundy). Timing of laying by puffins followed SST variation at neither the local (MSI) nor regional scales, but at the scale of the North Atlantic, following the trend of populations breeding off northern Norway. The proportion of herring in the diet of terns over 6 years varied inversely with herring larval abundance the previous fall; this relationship was not statistically significant in the puffin and razorbill. A major new finding is the considerable (approximately 50%) inter-annual variation in the energy density (fat content) of juvenile herring that are the main seabird prey; breeding success of both species of tern varied in parallel with the energy density of juvenile herring in the diet until the last two years of the study, when sandlance (Ammodytes sp.) and euphausid shrimp predominated in the diet. Our long-term research approach combines traditional population monitoring (of numbers of breeding birds) with demographic, behavioural and environmental monitoring, to provide new understanding of the marine ecosystem as well as of seabirds.

Animals↗