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Biomedical subjects

A W Ward

Publications and source records attributed to A W Ward.

6 recordsLinked to original sources

Cross-bridge cycling theories cannot explain high-speed lengthening behavior in frog muscle.

The Huxley 1957 model of cross-bridge cycling accounts for the shortening force-velocity curve of striated muscle with great precision. For forced lengthening, however, the model diverges from experimental results. This paper examines whether it is possible to bring the model into better agreement with experiments, and if so what must be assumed about the mechanical capabilities of cross-bridges. Of particular interest is how introduction of a maximum allowable cross-bridge strain, as has been suggested by some experiments, affects the predictions of the model. Because some differences in the models are apparent only at high stretch velocities, we acquired new force-velocity data to permit a comparison with experiment. Using whole, isolated frog sartorius muscles at 2 degrees C, we stretched active muscle at speeds up to and exceeding 2 Vmax. Force during stretch was always greater than the peak isometric level, even during the fastest stretches, and was approximately independent of velocity for stretches faster than 0.5 Vmax. Although certain modifications to the model brought it into closer correspondence with the experiments, the accompanying requirements on cross-bridge extensibility were unreasonable. We suggest (both in this paper and the one that follows) that sarcomere inhomogeneities, which have been implicated in such phenomena as "tension creep" and "permanent extra tension," may also play an important role in determining the basic force-velocity characteristics of muscle.

Animals

Physiotherapy: its prescription and implementation for orthopaedic out-patients.

During a three-month period, 1462 (29%) of the new out-patients seen by 18 orthopaedic surgeons were prescribed physiotherapy. The rates of referral among the surgeons ranged widely, from 15% to 56%, and the differing characteristics of the patients did not account for these variations. For specific conditions examined, physiotherapy appeared to be one of a range of possible therapies. The majority of prescriptions gave clinical details and specified the type of treatment, but its duration was specified in less than half; the frequency and aims of treatment were hardly ever given. Nearly 90% of the patients completed their course. Fourteen different types of treatment were applied, but only four of these--heat, exercises, electrical stimulation, and traction--were applied to more than 3% of the patients. Physiotherapists nearly always carried out the treatments prescribed and augmented them in nearly a quarter of cases, usually with heat and/or exercises.

England

Mortality of bereavement.

The death rate of a group of 87 widowers and 279 widows was followed for two years from the death of their spouses. The life tables for England and Wales 1970-2 indicated that the expected number of deaths would be 6 men and 11 women. The actual numbers (9 men and 11 women, 5.5%) were not significantly different, though there were more widowers' deaths during the first six months of bereavement. There was no significantly greater mortality among those whose spouses had died in hospital; but when this had occurred the health of the second spouse was likely to have been poorer than that of those whose spouses had died at home.

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