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Biomedical subjects

B Sanders

Publications and source records attributed to B Sanders.

At least 37 records · Page 2Linked to original sources
PubMed1995

Mediation of abusive childhood experiences: depression, dissociation, and negative life outcomes.

A study of 301 college undergraduates is employed to test a causal model which proposes that dissociation and depression act as mediator variables that develop from child abuse and lead to various negative outcomes. As predicted, child maltreatment was found to be related to negative life experiences, with depression and dissociation differentially mediating the various outcomes.

Adaptation, Psychological↗
PubMed1995

High-yield selection criteria for cranial computed tomography after acute trauma.

OBJECTIVE: To develop and prospectively evaluate criteria for selecting head-injured patients requiring cranial CT. METHODS: A two-phased prospective observational study design was implemented at a university ED. Physicians completed a form with 51 variables for 540 patients in Phase I. Ten high-yield variables were identified and prospectively tested on 273 patients in Phase II. Prediction rule performance for identification of patients with abnormal CT scans was determined. RESULTS: The combined criteria had a sensitivity of 97% for CT-scan abnormalities in Phase I; sensitivity was 96% in Phase II. Negative predictive values were 97% and 94%, respectively. Prevalence of disease in Phase I was 17%; prevalence in Phase II was 16%. Had the Phase I criteria been implemented during Phase II, 43 of 273 patients (16%) would not have been scanned, including two patients with positive results who did not require operative intervention. CONCLUSIONS: Fifty-one clinical variables from head-injured patients were narrowed to ten of statistical significance and consistent interpretation for prospective evaluation. Patients with none of these criteria were found to be at low risk of having sustained significant head injury.

Adolescent↗
PubMed1994

Forced single-nostril breathing and cognition.

This experiment investigated whether forced single-nostril breathing differentially affects cognitive abilities presumed to be mediated by the left and right cerebral hemispheres. Phase I was an attempted replication of a reported sex difference in the effects of unilateral breathing on verbal versus spatial performance and Phase II was a study of breathing effects on different verbal and spatial tests. No differences associated with breathing condition were found in the replication study. In Phase II, men breathing through the right nostril scored significantly lower than men in the control condition on a letter-matching test although they did not differ significantly from men in the left-nostril condition on that test. There were no significant breathing-related differences on two spatial tests, and no differences associated with breathing condition for the women. Assessment of nostril dominance before and after cognitive testing showed that the forced-breathing exercise did not significantly alter subjects' nostril dominance. A significant left-nostril bias was found in this sample.

Adult↗
PubMed1993

Is the gender difference in mental rotation disappearing?

Several investigators have used meta-analysis to compare the results of studies of gender differences on various spatial tests and have concluded that the magnitude of the gender difference in spatial ability is decreasing over time. The present study used meta-analytic techniques to compare the effect size (d) of the gender difference in 14 studies published from 1975 to 1992 which administered the Mental Rotations test to adolescents and young adults. Males scored significantly higher than females in all the studies. Analyses of the d's computed for the studies revealed that the magnitude of the gender difference on the Mental Rotations test has remained stable over time. Neither the Pearson correlation relating the d's to the publication dates of the studies nor the Z test of the linear contrast relating the publication dates of the studies to the effect sizes showed a linear change in the size of the gender difference over time. The finding of a stable gender difference on the Mental Rotations test argues against the general conclusion that the gender difference in spatial ability is decreasing.

Adolescent↗
PubMed1993

Superior fatigue resistance of elite black South African distance runners.

Black athletes currently dominate long-distance running events in South Africa. In an attempt to explain an apparently superior running ability of black South African athletes at distances > 3 km, we compared physiological measurements in the fastest 9 white and 11 black South African middle-to long-distance runners. Whereas both groups ran at a similar percentage of maximal O2 uptake (%VO2max) over 1.65-5 km, the %VO2max sustained by black athletes was greater than that of white athletes at distances > 5 km (P < 0.001). Although both groups had similar training volumes, black athletes reported that they completed more exercise at > 80% VO2max (36 +/- 18 vs. 14 +/- 7%: P < 0.005). When corrections were made for the black athletes' smaller body mass, their superior ability to sustain a high %VO2max could not be explained by any differences in VO2max, maximal ventilation, or submaximal running economy. Superior distance running performance of the black athletes was not due to a greater (+/- 50%) percentage of type I fibers but was associated with lower blood lactate concentrations during exercise. Time to fatigue during repetitive isometric muscle contractions was also longer in black runners (169 +/- 65 vs. 97 +/- 69 s; P < 0.05), but whether this observation explains the superior endurance or was due to the lower peak muscle strength (46.3 +/- 10.3 vs. 67.5 +/- 18.0 Nm/l lean thigh volume; P < 0.01) remains to be established.

Adult↗
PubMed1992

Temporomandibular joint arthroscopy: a 6-year multicenter retrospective study of 4,831 joints.

Four health outcomes (range of motion, pain, diet, and disability) were measured in six diagnostic categories (internal derangement with closed lock, internal derangement with painful click, osteoarthritis, hypermobility, fibrous ankylosis, and arthralgia) in a 6-year retrospective multicenter study of 4,831 temporomandibular joints having undergone arthroscopic surgery. After arthroscopic surgery, 91.6% of all patients had good or excellent motion; 91.3% had good or excellent pain reduction; 90.6% had good or excellent ability to maintain a normal diet; and 92% had a good or excellent reduction in disability. These health outcomes compare favorably with all other known treatments for these conditions. Also, the surgical technique was relatively free of complications (4.4%).

Adolescent↗
PubMed1992

Sex differences in performance and hemispheric organization for a nonverbal auditory task.

Musically experienced and inexperienced men and women discriminated among fundamental-frequency contours presented either binaurally (i.e., same contour to both ears) or dichotically (i.e., different contours to each ear). On two separate occasions, males made significantly fewer errors than did females in the binaural condition, but not in the dichotic condition. Subjects with prior musical experience were superior to musically naive subjects in both conditions. The dichotic pitch task produced a left-ear advantage, which was unrelated to gender or musical experience. The results suggest that the male advantage on the binaural task reflects a sex difference in the coordination of the two hemispheres during conjoint processing of the same stimuli rather than a difference in the direction or degree of hemispheric specialization for these stimuli.

Adult↗
PubMed1991

Arthroscopic treatment of temporomandibular joint locking resulting from disc derangement: two-year results.

This article reports 2-year postarthroscopic surgical treatment data for 18 subjects (17 female and 1 male) who had a diagnosis of restricted mandibular movement due to an internal derangement of the temporomandibular joint (TMJ). These subjects had been treated by an average of 2.1 +/- 1.1 doctors for their TMJ problem before seeing the surgeon for arthroscopic treatment. The subjects' mean pain score at the final time point (21 to 30 months after surgery) was decreased by 57% in usual pain intensity. Jaw function showed an average improvement of 67%. These subjects also showed a 13-mm mean increase in their maximum active opening ability at the 2-year postsurgical time point. Slight to definite clicking noises were present presurgically in 11 of 18 patients, and similar joint noises were reported in 14 of 18 patients postsurgically. The mean overall improvement was rated as 8.18 +/- 2.4, with 10 the highest possible rating. One subject rated her improvement as 0, two subjects rated their improvement as 6 out of 10. No significant morbidity was reported by the subjects as a result of their surgery.

Adolescent↗
PubMed1991

Dissociation and childhood trauma in psychologically disturbed adolescents.

OBJECTIVE: To test the hypothesis that dissociation in adolescence is positively correlated with stress or abuse experienced earlier, the authors assessed dissociation in a heterogeneous group of disturbed adolescents and examined the relationship between the degree of dissociation and the degree of reported childhood stress, abuse, or trauma. METHOD: The subjects were 47 adolescents, 13-17 years old, who were institutionalized for periods of 1-13 weeks in a private mental hospital; 35 were girls and 12 were boys. Participants completed the Dissociative Experiences Scale and a child abuse and trauma questionnaire. The hospital records of 40 of the 47 adolescents were also available. RESULTS: Scores on the Dissociative Experiences Scale correlated significantly with self-reported physical abuse or punishment, sexual abuse, psychological abuse, neglect, and negative home atmosphere but not with abuse ratings made from hospital records. CONCLUSIONS: Together with the authors' previous work showing a relation between childhood stress and later dissociation in normal college students, these findings support the view that dissociation represents a reaction to early negative experience and places multiple personality disorder at the extreme end of a continuum of dissociative sequelae of childhood trauma. Researchers should continue to try to identify psychiatric patients with prominent dissociative characteristics or symptoms and attempt to correlate this phenomenology with negative earlier experiences.

Adolescent↗
PubMed1990

Silicone rubber fossa implant removal via partial arthrotomy followed by arthroscopic examination of the internal surface of the fibrous capsule.

Thirteen temporomandibular joints were examined arthroscopically for evaluation for fibrous encapsulation of silicone elastomer disk replacement implants. Partial arthrotomies were performed with removal of silicone rubber implants, followed by arthroscopic examination of the internal surfaces of the fibrous capsule as a pseudodisk and to verify the continuity of the fibrous barrier between the condyle and the fossa.

Adult↗
PubMed1990

Arthroscopic surgery for treatment of temporomandibular joint hypomobility after mandibular sagittal osteotomy.

Arthroscopic surgery is an effective method for treating painful hypomobility of the temporomandibular joint. Decreased range of motion after sagittal ramus osteotomies of the mandible has been reported. Causes may include intra-articular factors. These cases may be effectively treated with arthroscopic lysis and lavage after failure of nonsurgical modalities. A series of 15 patients is presented.

Adolescent↗
PubMed1990

Inner-city women at risk for cervical cancer: behavioral and utilization factors related to inadequate screening.

This study investigated the relationships between health care utilization, knowledge, attitudes, sociodemographic characteristics, and adequacy of cervical cancer screening among a random sample of women from inner-city neighborhoods with high rates of cervical cancer mortality. Of 416 women interviewed, 30.3% reported hysterectomies; women with intact uteri (N = 290) are the subjects of this analysis. Over two-fifths (44.1%) reported not receiving adequate Pap testing during the previous 4 years. Compared with adequately screened women, they were more likely to be 45 years or older, have no medical insurance, report never having been to an obstetrician-gynecologist, recall never having been told by a medical provider how often to get a Pap test, rely on providers for adequate screening, report not seeking care as often as they think they should, have less knowledge of risk factors for cervical cancer, and believe that women should get Pap tests less than yearly. Separate models for younger and older women showed that these factors vary by age, demonstrating the need for interventions to be sensitive to age subgroups. These findings suggest that cancer control activities should place more emphasis on motivating women as well as influencing the health care delivery system to maximize reductions in cervical cancer.

Adolescent↗
PubMed1986

Nicotine-produced antinociception in minimally deprived smokers and ex-smokers.

The antinociceptive effects of two different modes of nicotine administration were investigated using a within-subject design. Ten minimally-deprived, habitual smokers and fifteen ex-smokers were studied in separate experiments. Nicotine was delivered in research cigarettes and tobacco snuff. Pain was induced using the cold pressor test. Subjects in both experiments exhibited pain reduction after nicotine administration without changes in nicotine withdrawal. The results suggest that nicotine can produce physiological and psychological changes that are relevant to the reinforcement of smoking but are independent of the state of nicotine withdrawal.

Adult↗
PubMed1985

Bilateral coronoid hyperplasia resulting in severe limitation of mandibular movement. Report of a case.

A case of bilateral coronoid hyperplasia with limitation of mandibular motion in a female patient has been presented. Her symptoms began to develop around the age of 44. We believe that this is the first case to be reported in a female. Also, in all other reported cases symptoms began to develop around the onset of puberty. The literature has been reviewed with specific reference to the etiology of bilateral coronoid hyperplasia. This case brings the total number of reported cases to twenty-two. We hope that if similar cases are identified in female patients the practitioners will report them promptly. Only in this way will we be in a better position to understand the etiology of bilateral coronoid hyperplasia with special reference to heredity.

Female↗