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Biomedical subjects

B Walpole

Publications and source records attributed to B Walpole.

12 recordsLinked to original sources

Growth hormone 1 (GH1) gene and performance and post-race rectal temperature during the South African Ironman triathlon.

BACKGROUND: Some studies have suggested that the insertion allele of the ACE gene is associated with endurance performance, including the Ironman triathlon. It is possible that this association is due to genetic linkage between the ACE I/D locus and the T/A variant in intron 4 of the neighbouring GH1 gene. The A variant is associated with lower levels of growth hormone production. Growth hormone has multiple effects, especially on metabolism during exercise and recovery from exercise. Its production during exercise has also been shown to stimulate sweat rate and heat loss. OBJECTIVE: To determine whether the GH1 gene is associated with the performance and/or post-race rectal temperatures of competitors in the South African Ironman triathlon. METHODS: A total of 169 of the fastest finishing white male triathletes who completed the 2000 and/or 2001 South African Ironman triathlon and 155 control subjects were genotyped for the T/A variant in the GH1 gene. Post-race rectal temperature was also determined in 103 of these triathletes. RESULTS: There was no significant difference in the frequency of this polymorphism in the GH1 gene when the fastest finishing triathletes were compared with the control subjects. Post-race rectal temperatures were, however, significantly higher in those triathletes with an AA genotype (mean (SD) 37.7 (0.8) degrees C) compared with those with a TT genotype (37.2 (0.8) degrees C) (p = 0.019). CONCLUSIONS: The T/A polymorphism in intron 4 of the GH1 gene was not associated with performance of the fastest finishers of the South African Ironman triathlon. Post-race rectal temperatures were, however, significantly higher in the fastest finishing athletes, who were homozygous for a GH1 genotype associated with lower growth hormone production.

Adult↗

Mental health triage in emergency medicine.

OBJECTIVE: The aim of this study was to: (i) develop a triage scale consistent with the National Triage Scale (NTS) for patients with mental health problems attending emergency departments; and (ii) to reduce emergency waiting times, transit times and improve skills assessing mental health problems. METHOD: We developed a Mental Health Triage Scale (MHTS) consistent with the NTS. The MHTS was then implemented using a structured education package, and evaluated from March to August 1994. Further evaluation occurred after 2 years. RESULTS: A four-tiered MHTS was produced: category 2, violent, aggressive or suicidal, danger to self or others or with police escort; category 3, very distressed or psychotic, likely to deteriorate, situational crisis, danger to self or others; category 4, long-standing semi-urgent mental health disorder, supporting agency present; and category 5, long-standing non-acute mental health disorder, no support agency present. Patients with illness, injury or self-harm were triaged using combined mental health and medical information. Mean emergency waiting times and transit times were reduced. More consistent triaging for mental health patients occurred, and more consistent admission rates by urgency. Reduced mental health 'did not waits' showed improved customer satisfaction. Mental Health Triage Scale was considered appropriate by liaison psychiatry and its use has continued at 2 years follow-up. CONCLUSIONS: A systematic approach to mental health triaging produced a workable scale, reduced waiting times, transit times, and provided effective and consistent integration of mental health patients into a general emergency department.

Australia↗

Good grief.

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Child↗

General practitioner referrals to a department of emergency medicine.

The aim of this study was to determine the number and content of general practitioner referrals letters and telephone calls in 1000 consecutive patterns and assess the outcome for the referred patients. Communication between GPs and emergency medicine staff was of generally acceptable quality but could be improved in areas of letter content and call back to GPs by emergency medicine staff.

Adolescent↗

Speargun injury.

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Emergencies↗

An evaluation of two methods of laboratory quality control.

Two methods for quality control of automated blood counters have been compared: (1) monitoring results from patients' samples, and (2) analysis of results of a stable whole-blood control. The latter method proved better able to distinguish calibration changes from patient variation.

Erythrocyte Indices↗

Intracellular iron transport in rat intestinal epithelium: biochemical and ultrastructural observations.

Iron absorption by the rat intestinal epithelial cell has been studied by differential centrifugation of mucosal homogenates and by electron microscopic autoradiography. Autoradiography of both subcellular pellets and whole gut confirmed the biochemical findings. Mitochondria play a quantitatively significant role in iron metabolism within the epithelial cell but do not take part in the transport of iron across the cell during iron absorption.

Animals↗