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Biomedical subjects

C A Lewis

Publications and source records attributed to C A Lewis.

At least 73 records · Page 4Linked to original sources

Scintigraphic evidence of abnormal ureteric peristalsis following urological surgery.

OBJECTIVE: To investigate the effect of urological surgery on ureteric peristaltic activity. SUBJECTS AND METHODS: Ureteric peristalsis was assessed in a sample urological population (n = 29 patients) and the findings compared with a control population (n = 14 patients). RESULTS: The incidence of disordered peristalsis was significantly increased (P < 0.05) following urological surgery and, in particular, the incidence of retrograde peristalsis was very significantly increased (P < 0.01) following ureteric division and re-anastomosis. CONCLUSION: The results of this study are consistent with a central role for myogenic activity in the conduction of ureteric peristalsis in man.

Humans↗

Entrance surface and ovarian doses in hysterosalpingography.

A survey of entrance surface doses on 40 patients undergoing hysterosalpingography (HSG) has been undertaken. HSG is performed on women primarily of child-bearing age, with the dose to the gonads of these patients being of significant interest. Four lithium fluoride thermoluminescent dosimeters (TLDs) were attached to anatomical landmarks on the patient's skin to measure entrance surface doses. The results ranged from 0.5 mGy to 38.6 mGy with an average entrance surface dose of 13.3 mGy measured at the symphysis pubis. A correlation was observed between the entrance surface dose and imaging technique. Higher doses were measured when 24 x 30 cm film-screen radiography was used as opposed to fluoroscopy using 100 mm cut film for hard copy. Estimates of the organ dose to the ovaries were derived for both techniques yielding 2.8 mGy for 24 x 30 cm film-screen radiography and 1.7 mGy for 100 mm cut film.

Calibration↗

Causal attributions for marital violence and emotional response by women seeking refuge.

The aim was to examine the association between causal attributions for marital violence and emotional reactions of 15 women from two refuges in Northern Ireland. The women who perceived the cause of the violence as stable and uncontrollable scored higher on the Avoidance and Intrusion subscales of the Impact of Events Scale, respectively. In addition, more global causal attributions were associated with higher scores on Intrusion and Avoidance as well as depressive symptomatology as measured by the Beck Depression Inventory. No evidence was, however, found to support the view that these women were engaged in self-blaming (attributions tended to be overwhelmingly external).

Adaptation, Psychological↗

Religious attitudes and obsessional personality traits among UK adults.

Recent data of Maltby, McCollam, and Millar were reanalysed to examine the relationship between religious attitudes and obsessional personality traits in a sample of UK adults. For 34 men and 85 women significant correlations were found between the Francis Scale of Attitudes Towards Christianity and the Sandler-Hazari Obsessionality Inventory trait scale. This supports previous findings linking religious attitudes and obsessional personality traits in student samples.

Adult↗

Personality correlates of scores on the Depression-Happiness Scale.

The present aim was to estimate the internal reliability and convergent validity of the Depression-Happiness Scale. Internal reliability was .90, and higher scores on the Depression-Happiness Scale were associated with more internal control (.28), higher self-esteem (.36), and lower trait anxiety (-.69) among 45 undergraduates at the University of Ulster. The results provide some evidence for the validation of the Depression-Happiness Scale as well as confirming previous research on the correlates of happiness.

Adolescent↗

GABA responses and their partial occlusion by glycine in cultured rat medullary neurons.

Whole-cell current responses to bath application of GABA and glycine were studied in medullary neurons cultured from embryonic rats. Two current components were seen in the responses to bath application of GABA, one component which desensitized and another which did not. These two current components have different dose-response characteristics for GABA, with the nondesensitizing component being activated more effectively and reaching its peak amplitude at lower agonist concentrations than the desensitizing one. The agonist concentrations producing half of the maximum responses are 2.8 +/- 0.3 (+/- S.E.M., n = 9) and 14.7 +/- 2.7 (n = 5) microM for the nondesensitizing and desensitizing components, respectively. The two current components for GABA are differentially affected by the antagonists, picrotoxin and bicuculline. The antagonist concentrations which block 50% of the control desensitizing and nondesensitizing responses to GABA are 33 and 320 microM for picrotoxin, and 3 and 50 microM for bicuculline, respectively. Thus, the characteristics of the GABA responses are analogous to those described previously for glycine in that there are two components which are differentially sensitive to agonist concentration [Lewis et al. (1991) J. Neurophysiol, 40, 1178-1187]. We now find there is occlusion between the responses to GABA and glycine, indicating that they share a population of receptors or channels. The occlusion was incomplete (< 80%) in half of the cells, suggesting that both agonists also activate unique receptors. Furthermore, the current responses to 35 microM GABA are blocked by the glycinergic antagonist, strychnine, with half-maximal blocking concentrations equal to 2 and 30 microM for the desensitizing and nondesensitizing components, respectively. This strychnine sensitivity is less than that for the glycine receptor. At the same time, the current responses to 100 microM glycine are sensitive to the GABAergic antagonists, picrotoxin and bicuculline. The half-maximal blocking concentrations are 36 and 120 microM picrotoxin, and 120 and 500 microM bicuculline, for the desensitizing and nondesensitizing components of the glycine response, respectively. Consequently, these results suggest that these cultured cells have at least three types of inhibitory receptors: glycine receptors, GABA receptors and GABA/glycine receptors, with all three receptors sensitive to block by strychnine, bicuculline and picrotoxin. The GABA/glycine receptor may be an immature form of the inhibitory receptor. Alternatively, some GABA and glycine receptors may have common ionophores.

Animals↗

Oral pessimism and depressive symptoms.

I examined the relation of oral optimistic and oral pessimistic personality traits to depressive symptoms to assess the psychoanalytic claim that fixation at the early phase of the oral stage of psychosexual development is related to depression. College students (N = 140) were administered the Oral Optimism Questionnaire (OOQ; Kline, 1978) and Oral Pessimism Questionnaire (OPQ; Kline, 1978) and the Beck Depression Inventory (BDI; Beck, Ward, Mendelsohn, Mock, & Erbaugh, 1961). Oral pessimism and levels of depressive symptoms were positively correlated, and a subsample of subjects with clinical levels of depressive symptoms also scored significantly higher on the Oral Pessimism Questionnaire than the rest of the sample. For the whole sample, 10 BDI items correlated significantly with the OPQ scores, and 5 OPQ items correlated significantly with the total BDI scores. The psychoanalytic claim relating fixation at the oral pessimism stage to depressive symptoms was supported.

Depressive Disorder↗

Can bio-electrical impedance be used to measure total body water in dialysis patients?

The measurement of total body water (TBW) by bio-electrical impedance (BEI) in a group of renal patients was evaluated against the tritium dilution method. The effect of haemodialysis and the presence of peritoneal dialysate on the impedance were also investigated. The correlation between the two methods was r = 0.9, with the standard deviation of the differences being 3.66 l (TBW typically 40 l). The BEI method overestimated the actual weight loss after haemodialysis, but underestimated the volume of peritoneal dialysate in situ. The BEI method would not be appropriate for use in assessing total body water and monitoring acute volume changes in patients with renal failure who are on strict fluid restriction.

Adult↗

Determination of total body water in uraemic patients by bioelectrical impedance.

The measurement of total body water by bioelectrical impedance in a group of renal patients was evaluated against the tritium dilution method. The effect of haemodialysis and the presence of peritoneal dialysate on the impedance were also investigated. The correlation between the two methods is r = 0.90 with a residual standard deviation of 3.7. The standard deviation of the differences between the two methods against the means was 3.66 which means that total body water (TBW) estimated by the bioelectrical impedance (BEI) method may be 6.18 l (X +/- 2 SD) above or 8.38 l below the 3H2O method. The BEI method overestimated the actual weight loss after haemodialysis (3.87 +/- 1.7 l versus 2.43 +/- 1.8 l) but underestimated the volume of peritoneal dialysate in situ. The BEI method would not be appropriate for use in assessing total body water and monitoring acute volume changes in patients with renal failure who are on strict fluid restriction.

Adult↗

Ureteric peristalsis studies in loin pain and haematuria syndrome: another diagnostic disappointment.

Although not a cause of progressive renal damage, loin pain and haematuria syndrome is nevertheless associated with significant morbidity. The management of pain often presents a formidable problem to urologists, physicians and general practitioners. An earlier study noted hold-up of urine in the renal pelvis and implicated this in the pathogenesis of pain. In this study we have failed to demonstrate an excess incidence of disordered urinary peristalsis in loin pain and haematuria syndrome.

Back Pain↗

Pregenital fixation and perceptual distortions to conflict-laden material.

Three standard questionnaire measures of oral and anal fixation were administered to 142 students. On the basis of their scores 26 students were selected and shown tachistoscopic exposures of pictures designed to activate oral or anal conflicts. Five subjects in each group had extremely high scores on the corresponding measure of fixation, five had extremely low scores, and 16 had intermediate scores. It was hypothesised that individuals who were fixated at one or other of the psychosexual stages would show stereotyped perceptual distortions to repeated dim exposures of the corresponding picture. Highly fixated subjects showed significantly more deviant responses than did subjects who showed low levels of fixation at the same stage. A form of Q-factor analysis indicated that subjects who were fixated at the oral sadistic or anal stages showed different patterns of perceptual distortions to the anal picture than those who were not fixated. These results were interpreted as supporting the link between defenses against anal eroticism and the anal character.

Adult↗

Radionuclide studies in impotence.

Impotence may be of physiological origin with causes including vascular or neurological pathology. Alternatively, it may be of psychogenic origin. Clinicians can distinguish between psychological and organic impotence by observing nocturnal penile tumescence. Non-radionuclide investigations for organic impotence include penile plethysmography or pulse Doppler analysis for arterial supply, cavernosometry for venous drainage, and biothesiometry or evoked potentials for neurological pathology. Radionuclide studies are primarily based on the use of technetium 99m-pertechnetate, 99mTc-red blood cells, or xenon 133 to study the blood flow, with or without pharmacological intervention, commonly papaverine.

Alprostadil↗

A critical evaluation of commercial urodynamics systems.

A comprehensive protocol was developed for assessing urodynamics instrumentation and applied to eight commercial urodynamics systems obtained on short-term loan. Assessment covered the areas of design and construction, measurement accuracy, and software performance. The measurement performance of virtually all systems was found to be adequate for the application. The main areas of weakness were susceptibility to artefact, poor user-friendliness, and lack of physical ruggedness.

Autoanalysis↗

A consumer's guide to commercially available urodynamic equipment.

Eight commercially available urodynamic machines from 6 major manufacturers (Aspen Medical, Dantec, Electro-Medical Supplies (EMS), Uro-gyn, Ormed and Wiest) were assessed for accuracy, construction and user-friendliness. There was less than 10% inaccuracy with regard to fill volume, void rate and pressure measurements. The Wiest 6000 plus system was between 11 and 14% inaccurate during voided volume measurement and other systems were less than 10% inaccurate. User-friendliness was assessed during routine cystometry and is mainly dependent on the software supplied with the equipment. The merits and faults of each urodynamic system with regard to performing a urodynamic investigation, running a urodynamic service and data management are compared with an "ideal" urodynamic system.

Diagnostic Errors↗

A characterization of glycinergic receptors present in cultured rat medullary neurons.

1. Whole-cell current responses to bath application of glycine, beta-alanine, and taurine were studied in medullary neurons cultured from embryonic rats. 2. Two current components were seen in the responses to bath application of agonist, one component that desensitized and another that did not. 3. The two current components have different dose-response characteristics, with the nondesensitizing component being activated more effectively at lower concentrations than the desensitizing component and also reaching its peak at lower concentrations. The agonist concentrations producing half-maximal responses are 26 +/- 4 (SE, n = 6) and 69 +/- 17 (n = 7) microM for the nondesensitizing and desensitizing components, respectively, for glycine; 54 +/- 7 (n = 9) and 127 +/- 37 (n = 7) microM for beta-alanine; and 153 +/- 24 (n = 9) 443 +/- 99 (n = 3) microM for taurine. Thus, for each component, the order of potency is glycine greater than beta-alanine greater than taurine. 4. When total responses to glycine, beta-alanine, and taurine are compared in the same cells, taurine and beta-alanine are less potent agonists than glycine, with relative potencies of 1:0.4:0.1 for glycine-beta-alanine-taurine. 5. The desensitizing component is more sensitive to strychnine than the nondesensitizing one. The strychnine concentrations that block 50% of the response to a control dose of agonist are 15 and 500 nM for the desensitizing and nondesensitizing components, respectively, for glycine; 60 nM and 1 microM for beta-alanine; and 18 and 500 nM for taurine. 6. The complete occlusion between the responses to glycine and beta-alanine or glycine and taurine suggests that these agonists activate the same receptors. 7. The two current components may be manifestations of one receptor population with complicated kinetics or two independent receptor populations.

Animals↗

The use of real-time ultrasound in the management of scrotal trauma.

27 patients were studied with real-time ultrasound following severe scrotal trauma. 22 (81.5%) had ultrasound features of scrotal trauma and, of these, five (18.5%) had signs of testicular rupture. Four of these five patients underwent surgery following ultrasound. This confirmed the diagnosis of rupture and the tests were repaired. Ultrasound should be offered to all patients presenting with scrotal trauma to select patients with testicular rupture for surgery.

Adolescent↗