PubMed Health⌕ Search

Biomedical subjects

C J Allison

Publications and source records attributed to C J Allison.

14 recordsLinked to original sources
PubMed1999

Hepatic lipodystrophy of pedigree Galloway calves.

Hepatic lipodystrophy has been recognised in pedigree Galloway calves since 1965. Between 1975 and 1984 15 cases from five farms were examined. The calves initially appear normal and in good bodily condition but invariably die by five months of age. The characteristic clinical and neurological changes lead to body tremors, opisthotonus, and dyspnoea before the animals become recumbent and die. On postmortem examination the most significant finding in all cases was an enlarged, pale and mottled liver weighing up to 2.75 kg. Limited histopathological examinations of the brain and liver revealed changes suggestive of hepatic encephalopathy. Exhaustive investigations of the farms failed to reveal any significant findings and the small number of cases made it impossible to determine whether the disease was genetically determined; limited evidence suggests that a 'storage disease' cannot be excluded.

Animals↗
PubMed1997

Randomized trial of breast self-examination in Shanghai: methodology and preliminary results.

BACKGROUND: The efficacy of breast self-examination in helping to reduce mortality from breast cancer has not been rigorously demonstrated. PURPOSE: To assess efficacy, a large, randomized trial was initiated in Shanghai, China. METHODS: From October 1989 to October 1991, 267040 current and retired female employees associated with 520 factories in the Shanghai Textile Industry Bureau were randomly assigned on the basis of factory to either a self-examination instruction group (133375 women) or a control group (133665 women). The women were born within the period from 1925 through 1958. Women in the instruction group were given intensive training in breast self-examination, including the use of silicone breast models and personalized instruction, plus two subsequent reinforcement sessions and multiple reminders to practice the technique. Women in the control group were asked to attend training sessions on the prevention of low back pain. All women have been followed for the development of breast diseases and for death from breast cancer. RESULTS: A high level of participation during the first 4-5 years of the trial was documented among women in the instruction group. Randomly sampled women in this group demonstrated greater proficiency in detecting lumps in breast models than did randomly sampled women in the control group. Approximately equal numbers of breast cancers were detected in the two groups (331 in the instruction group and 322 in the control group) through 1994, which is the last year for which case-finding efforts have been completed. The breast cancers detected in the instruction group were not diagnosed at an appreciably earlier stage or smaller size than those in the control group. More benign breast lesions were detected in the instruction group than in the control group (1457 versus 623, respectively), suggesting a higher index of suspicion for women who received training. Cumulative breast cancer mortality rates through 5 years from entry into the study were nearly equivalent for the two groups. CONCLUSIONS: Breast self-examination has not led to a reduction in mortality from breast cancer in this study cohort in the first several years since the trial began. A shift toward the diagnosis of disease at a less advanced stage in women given instruction has also not been demonstrated. Longer follow-up of participants in this trial is required before final assessment can be made of the efficacy of breast self-examination. IMPLICATIONS: At this time, there is insufficient evidence to recommend for or against the teaching of breast self-examination.

Adult↗
PubMed1990

Early detection and control of cancer in clinical practice.

As part of the Community Cancer Care Evaluation, a random-sample survey of practicing physicians in 12 geographic areas was conducted in 1985 to provide information about physician practice patterns with reference to cancer detection, control, and treatment. All respondents were asked whether they routinely performed comprehensive physical examinations, breast palpations, mammography, rectal examinations, chest roentgenography, and stool guaiac examinations on normal healthy patients older than 50 years. Responses were examined in terms of American Cancer Society and National Cancer Institute (Bethesda, Md) recommendations. Conformity with recommendations was dependent on the geographic area, the specific procedure, and the specialty of the physician. Across all procedures, frequency of performance varied with years since graduation from medical school, with more recent graduates more likely to conform to recommended standards.

Adult↗
PubMed1981

Student discussion groups on doctor-patient relationships: a critical assessment.

Regular discussion groups for all students were introduced at a new clinical medical school to enable students to discuss freely their responses to patients. The main aim was to prevent the alleged dehumanizing effect of medical education. The groups were monitoring by attendance records, questionnaires and tape-recordings. In fact, the majority of students stopped attending so that only two of the five groups survived longer than 6 months. Despite improvements in organization and styles of conducting the groups, a similar fall in attendance occurred in the next year's intake. paradoxically, in most meeting there was a lively and apparently beneficial discussion on the students' reactions to their contacts with patients, so it was difficult to explain the overall drop in attendance. It was concluded that, while organizational details and inappropriate styles of conducting the groups were partly responsible, the main problem was the apparent conflict in attitudes between the students medical teachers and their group conductors (who were mainly psychiatrists), i.e. between the concepts of modern technological medicine and those of psycho-social medicine. This induced a conflict of motivation in the students, who naturally need to identify with their teachers, which most of them resolved by avoiding the groups. It is suggested that more effective integration between general medical teachers and the organizers of such groups is needed, and that group conductors should include general practitioners and clinical supervisors as well as psychiatrists.

Education, Medical, Undergraduate↗
PubMed1979

A three-month study of environmental mastitis in a dairy herd.

During the autumn/winter of 1976, a study was made of a severe mastitis outbreak which occurred in a herd of 96 cows. Forty-four cows and 61 quarters were clinically infected with new infections between September and mid-December. Escherichia coli was isolated in 84 per cent of clinical samples submitted for bacteriological examination.

Animals↗
PubMed1977

Invagination of the caecum into the colon in a Welsh pony.

A chronic wasting disease in a 16 month old Welsh pony filly is described. The animal died 26 days after the onset of illness which commenced with a sub-acute colic and was characterised by progressive loss of appetite and weight. Post-mortem examination revealed a total invagination of the caecum into the colon and it seemed logical to assume this invagination occurred at the start of the illness. A review of the literature showed that total caecal invagination produces 2 distinct clincal syndromes. It can occur either as an acute illness characterised by severe colic and death after about 10 days, or as a chronic wasting disease, such as the case presented here, which may not result in death for several weeks or even months.

Animals↗