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Biomedical subjects

David Thomson

Publications and source records attributed to David Thomson.

9 recordsLinked to original sources
PubMed2006

Comparing spectra and coherences for groups of unequal size.

Spectra and coherences are standard measures of association within and between time series. These measures have several advantages over their time-domain counterparts, not the least of which is the ability to derive and estimate confidence intervals. However, comparing spectra and coherences between two groups of observation is a problem that has not received much attention. This problem is important in neuroscience since it is often of great interest to determine whether the estimates differ between distinct experimental/behavioral conditions. Here we propose one approach to this problem. Based on the known distributional properties of spectral and coherence estimates, we derive a test for equality of two spectral or coherence estimates. The test is applicable to unequal sample sizes. We also derive jackknifed estimates of the variance of the proposed test statistic. We suggest that comparing the estimates obtained from the jackknife procedure with the theoretical estimates provides a robust means of determining whether the data in question shows non-Gaussian or non-stationary behavior. Finally, we present applications of the method to simulated and real data.

Computer Simulation↗
PubMed2005

Open label phase II trial of single, ascending doses of MRA in Caucasian children with severe systemic juvenile idiopathic arthritis: proof of principle of the efficacy of IL-6 receptor blockade in this type of arthritis and demonstration of prolonged clinical improvement.

Eighteen Caucasian (white, Middle East and Asian) children diagnosed by paediatric rheumatologists in the UK and France as having systemic juvenile idiopathic arthritis (sJIA) were enrolled in this open label, single dose trial. All patients had evidence of continued symptoms and disease activity for at least three months while receiving >0.2 mg/kg/day of prednisolone, or its equivalent, prior to recruitment. Twelve patients also received methotrexate (< or =20 mg/m2/week). The patients were divided into three groups receiving 2, 4 or 8 mg/kg of MRA (tocilizumab) by intravenous infusion. No evidence of dose-limiting toxicity was observed and there were no dose-limiting safety issues. MRA appeared to be dramatically effective, with clinical and laboratory responses observed by 48 h post infusion, and these improvements continued well after serum MRA was undetectable. Eleven patients achieved the JIA definition of improvement (at least 3 of 6 core set criteria with a 30% improvement and no more than one worsened by 30%) and eight achieved > or =50% improvement. There were no observable differences with age. Clinical improvement in these children was observed for up to eight weeks, supporting the hypothesis that IL-6 is a key cytokine in the upregulation of genes crucial in the inflammation processes of sJIA, and the possibility of sequestration of MRA in the extra-vascular compartment needs to be considered.

Adolescent↗
PubMed2003

Climate variation and regional gradients in population dynamics of two hole-nesting passerines.

Latitudinal gradients in population dynamics can arise through regional variation in the deterministic components of the population dynamics and the stochastic factors. Here, we demonstrate an increase with latitude in the contribution of a large-scale climate pattern, the North Atlantic Oscillation (NAO), to the fluctuations in size of populations of two European hole-nesting passerine species. However, this influence of climate induced different latitudinal gradients in the population dynamics of the two species. In the great tit the proportion of the variability in the population fluctuations explained by the NAO increased with latitude, showing a larger impact of climate on the population fluctuations of this species at higher latitudes. In contrast, no latitudinal gradient was found in the relative contribution of climate to the variability of the pied flycatcher populations because the total environmental stochasticity increased with latitude. This shows that the population ecological consequences of an expected climate change will depend on how climate affects the environmental stochasticity in the population process. In both species, the effects will be larger in those parts of Europe where large changes in climate are expected.

Animals↗
PubMed2002

Sources of variability in the clinical photostress test.

The photostress test is a simple clinical technique that can differentiate between retinal and postretinal disease. Unfortunately a wide range of normal results have been reported in the literature and it is perhaps for this reason that the test has been little used by clinicians. The purpose of this investigation was to evaluate the effect of photostress technique, age, ametropia, pupil size and acuity on photostress recovery time (PSRT) in normal subjects. Photostress recovery time was measured in 50 healthy subjects whose ages ranged from 21 to 69 using three clinically applicable techniques and a reference technique designed to bleach a consistent amount of photopigment. The agreement between each clinical technique and the reference technique was determined. Mean photostress recovery time differed for each of the techniques studied. Analysis of the data obtained with the reference and the best clinical technique showed that age was the only factor that had a significant effect on PSRT. The best clinical technique involves exposing the eye to the light from the direct ophthalmoscope for 30 s and measuring the time taken for acuity to return to within one line of pre-bleach acuity. Photostress recovery time increases with age but is independent of pupil size, ametropia and visual acuity.

Adaptation, Physiological↗
PubMedDate not supplied

Trauma helicopter emergency medical services transport: annotated review of selected outcomes-related literature.

Based on its roots in military air evacuation, helicopter emergency medical services (HEMS) has always been emphasized as a tool for trauma transportation. Despite much discussion regarding resource allocation for HEMS, a literature search found little recent systematic review of pertinent studies. As HEMS utilization is subject to increased scrutiny in a health care dollar-conscious environment, it was felt that a compendium of available outcomes-related literature could assist those assessing utility of HEMS trauma transport. The current study utilized a Medline search to identify outcomes studies relative to HEMS trauma transport. The goal of this review is to provide a useful resource for those interested in pursuing systematic review of the HEMS trauma outcomes literature. The primary purpose of the review is bibliographic, but there is editorial comment after each paper's summary. The initial article in this two-part series focused on HEMS outcomes literature covering noninjured patients as well as papers assessing outcome in mixed trauma-nontrauma HEMS study groups.

Air Ambulances↗
PubMedDate not supplied

Nontrauma helicopter emergency medical services transport: annotated review of selected outcomes-related literature.

While helicopter emergency medical services (HEMS) has its roots in military transport of wounded soldiers, rotor-wing transport is also used for a wide variety of nontrauma indications. Despite this common use of HEMS for noninjured patients, a Medline search found little systematic review of the literature pertinent to HEMS use for nontrauma. With HEMS utilization subject to appropriately increased scrutiny, those seeking to research HEMS utility in noninjured patients could benefit from existence of a collection of the topical literature. This paper aims to provide such a review, in the form of an annotated bibliography of Index Medicus journal studies assessing potential medical risks and benefits of HEMS transport for noninjured patients. The paper's goal is to provide a useful resource for those interested in pursuing more focused review of various sectors of the nontrauma HEMS literature. As such, the main objective of the article summaries is to provide a brief outline of study design and results; there is also limited editorial comment included after each summary.

Air Ambulances↗