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Biomedical subjects

E Lloyd

Publications and source records attributed to E Lloyd.

16 recordsLinked to original sources

Type of childcare at 18 months--I. Differences in interactional experience.

A longitudinal study has followed two-parent families and their first-born child. The families were chosen so that there were three groups of dual-earner families using relatives, childminders and nurseries for day care and one group of single-earner families. At 18 mths of age children in the study were observed in the four types of childcare setting. The data from the detailed observations were used to compare the children's interactional experience. The results indicate marked variation in the quality of children's experiences between different childcare settings. Possible reasons for such variation are discussed.

Attention

Type of childcare at 18 months--II. Relations with cognitive and language development.

In a longitudinal study of women and their first-born children the relationship between type of day care experience and cognitive and language development at 18 mths of age was considered. There was a strong association between socio-economic characteristics and type of day care and analyses allowed for this. The results for cognitive development indicate a relationship with mother's education but not with type of day care. For language development the results indicate that children who experience group care were less likely to show much production of different word combinations, but that this was related to the children's language environments.

Child Care

Filling defects of the kidney pelvis.

Filling defects in the renal pelvis should alert radiologists to the possibility of underlying tuberculosis. A case is presented with the major criteria used in differentiating tuberculosis from a neoplasm.

Adult

Sexual experience and plasma testosterone levels in male veterans after spinal cord injury.

Fifty men with spinal cord injuries (SCI) were asked to complete a questionnaire concerning their sexuality before and after injury. Medical examination confirmed the location and completeness of the injury and extracted information about genitourologic status. The respondents rated sexuality highly as a concern in living, and a wide variety of sexual techniques were reported. A marked decrease in sexual activity, satisfaction, and feelings of sexual adequacy was reported after injury, as compared to retrospective "before injury" responses, lack of opportunity being reported as causative by 66% of the subjects and insufficient personal satisfaction by 59%. Seventy-five percent of the subjects experienced sexual arousal from genital stimulation, and several methods of eliciting erection were cited. Orgasm was described by a variety of terms. Significant differences were found between quadriplegic and paraplegic patients in answers to several items, though there was generally no difference between cervical and thoracic groups, which were more specifically broken down with respect to motor or sensory/complete or incomplete lesions. Plasma testosterone levels were found to fall well within the normal adult male range, as were levels of free testosterone and serum sex binding protein. The resulting information demonstrated more sexual concern among men with SCI than the literature previously indicated.

Adult

ECG recognition of extent of acute myocardial infarction in ventricular extrasystoles.

A patient has an ECG on admission to the hospital that demonstrated acute transmural inferior and anterolateral infarction. Charges of additional transmural anteroseptal infarction were evident in ventricular extrasystoles but not in conducted sinus beats. The patient died five days after admission, and autopsy confirmed the presence of fresh anteroseptal infarction, in addition to inferolateral and right ventricular infarction.

Cardiac Complexes, Premature

Sulphonylureas and insulin resistance.

This is a case report of a diabetic who required 750-1000 units of insulin per day when gangrene of the leg developed, whereas previously he had needed no insulin. After amputation of the leg, the patient remained asymptomatic for 9 weeks without insulin. This was clearly related to an increased concentration of circulating antibody-bound insulin. Despite healing at the site of amputation, diabetic symptoms and insulin resistance reappeared. Chlorpropamide treatment reduced the insulin requirement to zero, which was unrelated to a change in insulin antibody concentration.

Chlorpropamide