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Biomedical subjects

H Jenkins

Publications and source records attributed to H Jenkins.

At least 55 records · Page 3Linked to original sources

Risk factors of ovarian cancer of epithelial origin: a case control study.

Possible risk factors for ovarian cancer of epithelial origin were tested in a case control study consisting of personal interviews with 200 patients and 211 age-matched controls. Some lifestyle factors such as urban versus rural residence show differences between patients and controls, but this may be due to a low response rate in the randomly selected control group. Confirmation of the potentially protective effect of oral contraceptives will require several more years of use, as most of the women who are now reaching the age of highest incidence of ovarian cancer of epithelial origin had several children prior to the availability of oral contraceptives. The only consistent risk factor when a discriminant analysis is carried out is a low number of pregnancies.

Adult↗

Suprathreshold abnormalities of the stapedius reflex in acoustic tumor: a series of case reports.

Suprathreshold morphologic characteristics of the acoustic stapedius reflex are reported for five subjects with acoustic tumor. Results support the hypothesis that changes in suprathreshold morphology may be more sensitive to acoustic tumor than conventional reflex threshold and decay measures. Both the afferent relative amplitude index (AI) and measures of sequential variability of individual waveforms appear to be especially promising.

Adult↗

Efficacy of a simplified lower gastrointestinal flexible endoscope cleaning method.

Published guidelines from the Center for Disease Control (CDC) "strongly recommended" gas sterilization or 30 minutes of high-level disinfection with either 2 percent glutaraldehyde or 6 percent hydrogen peroxide following each flexible endoscope cleansing for proper care. The guidelines were proposed on the basis of previous CDC studies performed on glutaraldehyde disinfection of respiratory equipment. A prospective study was performed culturing flexible endoscopes following cannulation of the lower gastrointestinal tract and cleansing. A uniform endoscope cleansing method without gas sterilization or high-level disinfection was used between patients. Thirty aerobic and 30 anaerobic RODAC bacterial culturings revealed no obligate anaerobic organism growth and only sparse, aerobic, environmental and cutaneous organism growth. There were no instances of documented or suspected postendoscopy infectious complications. Our results indicate that high-level disinfection and gas sterilization of flexible endoscopes are not necessary to prevent bacterial disease transmission from patient to patient.

Bacteria, Aerobic↗

The effect of tubal ligation on the incidence of epithelial cancer of the ovary.

A retrospective review of 666 women who underwent tubal ligation between 1930 and 1969 in Alberta, Canada, was undertaken to assess the effect of tubal ligation on the incidence of ovarian cancer. Tubal ligation did not affect the risk of ulterior ovarian cancer except in women who underwent tubal ligation between the ages of 20 and 29. These women showed a slight but statistically significant (p = 0.03) increase in observed versus expected cases of ovarian cancer.

Adolescent↗

Identification and quantification of lower gastrointestinal flexible endoscopic microflora.

After use in 29 patients undergoing mechanical bowel preparation and cleansing by an acceptable, standardized method, flexible colonoscopes and sigmoidoscopes were cultured for identification and enumeration of bacterial organisms that might be transmitted during subsequent endoscopic procedures. Using a unique, new application, RODAC aerobic and anaerobic cultures of the shaft surface showed no evidence of residual fecal contamination, sparse growth of cutaneous and airborne organisms on some instruments, and no aerobic or anaerobic bacterial growth on others. There were no post-endoscopy infectious complications. Our results would indicate that proper cleaning of the flexible endoscope using an acceptable method does prevent bacterial disease transmission from patient to patient.

Bacteria↗

Edge enhancement computed tomography scanning in inflammatory lesions of the middle ear.

The high resolution modification of an EMI 5005 scanner was utilized with an edge enhancement technique to study inflammatory lesions of the temporal bone. Bone erosions caused by cholesteatomas can be accurately delineated because of the circumscribed nature of expansion. The soft tissue masses cannot be appreciated by present CT techniques. Erosions of the horizontal semicircular canal and involvement of the sinus tympani are readily visualized by CT scanning. Computed tomography is limited in demonstrating the stapes superstructure and horizontal portion of the facial canal due to the inability to obtain good coronal scans. The remaining ossicles can be demonstrated with equal clarity with pluridirectional tomography.

Bone Resorption↗

Diarrhea and medullary carcinoma of the thyroid.

The authors present the case of a 34-year-old woman with disseminated medullary carcinoma of the thyroid to emphasize the value of calcitonin assay in the diagnosis of this condition despite the absence of a thyroid mass and negative scans. An increased concentration of serum carcino-embryonic antigen was confirmed. The diarrhea associated with the disease did not respond to indomethacin in this patient suggesting that in some cases of medullary carcinoma diarrhea is not due to excessive production of prostaglandins.

Adult↗