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Biomedical subjects

H Moseley

Publications and source records attributed to H Moseley.

At least 19 recordsLinked to original sources
PubMed1998

Total radiated power, infrared output, and heat generation by cold light sources at the distal end of endoscopes and fiber optic bundle of light cables.

BACKGROUND: Skin burns and ignition of drapes have been reported with the use of cold light sources. The aim of the study was to document the temperature generated by cold light sources and to correlate this with the total radiated power and infrared output. METHODS: The temperature, total radiated power, and infrared output were measured as a function of time at the end of the endoscope (which is inserted into the operative field) and the end of the fiber optic bundle of the light cable (which connects the cable to the light port of the endoscope) using halogen and xenon light sources. RESULTS: The highest temperature recorded at the end of the endoscope was 95 degrees C. The temperature measured at the optical fiber location of the endoscope was higher than at its lens surface (p < 0.0001). At the end of the fiber optic bundle of light cables, the temperature reached 225 degrees C within 15 s. The temperature recorded at the optical fiber location of all endoscopes and light cables studied rose significantly over a period of 10 min to reach its maximum (p <0.0001) and then leveled off for the duration of the study (30 min). The infrared output accounted only for 10% of the total radiated power. CONCLUSIONS: High temperatures are reached by 10 min at the end of fiber optic bundle of light cables and endoscopes with both halogen and xenon light sources. This heat generation is largely due to the radiated power in the visible light spectrum.

Cold Temperature↗
PubMed1998

Evaluation of an optical instrument for objective assessment of oral mucosal erythema.

This study evaluated the sensitivity and reproducibility of an optical instrument, the Erythema Meter, for quantifying erythema of palatal mucosa. The instrument is based on the principle that haemoglobin in the vasculature selectively absorbs green light but has little effect on red light and allows derivation of an 'erythema index'. Non-clinical investigations were carried out by taking a series of Erythema Meter readings from each colour block on a red check-standard used by graphic artists for colour reproduction. For clinical assessment, 20 dentate patients with healthy palatal mucosa and 40 complete denture wearers (20 with denture stomatitis and 20 with healthy palatal mucosa) were enrolled, and palatal erythema determined both visually and using the Erythema Meter. Two weeks later the Erythema Meter readings for the 40 patients with healthy palatal mucosa were repeated, to allow assessment of the reproducibility of the Erythema Meter scores. The median erythema index was 12 (range 2-38) for dentate patients with healthy palatal mucosa and 5 (range 0-29) for denture wearers with healthy palatal mucosa. For denture stomatitis patients the median erythema index was 95 (range 36-117). The overall reproducibility coefficient was 88%. Visual scoring correlated poorly with the Erythema Meter scores for those with moderate degrees of erythema. The Erythema Meter provides an objective and reproducible means of measuring the degree of erythema of the palatal mucosa.

Adolescent↗
PubMed1998

A hazard assessment of artificial tanning units.

As a result of increasing concern over the use of artificial tanning units, many local government recreation departments are phasing out the use of sunbeds on their premises, resulting in some clients switching to high street parlours about which little is known. An Environmental Health survey was conducted in all 32 tanning premises within a local government area (Perth & Kinross, Scotland). A number of significant problems emerged in the private sector. In this group, there was no form of cumulative UV exposure control in 89% of premises and 81% failed to give adequate advice and information to customers. We conducted UV spectral irradiation measurements in 38 tanning units using a double grating spectroradiometer. When a carcinogenic weighting factor was applied to these measurements, it was found that a 10 min exposure in a high intensity stand-up cabinet carried the same carcinogenic risk as approximately 30 min of local (56 degrees North) mid-day summer sunlight or 10 min of Mediterranean sunlight at mid-day. A questionnaire completed by 57 customers revealed a wide pattern of usage; 6 (10%) had more than 20 h exposure in the previous 12 months and 3 (5%) had made regular use of sunbeds for the previous 16 to 20 years. These results indicate that there is a need for continuing public education and surveillance of commercial artificial tanning units.

Beauty Culture↗
PubMed1997

Ultraviolet B radiation was increased at ground level in scotland during a period of ozone depletion.

The potentially harmful effects associated with stratospheric ozone depletion are widely acknowledged. As the ozone layer principally absorbs ultraviolet (UV) radiation of wavelengths below 290 nm, reductions in stratospheric ozone levels are likely to result in increased UVB at the earth's surface, with the risk of increased incidence of skin cancer. Measuring the sun's spectrum at ground level requires sophisticated and reliable spectral instruments. Results are reported for this for the first time in the U.K. using spectral instruments, showing a significant increase in short wavelength UV radiation at a time of depleted stratospheric ozone. If this trend increases, future ozone depletion could contribute to known risks for cutaneous malignancies of all types.

Atmosphere↗
PubMed1996

Comparison of photodynamic therapy with cryotherapy in the treatment of Bowen's disease.

The efficacy and suitability of photodynamic therapy (PDT) was compared with that of cryotherapy in the treatment of 40 lesions of Bowen's disease. Lesions were randomized to receive either cryotherapy with liquid nitrogen, or PDT using a portable desktop lamp incorporating a 300 W xenon short arc discharge source. A porphyrin precursor, 5-aminolaevulinic acid (5-ALA), was applied topically 4 h before irradiation in the PDT group. Each lesion received 125 J/cm2 at a fluence rate of 70 mW/cm2. All patients were reviewed at 2-monthly intervals and treatments repeated if required. Cryotherapy produced clearance in 10 of 20 lesions after one treatment, the remaining 10 lesions requiring two or three treatment applications. PDT resulted in clearance of 15 of 20 lesions after one treatment and of the remaining five lesions after a second treatment. The probability that a lesion cleared after one treatment was greater with PDT than cryotherapy (P < 0.01). Cryotherapy was associated with ulceration (five of 20), infection (two of 20) and recurrent disease (two of 20); no such complications occurred following PDT. PDT using a non-laser light source and topical 5-ALA appears to be at least as effective as cryotherapy in the treatment of Bowen's disease with fewer adverse effects.

Aged↗
PubMed1995

A clinical study of pulsed Nd: YAG laser-induced pulpal analgesia.

The pulsed Nd: YAG laser is advocated as an alternative means of providing analgesia during routine dental procedures. Since the evidence to support this claim is mainly anecdotal, a clinical trial was carried out using an electric pulp tester (EPT) to measure the extent and duration of any analgesic effect induced by pulsed Nd: YAG laser treatment. A double-blind crossover experiment involving laser and sham treatments was used on 21 subjects. A small (3.6 arbitrary units) but statistically significant increase was observed in the mean responses measured 5 min after laser treatment with 113 mJ pulses at 15 pulses s-1 (pps) for 3 min. The pain thresholds returned to baseline values after 60 min. No statistically significant changes in threshold were found with the sham treatment. The order in which laser and sham treatment was received made no difference to the results.

Adult↗
PubMed1995

Quantitative assessment of the blue-light hazard during indirect ophthalmoscopy and the increase in the "safe" operating period achieved using a yellow lens.

PURPOSE: The indirect ophthalmoscope presents a blue-light hazard with the potential for causing photochemical injury to the retina. In this study, this hazard was assessed with respect to the threshold limit values (TLVs) recently adopted by the American Conference of Governmental Industrial Hygienists. METHOD: Spectral radiometric measurements were made from a standard indirect ophthalmoscope headset used in conjunction with either a clear or a yellow lens. The results were weighted spectrally with the published blue-light hazard function. RESULTS: When the clear lens was used, the TLV was exceeded after approximately 2.5 minutes. The yellow lens filtered out the more hazardous blue wavelengths of light and this increased the "safe" operating period by a factor of approximately 20. CONCLUSION: In clinical practice, with a clear lens, the TLV could be exceeded easily if the patient is subjected to prolonged or repeated examination because the blue-light hazard is additive in a linear manner for periods as long as 3 hours with a potential for a cumulative effect over longer periods. Furthermore, some ophthalmic patients, such as those with aphakia, are less tolerant of blue-light than healthy subjects. In the interests of patient safety, it is recommended that yellow lenses are considered for use for routine indirect ophthalmoscopy.

Equipment Safety↗
PubMed1995

The effect of an Nd-YAG pulsed laser on the cleaning of the root canal and the formation of a fused apical plug.

A Neodymium-yttrium aluminium garnet (Nd-YAG) pulsed laser was used in vitro to determine whether various laser energy levels from 0.75 W to 1.7 W at 15 pulses s(-1) (pps) were able to (i) remove debris from the walls of prepared root canals (ii) remove pulpal tissue from unprepared canals and (iii) create a fused apical plug from dentine chips, hydroxyapatite (HAP) or low-fusing dental porcelain. Single-rooted teeth were sectioned at the amelocemental junction and the crowns discarded. The root canals of 50 teeth were prepared chemomechanically and allocated to four groups of 10 teeth for laser treatment. One group was left unlased as a control. After lasing, the teeth were split longitudinally, stained and examined for residual debris. Results showed that there was no statistically significant difference between the groups (P<0.05). A further 20 teeth were not prepared and lased in the coronal one-third of the root canal at different energy levels; five teeth were not lased. The teeth were split and examined as previously. The results showed that lasing cleaned the coronal part of the root canal almost completely of pulpal tissue. In the final part of the study laser energy was applied to dentine chips, HAP and low-fusing porcelain in an attempt to produce a fused apical plug. The laser was unable to melt the dentine chips but some hardening of HAP occurred when combined with blue food-colouring, with or without glycerine, at energy levels of 1.0 W, at 15 pps for 30 s. Superficial hardening of low-fusing porcelain occurred at 1.0 W, 15 pps for 30 s.

Bicuspid↗
PubMed1994

Blue light curing units--a dermatological hazard?

The setting reactions of a large number of dental materials are activated upon exposure to visible blue light emitted from a curing unit. Although the wavelength (lambda) from such devices is principally in the visible spectrum (lambda > 400 nm) a small amount of ultraviolet radiation (UV) is also present. Little attention has been paid to the consequences of such exposure upon the skin of dental surgeons' fingers. This investigation studied the level of UVA I (lambda = 340-400 nm) emitted by three commonly used polymerisation sources and assessed the level of protection afforded by six brands of surgical glove. The integrated irradiances of the Translux, Topaz T100 and Heliomat units in the UVA I range were 15861, 3611 and 305 mW/m2 respectively. For all gloves the mean % transmission, at lambda = 400 nm, was less than 4% with the exception of one brand where, in the stretched state, the level of transmission was 7%. It is concluded that the risk of initiating adverse dermatological consequences as a result of exposure to UVA I, emitted by light polymerisation units, is minimal in normal usage. The combined effects of exposure to radiation of this type and contamination of the fingers with quantities of irritant chemicals, such as found in many dental materials, are unknown. Due to the ability of the gloves to shield the skin from both chemicals and UVA I it is recommended that gloves are routinely worn for all light curing procedures.

Dental Equipment↗
PubMed1993

The suitability of SunCheck patches and Tanscan cards for monitoring the sunburning effectiveness of sunlight.

UV-sensitive products which undergo a colour change on exposure to UV radiation are available for use by the general public. We have evaluated SunCheck patches of various sensitivities, and Tanscan UV sensor cards, in terms of their temperature stability, wavelength response and response to sunlight. The products exhibited no perceptible colour change when the temperature was maintained at 45 degrees C for 4 hours; on exposure to monochromatic radiation, the sensitivity peaked at a wavelength of 335 and 355 nm for SunCheck and Tanscan, respectively; the response to sunlight under clear conditions was reasonably consistent, with the coefficient of variation for each type of material ranging between 12.5 and 27%. These products are based on the incorrect concept that there is a 'safe' dose of UV radiation. Thus, they cannot be recommended to the public as a reliable way of reducing the risk of skin cancer.

Dermatology↗
PubMed1992

Comparative mapping of mouse chromosome 4 and human chromosome 9: Lv, Orm, and Hxb are closely linked on mouse chromosome 4.

The genes for orosomucoid (ORM-1 and ORM-2), delta-aminolevulinate dehydratase (ALAD), and hexabrachion or tenascin (HXB) all map to the q31-qter region of human Chromosome (Chr) 9. The mouse homolog of each of these genes has been mapped to Chr4, but hexabrachion has not previously been mapped by linkage analysis. We have now ordered Orm-1, Lv (the mouse homolog of ALAD), and Hxb in an interspecific backcross panel, by use of tyrosinase related protein-1, Tyrp-1, whose human homolog maps to 9p13-pter (Abbott et al., Genomics 1991) as a reference locus. No recombinants were identified in 124 animals between Lv and Orm-1. Hxb was found to be 1.6 cM distal to Lv and Orm-1, and 4.8 cM proximal to Tyrp-1, or b. These data therefore contribute to our knowledge of the conserved synteny between HSA 9q and MMU 4.

Animals↗
PubMed1992

The gene for proliferating cell nuclear antigen (Pcna) maps to mouse chromosome 2.

The structural gene for proliferating cell nuclear antigen (Pcna) has been mapped to mouse Chromosome (Chr) 2 by use of a PCR-based assay. With somatic cell hybrids, Pcna was mapped between the T(2;4)13H and T(2;4)1Sn breakpoints. An interspecific backcross was employed to map Pcna 1.9 +/- 1.3 cM distal to Il-lb. This was confirmed by mapping Pcna in the BXH recombinant inbred (RI) strains; no recombinants were seen between Il-la and Pcna. In addition, a PCNA-related sequence (Pcna-rsl) was mapped to Chr 19 in the BXH RI strains.

Animals↗
PubMed1992

Mapping of the structural gene for S-adenosyl homocysteine hydrolase to mouse chromosome 2, and related sequences to chromosomes 8 and X.

Comparative mapping studies in human and mouse have shown that, to date, human Chromosome (Chr) 20 is completely syntenic with distal mouse Chr 2. The structural locus for S-adenosyl-L-homocysteine hydrolase (EC 3.3.1.1) in human, AHCY, maps to 20 qter-->q13.1, and we report here that the homologous locus in the mouse, Ahcy, maps to distal mouse Chr 2 with gene order Pcna-Ahcy-Ada. Analysis of 123 progeny of an interspecific backcross between a laboratory stock, AN, and Mus spretus using a rat cDNA probe revealed the presence of at least two other Ahcy-related sequences segregating independently in the mouse genome. One, Ahcy-rs1, was mapped to Chr 8 in the BXH recombinant inbred strains, and the other, Ahcy-rs2, shows a pattern of inheritance consistent with X-linkage.

Adenosine Deaminase↗
PubMed1992

Capnometry and anaesthesia.

In the last decade, capnography has developed from a research instrument into a monitoring device considered to be essential during anaesthesia to ensure patient safety. Hence, a comprehensive understanding of capnography has become mandatory for the anaesthetist in charge of patients in the operating room and in the intensive care unit. This review of capnography includes the methods available to determine carbon dioxide in expired air, and an analysis of the physiology of capnograms, which are followed by a description of the applications of capnography in clinical practice. The theoretical backgrounds of the effect of barometric pressure, water vapour, nitrous oxide and other factors introducing errors in the accuracy of CO2 determination by the infra-red technique, currently the most popular method in use, are detailed. Physiological factors leading to changes in end-tidal carbon dioxide are discussed together with the clinical uses of this measurement to assess pulmonary blood flow indirectly, carbon dioxide production and adequacy of alveolar ventilation. The importance of understanding the shape of the capnogram as well as end-tidal carbon dioxide measurements is emphasized and its use in the early diagnosis of adverse events such as circuit disconnections, oesophageal intubation, defective breathing systems and hypoventilation is highlighted. Finally, the precautions required in the use and interpretation of capnography are presented with the caveat that although no instrument will replace the continuous presence of the attentive physician, end-tidal carbon dioxide monitoring can be effective in the early detection of anaesthesia-related intraoperative accidents.

Anesthesia↗
PubMed1992

Comparative mapping of mouse chromosome 2 and human chromosome 9q: the genes for gelsolin and dopamine beta-hydroxylase map to mouse chromosome 2.

The mapping of human chromosome 9 (HSA9) and mouse chromosome 2 (MMU2) has revealed a conserved syntenic region between the distal end of the long arm of chromosome 9 and proximal mouse chromosome 2. Two genes that map to human chromosome 9q34, gelsolin (GSN) and dopamine beta-hydroxylase (DBH), have not previously been located in the mouse. We have used an interspecific backcross to map each of these genes, by Southern blot analysis, to mouse chromosome 2. Gelsolin (Gsn) is tightly linked to the gene for complement component C5 (Hc), and dopamine beta-hydroxylase (Dbh) is just proximal to the Abelson leukemia virus oncogene (Abl) and alpha-spectrin 2 (Spna-2). The loci for gelsolin and dopamine beta-hydroxylase therefore form part of the conserved synteny between HSA9q and MMU2.

Animals↗