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Biomedical subjects

I L Evans

Publications and source records attributed to I L Evans.

14 recordsLinked to original sources
PubMed2002

Can warfarin be continued during dental extraction? Results of a randomized controlled trial.

A randomized controlled trial was set up to investigate whether patients who were taking warfarin and had an International Normalised Ratio (INR) within the normal therapeutic range require cessation of their anticoagulation drugs before dental extractions. Of 109 patients who completed the trial, 52 were allocated to the control group (warfarin stopped 2 days before extraction) and 57 patients were allocated to the intervention group (warfarin continued). The incidence of bleeding complications in the intervention group was higher (15/57, 26%) than in the control group (7/52, 14%) but this difference was not significant. Two patients in the study required hospital review for bleeding and all other episodes of bleeding were controlled by patients at home. Continuing warfarin when the INR is < 4.1 may lead to an increase in minor post-extraction bleeding after dental extractions but we found no evidence of an increase in clinically important bleeding. As there are risks associated with stopping warfarin, the practice of routinely discontinuing it before dental extractions should be reconsidered.

Acetaminophen↗
PubMed1995

The effects of aging upon the connective tissues of the periodontal ligament.

The ultrastructural features of the cells and of the oxytalan fibers within the periodontal ligaments of aged rats (2 year old) were quantified and compared with data for tissues obtained from younger animals (8 week old). Sections of the mid-root regions of the mandibular first molars were prepared for examination by TEM. The fibroblasts of the aged rats were found to differ in 3 respects: the areas occupied by endoplasmic reticulum were significantly less, the areas occupied by intracellular collagen profiles were also less, and both the numbers and sizes of intercellular contacts were significantly different (p < 0.05). For the oxytalan fibers, no differences were observed between the periodontal ligaments of the aged and control animals both in terms of numbers of fibers per 50 microns and in terms of area of tissue occupied. Thus, in contrast to the apparent lack of age changes so far determined for the extracellular matrix of the periodontal ligament (collagen fibrils and oxytalan), the periodontal fibroblasts exhibit some age changes as perceived at the ultrastructural level.

Aging↗
PubMed1987

Failure of conventional chemotherapy in aggressive lymphomas.

Between 1975 and 1982 in 2 centres in Glasgow, 53 previously untreated patients with aggressive non-Hodgkin's lymphomas received chemotherapy consisting of one of the following regimens-CVP, MOPP, CHOP or BACOP. Twenty nine patients (55%) entered complete remission (CR), 20 (38%) had partial remission (PR) and 4 (7%) had progressive disease (PD). Of the 29 patients in CR, 9 have relapsed and died, 5 died of infection, 4 died of non-malignant causes, and 11 (21%) remain alive and disease free. The median survival for the CR group is 40 months. All of the patients in the PR and PD group are dead, median survival 11 months. These chemotherapy regimens will cure only the minority of patients with aggressive lymphomas and the use of more intensive regimens is indicated.

Adult↗
PubMed1968

Porotic hyperostosis and the Gelligaer skull.

The differential diagnosis of the bony lesions known as porotic hyperostosis found on a Bronze Age child's skull is discussed. Keith and Shattock gave an opinion in 1923 that the cause was rickets. A firm conclusion is not reached in this paper, but it is suggested that it was more likely to have been an iron-deficiency anaemia.

Anemia, Hypochromic↗