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Biomedical subjects

J C Wall

Publications and source records attributed to J C Wall.

16 recordsLinked to original sources

Combining new technologies for effective collection development: a bibliometric study using CD-ROM and a database management program.

Librarians have used bibliometrics for many years to assess collections and to provide data for making selection and deselection decisions. With the advent of new technology--specifically, CD-ROM databases and reprint file database management programs--new cost-effective procedures can be developed. This paper describes a recent multidisciplinary study conducted by two library faculty members and one allied health faculty member to test a bibliometric method that used the MEDLINE and CINAHL databases on CD-ROM and the Papyrus database management program to produce a new collection development methodology.

Bibliometrics

The kinematics of idiopathic gait disorder. A comparison with healthy young and elderly females.

In this study the kinematic gait parameters of healthy young and elderly subjects were compared with those of a group of patients with idiopathic gait disorder of the elderly (IGDE), a condition characterized by dysfunctional walking for which no underlying cause can be determined. The velocity and the temporal/distance gait kinematics were measured for self-selected fast, medium and slow speeds of walking. The elderly walk with a more cautious gait pattern than younger adults. This pattern is characterized by a slow walking speed and a reduced single support phase, with shorter but more frequent strides, and is even more marked in persons with IGDE. The slower the walking speed the more cautious this pattern becomes. The patients with IGDE not only walk far slower than a group of healthy age matched individuals but the range of speeds, from self-selected slow to fast, is much reduced and does not overlap that of the healthy elderly. With objective gait measurements this group might be better identified.

Adult

Measurement of the temporal and spatial parameters of gait using a microcomputer based system.

This paper describes a system for measuring the temporal and spatial parameters of gait. The basis of the system is a resistive grid walkway which is controlled by a microcomputer which also collects, processes and stores the data from the walkway. The data obtained from the system, including the temporal and spatial parameters of gait such as step and stride lengths, the durations of swing and support phases of the gait cycle and walking speed, are presented in both numerical and graphical forms. Accuracy to within 1 cm has been verified by analysing videotapes of foot placement during a walk. Special emphasis has been placed on making the system software user-friendly. The presentation of date uses several types of display, from a simple graphical summary of the walk statistics to a more complete report showing all the data from each stride. In the year during which the walkway system has been operational, it has been found easy to use by both subjects and operators, and it produces very useful data.

Biomedical Engineering

Gait asymmetries in residual hemiplegia.

Temporal gait asymmetries in 25 patients with residual stroke were measured from a walkway which allowed data collection on-line with a microcomputer. An asymmetry ratio has been introduced to reflect the degree of asymmetry in each of the support phases of the gait cycle. Subjects in this study demonstrated residual deficits in walking, and although there was a general pattern of asymmetry, walking patterns varied even though the group had been selected according to criteria which tended to make for relative functional homogeneity. Both the extent and patterns of temporal gait asymmetries with respect to phases of the gait cycle were found to vary. The basic rehabilitative implication of these findings is that it is not possible to design a single gait reeducation program for all residual stroke patients; the exercises prescribed must address the unique deficiencies of each patient.

Aged

Two-dimensional isoelectric focussing/sodium dodecyl sulphate polyacrylamide gel electrophoretic mapping and some molecular characteristics of the proteins of the adult guinea-pig small intestinal microvillus membrane.

The adult guinea-pig small intestinal microvillus membrane was purified approximately 25-fold by both cation-precipitation and differential centrifugation methods. Comparison by sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) revealed no substantial differences in polypeptide composition between the two preparations. One-dimensional SDS-PAGE and two-dimensional isoelectric focussing (IEF)/SDS-PAGE, together with Coomassie-blue, silver and lectin-staining, showed three major high molecular weight polypeptides, Mr 108 000, 116 000 and 127 000, as well as a 47 kDa protein (actin), as major constituents of the membrane. The proteins of Mr 108 000 and 116 000 were strongly concanavalin A reactive. A detailed two-dimensional IEF/SDS-PAGE map of the membrane was constructed. Sodium carbonate treatment showed the two concanavalin A-reactive glycoproteins, Mr 108 000 and 116 000, comprising the sucrase-isomaltase complex, to be loosely-associated 'extrinsic' microvillus membrane proteins. Two proteins, Mr 127 000 and 135 000, were tightly-associated 'intrinsic' microvillus proteins. Despite regional differences in specific activity of some small intestinal microvillar enzymes, most noticeably enterokinase (EC 3.4.21.9) and dipeptidyl peptidase IV (EC 3.4.14.x), no substantial regional differences were seen in microvillus membrane polypeptide composition. In contrast, a substantial increase in the major high molecular weight proteins of Mr 108 000 and 116 000 accompanied a 10-fold rise in sucrase-isomaltase activity, and loss of a major protein of Mr 131 000 accompanied the complete loss of lactase activity from the membrane during postnatal development.

Age Factors

Age-related changes in the density and tensile strength of human femoral cortical bone.

In order to ascertain whether the intrinsic strength of human bone changes with age or not, we have determined the ultimate tensile strength and density of strips of femoral cortical bone. These femora were collected from cadavers varying in age from 13 to 97 years. The results show that both density and intrinsic strength of bone increase up to about the fourth decade of life and then decrease with age. However, the rate of decrease of strength is greater than that of density. This indicates that the density of bone is not the sole determining factor of its strength, and that some other factors play an important part.

Adolescent

Assessment of gait disability in hemiplegics. Hemiplegic gait.

A clinical method of recording gait patterns in patients with hemiplegia is described. The method is directed towards obtaining an objective assessment for research purposes primarily but could also be readily used clinically. The basis of the method is a pathway from which one can obtain measurements of the temporal and distance factors of gait. The data so obtained is processed to produce a comprehensive set of results presented in a readily understandable form. Sample results are illustrated and explained. Possible system improvements and applications are discussed.

Aged

Bone water.

A short review is given of the water in bone. Various analyses of bone water content are discussed, and its possible location is considered in relation to the behaviour of water in isolated components of bone. Some of the difficulties encountered in examining such microscopic phenomena as water structure in a heterogeneous system such as bone are also discussed.

Absorption

Mecillinam: a new antibiotic for enteric fever.

Mecillinam is a new antibiotic related to the penicillins but more active than ampicillin against salmonellae, including Salmonella typhi. Mecillinam must be administered parenterally, but the ester, pivmecillinam, is absorbed from the gut. Eight patients suffering from typhoid fever and one suffering from paratyphoid fever were treated with the antibiotic, and seven responded satisfactorily. One patient could not tolerate pivmecillinam because of vomiting but there were no other adverse reactions. Serum and bile levels of mecillinam were many times the minimum inhibitory concentrations for most salmonellae. The antibiotic is a promising addition to the agents available for treating typhoid.

Adolescent

A method of measuring the temporal/distance factors of gait.

There exist many clinical situations where it is desirable to have some measure of a patient's ability to walk. The complex nature of human locomotion is reflected by the number of parameters that have been measured in previous studies of gait analysis. The temporal/distance factors of gait have been found to be extremely useful as a measure of a person's functional mobility. This paper describes a system which has been developed to measure these parameters of gait.

Adult