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Biomedical subjects

J H Herbert

Publications and source records attributed to J H Herbert.

6 recordsLinked to original sources

A novel interactive electronic protocol review system.

This report describes a new protocol review system which was designed as a Lotus Notes database. This system encompasses all elements of investigator protocol generation, review and approval by the laboratory animal veterinarian and institutional animal care and use committee (IACUC), and notification of approval to personnel responsible for animal ordering. Unique features of the system are interactive dialog between IACUC members and the investigator and confidential protocol discussion among IACUC members. The advantages of the system are multiple: 1. it allows for interactive protocol discussion online; 2. it is an essentially paperless process; 3. inclusion of the outside IACUC member is easily accomplished by using an offsite personal computer and secure remote local-area network access; 4. the time required for protocol generation, review, and approval is streamlined due to the automatic features of the database and the speed of e-mail; and 5. all documentation relating to the protocol and the approval process is archived online.

Animals↗

Postnatal pelvic floor screening clinics: a pilot study.

Information regarding the importance of pelvic floor muscle (PFM) exercises during and after pregnancy is now available to most pregnant women and to women who have just given birth. However, despite the apparent availability of this information, there are many women who do not perform these exercises following childbirth, and many who only practice them occasionally. A survey of 48 postnatal women in Bolton revealed that although they had all heard about pelvic floor exercises, less than 50% practised them post-delivery and of those that did only 10% continued with regular daily exercises for more than 2 weeks after the birth of their child. Of greater concern was the wide variety in exercise techniques. It was decided to address this problem by offering informative postnatal education on PFM exercises and by training health visitors to digitally assess the pelvic floor and run screening clinics for women 3-12 months post-delivery. This article discusses the results of a pilot study that includes data on the first 28 women to attend the clinic.

Adult↗

Structural measures as predictors of injury basketball players.

The purpose of this study was to investigate the relationship between structure and injury in basketball players, with the goal of developing equations to predict injury. We examined 45 subjects who were participating in a community center basketball league. Each subject was measured prior to the season for bilateral weight, quadricep girth, calf girth, Q-angle of the knee, dorsiflexion of the ankle, forefoot varus, rearfoot valgus, and true and apparent leg length. All lower extremity injuries causing a game to be missed were recorded during the 16-game season. Average values for bilateral weight, quadricep girth, Q-angle, rearfoot valgus, and leg length measures for the injured players were all larger than the average for the non-injured players by at least one standard deviation. A logistic regression equation using three of the variables correctly predicted the injury status of 91% of the players. The three-variable equation was then used prospectively to predict injury status for members of a small college basketball team. Only one player missed a game due to injury, and the equation identified that player as the most likely to be injured. This study demonstrates a strong relationship between structural measures and lower extremity injury in basketball players.

Ankle Injuries↗

Differential effects of honey, sucrose, and fructose on blood sugar levels.

It is now recognized that dietary carbohydrate components influence the prevalence and severity of common degenerative diseases such as dental problems, diabetes, heart disease and obesity. Fructose and sucrose have been evaluated and compared to glucose using glucose tolerance tests, but few such comparisons have been performed for a "natural" sugar source such as honey. In this study, 33 upper trimester chiropractic students volunteered for oral glucose tolerance testing comparing sucrose, fructose and honey during successive weeks. A 75-gm carbohydrate load in 250 ml of water was ingested and blood sugar readings were taken at 0, 30, 60, 90, 120 and 240 minutes. Fructose showed minimal changes in blood sugar levels, consistent with other studies. Sucrose gave higher blood sugar readings than honey at every measurement, producing significantly (p less than .05) greater glucose intolerance. Honey provided the fewest subjective symptoms of discomfort. Given that honey has a gentler effect on blood sugar levels on a per gram basis, and tastes sweeter than sucrose so that fewer grams would be consumed, it would seem prudent to recommend honey over sucrose.

Adult↗