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Biomedical subjects

K Perrin

Publications and source records attributed to K Perrin.

7 recordsLinked to original sources
PubMed2005

Survey of the Royal Australasian College of Physicians examination candidates: preparation and impact on lifestyle.

Candidates currently view the Royal Australasian College of Physicians' written examination as a major undertaking, knowing that approximately one-third fail on their first attempt. We anonymously surveyed New Zealand registrars who sat the written examination in 2004. We found that the majority of candidates spend long hours preparing over a several months, and that the examination had a detrimental impact on their personal lives. The results of this survey have important implications in the context of efforts to reduce the stress of doctors, and should lead to a change in either the examination itself or an increase in support provided to registrars preparing for it.

Adult↗
PubMed2002

Patterns of external chest compression.

We studied the performance of external chest compression by 20 fourth year medical students on 2 study days, separated by 5-7 weeks, 4-8 months after they had been initially trained in cardiopulmonary resuscitation (CPR). Our hypotheses were (1) that a given individual would perform external chest compressions in the same manner each time CPR was performed and (2) that the pattern of performance of chest compressions would be determined, in part, by the anthropometric characteristics of the rescuer. A Laerdal Skillmeter Resusci-Anne CPR manikin chest compression transducer was interfaced with an analogue-to-digital conversion board in a Macintosh LC III computer. Each subject on each study day performed four cycles of 15 compressions and two ventilations twice, once on a table (which raised the surface of the manikin sternum to 95 cm) and once on the floor. For each individual, on each attempt, we calculated the depth and rate of compressions, duty cycle, peak compression velocity, time to peak compression velocity and time to peak compression depth. In addition, we calculated the regression slope of compression depth versus compression number for each cycle of 15 chest compressions and over four cycles of compressions. Statistically significant correlations were observed between the first and second study days in each of the variables of chest compression measured, indicating that the performance of chest compressions was constant over time for a given individual. We observed that the depth of compression, duty cycle, time to peak compression, time to peak velocity and regression slope of depth of compressions versus compression number were significantly related to the height and weight of the rescuer.

Adult↗
PubMed2001

Adherence to antiretroviral therapy among HIV-positive children: examination of the role of caregiver health beliefs.

This study examined the association between two components of the Health Belief Model (perceived vulnerability and barriers) and adherence to antiretroviral therapy (ART) among children who are HIV-infected. The parents/caregivers of 30 children (mean age = 5.21, SD = 3.18) who were HIV-infected and who were on active ART were surveyed to assess current methods of adherence assessment and educational efforts within the institution. All participants (except one) were African American and reported low monthly family incomes (M = $869.45, SD = $832.63). Assessment instruments included measures of perceived vulnerability, caregiver-reported adherence and perceived barriers, and objective measures of adherence (clinical pill count; electronic measurement). The results failed to demonstrate a significant relationship between parental perceived vulnerability, perceived barriers and adherence to antiretroviral medications. Methods of assessing adherence provided significantly discrepant estimates of adherence. Results are discussed in terms of implications for patient care and for future research in this area. The addition of behavioural and motivational components to traditional educational approaches may positively impact treatment results.

Adolescent↗
PubMed1998

XL43 and XL75: two novel RING finger-containing genes expressed during oogenesis and embryogenesis in Xenopus laevis.

This article reports on the isolation of two new Xenopus genes that encode two putative zinc finger proteins. The XL43 and XL75 proteins belong to the RBCC family, and also contains the rfp-like domain. XL43 and XL75 RNAs are found in the ovary, and myc-tagged proteins are detected in mRNA injected oocytes. Whole-mount in situ hybridization of embryos revealed that these two clones are expressed exclusively in neurectodermic and mesodermic tissues. The data suggest that XL43 and XL75 genes could play an important role in the frog's early development, perhaps as a transcription factor. This RBCC family, a subclass of the RING finger family, comprises proteins with known cellular transformation properties. All members possess, besides one RING finger motif, one or two B-boxes, each having a pair of zinc fingers, and a coiled coil domain (Borden, K.L. B. et al., 1996. Proc. Natl. Acad. Sci. USA 93, 1601-1606). Among this group, some members possess, besides the RING-B box-coiled coil (RBCC) motifs, a long C-terminal domain referred to as the rfp-like domain. Although its effective role has not been elucidated yet, this last domain could play an important role by binding a ligand (Bellini, M. et al., 1993. EMBO J. 12, 107-114).

Animals↗
PubMed1998

B24 protein stored in lampbrush spheres is involved in early cleavage in urodele amphibians.

A cDNA encoding a protein (B24) belonging to the Mcm/P1 family was isolated from the newt Triturus carnifex. In eukaryotes, the members of the Mcm/P1 family are essential factors in the DNA replication process. B24 protein (TcMcm3) is present in salamandrid ovarian oocytes and early embryos; its role was tested by injecting specific anti-B24 monoclonal antibodies into the cytoplasm of one blastomere of two-cell stage embryos. The injected blastomere encountered cleavage arrest either soon after the injection or following one or two divisions; later, it degenerated. Instead, the uninjected blastomere went on developing and organizing a hemi-embryo, which does not grow beyond the tailbud stage. These results are consistent with the hypothesis that the B24 protein is involved in DNA replication at cleavage. The B24 protein studied here appears to play a specific role in early development; other variants of the Mcm3 group seem to be employed by different adult tissues.

Amino Acid Sequence↗
PubMed1989

Rationing health care--should it be done?

1. The utilitarian view supports allocation of goods to meet the needs of the greatest number of people; Lamm contends that the only just rationing would be according to age. 2. Some theorists assume that all individuals will live relatively healthily until the end of their natural lifespan; they do not distinguish between therapeutic medications and those that alleviate suffering. 3. According to intergenerational arguments, children should receive priority in funding, with the elderly at the lower end of the scale. 4. The Advisory Panel of the Office of Technology Assessment recommends rationing based on prognosis and quality of life; however, good prognostic skills are lacking and there is no consensus on quality of life.

Aged↗