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Biomedical subjects

L Bagley

Publications and source records attributed to L Bagley.

6 recordsLinked to original sources
PubMed2000

The effect of orthodontic referral guidelines: a randomised controlled trial.

OBJECTIVE: To develop and evaluate the effectiveness of referral guidelines for the referral of orthodontic patients to consultant and specialist practitioner orthodontists. DESIGN: Single centre randomised controlled trial with random allocation of referral guidelines for orthodontic treatment to general dental practitioners. SETTING: Hospital orthodontic departments and specialist orthodontic practices in Manchester and Stockport. SUBJECTS: General dental practitioners and the patients they referred for orthodontic treatment. MAIN OUTCOME MEASURE: Appropriateness of referral, defined as whether the patient was accepted for orthodontic treatment. RESULTS: The referral guidelines did not reduce the number of inappropriate referrals. CONCLUSIONS: Referral guidelines for orthodontic referrals did not influence the behaviour of the general dental practitioners. More research into the optimum methods of dissemination and implementation of referral guidelines for use in the general dental service is needed.

Adolescent↗
PubMed1999

Hemispheric asymmetries in arousal affect outcome of the intracarotid amobarbital test.

OBJECTIVE: To evaluate changes in arousal and their impact on memory performance during the intracarotid amobarbital test (IAT). METHODS: Along with memory measures, level of arousal was evaluated through clinical ratings and nonverbal self-ratings in epilepsy patients undergoing IAT before anterior temporal lobectomy. RESULTS: Irrespective of seizure focus, left-sided amobarbital injection resulted in decreased objective and subjective arousal more often than right-side injection. Impaired objective arousal was greater when the left hemisphere was injected second, because of the presumed additive effects of systemic amobarbital residual from the first injection. Decreased objective arousal was related to poorer performance on memory testing following left-hemisphere injection. CONCLUSIONS: The IAT, as practiced in most centers, is biased, so patients with right temporal lobe seizure focus are more likely to "pass" the test, whereas patients with left seizure focus are more likely to "fail" the test. The significant impact of changes in arousal on memory testing needs to be considered when using IAT results to select patients for temporal lobectomy.

Adult↗
PubMed1996

OIL FLAIR: optimized interleaved fluid-attenuated inversion recovery in 2D fast spin echo.

Inversion recovery may be used to suppress signal from cerebrospinal fluid, a technique which has been named "fluid attenuated with inversion recovery" (FLAIR). This report describes interleaving a slice selective inversion pulse within a rapid spin-echo sequence to obtain the desirable contrast characteristics of FLAIR in imaging times comparable to standard rapid spin echo. Additionally, the pulse repetition time is allowed to float above a defined minimum, which can further shorten scan times and dramatically ease the optimization process. The optimized interleaved sequence is referred to as OIL FLAIR.

Central Nervous System↗
PubMed1993

Unusual behavior of clear cell chondrosarcoma.

We report two unusual cases of clear cell chondrosarcoma. Both emphasize the slow-growing nature of the lesion and the need for long-term follow-up. Additionally, the clinical, radiologic and histologic characteristics of this neoplasm are discussed.

Bone Neoplasms↗