PubMed Health⌕ Search

Biomedical subjects

L Winchester

Publications and source records attributed to L Winchester.

8 recordsLinked to original sources

Screening for novel ENU-induced rhythm, entrainment and activity mutants.

Chemical mutagenesis has provided an opportunity to develop and expand the repertoire of behavioural mutants for gene function studies. With this in mind, we have established a screen in mice for mutations affecting circadian rhythms, entrainment to light and other wheel-running parameters. The screen consists of an assessment of mouse wheel-running activity in a 12:12 h light/dark cycle for 7-10 days followed by assessment in constant darkness for up to 20 days. Responses to light are assessed using two protocols; a 15 minute light pulse given at circadian time 16 on the tenth day in constant darkness and an additional 12 h of light upon transition from light/dark conditions to constant darkness. To date, approximately 1300 progeny of chemically mutagenised mice have been screened. Computer-aided assessment of wheel-running parameters has helped in identifying abnormal phenotypes in approximately 5% of all animals screened. Inheritance testing of mice with abnormal phenotypes has confirmed the number of robustly inherited mutant phenotypes to be 1% of the total screened. Confirmed mutants including those affecting free-running period, light-responsiveness and wheel-running endurance have been identified. Thus far, low-resolution map positions have been established for four mutants by completing genome scans in backcross progeny. Mutant loci do not correspond with those previously associated with wheel-running behaviour. This result confirms that phenotype-driven approaches such as this should continue to provide material for mammalian gene function studies.

Animals↗

A radiographic analysis of computer prediction in conjunction with orthognathic surgery.

This retrospective study analysed the accuracy and reliability of predictions generated in patients treated with orthognathic surgery by comparing Quick Ceph Image software (Quick Ceph Image Pro version 3.0) predictions with post-surgical lateral cephalographs. Pre- and post-surgical lateral cephalographs of 28 adult patients (12 males and 16 females) were scanned into the computer and 28 landmarks were identified and digitized. Digitization error was assessed from repeated digitization. Fourteen measurements of the predicted and actual postsurgical hard tissue landmarks were compared using Student's t-test. Results showed a good correlation between repeated digitization for all measurements. Student's t-test indicated that 10 of the 14 measurements showed no statistically significant differences. Only the ANB (P=0.008), FMA (P=0.001), SN-Mxl (P=0.03) and Wit's (P=0.0001) showed statistically significant differences between the predicted and actual measurements. However only the Wit's showed clinical significant differences between the two measurements. Caution still must remain as the surgeon may not achieve his planned position in an individual patient. In some cultures there may also be medico-legal implications of these predictions.

Adolescent↗

Men's estimates of prostate cancer risk and self-reported rates of screening.

OBJECTIVE: To determine rates of prostate cancer screening and predictors of men's participation in this screening in the light of national recommendations against prostate cancer screening DESIGN: Community-based study (computer-assisted telephone survey). SETTING: Central Sydney Area Health Service. PARTICIPANTS: Randomly selected men aged 40-80 years. RESULTS: 340 men participated (65% response rate). While the true lifetime (0-74 years) risk of developing or dying from prostate cancer is reported to be one in 18 (6%) and one in 65 (1.5%), respectively, 37% of respondents thought that at least one in five men (20%) would develop prostate cancer before the age of 75 years and 11% that one in five (20%) would die from it. Twenty-two per cent of men aged 50 years or over had been screened for prostate cancer within the previous 12 months. Ever worrying about prostate cancer and bothersome urinary symptoms independently predicted the probability of screening within the previous year. Sociodemographic characteristics such as age, occupation and country of birth were not associated with screening. CONCLUSIONS: Public health initiatives to discourage prostate cancer screening should focus particularly on men with bothersome urinary symptoms and those who worry about prostate cancer. Accurate information about the low risks of dying from prostate cancer needs to be communicated, and the speculative nature of current evidence in support of screening as a means of reducing this risk should be emphasised.

Adult↗

Methods of debonding ceramic brackets.

The problem of debonding ceramic brackets is still one which concerns the orthodontist. It is advisable to use the manufacturers recommended method of debonding each particular type of bracket. The risks of using such brackets need to be carefully assessed against the benefits. Risks can be minimized by carefully assessing the patient and the dentition, avoiding heavily restored teeth with pre-existing enamel cracks. It would seem wise to obtain an informed consent from the patient having out-lined the potential problems.

Ceramics↗

Direct orthodontic bonding to porcelain: an in vitro study.

The shear/peel and tensile/peel bond strengths of mesh-backed orthodontic brackets bonded to porcelain, using a highly filled composite and four different silane bonding agents were determined. Sites of failure were recorded for each method of testing. A method of debonding ane restoring the porcelain surface to its original state after debonding was also investigated. All silane bonding systems tested provided adequate bond strength for clinical use. Fusion produced significantly higher force values to failure in shear testing. There was no significant difference between the bond strengths obtained in tensile testing. Patterns of failure differed in each mode of testing, suggesting that a shear mode of debonding is more likely to cause porcelain fracture and that the possibility of porcelain fracture during function or debonding cannot be excluded. The use of a Lift-Off plier is recommended in debonding brackets from porcelain where a silane bonding agent has been used. Diamond polishing paste was better at restoring the procelain surface to its original appearance than Shofu polishing stones.

Adhesives↗

Estimates of costs by DRG in Sydney teaching hospitals: an application of the Yale cost model.

The results are reported of a first round of costing by DRG in seven major teaching hospital sites in Sydney using the Yale cost model. These results, when compared between the hospitals and with values of relative costs by DRG from the United States, indicate that the cost modelling procedure has produced credible and potentially useful estimates of casemix costs. The rationale and underlying theory of cost modelling is explained, and the need for further work to improve the method of allocating costs to DRGs, and to improve the cost centre definitions currently used by the hospitals, is emphasised.

Accounting↗

Cheilitis glandularis: a case affecting the upper lip.

Cheilitis glandularis is a rare disorder characterized by enlarged mucous glands, usually in the lower lip, and possibly predisposing to squamous cell carcinoma. A case affecting the upper lip is presented, which appears to be the first report of the disorder in that site.

Cheilitis↗