Biomedical subjects
M A Chamberlain
Publications and source records attributed to M A Chamberlain.
Socio-economic effects and therapy in osteoarthrosis.
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A study of serum biochemistry in Behçet's syndrome.
Serum samples from 57 Turkish patients with Behçet's syndrome (BS) were analysed for C-reactive protein, histidine, total sulphydryl concentration and gamma glutamyl transpeptidase. Clinical subgroups did not exhibit biochemical differences, including BS with and without arthritis. When compared with normal controls and with patients with active rheumatoid arthritis (RA), those with BS were shown to be biochemically abnormal in a manner quantitatively similar to RA, but to a lesser degree. Gamma-glutamyl transpeptidase concentrations were found to be normal in BS.
Designing chairs for the disabled arthritic.
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A comparative study of the pathergy reaction among Turkish and British patients with Behçet's disease.
Forty-eight Turkish and 12 British patients along with 24 Turkish and 7 British healthy controls were assessed for the presence of the pathergy phenomenon. A photographic method with 'blind' reading was utilised. The pathergy phenomenon was present only among the Turkish patients.
Joint protection.
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HLA B5 and Behçet's disease.
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Socioeconomic effects of ankylosing spondylitis in females: a comparison of 25 female with 25 male subjects.
25 men and 25 women with ankylosing spondylitis were interviewed, using a structural questionnaire, covering a profile of the disease and of socioeconomic areas. Particular attention was paid to sexual activity, pregnancy and child-rearing. Significant problems in most areas asked about were found, although childbearing was not curtailed. Tiredness was responsible for a lot of disability but the women managed housework reasonably well and also had a fairly good employment record.
Evaluation of rehabilitation bicycles.
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Physiotherapy in osteoarthrosis of the knees. A controlled trial of hospital versus home exercises.
Patients with osteoarthrosis of the knee were taught two simple exercises to be practised daily with graduated weights, recording the details in an instruction/record book. Patients were randomly divided into those receiving treatment (and short-wave diathermy) at hospital (group A), and those doing their exercises at home (group B). Both groups showed decreased pain and increased function, maximum weight lift and endurance at the end of 4 weeks. There was no difference between the groups. Benefit was retained by most of those patients notified at 6 weeks of a further assessment session at 12 weeks; most of these subjects continued daily exercises, whereas those not notified in advance were more likely to cease exercising and experience more pain. The exercise regimens are easy to perform and document. It is suggested that if such regimens were routinely used there would be great practical benefits for patient and physiotherapist.
Computerized support of clinical pharmacy services.
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Evaluation of aids and equipment for the bath: II. A possible solution to the problem.
One hundred patients needing bath aids is leaving Leeds hospitals in 1978 were randomly allocated into control and treated groups. The former 50 patients received aids through the usual channels, the latter obtained bath aids immediately on discharge and were instructed in their use at home by the peripatetic occupational therapist. All were assessed independently at three to six months. Prompt, correct prescription of aids and supervision of their use in bathing shortly after discharge by a hospital-based occupational therapist resulted in safe bathing by all treated subjects. In contrast, only 82% of controls bathed, 50% of these from the seated position (compared with 90% of the treated group) and only 39% of controls received their aids within two weeks of discharge (compared with 74% of the treated group).
An investigation into the problems of easy chairs used by the arthritic and the elderly.
Groups such as the arthritic and the elderly are particularly susceptible to seating problems. An extensive questionnaire to determine the nature and extent seating difficulties was given to patients at rheumatology clinics and members of day centres for the elderly in Leeds. Forty-two per cent of subjects had some degree of difficulty in rising from their easy chair at home and of these 18% either experienced great difficulty or could not rise unaided. Only 13% had chairs designed to aid rising (e.g. high chair) and 40% of subjects thought their chair could be improved. Thirty-four per cent said that their easy chair caused them pain or discomfort. Information about subjects' body dimensions and their easy chair dimensions was also collected. Further research based on the survey results is planned in order to develop criteria for the design of easy chairs for the arthritic and the elderly.
The handicapped school leaver.
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Socioeconomic effects of ankylosing spondylitis.
Subjects with ankylosing spondylitis are frequently required to make many adjustments to their lifestyle. As these occur over many years, accommodation to the disease is usually accomplished adequately. However, it is important that the physician is aware of the functional problems, of which the patient will rarely complain, and should be able to advise and summon help, particularly with regard to employment and sexual activity. The problems of women with the illness need further exploration.
Leisure for the disabled.
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And have you done your exercises?
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