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Biomedical subjects

M B Bennett

Publications and source records attributed to M B Bennett.

13 recordsLinked to original sources

Wing bone stresses in free flying bats and the evolution of skeletal design for flight.

The primary mechanical functions of limb bones are to resist deformation, and hence provide stiff levers against which muscles can act, and to be sufficiently strong to prevent breaking under static or dynamic loads which arise from normal and accidental activities. If bones perform these functions with a minimum amount of material, the energetic costs associated with building, maintaining and transporting the skeleton will be minimized. Appropriate skeletal architecture for minimizing mass while maximizing strength depends on forces imposed on structural elements. In the evolutionary acquisition of flight in the bat lineage, the forelimb skeleton must have come to experience locomotor-forces that differed from those engendered by the terrestrial locomotion of non-flying bat relatives. Here we successfully measure in vivo strain on the wing bones of flying mammals. Our data demonstrate that torsion and shear are unique and crucial features of skeletal biomechanics during flight, and suggest that the evolution of skeletal design in bats and other flying vertebrates may be driven by the need to resist these loads.

Animals

The relationship between community resources and state hospital recidivism.

OBJECTIVE: The authors examined the propositions that a revolving state hospital door is an inevitable consequence of deinstitutionalization and that enhancing resources for community-based care can limit this phenomenon. METHOD: They analyzed the recidivism patterns of state hospital patients in a region of Massachusetts where, because of a federal court consent decree, the level of funding for community programs was more than twice as high as it was in other regions in the state and compared the pattern of recidivism in this region with that observed in the other areas of the state. RESULTS: Despite the fact that the average daily state hospital census in the resource-rich region was only half that of the other regions, longitudinal data on hospital use showed that the readmission patterns were similar in all state regions. CONCLUSIONS: The authors suggest that attributes of serious and persistent mental illness may have more effect on hospital readmission patterns than service system variables.

Community Mental Health Services

The mechanical properties of the human subcalcaneal fat pad in compression.

The subcalcaneal fat pads of Homo sapiens were subjected to cyclic compressive loading in a materials testing machine. Rates of loading and the absolute loads to which pads were subjected were chosen to simulate the pattern of forces that the pad would be exposed to during the ground contact phase of the running step. Heel pads were found to be resilient, returning approximately 70% of the energy used to deform them. This was modified little by changes in loading frequency. A reduction of temperature from 37 degrees C to 10 degrees C produced a small, but significant, increase in the percentage energy dissipation.

Adipose Tissue

Home heparin infusion in the management of deep vein thrombophlebitis.

Feasibility of home Heparin infusion in the management of deep vein thrombophlebitis (DVT) was assessed in 15 patients. Patients with chest pain, dyspnea, bleeding tendencies, immediate postoperative state, and lack of reliable care giver were excluded. Five patients received the entire course of Heparin infusion at home and 10 were initially started on Heparin in the hospital. Regular assessment and monitoring of blood coagulation parameters were performed by a visiting home nurse clinician in consultation with the attending physician. Eleven physicians were involved in this management and made a total of six physician home visits. Results showed improvement in all but one patient, who had advanced malignancy and resistant thrombophlebitis and who eventually died. No complications occurred among the patients studied. Patient and family surveys indicated a high degree of satisfaction and preference for this modality of care. Analysis of cost indicated a 48% savings compared with similar treatment administered in a hospital setting.

Adult

Foot strike and the properties of the human heel pad.

Many force-plate records of human locomotion show an impulse (the foot strike) shortly after ground contact. The authors' hypothesis is that this results from the rapid deceleration of a mass (the 'effective foot') under forces which compress the heel pad. The quantitative implications are investigated through an illustrative calculation. The observations used are (a) the peak force reached in foot strike (b) the vertical velocity of the foot immediately before ground contact and (c) the properties of the heel pad in compression. Data for (a) and (b) are available in the literature; measurements for (c) are presented here. The deductions are: (a) the time taken to reach peak force is about 5.4 ms, which agrees with published measurements; (b) the mass of the effective foot is about 3.6 kg. The effective foot thus includes a substantial portion of the leg: this seems reasonable. The models used for the calculations clarify the relationship between the foot strike and the shock wave, which it generates.

Biomechanical Phenomena

The five-year survival rate in urban patients with ovarian carcinoma.

The 5-year survival of 253 patients with ovarian malignancy of epithelial origin is reviewed. Although this is closely related to the clinical stage at presentation, the overall survival is poor, because the majority present with disease which has spread beyond the pelvis. There are more deaths in the first 2 years after diagnosis; thereafter the survival curve gradually flattens off and becomes almost horizontal during the 4th and 5th years.

Adolescent

Success or failure: psychotherapeutic considerations for women in conflict.

The authors describe conflicts experienced by women who request therapeutic intervention because of symptoms of depression, anxiety, marital discord, difficulty in asserting themselves, or inability to complete work that would lead to advancement. They discuss the developmentally based difficulties experienced by women in making career choices, advancing their careers, and facing midlife issues. The therapist who deals with such patients must be aware of reality-based factors and of his or her own values and attitudes as they influence choice of therapeutic approach.

Achievement

Transnasal hypophysectomy.

A transnasal trans-sphenoidal surgical approach to the pituitary gland is described. The operative and post-operative experiences with the use of this technique on 21 patients with hormone-dependent malignant disease are reported. In 2 patients the procedure was abandoned because of intrasellar haemorrhage and in 1 an empty sella was found. Fifteen patients developed diabetes insipidus and 1 patient died in the postoperative period.

Adult

Hormonal therapy of breast cancer with special reference to Masteril therapy.

From 1968 to 1972, a trial of a new agent, drostanolone propionate (Masteril), was conducted. This agent was tested against oophorectomy in a group of premenopausal patients, against nandrolone phenylpropionate (Durabolin) in a perimenopausal group, and against ethinyl oestradiol in a postmenopausal group. In the premenopausal group, 44% responded to Masteril and 22% to oophorectomy. In the perimenopausal group, 34,5% responded to Masteril and 39% to Durabolin. In the postmenopausal group, 57% responded to oestrogens and 38,5% to Masteril. The side-effects of Masteril are generally not serious and rarely contra-indicate its use. Masteril has been shown to be a useful and safe agent for all age groups, even though it may appear to be less effective than oestrogens in the postmenopausal patients.

Adult