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Biomedical subjects

M Bell

Publications and source records attributed to M Bell.

16 recordsLinked to original sources

The effectiveness of adherence intervention in a colon cancer prevention field trial.

BACKGROUND: Adherence interventions were implemented in a 1-year community-based colon cancer prevention clinical trial (n = 110) using wheat bran fiber and calcium dietary supplements. The adherence promotion strategy was guided by a theoretical model. METHODS: The adherence intervention contains both a generalized portion given to all participants and an individualized portion given to marginal (50-74% intake) and low (under 50% intake) adherers. A regression model was employed to assess the effectiveness of the interventions both at the first intervention and at subsequent times. RESULTS: The Health Behavior in Cancer Prevention Model-based adherence promotion intervention was associated with retention of participants, both during the run-in period and after randomization (P = 0.05); and maximization of the percentage of the 13.5-g recommended fiber supplement consumed during the trial (92.5%). The positive effects of the adherence intervention were greater with first-time nonadherers and the control group than with the experimental group. The high-fiber group had notably more biological GI effects from the increased fiber intake, more preexisting comorbidities, and lower perceived cognitive and physical health status. CONCLUSIONS: Randomized participants had excellent adherence overall. Retention rates in the trial were better than would be expected without the adherence intervention, especially among those participants who may have been at higher risk for dropping out of the study. This suggests that a systematic, theoretically based adherence strategy should be further tested in clinical trial settings in which lower adherence is a problem.

Aged

Malaria in Birmingham and a London teaching hospital.

During the past five years the incidence of imported malaria increased among patients seen in East Birmingham Hospital and in St Thomas's Hospital, London. Plasmodium vivax was the predominant species in Birmingham, and was almost always acquired by Asian immigrants visiting the Indian subcontinent. In St Thomas's P falciparum was most commonly imported, usually by African immigrants visiting Nigeria and Ghana. Two patients (one Irish, one Japanese) died of falciparum malaria after visiting tropical Africa. In both hospitals the immigrant patients had seldom taken prophylactic drugs, and the few who had, ceased to do so on arrival in the UK and sometimes before leaving the malarious country. Apparently immigrants who visit their homeland do not consult their general practitioners before travelling, are given inappropriate advice, or do not take appropriate advice when given. Since the incidence of imported falciparum malaria in the UK is rising, the following points should be considered: the infection may be lethal, particularly in patients lacking immunity; it can mimic other diseases, which may lead to delayed diagnosis; severe disease may be associated with few parasites on a blood film, and even if the result is negative further tests should be performed; clinicians and hospital pharmacists should be aware of the need to keep permanent stocks of parenteral chloroquine and quinine preparations.

Adolescent

Polychlorinated biphenyl-induced morphologic changes in the gastric mucosa of the rhesus monkey.

The early morphologic events in polychlorinated biphenyl-induced lesions of the gastric mucosa of immature male rhesus monkeys (Macaca mulatta) were studied in serial biopsies taken during consumption of diets containing 3, 10, 30, and 100 mg. per kg. (p.p.m.) of Aroclor 1242. The severity of the lesions correlated directly with both the duration and the level of exposure. The first changes were seen after ingestion of 30 and 100 mg. per kg. for 2 weeks; changes were not seen until 10 weeks at 3 and 10 mg. per kg. The principal effect was an apparent arrest of the differentiation of generative cells of the isthmus and neck regions into parietal and zymogenic (chief) cells. Mature parietal and zymogenic cells were found only in the bases of the glands, where the oldest cells are normally found, and these showed signs of injury including dilation of the rough endoplasmic reticulum in zymogenic cells, irregularity of the mitochondria in parietal cells and irregular luminal membranes, and an increase in the number of large autophagic vesicles in both cell types.

Animals

On the move.

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History, 19th Century

Mechanisms of antibody diversity: multiple genes encode structurally related mouse kappa variable regions.

The complete amino acid sequences of the variable regions of three mouse Vkappa-21 kappa chains (A22, T111, and CB101) and one partial sequence (B32) have been determined and are compared to four previously reported Vkappa-21 variable regions. These eight kappa variable region sequences have, with the exception of an amide difference at residue 1, identical amino-terminal 23-residue sequences, all are of the same length, and all have extensive amino acid sequence homology throughout the variable region. When these eight variable regions are grouped by sequence homology, five different groups (Vkappa-21A, B, C, D, and E) are present whose members share common sets of amino acids within a group. Three groups of similar homology each contains at least two members (M63 and AB22 in Vkappa-21B; M321 and T124 in Vkappa-21C; and M70 and B32 in Vkappa-21A). The repetition of these five characteristic subgroup sequences in this relatively small sample indicates that these subgroups are isotypes which are controlled by separate germline genes. It is unlikely that these sequences could have been randomly somatically generated in different animals from a single germ-line gene (parallel mutation). Although a limited number of comparisons are available, the sequence differences within the Vkappa-21A, B, and C isotypes are limited to complementarity-determining regions and may have resulted from somatic mutations. The kappa chains comprising the Vkappa-21 isotypes offer a unique opportunity to compare the genetic interpretations of the primary amino acid sequence data with the nucleic acid hybridization data.

Amino Acid Sequence

Telemetric measurements of strain in the metacarpus of the horse: a pilot study.

The advances made by the use of a telemetric system in the study of bone strain in a free-moving horse are reported. A rosette strain gauge was bonded to the craniomedial aspect of the metacarpus of the horse. Attachment of a miniature FM transmitter to lead wires facilitated telemetric transmission of of resistance changes which corresponded to limb movement. During 3 different gaits, the trace pattern remained similar, although frequency and amplitude varied. The tracings were similar to those reported in other species in which nontelemetric transmission was used.

Animals

Hang gliding injuries.

Two fatal and 42 non-fatal hang gliding accidents are reported. The commonest cause was stalling the craft, either owing to adverse winds or to pilot inexperience. The most frequent injuries were fractures of the wrist, humerus and spine. Inexperienced pilots were involved in most of the accidents, so that the training and supervision of novices is of fundamental importance if the accident rate of the sport is to be reduced.

Accidents, Aviation

Hang gliding injuries. A preliminary report.

Six cases of injury associated with hang gliding are reported. The history and technique of the sport are briefly described. Fractures of the spine and limbs are the commonest injuries encountered in this high risk activity and many of them could be avoided or reduced in severity by simple safety precautions.

Accidents, Aviation

A factor-analytic examination of sexual behaviors and attitudes and marihuana usage.

A questionnaire that pertains to sexual attitudes and behaviors, family relationships, and marihuana usage was administered to 358 undergraduates at Wichita State University. A factor analysis performed upon the results yielded 12 factors related to sexual behavior: (1) Liberal vs. Conservative Attitudes; (2) Age-Experience; (3) Symbolic Sexual Preoccupation; (4) Romantic Love vs. Cynicism; (5) Experience-linked Drug Effects; (6) Affectual Dependence; (7) Mature Satisfaction; (8) Conservative vs. Liberal Sexual Practices; (9) High vs. Low Sexual Activity; (10) Sexual Revolution; (11) Sex; (12) Traditional vs. Cynical Love Roles.

Adult