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Biomedical subjects

N Stenhouse

Publications and source records attributed to N Stenhouse.

9 recordsLinked to original sources

The surgeon's assistant: an orthopaedic model at Hastings.

An Orthopaedic Surgeon's Assistant has been part of the orthopaedic surgical team at Hastings since 1983. Having a suitably trained person in post ensures continuity and stability and enhances the treatment of patients, the performance of the department and the training offered to Higher Surgical Trainees. Discussion includes the value of such a role, other orthopaedic models and the need for a nationally accredited training scheme and qualification.

Education, Medical, Graduate↗

Results of computerized tomography, psychometric testing and dietary studies in social drinkers, with emphasis on reversibility after abstinence.

The frequency of abnormal results of cranial computerized tomography (CT), psychometric testing and dietary studies was established in a prospective study of 39 light-to-moderate drinkers (below 120 g/day) of both sexes. Thirty-one subjects showed some degree of cerebral atrophy on CT scan and, of these, 25 also showed abnormalities on psychometric testing. Psychometric deficits were found in three subjects with a normal CT scan. Cerebral atrophy was reversed in 10 of 11 subjects who abstained from alcohol for between three and 12 months. On re-examination after six months, five of the 11 subjects showed improved performance in most psychometric tests. Sixteen subjects were deficient in some dietary factor and all but one of these had abnormal results of CT scan or psychometric testing. The deficiencies found were in kilojoules (six subjects), iron (five subjects), protein (four subjects), calcium (seven subjects), thiamin (six subjects), and ascorbic acid (one subject). Eight subjects had multiple dietary deficiencies; all but one were women. Four had a low red blood cell level of thiamin, but normal serum levels. This was thought to reflect an impairment in the metabolism of this vitamin due to the effect of alcohol. All four subjects with a low red blood cell thiamin level were found to have cerebral atrophy on CT scan and two had psychometric deficits.

Adolescent↗

Familial aggregation of total cholesterol, triglyceride and high-density lipoprotein-cholesterol in an Israeli population sample.

An analysis of factors involved in the determination of cholesterol, triglyceride and high-density lipoprotein-cholesterol (HDL-C) variables is presented. The Jerusalem Lipid Research Clinic tested a population sample of 3,118 youngsters aged 17 to 18 yr and their parents. In 233 of these families, another sibling was examined at age 17 to 18 yr. Analysis was performed after adjustment of fasting lipid variables for age and sex effects. Since the Israeli population is heterogeneous, the families studied were classified by the parents' country of birth into four groups in which both parents had originated from the same country and one group in which each parent had originated from a different continent. Father-mother correlations for plasma lipid variables were relatively high in parents born in the same country and low in those from different continents. This result could be due to common genetic factors or perhaps to environmental factors shared by parents in early life. The midparent-child correlations were higher for cholesterol and HDL-C in all four groups where parents originated from the same country and lower in the heterogeneous group, but these differences were not statistically significant. The parent-child correlations for total cholesterol and HDL-C were between 0.21 and 0.32, and for triglyceride between 0.09 and 0.20. Sib-sib correlations were significantly positive for all three plasma lipids measured. Although mother-child correlations were stronger than those for father-child, this difference was only significant for HDL-C. The estimated heritability coefficients were between 0.30 and 0.54 for cholesterol and HDL-C and lower for triglyceride. These results provide evidence for familial aggregation of plasma cholesterol, triglyceride and HDL-C in an Israeli population, and they indicate that much of the variation in lipid variables can be explained by genetic factors.

Adolescent↗