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Biomedical subjects

R Browning

Publications and source records attributed to R Browning.

30 records · Page 2Linked to original sources

The future of community health trusts.

In summary therefore, I believe Community/Mental Health Trusts must: Work closely with purchasers/contracts in context. Focus local services in GP surgeries or own homes. Dispose of unnecessary estate. Concentrate on what they do best. Meet customer needs, improve customers' perceptions and market and publicise services. Cut out restrictive professional practices and increase staff flexibility, information systems etc. Develop customer relations, contracting, business planning. Identify ¿niche' (minority/specialist) markets (including social care). Develop active Quality Assurance, Clinical Audit, outcomes, research programmes. Create effective organisation and management style (Empowerment, delivery). Minimise costs (Value For Money, minimise internal expenditure, rationalise estate, streamline management). Maximise income. Build alliances. Develop user empowerment, advocacy etc. Finally, whatever the future holds we must keep our eye on the ball - the patient - and ensure their needs are paramount over professions and organisations.

Community Health Services↗

Preweaning growth of Angus- (Bos taurus), Brahman- (Bos indicus), and Tuli- (Sanga) sired calves and reproductive performance of their Brahman dams.

Calves born to Angus (A), Brahman (B), or Tuli (T) bulls and B cows were evaluated to determine sire breed of calf effects on preweaning calf growth and reproductive performance of their dams. Records from 242 cow-calf pairs over 2 yr were used to assess birth weight, calf ADG, weaning weight, gestation length, and postpartum interval to estrus (PPI). The sire breed x sex of calf interaction was important (P < .05) for birth weight, weaning weight, and gestation length. Birth weights of BB males (32.8 +/- .8 kg) were significantly heavier than for AB and TB males (30.1 +/- .9 and 28.6 +/- .7 kg, respectively) and BB females (29.4 +/- .7 kg). As a main effect, sire breed of calf affected (P < .05) calf ADG, weaning weight, gestation length, and PPI. Calf ADG and weaning weights were greater for AB (.90 +/- .01 kg/d; 220.9 +/- 3.5 kg) than for TB (.81 +/- .01 kg/d; 200.4 +/- 3.0 kg) and BB calves (.78 +/- .01 kg/d; 198.8 +/- 3.5 kg). Gestation lengths differed (P < .01) among all calf genotypes (284, 288, and 294 +/- 1 d for AB, TB, and BB, respectively). Postpartum intervals were shorter (P < .05) for cows nursing BB calves (83 +/- 4 d) than for cows nursing AB (95 +/- 5 d) and TB calves (97 +/- 4 d). Tuli-sired F1 calves were inferior to Angus-sired F1 calves and similar to straightbred Brahman calves in preweaning growth. Crossbred calves had shorter gestations but longer postpartum intervals than purebred calves.

Aging↗

Effects of postpartum nutrition and once-daily suckling on reproductive efficiency and preweaning calf performance in fall-calving Brahman (Bos indicus) cows.

Brahman cows were used to evaluate the effects of postpartum nutrition and suckling on reproductive and calf performance. Cows received high or low TDN and once-daily or unrestricted suckling. High TDN (H; 111% of NRC recommendation) cows received a 75% corn: 25% soybean meal diet. Low TDN (L; 93% of NRC recommendation) cows received no concentrates. Once-daily suckled (restricted, R) cows nursed calves for 30 min/d starting at d 21 after calving. In the unrestricted (U) suckling groups, calves had continuous access to cows. By 2 wk of suckling restriction, more (P < .01) R than U cows had progesterone concentrations of > or = .7 ng/mL (55 vs 0%) and more (P < .05) HR than LR cows had progesterone concentrations > or = .7 ng/mL (70 vs 40%). All groups had increases in progesterone and 13,14-dihydro-15-keto-prostaglandin F2 alpha before estrus. The interval to first estrus was shorter (P < .01) for R than for U cows (42 vs 65 d). By d 42 postpartum, more (P < .01) R than U cows exhibited estrus (67 vs 0%), and more (P < .05) HR than LR cows exhibited estrus (89 vs 44%). Calving interval was shorter (P < .01) for R than for U cows (361 vs 395 d). Initial ADG were lower (P < .01) for R than for U calves (.02 vs .69 kg), but weaning weights were similar. Once-daily suckling permitted ovarian activity, hastened return to estrus, and reduced calving interval without reducing weaning weights. Increased postpartum energy intake enhanced the response to restricted suckling.

Anestrus↗

Stereopsis and fixation disparity following prolonged monocular occlusion.

The effects of 12 days of continuous monocular occlusion on the stereoscopic acuity and the magnitude of the fixation disparity associated with a given amount of prism-forced vergence were investigated in six adult subjects with normal binocular vision. After the period of occlusion, all six subjects were able to perceive stereopsis, although four of the six subjects demonstrated a slight but reversible elevation in stereothresholds. The general shape of the fixation disparity curve for a given individual was not altered by occlusion, but changes in the magnitude of the fixation disparity were observed for some subjects.

Adult↗

Role of brainstem structures in seizures initiated from the deep prepiriform cortex of rats.

Previous studies showed that brainstem seizures can still be evoked after transections that separate forebrain from brainstem. We sought to determine whether forebrain-evoked electrographic seizures require brainstem connections for initiation and generalization. Male Sprague-Dawley rats weighing 295-320 g implanted with epidural electrodes had brain transections placed at the pre-, mid-, or postcollicular level. In experiment 1, the transections were limited to severing the brainstem, sparing the telencephalon laterally; these are referred to as "core" transections. In experiment 2, the transections severed the brainstem and also cut through the lateral telencephalon. These "extended" transections were either (a) bilateral, (b) unilateral (i.e., a hemitransection confined to one hemisphere), or (c) partial (sparing pathways ventral to the pretectal nuclei). All transections were performed under ether anesthesia, and seizures were initiated 3 h later by focal infusion of bicuculline (BIC) into the area tempestas (AT) through a previously implanted guide cannula. In experiment 1, bilateral forebrain electrographic seizures occurred in the complete absence of connections between forebrain and brainstem, showing that the brainstem is not required for forebrain-evoked seizures. In experiment 2, forebrain seizures evoked by BIC in AT were suppressed by bilateral extended transections which interrupted connections between AT and the caudal lateral telencephalon. Under these circumstances, application of carbachol with BIC reinstated the forebrain seizure response. These results indicate that carbachol application served to compensate for loss of an excitatory influence on AT resulting from the severing of connections with the caudal telencephalon. The demonstration of direct projections from entorhinal cortex to AT using Fluoro-Gold tracing together with the finding that extended brain transections caudal to the telencephalon do not suppress focally evoked forebrain seizures provided further support for the notion that AT afferents from the caudal telencephalon regulate the sensitivity of AT to BIC. The present findings provide further evidence that seizure substrates in the forebrain and brainstem are separable and independent.

Afferent Pathways↗

Class IV preparation design for microfilled and macrofilled composite resin.

The current standard preparation for Class IV composite restorations is the placement of a bevel on all enamel margins. This study evaluated chamfered and beveled preparations for Class IV restorations of lesions with microfilled and macrofilled composite resin. Forty incisors were obtained and standardized lesions for Class IV restorations were formed. Twenty teeth had a 1.5-mm bevel placed and 20 had a 1.5-mm chamfered preparation placed. Half of the beveled and chamfered preparations were restored with microfilled composite resin; the remaining were restored with macrofilled composite resin. All restorations were fractured with an Instron Testing Machine. The mean force (lbs +/- SD) to fracture the restorations were: (beveled, microfilled composite 16.0 +/- 4.4); (chamfered, microfilled composite 30.6 +/- 20.0); (beveled, macrofilled composite 34.9 +/- 18.6); (chamfered, macrofilled composite 48.8 +/- 14.3). The chamfered preparations provided greater restoration fracture resistance than beveled preparations, for both microfilled and macrofilled composite restorations. Scheffe's test indicated traditional beveled, microfilled Class IV composite resin restorations significantly decreased fracture resistance compared to chamfered, macrofilled composite restorations (P less than 0.001).

Composite Resins↗