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Biomedical subjects

R L Patterson

Publications and source records attributed to R L Patterson.

12 recordsLinked to original sources

Sounds of swallowing following total laryngectomy.

Accelerometer transduced sounds of swallowing in total laryngectomees did not show acoustical differences for liquid vs paste swallows, as are found in normals. Compared with normal swallows, tongue propulsion of the bolus in laryngectomee swallows occurred closer in time to a distinctive spectral change associated with bolus flow into the esophagus. Interpretation stressed the lack of mechanical traction from laryngeal elevation contributing to pharyngoesophageal sphincter opening, and the increased role of tongue propulsion in laryngectomee swallows.

Adult

Review of current techniques for the verification of the species origin of meat.

An overview of developments that have occurred in meat species identification over the last decade is presented. It starts by noting the different requirements for speciation techniques over the period, describes the complex nature of meat in terms of chemical composition and shows how the chain of events from slaughter to retail gives rise to opportunities for deliberate adulteration or innocent contamination. The limitations of techniques such as electrophoresis and isoelectrofocusing are pointed out where the analysis of mixed meats is concerned; attention then focuses on the range of techniques based on antigen-antibody interactions: agar gel immunodiffusion, counter immuno-electrophoresis and enzyme-linked immunosorbent assay (ELISA) in three formats. The choice of analyte is discussed, firstly for the analyses of raw meat materials and secondly, for heat-processed meat products. In the first example, blood serum proteins are used almost exclusively despite the limitation that their presence does not necessarily denote the presence of the corresponding muscle tissue (meat). For cooked products, a new range of antisera are necessary, based on thermally stable components derived from the tissues. By using different formats of ELISA, it is demonstrated that different responses can be obtained for heat-processed meat versus processed offal, and that determination of a species meat content in a cooked mixed meat product is possible. Techniques for improving the specificity and performance of antisera are discussed briefly, with the future introduction of thermally stable, muscle-specific monoclonal antisera being seen as the way forward.

Animals

Interpreting the sounds of swallowing: fluid flow through the cricopharyngeus.

The sounds of swallowing in normal subjects were recorded by means of a miniature accelerometer on the throat, simultaneously with videofluoroscopy of a modified barium swallow. Consistent correspondence was found between a rapid change in the acoustic spectrum of the accelerometer signal (the appearance of a region of energy prominence above 1,000 Hz) and bolus flow through the cricopharyngeus.

Adult

Increasing speech intensity of chronic patients ("mumblers") bu shaping techniques.

The present experiment sought to increase the volume of speech in three adult male institutionalized patients. The method consisted of shaping modeled responses. Reinforcement was contingent upon the vocalization surpassing the threshold on an electronic volume indicator, which could be set at various levels of sensitivity. Results indicated that the volume of speech was increased in all three cases, as a function of manipulation of reinforcement contingencies. Follow-up data indicated that the long term maintenance of the acquired behavior was dependent on the ward environment.

Adult

Rubella and rheumatoid arthritis: hyaluronic acid and susceptibility of cultured rheumatoid synovial cells to viruses.

Synovial cell lines were established from patients with rheumatoid arthritis (RA) and from normal human embryos. High levels of hyaluronic acid (HA) were produced by some RA cell lines, some of which were partially or completely resistant to infection with Newcastle disease virus (NDV), vesicular stomatitis virus (VSV), and rubella virus (RV). Normal fetal synovial cells lines were susceptible to NDV, VSV, and RV. Infection with virus became possible after treatment of RA cells with hyaluronidase to depolymerize HA, and HA prevented infection of normal synovial cells with VSV. These results provide evidence that HA and not chronic or latent viral infection is responsible for the lack of susceptibility of RA synovial cells to certain viruses.

Arthritis, Rheumatoid

Tongue mobility in speech after partial glossectomy.

Recovery of tongue mobility in speech was investigated in 5 partial glossectomy patients. Jaw range of motion used in speech, and tongue contour changes relative to the jaw, were assessed using sequential videofluoroscopic data recorded presurgery, postsurgery, and postradiotherapy. Data from 2 normal controls were included for comparison. Tongue mobility relative to the jaw was found to be restricted postsurgery. Approximately 4 months later, following radiotherapy, tongue mobility increased. Range of jaw motion used in speech was unchanged. Results are interpreted as preliminary evidence that in this small group of cancer patients, radiotherapy following surgery did not prevent continued recovery of tongue function for speech in the early postradiation period.

Adult

Missionary dentistry.

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Community Dentistry