Biomedical subjects

R R Whitehead

Publications and source records attributed to R R Whitehead.

6 recordsLinked to original sources

PubMed1998

Transmission and natural regulation of infection with Ascaris lumbricoides in a rural community in China.

A longitudinal study on a cohort of 215 people who remained untreated from June 1993 to June 1994 was carried out using fecal egg counts to examine the course of transmission and aspects of the natural regulation of the infection with Ascaris lumbricoides. The results indicate that the parasite population remained relatively stable during the years since overall prevalence remained steady above 60%. About 40% of the people in the cohort retained their infection intensity status throughout the year, in terms of light, medium, and heavy infections. The regulation of infection in the population could be attributed to the tendency for the loss of worms from people with initial light infections and the movement to medium infection intensity status of people with both light and heavy infections. Compared with adults, children showed a stronger tendency of retaining initial medium infections but weaker tendencies for keeping initial light infections and clearing themselves of infection. Predisposition to light and medium infections was detected in people who had experienced an uninfected period of 4-12 mo before reinfection was established.

Adolescent↗

PubMed1996

Targeted anthelminthic treatment of school children: effect of frequency of application on the intensity of Ascaris lumbricoides infection in children from rural Nigerian villages.

A study to compare the effects of different frequencies of targeted chemotherapy with levamisole (Ketrax: JAGAL Pharma, Lagos, Zeneca Pharmaceuticals UK) as an action for the control of Ascaris lumbricoides was carried out in 3 communities in rural Oyo State, Nigeria. The targeted group comprised children, age 5 to 15 years, attending primary school within their village. Treatment was provided within the school with the assistance of the school teachers. Three frequencies of targeted treatment were offered. In one village targeted treatment was provided on 1 occasion in 1 year, in another village at two 6-monthly intervals and in the third village every 4 months. Prevalence and intensity (e.p.g.) of A. lumbricoides infection were determined immediately before and after the period of intervention using a modified Kato-Katz technique. In the villages which received treatment once and at 6-monthly intervals, a reduction in post-treatment intensity of A. lumbricoides was observed in the total population but this failed to attain statistical significance. In contrast, within the village which received 4-monthly targeted chemotherapy, a significant reduction in post-treatment intensity of A. lumbricoides was observed in the total population and in the targeted children. In general, reductions in the intensity of A lumbricoides after intervention were not particularly pronounced in untreated children (aged 0-4 years) even in the 4-monthly targeted village, whereas in untreated adults, reductions approached statistical significance in villages which received targeted treatment once and at 4-monthly intervals.

Adolescent↗

PubMed1996

Ascaris, people and pigs in a rural community of Jiangxi Province, China.

A longitudinal investigation on natural populations of Ascaris in humans and pigs and an investigation of soil contamination with Ascaris eggs were carried out from June 1993 to June 1994 in 2 villages, Manhu area, Xinjian County, Jiangxi Province, China. Results from these studies indicate that although human ascariasis is endemic there is significant fluctuation in both prevalence and the mean number of eggs/g faeces (epg) of the communities. Fluctuation of age-stratified prevalence and mean epg was detected in children but not in most adult groups. Most cases of human ascariasis were judged to involve low intensities of infection and a typical overdispersion distribution pattern was observed through the year. It was estimated that during the year, nearly half of the eggs discharged in the environment came from infections in children aged between 2 and 15 years which accounted for about 30% of the total population. Soil in and around houses and in vegetable gardens was found to be contaminated by Ascaris eggs and this situation remained relatively stable throughout the year. Monthly developmental rate of Ascaris eggs in soil was detected and the results suggest that the fluctuation in prevalence observed during the year should be directly attributed to the effect of seasonality of egg development. Features of Ascaris infection in pigs were found to be similar to those in humans except for a lower mean intensity of infection. The possibility of cross-infection of Ascaris between human and pig hosts is discussed.

Adolescent↗

PubMed1994

A re-evaluation of the properties of the three-compartment model of intestinal weak-electrolyte absorption.

The three-compartment model for intestinal weak-electrolyte transport provides an equation which predicts the flux ratio (the ratio of the forward and reverse fluxes of weak electrolyte across the intestine) from the dissociation constant, given that coefficients in the equation are specified. Using the equation to evaluate the coefficients from flux ratio and dissociation constant data fails to provide a unique set of values for the coefficients, although it does provide four dissimilar but related sets of values. Differentiation to determine the position and size of the maximum flux ratio provides a relationship between the model coefficients which shows why it is that four sets of coefficients can be used in the equation when it is applied to experimental data. Coefficient sets are derived for all available flux ratio data in the literature. These always contain a variant which requires the intermediate compartment to be more acid than the end compartment. Further specification of the flux ratio equation either by combining data from different physiological circumstances or by adding voltage terms, reduces the four possible coefficient sets to a single set, again requiring the intermediate compartment to be more acid than the end compartment. Estimates of the intermediate-compartment pH agree well with electrode estimates of mucosal surface pH. The present re-evaluation of the three-compartment model resolves an apparent contradiction between experimental and previous theoretical results which indicated a more alkaline intermediate compartment. Instead of contradicting experimental findings, results from the modelling process confirm that the "acid microclimate" version of the model is the better representation of the system that causes asymmetry in weak electrolyte flows across the small intestine.

Electrolytes↗

PubMed1993

On trees as equivalent cables.

By means of a suitable transformation, any passive dendritic tree may be reduced to an equivalent, possibly non-uniform cable. Under certain conditions the equivalent cable has disjoint sections of which only one communicates with the soma. Inputs that map on to the disconnected sections cannot be seen by the soma. Ralls's equivalent cylinder and its generalizations emerge naturally as the simplest cases of this behaviour. Even where, as is more usual, decomposition does not occur exactly the equivalent cable together with the input mapping from the tree to the cable provides a readily visualisable and intuitively appealing description of quite subtle relationships on the tree. The structure of the equivalent cable is dominated by approximate geometric symmetries of the tree. These symmetries cause well-defined subspaces of the total space of synaptic inputs to arrive at the soma at different times, thus allowing them, in principle, to be reflected, for example in the temporal statistics of the neurons' spike output.

Animals↗

PubMed1993

Hookworm infections and human iron metabolism.

Ancylostoma duodenale and Necator americanus are extremely common species of soil-transmitted helminth which flourish where poverty and malnutrition prevail. Hookworms contribute significantly to iron-deficiency anaemia, which remains one of the world's major nutritional problems, through the feeding activities of intestinal stages leading to chronic blood loss into the gut. In this article, a mathematical model is proposed to explain how human iron metabolism may respond to hookworm infection of varying intensity. The model draws attention to the importance of the regulation of stored iron levels in the process. The results from the model are presented for the effects of hookworm infection on the iron metabolism of a healthy adult male. Calculations are also presented in which the effects of hookworms on the iron metabolism of a non-pregnant woman are compared with those of a pregnant woman. Use of the model may help develop a better understanding of the pathology of hookworm disease.

Adolescent↗