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Biomedical subjects

Robert Wood

Publications and source records attributed to Robert Wood.

17 recordsLinked to original sources

Structure of an accurate ab initio model of the aqueous Cl- ion at high temperatures.

The structure of an accurate ab initio model of aqueous chloride ion was calculated at two high-temperature state points (573 K, 0.725 g/cm(3) and 723 K, 0.0098 g/cm(3)) by a two-step procedure. First, the structure of an approximate model was calculated from a molecular dynamics simulation of the model. Then the difference between the structure of the ab initio model and the approximate model was calculated by non-Boltzmann weighting of a sample of configurations taken from the approximate model simulation. Radial distribution functions, average coordination numbers, the distribution of coordination numbers, an analysis of orientations of water in the first coordination shell, and the free energy of hydration of the chloride ion are reported for both state points. The most common water structure has one hydrogen close to the chloride ion and one pointing away (46% at 573 K and 57% at 723 K). Waters in the first coordination shell that are not strongly bound to the chloride ions are common. Several variations of the method were tested. Models in which the water-water interaction is calculated with ab initio methods predict only a slightly different structure than models in which water-water interactions are determined from the approximate models. Similarly, using the approximate model for solute-water interactions when the water is far from the chloride ion did not affect the results. Uncertainties due to the limited sample of configurations are estimated and found to be small. The results are in qualitative agreement with X-ray and neutron diffraction experiments and with simulations of approximate models.

Journal Article↗

Prosthodontic self-treatment with acrylic resin super glue: a case report.

A case history is presented of a patient who fabricated 3 prostheses from autopolymerizing acrylic resin intended for fingernail augmentation and then cemented them into her mouth with super glue. Patients must be warned not to attempt self-treatment for esthetics with self-fabricated prostheses because severe adverse and irreversible hard and soft tissue reactions may occur.

Acrylic Resins↗

Shade matching by dental students.

Dental students achieved a high identification rate for darker shades (P14 and P24) on the Portrait IPN shade guide, which represent the highest chroma and lowest value in the grayish and reddish yellow hue groups. A high identification rate was also obtained for P32, representing the lowest chroma and highest value in the reddish gray hue group. The data suggest that dental students had the most difficulty determining the correct hue group for unmarked shade tabs. Incorrect responses tended to remain in the same value and chroma range but were selected in a different hue group.

Color↗

Animal allergens.

Animal allergen exposure in early childhood and its relationship to the development of atopic disease is a subject that has been evolving rapidly. Recently, several well-designed studies have helped elucidate previous, often conflicting findings on this topic. In addition, results from studies on farm-animal exposure have added strength to data on early dog and cat exposure. In this paper, we review several recent studies that have helped clarify the relationship between early animal-allergen exposure and childhood atopic disease.

Allergens↗

The utility of geographic information systems (GIS) in rapid epidemiological assessments following weather-related disasters: methodological issues based on the Tropical Storm Allison Experience.

Flooding is the most common natural disaster worldwide, and is the leading cause of weather-related deaths in the United States. Tropical storm Allison hit landfall near Galveston, Texas on June 5, 2001, causing the most severe flood-related damage ever recorded in the Houston metropolitan area. This devastating storm dumped 37 in of rain in 24h on parts of the city, killing 22 people and causing more than $5 billion in damage. The main goal of the public health response to tropical storm Allison was to rapidly evaluate the immediate health needs of the community. Geographical information system (GIS) technology was instrumental to the timeliness of this effort. We conducted a rapid needs assessment in the areas most affected by flooding using modified cluster sampling facilitated by GIS methodology. Of the 420 households participating in the survey, we found a significant increase in illness (OR, 5.1; 95% CI, 2.7-9.4), injuries (OR, 4.8; 95% CI, 1.9-12.8), and immediate health needs (OR, 3.3; 95% CI, 1.7-6.1) among persons living in flooded homes compared to non-flooded homes. There were 60 households reporting serious damage, 24 of which were outside the 500-year flood plain. We also obtained reliable estimates of the extent of damage and household needs to help guide relief efforts. These findings underscore the usefulness of rapid needs assessment as a tool to identify actual health threats and to facilitate delivery of resources to those with the greatest and most immediate need. Our ability to swiftly plan and implement a rapid needs assessment over a large geographical region within 1 week following the damage would not have been possible without the utilization of GIS methodology and the availability of skilled personnel and timely data resources.

Disaster Planning↗

An interim denture technique and case reports.

An interim denture technique is presented describing the fabrication of an esthetic prosthesis that is used for short periods of time. The prosthesis conditions the patient for the acceptance of an artificial substitute for missing natural teeth until more definitive prosthodontic therapy can be provided. All the teeth in the arch are extracted simultaneously, and the interim prosthesis is inserted immediately thereafter. The prosthesis duplicates the morphology, color, and position of the extracted teeth. This technique satisfies a great need of socially and business-active patients because there is no interruption in their activities and no change in facial esthetics. Two case histories are presented.

Dental Restoration Failure↗

Resorbable PLLA-PGA plate and screw fixation in pediatric craniofacial surgery: clinical experience in 1883 patients.

The need to provide rigid bony fixation in the surgical treatment of craniofacial deformities has inspired an on-going evolution of surgical innovations and implants. Because of the young age of many treated craniosynostosis patients and the unique pattern of cranial vault growth, the extensive implantation of metal devices is potentially problematic. The use of resorbable plate and screw devices offers all of the benefits of rigid fixation without many of their potential risks. Since the introduction of resorbable plate and screw devices in 1996, tens of thousands of craniofacial patients have received implants, but long-term results from a large series have yet to be reported. A combined prospective and retrospective analysis was done on 1883 craniosynostosis patients under 2 years of age treated by 12 surgeons from seven different geographic locations over a 5-year period who used the same type of resorbable bone fixation devices (poly-L-lacticpolyglycolic copolymer). Specifically, the incidence of postoperative infection, fixation device failure, occurrence of delayed foreign-body reactions, and the need for reoperation resulting from device-related problems were determined. Technical difficulties and trends in device use were also noted. From this series, significant infectious complications occurred in 0.2 percent, device instability primarily resulting from postoperative trauma occurred in 0.3 percent, and self-limiting local foreign-body reactions occurred in 0.7 percent of the treated patients. The overall reoperation rate attributable to identifiable device-related problems was 0.3 percent. Improved bony stability was gained by using the longest plate geometries/configurations possible and bone grafting any significant gaps across plated areas that were structurally important. The specific types of plates and screws used evolved over the study period from simple plates, meshes, and threaded screws to application-specific plates and threadless push screws whose use varied among the involved surgeons. This report documents the safety and long-term value of the use of resorbable (LactoSorb) plate and screw fixation in pediatric craniofacial surgery in the infant and young child. Device-related complications requiring reoperation occurred in less than 0.5 percent of the implanted patients, which is less frequent than is reported for metallic bone fixation. Resorbable bone fixation for the rapidly growing cranial vault has fewer potential complications than the traditional use of metal plates, screws, and wires.

Absorbable Implants↗

The mandibular labial bar major connector.

The lower labial bar is rarely indicated as a major connector for a removable partial denture. It can be used satisfactorily when large mandibular tori interfere with conventional lingual bar placement or when the lower teeth are severely lingually tipped and placement of a lingual bar is not possible.

Aged↗

Esthetics and super glue: a case report.

This article describes how a man attempted to repair damage to his maxillary teeth with super glue. Such action is discouraged, however, because of possible adverse reactions in the hard and soft tissues.

Adhesives↗

Short-term heart rate variability during a cognitive challenge in young and older adults.

BACKGROUND: attention-demanding tasks cause changes in the autonomic modulation of cardiac function. Heart rate variability, an index of autonomic modulation of heart rate, decreases with age. OBJECTIVE: to examine heart rate variability in elderly and young participants at rest and during an attention-demanding task. METHODS: we assessed 16 old participants (ages 72-91) and 16 college-age (ages 20-25) participants for short-term (5 min) heart rate variability at rest and during a simple-reaction time task. We report heart rate variability as the standard deviation of all interbeat intervals, and as the relative contribution of changes occurring at low- and high-frequencies. RESULTS: there were no group differences in resting heart rate. A 2x2 mixed model ANOVA suggested a main effect of age on standard deviation of all interbeat intervals (P<0.05) which was significantly lower for the older group than their younger counterparts. There was also a significant effect of the test condition on standard deviation of all interbeat intervals and spectral measures of heart rate variability (P<0.05) in that standard deviation of all interbeat intervals dropped during the simple reaction time as did high-frequencies, while normalized low frequency power increased. CONCLUSION: cardiac autonomic modulation during provocative stress show similar physiologic responses in young and older adults.

Adult↗

Objective improvement from base-in prisms for reading discomfort associated with mini-convergence insufficiency type exophoria in school children.

PURPOSE: To determine whether base-in prism glasses could diminish asthenopia, and improve reading abilities (speed, accuracy and comprehension). METHODS: All patients aged 8-18 years, from one practice, were examined and considered prospectively over a six month period. Ten percent (72) of these 703 patients met initial criteria of an exodeviation greater at near than distance and reading discomfort. At initial examination these 72 were asked to read orally, with and without base-in prisms. If the senior examiner noted they read faster and with fewer mistakes, and the patient reported increased reading comfort, then reading (only) glasses with 2 to 3 diopters base-in prism OU were prescribed. Of the 72, 33 were so treated. After 3 weeks they were given the Gray Oral Reading Test (GORT-3). This test has two equal parts which were administered one with, and one without, prisms. A subjective questionnaire was also administered. RESULTS: The overall mean improvement in reading speed, accuracy and comprehension on the GORT- 3 with base-in prisms, was from the 34th to the 66th percentile. The improvements in reading were "statistically significant" at p<.001. Patients also reported subjective improvement in asthenopic symptoms and headaches. CONCLUSION: Base-in prism glasses improve subjective reading comfort and abilities (speed, accuracy and comprehension) in these patients.

Adolescent↗

Torsion of a gravid uterus associated with maternal trauma. A case report.

BACKGROUND: Torsion of the gravid human uterus is rarely encountered. Reported cases include uterine leiomyomata, ovarian tumors, uterine anomalies and fetal malpresentation as contributing factors. No case has been reported before in association with maternal trauma. CASE: A 20-year-old woman, gravida 2, para 1, presented to the emergency room at 38 1/7 weeks' gestation after being involved in an automobile collision. Two hours after admission, she experienced a severe, prolonged fetal heart rate deceleration, which was unresponsive to conservative measures. An emergency cesarean section was performed. Following delivery of the fetus, it was noted that the uterus had levorotated 180 degrees, and posterior hysterotomy was performed. Placental inspection disclosed a 30% abruption. The mother recovered uneventfully, but the infant suffered acute and long-term morbidity. CONCLUSION: Uterine torsion should be considered in cases of blunt abdominal trauma to the gravid uterus.

Accidents, Traffic↗

Temporal contiguity and contingency judgments: a Pavlovian analogue.

The two experiments reported examine the role of temporal contiguity on judgments of contingency in a human analogue of the Pavlovian task. The data show that the effect of the actual delay on contingency judgment depends on the observer's expectation regarding the delay. For a fixed contingency between the cue and the outcome, ratings of the contingency are higher when the actual delay is congruent with the observer's expectation than when it is incongruent. We argue that our data can be understood within the context of the temporal coding hypothesis.

Association Learning↗

Cardiovagal autonomic dysfunction in relation to HIV-associated lipodystrophy.

PURPOSE: Human immunodeficiency virus (HIV)-associated lipodystrophy (LD) may be mediated by changes in the autonomic nervous system. We examined the autonomic function among HIV-infected patients with LD compared to HIV-infected patients without LD (non-LD) and HIV-negative controls (controls). METHOD: This cross-sectional study examined cardiovagal autonomic function among the three groups. LD was defined in HIV-infected patients as increased visceral adipose accumulation and peripheral lipoatrophy. Cardiovagal autonomic testing was assessed by measuring heart rate variability during rest, paced breathing, and upright tilt and was analyzed in time and frequency domains. RESULTS: Cardiovagal testing was performed on 58 participants: 26 controls, 20 non-LD, and 12 LD. After adjustment for visceral fat, time domain analysis showed decreased heart rate variability in patients with LD compared to the other groups (p < .05). The frequency domain analysis showed decreased high-frequency power and increased low- to high-frequency power ratio in the LD group compared to both groups during rest and to non-LD during tilt (p < .05). CONCLUSION: Patients with LD have altered cardiovagal modulation. Patients with LD had lower heart rate variability and higher sympathetic modulation compared to non-LD and controls. These alterations may be prognostic of increased cardiovascular disease morbidity and mortality.

Adult↗

Sexuality knowledge, attitudes, and practices of young women in the juvenile justice system.

Adolescents in the juvenile justice system have many risk behaviors that endanger their immediate and future health. They are a vulnerable and often overlooked population for whom pediatric nurses working in community settings can provide important prevention services. To develop an intervention targeted to the specific sexual risk behaviors of young women in a juvenile detention center, this study was designed to assess baseline levels of knowledge, values, and behaviors. The study used a cross-sectional survey design. A convenience sample of 100 adolescent girls (ages 13-17 years, mean 14.8) largely from Hispanic backgrounds (74%) who were detained in the juvenile justice system completed a simplified version of the Mathtech sexuality questionnaire. Correct answers and a brief educational program were provided at the completion of the questionnaire. Results suggest that the overwhelming majority of this population is sexually active (94%) and has inadequate knowledge of basic information on sexuality (mean knowledge score, 10.9 out of possible 18 points). While many young women indicated a belief in the importance of contraception (91%), fewer were comfortable going to a clinic for birth control (46%) or had used a reliable method in the past month (37%). Work that will help to increase knowledge, clarify values, and shape healthy behaviors is essential for this high-risk, vulnerable population.

Adolescent↗