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Biomedical subjects

S Llewellyn

Publications and source records attributed to S Llewellyn.

4 recordsLinked to original sources

Laterality in bovine behavior in an extensive partially suckled herd and an intensive dairy herd.

Cattle exhibit behavioral laterality, but the consistency and correlation between behaviors are unknown. Behavioral laterality was recorded in two herds of contrasting management intensity. The first was a small, extensively managed herd in Brazil, with cows and calves on rangeland, except when removed for handmilking in stalls. The second was a large, intensive British herd, with cows fed mostly indoors and calves removed for individual rearing soon after birth. In herd 1, the side of the body on which the following behaviors were performed was recorded: rumination (rumination), tail waving (tail), tongue protrusion during the initiation of a feeding bout (feeding), hind leg placement when lying (lying), and front leg initiating walking (walking). The distribution of left and right side dominance was normal for all behaviors, with positive correlations between walking and rumination, tail, and feeding, and between lying and rumination. In herd 2, rumination, feeding, and lying behaviors were similarly recorded, as well as parlor side-preference (parlor) and the side of a track chosen when returning to pasture (track). For all behaviors except track, the extent of left- and right-side dominance was not normally distributed, and more cows than expected showed strong laterality on the right or the left side. Parlor and track lateralities were correlated, indicating that cows that entered one side of the parlor also tended to choose the same side of the track. Strong laterality in the intensively managed herd therefore contrasted with that observed in the extensively managed herd and the reasons for such differences in laterality are uncertain.

Animals↗

Measuring the costs and quality of palliative care: a discussion paper.

In an era of ever increasing emphasis on cost-effectiveness of health care, and with the introduction of the internal market, there is now an urgent need for information on the costs and quality of palliative care. This paper highlights the complexities involved in acquiring and measuring such information and discusses methods which were tried out in an exploratory study. The study took the form of in-depth case studies in two hospices, one in the voluntary sector and one in the NHS.

Consumer Behavior↗

Purchasing palliative care: availability and cost implications.

This paper reports on a survey of the availability of palliative care in Scotland, in the context of the internal market introduced as part of the NHS reforms. It is based on a survey of both the cost and availability of such service, with a discussion of the implications of this information for purchasers of palliative care.

Data Collection↗

Iodostearic acid in the treatment of advanced gastrointestinal carcinoma.

This phase II non-comparative trial evaluated the efficacy of intramuscular iodostearic acid in the treatment of 30 patients with advanced carcinoma of the gastrointestinal tract. These included 17 patients with colorectal carcinoma, seven with pancreatic carcinoma, four with gastric carcinoma, one with hepatocellular carcinoma and one with cholangiocarcinoma. Iodostearic acid emulsion (2 ml/1.2 g) followed by depomedrone (0.5 ml/10 mg) was injected intramuscularly twice weekly. No serious toxic effects were observed, the main side effects being local pain at the injection site and hot flushes. There were no partial or complete responses. Stable disease was seen in six of 30 patients (20%) at 3 months and three of 30 patients (10%) at 6 months. In conclusion, intramuscular iodostearic acid is relatively non-toxic, however, it appears to be of little value in the treatment of patients with advanced gastrointestinal carcinomas.

Adenocarcinoma↗