PubMed Health⌕ Search

Biomedical subjects

S Meadows

Publications and source records attributed to S Meadows.

10 recordsLinked to original sources

Genome-wide study of aging and oxidative stress response in Drosophila melanogaster.

Aging is a universal but poorly understood biological process. Free radicals accumulate with age and have been proposed to be a major cause of aging. We measured genome-wide changes in transcript levels as a function of age in Drosophila melanogaster and compared these changes with those caused by paraquat, a free-radical generator. A number of genes exhibited changes in transcript levels with both age and paraquat treatment. We also found genes whose transcript levels changed with age but not with paraquat treatment. This study suggests that free radicals play an important role in regulating transcript levels in aging but that they are not the only factors. This genome-wide survey also identifies candidates for molecular markers of aging.

Aging↗

Religious issues in the capacity evaluation.

The authors explore the difficulties present in the capacity evaluation of patients with strong religious beliefs. The article reviews the legal protection for treatment refusal on religious grounds as well as psychiatry's approach to religion. Clinical cases encountered in an urban hospital are presented to highlight how the conflicts among psychiatric, religious, and legal issues can be resolved. Suggestions are made for incorporating an exploration of religious values into the capacity assessment.

Adult↗

Medical staffing--the Calman Report: implications and costs.

Introduces the 1993 Calman Report on specialist medical training, summarizing the report's recommendations and then exploring its implications for service purchasers and providers. Illustrates these using discussions within University College London Hospitals NHS Trust and The Royal Hospitals NHS Trust.

Consultants↗

Local pay determination.

Discusses the building blocks required for National Health Trusts in the UK to move effectively towards local pay determination as part of an overall coherent reward strategy. Concludes that the current preoccupation with purely the pay part of the reward strategy, combined with the absence of many of the other required building blocks, may well result in an extremely patchwork approach to reward and will leave the National Health Service in the position where it has lost the advantages of a national system, while failing to achieve the benefits of local pay determination.

Hospitals, Public↗

Failure of endometrial cup development in the donkey-in-horse model of equine abortion.

The mature preinvasive chorionic girdles of horse, mule, donkey and extraspecies donkey-in-horse conceptuses, and the very young endometrial cups on d 37 of gestation in mares carrying horse, mule and transferred donkey-in-horse conceptuses, were compared histologically and ultrastructurally to determine possible mechanisms underlying failure of endometrial cup development in the donkey-in-horse model of equine abortion. The progenitor chorionic girdle from the failing donkey-in-house pregnancy was similar in size to the normal donkey chorionic girdle but the trophoblast cells within the former were smaller, less organised and showed definite signs of degeneration and pyknosis. In the 37 d endometrial cups both in the horse and mule pregnancies, the recently invaded, differentiated and enlarging endometrial cup cells had penetrated deeply into the endometrial stroma and were becoming tightly packed between the persisting endometrial glands. In the donkey-in-horse pregnancy, on the other hand, relatively few donkey chorionic girdle cells had begun the invasion process and the majority of these, having penetrated and dislodged the horse luminal epithelium, did not penetrate the basement membrane beneath. Very few cells had reached the endometrial stroma and these had already attracted considerable numbers of lymphocytes to the area. It is concluded that unknown factors in the horse uterus affect adversely all phases of the development, attachment and invasion of donkey chorionic girdle cells, thereby leading to very little or no endometrial cup development and equine chorionic gonadotropin secretion in the extraspecific donkey-in-horse pregnancy created by embryo transfer.

Abortion, Veterinary↗

The modified Insall-Salvati ratio for assessment of patellar height.

The Insall-Salvati ratio for the assessment of patellar height was the first widely used index to be relatively independent of knee flexion. Despite the subsequent publication of other indices, it remains the most widely used index. The Insall-Salvati ratio nevertheless has drawbacks, one of which has received little attention: the ratio lacks sensitivity to patellar morphology. Unusual patellar shapes can lead to misleading values of the Install-Salvati ratio. In particular, the authors have found a significant number of inaccurate readings for patellar height in patients whose patella exhibits a long distal (nonarticulating) facet. A modified Insall-Salvati ratio is described which, when applied in conjunction with the traditional ratio, significantly reduces these errors. The cutoff point between normal and alta for this modified Insall-Salvati ratio is 2. One half of the cases of patella alta in this study were missed by the traditional ratio, yet identified by the modified index.

Diagnostic Errors↗

Residential placement of individuals with mental retardation: factors influencing court decisions.

Pennsylvania law mandates that involuntary commitment of persons with mental retardation be reviewed by the court system in order to assure due process. Fifty such cases in Philadelphia were reviewed in court over a period of one year and subsequently examined to determine current court trends toward institutional placement. Factors evaluated included characteristics of the individual, the presiding court, the impact of a court-appointed Child Advocate or Public Defender, and availability of residential alternatives. Results indicate that children were committed to institutional settings less frequently than adults. Other critical factors were prior placement, recommendations of advocates, and availability of alternative services.

Adolescent↗