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Biomedical subjects

S Simpkins

Publications and source records attributed to S Simpkins.

5 recordsLinked to original sources

A nucleic acid sequence-based amplification method to detect Salmonella enterica serotype enteritidis strain PT4 in liquid whole egg.

Nucleic acid sequence-based amplification (NASBA) was applied to the detection of Salmonella enterica cells in liquid whole egg. Samples (25 g) of liquid whole egg inoculated with Salmonella cells were enriched for 16 h in buffered peptone water, and the NASBA procedure was effective in detecting the presence of Salmonella in samples inoculated with 10 to 100 CFU prior to enrichment.

Animals↗

The effects of stance configuration and target distance on reaching. I. Movement preparation.

The aim of the present study was to investigate the relationship between the focal and postural components of a functional movement during the preparatory phase of a task. The contribution of the arms, trunk, and legs were varied by having subjects reach for two targets within and two beyond arm's length. In addition, the degree of postural stability was manipulated by varying the size of the base of support (BoS). Nine subjects reached and grasped a dowel placed at four locations while standing on a force plate with their feet in a parallel or step stance (right foot forward) under simple reaction-time (RT) conditions. Anticipatory postural adjustments (APAs) occurring prior to arm movement and RTs were analyzed. APAs varied depending on the demands of the task. For movements within arm's length, subjects selected different strategies to initiate the movement. However, for movements beyond arm's length, all subjects used the same strategy: the center of pressure (CoP) was shifted posteriorly, which resulted in the center of mass (CoM) moving towards the target. Target distance and BoS had no effect on the onset of APAs. In contrast, amplitude and duration of APAs increased linearly with target distance, and amplitude was always greater during the more posturally stable BoS configuration. Although wrist RT increased linearly with movement amplitude for both stance configurations, the rate of change was less under the more stable BoS. These results suggest that, during the performance of a functional task, dynamic changes that occur in the trunk and lower extremities prior to initiation of arm movement serve not only to stabilize the body, but are also used to initiate and assist whole-body reaching.

Adult↗

Laparoscopic supracervical hysterectomy versus laparoscopic-assisted vaginal hysterectomy.

This retrospective study compared 41 patients, 21 undergoing laparoscopic-assisted hysterectomy (LAVH) and 20 undergoing laparoscopic supracervical hysterectomy (LSH). The groups were comparable in age, weight, and previous abdominal surgeries. Surgical indications were similar with the exception of uterine carcinoma, which was always treated by LAVH. Vaginal repairs were more common in the LAVH group. The mean operative times, estimated blood losses, uterine weights, and hospital stays were all comparable for both groups. A potential advantage of LSH is that it requires less operative dissection of the bladder, ureter, bowel, and uterine artery. The possible disadvantage of LSH is the 10% frequency of cyclic stump bleeding. Larger studies with prolonged follow-up will be necessary to evaluate risks and benefits of the procedures.

Abdomen↗

Comparison of the harmonic scissors and endostapler in laparoscopic supracervical hysterectomy.

We conducted a retrospective analysis of 29 consecutive patients undergoing laparoscopic supracervical hysterectomy to compare outcomes using the endostapler (15 women) versus harmonic scissors (14). Both instruments resulted in similar outcomes with regard to operating room time, blood loss, and hospital stay. The harmonic scissors have the advantage of decreasing patient cost compared with the stapler.

Adult↗

Development of a quality assurance program as an integral part of the physical therapy system.

The purposes of this article are to describe the conditions that must be met and the process that must be carried out to develop, implement, and evaluate a quality assurance program. The conditions to be met are administrative support for the program; knowledge of quality assurance theories and components (including structure, process, and outcome standards); and a commitment of the department members to quality assurance. The participative approach to program development is essential to the acceptance and implementation of the program. The process is cyclical in nature with the actual program design based on the needs of the people to be served. The department's policies and procedures manual provides the appropriate place for the documentation of the program standards so they are easily accessible to all staff and are an integral part of the delivery system. External peer review is used in measuring the potential for success of the program's structure.

Activities of Daily Living↗