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Biomedical subjects

Steve Jones

Publications and source records attributed to Steve Jones.

16 recordsLinked to original sources
PubMed2007

Mechanical and metabolic responses with exercise and dietary carbohydrate manipulation.

PURPOSE: To investigate the effects of altered muscle glycogen content on the mechanical and metabolic responses to prolonged exercise of moderate intensity. METHODS: Eight volunteers (.VO2peak = 49.3 +/- 1.2 mL.kg(-1).min(-1)) cycled to fatigue on two occasions: after a 3-d low-carbohydrate diet (Lo CHO), which had been preceded by glycogen-depleting exercise, and then after a 3-d high-carbohydrate diet (Hi CHO). Metabolic and mechanical properties were assessed at both Lo CHO and Hi CHO before exercise (Pre), at 30 min of exercise (30 min), at fatigue in Lo CHO (Post 1), and again at fatigue after a brief rest (Post 2). RESULTS: For the Lo CHO cycle, time to fatigue averaged 66.7 +/- 4.5 and 9.5 +/- 1.7 min for Post 1 and Post 2, respectively. For Hi CHO, Post 2 time to fatigue was 64.9 +/- 6.3 min. Muscle glycogen was elevated (P < 0.05) by approximately 40% in Hi CHO compared with Lo CHO. Phosphocreatine, although higher (P < 0.05) by approximately 25% during exercise in Hi CHO, was not different at Pre. Similar but reciprocal effects (P < 0.05) were observed for inorganic phosphate and creatine. Force at low frequencies of stimulation was maximally reduced (P < 0.05) by approximately 26-38% by 30 min of exercise, regardless of condition. CONCLUSION: A 7-d exercise-dietary protocol leads to both an elevation in muscle glycogen and improved energy homeostasis during exercise. Although these adaptations may explain the improved cycle performance, they are not related to the progression of muscle fatigue as assessed statically at low frequencies of stimulation.

Adult↗
PubMed2006

Group cognitive-behavioural therapy for schizophrenia. Randomised controlled trial.

BACKGROUND: The efficacy of cognitive-behavioural therapy for schizophrenia is established, but there is less evidence for a group format. AIMS: To evaluate the effectiveness of group cognitive-behavioural therapy for schizophrenia. METHOD: In all, 113 people with persistent positive symptoms of schizophrenia were assigned to receive group cognitive-behavioural therapy or treatment as usual. The primary outcome was positive symptom improvement on the Positive and Negative Syndrome Scales. Secondary outcome measures included symptoms, functioning, relapses, hopelessness and self-esteem. RESULTS: There were no significant differences between the cognitive-behavioural therapy and treatment as usual on measures of symptoms or functioning or relapse, but group cognitive-behavioural therapy treatment resulted in reductions in feelings of hopelessness and in low self-esteem. CONCLUSIONS: Although group cognitive-behavioural therapy may not be the optimum treatment method for reducing hallucinations and delusions, it may have important benefits, including feeling less negative about oneself and less hopeless for the future.

Adult↗
PubMed2004

An unusual case of X-linked adrenoleukodystrophy with auditory processing difficulties as the first and sole clinical manifestation.

X-linked adrenoleukodystrophy (X-ALD) is characterized by demyelination that is associated with a deficient beta-oxidation of very long chain fatty acids. We report the unusual case of a male adult with X-ALD who was diagnosed at the age of 26 by a brain MRI performed because his brother had been diagnosed with a rapidly deteriorating form of X-ALD. His sole symptom was hearing difficulties in the presence of a normal audiogram since childhood. He has remained stable for seven years. Central auditory testing in our patient revealed severe deficits in several auditory processes. These findings correlated with involvement of the auditory pathway at the level of the trapezoid body, and posterior corpus callosum in particular, on his brain MRI. This case highlights not only the need for thorough audiological investigation of the patient who complains of hearing difficulties in the presence of a normal audiogram, but also that audiological investigations could be of value in the phenotypic evaluation of cases with adrenoleukodystrophy.

Acoustic Impedance Tests↗
PubMed2004

Leading and co-ordinating a multi-nurse researcher project.

Leading and co-ordinating a research project is a complex undertaking involving management of people, processes, budget and material resources. The task is even more complex when there are nine nurse researchers collecting and analysing data in the midst of their practice. In this paper, Theresa Mitchell and Steve Jones describe the experiences of the project lead and co-ordinator responsible for planning and managing such a project in the Oncology Centre in Gloucestershire, UK. Using examples from the project, the authors share some of the potential problems encountered during research activities, and propose strategies and remedies to address them.

Attitude of Health Personnel↗
PubMed2003

A review of the role of illness models in severe mental illness.

The ways in which people think about illness experiences have been associated with a variety of important behaviours and emotional responses in patients, carers, and professionals. Some of these responses have been shown to be related to outcome. Explicit models such as the self-regulation model (SRM) [Leventhal, H., Nerenz, D. R., & Steele, D. F. (1984). Illness representations and coping with health threats. In A. Baum & J. Singer (Eds.), A handbook of psychology and health. Hillsdale, NJ: Erlbaum, 219-252.] have been shown to be useful in highlighting key beliefs across a wide range of different physical illnesses. The specific beliefs about mental illness that have been assessed have been varied and largely without a common theoretical framework. This has resulted in a literature from which it is difficult to draw firm conclusions. The central aim of this paper is to assess the applicability of the SRM to mental illness. To this end, we review studies to date that have examined the beliefs that people with a mental illness have about their experiences. In addition, we review studies that have examined the beliefs of relatives of people with a mental illness and professionals who work with this population. We assess to what extent these studies are consistent with the SRM before suggesting ways in which the model could be further developed and tested. The SRM is presented as a useful framework for more advanced investigations into the function of beliefs about mental illness and how these can be modified in order to effect outcome. Developing psychological theories common to both physical and mental health may eventually result in an integrated approach in which mental illness becomes less stigmatised within the treatment setting.

Attitude to Health↗
PubMed2002

Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Activated charcoal and gastric absorption of iron compounds.

A short cut review was carried out to establish whether activated charcoal is effective in iron overdose. Altogether 17 papers were found using the reported search, of which only one was relevant. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this paper are shown in table 4. A clinical bottom line is stated.

Adult↗
PubMed2002

Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Plaster or functional splint in gamekeepers thumb.

A short cut review was carried out to establish whether a plaster of Paris or functional splint was better for treatment of ulnar collateral ligament rupture. Altogether 50 papers were found using the reported search, of which one presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this paper are tabulated. A clinical bottom line is stated.

Adult↗