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T Delves

Publications and source records attributed to T Delves.

6 recordsLinked to original sources

Serum levels of cobalt and chromium in a complex modular total hip arthroplasty system.

There is concern that modularity in a total hip arthroplasty system increases serum cobalt and chromium ion levels. This study measures the serum cobalt and chromium levels in patients with an Oxford Universal Hip (Corin, Cirencester, United Kingdom), which has a modular sliding mechanism; patients with a similarly manufactured hip with no sliding mechanism; and a control group. Loosening was excluded clinically and radiologically. Arthroplasty patients had statistically higher levels of serum cobalt and chromium than controls, but there was no significant difference in levels between the implanted groups.

Arthroplasty, Replacement, Hip↗

Identification of sources of lead exposure among children in Arar, Saudi Arabia.

The concentrations of lead and the isotopic ratios of lead, 206Pb:207Pb, were measured by inductively coupled plasma-mass spectrometry in environmental specimens, cosmetics and traditional remedies. The ratios were compared with those found in blood samples of Saudi children who had increased concentrations of total blood lead. The isotopic ratios in the blood specimens (1.144 +/- 0.027) were not significantly different from those determined in cosmetics and remedies (1.152 +/- 0.031) and indicated that these were the likely sources of exposure rather than the lead contained in petrol which had an isotopic ratio of 1.207.

Child↗

Blood lead concentration, blood pressure, and renal function.

Blood lead concentrations were related to blood pressure and indicators of renal function in a clinical survey of 7735 middle aged men from 24 British towns. There was no overall evidence that blood lead concentrations were associated with systolic or diastolic blood pressure (r = +0.03 and +0.01, respectively). In the 74 men with a blood lead concentration of 1.8 mumol/l (37.3 micrograms/100 ml) or more there was some suggestion of increased hypertension, but this did not reach significance. Blood lead concentration did not have any relation with serum creatinine concentration. Moderate increases in blood lead concentration were associated with small increases in mean serum urate concentration and small decreases in mean serum urea concentration; these associations were both reduced when alcohol consumption was taken into account. There is no indication that exposure to lead at concentrations commonly encountered in British men is responsible for impaired renal function or increased blood pressure.

Adult↗

Effects of tap water lead, water hardness, alcohol, and cigarettes on blood lead concentrations.

A survey of middle-aged men in 24 British towns has found pronounced geographical variation in blood lead concentrations. Towns with the highest mean blood lead concentrations have soft water supplies and have the highest water lead concentrations. Individual blood lead can be considerably increased by raised household tap water lead concentrations. Mean blood lead is estimated to be 43% higher for men when the concentration of lead in first-draw domestic tap water is 100 micrograms/l compared with a zero concentration. Individual blood lead is also affected by alcohol consumption and cigarette smoking, such that on average these two life-style habits together contribute an estimated 17% to the blood concentration of lead in middle-aged men. Lead in water should be given greater priority in any national campaign to reduce lead exposure.

Adult↗

The effects of lead exposure on urban children: the Institute of Child Health/Southampton Study.

A study of the associations between level of tooth lead, behaviour, intelligence and a variety of other psychological skills was carried out in the child population aged six to seven years in three London boroughs. Tooth lead was estimated from the chemical analysis of shed teeth donated by children. 2663 (62.4 per cent) of the eligible children donated teeth. A study of the total population was carried out to see if those who donated teeth were representative of that population. There were small but consistent and statistically significant differences--tooth-givers being of slightly higher intelligence and showing fewer behaviour problems. 403 children, selected on the basis of their tooth-lead levels and social class, were studied more intensively. They were classified into six pre-arranged groups--high, medium and low tooth-lead levels, with each lead group divided into two social groups, manual and non-manual. The parents of these children were intensively interviewed in their homes regarding parental interest and attitudes to education, family characteristics and relationships, the early history of the child and the child's physical environment. The intelligence of the mother was measured. The child was then studied in school using tests of intelligence, educational attainment and other cognitive tasks. Teachers and parents completed standardised behaviour questionnaires. The results showed that intelligence and other psychological measures were strongly related to social factors, especially social grouping. Lead level was linked to a variety of factors in the home, especially the level of cleanliness, and to a lesser extent, maternal smoking. There was no significant link between lead level and behaviour, though when rated by teachers, but not by parents, there were small and reasonably consistent non-significant tendencies for high-lead children to show more difficult behaviour. Before social factors were controlled for, there were significant differences between the lead groups in measures of intelligence and two other psychological tests, the children in the high-lead groups performing worse. Once a number of social factors had been taken into account, the differences between the three lead groups (high, medium and low) became small and statistically nonsignificant, although they remained in the same direction.(ABSTRACT TRUNCATED AT 400 WORDS)

Child↗