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1.
Geophys Res Lett ; 46(21): 12598-12607, 2019 Nov 16.
Article in English | MEDLINE | ID: mdl-33173247

ABSTRACT

Marine low-level clouds continue to be poorly simulated in models despite many studies and field experiments devoted to their improvement. Here we focus on the spatial errors in the cloud decks in the Department of Energy Earth system model (the Energy Exascale Earth System Model [E3SM]) relative to the satellite climatology by calculating centroid distances, area ratios, and overlap ratios. Since model dynamics is better simulated than clouds, these errors are attributed primarily to the model physics. To gain additional insight, we performed a sensitivity run in which model winds were nudged to those of reanalysis. This results in a large change (but not necessarily an improvement) in the simulated cloud decks. These differences between simulations are mainly due to the interactions between model dynamics and physics. These results suggest that both model physics (widely recognized) and its interaction with dynamics (less recognized) are important to model improvement in simulating these low-level clouds.

2.
Exp Brain Res ; 231(2): 239-47, 2013 Nov.
Article in English | MEDLINE | ID: mdl-23995565

ABSTRACT

Optimal task performance requires anticipatory planning to select the most appropriate movement strategy. There is conflicting evidence for hemispheric specialisation of motor planning, with some suggesting left hemisphere dominance, claiming that children with right hemiplegic cerebral palsy (HCP) are therefore disproportionally affected. An alternative view is that there is a positive relationship between functional ability (rather than side of lesion) and motor planning skill. We aimed to compare children with right and left HCP on motor planning ability and to explore its relationship with functional manual ability. Participants were 76 children with HCP (40 left HCP; 30 female), aged 4-15 years (Mean 9.09, SD 2.94). Motor planning was assessed using a measure of end-state comfort, which involved turning a hexagonal handle 180° without readjusting grasp. This is difficult, or in some cases impossible, to achieve unless an appropriate initial grasp is adopted. Children completed 24 turns (12 clockwise), which were video recorded for offline scoring. Functional manual ability was assessed with the ABILHAND-Kids questionnaire, completed by parents. Contrary to the existing literature, no differences were observed between right and left HCP. However, a significant interaction between direction of turn and side of hemiplegia indicated a preferential bias for turns in the medial direction, consistent with the "medial over lateral advantage". There was no relationship between functional ability and motor planning. Therefore, motor planning may not be a priority for therapeutic intervention to improve functional ability in HCP.


Subject(s)
Cerebral Palsy/physiopathology , Cerebral Palsy/psychology , Motor Skills/physiology , Movement/physiology , Psychomotor Performance/physiology , Adaptation, Psychological/physiology , Adolescent , Child , Child, Preschool , Data Interpretation, Statistical , Dominance, Cerebral , Female , Functional Laterality/physiology , Humans , Male , Surveys and Questionnaires
4.
Plant Methods ; 14: 49, 2018.
Article in English | MEDLINE | ID: mdl-29946344

ABSTRACT

BACKGROUND: Grain yield, ear and kernel attributes can assist to understand the performance of maize plant under different environmental conditions and can be used in the variety development process to address farmer's preferences. These parameters are however still laborious and expensive to measure. RESULTS: A low-cost ear digital imaging method was developed that provides estimates of ear and kernel attributes i.e., ear number and size, kernel number and size as well as kernel weight from photos of ears harvested from field trial plots. The image processing method uses a script that runs in a batch mode on ImageJ; an open source software. Kernel weight was estimated using the total kernel number derived from the number of kernels visible on the image and the average kernel size. Data showed a good agreement in terms of accuracy and precision between ground truth measurements and data generated through image processing. Broad-sense heritability of the estimated parameters was in the range or higher than that for measured grain weight. Limitation of the method for kernel weight estimation is discussed. CONCLUSION: The method developed in this work provides an opportunity to significantly reduce the cost of selection in the breeding process, especially for resource constrained crop improvement programs and can be used to learn more about the genetic bases of grain yield determinants.

5.
Neurosci Biobehav Rev ; 31(8): 1136-49, 2007.
Article in English | MEDLINE | ID: mdl-18053875

ABSTRACT

The final pattern of the origin and termination of the corticospinal tract is shaped during development by the balance between projection and withdrawal of axons. In animals, unilateral inhibition of the sensorimotor cortex during development results in a sparse contralateral projection from this cortex and retention of a greater number of ipsilateral projections from the more active cortex. Similarly in subjects with hemiplegic cerebral palsy if transcranial magnetic stimulation (TMS) of the damaged motor cortex fails to evoke responses in the paretic upper limb, TMS of the undamaged ipsilateral motor cortex evokes abnormally large and short-onset responses. Rather than representing a "reparative plasticity in response to injury", this review presents evidence that increased ipsilateral projections from the non-infarcted motor cortex arise from perturbation of ongoing developmental processes, whereby reduced activity in the damaged hemisphere, leads to increased withdrawal of its surviving contralateral corticospinal projections because their terminals have been displaced by the more active ipsilateral projections of the undamaged hemisphere and thereby adding to the degree of long-term motor impairment.


Subject(s)
Neuronal Plasticity , Prenatal Injuries/pathology , Prenatal Injuries/physiopathology , Pyramidal Tracts , Animals , Humans , Pyramidal Tracts/growth & development , Pyramidal Tracts/injuries , Pyramidal Tracts/pathology
6.
J Clin Pathol ; 68(5): 388-90, 2015 May.
Article in English | MEDLINE | ID: mdl-25694443

ABSTRACT

AIMS: The majority of haematology laboratories use automated high-performance liquid chromatography (HPLC) as a primary method in the screening of samples for haemoglobin variants and thalassaemia. HPLC detects adducted fractions, such as HbA1C and other peaks of unknown significance. The National Health Service (NHS) Sickle and Thalassaemia Screening Programme does not mandate further assessment of these unknown peaks, but their presence may cause concern or precipitate detailed investigations. Mass spectrometry (MS) is being increasingly used in NHS Laboratories and is an effective method of characterising variant haemoglobins. METHOD: Antenatal blood samples accepted for NHS Sickle and Thalassaemia Screening Programme from 2005 to 2013 were assessed. Those samples with unidentified peaks on HPLC were further analysed by Liquid chromatography tandem MS (LCMSMS). RESULTS: 58,493 samples were processed. 966 (1.6%) significant haemoglobinopathies were identified. 68 patients (0.11%) were found to have unidentified peaks on HPLC. α chain variants: two were hyperunstable α variants, Hb Adana and Hb H/Constant Spring. The patient with HbH/Constant Spring required transfusion during pregnancy. Other abnormalities include 24 unstable α chain variants of minimal clinical significance and 17 α chain variants of no clinical significance. The frequency of ß chain abnormalities was lower, with 10 patients having an insignificant ß chain variant, 4 mildly unstable ß chain variants (2 of whom had increased oxygen affinity) and 4 with variants associated with increased oxygen affinity. CONCLUSIONS: The prevalence of unidentified variants on automated HPLC within our population is 0.1%. LCMSMS is an effective technique to assist in the characterisation of unknown haemoglobin variants. α chain variants of limited clinical significance were the most commonly detected abnormality.


Subject(s)
Anemia, Sickle Cell/diagnosis , Chromatography, High Pressure Liquid , Hemoglobins/analysis , Pregnancy Complications, Hematologic/diagnosis , Prenatal Diagnosis/methods , Spectrometry, Mass, Electrospray Ionization , Tandem Mass Spectrometry , Thalassemia/diagnosis , Anemia, Sickle Cell/blood , Anemia, Sickle Cell/epidemiology , Anemia, Sickle Cell/genetics , Biomarkers/blood , England/epidemiology , Female , Genetic Predisposition to Disease , Genetic Variation , Hemoglobins/genetics , Humans , Predictive Value of Tests , Pregnancy , Pregnancy Complications, Hematologic/blood , Pregnancy Complications, Hematologic/epidemiology , Pregnancy Complications, Hematologic/genetics , Prevalence , State Medicine , Thalassemia/blood , Thalassemia/epidemiology , Thalassemia/genetics
7.
Neurology ; 57(9): 1543-54, 2001 Nov 13.
Article in English | MEDLINE | ID: mdl-11706088

ABSTRACT

OBJECTIVE: To characterize the development of ipsilateral corticospinal projections from birth and compare to 1) development of contralateral projections in the same subjects and 2) ipsilateral corticospinal projections in subjects with unilateral lesions of the corticospinal system acquired perinatally or in adulthood. METHOD: Transcranial magnetic stimulation excited the motor cortex, and responses were recorded bilaterally in pectoralis major, biceps brachii, and the first dorsal interosseus muscles. Subjects studied included 9 neonates recruited at birth, studied longitudinally for 2 years; 85 healthy subjects aged from birth to adulthood; 10 subjects with hemiplegic cerebral palsy; and 8 with hemiplegia after stroke. RESULTS: In neonates, ipsilateral responses had significantly shorter onsets than contralateral responses but similar thresholds and amplitudes. Thresholds within both pathways increased in the first 3 months. Differential development was present from 3 months so that by 18 months ipsilateral responses were significantly smaller and had significantly higher thresholds and longer onset latencies than contralateral responses. A similar pattern of smaller and later ipsilateral responses was observed after transcranial magnetic stimulation of the intact cortex in subjects with stroke. In contrast, subjects with hemiplegic cerebral palsy had ipsilateral responses with onsets, thresholds and amplitudes similar to those of contralateral responses. Significant branching of contralateral corticospinal axons from the intact motor cortex was excluded by cross-correlation analysis. CONCLUSIONS: These data, together with previously published anatomic and radiologic studies, are consistent with activity-dependent corticospinal axonal withdrawal during development and maintenance of increased corticomotoneuronal projections from the intact hemisphere after unilateral perinatal lesions.


Subject(s)
Pyramidal Tracts/growth & development , Pyramidal Tracts/physiology , Adolescent , Adult , Axons/physiology , Cerebral Cortex/growth & development , Cerebral Cortex/physiology , Cerebral Palsy/physiopathology , Child , Child, Preschool , Cross-Sectional Studies , Electric Stimulation , Electromyography , Female , Functional Laterality/physiology , Hemiplegia/physiopathology , Humans , Infant , Infant, Newborn , Longitudinal Studies , Magnetics , Male , Middle Aged , Muscle, Skeletal/innervation , Muscle, Skeletal/physiology , Reflex/physiology , Stroke/physiopathology
8.
Atherosclerosis ; 77(1): 31-6, 1989 May.
Article in English | MEDLINE | ID: mdl-2566309

ABSTRACT

Digestion of the human apolipoprotein (apo) A-II gene with the endonuclease MspI produces fragments of 3.0 or 3.7 kb, reflecting the presence or absence of a polymorphic site within an Alu sequence 3' to the gene. Patients with hypertriglyceridemia have been shown to have an increased prevalence of the 3.0 kb allele. To explore this observation further, plasma lipoprotein lipids were studied in a random sample of fasted middle-aged Caucasian men, of which 59 were 3.0 kb homozygotes, 24 were heterozygotes, and 2 were 3.7 kb homozygotes. After adjusting for the effects of age, height, weight, alcohol intake and cigarette consumption by covariance analysis, no statistically significant associations were present between genotype and the concentrations of triglyceride in whole plasma or the d less than 1.019 g/ml fraction of plasma (i.e., VLDL + IDL). Nor were the cholesterol concentrations in VLDL + IDL, low density lipoprotein (LDL, d = 1.019-1.063 g/ml), high density lipoprotein (HDL), HDL2 or HDL3 related to genotype. In an independent comparison of eight 3.0 kb homozygotes and eight 3.7 kb homozygotes (all Caucasians) drawn from a different community, genotype was unrelated to the triglyceride or cholesterol concentrations in VLDL (d less than 1.006 g/ml), IDL + LDL (d = 1.006-1.063 g/ml) or HDL, after adjustment for the effects of covariates. These results suggest that the MspI polymorphism of the apo A-II gene is not associated with genetic variation that significantly affects triglyceride transport in the majority of men.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Apolipoproteins A/genetics , Cholesterol/blood , Polymorphism, Genetic , Polymorphism, Restriction Fragment Length , Triglycerides/blood , Apolipoprotein A-II , Cholesterol, HDL/blood , Cholesterol, LDL/blood , Cholesterol, VLDL/blood , Cohort Studies , Genetic Variation , Humans , Hypertriglyceridemia/genetics , Lipoproteins/blood , Male , Middle Aged
9.
Neurochem Int ; 28(3): 243-50, 1996 Mar.
Article in English | MEDLINE | ID: mdl-8813241

ABSTRACT

Neurotransmitter-stimulated mobilization of astrocyte glycogen has been proposed as a basis for local energy homeostasis in brain. However, uncertainty remains over the fate of astrocyte glycogen. Upon transfer of cultured astrocytes pre-loaded with [2-3H]2-deoxyglucose 6-phosphate at non-tracer concentrations to a glucose-free, 2-deoxyglucose-free medium, rapid dephosphorylation of a proportion of the intracellular 2-deoxyglucose 6-phosphate pool and export of 2-deoxyglucose to the extracellular fluid occurs. Astrocytes show very low, basal rates of gluconeogenesis from pyruvate (approx. 1 nmol mg protein-1 h-1). Astrocytes in vivo may be capable of physiologically significant glucose export from glucose-6-phosphate. The low gluconeogenic activity in astrocytes suggests that the most likely source of glucose-6-phosphate may be glycogen. These findings support the hypothesis that export, as glucose, to adjacent neurons may be one of the possible fate(s) of astrocytic glycogen. Such export of glycogen as glucose occurring in response to increases in neuronal activity could contribute to energy homeostasis on a paracrine scale within brain.


Subject(s)
Antimetabolites/metabolism , Astrocytes/metabolism , Deoxyglucose/metabolism , Glucose-6-Phosphate/analogs & derivatives , Animals , Animals, Newborn , Cells, Cultured , Culture Media , Fructose/metabolism , Glucose-6-Phosphate/metabolism , Glycogen/metabolism , Phosphorylation , Pyruvic Acid/metabolism , Rats , Rats, Wistar
10.
Cancer Genet Cytogenet ; 116(1): 74-6, 2000 Jan 01.
Article in English | MEDLINE | ID: mdl-10616537

ABSTRACT

We report a case of AML-M5 with tetrasomy 8 that evolved within a 7-month period to a segmental triplication 8q. Other numerical abnormalities in the initial diagnosis were not found at the relapse; however, a chromosome 1 structural abnormality was maintained, proving the clonal evolution from tetrasomy 8 to a segmental triplication of the long arm of 8. This strongly suggests that there is a functional and selective advantage for duplications and triplications of 8q in these patients.


Subject(s)
Aneuploidy , Chromosomes, Human, Pair 8 , Leukemia, Monocytic, Acute/genetics , Aged , Biopsy , Bone Marrow/pathology , Chromosomes, Human, Pair 1 , Chromosomes, Human, Pair 13 , Chromosomes, Human, Pair 18 , Chromosomes, Human, Pair 5 , Humans , In Situ Hybridization, Fluorescence , Karyotyping , Male
11.
Brain Res ; 899(1-2): 82-93, 2001 Apr 27.
Article in English | MEDLINE | ID: mdl-11311868

ABSTRACT

The aims were (i) to investigate heteronymous excitatory and inhibitory Group Ia reflexes linking agonist/antagonist muscle pairs acting at the shoulder and elbow; clavicular pectoralis major (Pmajor) and posterior deltoid (Pdeltoid); biceps brachii (Bi) and Tri brachii (Tri), and linking muscles acting at the elbow (Bi and Tri) with muscles acting at the shoulder (Pmajor and Pdeltoid). (ii) To test the hypothesis that the excitability of the reflexes would vary between different tasks in a functionally relevant manner. The study was performed on 45 adults. Reflexes were recorded in the surface EMG when the target muscle was contracting at 10% maximum voluntary contraction. Reflexes were recorded in Bi and Tri with the elbow joint in one of three positions: 105 degrees, 80 degrees, or 55 degrees from full extension. Group Ia reflexes were evoked using a small, brief tap to the tendon of the muscle being stimulated. Reflexes were recorded by cross-correlation of the surface EMG and pseudo-random series of taps. All subjects demonstrated short latency inhibition and excitation between agonist/antagonist muscle pairs; inhibition was significantly more frequent than excitation. Excitation and inhibition occurred with equal frequency between muscle pairs acting between elbow and shoulder. Minimum central delays for excitatory reflexes were 1 ms, consistent with monosynaptic projections and for inhibitory responses were 2 ms consistent with disynaptic linkage. Later excitatory and inhibitory reflexes with central delays of up to 15 ms also occurred. The probability of evoking excitation or inhibition in Tri or Bi changed with the different elbow positions.


Subject(s)
Elbow/physiology , Muscle, Skeletal/physiology , Reflex, Stretch/physiology , Shoulder/physiology , Adult , Arm/physiology , Electromyography/methods , Electromyography/statistics & numerical data , Female , Humans , Male , Middle Aged , Muscle Contraction/physiology , Pectoralis Muscles/physiology , Reaction Time/physiology
12.
Brain Res ; 635(1-2): 349-52, 1994 Jan 28.
Article in English | MEDLINE | ID: mdl-8173976

ABSTRACT

We report transients of net export of glucose from brain with jugular venous glucose content exceeding arterial by up to 5.3 mmol.l-1 in 19 children undergoing cardiopulmonary bypass surgery. The magnitude of the release implies the presence of a glucose reservoir in brain, the most likely candidate being astrocytic glycogen. These data provide evidence that astrocytic glycogen can be exported as glucose, permitting spatial and temporal modulation of glucose delivery to neurons.


Subject(s)
Astrocytes/metabolism , Brain/metabolism , Glucose/metabolism , Glycogen/physiology , Cardiopulmonary Bypass , Child , Child, Preschool , Humans , Infant
13.
Brain Res ; 899(1-2): 66-81, 2001 Apr 27.
Article in English | MEDLINE | ID: mdl-11311867

ABSTRACT

The aims were (1) to determine when in human postnatal development Group Ia reciprocal and Renshaw inhibition can be demonstrated; (2) to explore the relationship between the expression reciprocal inhibition and the disappearance of Group Ia excitatory reflexes between agonist and antagonist muscles. Studies were performed on 99 subjects, aged 1 day to 31 years, of whom 53 were neonates. A longitudinal study was also performed on 29 subjects recruited at birth and studied 3 monthly until 12 months of age. Reciprocal inhibitory and excitatory reflexes were recorded in the surface EMG of contracting biceps brachii (Bi), evoked by taps applied to the tendon of triceps brachii (Tri). Reciprocal excitatory reflexes were recorded in all but one neonate. Reciprocal inhibition was observed in 25% of neonates; evidence is provided that it was likely to have been masked by low threshold reciprocal excitation in the remaining neonates. Reciprocal inhibition was demonstrated in all subjects after 9 months of age. In four neonates there was depression of inhibition of Bi during co-contraction of Bi and Tri implying that Group Ia interneurones may be under segmental and suprasegmental control at birth. Renshaw cells, identified in human postmortem cervical spinal cord by their morphology, location and calbindin D28K immunoreactivity, were present at 11 weeks post-conceptional age (PCA) and by 35 weeks PCA had mature morphological characteristics. In four neonates reciprocal inhibitory responses in Bi disappeared when the tap to Tri evoked its own homonymous phasic stretch reflex, providing neurophysiological evidence for Renshaw inhibition of Group Ia inhibitory interneurones.


Subject(s)
Infant, Newborn/physiology , Labor, Obstetric/physiology , Reflex, Stretch/physiology , Adolescent , Adult , Anterior Horn Cells/cytology , Anterior Horn Cells/growth & development , Child , Child, Preschool , Confidence Intervals , Cross-Sectional Studies , Electromyography/statistics & numerical data , Female , Humans , Infant , Longitudinal Studies , Male , Pregnancy , Reaction Time/physiology
14.
Brain Res ; 899(1-2): 47-65, 2001 Apr 27.
Article in English | MEDLINE | ID: mdl-11311866

ABSTRACT

A cross-correlation method for recording spinal myotatic reflexes has been developed to meet the need for brief test periods in babies and children and subjects with central neurological pathology. In normal adult subjects the method has been validated by comparing excitatory and inhibitory reflexes obtained with cross-correlation with those obtained with conventional signal averaging. In the cross-correlation method a pseudo-random binary sequence of 64 brief tendon taps was delivered in <1.5 s, and in the averaging method 20-150 taps at one per second. The reflexes were expressed as unit impulse responses to enable direct, quantitative comparisons to be made. With cross-correlation the responses were slightly expanded in time, had lower peak amplitudes, and onset latencies advanced by 10 ms, the clock period of the pseudo-random binary sequence. The amplitude of biceps phasic stretch reflex increased with muscle contraction in a similar manner with both methods. In tests for stationarity the amplitude of biceps phasic stretch reflex varied <10% in the first six repeats of the pseudo-random binary sequence. The tap force required at threshold for cross-correlation was approximately half that for averaging, but with both methods the magnitude of biceps phasic stretch reflex varied linearly with tap force over the range of one to two times threshold. The validity of responses obtained with cross-correlation was assessed by a statistical procedure. In conclusion, the cross-correlation method is robust and gives similar results to those obtained with averaging.


Subject(s)
Reflex, Stretch/physiology , Adult , Diagnostic Techniques, Neurological/instrumentation , Diagnostic Techniques, Neurological/statistics & numerical data , Electromyography/methods , Female , Humans , Male , Middle Aged , Muscle Contraction/physiology , Regression Analysis , Statistics as Topic
15.
Clin Chim Acta ; 114(2-3): 225-31, 1981 Aug 10.
Article in English | MEDLINE | ID: mdl-7285347

ABSTRACT

Currently available ultracentrifugal procedures for separating the two major density subfractions of HDL (HDL2 and HDL3) are time-consuming and expensive, and require relatively large volumes of plasma. In order to overcome these problems, a rapid and simple procedure, requiring only 0.5 ml plasma, has been developed. After precipitation of apoprotein B-containing lipoproteins with heparin and MnCl2, 120 microliters of the supernatant is adjusted to a density of 1.125 g/ml with aqueous NaCl-NaBr, and centrifuged for 3.5 h at 160000 x g in an air-driven bench-top ultracentrifuge (Beckman Airfuge). The HDL2 is then removed in a tube-slicer, constructed to permit six Airfuge tubes to be sliced simultaneously, and the cholesterol content assayed by a cholesterol oxidase procedure. The method provides an alternative to the recently described heparin/MnCl2/dextran sulphate double-precipitation procedure, with the advantage of permitting quantitative recovery of intact HDL2.


Subject(s)
Lipoproteins, HDL/blood , Ultracentrifugation/methods , Humans , Lipoproteins, HDL/isolation & purification , Lipoproteins, HDL2 , Lipoproteins, HDL3 , Microchemistry/methods , Ultracentrifugation/instrumentation
16.
Early Hum Dev ; 15(1): 45-52, 1987 Jan.
Article in English | MEDLINE | ID: mdl-3816638

ABSTRACT

Based on 20,713 singleton livebirths at the John Radcliffe Hospital, Oxford, in 1978-1984, we calculated new birthweight and head circumference values for males and females between 24 and 42 weeks of gestation. Among the 803 babies born at or before 34 weeks of gestation, 28% were delivered electively for fetal problems; they were considerably lighter and had smaller heads than infants born after spontaneous preterm labour. As we and others have recommended elsewhere, the electively delivered preterm infants were excluded from the calculation of the new birthweight and head circumference centiles. In our series males were heavier and had larger head circumferences than females at most gestational ages. There were consistent and statistically significant differences in birthweight at all gestational ages from 37 weeks and in head circumference at all gestational ages from 35 weeks.


Subject(s)
Birth Weight , Cephalometry , Gestational Age , Infant, Newborn , Female , Humans , Infant, Premature , Male , Reference Values , Sex Factors
17.
J Pediatr Ophthalmol Strabismus ; 38(1): 6-10; quiz 34-5, 2001.
Article in English | MEDLINE | ID: mdl-11201923

ABSTRACT

PURPOSE: To determine the incidence and severity of visual impairment in children following acute nontraumatic coma. METHODS: An 18-month prospective epidemiologic study of acute nontraumatic coma was undertaken in the former Northern NHS Region of England. Children aged >1 month and <16 years were included in the study if they had a Glasgow Coma Score of < or = 12 for >6 hours or if they died within 6 hours of the onset of decreased levels of consciousness. For survivors, ophthalmologic assessments were performed 6 weeks and 12 months after presentation. RESULTS: Two hundred eighty-seven children were included in the study, of whom 127 died. Of the 137 examined survivors, 35 had visual abnormalities suspected by the examining neurologist during the ophthalmic assessment. Of these, visual impairment was confirmed in 10 children at the 6-week assessment by the pediatric ophthalmologist. At the 1 2-month assessment, visual impairment remained stable in 9 children and improved in 1. CONCLUSION: In this study, 6.6% of children surviving acute nontraumatic coma had visual impairment that persisted at the 12-month follow-up examination. Incidence of visual impairment in acute nontraumatic coma is 0.97 per 100,000 children per year.


Subject(s)
Coma/complications , Vision Disorders/complications , Visual Cortex/pathology , Acute Disease , Adolescent , Child , Child, Preschool , Coma/epidemiology , Coma/physiopathology , Female , Glasgow Coma Scale , Humans , Incidence , Infant , Male , Prospective Studies , United Kingdom/epidemiology , Vision Disorders/epidemiology , Vision Disorders/physiopathology
18.
Br Dent J ; 170(8): 300-2, 1991 Apr 20.
Article in English | MEDLINE | ID: mdl-2036278

ABSTRACT

Over a 7-year period from January 1, 1983 to December 31, 1989, 439 maxillofacial injuries were referred to the Oral Surgery Department of St Mary's Hospital in London. During this period there was a decrease in the incidence of maxillofacial injuries presenting as a result of road traffic accidents, with a corresponding increase in the number of cases related to assault. The patterns of age and sex distribution, however, reflected the results of previous studies by other maxillofacial units within the UK. Of particular interest is the finding that a large proportion of maxillofacial injuries (43%) included in this survey had no active treatment.


Subject(s)
Maxillofacial Injuries/epidemiology , Accidental Falls/statistics & numerical data , Accidents, Traffic/statistics & numerical data , Adolescent , Adult , Age Factors , Child , Child, Preschool , Crime/statistics & numerical data , Female , Humans , Infant , London/epidemiology , Male , Mandibular Fractures/epidemiology , Maxillofacial Injuries/etiology , Maxillofacial Injuries/therapy , Middle Aged , Orbital Fractures/etiology , Retrospective Studies , Sex Factors , United Kingdom/epidemiology , Violence , Zygomatic Fractures/epidemiology
19.
J Laryngol Otol ; 101(7): 676-84, 1987 Jul.
Article in English | MEDLINE | ID: mdl-3625019

ABSTRACT

The theoretical basis for performing marginal mandibular resection, as opposed to segmental resection, is discussed; and criteria are suggested. Results are presented that suggest that, in the treatment of malignant disease around the jaw, although the mortality from other tobacco- and alcohol-related diseases remains high, good functional and cosmetic results can be achieved with no loss of local control.


Subject(s)
Mandible/surgery , Mouth Neoplasms/surgery , Humans , Mandible/pathology , Methods , Mouth Neoplasms/pathology , Neoplasm Staging , Prognosis
20.
J Laryngol Otol ; 99(11): 1097-106, 1985 Nov.
Article in English | MEDLINE | ID: mdl-4056595

ABSTRACT

We present in this paper the indications for bony reconstruction following mandibular resection, together with evaluation of the reconstructive techniques available. Case reports illustrate methods we have found satisfactory and are followed by our recommendations for their specific use.


Subject(s)
Mandible/surgery , Surgical Flaps , Aged , Female , Humans , Ilium/transplantation , Male , Methods , Middle Aged , Muscles/transplantation , Ribs/transplantation
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