151
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Abstract
Three cases are reported of pyogenic (non-tuberculous) myositis involving the ilio-psoas and/or iliacus muscles in children presenting to John Hunter Hospital, Newcastle, Australia, in a 12-month period. In one, cultures grew Haemophilus influenzae type B and in the other two Staphylococcus aureus was isolated. Biopsy of the abscess cavity from the second child confirmed an antecedent haematoma as the underlying cause. The third had underlying sacroiliac septic arthritis with a history of antecedent trauma. The classification, investigation, and treatment of myositis is discussed.
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152
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Warriner HE, Idziak SH, Slack NL, Davidson P, Safinya CR. Lamellar biogels: fluid-membrane-based hydrogels containing polymer lipids. Science 1996; 271:969-73. [PMID: 8584932 DOI: 10.1126/science.271.5251.969] [Citation(s) in RCA: 103] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
A class of lamellar biological hydrogels comprised of fluid membranes of lipids and surfactants with small amounts of low molecular weight poly(ethylene glycol)-derived polymer lipids (PEG-lipids) were studied by x-ray diffraction, polarized light microscopy, and rheometry. In contrast to isotropic hydrogels of polymer networks, these membrane-based birefringent liquid crystalline biogels, labeled L-alpha,g, form the gel phase when water is added to the liquid-like lamellar L-alpha phase, which reenters a liquid-like mixed phase upon further dilution. Furthermore, gels with larger water content require less PEG-lipid to remain stable. Although concentrated (approximately 50 weight percent) mixtures of free PEG (molecular weight, 5000) and water do not gel, gelation does occur in mixtures containing as little as 0.5 weight percent PEG-lipid. A defining signature of the L-alpha,g regime as it sets in from the fluid lamellar L-alpha phase is the proliferation of layer-dislocation-type defects, which are stabilized by the segregation of PEG-lipids to the defect regions of high membrane curvature that connect the membranes.
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153
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Schoen CA, Davidson P. Image and reality: managed-care experiences by type of plan. BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE 1996; 73:506-31. [PMID: 8988303 PMCID: PMC2359219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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154
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155
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Davidson P, Bourgaux C, Schoutteten L, Sergot P, Williams C, Livage J. A Structural Study of the Lyotropic Nematic Phase of Vanadium Pentoxide Gels. ACTA ACUST UNITED AC 1995. [DOI: 10.1051/jp2:1995200] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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156
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Burgess P, Larson GM, Davidson P, Brown J, Metz CA. Effect of ranitidine on intragastric pH and stress-related upper gastrointestinal bleeding in patients with severe head injury. Dig Dis Sci 1995; 40:645-50. [PMID: 7895560 DOI: 10.1007/bf02064385] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
We conducted a double-blind, placebo-controlled study to evaluate the effects of ranitidine on intragastric pH and upper gastrointestinal tract bleeding in severe head injury patients. Within 24 hr of the precipitating trauma, 34 adults with Glasgow coma scale scores < or = 10 were randomized to a 6.25 mg/hr ranitidine continuous infusion or placebo for a maximum of 72 hr. Intragastric pH was recorded via an intragastric pH electrode. Patients with hematemesis, hematochezia, bright red blood, or "coffee ground" nasogastric tube aspirates plus a 5% decrease from baseline in hematocrit were considered to have gastrointestinal bleeding. Ranitidine patients maintained a significantly greater mean pH than placebo patients (placebo 2.2, ranitidine 4.1; P < 0.01). All patients had at least two bleeding risk factors at study entry. No ranitidine patients (0/16) developed bleeding compared with five (5/18) placebo patients (P < 0.05). Ranitidine continuous infusion provided consistent intragastric pH control and significant protection from stress-related upper gastrointestinal tract bleeding in a high-risk patient population.
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157
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Davidson P, Petermann D, Levelut AM. The Measurement of the Nematic Order Parameter by X-ray Scattering Reconsidered. ACTA ACUST UNITED AC 1995. [DOI: 10.1051/jp2:1995117] [Citation(s) in RCA: 66] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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158
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Abstract
Although it has not been established that females are lonelier than males, adolescents are particularly vulnerable to loneliness. A feminist, grounded-theory study was conducted to explore the everyday loneliness experiences of 10 white, middle-class females living in an urban/suburban area in New Brunswick, Canada. Creating Connections, the core variable, emerged as the social process involved as the young women learned to deal with loneliness. The complexity of the phenomenon is evident in the fact that various combinations of disconnecting factors and intervening factors were found to influence the dimensions of loneliness (i.e., intensity and duration). The interaction of these factors and various strategies used to manage loneliness--creating connections, emoting, and creating actions--completed the nonlinear process. A significant, yet paradoxical, finding was that the relationships that were helpful in the resolution of loneliness could also be responsible for its creation and maintenance.
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159
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Li MH, Brûlet A, Cotton JP, Davidson P, Strazielle C, Keller P. Study of the chain conformation of thermotropic nematic main chain polyesters. ACTA ACUST UNITED AC 1994. [DOI: 10.1051/jp2:1994236] [Citation(s) in RCA: 27] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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160
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Brûlet A, Boué F, Keller P, Davidson P, Strazielle C, Cotton JP. SANS study of deformation and relaxation of a comb-like liquid crystal polymer in the nematic phase. ACTA ACUST UNITED AC 1994. [DOI: 10.1051/jp2:1994182] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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161
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Chiles JA, Davidson P, McBride D. Effects of clozapine on use of seclusion and restraint at a state hospital. HOSPITAL & COMMUNITY PSYCHIATRY 1994; 45:269-71. [PMID: 8188201 DOI: 10.1176/ps.45.3.269] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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162
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Drabble EH, Gani JS, Davidson P, Wright JE. Partial laceration of the distal bile duct and wedge fracture of L1 caused by blunt trauma: a new perspective on treatment. Br J Surg 1994; 81:120. [PMID: 8313085 DOI: 10.1002/bjs.1800810143] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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163
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Li MH, Brûlet A, Davidson P, Keller P, Cotton JP. Observation of hairpin defects in a nematic main-chain polyester. PHYSICAL REVIEW LETTERS 1993; 70:2297-2300. [PMID: 10053525 DOI: 10.1103/physrevlett.70.2297] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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164
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Dubois-Violette E, Pansu B, Davidson P, Levelut AM. X-ray scattering by anisotropic elastic deformations around vacancies in ordered smectic phases. ACTA ACUST UNITED AC 1993. [DOI: 10.1051/jp2:1993139] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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165
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Haworth B, Dong ZW, Davidson P. Characterisation of shrinkage in oriented PET films and containers by thermomechanical analysis (TMA). POLYM INT 1993. [DOI: 10.1002/pi.4990320317] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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166
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Wooldridge KL, Wallston KA, Graber AL, Brown AW, Davidson P. The relationship between health beliefs, adherence, and metabolic control of diabetes. DIABETES EDUCATOR 1992; 18:495-500. [PMID: 1296900 DOI: 10.1177/014572179201800608] [Citation(s) in RCA: 60] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
There is evidence that an individual's health beliefs influence performance of health behaviors. The purpose of this study was to determine whether health beliefs in persons with diabetes could be modified during a clinical education program and whether the health beliefs were related to adherence to self-care instructions and metabolic control of diabetes. Health beliefs and HbA1c were measured at baseline in 189 adult outpatients with diabetes. Diabetes educators then attempted to modify health beliefs that were not conducive to positive health behaviors. Following education, some health beliefs were modified in a positive direction. Modest, but statistically significant increases in perceived severity of diabetes, perceived ability to carry out recommended behaviors, and perceived benefits of treatment were observed. Although HbA1c improved significantly in a subgroup of patients, this improvement could not be directly associated with any health belief or with self-reported adherence by the measures used in this study.
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167
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Abstract
OBJECTIVE To determine factors associated with dropout and relapse during chronic diabetes care. RESEARCH DESIGN AND METHODS Private practice outpatient treatment-education program for adult diabetes was surveyed. Retrospective analysis was done, involving 422 patients for up to 3 yr. RESULTS Of the patients in the study, 12% dropped out after the initial visit, and 33% of the residual cohort dropped out during each subsequent 6-mo period. Factors associated with dropout included distance from home to clinic > 100 miles, lack of insulin treatment, and cigarette smoking. In patients who remained in follow-up, a significant decrease in HbA1C occurred during the first 6 mo, but 40% of the patients relapsed between 6 and 12 mo. Frequency of relapse declined as time passed. Relapse was more frequent in women. CONCLUSIONS Dropout from treatment and relapse after temporary improvement account for a substantial amount of uncontrolled diabetes, and overcoming the obstacles of dropout and relapse has potential for significant improvement in diabetes care.
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168
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Davidson P. Herman Boerhaave and John Clerk of Penicuik: friendship and musical collaboration. PROCEEDINGS OF THE ROYAL COLLEGE OF PHYSICIANS OF EDINBURGH 1992; 22:503-18. [PMID: 11616208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
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169
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Blessing K, McLaren KM, McLean A, Davidson P. Thick malignant melanomas (greater than 3 mm Breslow) with good clinical outcome: a histological study and survival analysis. Histopathology 1991; 18:143-8. [PMID: 2010179 DOI: 10.1111/j.1365-2559.1991.tb01456.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Thick malignant melanomas in general tend to have a poor prognosis, but exceptions occur where there may be no further recurrence. The reasons for this difference in clinical behaviour are not fully understood. We have looked at thick malignant melanomas (greater than 3.0 mm) in the East of Scotland that have no evidence of metastasis after a minimum of 6 years follow-up and compared the clinical and histological features with a similar group, associated with histological evidence of metastasis and/or death. Both groups received similar treatment regimes. We have identified 41 patients with thick melanomas in the former group. When compared with the control group, factors found to be significantly different between the two groups were: the nature of the lower margin of the tumour; vascular invasion; and anatomical location.
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170
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Davidson P, Pansu B, Levelut AM, Strzelecki L. X-ray scattering by edge-dislocations in the SA phase of mesomorphic side chain polyacrylates. ACTA ACUST UNITED AC 1991. [DOI: 10.1051/jp2:1991139] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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171
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Blessing K, McLaren KM, McLean A, Davidson P. Thin malignant melanomas (less than 1.5 mm) with metastasis: a histological study and survival analysis. Histopathology 1990; 17:389-95. [PMID: 2076865 DOI: 10.1111/j.1365-2559.1990.tb00757.x] [Citation(s) in RCA: 53] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
It is known that not all thin malignant melanomas have an excellent prognosis and that the specific features identifying the patients at risk of metastasis have not been fully elucidated. We have looked at thin malignant melanomas (less than 1.5 mm) in the East of Scotland that had proven metastasis and death, and compared the clinical and histological features with a similar group (less than 1.5 mm) that have had no further recurrence after a minimum of 6-year follow-up. We identified 26 patients with thin melanomas who had developed histologically proven metastasis and/or died following adequate surgical treatment of their primary lesion. When compared with the control group, factors found to be significantly different between the two groups and present in the group that did badly were (a) histological regression, (b) lesion size, (c) Clark level IV and (d) depth of the uninvolved dermis.
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172
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Morisky DE, Malotte CK, Choi P, Davidson P, Rigler S, Sugland B, Langer M. A patient education program to improve adherence rates with antituberculosis drug regimens. HEALTH EDUCATION QUARTERLY 1990; 17:253-67. [PMID: 2228629 DOI: 10.1177/109019819001700303] [Citation(s) in RCA: 132] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The design, logic, and results of a two-year health education study directed at improving rates of patient adherence to antituberculosis medical regimens are presented. An incentive scheme to reward positive health behaviors plus targeted educational counseling sessions was implemented in a randomized clinical controlled trial. The 205 subjects who participated in the study are categorized according to patients with active tuberculosis (n = 88) or preventive patients with no evidence of active disease (n = 117). Patients in each of these groups were randomly assigned to a special intervention (SI) group or a usual care (UC) control group and were followed monthly throughout their treatment program. While SI patients with active tuberculosis demonstrated higher levels of appointment-keeping behavior and mean percent of medication taken compared to UC patients, no statistically significant differences between the two groups were found. Preventive therapy patients assigned to the SI group, however, were significantly more likely than UC patients to remain in care during their 12-month regimen (64% vs 47%; p = .003). Furthermore, SI patients had significantly higher levels of adherence to their medical regimen compared to UC patients (68% vs 38%; p less than .001). These results demonstrate the positive effects of a structured health education program on the improvement of continuity of care and adherence behavior among patients with tuberculosis.
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173
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Miller FB, Davidson D, Davidson P, Richardson JD, Polk HC. The history of trauma: the University of Louisville experience. THE JOURNAL OF THE KENTUCKY MEDICAL ASSOCIATION 1990; 88:240-5. [PMID: 2341770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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174
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Veber M, Sotta P, Davidson P, Levelut A, Jallabert C, Strzelecka H. Mesomorphic properties of short chains substituted heteroaromatic salts. ACTA ACUST UNITED AC 1990. [DOI: 10.1051/jphys:0199000510120128300] [Citation(s) in RCA: 31] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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175
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Cass SP, Davidson P, Goshgarian H. Survival of the vestibular nerve after labyrinthectomy in the cat. Otolaryngol Head Neck Surg 1989; 101:459-65. [PMID: 2508023 DOI: 10.1177/019459988910100409] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Temporal bone studies in cat, monkey, and man demonstrate that the cell bodies of the primary vestibular neurons located in Scarpa's ganglion persist after labyrinthectomy. However, it is not known whether the centrally directed axon process of deafferented vestibular neurons survive or degenerate after labyrinthectomy. If the central axon were to persist, then the primary vestibular neuron could influence vestibular compensation or produce symptoms of vestibular dysfunction. In the present study the temporal bones and brain stem of four cats were prepared for light microscopic examination with hematoxylin-eosin, silver, and trichrome connective tissue stains. Cell counts within Scarpa's ganglion were performed. After labyrinthectomy, many intact axons were demonstrated in the brain stem, a finding that correlated with survival of neurons in Scarpa's ganglion. This study provides anatomic evidence that primary vestibular neurons that survive labyrinthectomy may retain their central axon processes. The persistence of this neural pathway and data from behavioral studies in the cat suggest that vestibular neurons may affect vestibular compensation after labyrinthectomy. Deafferented vestibular neurons may play a role in human vestibular compensation and dysfunction.
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