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1.
Nat Commun ; 12(1): 6413, 2021 11 05.
Article in English | MEDLINE | ID: mdl-34741038

ABSTRACT

Marine phytoplankton generate half of global primary production, making them essential to ecosystem functioning and biogeochemical cycling. Though phytoplankton are phylogenetically diverse, studies rarely designate unique thermal traits to different taxa, resulting in coarse representations of phytoplankton thermal responses. Here we assessed phytoplankton functional responses to temperature using empirically derived thermal growth rates from four principal contributors to marine productivity: diatoms, dinoflagellates, cyanobacteria, and coccolithophores. Using modeled sea surface temperatures for 1950-1970 and 2080-2100, we explored potential alterations to each group's growth rates and geographical distribution under a future climate change scenario. Contrary to the commonly applied Eppley formulation, our data suggest phytoplankton functional types may be characterized by different temperature coefficients (Q10), growth maxima thermal dependencies, and thermal ranges which would drive dissimilar responses to each degree of temperature change. These differences, when applied in response to global simulations of future temperature, result in taxon-specific projections of growth and geographic distribution, with low-latitude coccolithophores facing considerable decreases and cyanobacteria substantial increases in growth rates. These results suggest that the singular effect of changing temperature may alter phytoplankton global community structure, owing to the significant variability in thermal response between phytoplankton functional types.


Subject(s)
Phytoplankton/metabolism , Climate Change , Diatoms/metabolism , Dinoflagellida/metabolism , Ecosystem , Temperature
2.
Acta Biomater ; 11: 17-26, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25246311

ABSTRACT

In the 1970s, several studies revealed the requirement for silicon in bone development, while bioactive silicate glasses simultaneously pioneered the current era of bioactive materials. Considerable research has subsequently focused on the chemistry and biological function of silicon in bone, demonstrating that the element has at least two separate effects in the extracellular matrix: (i) interacting with glycosaminoglycans and proteoglycans during their synthesis, and (ii) forming ionic substitutions in the crystal lattice structure of hydroxyapatite. In addition, the dissolution products of bioactive glass (predominantly silicic acids) have significant effects on the molecular biology of osteoblasts in vitro, regulating the expression of several genes including key osteoblastic markers, cell cycle regulators and extracellular matrix proteins. Researchers have sought to capitalize on these effects and have generated a diverse array of biomaterials, which include bioactive glasses, silicon-substituted hydroxyapatites and pure, porosified silicon, but all these materials share similarities in the mechanisms that result in their bioactivity. This review discusses the current data obtained from original research in biochemistry and biomaterials science supporting the role of silicon in bone, comparing both the biological function of the element and analysing the evolution of silicon-containing biomaterials.


Subject(s)
Biocompatible Materials/chemistry , Bone Substitutes/chemistry , Extracellular Matrix/chemistry , Osteoblasts/metabolism , Silicon/chemistry , Animals , Antigens, Differentiation/metabolism , Glass/chemistry , Humans , Osteoblasts/cytology , Porosity
3.
J Mater Sci Mater Med ; 25(4): 1087-97, 2014 Apr.
Article in English | MEDLINE | ID: mdl-24398914

ABSTRACT

Silicon is an essential element for healthy bone development and supplementation with its bioavailable form (silicic acid) leads to enhancement of osteogenesis both in vivo and in vitro. Porous silicon (pSi) is a novel material with emerging applications in opto-electronics and drug delivery which dissolves to yield silicic acid as the sole degradation product, allowing the specific importance of soluble silicates for biomaterials to be investigated in isolation without the elution of other ionic species. Using polycaprolactone as a bioresorbable carrier for porous silicon microparticles, we found that composites containing pSi yielded more than twice the amount of bioavailable silicic acid than composites containing the same mass of 45S5 Bioglass. When incubated in a simulated body fluid, the addition of pSi to polycaprolactone significantly increased the deposition of calcium phosphate. Interestingly, the apatites formed had a Ca:P ratio directly proportional to the silicic acid concentration, indicating that silicon-substituted hydroxyapatites were being spontaneously formed as a first order reaction. Primary human osteoblasts cultured on the surface of the composite exhibited peak alkaline phosphatase activity at day 14, with a proportional relationship between pSi content and both osteoblast proliferation and collagen production over 4 weeks. Culturing the composite with J744A.1 murine macrophages demonstrated that porous silicon does not elicit an immune response and may even inhibit it. Porous silicon may therefore be an important next generation biomaterial with unique properties for applications in orthopaedic tissue engineering.


Subject(s)
Biocompatible Materials/chemistry , Polyesters/chemistry , Silicon/administration & dosage , Silicon/chemistry , Alkaline Phosphatase/metabolism , Animals , Biomechanical Phenomena , Bone Substitutes/chemistry , Calcium Phosphates/metabolism , Cell Line , Cell Proliferation/drug effects , Cells, Cultured , Humans , Macrophage Activation/drug effects , Materials Testing , Mice , Osteoblasts/cytology , Osteoblasts/drug effects , Osteoblasts/metabolism , Porosity , Silicic Acid/administration & dosage , Silicon/toxicity , Tissue Engineering
4.
J Microsc ; 234(1): 16-25, 2009 Apr.
Article in English | MEDLINE | ID: mdl-19335453

ABSTRACT

Ultramicrotomy, focused ion beam scanning electron microscopy (FIBSEM) and cryogenic FIBSEM (cryo-FIBSEM) techniques, as developed for the controlled cross-sectioning of mesenchymal stem cells (MSCs) and human osteoblasts (HObs) on titanium (Ti) substrates for transmission electron microscopy (TEM) investigation, are compared. Conventional ultramicrotomy has been used to section cells on Ti-foil substrates embedded in resin, but significant problems with cell detachment using this technique restricted its general applicability. Conventional FIBSEM 'lift-out' procedures were found to be effective for the preparation of uniform sections of fixed and dehydrated cell/Ti specimens, but the control of cell staining remains an issue. Cryo-FIBSEM procedures used with an 'H-bar' sample geometry enabled the sectioning of fixed and hydrated cell/Ti specimens, but issues remain over ion beam-induced artefacts and control of frost on the sample foils.


Subject(s)
Microscopy, Electron, Transmission/methods , Microtomy/methods , Specimen Handling/methods , Cryoelectron Microscopy/methods , Humans , Microscopy, Electron, Scanning/methods , Osteoblasts/ultrastructure , Stem Cells/ultrastructure , Titanium
5.
Stud Health Technol Inform ; 140: 197-207, 2008.
Article in English | MEDLINE | ID: mdl-18810025

ABSTRACT

The autonomic nervous system through its hypothalamic neuroendocrine control of puberty, skeletal growth and menarche contributes importantly to the pathogenesis of adolescent idiopathic scoliosis (AIS). Melatonin dysfunction detected in AIS subjects also involves the autonomic nervous system. The thoracospinal concept for the pathogenesis of right thoracic AIS in girls thought by some to result from dysfunction of the sympathetic nervous system (SNS), is supported by recent vascular and peripheral nerve studies. Lower body mass index (BMI).in girls with AIS is associated with decreased circulating leptin levels. Leptin, secreted by adipocytes, is a master hormone with many regulatory functions for growth and reproduction, including: 1) appetite repression, anorexigenic; 2) initiation of puberty in girls in a permissive action, and 3) in mice, longitudinal bone growth, chondrogenic and angiogenic, and in bone formation, antiosteogenic acting centrally through the SNS and possibly directly. In AIS girls, autonomic nervous system activity was reported to be higher than in controls. We suggest that in AIS susceptible girls, given adequate nutrition and energy stores, circulating leptin talks to the hypothalamus where dysfunction leads to an altered sensitivity to leptin resulting in increased SNS activity contributing with neuroendocrine mechanisms to: 1) earlier age at, and increased peak height velocity, 2) general skeletal overgrowth, 3) earlier skeletal maturation, 4) extra-spinal skeletal length asymmetries, including periapical ribs and ilia, 5) generalized osteopenia, and 6) lower BMI. The SNS-driven effects may also add adventitious changes to the spine including asymmetries complicating the neuroendocrine effects on adolescent spinal growth. In AIS pathogenesis, the leptin-SNS concept is complementary to our NOTOM escalator concept involving the somatic nervous system. Together these two concepts view AIS in girls as being initiated by a hypothalamic dysfunction of energy metabolism (bioenergetics) affecting skeletal growth in the trunk. Where, in susceptible girls, the postural mechanisms of the somatic nervous system fail to control the asymmetric spinal and/or rib growth changes in a rapidly enlarging adolescent spine; this failure becomes evident as mild back-shape shape asymmetry, or scoliosis. The environmentally-enhanced stature of normal subjects in the last 300 years, in girls susceptible to AIS, may have exaggerated any developmental dysharmony between the autonomic and somatic nervous systems being fought out in the spine and trunk of the girl - possibly making mild back-shape asymmetry, or scoliosis more prevalent today than hitherto.


Subject(s)
Autonomic Nervous System/physiopathology , Leptin , Scoliosis/etiology , Sympathetic Nervous System/physiopathology , Adolescent , Body Mass Index , Female , Humans , Melatonin , Posture , Risk Factors , Scoliosis/physiopathology , Spine/physiopathology , Thoracic Vertebrae
6.
Eur J Vasc Endovasc Surg ; 27(2): 201-9, 2004 Feb.
Article in English | MEDLINE | ID: mdl-14718904

ABSTRACT

OBJECTIVES: To assess whether electrical stimulation of ischaemic calf muscles in claudicants causes a systemic inflammatory response and to evaluate effects of its chronic application on muscle function and walking ability. DESIGN: Prospective randomised controlled trial of calf muscle stimulation. MATERIALS AND METHODS: Stable claudicants were randomised to receive either active chronic low frequency (6 Hz) motor stimulation (n=15) or, as a control treatment, submotor transcutaneous electrical nerve (TENS) stimulation (n=15) of calf muscles in one leg, 3 x 20 min per day for four weeks. Leucocyte activation was quantified by changes in cell morphology, vascular permeability by urinary albumin:creatinine ratio (ACR), calf muscle function by isometric twitch contractions and walking ability by treadmill performance pre- and post-intervention. RESULTS: Acute active muscle stimulation activated leucocytes less (28% increase) than a standard treadmill test (81% increase) and did not increase ACR. Chronic calf muscle stimulation significantly increased pain-free walking distance by 35 m (95% CI 17, 52, P<0.001) and maximum walking distance by 39 m (95% CI 7, 70, P<0.05) while control treatment had no effect. Active stimulation prevented fatigue of calf muscles during isometric electrically evoked contractions by abolishing the slowing of relaxation that was responsible for loss of force. CONCLUSIONS: Chronic electrical muscle stimulation is an effective treatment for alleviating intermittent claudication which, by targeted activation of a small muscle mass, does not engender a significant systemic inflammatory response.


Subject(s)
Intermittent Claudication/therapy , Transcutaneous Electric Nerve Stimulation , Aged , Exercise Test , Female , Humans , Intermittent Claudication/physiopathology , Leg/blood supply , Leukocytes/physiology , Male , Muscle Contraction/physiology , Muscle, Skeletal/innervation , Prospective Studies , Single-Blind Method , Systemic Inflammatory Response Syndrome , Time Factors , Walking/physiology
7.
Cytogenet Genome Res ; 102(1-4): 157-62, 2003.
Article in English | MEDLINE | ID: mdl-14970696

ABSTRACT

In 1995, Edfors-Lilja and coworkers mapped the locus for the E. COLI K88ab (F4ab) and K88ac (F4ac) intestinal receptor to pig chromosome 13 (SSC13). Using the same family material we have refined the map position to a region between the microsatellite markers Sw207 and Sw225. Primers from these markers were used to screen a pig BAC library and the positive clones were used for fluorescent in situ hybridization (FISH) analysis. The results of the FISH analysis helped to propose a candidate gene region in the SSC13q41-->q44 interval. Shotgun sequencing of the FISH-mapped BAC clones revealed that the candidate region contains an evolutionary breakpoint between human and pig. In order to further characterise the rearrangements between SSC13 and human chromosome 3 (HSA3), detailed gene mapping of SSC13 was carried out. Based on this mapping data we have constructed a detailed comparative map between SSC13 and HSA3. Two candidate regions on human chromosome 3 have been identified that are likely to harbour the human homologue of the gene responsible for susceptibility towards E. COLI F4ab/ac diarrhoea in pigs.


Subject(s)
Antigens, Bacterial/immunology , Chromosome Mapping/methods , Diarrhea/microbiology , Diarrhea/veterinary , Escherichia coli Infections/veterinary , Escherichia coli Proteins/immunology , Fimbriae Proteins/immunology , Genetic Linkage/genetics , Genetic Predisposition to Disease , Microsatellite Repeats/genetics , Swine Diseases/genetics , Swine Diseases/microbiology , Animals , Animals, Domestic , Animals, Wild , Chromosome Mapping/veterinary , Crosses, Genetic , Cytogenetic Analysis/methods , Cytogenetic Analysis/veterinary , Diarrhea/genetics , Escherichia coli/immunology , Escherichia coli Infections/genetics , Female , Genotype , Humans , In Situ Hybridization, Fluorescence/methods , In Situ Hybridization, Fluorescence/veterinary , Male , Swine
8.
Neurosci Lett ; 314(3): 111-4, 2001 Nov 16.
Article in English | MEDLINE | ID: mdl-11704296

ABSTRACT

Recent in vitro studies have provided evidence that cocaine and amphetamine-related transcript (CART) pathways in the hypothalamus mediate the effects of leptin upon gonadotropin releasing hormone (GnRH) secretion. The aim of the current study was to use dual label immunofluorescence to investigate the anatomical basis of such a pathway. CART-ir processes were found extensively in regions where GnRH cell bodies where located. Analysis using confocal microscopy showed that the majority of GnRH neurons (62%) had close appositions from CART-ir processes. The proportion of GnRH-ir perikarya with CART-ir appositions was significantly higher (P<0.05) in neurons located in the diagonal band of Broca (70%) compared to those more caudally located in the preoptic area (53%). This anatomical evidence for close appositions between CART-ir processes and GnRH cell bodies supports the hypothesis that one mechanism by which leptin causes its effect on the GnRH pulse generator is indirectly via CART neurons, thus allowing information about nutritional status and body fat stores to be conveyed to the reproductive system.


Subject(s)
Gonadotropin-Releasing Hormone/metabolism , Hypothalamus/metabolism , Leptin/metabolism , Nerve Tissue Proteins/metabolism , Neural Pathways/metabolism , Neurons/metabolism , Synapses/metabolism , Animals , Cell Communication/physiology , Cricetinae , Energy Metabolism/physiology , Female , Gonadal Steroid Hormones/metabolism , Hypothalamus/cytology , Immunohistochemistry , Microscopy, Confocal , Neural Pathways/ultrastructure , Neurons/cytology , Phodopus , Preoptic Area/cytology , Preoptic Area/metabolism , Presynaptic Terminals/metabolism , Presynaptic Terminals/ultrastructure , Septal Nuclei/cytology , Septal Nuclei/metabolism , Synapses/ultrastructure
9.
Cytogenet Cell Genet ; 95(1-2): 82-4, 2001.
Article in English | MEDLINE | ID: mdl-11978975

ABSTRACT

The porcine PER1 gene was mapped to chromosome 12q1.4-->q1.5 using fluorescence in situ hybridisation. A polymorphic microsatellite marker (S0601) was isolated from a BAC clone shown to contain the PER1 gene. Linkage analysis assigned S0601 distal to ALOX12 on SSC12, providing further evidence for the conservation of synteny between HSA17 and SSC12. RT-PCR analysis demonstrated the expression of PER1 in all 11 tissues tested, consistent with the data from other mammalian species. Part of the PER1 gene was sequenced, homologous to exons 2-14 of the human gene and encoding the N-terminus of porcine PER1. The predicted amino acid sequence of the partial pig PER1 protein shares over 96% identity with its human orthologue.


Subject(s)
Chromosome Mapping , Gene Expression Profiling , Nuclear Proteins/genetics , Physical Chromosome Mapping , Swine/genetics , Animals , Cell Cycle Proteins , Conserved Sequence/genetics , Exons/genetics , Humans , In Situ Hybridization, Fluorescence , Lod Score , Microsatellite Repeats/genetics , Period Circadian Proteins , Polymorphism, Genetic/genetics , RNA, Messenger/genetics , RNA, Messenger/metabolism , Reverse Transcriptase Polymerase Chain Reaction , Synteny
15.
J Cell Sci ; 113 ( Pt 15): 2737-45, 2000 Aug.
Article in English | MEDLINE | ID: mdl-10893189

ABSTRACT

When rolling adherent neutrophils are stimulated, they rapidly immobilize through activation of integrin CD11b/CD18, and then modulate attachment through this integrin to allow migration. We investigated links between cytoskeletal rearrangement and changes in function of integrin CD11b/CD18 in neutrophils stimulated with formyl peptide (fMLP). Neutrophils treated with the actin-polymerizing agent jasplakinolide became rolling adherent on monolayers of activated platelets, but could not use CD11b/CD18 to become immobilised when fMLP was perfused over them. If treated with jasplakinolide after fMLP, the cells stopped migrating but could not detach when fMLP was removed. Jasplakinolide did not inhibit changes in intracellular Ca(2+) seen after fMLP treatment, or inhibit neutrophil immobilisation induced by externally added Mn(2+). Thus cytoskeletal rearrangement was directly implicated in upregulation and, later, downregulation of CD11b/CD18 binding. Inhibition of RhoA with C3-transferase caused a dose-dependent reduction of initial rolling adhesion of neutrophils, and reduced the rate of migration after stimulation; however, neither the conversion of rolling to stationary adhesion, nor the ability of neutrophils to detach on removal of the stimulus, were inhibited. Thus, Rho may regulate actin polymerisation and motility in neutrophils, but did not appear to control integrin-mediated adhesion itself. Integrin binding may be promoted by disruption of links to the cytoskeleton, effected through depolymerisation of actin or cleavage of linking protein talin by calpain. Disruption of actin filaments with cytochalasin D did not, however, cause integrin-mediated immobilisation of rolling neutrophils. Although the calpain inhibitor calpeptin did inhibit the adhesion response to fMLP, this was only at doses where actin polymerisation was also ablated. We suggest that the cytoskeleton actively regulates binding conformation of CD11b/CD18 as well as its mobility in the membrane.


Subject(s)
Botulinum Toxins , Cytoskeleton/metabolism , Depsipeptides , Macrophage-1 Antigen/metabolism , Neutrophils/cytology , Neutrophils/enzymology , ADP Ribose Transferases/pharmacology , Amides/pharmacology , Antineoplastic Agents/pharmacology , Cell Adhesion/drug effects , Cell Adhesion/immunology , Cell Movement/drug effects , Cell Movement/immunology , Cysteine Proteinase Inhibitors/pharmacology , Cytochalasin D/pharmacology , Cytoskeleton/drug effects , Cytoskeleton/immunology , Dipeptides/pharmacology , Down-Regulation/immunology , Enzyme Inhibitors/pharmacology , Humans , Integrins/metabolism , Intracellular Signaling Peptides and Proteins , Nucleic Acid Synthesis Inhibitors/pharmacology , Peptides, Cyclic/pharmacology , Protein Serine-Threonine Kinases/antagonists & inhibitors , Pyridines/pharmacology , Signal Transduction/drug effects , rho-Associated Kinases
16.
Br J Neurosurg ; 13(5): 480-5, 1999 Oct.
Article in English | MEDLINE | ID: mdl-10627779

ABSTRACT

The frequency of mood disorder was studied in a cohort of patients with treated intracranial glioma or meningioma, where psychological morbidity was related to physical and neuropsychological functioning and to the patients' knowledge of their disease. Forty patients were assessed on a range of physical, psychological and neuropsychological measures, with additional interview of a relative to obtain supplementary information regarding each patients' knowledge of their disease. Two (5%) of the 40 patients had clinically significant levels of anxiety, six (15%) clinically significant levels of depression and 92% full or intermediate knowledge about their prognosis. Psychological morbidity was associated with high levels of physical disability and also with cognitive dysfunction, but was not related to the grade of the patient's tumour or the extent to which the patient was aware of the nature of his or her disease. A proportion of patients with intracranial tumours suffer levels of psychological distress sufficient to warrant psychological and/or pharmacological intervention.


Subject(s)
Meningeal Neoplasms/surgery , Meningioma/surgery , Mood Disorders/etiology , Postoperative Complications/etiology , Adolescent , Adult , Aged , Cognition Disorders/etiology , Cohort Studies , Disabled Persons , Female , Humans , Male , Meningeal Neoplasms/psychology , Meningioma/psychology , Middle Aged , Perception , Treatment Outcome
17.
Anim Biotechnol ; 10(3): 143-6, 1999.
Article in English | MEDLINE | ID: mdl-10721429

ABSTRACT

Seasonal infertility in sows is a problem in the pig industry characterized by delayed onset of puberty in summer and decreased farrowing rate resulting from silent oestrus and aborted pregnancy. Summer infertility is thought to be influenced by heat, sunburn and stress. However, the strongest contributory factor is photoperiod. The difference in seasonality between wild boar and commercial pig breeds suggests that there may be a genetic component to this trait. The maps and associated molecular tools emerging from the pig genome project have created opportunities to examine the genetic component of seasonal infertility. We are identifying and mapping genes that are likely to be involved in biological clock mechanisms and the melatonin pathways as candidate seasonality genes.


Subject(s)
Chromosome Mapping , Genome , Infertility/veterinary , Swine/genetics , Abortion, Veterinary/genetics , Animals , Female , Infertility/genetics , Melatonin/genetics , Photoperiod , Pregnancy , Seasons
18.
J Mater Sci Mater Med ; 9(12): 731-5, 1998 Dec.
Article in English | MEDLINE | ID: mdl-15348931

ABSTRACT

Many bioactive glasses and glass ceramics contain silica, yet the effect of silica on the osteoblast is not well understood. The osteoblast cell response to a silica surface, without the interference of the other ions present in glasses and glass ceramics has been investigated. A silica sol-gel was prepared which gave a molar ratio of 1:4:4 tetraethyl orthosilicate (TEOS): ethanol:acidified water 0.2 M HCl) and spin cast on to thermanox discs. The gel was characterized in terms of bioactivity and release of silicic acid. Primary human osteoblasts (HOBs) were seeded on the surface of upright or inverted silica discs. Cell activity (alamar blue reduction), number (DNA content) and differentiation (alkaline phosphatase activity, nodule formation and mineralization) were measured. There was no apparant difference in cell number, activity or alkaline phosphatase activity between silica discs and controls. Nodules formed much earlier on the silica surfaces and these eventually mineralized. Nodule formation was reproducibly enhanced on the silica surface and less markedly on the inverted discs. It is likely that both the surface characteristics of the silica gel and silicic acid release from the disc affect osteoblast behaviour.

19.
Am J Physiol ; 272(6 Pt 2): H2757-64, 1997 Jun.
Article in English | MEDLINE | ID: mdl-9227555

ABSTRACT

Increased activity of ischemic skeletal muscles in which functional hyperemia is impaired has been linked with capillary endothelial swelling postcapillary white blood cell (WBC) adherence. The perfusion pattern of capillaries under these conditions and time course of WBC activation is not known. Capillary microcirculation was studied by videomicroscopy at rest and after muscle contractions (1 Hz, 10 min) in extensor digi-torum longus muscles of pentobarbital sodium-anesthetized rat during the early stages of chronic ischemia (unilateral ligation of the common iliac artery for 3 days) and in ischemic muscles subjected to increased activity (7 days of ischemia or 3 days of ischemia plus indirect electrical stimulation via planted electrodes, 10 Hz, 7 x 10 min on-90 min off/day) to investigate how perfusion was affected. All ischemic muscles had more intermittently flowing capillaries than did unoperated control) muscles. Temporal heterogeneity of perfusion at rest, assessed by velocity, time spent stationary, and stop/start frequency of red blood cells, was similar to control values in ischemic muscles but greater in ischemic muscles subjected to additional activity. Hyperemic responses to contractions were severely blunted in all ischemic groups. The portion of morphologically nonspherical WBCs, taken to indicate activation, was 24 +/- 3% in venous blood after 3 days of ischemia vs. 14 +/- 1% in control muscles and increased further by 7 days (42 +/- 2%) when activated cells were also found in arterial blood. Thus increased muscular activity may exacerbate the adverse effects of ischemia on capillary perfusion, and WBC activation, evident before endothelial swelling is apparent, provides the potential as a circulating signal for capillary swelling in the ischemic and other muscles.


Subject(s)
Erythrocytes/physiology , Ischemia/physiopathology , Leukocytes/physiology , Muscle, Skeletal/blood supply , Animals , Capillaries , Chronic Disease , Electric Stimulation , Ischemia/pathology , Male , Muscle Contraction , Muscle, Skeletal/physiology , Rats , Rats, Wistar
20.
Brain Inj ; 10(2): 115-24, 1996 Feb.
Article in English | MEDLINE | ID: mdl-8696311

ABSTRACT

Subsequent to the setting up of an outpatient psychological service for head-injured patients, 50 patients were interviewed a year from the time of their discharge from our neurorehabilitation unit. The problems which persisted at this stage are presented and discussed. Some of the difficulties encountered in the evaluation of rehabilitation effects are identified. We conclude that: (1) there is a desperate need in the UK for more long-term support and rehabilitation services for this group of patients and (2) it is essential that such services are carefully monitored and evaluated despite the difficulties involved.


Subject(s)
Head Injuries, Closed/rehabilitation , Patient Discharge , Adolescent , Adult , Aged , Employment , Female , Follow-Up Studies , Glasgow Coma Scale , Head Injuries, Closed/diagnosis , Health Status , Hospitalization , Humans , Male , Middle Aged , Social Support
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