http://dspace1.isd.glam.ac.uk:80/dspace/handle/10265/115 2013-05-19T20:36:25Z http://dspace1.isd.glam.ac.uk:80/dspace/handle/10265/648 Title: Moving goal posts Authors: Richards, Wayne Abstract: The fi rst three years of the new contract of 2006 are about to come to an end, an end to the beginning of a new era in dentistry. The negative predictions of the fortune-tellers pre April 2006 do not seem to have materialised to the extent predicted. Although not perfect many dentists say that they would not like to return to the old contract now that they have experienced the new contract. However, the new system is open to abuse just as much as any system would be and clearly rules and regulations need to evolve for effective management and probity. Since April 2006 the stakeholders involved in the provision of general dental services are no longer just dentists and their patients, now we have primary care organisations managing services so as to satisfy community need. This new stakeholder has direct infl uence on those practitioners providing National Health Services but also indirect infl uence on those in independent practice as ‘competitors’ in an open marketplace. To date primary care organisations have been criticised for continuing to ‘contract’ as opposed to ‘commission’ services in appropriate directions. Therefore, primary care organisations have the diffi cult task of managing services in the direction of improving oral health while ............ 2013-01-07T00:00:00Z http://dspace1.isd.glam.ac.uk:80/dspace/handle/10265/647 Title: Conjugated linoleic acid impairs endothelial function Authors: Williams, Simon. R 2013-01-07T00:00:00Z http://dspace1.isd.glam.ac.uk:80/dspace/handle/10265/644 Title: Strengthening primary care research in Wales Authors: Kenkre, Joyce Abstract: The Welsh Assembly Government is committed to the development of evidence-based policy and practice, and in 2005 it invested in the development of the Clinical Research Collaboration in Wales (CRC Cymru). This included the development of thematic research networks, methodological support units and the CRC Cymru co-ordinating centre. ..... 2013-01-03T00:00:00Z http://dspace1.isd.glam.ac.uk:80/dspace/handle/10265/642 Title: Inspiratory resistive loading improves cycling capacity: a placebo controlled trial Authors: Williams, Mark.; Davies, Bruce Abstract: Abstract Background: Respiratory muscle training has been shown to improve both its strength and endurance. The effect of these improvements on whole-body exercise performance remains controversial. Objective: To assess the effect of a 10 week inspiratory resistive loading (IRL) intervention on respiratory muscle performance and whole-body exercise endurance. Methods: Fifteen apparently healthy subjects (10 men, 5 women) were randomly allocated to one of three groups. One group underwent IRL set at 80% of maximum inspiratory pressure with ever decreasing work/rest ratios until task failure, for three days a week for 10 weeks (IRL group). A second placebo group performed the same training procedure but with a minimal resistance (PLA group). IRL and placebo training were performed at rest. The remaining five control subjects performed no IRL during the 10 week study period (CON group). Cycling endurance capacity at 75% V?o2peak was measured before and after the intervention. Results: After the 10 week IRL intervention, respiratory muscle strength (maximum inspiratory pressure) and endurance (sum of sustained maximum inspiratory pressure) had significantly improved (by 34% and 38% respectively). An increase in diaphragm thickness was also observed. These improvements translated into a 36% increase in cycling time to exhaustion at 75% V?o2peak. During cycling trials, heart rate, ventilation, and rating of perceived exertion were attenuated in the IRL group. No changes were observed for the PLA or CON group either in the time to exhaustion or cardiorespiratory response to the same intensity of exercise. Conclusion: Ten weeks of IRL attenuated the heart rate, ventilatory, and perceptual response to constant workload exercise, and improved the cycling time to exhaustion. Familiarisation was not a factor and the placebo effect was minimal. 2013-01-03T00:00:00Z