Role of zinc in post-injury wound healing.
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Biomedical subjects
Publications and source records attributed to A K Maitra.
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Four hundred and fifty patients aged 75 years or older were followed up after discharge from an accident and emergency department. Forty-three per cent of all patients experienced some loss of functional independence. A small number, 5.6%, were readmitted to hospital within 14 days. This group were significantly less able to perform certain activities of daily living than those not readmitted. Attention to functional assessment by casualty staff may help to prevent readmission to hospital of this frail elderly group of patients.
Nine hundred and eighteen patients with glass-related injuries were studied retrospectively. Forty per cent of the injuries were due to architectural glass, which resulted in more severe injuries, required more complicated plastic/surgical repairs and needed longer treatment time. It also produced more disabilities in all age groups. These injuries can be prevented by the use of safety glass in residential buildings, a usage which should be legally enforced as in the USA.
In a prospective randomized trial, 213 consecutive patients with less than 10 per cent BSA partial thickness burns were treated as outpatients with either Bactigras (n = 102) (tulle gras dressing with 0.5 per cent Chlorhexidine Acetate B.P.) or Inadine (n = 111) (rayon dressing with 10 per cent povidone iodine ointment). Inadine caused less bleeding on dressing removal but not significantly less. Inadine treated patients required less analgesia, a reduced treatment time, a smaller number of hospital visits and less time off work/normal activities (P = 0.01). Inadine should be more widely used in the management of partial thickness burn wounds.
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Four hundred and fifteen patients aged over 75 were compared with a comparable group of 351 below 75 adult attenders. The over 75s were referred by 999 call and general practitioners more frequently. They also suffered more fractures and multiple injuries. The implications of these different injury patterns for the accident service are discussed.
A patient was admitted with accidental poisoning, after ingesting dapsone (100 mg) 30 tablets with deep cyanosis and tachycrodia. Treatment with ascorbic acid 500 mg orally every 6 hours lead to the recovery.
The initial accident and emergency and final in-patient diagnoses of 200 patients with acute abdominal pain made without computer aid or structured data sheet were compared. Sixty-five per cent were correctly diagnosed and 5% had normal laparotomies. These results compare favourably with those obtained using computer aid and structured history-taking forms. It is suggested that the spotlight should be on the training and experience of doctors making the initial diagnosis rather than on computer aid.
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Three hundred patients with fractures of the hallux were randomly treated with either a short plantar splint or spica strapping in a prospective crossover trial. The results showed that more patients preferred the splint and the mean pain score was lower in the group treated with a splint (P less than 0.001). It is concluded that the splint is a cheap and effective method of treatment of fractures of the hallux.
In a single-blind, controlled, prospective trial of 242 sutured wounds of the hand in the A&E department there was increased late purulent infection in those treated without gloves. This difference is statistically significant. We recommend wearing of sterile gloves to suture all wounds in A&E departments.
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