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Biomedical subjects

D Lindsey

Publications and source records attributed to D Lindsey.

15 recordsLinked to original sources

Soft tissue infections.

Infections in soft tissues present with one or more of the cardinal signs of infections; however, presence of these signs may indicate manifestation of a deep systemic infection or of a noninfectious process. One of the earliest determinations to be made is whether the problem is likely to require patient admission or referral to another specialty. Only then is the primary management clear.

Bacterial Infections

Modification by dipyrone (noramidopyrine methanesulphonate) of stone-induced ureteric hyperperistalsis in the dog.

Implantation of a stone in the ureter of the dog by ureterotomy results in focal hyperperistalsis which is accentuated by administration of norepinephrine, and reduced by administration of phenoxybenzamine or isoproterenol. Administration of dipyrone reduces the hyperperistalsis, but this action does not appear to be that of either a beta-agonist of an alpha-antagonist.

Aminopyrine

A model for establishing occupational therapy and physical therapy services in the public schools.

One procedure for the establishment of therapists in public schools and on management and administration teams in the State Department of Public Instruction, Division for Exceptional Children is discussed. A significant aspect of the procedure is a model for a working relationship between the Division for Exceptional Children and the Occupational Therapy and Physical Therapy Divisions in the Department of Medical Allied Health Professions in a School of Medicine.

Child

Sudden unexpected death from cardiac concussion (commotio cordis) with unusual legal complications.

Sudden and unexpected death may result from cardiac concussion following blunt force trauma to the thorax. Undiagnosed pathologic disease must be carefully evaluated as a possible contributory element. Legal complications may arise from any autopsy. It is recommended that a photograph be taken upon completion of the autopsy. This photograph and adequate records can be used to refute any charges against the pathologist or assistants for the poor condition of a body after its release.

Adolescent

Transient elevation of serum activity of MB isoenzyme of creatine phosphokinase in drivers involved in automobile accidents.

Drivers involved in automobile accidents were screened for the presence of occult cardiac injury without regard for apparent severity of the accident or injury. An electrocardiogram was recorded, and serum levels of total creatine phosphokinase and the MB isoenzyme of creatine phosphokinase (myocardial form) were measured as soon as possible after the accident and subsequently during admission (or on the following day in patients treated and discharged from the emergency room). Electrocardiographic abnormalities were observed in 18 of 82 patients but correlated poorly with other evidence of the severity or location of injury. Of the 22 drivers admitted to the hospital (for any cause), nine demonstrated significant early elevations of the activity of the MB isoenzyme of creatine phosphokinase. We conclude that blunt cardiac trauma is a clinical subtlety; to be found, it must be sought. The ECG is of limited value. Measurement of the serum activity of the MB isoenzyme of creatine phosphokinase early after injury would appear to offer the best evidence of cardiac trauma.

Accidents, Traffic

Patient inquiry into mental hospitalization: a quantitative analysis.

In this section we have assembled a small collection of data concerned with the issue of whether or not adolescents would profit from reflective inquiry into the closed area of mental health care. We have analyzed, arranged and interpreted the data from our study and conclude it demonstrates that adolescent inpatients did profit substantially from a reflective inquiry into mental health care. The number of subjects involved in this experimental program was small. The subjects of the experimental program were not selected randomly. Moreover, the researcher could not control for a number of intervening variables. For this particular group the intervening variables were many: changes in the subjects' individual treatment program, level of tranquilizing medication, attitude of other staff toward the experimental program, relations with parents or relatives, et cetera. This list covers some of the more important weaknesses of the experimental design. In the account of the experiment we reported the influence of other significant intervening variables as they emerged during the course of the study. Even with these important limitations the total push of the results in the direction of our argument compels us to conclude that it is clearly profitable for adolescent inpatients to reflectively inquire into the closed area of mental health care. Although the data reported here are not of predictive value, we believe they indicate the importance of having adolescent inpatients reflectively examine their social situation.

Adolescent