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Biomedical subjects

F C Wilson

Publications and source records attributed to F C Wilson.

At least 37 records · Page 2Linked to original sources

The accreditation of graduate educational programs in orthopedic surgery.

The development and evaluation of graduate medical education in the United States from the late 19th century to the present are founded on the structure, role, and function of the accrediting bodies (the Accreditation Council for Graduate Medical Education and the Residency Review Committees). The general and specific requirements for accreditation of orthopedic programs, the processes for accreditation of existing and new residency programs, and the current status of fellowship accreditation are continuously under evaluation.

Accreditation↗

Surgical management of hemophilic arthropathy.

We reviewed the preoperative, intraoperative, and postoperative care of hemophilic patients, our experience with specific surgical procedures, and provided a cost-benefit analysis of joint replacement and synovectomy. The advent of factor VIII concentrates to control bleeding has enabled us to offer surgical options to hemophiliacs similar to those offered to patients with normal coagulation mechanisms. The appearance of the AIDS virus, however, has further complicated the care of hemophiliacs with severe arthropathy.

Arthrodesis↗

The use of bacitracin irrigation to prevent infection in postoperative skeletal wounds. An experimental study.

In dogs, irrigation of contaminated osseous wounds with bacitracin eliminated clinical evidence of infection and significantly reduced the number of positive cultures and pathological evidence of infection when compared with dogs that received no treatment or irrigation with normal saline solution. The inocula contained more organisms than are introduced into a wound during an elective orthopaedic operation. The use of bacitracin in the prevention of postoperative Staphylococcus aureus infection of bone in humans may be justified.

Animals↗

Dislocation of the acromioclavicular joint. An end-result study.

The cases of 127 patients who had an acute dislocation of the acromioclavicular joint were studied. Fifty-two patients, with an average follow-up of 10.8 years, were managed operatively, and seventy-five patients, with an average follow-up of 9.5 years, were managed non-operatively. Using a rating system that included subjective, objective, and roentgenographic criteria, it did not appear that reduction of the acromioclavicular joint was necessary to obtain consistently good results. Operative management, using either coracoclavicular or acromioclavicular fixation, was associated with a higher rate of complications than non-operative treatment. The use of a sling for four weeks without reduction of the joint, followed by a graduated exercise program, led to acceptable clinical results. In patients who had persistent pain and stiffness of the acromioclavicular joint, or in whom symptomatic post-traumatic arthritis developed, resection of the distal part of the clavicle reliably produced significant improvement.

Acromioclavicular Joint↗

The evolution of knee arthroplasty. Results with three generations of prostheses.

One hundred sixty total knee arthroplasties using the Walldius (90), geometric (31), and total condylar (39) prostheses were analyzed by standardized ratings. Patients with total condylar knees had the highest mean postoperative rating, although the patients with Walldius knees derived the greatest symptomatic relief from surgery. There were 12 failures. Varus placement of the prosthesis occurred in 11 patients; eight of these knees were symptomatic. There were six wound infections, five of which were salvaged. The unsolved problems of total knee arthroplasties are: malalignment, loosening, infection, wear, and balancing mobility with stability.

Female↗

Surgical management of musculoskeletal problems in hemophilia.

This part covers the surgical management of musculoskeletal problems in hemophilia according to preoperative, intraoperative, and postoperative considerations; reviewed the surgical management of muscle bleeds, subacute and chronic arthropathy, pseudotumors, and fractures; and provided a cost-benefit analysis of synovectomy and knee replacement in hemophilia.

Anemia, Hemolytic↗

A look at corporal punishment and some implications of its use.

The author notes several legal, social, philosophical and educational attitudes common to Canada and the United States which have, for centuries, characterized the uses of corporal punishment with children. Specifically, corporal punishment is viewed as a technique for developing discipline within the school system. Inconsistencies in both Canada and the U.S. are noted regarding court decisions and their application in the classroom. Recent revisions to The Ontario Child Welfare Act are discussed in light of its implications for parents and teachers who physically punish their children or students. Research findings related to corporal punishment and their implications for schools are cited. Negative side-effects of administering punishment are also described. The evidence suggests that corporal punishment besides being an ineffective learning technique, is not the uncomplicated, quick solution many may think it. The author concludes by proposing that because of their important role in the lives of developing children and considering the resources devoted to teacher training, teachers should be held as legally accountable for their use of corporal punishment with children as parents are. As well, he indicates the need for (1) increased teacher training in the areas of child management, classroom management and interactional processes; (2) greater opportunity to devise creative problem-solving strategies; and (3) a re-ordering of priorities at universities, colleges and faculties of education which would benefit not only teachers, but ultimately their students.

Canada↗

Classification of childhood acute lymphocytic leukaemia using rabbit antisera to leukaemia cells and lymphoblastoid cell lines.

Leukaemic cells from seventeen untreated acute lymphocytic leukaemia (A.L.L.) patients have been typed at presentation with heteroantisera prepared in rabbits by complement mediated cytotoxicity. Reactivity with antisera has suggested a preliminary grouping of patients, in this study, into Null, pre-T (post-thymic T-cell precursor) and T-cell subtypes. The leukaemic cells have also been classified with the established markers, E-rosette receptor, surface immunoglobulin and C3 receptor as well as total white cell count at presentation. Anti NALM-1 (Null-lymphoblastoid cell line) serum reacted with cells from all childhood A.L.L. patients tested but could be made specific for cALL antigen of the common Null form of A.L.L. by further absorption or dilution. Antisera to membrane fractions from cells of high white cell count Null-A.L.L. patients reacted with cells of these patients as well as T-A.L.L. patients. Anti MOLT-4 (adult T-A.L.L. derived lymphoblastoid cell line) serum reacted only with cells of T-A.L.L. patients.

Adolescent↗