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Biomedical subjects

A J Wise

Publications and source records attributed to A J Wise.

9 recordsLinked to original sources

Comparison of beginning counselors' responses to lesbian vs. heterosexual partner abuse.

This study compared responses of masters and doctoral level counseling students to two domestic violence scenarios. Participants read a two paragraph description of a battering incident involving either a heterosexual or lesbian couple and then gave their impressions via a series of open and closed ended questions. Scenarios were identical save the manipulation of sexual partner as same or opposite sex. Experience and/or education with battered and/or gay/lesbian clients is also examined. Results indicated that subjects perceived the heterosexual battering incident as more violent than the lesbian battering incident and would be more likely to charge the male batterer than the female batterer with assault. Differences in treatment recommendations were made according to sexual orientation of the victim. Less than half of the respondents had coursework or practical experience pertaining to domestic violence and/or gay/lesbian concerns.

Adult↗

Giant cell granuloma of the facial bones.

Giant cell granuloma of the facial bones is a benign, reparative metabolic lesion that usually presents as a painful, expansile mass of the mandible. However, 1 of our patients had the extremely rare findings of multiple other facial bone involvement. In this series of 3 patients followed for > 6 years, the combination of biopsy and clinical presentation provided a stereotypical pattern that enabled an accurate diagnosis in all cases. Our patients were treated successfully with aggressive, but not radical, therapy, excisional curettage, and cauterization of remaining bone. Satisfactory reconstruction and stabilization of the mandible and maxilla were achieved with split rib grafts. The rib graft reconstruction and new bone formation provided excellent contour at 6 years in our adult patients and resulted in normal mandibular growth in the child we treated and followed for 12 years.

Adult↗

Use of procine zenografts in treatment of Fournier's gangrene.

The use of procine xenografts as a biologic dressing has become increasingly popular, particularly in cases of extensive tissue loss, as in severe thermal injuries. It not only minimizes protein and fluid loss, acts as a barrier to infection, but also prevents conversion of second-degree burns through its ability to control existing infection. In this case, it was used successfully to treat Fournier's gangrene. We believe it significantly eased and shortened the patient's hospital stay and enabled us to apply autogenous split thickness skin grafts sooner than with conventional modes of wound care.

Adult↗