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Biomedical subjects

D C Turk

Publications and source records attributed to D C Turk.

At least 109 records · Page 6Linked to original sources
PubMed1974

ACP Broadsheet 80.

Explore the source record for details and available documents.

Journal Article↗
PubMed1972

Haemophilus epiglottitis: nine recent cases in Oxford.

Recent experience of epiglottitis in Oxford confirms the need for doctors in this country-especially family doctors and casualty officers-to be aware of this disease and to be able to recognize it and to take appropriate action immediately. Some important diagnostic and therapeutic implications both of the anatomy of the supraglottic lesion and of the septicaemic component of the illness are discussed.

Child, Preschool↗
PubMed1969

Haemophili from eyes.

The identity of haemophili isolated in our laboratories from eye swabs was investigated. Ten out of 114 strains belonged to capsulated types of H. influenzae. Seventy-six strains were submitted to tests for the identification of H. aegyptius (the Koch-Weeks bacillus), but none was proved to belong to this species. An unexpectedly high proportion of the haemophilus strains, including most of those with capsules, came from patients with lachrymal duct obstruction.

Agglutination Tests↗
PubMed1968

Acute epiglottitis: challenge of a rarely recognized emergency.

Acute epiglottitis is a fulminating infection of young children, requiring urgent and specific treatment. Most cases are caused by infection with Haemophilus influenzae type b. Only a few cases, nearly all of them fatal, have been reported from Britain, but probably many others go unrecognized. Of four cases seen by us in the past six years three survived, having responded rapidly and completely to treatment. This consisted chiefly of measures to deal with respiratory tract obstruction and parenteral administration of antibiotics. There is need for a widespread awareness of the existence, presenting features, and extreme urgency for treatment of this disease.

Acute Disease↗
PubMedDate not supplied

Nonpharmacological management of headaches during pregnancy.

Concerns about the effects of maternal medications on the growing baby limit the use of medication treatment for benign conditions, such as recurring headaches, during pregnancy and lactation. Nonpharmacological therapies hold particular promise for pregnant women due to the limited medication options. No controlled studies, however, have reported on the efficacy of nonpharmacological treatments for pregnant women. The first study evaluated the effectiveness of a combined nonpharmacological treatment (CT) consisting of relaxation, skin-warming biofeedback, and physical therapy for pregnant women with chronic headaches. In a second study, the CT protocol was compared with an attention control (AC) that received headache education and skin-cooling biofeedback. The first study resulted in significant symptom improvement in 79% of subjects, with an overall 72.9% reduction in headaches. In the second study, both groups improved with treatment; however the CT group was more likely to experience significant headache relief (72.7%) than the AC group (28.6%, chi 2(1) = 4.97, p < .03). Significant improvement was maintained at a 6-month follow-up for over 50% of patients. It is concluded that the combined nonpharmacological treatment was more effective than an attention control in reducing headaches during pregnancy. This treatment was effective regardless of predisposing variables.

Adult↗
PubMedDate not supplied

Comparison of generalized and localized hyperalgesia in patients with recurrent headache and fibromyalgia.

OBJECTIVES: Research suggests that dysregulated pain modulation may play an important role in recurrent headaches and fibromyalgia syndrome (FMS). The primary objective of this study was to investigate algesic responses in localized cervical and pericranial regions (ie, headache-specific areas) and distal locations (ie, trochanter and gluteal) in patients with primary headaches (tension-type and migraine). The headache patients' algesic responses were compared with those of a sample of patients with musculoskeletal pain who report generalized hyperalgesia, or FMS. METHODS: Seventy patients with mixed headache diagnoses and 66 patients with FMS underwent a standardized examination of generalized hyperalgesia based on American College of Rheumatology criteria. RESULTS: Twenty-eight of the 70 headache patients reported the presence of widespread TP pain, suggesting generalized hyperalgesia. Headache diagnosis was unrelated to the presence or absence of generalized hyperalgesia. The subset of headache patients with generalized hyperalgesia did not differ from the FMS patients in pain sensitivity in the cervical and pericranial areas. Regression analyses revealed that pressure pain sensitivity was significantly related to self-reported pain only in the headache patients with generalized hyperalgesia. CONCLUSIONS: These results suggest that extensive dysregulation in pain modulation is important for a substantial minority of recurrent headache patients, who seem to be quite similar to FMS patients. Differential treatment planning targeting generalized hyperalgesia may be useful in treating headache patients exhibiting generalized hyperalgesia more effectively.

Adult↗
PubMedDate not supplied

Triggers of headache episodes and coping responses of headache diagnostic groups.

The frequency of common headache instigators or "triggers" and the use of specific behavioral responses to headache episodes were determined using the self-reports of patients with migraine, tension-type, and combined migraine and tension-type headache. Headache diagnostic groups were compared on the nature of headache triggers identified. The diagnostic groups were also compared on the frequency with which they engaged in a set of behavioral responses during headache episodes. No diagnostic group differences were found in triggering stimuli. Emotional, dietary, physical, environmental, and hormonal factors were all reported to be equally likely to precipitate a headache episode regardless of headache diagnosis. There were, however, differences in specific behavioral responses to headache episodes depending upon headache diagnosis. Discriminant analyses were performed to determine the best predictors of headache diagnoses. Migraine patients were significantly more likely to avoid noise, light, social activity, and physical activity compared with tension-type and combined headache patients. When average headache severity was taken into account, the diagnostic group differences in coping responses disappeared. It is concluded from the results of this study that headache severity has a greater impact on coping response than does specific headache diagnosis.

Adaptation, Psychological↗