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Biomedical subjects

D J Lynch

Publications and source records attributed to D J Lynch.

At least 37 records · Page 2Linked to original sources
PubMed1985

Management of chronic wounds in the elderly.

The elderly patient with a chronic wound displays many characteristics peculiar to the age group that must be considered by the treating physician. This article describes a variety of specific age-related influences on wound healing, and incorporates several illustrative case reports.

Aged↗
PubMed1984

Therapists and quasi-therapists in a therapy analogue situation.

Evaluated an assumption from previous psychotherapy analogue studies, namely, that trained psychotherapists and untrained quasi-therapists with personality similarities will respond similarly to patient presentations. Ss were 24 male psychotherapists and 24 male undergraduate students, chosen partially on the basis of their responses to an A-B personality scale derived from the work of Whitehorn and Betz (1954). The three-factor experimental design included S personality type (A or B), S professional status (psychotherapist vs. student), and videotaped patient simulations (neurotic vs. schizoid), with all Ss exposed to both patient prototypes. Therapists demonstrated a higher degree of accurate empathy, were less active, made shorter responses, and used more declarative sentences (p less than .01 for each variable). Second-order interaction effects indicated that therapist personality type X patient type pairings produced opposite results for quasi-therapists when compared to professional therapists.

Empathy↗
PubMed1984

Management of wounds in the diabetic foot.

Current management of wounds in the diabetic foot is detailed. A thorough initial clinical examination and non-invasive tests can give baseline values and provide valuable information about limb and foot circulation. The approach detailed involves limited amputation and preservation of as much of the weight-bearing surface as possible.

Amputation, Surgical↗
PubMed1976

A bacteriological survey of washrooms and toilets.

A survey of the bacterial flora present at various positions in 130 male and female washrooms and toilets is reported. Several bacteria of faecal origin were found in large numbers: the areas likely to be the most important sources of cross-infection from faecal contamination are indicated. The results are used to assess priorities for disinfection.

Bacteria↗
PubMed1976

Mandibular fractures: the problem patient.

Of 110 adult patients with 163 mandibular fractures treated at University of Pennsylvania Graduate Hospital from 1964 to 1974, 17% had a history of previous mandibular fractures. All patients' medical records and X-rays were reviewed. Because of the characteristics of this patient population, it seems well suited for discussion as a problem group. Mandibular fractures in this urban area are most commonly caused by blows of a fist and the patient is often intoxicated, which impedes diagnosis, delays treatment, and probably results in further complications from injuries. Patients frequently do not comply with treatment recommendations, do discontinue immobilization, and fail to return for followup, even for removal of intermaxillary fixation. Almost one third had insufficient teeth for fixation; many had poor oral hygiene, and teeth in the fracture line, which led to complications. Osteomyelitis resulting in nonunion and requiring bone grafting occurred in seven patients. Recommended are: simplest fixation methods, minimal amounts of surgery, and as few extractions as possible. Experience from this patient group may be of help whenever a problem patient is seen with a mandibular fracture.

Adolescent↗