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Biomedical subjects

D Lindsey

Publications and source records attributed to D Lindsey.

51 records · Page 3Linked to original sources
PubMed1979

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↗
PubMed1979

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↗
PubMed1978

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↗
PubMed1975

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↗
PubMedDate not supplied

Research on critically ill and injured patients: rules, reality, and ethics.

Much of today's medical care relies on experience unsupported by investigation, and emergency medical care is no exception; research is necessary to improve this care. Critically ill and injured patients are the patients who will benefit the most from improvements in emergency medical diagnostic and treatment methods. Yet, the federal bureaucracy has effectively banned research on these patients, since they cannot generally give "informed consent." We argue that, with the proper safeguards, research on critically ill and injured patients should be performed in the emergency medicine (EDs and EMS) settings without informed consent. To require such consent when not obtainable compromises both the researchers who must get such consent and the patients who must continue to endure old, and often untested therapies.

Critical Illness↗
PubMedDate not supplied

Effect of anaerobic cecal microflora and dietary lactose on colonization resistance of layer chicks to invasive Salmonella enteritidis.

The effect of oral inoculation with anaerobic cultures of cecal microflora and providing lactose in the feed on colonization resistance to invasive Salmonella enteritidis was evaluated in newly hatched leghorn chicks. Salmonella colonization of the ceca, tissue invasion and organ colonization, horizontal transmission, and seroconversion were significantly decreased (P less than 0.01) in chicks inoculated with cecal flora. The addition of lactose to the feed, in the absence of cecal microflora, failed to provide protection. Dietary lactose enhanced colonization resistance in chicks that were inoculated with anaerobic cultures of cecal flora. The results indicated that establishment of normal cecal flora in layer chicks together with the addition of lactose to the diet markedly increases resistance to cecal colonization and organ invasion, and decreases horizontal transmission of S. enteritidis.

Animal Feed↗