Biomedical subjects

H J Richards

Publications and source records attributed to H J Richards.

14 recordsLinked to original sources

PubMed1999

The heuristic system. Precision and creativity in addiction treatment.

The Heuristic System (HS) is a method of developing case formulations for use in addiction treatment. Pertinent guidelines, models, or rules of thumb (heuristics) are applied in a stepwise process in order to generate at least two competing or complementary hypotheses concerning the clinical dynamics of the case. These hypothesis are then integrated and/or their relative utility for use in treatment is appraised. Key elements of HS include (a) a model of addiction based on cycles of self-experience, (b) a structured method for arriving at clinical problem formulations, (c) a schematic of the recovery process, (d) a menu of fundamental principles of substance abuse treatment, and (e) a format for providing updatable guidance to the patient for use in treatment. A case developed from the HS approach is presented. This article concludes with a discussion of the implications of HS theory and methods for program design and research.

Comorbidity↗

PubMed1983

Transfer of X-rays between hospitals in Sydney.

Explore the source record for details and available documents.

Australia↗

PubMed1980

Repair and healing of the divided digital flexor tendon.

A series of 275 repairs is reviewed. Primary or delayed primary repair of the divided digital flexor tendon is advocated. Preoperative splinting and careful operative technique to avoid damage to the blood supply of the divided tendon are necessary. The tendon repair is followed by closure of the fibrosynovial sheath and postoperative splintage. By this means acceptable results are obtained.

Adolescent↗

PubMed1980

Factors affecting the healing and return of function on the repaired digital flexor tendon.

The results of a personal series of 275 flexor tendon repairs in the digits in 235 patients are reviewed. The repair technique is designed to respect the intrinsic vascular anatomy of the flexor tendon eculiar to this region. It involves the placement of sutures laterally and volarwards where the circulation is least interfered with. Males greatly predominated, and the majority of patients were aged between 15 and 34 years. Using 90 degrees as the "normal" range of movement of both the proximal and distal interphalangeal joints, the mean percentage range of movement after repair was 89% of normal for the former joints and 49% for the latter.

Adolescent↗

PubMed1977

Digital flexor tendon repair and return of function.

It is widely accepted that all divided tendons other than the digital flexors, when sutured and with appropriate postoperative treatment, heal well and that a good return of function can be expected. Clinical and experimental evidence is presented. which indicates that digital flexor tendons also have the ability to heal well, with a good return of function, if suitably treated. The results of repair of 275 divided digital flexor tendons in man are presented.

Adult↗

PubMed1975

Unilateral pulmonary oedema following re-expansion of pneumothorax.

Unilateral pulmonary oedema is a rare complication in the routine management of spontaneous pneumothorax. Previous reports have emphasized excessive negative intrapleural pressure, rapid re-expansion of the lungs and bronchial obstruction as major factors in the pathogenesis. We have encountered four cases, and at least one of these factors have been absent in each case. Review of the literature, and our own experience suggests that the major factor is chronic and total lung collapse resulting in hypoxia and increased alveolar-capillary membrane permeability. Other factors which may be contributory are discussed.

Adolescent↗

PubMed1975