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Biomedical subjects

J A Burns

Publications and source records attributed to J A Burns.

6 recordsLinked to original sources
PubMed1992

Benign eyelid lesions.

BACKGROUND: Benign eyelid lesions include a diverse group of tumors, infections, and degenerative lesions that require specialized care for identification and treatment. OBJECTIVE: Diagnosis of benign eyelid lesions based on their clinical characteristics with pathological confirmation by biopsy where indicated. METHODS: Clinical evaluation, biopsy, and treatment with medication, surgery, and laser surgery are utilized. RESULTS: Improvement or complete resolution of these eyelid lesions is possible. CONCLUSION: Special care is necessary to avoid ocular complications that could compromise vision, comfort, and cosmesis.

Eyelid Neoplasms↗
PubMed1991

Management of epiphora in the presence of congenital punctal and canalicular atresia.

We treated ten eyes in six pediatric patients with epiphora and punctal and canalicular atresia in one or both lids. Attempted probing and irrigation had failed to improve the epiphora. Nine out of ten of the lacrimal systems had additional anomalies, such as cutaneous lacrimal fistulas (anlage ducts), small sacs, and nasolacrimal duct stenosis or obstruction. A surgical plan is described for the exploration and reconstruction of these markedly abnormal nasolacrimal drainage systems, including a new method of performing bicanalicular intubation. Four of the five eyes with at least part of one canaliculus present have had resolution of epiphora.

Child↗
PubMed1989

Volume augmentation of the anophthalmic orbit with cross-linked collagen (Zyplast).

Injectable glutaraldehyde cross-linked collagen (Zyplast) has been used to augment the soft-tissue volume of the anophthalmic sockets of five patients. Follow-up of more than 1 year has demonstrated that this material can be used safely with long-lasting results. Enophthalmos and pseudoptosis were treated by injecting Zyplast transconjunctivally into the muscle cone. Superior sulcus deepening was treated by injecting Zyplast transcutaneously into the superior extraconal fat posterior to the orbital septum ("preaponeurotic fat pad"). In some cases the size of the ocular prosthesis required can be decreased. Surgical volume augmentation of the socket and superior sulcus was averted in all five patients.

Collagen↗
PubMedDate not supplied

Demystifying ethical decision making.

Ethical dilemmas frequently occur in the practice of orthopaedic nursing. Nurses, however, are often unsure about how to resolve these dilemmas. The language of ethics remains elusive. Yet, because nurses have a central role in patient care, they need to become more comfortable making ethical decisions related to their practice. This article briefly describes the dialectical process of ethical decision making and demonstrates this process by using a case presentation. Readers are encouraged to put themselves into the role of the bedside nurse in the case, determine what they believe to be the right action, and provide a well-grounded rationale for that decision.

Adult↗