Search PubMedSearch

Biomedical subjects

J K Fuller

Publications and source records attributed to J K Fuller.

9 recordsLinked to original sources

An examination of consumer advisement warning information embedded within written instructions: implications for memory and behaviour.

The effects of the colour and placement of consumer advisement warning information embedded within written instructions on both memory for, and compliance with, information were examined. Specifically, undergraduate subjects were instructed to read a set of written instructions for operating a camera. Subjects read consumer advisement warning information typed in either red, blue, or black ink, which was located at either the top, middle, or bottom of the written instructions. After reading the instructions, subjects were asked to take pictures using the camera. Compliance with the information and subsequent memory for the information were assessed. Results indicated that for memory there was an interaction between colour and placement, and for behaviour there was a main effect of placement. The implications of this interaction for memory of consumer advisements is discussed. In addition, the possible role of perceived importance of the advisement information in the prediction of memory and behaviour is considered.

Adult

Pulmonary infections in cardiac transplant patients: modes of diagnosis, complications, and effectiveness of therapy.

Eighteen serious pulmonary infections have been encountered in 10 of 16 surviving cardiac transplant recipients. Fourteen of 18 infections (78%) occurred within the first six months after transplant and the remaining 4 (22%) after the first six months (p less than 0.05). There was no correlation between the number of rejections per patient and propensity toward infection. Transtracheal aspiration or percutaneous lung aspiration established the diagnosis in all but two episodes. Percutaneous lung aspiration appeared more accurate as a diagnostic tool but was associated with 6 complications in 13 attempts (46%), while no complications occurred in 17 attempts with transtracheal aspiration (p less than 0.05). Five of the 10 patients had multiple episodes of pulmonary infection; 2 of these 5 (40%) had concurrent infections. Nocardia organisms were encountered most frequently, accounting for 7 of 18 (39%) infections; 6 of 10 patients (60%) were infected with Nocardia at some point after transplant. Nine of 10 patients (90%) were cured of infection. Eight are still alive without evidence of infection. We conclude from these data that pulmonary infection is common in transplant recipients, that early definitive diagnosis, in spite of the potential complications, is warranted, and that cure of infection and long-term survival are possible if treatment is timely and aggressive.

Adolescent

Sigmoid volvulus in the young. A case following cesarean section.

Sigmoid volvulus occurs more frequently in the younger patient than is presently thought. It is not infrequent in females. It usually presents with "colicky" abdominal pain, long-standing constipation or obstipation, and increasing distention of several days' duration. A history of similar attacks strengthens the suspicion for this diagnosis. Abdominal x-ray films will usually reveal severe colonic dilation down to a low point in the sigmoid, without gas in the rectum. The classic "horseshoe" sign is seldom seen, but when present, strengthens the diagnosis. Surgical manipulation and pregnancy may be contributing factors. Treatment should be surgical unless contraindicated by specific circumstances.

Adolescent

Heart transplantation. Four years' experience with conventional immunosuppression.

This article describes four years' experience with heart transplantation using conventional immunosuppression. Twenty of 32 patients are alive. The one-year survival rates were 75% (1979), 67% (1980), and 75% (1981). Actuarial survival rates for operative survivors were 70% at one year, 60% at two years, and 51% at three years. Patients in the 50- to 55-year age group have survived as well as younger recipients. Rejection resulted in six deaths, infection in three, donor heart failure in two, and multiple organ failure in one. There were 1.5 acute rejections per patient and one infection per patient in the first three posttransplant months. Postoperative hospital stay averaged 62 days and cost a total of $58,351.

Acute Disease