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Biomedical subjects

J N Thomas

Publications and source records attributed to J N Thomas.

24 records · Page 2Linked to original sources
PubMed1977

Acute spreading osteomyelitis of the skull complicating frontal sinusitis.

Three patients with acute spreading osteomyelitis of the skull complicating a frontal sinusitis are presented. The pathology and clinical features of this complication are discussed. Early rigorous antibiotic treatment accompanied by surgical intervention to drain purulent collections in the sinuses and scalp has been effective in controlling the disease. One patient required a craniectomy for removal of an area of chronic ostemoyelitis. The other two patients maintained on antibiotics for three months have shown no evidence of progression to chronic osteomyelitis and have remained free from relapse.

Adolescent↗
PubMedDate not supplied

Disposable insulin syringe reuse and aseptic practices in diabetic patients.

Diabetic patients are traditionally taught to discard plastic syringe/needle units after a single use and to employ aseptic technique for administering insulin injections. We surveyed 87 diabetic outpatients for compliance with aseptic recommendations. We then studied prospectively the effects of reusing disposable syringes in 56 diabetic patients who reused syringes a mean of 6.6 times for 8.3 months and an aggregate of 23,664 injections. Almost half (49%) of diabetic patients in a combined university clinic and private practice reused supposedly disposable insulin syringes a mean of 3.9 times. Compliance with standard aseptic precautions was poor, with only 29% of patients following recommended practices. No adverse effect of syringe reuse was identified. The authors conclude that diabetic patients frequently reuse disposable syringes, without apparent harmful effect.

Asepsis↗