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Biomedical subjects

J Older

Publications and source records attributed to J Older.

32 records · Page 2Linked to original sources

First year's experience of day-case arthroscopy in diagnosis and management of disorders of the knee joint.

Clinical data and questionnaires were obtained for 130 patients with knee disorders admitted to a new day-case unit in a district general hospital in the year from Oct 1, 1981, under the care of one surgeon. A third of the 148 knees investigated had more than one pathological lesion, and in 18% the arthroscopic diagnosis differed from the preoperative diagnosis. Intra-articular arthroscopic surgery was carried out on 59% of knees; only 12% of operations took more than 60 min. The time before return to normal everyday activities, work, and sport was much shorter than after arthrotomy. Postanaesthetic sickness or poor communication with staff were the only causes of discontent, and 93% of the patients were pleased with day-case treatment. With the day-case facilities the number of patients admitted for arthroscopic investigation and treatment of knee disorders has trebled and the waiting-list time has been halved.

Adolescent↗

Touching and birthing.

Although humans are mammals, experts have often acted as though we were not, especially in the realm of our need for touch. Psychologists, surgeons and maternity hospitals are among those who have sought to discourage this basic mammalian form of contact and comfort. Yet there is ample evidence that touch is needed in a number of ways at the time of birth, for the months that precede it and for the years that follow. Even those who criticize touch-advocates for overstating the scientific evidence for their case, share their conclusion about the importance of touch at the time of birth.

Animals↗

Bad language.

Explore the source record for details and available documents.

Communication↗

Four taboos that may limit the success of psychotherapy.

Painful though it may be, it must be accepted as fact that psychotherapy has a lower success rate than it should. Whatever questions we therapists raise about the validity of research in psychotherapy, whatever the problems in defining success, whatever the arguments about therapeutic outcome studies, we are stuck with a great deal of evidence which indicates that between one-third and two-thirds of patients do not benefit from treatment (Bergin, 1971; Eysenck, 1952, 1966; Garfield et al., 1971). In contrast, behavior modifiers and those using physical treatments such as psychosurgery claim rates of improvement and success which sometimes exceed 90 percent (Baily et al., 1973; Hunter-Brown, 1972; Paul, 1965; Rachman, 1971). This paper examines four current practices which may contribute to our failure. These practices are linked to taboos and examined with a view toward understanding both the functions they serve and the limits they impose on therapeutic effectiveness.

Emotions↗

Medical students design their ideal medical school.

New Zealand medical students were asked to design the ideal medical school. The areas they marked for change included candidate selection, curriculum, teaching standards and methods of assessment. They suggested ways of making medical training a more personal, broader and better integrated experience. The rigid division between pre-clinical and clinical studies was criticised as were time-wasting lectures and rapid-fire lecturers. The students' recommendations were similar to many which have appeared in the literature of medical education.

Attitude of Health Personnel↗

The Dirofilaria parasite in the orbit.

A 51-year-old white man had proptosis, pain, and inflammation of the left orbit and later developed diplopia. Treatment with antibiotics relieved most of the symptoms but a localized painful mass persisted in the left orbit. On biopsy a Dirofilaria worm was found. The patient was treated with corticosteroids and the residual nodule subsided. The patient was seen regularly for five months after surgery and the lesion has not recurred.

Conjunctivitis↗