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Biomedical subjects

R Swift

Publications and source records attributed to R Swift.

9 recordsLinked to original sources

Gender and ethnic differences in adolescents' attitudes toward condom use.

This secondary analysis from the National Adolescent Student Health Survey (NASHS) examined relationships between adolescents' personal and perceived peer attitudes toward condom use with gender and self-reported ethnic background. Descriptive results revealed general personal support and perceived peer support for condom use. Results from multivariate analysis of variance (MANOVAs) demonstrated significant interaction effects for the eighth grade sample [F = (4, 2383228) = 3530.01 p = .000], and the 10th grade sample [F = (4, 2636878) = 2594.41073, p = .000]. Contrasts revealed significant differences among all ethnic groups for both belief variables for the entire sample, eighth grade students, and 10th grade students. Though general support exists for condom use among U.S. eighth and 10th grade students, conviction varies among groups perhaps indicating a need for tailored messages about condom use, especially for Hispanic students. Implications for health education include the need for cultural-sensitive and gender-sensitive STD education.

Acquired Immunodeficiency Syndrome

Venous drainage of free flaps following radical neck dissection.

Large tissue defects may occur following head and neck surgery. When combined with ipsilateral radical neck dissection the venous drainage of a free flap used to cover the defect may be compromised. Twelve patients having radical neck dissections underwent on-table venography to study the pattern of venous drainage of these flaps. The predominant drainage pattern is initially in a cephalic direction, then across the midline and finally in a caudal direction on the contralateral side of the neck. Venous drainage to the contralateral side of the neck may be a determinant of flap survival. In order to facilitate venous drainage following free flap procedures, patients should be positioned so that the contralateral internal jugular vein is not compressed. Drains should be placed caudal to the microvascular anastomoses in order to minimize interference with the cephalic direction of venous drainage. Any patient having a radical neck dissection requiring a central venous catheter should have it placed ipsilateral to the neck dissection. Thrombosis around a contralaterally placed cannula may significantly increase head and neck venous pressure.

Catheterization, Central Venous

Hydrofluoric acid burns of the hands: a case report and suggested management.

Hydrofluoric acid is a strong inorganic acid. It is used commercially in a number of industrial settings. Injuries sustained from this acid are infrequent and the management of such cases is therefore not well known. Tissue destruction caused by this acid is rapid and severely painful and may result in disfigurement if treatment is not instituted promptly. Methods of management of hydrofluoric acid burns are still controversial and no single type of therapy has yet been determined. The patient was managed according to the guideline in the literature, but, in the presence of severe digital oedema, intra-arterial infusion of gluconate was performed. This resulted in rapid relief of pain and prevention of continuing tissue destruction.

Accidents, Occupational

Prevalence of movement disorder in a methadone-maintained population.

Opioids and neuroleptics have similar effects in a variety of behavioral, biochemical, and clinical situations. Prolonged treatment with dopamine antagonists is associated with the development of a movement disorder, tardive dyskinesia. Animals treated with methadone for prolonged periods may also develop abnormal movements when challenged with amphetamines. In this study, 243 patients on methadone maintenance were examined for abnormal movements using the Abnormal Involuntary Movement Scale. Methadone treatment alone was not associated with increased abnormal movements. Three patients with abnormal movements were found, but each was also receiving neuroleptics.

Adult

Clinical experience and surgical anatomy of 32 free anterolateral thigh flap transplantations.

The anterolateral thigh flap, first described by Song, is one of the septocutaneous flaps in the thigh. Since November 1985 we have transferred 32 anterolateral thigh flaps successfully without any loss. Six of these flaps were performed in Australia. The vascular pedicles are divided into three types: fasciocutaneous perforator (37.5%-12/32), vertical musculocutaneous perforator (56.2%-18/32) and horizontal musculocutaneous perforator (6.6%-2/32). This paper presents the surgical anatomy of the flap and clinical experience.

Adolescent

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Humans