Biomedical subjects
Publications and source records attributed to W Sears.
Injury is a major public health problem. E-coding is an important epidemiologic tool that would allow for quantitative estimates of injury morbidity and mortality. This information could then be used to develop and evaluate injury control interventions. E-coding has been successfully implemented at the county level in Nebraska and efforts should be supported to expand this effort statewide.
The father plays an important role in breastfeeding, and the nurse can encourage fathers to become participants in the care of their breastfeeding infants. This article presents a whimsical overview of how a father can participate in this most important relationship through supporting and assisting the mother and developing comforting skills for the infant.
A retrospective study was made of 173 cases of acute cervical spine injury with halo vest management to compare initial injury features with outcome. The object was to determine whether a mathematical model could be developed enabling a prediction to be made at the time of the initial assessment as to the probability of success or failure of conservative management using the halo vest alone, and thus perhaps avoid lengthy, unsuccessful treatment. Patients with facet joint dislocation were found to form a distinct subgroup of the injury population. Of the 70 patients in this subgroup, 44% achieved stability with the halo vest alone, but half of these had a "poor anatomical result." No mathematical model or associated injury features could be found to assist in the outcome prediction in this subgroup. Of the 103 patients without facet joint dislocation, 70% achieved stability with the vest alone and over 75% of these had a "good anatomical result." A useful model of outcome prediction was found for this subgroup by logistic regression analysis; the two most important predictors in the model were the amount of subluxation and the degree of angulation in the sagittal plane.
A 33 year old zoo keeper was attacked by a Sumatran tiger in captivity. Apart from severe lacerations and penetrating wounds to the head and neck, the patient sustained comminuted fractures of C1 and C2 vertebrae with resultant high laceration of the spinal cord. Major vascular injury as well as trauma to pharynx also occurred. The patient survived these injuries for 15 h.
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