Doctors' knowledge of radiation exposure: questionnaire study
Shiralkar, S, Rennie, A, Snow, M, Galland, R B, Lewis, M H, Gower-Thomas, K
Containment as a mechanism of nonspecific enhancement of defenses against bacterial infection.
Polk, H C, Lamont, P M, Galland, R B
Observations made during the study of nonspecific enhancement of antimicrobial host defenses permitted some physiologic dissection of the anatomic basis for normal protective processes. Local growth...
Brewer, R J, Galland, R B, Polk, H C
Induced hyperferremia enhanced local Klebsiella infection, with and without a surgical suture as a test foreign body. Both bacterial proliferation and death occurred often in mice treated with ferric...
Doctors' knowledge of radiation exposures is deficient
Gower-Thomas, K, Lewis, M H, Shiralkar, S, Snow, M, Galland, R B, Rennie, A
Cover arrangements for consultants on leave: an analysis of job descriptions.
Pearson, C, Janssen, C M, Lewis, M H, Galland, R B
There is much ambiguity about consultant leave allowances and arrangements for cover in the National Health Service. We analysed job descriptions for 47 consultant posts advertised in mid-2000. 35...
Polk, H C, Galland, R B, Ausobsky, J R
Experiments have been undertaken to further characterize the actions of the synthetic immunoadjuvant compound, muramyl dipeptide (MDP), in an animal model simulating surgical infection. When used...
Doctors' knowledge of radiation exposure: questionnaire study
Shiralkar, S, Rennie, A, Snow, M, Galland, R B, Lewis, M H, Gower-Thomas, K
Containment as a mechanism of nonspecific enhancement of defenses against bacterial infection.
Polk, H C, Lamont, P M, Galland, R B
Observations made during the study of nonspecific enhancement of antimicrobial host defenses permitted some physiologic dissection of the anatomic basis for normal protective processes. Local growth...
Brewer, R J, Galland, R B, Polk, H C
Induced hyperferremia enhanced local Klebsiella infection, with and without a surgical suture as a test foreign body. Both bacterial proliferation and death occurred often in mice treated with ferric...
Doctors' knowledge of radiation exposures is deficient
Gower-Thomas, K, Lewis, M H, Shiralkar, S, Snow, M, Galland, R B, Rennie, A
Cover arrangements for consultants on leave: an analysis of job descriptions.
Pearson, C, Janssen, C M, Lewis, M H, Galland, R B
There is much ambiguity about consultant leave allowances and arrangements for cover in the National Health Service. We analysed job descriptions for 47 consultant posts advertised in mid-2000. 35...
Polk, H C, Galland, R B, Ausobsky, J R
Experiments have been undertaken to further characterize the actions of the synthetic immunoadjuvant compound, muramyl dipeptide (MDP), in an animal model simulating surgical infection. When used...
Variation in general practitioner referral of patients with arterial disease.
Grimble, S. A. J., Button, C., Magee, T. R., Lewis, M. H., Galland, R. B.
AIM: To compare patterns of referral for arterial disease in two areas in the UK. METHODS: A postal questionnaire was used to survey general practitioner (GP) referral patterns for arterial disease....
Intra-operative peritoneal lavage--who does it and why?
Whiteside, O. J. H., Tytherleigh, M. G., Thrush, S., Farouk, R., Galland, R. B.
INTRODUCTION: Intra-operative peritoneal lavage (IOPL) is widely practised but its benefits are unclear. The frequency and pattern of its use amongst general surgeons is investigated. METHODS: A...
Subintimal angioplasty for superficial femoral artery occlusion: poor patency in critical ischaemia.
Smith, B. M., Stechman, M., Gibson, M., Torrie, E. P. H., Magee, T. R., Galland, R. B.
INTRODUCTION: Subintimal angioplasty has been proposed for the treatment of long segment occlusive disease and for patients with critical limb ischaemia (CLI) with significant co-morbidity. There is...
Changes in the provision of vascular surgery in a single health region over 10 years.
Stechman, M. J., Magee, T. R., Galland, R. B.
INTRODUCTION: This study examines changes in vascular service provision and activity in a single UK health region over 10 years. PATIENTS AND METHODS: A questionnaire on involvement in vascular...
Significance of routine digital rectal examination in adults presenting with abdominal pain.
AIM: Routine digital rectal examination (DRE) in children with abdominal pain has slowly gone out of practice but is still performed routinely in adults. This study was undertaken to assess the...
Nineteenth century amputations at the Royal Berkshire Hospital, Reading.
AIM: To describe 19th century amputations carried out at the Royal Berkshire Hospital, Reading. METHODS: A retrospective analysis of hospital archives. RESULTS: Details of 276 amputations were...
In-situ vein bypass: a modified technique.
Galland, R. B., Young, A. E., Jamieson, C. W.
The preliminary results and operative details are presented of a new way of undertaking an in-situ vein bypass in which the vein is distended by blood under arterial pressure before the valves are...
Galland, R. B., Karlowski, T., Midwood, C. J., Madden, M. V., Carmalt, H.
The effect of using topical povidone-iodine spray in addition to a single dose of intravenous metronidazole was studied in a clinical trial involving 200 patients undergoing appendicectomy. Despite...
Management of synchronous arterial occlusions using intra-arterial thrombolysis.
Barr, H., Torrie, E. P., Galland, R. B.
Three patients presented with multiple acute arterial occlusions in separate limb vessels. The diagnosis was confirmed by angiography. Each patient was successfully treated by simultaneous infusion...
Consequences of immediate failure of percutaneous transluminal angioplasty.
Armstrong, M. W., Torrie, E. P., Galland, R. B.
Percutaneous transluminal angioplasty (PTA) is often used for patients who would not previously have been treated, due for example, to their poor general condition or their symptoms being relatively...
Radiation-induced gastrointestinal fistulae.
Seventy patients with radiation enteritis presented to a single surgical unit between 1958 and 1984. Of these 10 (14%) had 14 radiation-induced fistulae. The median latent period between radiotherapy...
Remaining indications for vagotomy with drainage or antrectomy in duodenal ulcer.
Steger, A. C., Galland, R. B., Spencer, J.
Proximal gastric vagotomy (PGV) consists of denervation of the body and fundus of the stomach, the antral nerve supply being left intact. It has a low operative morbidity and mortality and there are...
An audit of surgical emergencies in the very old.
Faruqi, R., Williams, J. M., Galland, R. B.
The surgical emergency admissions of patients over the age of 80 years at the hospitals of the West Berkshire Health Authority during 1989 have been analysed. The results were then compared with...
Case mix and outcome of patients referred to the vascular service at a district general hospital.
Michaels, J. A., Galland, R. B.
A prospective audit has been carried out to evaluate the trends in case mix and initial management of vascular surgical referrals to a single surgeon at a district general hospital. Over a 3-year...
Assessment of peritonism in appendicitis.
Golledge, J., Toms, A. P., Franklin, I. J., Scriven, M. W., Galland, R. B.
The aim of this study was to evaluate the accuracy of different methods of demonstrating right iliac fossa peritonism in appendicitis. The methods used were cat's eye symptom (pain on going over a...
Protocol violation in deep vein thrombosis prophylaxis.
George, B. D., Cook, T. A., Franklin, I. J., Nethercliff, J., Galland, R. B.
This study aimed to determine how closely deep vein thrombosis (DVT) prophylactic policies are adhered to in routine general surgical practice, to identify reasons for policy violations and to assess...
Subfascial endoscopic perforator vein surgery (SEPS): current practice among British surgeons.
Whiteley, M. S., Smith, J. J., Galland, R. B.
Subfascial endoscopic perforator vein surgery (SEPS) has recently caused considerable interest among British surgeons. There are no data indicating which, if any, patients benefit from SEPS. A series...
Is a palpable short saphenous vein a useful clinical sign in varicose vein assessment?
Aiono, S., Simmons, M. J., Galland, R. B., Magee, T. R.
The short saphenous vein (SSV) may be palpable in the popliteal fossa in patients with varicose veins. A prospective study has been carried out to determine the significance of this sign in the...
Smoking--do vascular surgeons practise what they preach?
Basnyat, P. S., Moseley, L. G., Al-Rawi, M., Galland, R. B., Lewis, M. H.
Smoking is a major health problem in Great Britain and cigarette consumption is rising. Although there are studies concerning the smoking habits of hospital physicians, nurses and oral and...
Emergency surgical admissions in patients aged more than 80 years: a study over four decades.
Menon, K. V., Young, F. M., Galland, R. B.
BACKGROUND: The proportion of older patients in the community is rising. The aim of this study was to determine the trend in emergency surgical admissions in patients over 80 years of age in 1997...
Regional variation in varicose vein operations in England 1989-1996.
Galland, R. B., Whatling, P. J., Crook, T. J., Magee, T. R.
AIM: To determine accuracy of Office of Population Censuses and Surveys (OPCS) codes for varicose vein (VV) operations and differences in regional activity over 7 years. METHODS: OPCS codes were...
Transmetatarsal amputation: an 8-year experience.
Thomas, S. R., Perkins, J. M., Magee, T. R., Galland, R. B.
This study retrospectively reviews an 8-year consecutive series of transmetatarsal amputation (TMA) for forefoot ischaemia in diabetic and non-diabetic patients. Forty-one patients had TMA....
Lower limb intra-arterial thrombolysis.
In the UK, approximately 5000 patients present annually with acute lower limb ischaemia. The aetiology is usually thromboembolic disease, other causes include aortic dissection and arterial trauma....
Haemorrhoids--objective measurement of proctoscopic appearances.
Mosley, J. G., Galland, R. B., Saunders, J. H., Spencer, J.
The proctoscopic diagnosis of haemorrhoids may be influenced by the surgeon's knowledge of the presence or absence of associated symptoms. In this study, an observer with no knowledge of the history,...
The Zollinger-Ellison syndrome and ectopic gastric mucosa
Galland, R. B., Fletcher, D. R., Evans, D. J., Shlugman, D., Polak, J. M., Baron, J. H., ...
Ectopic gastric mucosa in an intramesenteric ileal diverticulum caused fatal bleeding after total gastrectomy in a patient with the Zollinger-Ellison syndrome (ZES).
Organisation of vascular surgical services: evolution or revolution?
Michaels, J. A., Galland, R. B., Morris, P. J.
The trend towards subspecialisation in hospital services is likely to lead to the development of vascular surgery as a separate specialty. If vascular surgery is to emerge as a high quality service...