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18
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Introduction
Current institution
Education
September 2000 - July 2006
Publications
Publications (18)
https://www.bmj.com/content/358/bmj.j4191
Stain’s argument for bringing back 24 hour shifts is underpinned by flawed premises.1 Most worrisome is the suggestion that doctors should work such shifts because they’re eventually going to do it anyway. “Bad practice to gain experience in more bad practice” is not a valid education strategy. This “tough...
Aims:
The interaction between surgical lighting and laminar airflow is poorly understood. We undertook an experiment to identify any effect contemporary surgical lights have on laminar flow and recommend practical strategies to limit any negative effects.
Materials and methods:
Neutrally buoyant bubbles were introduced into the surgical field of...
The interaction between surgical lighting and laminar airflow is poorly understood. We undertook an experiment to identify any effect contemporary surgical lights have on laminar flow and recommend practical strategies to limit any negative effects. Materials and Methods Neutrally buoyant bubbles were introduced into the surgical field of a simulat...
Oxford Assess and Progress: Surgery is a brand new addition to a trusted revision series for medical undergraduates.
This volume includes over 270 SBAs and EMQs covering all the core surgical specialties from orthopaedics to urology. Many questions are illustrated with clinical photographs, scans, and anatomical diagrams. Each question is accompan...
Oxford Assess and Progress: Surgery is a brand new addition to a trusted revision series for medical undergraduates. This volume includes over 270 SBAs and EMQs covering all the core surgical specialties from orthopaedics to urology. Many questions are illustrated with clinical photographs, scans, and anatomical diagrams. Each question is accompani...
BACKGROUND: Patient warming has become a standard of care for the prevention of unintentional hypothermia based on benefits established in general surgery. However, these benefits may not fully translate to contamination-sensitive surgery (i.e., implants), because patient warming devices release excess heat that may disrupt the intended ceiling-to-...
Arthroplasty surgeons are increasingly using personal protection systems with helmets. It is theoretically possible for the fans in these helmets to blow squames, sweat droplets and orobronchial fomites onto the surgical site. A controlled experiment was set up to investigate the effect of different surgical gowns on counts of airborne particles me...
Forced-air warming devices are effective for the prevention of surgical hypothermia. However, these devices intake nonsterile floor-level air, and it is unknown whether they have adequate filtration measures to prevent the internal buildup or emission of microbial contaminants. We rated the intake filtration efficiency of a popular current-generati...
Background:
Patient warming has become a standard of care for the prevention of unintentional hypothermia based on benefits established in general surgery. However, these benefits may not fully translate to contamination-sensitive surgery (i.e., implants), because patient warming devices release excess heat that may disrupt the intended ceiling-to...
Bilateral ductal carcinoma in situ of breast is a very rare disease in men. Ductal carcinoma in situ (DCIS) is an abnormal proliferation that involves the ductal epithelium and it has the potential of evolving into an invasive tumour. Gynaecomastia (female like breast in men) is a benign condition though it is associated with a reported 3% incidenc...
We investigated the capacity of patient warming devices to disrupt the ultra-clean airflow system. We compared the effects of two patient warming technologies, forced-air and conductive fabric, on operating theatre ventilation during simulated hip replacement and lumbar spinal procedures using a mannequin as a patient. Infection data were reviewed...
Continuity of patient care is an essential prerequisite for the successful running of a trauma surgery service. This is becoming increasingly difficult because of the new working arrangements of junior doctors. Handover is now central to ensure continuity of care following shift change over. The purpose of this study was to compare the quality of i...
