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Biomedical subjects

A L Moss

Publications and source records attributed to A L Moss.

At least 55 records · Page 3Linked to original sources

Review of burns caused by bitumen and the problems of its removal.

Bitumen burns are difficult to treat as the substance adheres to the skin. Twenty-four patients with such burns admitted as inpatients over a 9-year period have been reviewed. The mean size of the burn injury was 3 per cent of the total body surface area (mean full thickness burn: 1 per cent). Sixteen patients required operative treatment to achieve healing but no secondary reconstructive procedures have been performed. Twenty-two patients, who were burned at work, returned to their original employment within 2 months of injury. There was no decrease in the need for operation or decrease in the time to healing in those patients who had attempted early removal of the bitumen. Suggested principles of management are: cool the bitumen continuously with cold water until hard to dissipate the retained heat, leave the bitumen intact except around the eyes, and deroof tense blisters.

Accidents, Occupational↗

Submucous cleft palate in the differential diagnosis of feeding difficulties.

Submucous cleft palate is a missed or forgotten diagnosis. We reviewed 81 patients with submucous cleft palate seen over a 15 year period; 26 of these patients were interviewed. The patients were divided into three main groups according to the referral pattern. Children under 2.5 years were referred by a paediatrician for feeding problems; children aged 2.5-10 were referred mainly by speech therapists; and those over 10 had a varied pattern of referral. Thirty nine of the 81 had problems with feeding, but of the 26 interviewed, 22 had feeding problems. Not all patients with a submucous cleft palate are symptomatic and require active treatment, but children with this condition have the same high incidence of middle ear disease as those with overt cleft palate. We suggest that the diagnosis of submucous cleft palate be included in the differential diagnosis of feeding difficulties, with early referral to a specialist cleft palate team.

Adolescent↗

Melanoma and pregnancy: a long-term follow-up.

Treatment of the pregnant woman with melanoma is contentious. With the aid of a computerized melanoma register, in which pregnancy data can be recorded, 290 women with melanoma were reviewed (249 alive and 41 dead). Overall, 23 patients were pregnant at the time of diagnosis of melanoma, and another 23 became pregnant at some time after primary treatment of a melanoma. Pregnancy appears to have no significant influence on the survival of patients with melanoma, but it is recommended that pregnancy should be avoided for the first three years following excision of a melanoma.

Adult↗