Search PubMed⌕ Search

Biomedical subjects

B J Bailey

Publications and source records attributed to B J Bailey.

At least 91 records · Page 5Linked to original sources
PubMed1990

The resident selection process in otolaryngology-head and neck surgery.

This study was undertaken to characterize the objective information available about applicants to otolaryngology-head and neck surgery residency positions, and to determine the influence of these factors on obtaining a residency position. Applicants to the otolaryngology-head and neck surgery programs at University of Utah, Salt Lake City, University of Texas Medical Branch, Galveston, and University of Louisville (Ky) were studied. Thirty-one variables were examined, representing demographic and academic factors. Excellent academic performance in medical school (as represented by medical school grade-point average greater than 3.4, National Board part I score greater than 650, class percentile rank greater than 85th percentile, honors grades in both junior medicine and surgery clinical clerkships, or [5] election to Alpha Omega Alpha) was significantly correlated with success in obtaining an otolaryngology-head and neck surgery residency position.

Adult↗
PubMed1990

The reliability of height measurement (the Wessex Growth Study).

The two major components of reliability are accuracy and reproducibility. Three studies of the reliability of height measurement in children are reported. In the first, a standard metre rod was used to spot check the accuracy of installation of 230 measuring instruments in one health district in Wessex, UK. The readings obtained ranged from 90.0 to 108.5 cm and showed the urgent need for the positioning of instruments to be regularly checked. In a second study, to examine the reproducibility of height measurement, two experienced observers measured 10 young children (106.0 to 152.0 cm), three times on five instruments of different design. The observations were blind and in random order. The estimated standard deviation for a single height measurement was generally in the range 0.2-0.3 cm. Over 95% of the variance was attributable to the child, very little to the instrument or observer. Finally, the conditions of the second study were modified to examine the effect on reproducibility of non-blind and non-randomised measurements, as usually occurs in the clinic. A lower but inevitably false estimate of the error was obtained. It is recommended that the error of height measurement, appropriately established and expressed in simple terms, be stated in every published growth study.

Anthropometry↗
PubMed1988

Laryngeal cancer without spread to the neck: treatment options and outcome.

We examined treatment and outcome variables in patients who had laryngeal cancer without clinical evidence of spread to the neck. In our patient population, there was a 24% overall recurrence rate for N0 laryngeal cancer. Initial manifestations, including stage and location of tumor, did not influence recurrence (P greater than .1). Initial treatment of the primary T3 or T4 tumor with radiotherapy alone was positively correlated with recurrence (P less than .0 for T3, P less than .0 for T4), but initial treatment of the neck did not appear to affect chance of regional or distant recurrence (P greater than .1). Approximately half of the patients who had recurrent disease were salvaged. Neither chance of salvage nor final disease-free status was significantly associated with any of the variables (P greater than .1).

Carcinoma, Squamous Cell↗
PubMed1987

Reconstruction of the anterior skull base following craniofacial resection.

Reconstruction of the anterior skull base (ASB) following craniofacial resection must seal off the cranial cavity from the upper respiratory tract and provide structural support for the brain. The inferiorly based pericranial flap is strong, pliable, and well vascularized and is especially suited for reconstruction of small-to moderate-sized midline defects of the ASB. Surgical technique of pericranial flap reconstruction used in three cases is described. Indications for this flap and other types of reconstruction are discussed and compared. We believe pericranial flap reconstruction of the ASB is technically easy, cosmetically acceptable, and safe.

Adult↗
PubMed1987

Primary tracheoesophageal fistula procedure for voice restoration: the University of Texas Medical Branch experience.

Voice restoration for laryngectomees is challenging, but in recent years the tracheosophageal (TE) fistula procedure using a one-way valved prosthesis has had relatively good success. The purposes of this study were to determine the success rate for the primary TE fistula procedure, analyze failures, and study methods for selection and training of these patients. In a prospective study, 21 consecutive patients had primary TE fistula procedures performed over an 18-month period. Thirteen of 20 who had adequate follow-up developed fluent, intelligible speech using either duckbill or low-pressure one-way valves. Complications included one stomal infection and one paratracheal fistula. This experience has led to development of a protocol for selection and training of patients for this procedure and to the conclusion that the procedure can improve voice restoration success without an increase in morbidity.

Esophagus↗
PubMed1987

Endotracheal tube safety during laser surgery.

The most morbid complication of laryngeal laser surgery is an endotracheal tube fire. The purposes of this study were to determine the efficiency of saline solution-soaked cottonoid pledgets in protecting endotracheal tube cuffs from the laser beam and to evaluate the safety of four commonly used endotracheal tubes. The method involved measurement of perforation times of saline-soaked cottonoid pledgets with controlled variables of air exposure times and laser energy. The second part evaluated the safety and ignition properties of the red rubber, silicone, polyvinyl chloride, and Xomed Laser-Shield tubes by studying their perforation times and ignition properties under controlled oxygen concentrations. The results revealed that saline-soaked pledgets are very efficient in protecting endotracheal tube cuffs. The Laser-Shield tube was the safest one studied. It had the highest ignition threshold of the four tubes tested.

Accident Prevention↗
PubMed1987

Confidence limits to the risk ratio.

For the problem of obtaining confidence limits to the risk ratio, or the ratio of two binomial probabilities, Katz et al. (1978, Biometrics 34, 469-474) proposed a method based on the logarithm of the observed ratio and using Fieller's result. We propose a method based on a power of the observed ratio, the power being chosen to minimize the skewness of the pivotal random variable. The method is simple to use and more stable than that of Katz et al. A continuity correction is suggested if a conservative interval is desired.

Abortion, Spontaneous↗
PubMed1986

Surface coil magnetic resonance imaging of the normal larynx.

The use of specialized surface coils has made it possible to obtain high-signal, high-resolution magnetic resonance (MR) images of the neck. We describe the normal anatomy of the larynx imaged with surface coils and a technique adapted from respiratory gating to reduce motion from swallowing and coughing. Compared with computed tomography, MR has superior discrimination of tissues that on computed tomography appear to be of similar density. The intrinsic laryngeal muscles and carotid sheath are well seen. Multiplanar imaging capability allows easy distinction of false and true cords and optimal evaluation of the preepiglottic and paralaryngeal spaces. Computed tomography is easier to perform than MR and is superior to MR in depicting the laryngeal cartilages. However, with improved technology, MR may become the imaging modality of choice in evaluation of the larynx and adjacent hypopharynx and subglottic regions.

Adult↗