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Biomedical subjects

C M Ward

Publications and source records attributed to C M Ward.

At least 55 records · Page 3Linked to original sources
PubMed1990

Hypoglycaemia in insulin dependent diabetic patients attending an outpatients' clinic.

One hundred and fifty-eight patients with insulin dependent diabetes mellitus attending two Auckland outpatient clinics answered a questionnaire about hypoglycaemia. Almost all (98%) had experienced hypoglycaemic episodes and for 30% these were a major problem. Seventy-seven percent reported nocturnal hypoglycaemia, 39% of whom required external assistance during episodes. Forty-three percent had experienced coma, or convulsions during hypoglycaemia and a small group, 7%, had recurrent severe episodes. Twenty percent carried no diabetic identification and 13% did not routinely carry a glucose supply. Only 38% of patients kept glucagon at home. Forty percent of patients driving vehicles had experienced hypoglycaemia while driving and 13% reported traffic accidents attributed to hypoglycaemia. Hypoglycaemia is a major problem for many patients taking insulin. Improved education, wider availability of glucagon and more liberal glycaemic control of patients with problematic hypoglycaemia may be advisable.

Adolescent↗
PubMed1990

Surgery of 346 patients with unoperated cleft lip and palate in Sri Lanka.

By means of a surgical expedition involving an independently financed team of surgeons, anesthetists and nurses, 410 operations were performed on 346 patients in the course of 52 operating days. This paper describes the preoperative, operative, and postoperative scenarios and how clinical practice was tailored to adapt to a new environment without compromising standards. The differences between operating on the lip and palate in the adult compared to younger children are highlighted. The clinical research implications are more evident from other papers on this topic published in this journal, but the enlightenment of working and teaching in a third world country cannot be underestimated.

Adolescent↗
PubMed1989

Surgery of cleft lip and palate in Sri Lanka.

By means of a surgical expedition involving an independently financed team of surgeons, anaesthesists and nurses, 410 operations were performed on 346 patients in the course of 52 operating days. This paper simply outlines the preoperative, operative, and postoperative scenarios and how clinical practise was tailored to adapt to a new environment without compromising standards.

Adolescent↗
PubMed1989

Surgical treatment of grade III gynaecomastia.

Gross enlargement of the male breast with skin redundancy and ptosis cannot be effectively managed by subcutaneous mastectomy alone. A technique is described in which the excess breast tissue and skin are excised along a design which allows the nipple-areolar complex, mounted on a vertical deepithelialised pedicle, to lie in a natural position. A horizontal scar is an unavoidable exchange for this particular operation.

Gynecomastia↗
PubMed1988

Sri Lankan cleft lip and palate project: a preliminary report.

By means of a surgical expedition involving an independently financed team of surgeons, anaesthetists, nurses, orthodontists and speech therapists, 195 patients in Sri Lanka with cleft lip and palate were treated over a period of 4 weeks while over 300 patients were examined in detail to assess faciomaxillary growth, components of speech and the psychosocial impact of the untreated deformity in childhood and adult life. Lip surgery proved to be simple and safe but in certain older patients palatal closure was complicated by wide palatal shelf displacement, mucosal fibrosis and heavy bleeding. This is a preliminary report and much data has yet to be analysed but there is little doubt that impaired facial growth following palatal repair is predominantly an iatrogenic deformity.

Adolescent↗
PubMed1987

An abnormality of nail growth associated with median nerve damage.

It has been recognised for a long time that damage to the median or ulnar nerves is usually followed by slowing of growth of the fingernails. In the past, this has always been ascribed to immobilization of the appropriate digits, rather than to a neurotrophic factor. No other nail changes appear to have been described in association with nerve damage. We present two patients with marked nail changes following median nerve injury, in which immobilization does not appear to be responsible.

Adolescent↗
PubMed1985

The uses of external nipple-areola prostheses following reconstruction of a breast mound after mastectomy.

Following reconstruction of the breast after mastectomy it is common practice to allow a "settling" period before grafting the nipple-areola complex. A selection of external nipple-areola prostheses are described which can be used until surgical reconstruction can be carried out and which are helpful in determining the correct position of the nipple-areola grafts. It has been found that some patients actually prefer to use the prostheses permanently for dress purposes rather than undergo an additional operation.

Breast↗
PubMed1985

Rhinophyma.

Explore the source record for details and available documents.

Aged↗
PubMed1984

The morbidity of split-skin graft donor sites in the elderly: the case for mesh-grafting the donor site.

An impression that the healing of split-skin donor sites in the elderly is significantly prolonged compared with that in younger patients was confirmed by retrospective and prospective clinical studies. Possible explanations are discussed. In a prospective clinical trial of 20 consecutive patients over the age of 60 part of the donor site was covered with a meshed skin graft leaving the remaining unmeshed area as a control. In all patients the mesh-grafted area was healed in 10 days while the control "unmeshed" area demonstrated the same morbidity we had noted in patients over 60 in our retrospective study. It is suggested that the mesh grafting of small split-skin donor sites in the elderly can accelerate the rate of healing and significantly reduce the demands on hospital and community resources.

Adolescent↗