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Biomedical subjects

H Caulfield

Publications and source records attributed to H Caulfield.

At least 19 recordsLinked to original sources
PubMed2006

A prospective study to determine the incidence of atopy in children undergoing adenotonsillectomy for obstructive sleep apnea.

OBJECTIVES: To investigate the relationship between adenotonsillar hypertrophy seen in pediatric obstructive sleep apnea and upper airway allergy to airborne allergens. METHODS: A prospective study of Radioallergosorbent (RAST) tests to common airborne allergens in children (<16 years old) undergoing adenotonsillectomy for obstructive sleep apnea in a London Teaching Hospital. RESULTS: 20.9% of patients had a positive RAST result to house dust mite, 2.8% to cat hair, 0% to mixed feather, 7.8% to mixed grass pollen and 3.8% to dog hair. CONCLUSIONS: This study does not support the hypothesis that the adenotonsillar hypertrophy seen in pediatric patients with obstructive sleep apnea is contributed to by allergy to airborne allergens. It is possible that there is a localized allergic reaction in the upper respiratory tract mucosa which is not apparent on an assay of systemic IgE.

Adenoidectomy↗
PubMed2005

Adenoid size assessment: a comparison of palpation, nasendoscopy and mirror examination.

OBJECTIVES: To compare the digital, mirror and nasendoscopic assessment of adenoid size and posterior choanal obstruction in patients undergoing adenoidectomy. DESIGN: Prospective, blinded study. SETTING: Otorhinolaryngology department at a London teaching hospital. PARTICIPANTS: Twenty-eight consecutive patients undergoing adenoidectomy in conjunction with tonsillectomy or myringotomy under general anaesthesia, aged 17 months to 16 years. MAIN OUTCOME MEASURES: Adenoid size and postnasal space obstruction as assessed by digital examination, nasendoscopy and trans-oral mirror visualization. These examination methods were each compared with each other. RESULTS: Nasendoscopy and mirror examination correlated well (Spearman's R(S) = 0.71, P < 0.0001) but Passing and Bablock regression analysis demonstrated that mirror examination consistently underestimated the degree of choanal obstruction in comparison with nasendoscopy. There was no significant correlation between nasendoscopy and palpation (R(S) = 0.26, P = 0.17) and only a moderate correlation between mirror examination and palpation (R(S) = 0.46, P = 0.014). CONCLUSION: If nasendoscopy is considered the gold standard, then palpation is a poor measure of adenoid hypertrophy and mirror examination consistently underestimates choanal occlusion.

Adenoidectomy↗
PubMed2000

Support act.

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Clinical Competence↗
PubMed1996

Assault at work.

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Employment↗
PubMed1996

Fertile grounds.

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Abortion, Legal↗
PubMedDate not supplied

Have your say.

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Attitude of Health Personnel↗
PubMedDate not supplied

A new start.

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Attitude of Health Personnel↗
PubMedDate not supplied

Register revamp.

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Health Planning↗
PubMedDate not supplied

Right to life.

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Abortion, Legal↗
PubMedDate not supplied

Next of kin.

Who exactly is a patient's 'next of kin' and why do nurses need to know? Does the term include partners--including same sex partners--who are not related by blood or marriage? Drawing on the negative experiences of lesbians and gay men, this article offers guidance on these difficult questions and recommends that admission documents be changed to reflect the patient's wishes.

Attitude to Health↗
PubMedDate not supplied

Body of evidence.

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Complementary Therapies↗