Biomedical subjects
I Wylie
Publications and source records attributed to I Wylie.
Attracting attention [interview by Fiona Stuart-Wilson].
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Everywhere and nowhere--a Socratic dialogue on the new public health.
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Communications. Jaw games.
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The value of CT scanning in chronic suppurative otitis media.
High definition CT has been advocated for the evaluation of chronic suppurative otitis media (CSOM) either generally or in selected cases. It is said to be capable of producing the fine detail needed to detect lateral canal fistulae, exposed dura and facial canal dehiscences, and to demonstrate the ossicular chain. At present there is no agreement on either the indications for CT scanning in CSOM or the most appropriate scanning plane. To determine the value of high definition CT in CSOM and to decide a unit policy for its application, 36 cases of CSOM underwent pre-operative CT scanning and their scans were compared with the operative findings. Our results show CT to be highly sensitive to the presence of soft tissue disease and bone erosion, moderately sensitive to the presence of lateral canal fistulae but less sensitive to the presence of small areas of exposed dura, ossicular continuity and facial canal dehiscence. Axial scans were better able to demonstrate the lateral canal but otherwise coronal scans were superior; ideally patients should be scanned in both planes. The principle value of CT in CSOM is its ability to demonstrate disease which is not clinically apparent.
Cerebral angiotomography.
This study was undertaken with two main objectives: (a) to ascertain in the practicability of two simple types of apparatus and (b) to evaluate the clinical situations in which the procedure was most likely to be helpful. Aneurysms, arteriovenous malformations, vascular diseases, tumors, including pituitary tumors, and head injuries were studied. The technique was found to be most useful in aneurysms, arteriovenous malformations and pituitary tumors.
Radiological assessment of the pituitary gland.
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Tomography of the cavernous sinuses.
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Mad cows and Englishmen.
This article examines the unfolding crisis in the beef industry during the first few days of the story becoming public, and examines the response of the British government to the crisis. It looks at the reasons why, despite prompt action by government ministers, the issue became one of massive loss of public confidence, and it draws general lessons from the beef crisis for modern health communication practice. The article argues that governments will fail to keep public confidence in public health issues unless they allow the public to judge issues on all available facts, and act in response to public judgments.