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Biomedical subjects

M J Wareing

Publications and source records attributed to M J Wareing.

24 records · Page 2Linked to original sources
PubMed1996

Regional postgraduate training in otolaryngology: a study programme.

For the last three years the South East Thames Regional Training Committee (SETRTC) in Otolaryngology has held a series of training days for the Senior House Officers and Higher Surgical Trainees (HSTs) working in the region. These have proved popular and reportedly useful for the trainees. Although such a programme requires a widespread commitment from both trainers and trainees there are benefits in terms of both education and morale. We discuss these issues and make practical suggestions from our experience.

Education, Medical, Graduate↗
PubMed1995

Cochlear implant results: a comparison of live-voice and videotaped tests.

The Cambridge Cochlear Implant Programme has so far implanted the Ineraid multichannel cochlear implant in 16 profoundly deaf adult patients; there has been a 9-month or longer follow-up period with these patients. We have evaluated these patients by open-set Bamford-Kowal-Bench (BKB) Standard Sentence List testing in two different delivery strategies, live-speaker testing by the same speaker and high-resolution videotaped testing. The performance in lip reading both before and 9 months after implantation has been tested, as well as performance with the implant alone and with the implant in conjunction with lip reading at the 9-month stage. We have compared the performance in these two delivery strategies and have found a significantly better performance in the live-speaker tests that is attributable to slower and perhaps more sympathetic delivery. We have also found evidence of a ceiling effect in the performance of the implant with lip reading in the live-speaker mode and, of greater importance, a floor effect in the performance of the implant alone with the videotaped test. These results and the implications for a complementary role of these two test-delivery modes are discussed.

Cochlear Implants↗
PubMed1994

Reduction in junior doctors' hours in an otolaryngology unit: effects on the 'out of hours' working patterns of all grades.

This study aimed to assess the effects of recent controls on juniors' duty hours (the 'New Deal') on the work performed by all grades of ENT medical staff 'out of hours'. For 100 days in 1993 the out of hours duties of all grades of doctor in the Otolaryngology Unit were monitored using daily logs. Three patterns of cover were run in parallel and subjected to comparison: Light: Senior House Officer (SHO)--Consultant (CON); Traditional: SHO-Intermediate (Registrar or Senior Registrar)--Consultant; Cross-cover--Pre-Registration House Officer (PRHO)--Intermediate-Consultant. The SHO 'out of hours' daily workload did not differ significantly between the traditional and light systems (median hours: 5.6 versus 5.0). There was an increase in working hours for the intermediate (registrar or senior registrar) grade of 84 per cent when the cross-cover system was in operation compared with the traditional system (median hours: 5.0 versus 2.8; p < 0.0001--Mann-Whitney U test). Consultant working hours increased by an average of 132 per cent as a result of removal of the intermediate tier (median hours: 1.7 versus 0.80; p < 0.0001). Reduction in on-call hours of junior staff resulted in a need for cross-cover and also in the frequent removal of an intermediate tier of staff. This has been shown to have a considerable effect on working patterns for intermediate and senior grades in an ENT unit of average size. Further reductions would be expected to have major effects on the working patterns of the consultant grade and considerably dilute the emergency experience of trainees.

Consultants↗
PubMed1993

Parapharyngeal space tumour presenting as recurrent uvular oedema.

Neoplasms of the parapharyngeal space are uncommon and usually present as an intra-oral or neck mass. They often elude early diagnosis due to their deep-seated nature. Here we report a case presenting with recurrent oedema of the uvula. The pathophysiology of this previously unreported mode of presentation is discussed.

Adult↗