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Biomedical subjects

P Toghill

Publications and source records attributed to P Toghill.

12 recordsLinked to original sources

1895: Dr W G Grace's golden summer.

One hundred years ago there was another wonderful summer. Dr. W G Grace, England's greatest cricketer, in his 47th year, completed his "century of centuries" and scored 2346 runs. This remarkable achievement was celebrated with enthusiasm and affection by the Victorian public. In more practical terms generous testimonials raised 9073 pound sterling 8s 6d, which made it a golden summer in more ways than one.

History, 19th Century↗

Dark adaptation compared with electrooculography in primary biliary cirrhosis.

In a series of asymptomatic patients with primary biliary cirrhosis there was a significant impairment of dark adaptation thresholds as compared with a control group. Vitamin A levels were abnormally low in only two of the patients and these two both showed high dark adaptation thresholds. The electrooculogram was reduced in only the most severely affected case. It is suggested that visual function tests should be performed alongside vitamin A level measurements before deciding on treatment.

Adult↗

Clinical and radiographic features of simple and hydatid cysts of the liver.

The advances of hydatid chemotherapy and the non-operative management of simple (epithelial) hepatic cysts make a correct diagnosis of increasing importance. Twenty-six patients with hepatic hydatid cysts and eleven with simple cysts were reviewed. In both groups clinical presentation was most frequently due to pain. Sex, age and size of the cysts were similar. Hydatid serology was negative in six of the hydatid patients (23 per cent). None of the simple cyst patients had positive serology but one had a borderline titre. Ultrasound and computerized tomography identified daughter cysts within the main cyst in only 17 hydatid cysts (65 per cent) and considerable intra-cyst debris was also present in five of the simple cysts. Seven of the simple cysts were deroofed surgically and the remainder underwent percutaneous aspiration. Sixteen of the hydatid cysts were found to have a biliary communication whereas this was not found with any simple cyst. The difficulties in making a precise diagnosis in some patients with a liver cyst should deter the interventional radiologist and restrain the hydatid chemotherapist.

Adult↗

When the earth screamed.

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Education, Medical, Continuing↗

CME and the role of the Journal of the Royal College of Physicians of London. Results of a survey of consultant and trainee physicians.

AIM: To assess (a) the views of Members and Fellows of the College on the role of reading general medical journals in continuing medical education (CME); (b) the place of the Journal of the Royal College of Physicians of London (JRCPL) in relation to seven other general medical journals; (c) the possible need for change in the content of the JRCPL and the demand for a systematic series of articles designed specifically for CME; (d) the extent of home ownership and use of computers and of readers' readiness for interactive teaching and electronic books and journals. METHOD: Distribution of a questionnaire to all Fellows and Collegiate members of the College, mailed with the JRCPL in May 1995. RESULT: Responses were received from 2,600 (26.4% home recipients and 8.4% overseas recipients). Journal reading was rated the most important form of CME. All eight journals listed play a part in CME, the three weekly journals playing the most prominent role. There was strong support for the introduction of a series of articles covering topics systematically as part of CME. Seventy-six per cent of respondents own a home computer and 40% of these have either a CD-ROM drive or full multimedia facilities. Most use their computers mainly as word-processors and few have access to the Internet or E-mail.

Data Collection↗

The provision of CME meetings for physicians.

1. A large number of meetings on a wide variety of topics are available for a majority of consultant physicians. 2. Many meetings consist of lectures or presentations; more diverse and participatory learning methods are required. 3. The pharmaceutical industry provides sponsorship for 45% of all meetings, much more in some medical specialties. 4. It should be possible and easy to obtain information about approved educational events from a WEB page.

Education, Medical, Continuing↗