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Biomedical subjects

R N Palmer

Publications and source records attributed to R N Palmer.

8 recordsLinked to original sources

United Kingdom 'Crown' indemnity for medical negligence--an overview of the first 18 months of the new scheme.

This article describes the background to the introduction of 'Crown' indemnity and summarizes the operation of the scheme. It also makes clear the limited nature of the scheme and how it does not apply, for example, to independent contractors such as general medical and dental practitioners. Also described is the nature and operation of United Kingdom medical defence organizations such as the Medical Protection Society and the services which they continue to provide to medical and dental practitioners worldwide. Early indications suggest that the new government scheme is placing a very heavy financial burden on health authorities which already suffer from underfunding and tight budgetary control.

Humans

Inhibition of cold-promoted activation of the prothrombin time studies of new siliconized borosilicate collection tubes in normals and patients receiving warfarin.

Studies of the prothrombin time in normals and patients receiving oral anticoagulant therapy revealed a partial inhibition of the in vitro cold-promoted activation of Factor VII and shortening of the prothrombin time when blood was collected in a new commercial siliconized borosilicate tube (Becton-Dickinson, Rutherford, NJ, 6418 and 6419). The data collected with normal blood indicated that the cold-promoted activation was almost totally inhibited, while the patients had only a mean reduction of 50% of the cold-promoted activation. In pregnant patients there was no inhibition of the cold-promoted activation of the prothrombin time or Factor VII using the new siliconized tubes.

Blood Specimen Collection

Pelvic neoplasia in Peutz-Jeghers syndrome.

A cervical adenocarcinoma, a left ovarian granulosa cell tumor, and a right ovarian sex cord tumor with annular tubules developed in a woman with Peutz-Jeghers syndrome. This apparent first report of three different pelvic tumors occurring in a patient with Peutz-Jeghers polyposis suggests a possible link between pelvic tumors and the Peutz-Jeghers syndrome.

Adenocarcinoma