Breaking down the barriers.
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Biomedical subjects
Publications and source records attributed to R Palmer.
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A small-scale study carried out by student nurses revealed ward curtains to be a source of contaminants and bacteria, including MRSA. Patients and medical staff can contaminate and be contaminated by bacteria which may be a source of cross-infection. Recommendations from the study included the promotion of further research in this area and more frequent laundering of curtains.
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By analysing a series that initially started with 160 cases it is possible to compare the results of trying to cure infundibular stenoses, which means agglutinations and phimosis of the ampulla using the laparoscope or open laparotomy. It would appear that these lesions should be strictly classified and this classification should be based on careful laparoscopic investigation of the infundibulum and on hydrotubation testing. It is then found that these are not good cases for endoscopic surgical treatment. The results are poor whether looked at from the level of fertility that is finally achieved as well as the morphological improvement in the conditions and they are far worse than those following conventional surgery. Therefore it is necessary to conclude that laparotomy is always preferable for a cure of these cases. The only indication for laparoscopic surgery is infundibular stenosis which occurs afterterminal tubal plastic surgery which is by itself not a rare happening.
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The prevalence of tonsillectomy and appendectomy was higher in 196 patients with rheumatoid arthritis (RA), prior to the onset of articular disease, than in their spouses and siblings. The estimated increased risk of developing RA with tonsillectomy was 1.5 and 3.5 times, with appendectomy 1.7 and 6.6 times, and with both surgical procedures 2.3 and 6.7 times, using patient-spouse and patient-sibling matched-pair data, respectively. However, only with patient-sibling data did the lower limits of the 95% confidence interval for the risk ratio exceed 1.0. Several hypotheses are offered to explain the possible association between these surgical procedures and RA.
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