Scutari revisited.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to T R Whelan.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
A general practitioner can expect to see a case of Bell's palsy once every two years. Though uncommon, it has aroused controversy over its definition, its aetiology, and the best treatment. Although the majority of cases of this dramatic but usually self-limiting condition are seen in primary care, most of the literature comes from hospital studies. The evidence from four randomized controlled studies shows marginal benefit for steroids with a Mantel-Haenzel odd's ratio of 1.63 (95% CI 1.01 to 2.64); but, because of doubt about the methodology in some of the studies, this result must be interpreted with caution.
A year-long prospective study of injuries caused by armoured fighting vehicles on exercises in West Germany revealed that 2 soldiers were killed. Another 41 needed hospital admission for treatment of injuries of the lower limb (16), upper limb (15), head (8) and back (2). Tank loader/signallers were peculiarly susceptible to severe leg injuries, due to the ankle being trapped and twisted by the turret rotating within the hull. Insecure, falling hatch covers accounted for many of the hand, head and back injuries. Soldiers in training need to be made more aware of these particular hazards. Reduced caution would make injuries such as these more common during armoured warfare, and their statistics should be included in casualty estimates.
This report describes a case of facial nerve palsy following barotitis media sustained at shallow depth. The neuropraxia is likely to have been due to the direct effect of pressure, facilitated by a congenital hiatus in the bony canal protecting the facial nerve in the middle ear.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.