Adam Sinclair

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AIM To investigate the impact of an interdisciplinary low vision service on the vision related quality of life of service users. METHODS 71 patients were interviewed 2 weeks before their appointment with the service and again 6 months later to assess any changes in their vision related quality of life. The majority of these patients had age related(More)
AimTo set-up a glaucoma electronic patient record (GEPR) and study referral details to a new glaucoma service, concentrating on high-risk patients.MethodA GEPR was designed using the pre-existing hospital information technology (IT) infrastructure. Referral details of all new patients to the glaucoma service were completely electronically entered and(More)
The aim of this study was to determine the characteristics of the patients in Fife who were registered as blind with a main diagnosis of glaucoma between 1990 and 1999. The case notes of 87 people were studied. The average age at registration was 78 years (S.D. = 14). By the time of first referral to hospital, more than half were already aware of visual(More)
Haemorrhoids or piles are varicosities in the anal canal caused by local pressure. Sometimes they prolapse. Symptoms may include itching, discomfort, pain and bleeding. Haemorrhoids are common in pregnancy. Constipation aggravates piles, so a healthy diet with plenty of water and fibre is advisable. Some sufferers need an appropriate laxative as well.(More)
In the initial treatment of serious trauma victims, a valuable source of blood is often overlooked: the patient's own blood, shed into the chest cavity as a result of blunt or penetrating injury. This blood can often be salvaged and made available for immediate reinfusion as an autologous whole blood transfusion, or autotransfusion. In the past decade,(More)
External noninvasive cardiac pacing was applied outside the hospital to 19 patients who had experienced cardiopulmonary arrest and 1 patient with life-threatening bradycardia. Seven patients developed electrocardiographic evidence of pacemaker capture, although only 2 had palpable pulses. The patient with bradycardia was successfully paced. This study(More)
Prolonged exposure to strong sunlight significantly increases the risk of skin cancer. Sunscreens provide useful protection from sunburn if correctly used. Some sunscreens contain chemical compounds which work by absorbing UVB wavelengths. Others contain chemicals which act as reflectants of UVA waves, eg titanium dioxide. Stars on the packet indicate how(More)
Nasal congestion and sinusitis are common effects of cold and flu viruses. One treatment for nasal congestion is oral doses of vasoconstrictors such as ephedrine which mimic the action of the sympathetic nervous system. Care should be taken before these are prescribed or recommended as these drugs are contraindicated in patients on certain drugs or with(More)