Andrew Gooding

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AIMS Assessment of the cost-effectiveness of early magnetic resonance imaging (MRI) for suspected radiographically occult scaphoid fractures. Methods Compare costs of patients presenting acutely with suspected scaphoid injuries (managed either with traditional follow-up radiographs and plasters) versus early MRI to exclude a fracture. Results The average(More)
BACKGROUND Femoroacetabular impingement has become a well-recognized entity predisposing to acetabular labral tears and chondral damage, and subsequently development of osteoarthritis of the hip joint. In the authors' experience, it is common to see bony abnormalities predisposing to femoroacetabular impingement in the contralateral asymptomatic hips in(More)
AIM To compare the causes, patterns and outcomes of hepatic trauma in children with those in adults. METHODS A retrospective audit was conducted of a five-year period from 1996 of adults and children admitted to Christchurch Hospital with liver injuries. Details of age, mechanism of injury, injury severity score (ISS), radiological grade of liver injury,(More)
In this paper, we describe the solutions developed to address key technical challenges encountered while building a distributed database system that can smoothly handle demanding real-time workloads and provide a high level of fault tolerance. Specifically, we describe schemes for the efficient clustering and data partitioning for the automatic scale out of(More)
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