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This paper is an output from a project funded by the UK Department for International Development (DfID) for the benefit of developing countries. The views expressed are not necessarily those of DfID. I am grateful to Xavier Cirera for research assistance, Shoshana Ormonde for logistical help and to Way on whose work in India, Zambia and Zimbabwe I have(More)
and three anonymous referees for their comments on earlier drafts of this paper. I am also very grateful to all those involved in the collection and preparation of the Ghanaian RPED data. Abstract Social capital in the form of entrepreneurial networks is found to be a determinant of Ghanaian manufacturing enterprise performance. Entrepreneurs with larger,(More)
BACKGROUND Pancreaticoduodenectomy is the primary treatment for periampullary cancer. Associated morbidity is high and often related to pancreatic anastomotic failure. This paper compares rates of pancreatic fistula, morbidity and mortality after pancreaticoduodenectomy in patients having reconstruction by pancreaticogastrostomy with those in patients(More)
BACKGROUND AND METHOD This paper reviews the current status of radiofrequency ablation in the treatment of colorectal liver metastases. Relevant studies with at least ten patients that reported rates of complete tumour ablation, local recurrence, or survival from 1 to 5 years after treatment were included in the review. RESULTS AND CONCLUSION Only six(More)
Recently some have called for randomized controlled trials comparing RFA to hepatic resection, particularly for patients with only a few small metastases. The objectives were to compare local recurrence and survival following RFA and hepatic resection for colorectal liver metastases. This was a retrospective review of open RFA and hepatic resection for(More)
BACKGROUND We postulated that the abundance of various metabolites in blood would facilitate the diagnosis of pancreatic and biliary lesions, which could potentially prevent unnecessary surgery. METHODS Serum samples from patients with benign hepatobiliary disease (n = 43) and from patients with pancreatic cancer (n = 56) were examined by ¹H NMR(More)
BACKGROUND Where cancer patients receive surgical care has implications on policy and planning and on patients' satisfaction and outcomes. We conducted a population- based analysis of where rectal cancer patients undergo surgery and a qualitative analysis of rectal cancer patients' perspectives on location of surgical care. METHODS We reviewed Manitoba(More)
BACKGROUND Challenges exist in providing high-quality cancer treatments to populations spread over large geographical areas. Local recurrence of rectal cancer is a complicated clinical problem associated with high morbidity and mortality. OBJECTIVES objectives of this study were to evaluate population-based rates and predictors of local recurrence of(More)