C. Wales

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A fter cardiac catheterisation, haemostasis is usually achieved by manual compression of the puncture site. The patient is then laid flat, allowed to sit up and then to mobilise—a process taking considerably longer than the procedure itself, and possibly involving more prolonged bed occupancy than is necessary. Well conducted, randomised, controlled trials(More)
OBJECTIVE To investigate a population of elderly people for atrial fibrillation and to determine how many of the cases identified might benefit from treatment with anticoagulants. METHODS From a practice of four primary care physicians, 1422 patients aged 65 years and over were identified, of whom 1207 (85% of the total population) underwent(More)
OBJECTIVES To compare perioperative problems and outcomes of reconstructive surgery with microvascular flaps of a group of older (≥ 70) and younger adults (20-69). DESIGN Prospective clinical cohort study. SETTING Maxillofacial surgical unit of a university teaching hospital in Munich, Germany. PARTICIPANTS Two hundred fifteen people with head and(More)
The term inflammatory pseudotumour is given to a group of benign lesions, which are comprised of spindle myofibroblasts and chronic inflammatory cells. They rarely present out with the orbit in the head and neck and can appear sinister in their clinical and radiological presentation. Local resection is curative, whilst steroids and radiotherapy can be(More)
The median artery is an infrequent anomaly with a highly variable origin and course in the forearm. It is associated with other local anatomical variations, and may contribute significantly to the superficial palmar arch. We describe the incidental finding of a palmar median artery during harvesting of a radial forearm flap despite normal preoperative(More)
The aim of this pilot study was to evaluate the feasibility of measuring the change in magnitude, speed, and motion similarity of facial animations in head and neck oncology patients, before and after lip split mandibulotomy. Seven subjects (four males, three females) aged 42-80 years were recruited. The subjects were asked to perform four facial animations(More)
Injuries resulting from the use of angle grinders are numerous. The most common sites injured are the head and face. The high speed disc of angle grinders does not respect anatomical boundaries or structures and thus the injuries produced can be disfiguring, permanently disabling or even fatal. However, aesthetically pleasing results can be achieved with(More)
Patients with head and neck cancer who have resection, radiotherapy, chemoradiotherapy, or a combination of these require nutritional support to be implemented before treatment, and this may involve insertion of a prophylactic gastrostomy feeding tube. The aim of this study was to compare the use and complication rates of percutaneous endoscopic gastrostomy(More)