James Graham Brown

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I653 is a new volatile anesthetic structurally similar to enflurane and isoflurane. Since enflurane can induce convulsions, whereas isoflurane progressively depresses cortical electrical activity, the authors believed it important to assess the effect of I653 on the EEG (in both the "time" and "frequency" domain). The EEG was assessed visually and(More)
Six patients with a family history of Huntington's chorea (HC) participated in a double blind crossover trial involving four treatments--lithium carbonate, haloperidol, lithium carbonate and haloperidol, and placebo. Each treatment was administered for three weeks and, at the end of each treatment period, assessments were made of chorea and a number of(More)
Twenty-five patients with periprosthetic femoral fractures were admitted to the Ulster Hospital between August 1998 and May 2000. Average age was 77 years (range, 42-96 years) with a female to male ratio of 2:1. Twenty-four of the fractures occurred following primary joint arthroplasty on average 7.6 years from insertion of the primary prosthesis. One(More)
To ascertain the influence of surgical delay on outcome after proximal femoral fracture in elderly females, a cohort study of patients presenting in 1987 was compared to 1989/90. Organisational changes in the intervening period were introduced to reduce delay to surgical intervention. Two hundred and eighty females aged 65 years and over presenting from the(More)
BACKGROUND Bipolar hip hemiarthroplasty is used in the management of fractures of the proximal femur. The dual articulation is cited as advantageous in comparison to unipolar prostheses as it decreases acetabular erosion, has a lower dislocation rates and is easier to convert to a total hip arthroplasty (THA) should the need arise. However, these claims are(More)
One hundred and one patients underwent surgical correction of fractures of the proximal femur under spinal anaesthesia. There were 14 deaths in the first three months following surgery. Advancing age, poor pre-anaesthetic status, reduced pre-operative mobility and deteriorating mental function were reliable prognostic indicators of fatal outcome. Spinal(More)
En bloc resection of the temporal bone is an extensive and complicated surgical procedure for removal of malignancies of the ear and temporal bone. The lengthy surgical procedure (18 to 36 hours) and the resultant functional disabilities and cosmetic deformities create special nursing management concerns. Preoperative preparation, carotid artery occlusion,(More)
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