Jim Walker

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Thirty thousand circumcisions are performed annually in England and 70% of these are upon boys under 15 years of age. In the Mersey Region some 950 boys are circumcised each year for medical indications, the commonest being 'phimosis', which accounts for 87% of cases, of whom almost one-half are under 5 years of age. Regional practice is compared with that(More)
PURPOSE To identify a valid and reliable method to determine 40-km time trial (40K) performance in a laboratory setting. METHODS Part 1: Ventilatory threshold (VT) and 40K performance were determined on two occasions (February/September) using two subsets of cyclists (N = 15 each; VO(2max) 67.6 +/- 4.2/71.5 +/- 3.0 mL x kg(-1) x min(-1)) to determine the(More)
Much of what is currently documented in the electronic health record is in response toincreasingly complex and prescriptive medicolegal, reimbursement, and regulatory requirements. These requirements often result in redundant data capture and cumbersome documentation processes. AMIA's 2011 Health Policy Meeting examined key issues in this arena and(More)
In a previous paper (Walker and Turnbull, 1953) we have demonstrated the haemoglobm levels and red cell count in the cord blood of the human foetus throughout pregnancy. From the 10th week to the 24th week the red cell count doubles (from 1,500,000 to 3,000,000), but the haemoglobin rises only from 9 to 15 g. After the 24th week, the red cell count(More)
An extensive review of the literature suggests that priapism or prolonged penile erection is extremely rare in the newborn. We present a term newborn whose clinical course of prolonged penile erection was a result of polycythemia. In the past, only 3 cases appear to have been associated with polycythemia. However, two of these cases had several other(More)
The identification of the human T cell lymphotropic virus (HTLV-III) as the presumed etiologic agent for AIDS has stimulated a re-examination and allowed better understanding of many of the immunologic abnormalities described in high risk individuals with and without clinical disease. Currently needed are useful predictors of clinical progression which will(More)
Understanding the antibiotic medication use process in the intensive care unit (ICU) is important for patient care outcomes. A system view of the medication use process facilitates understanding the role of communication between various disciplines in ensuring the timely administration of antibiotics. Antibiotic-related medication safety events (N=312) were(More)