Tim Cullinan

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BACKGROUND Much concern has been expressed about the high prevalence of tuberculosis in prisons in industrialised countries. Since there is almost no information from developing countries, we investigated the rate of pulmonary tuberculosis in a large prison in Malawi. METHODS Between May and July, 1996; we carried out an active case-finding survey in(More)
Universal newborn screening for sickle cell disorders and cystic fibrosis aims to enable the early identification and treatment of affected babies. Screening can also identify infants who are healthy carriers, with carrier results being the commonest outcome for parents and professionals to discuss in practice. However it is unclear what the effect will be(More)
Most elderly visually disabled people have lower levels of visual acuity for both reading and getting about in their homes than would be inferred from clinic measurements. Even with optimum optical correction, performance can be much improved by simple modifications to existing facilities, individual advice, and in most cases the addition of a simple(More)
13 men and 43 women (average age 76) attending a low-vision clinic with visual acuity of 6/18 (Snellen) or less had acuity measurements made under standard (measured) hospital conditions, under normal home conditions, and under home conditions with augmented lighting. Median levels of ambient lighting in the home were 1/10 of those in hospital, while levels(More)
Newborn screening for cystic fibrosis and sickle cell disease enables the early identification and treatment of affected children, prolonging and enhancing their quality of life. Screening, however, also identifies carriers. There are minimal or no health concerns for carriers. There are, however, potential implications when carriers reach reproductive age,(More)
413 children aged 5 to 6 years from twelve randomly selected primary schools in SE London were screened for middle ear disease by the use of tympanography . Those with abnormal tympanograms were retested 10 weeks later. 41% had an abnormality at first test, but half had recovered by second test. Children of African origin were significantly less likely to(More)