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Biomedical subjects

B F Ribeiro

Publications and source records attributed to B F Ribeiro.

11 recordsLinked to original sources
PubMed2001

Surgery in the United Kingdom.

Surgery in the United Kingdom has been practiced for nearly 2000 years. It has evolved as a result of the experiences of warfare and the introduction of the scientific basis of surgery. The influence of the 4 surgical royal colleges in setting standards for training and examinations has ensured that new surgeons are equipped for independent practice as consultants. Responsibility for the National Health Service rests with the government, which determines the number of trainee surgeons in the various surgical specialties. Conflicts between service provision and training are highlighted, as are the pressures on academic institutions to meet the demands of clinical surgery. The government's National Health Service plan for England promises a major expansion in undergraduate places and an increase of 7500 consultants in all specialties by 2004. Time will tell if these changes lead to an improvement in surgical services and a reduction in waiting times.

Education, Medical↗
PubMed1981

Perianal Paget's disease associated with cloacogenic carcinoma: report of a case.

A case of perianal Paget's disease associated with a cloacogenic carcinoma is presented. There was no clinical evidence of the Paget's disease, which was confined to a very small area. The points of particular interest were (1) the association of Paget's disease with a cloacogenic carcinoma, and (2) the dissimilarity between the pagetoid cells and the carcinoma cells. The histologic differences between the two cell types support the view that perianal Paget's disease and underlying carcinomas represent a multicentric reaction to an unknown stimulus.

Aged↗
PubMed1976

Acute renal failure in tropical Africa.

Between 1972 and 1975, 55 adult patients with acute renal failure were admitted to the renal unit of Korle Bu Hospital. Fourteen patients died, giving an overall death rate of 25%. Massive intravascular haemolysis after a short febrile illness was the commonest cause of acute renal failure. Clinically these patients presented with blackwater fever but in only one could Plasmodium falciparum malaria be confidently diagnosed. In half the patients various bacterial and viral infections (especially typhoid) could be incriminated as causing this blackwater fever syndrome. The incidence of glucose-6-phosphate dehydrogenase deficiency was 22.5%, but we could not confirm the impression of a greater predisposition to acute renal failure in patients with this enzyme defect.

Acute Kidney Injury↗
PubMed1976

Traumatic avulsion of the ureter with obstruction, pseudocyst formation and hypertension.

A further case of traumatic avulsion of the upper ureter is described; it was complicated by hypertension and treated by removal of the pseudocyst. Delay in diagnosis should not be a contraindication to reconstructive surgery which should always be attempted if the kidney is functioning. The possibility of renal artery ischaemia should be considered when hypertension develops in the presence of a pseduocyst.

Child↗
PubMed1975

Occupational hazards in window cleaning.

Accidental falls involving window cleaners treated at the Middlesex Hospital over five years are reviewed. Failure to use safety belts and the lack of suitable anchorage points were contributary factors in all 20 patients. The use of protective equipment and the provision of anchorage points should be enforced. While the doctor's duty is to treat injuries he also has the opportunity to draw attention to their prevention.

Accidents, Occupational↗