Taking the skills lab onto the wards.
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Clinical Competence↗
Biomedical subjects
R L Kneebone
Publications and source records attributed to R L Kneebone.
Skills training using multimedia and models.
All doctors need basic surgical skills. Learning and retaining such skills requires repeated practice. This article describes structured training provided by a multimedia computer program combined with practice on simulated tissue models.
Clinical Competence↗
GPs and minor surgery.
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Anesthesia, Local↗
Cancer of the oesophagus in Soweto.
Oesophageal cancer is remarkably common in Transkei, a rural part of South Africa, but has not been thought to affect urban blacks nearly as often. The incidence of oesophageal cancer in Soweto, South Africa's largest urban black community, is assessed. The age-standardized incidence is 125/100 000 in men and 37/100 000 in women. Oesophageal cancer is now a disease as much of urban as of rural blacks, a fact which may be epidemiologically significant. The prognosis for oesophageal cancer in blacks is widely believed to be almost hopeless, regardless of treatment. The results of treatment in 265 patients over 3 years are presented - in 21% the disease was confined to the oesophagus and these patients were treated by oesophagectomy (30% 3-year survival rate); 23% had local spread and were treated by extra-oesophageal bypass (11% 1-year and 2% 2-year survival rate); and 51% had advanced disease (1% 1-year survival rate, no survivors at 2 years). Five per cent of the patients died before any treatment could be given.
Adult↗
Dermatofibrosarcoma protuberans in black patients.
Twelve cases of dermatofibrosarcoma protuberans in Black patients admitted to Baragwanath Hospital, Johannesburg, between 1979 and 1983 are reviewed. The cause of this slow-growing, low-grade malignant fibrous histiocytoma is unknown, but there is some evidence that trauma may be a predisposing factor. The clinical and histological features of dermatofibrosarcoma protuberans are described, and treatment by wide tridimensional excision with local reconstruction is recommended.
Adolescent↗
Amyloid goitre. A case report.
A case of primary amyloidosis presenting as a goitre is reported. The clinical features of amyloid goitre are described and the difficulties in making a pre-operative diagnosis are discussed. A plan of management for this rare thyroid condition is suggested.
Amyloidosis↗