1
|
Houston AD, Brunger H, White T, Ellis H, Dharm-Datta S, Brockman K, Ladlow P. Introducing heart rate variability technology into the UK defence mild traumatic brain injury service. BMJ Mil Health 2024; 170:78-79. [PMID: 35584851 DOI: 10.1136/bmjmilitary-2022-002113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 05/05/2022] [Indexed: 11/03/2022]
Affiliation(s)
- Andrew David Houston
- Academic Department of Military Rehabilitation, Defence Medical Rehabilitation Centre (DMRC) Stanford Hall, Loughborough, UK
| | - H Brunger
- Neurorehabilitation Unit, Defence Medical Rehabilitation Centre (DMRC) Stanford Hall, Loughborough, UK
| | - T White
- Neurorehabilitation Unit, Defence Medical Rehabilitation Centre (DMRC) Stanford Hall, Loughborough, UK
| | - H Ellis
- Neurorehabilitation Unit, Defence Medical Rehabilitation Centre (DMRC) Stanford Hall, Loughborough, UK
| | - S Dharm-Datta
- Neurorehabilitation Unit, Defence Medical Rehabilitation Centre (DMRC) Stanford Hall, Loughborough, UK
| | - K Brockman
- Neurorehabilitation Unit, Defence Medical Rehabilitation Centre (DMRC) Stanford Hall, Loughborough, UK
| | - P Ladlow
- Academic Department of Military Rehabilitation, Defence Medical Rehabilitation Centre (DMRC) Stanford Hall, Loughborough, UK
| |
Collapse
|
2
|
Ellis H. Charles McBurney, American pioneer of appendicectomy. J Perioper Pract 2023; 33:158-159. [PMID: 36341528 DOI: 10.1177/17504589221118245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
|
3
|
Ellis H. Baron Guillaume Dupuytren and his contracture. J Perioper Pract 2022; 32:379-380. [PMID: 35986573 DOI: 10.1177/17504589221104581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
|
4
|
Ryan M, Morgan H, O'Gallagher K, Demir O, Rahman H, Ellis H, Dancy L, Sado D, Strange J, Melikian N, Marber M, Shah A, De Silva K, Chiribiri A, Perera D. Coronary wave energy to predict functional recovery in patients with ischemic left ventricular dysfunction. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Background
Invasive coronary angiography and non-invasive viability testing are the cornerstones of diagnosing and managing ischemic left ventricular dysfunction. At present there is no single test which serves both needs but, if developed, could revolutionise investigation of this condition. Coronary wave intensity analysis (cWIA) interrogates both contractility and microvascular physiology of the subtended myocardium [1,2] and therefore has the potential to fulfil this goal.
Objectives
We hypothesized that cWIA measured during coronary angiography would predict functional recovery with a similar accuracy to late gadolinium enhanced cardiac magnetic resonance imaging (LGE-CMR).
Methods
Patients with a left ventricular ejection fraction ≤40% and extensive coronary disease were enrolled. cWIA, fractional flow reserve and microvascular resistance were assessed with a simultaneous coronary Doppler and pressure-sensing guidewire during cardiac catheterization at rest, during hyperaemia and during low-dose dobutamine stress. Viability was assessed using LGE-CMR. Regional left ventricular function was assessed at baseline and 6-month follow up after optimization of medical therapy +/− revascularization, using transthoracic echocardiography. The primary outcome was regional functional recovery.
Results
Forty participants underwent baseline physiology, LGE-CMR and thirty had echocardiography at baseline and 6 months; 21/42 territories demonstrated functional recovery. Resting backward compression wave energy was significantly greater in recovering than non-recovering territories (−5240±3772 vs. −1873±1605 W m–2 s–1, p=0.099, Figure 1), and had comparable diagnostic accuracy to CMR (area under the curve 0.812 vs. 0.757, p=0.649, Figure 2); a threshold of −2500 W mm–2 s–1 had 86% sensitivity and 76% specificity at predicting recovery. Backward expansion wave energy did not predict recovery. FFR was numerically higher in recovering territories (0.81±0.17 vs. 0.71±0.16, p=0.058), whilst hyperaemic microvascular resistance did not differentiate recovering from non-recovering territories (1.97±0.73 vs. 2.29±1.00, p=0.287). The likelihood of functional recovery was similar in revascularised and non-revascularised territories (15/29 vs. 6/13 respectively, p=0.739). Low-dose dobutamine stress increased the energy of all waves, but did not improve the accuracy of cWIA in predicting recovery. In a regression model, resting backward compression wave energy and optimization of medical therapy predicted functional recovery; fractional flow reserve and hyperemic microvascular resistance did not.
Conclusions
Backward compression wave energy has similar accuracy to LGE-CMR in the prediction of functional recovery. cWIA has the potential to revolutionise the management of ischaemic left ventricular dysfunction, in a manner analogous to the effect of fractional flow reserve on the management of stable angina.
Funding Acknowledgement
Type of funding sources: Foundation. Main funding source(s): The British Heart Foundation Clinical Research Training Fellowship
Collapse
Affiliation(s)
- M Ryan
- King's College London , London , United Kingdom
| | - H Morgan
- King's College London , London , United Kingdom
| | | | - O Demir
- King's College London , London , United Kingdom
| | - H Rahman
- King's College London , London , United Kingdom
| | - H Ellis
- King's College London , London , United Kingdom
| | - L Dancy
- King's College Hospital NHS Foundation Trust , London , United Kingdom
| | - D Sado
- King's College Hospital NHS Foundation Trust , London , United Kingdom
| | - J Strange
- Bristol Heart Institute , Bristol , United Kingdom
| | - N Melikian
- King's College Hospital NHS Foundation Trust , London , United Kingdom
| | - M Marber
- King's College London , London , United Kingdom
| | - A Shah
- King's College London , London , United Kingdom
| | - K De Silva
- King's College London , London , United Kingdom
| | - A Chiribiri
- King's College London , London , United Kingdom
| | - D Perera
- King's College London , London , United Kingdom
| |
Collapse
|
5
|
Ellis H. John Hunter, excision of a massive parotid tumour. J Perioper Pract 2022; 33:122-123. [PMID: 35861591 DOI: 10.1177/17504589221095967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
6
|
Ellis H. Ligation of the common carotid artery. J Perioper Pract 2022; 32:202-203. [PMID: 35762282 DOI: 10.1177/17504589211057431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
|
7
|
|
8
|
Ellis H. The first open cardiac operation. J Perioper Pract 2022; 32:239. [PMID: 35445617 DOI: 10.1177/17504589221089913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
9
|
Ellis H. Dominique Jean Larrey, gunshot wounds of the bladder. J Perioper Pract 2022; 32:131-132. [PMID: 35369815 DOI: 10.1177/17504589211064956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
10
|
Ellis H. Partial excision of the spleen in a Native American. J Perioper Pract 2022; 32:95-96. [PMID: 35156443 DOI: 10.1177/17504589211053737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
|
11
|
Ellis H. Localisation of a bullet by X-ray. J Perioper Pract 2022; 32:59-60. [PMID: 35225095 DOI: 10.1177/17504589211049036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
12
|
Ellis H. John Howship, ruptured aneurysm of the ascending aorta. J Perioper Pract 2022; 32:275-276. [PMID: 35225700 DOI: 10.1177/17504589211072760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
13
|
Ellis H. Gunshot wounds of the abdomen in World War One. J Perioper Pract 2022; 32:326-327. [PMID: 35225714 DOI: 10.1177/17504589211072819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
14
|
Ellis H. Part 2: The Second World War. J Perioper Pract 2021; 31:463-464. [PMID: 34889692 DOI: 10.1177/1750458919897209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Harold Ellis
- Retired Emeritus Professor of Surgery, Department of Anatomy, University of London, Guy's Hospital, London, UK
| |
Collapse
|
15
|
Ellis H. Part 1: The First World War. J Perioper Pract 2021; 31:435-436. [PMID: 34747251 DOI: 10.1177/1750458919897203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Harold Ellis
- Emeritus Professor of Surgery, Department of Anatomy, University of London, Guy's Hospital, London, UK
| |
Collapse
|
16
|
Ellis H, Linssen R. Rudolf Virchow: the father of today's pathology. Br J Hosp Med (Lond) 2021; 82:1-2. [PMID: 34726932 DOI: 10.12968/hmed.2021.0535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
This year marks the 200th anniversary of the birth of Rudolf Ludwig Virchow, a pathologist and polymath who, among other things, coined the terms leukaemia, embolism and thrombosis.
Collapse
Affiliation(s)
- Harold Ellis
- c/o British Journal of Hospital Medicine, London, UK
| | | |
Collapse
|
17
|
Ellis H. Sir Felix Semon (1849-1921): distinguished laryngologist. Br J Hosp Med (Lond) 2021; 82:1-2. [PMID: 34431340 DOI: 10.12968/hmed.2021.0395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
This year marks the 100th anniversary of the death of Sir Felix Semon, one of the fathers of modern laryngology.
Collapse
Affiliation(s)
- Harold Ellis
- c/o British Journal of Hospital Medicine, London, UK
| |
Collapse
|
18
|
O'Sullivan O, Allsopp L, Mitchell J, Price L, Tourle K, Ellis H. Review of neurological rehabilitation for Multiple Sclerosis in the British Military. BMJ Mil Health 2021; 168:324-328. [PMID: 34253640 DOI: 10.1136/bmjmilitary-2021-001852] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Accepted: 06/07/2021] [Indexed: 01/09/2023]
Abstract
Multiple sclerosis (MS) is a progressive neurological disorder, classically presenting in working age adults, including those in the Armed Forces. The Defence Medical Rehabilitation Centre (DMRC) Stanford Hall offers vocationally focused neurorehabilitation services for service personnel (SP) with MS, with the goal to minimise disability, maximise independence and remain able to work.This paper has two aims. First, it briefly provides a clinical update of MS, focusing on pathology, presentation, diagnosis and management. Finally, it will describe the role of DMRC and data from the last decade in the management of MS.Our findings suggest not all SP with MS are being referred to DMRC, and some of those who do have significant delays, potentially impacting on patient support, symptom management and occupational outcomes. It is hoped that this paper will improve awareness and recognition of MS for Armed Forces personnel.
Collapse
Affiliation(s)
- Oliver O'Sullivan
- Academic Department of Military Rehabilitation, DMRC Stanford Hall, Loughborough, UK .,Headquarters Army Medical Services (HQ AMS), Camberley, UK
| | - L Allsopp
- Neuro-Rehabilitation Department, DMRC Stanford Hall, Loughborough, UK
| | - J Mitchell
- Academic Department of Military Rehabilitation, DMRC Stanford Hall, Loughborough, UK.,Metabolic Neurology, University of Birmingham Institute of Metabolism and Systems Research, Birmingham, UK
| | - L Price
- Neuro-Rehabilitation Department, DMRC Stanford Hall, Loughborough, UK
| | - K Tourle
- Neuro-Rehabilitation Department, DMRC Stanford Hall, Loughborough, UK
| | - H Ellis
- Neuro-Rehabilitation Department, DMRC Stanford Hall, Loughborough, UK
| |
Collapse
|
19
|
Ellis H, Graydon G. A record long-term surgical follow-up. J Perioper Pract 2021; 31:245. [PMID: 34219555 DOI: 10.1177/17504589211023006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Harold Ellis
- Retired Emeritus Professor of Surgery, London, UK
| | | |
Collapse
|
20
|
Abstract
This year marks the 150th anniversary of the birth of Grafton Elliot Smith, the distinguished Australian-born anatomist and an early expert on the excavations of ancient Egypt.
Collapse
Affiliation(s)
- Harold Ellis
- c/o British Journal of Hospital Medicine, London, UK
| |
Collapse
|
21
|
Ellis H. The birth of the National Health Service. J Perioper Pract 2021; 31:234-235. [PMID: 31694467 DOI: 10.1177/0141076819882906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
|
22
|
Ellis H. The treatment of peptic ulceration. J Perioper Pract 2021; 31:399-400. [PMID: 34034592 DOI: 10.1177/17504589211011006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
23
|
|
24
|
|
25
|
Ellis H, Iliff HA, Lahloub FMF, Smith DRK, Rees GJ. Unexpected difficult tracheal intubation secondary to subglottic stenosis leading to emergency front-of-neck airway. Anaesth Rep 2021; 9:90-94. [PMID: 33982001 DOI: 10.1002/anr3.12115] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/29/2021] [Indexed: 12/19/2022] Open
Abstract
A 26-year-old woman presenting for an elective day case procedure under general anaesthesia had undiagnosed subglottic stenosis leading to a life threatening airway emergency requiring emergency front-of-neck airway. We outline the case and discuss key anaesthetic considerations in subglottic stenosis, including concerning features of a medical/anaesthetic history and the potential for rapid deterioration of a stenotic airway following manipulation. We also consider the effect of anaesthesia on the calibre of subglottic stenosis and the effects of positive pressure ventilation. Subglottic stenosis is a rare condition with congenital, acquired and idiopathic origins; however, iatrogenic trauma is the most common cause. We are aware of a small number of published case reports of previously undiagnosed subglottic stenosis in adults discovered after induction of anaesthesia; situational deterioration to 'cannot intubate, cannot oxygenate' scenarios appear even rarer.
Collapse
Affiliation(s)
- H Ellis
- Department of Anaesthesia Royal Glamorgan Hospital Merthyr Tydfil UK
| | - H A Iliff
- Department of Anaesthesia Prince Charles Hospital Llantrisant UK
| | | | - D R K Smith
- Department of Ear, Nose and Throat Surgery Royal Glamorgan Hospital Merthyr Tydfil UK
| | - G J Rees
- Department of Anaesthesia Prince Charles Hospital Llantrisant UK
| |
Collapse
|
26
|
Ellis H. Advances in general surgery 50 years ago. Br J Hosp Med (Lond) 2021; 82:1-2. [PMID: 34076513 DOI: 10.12968/hmed.2020.0726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
In 1971, some of the new advances that were set to change the field of general surgery included theories about the development of peptic ulcers, new treatments for varicose veins and pioneering work in the introduction of day case surgery.
Collapse
Affiliation(s)
- Harold Ellis
- c/o British Journal of Hospital Medicine, London, UK
| |
Collapse
|
27
|
Sagoo MG, Vorstenbosch MATM, Bazira PJ, Ellis H, Kambouri M, Owen C. Online Assessment of Applied Anatomy Knowledge: The Effect of Images on Medical Students' Performance. Anat Sci Educ 2021; 14:342-351. [PMID: 32289198 DOI: 10.1002/ase.1965] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Revised: 02/17/2020] [Accepted: 04/05/2020] [Indexed: 06/11/2023]
Abstract
Anatomical examinations have been designed to assess topographical and/or applied knowledge of anatomy with or without the inclusion of visual resources such as cadaveric specimens or images, radiological images, and/or clinical photographs. Multimedia learning theories have advanced the understanding of how words and images are processed during learning. However, the evidence of the impact of including anatomical and radiological images within written assessments is sparse. This study investigates the impact of including images within clinically oriented single-best-answer questions on students' scores in a tailored online tool. Second-year medical students (n = 174) from six schools in the United Kingdom participated voluntarily in the examination, and 55 students provided free-text comments which were thematically analyzed. All questions were categorized as to whether their stimulus format was purely textual or included an associated image. The type (anatomical and radiological image) and deep structure of images (question referring to a bone or soft tissue on the image) were taken into consideration. Students scored significantly better on questions with images compared to questions without images (P < 0.001), and on questions referring to bones than to soft tissue (P < 0.001), but no difference was found in their performance on anatomical and radiological image questions. The coding highlighted areas of "test applicability" and "challenges faced by the students." In conclusion, images are critical in medical practice for investigating a patient's anatomy, and this study sets out a way to understand the effects of images on students' performance and their views in commonly employed written assessments.
Collapse
Affiliation(s)
- Mandeep Gill Sagoo
- Department of Anatomy, School of Centre for Education, King's College London, London, United Kingdom
| | - Marc A T M Vorstenbosch
- Department of Anatomy, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
| | - Peter J Bazira
- Centre for Anatomical and Human Sciences, Hull York Medical School, York, United Kingdom
| | - Harold Ellis
- Department of Anatomy, School of Centre for Education, King's College London, London, United Kingdom
| | - Maria Kambouri
- Department of Psychology and Human Development, Institute of Education, University College London, London, United Kingdom
| | - Charlie Owen
- Thomas Coram Research Unit, Institute of Education, University College London, London, United Kingdom
| |
Collapse
|
28
|
Ellis H. The 'bladder daddies' on the surgical wards. J Perioper Pract 2021; 31:306-307. [PMID: 33906498 DOI: 10.1177/1750458920985330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Harold Ellis
- Retired Emeritus Professor of Surgery, London, UK
| |
Collapse
|
29
|
|
30
|
Ellis H. The trousers' trap: an unusual injury that changed history. J Perioper Pract 2021; 31:199-200. [PMID: 33788647 DOI: 10.1177/1750458920978150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Harold Ellis
- Retired Emeritus Professor of Surgery, London, UK
| |
Collapse
|
31
|
Ellis H. Thomas Willis: physician who described the circle of Willis, the arterial anastomosis at the base of the brain. Br J Hosp Med (Lond) 2021; 82:1-2. [PMID: 33646027 DOI: 10.12968/hmed.2020.0725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Thomas Willis is known for the discovery and description of the circle of Willis, but his contributions to the development of medicine were much broader, including the first use of the term 'neurology'.
Collapse
Affiliation(s)
- Harold Ellis
- c/o British Journal of Hospital Medicine, London, UK
| |
Collapse
|
32
|
Ellis H. Charles Byrne, the Irish Giant, whose skeleton is preserved in the Hunterian Museum at the Royal College of Surgeons. J Perioper Pract 2021; 31:114-115. [PMID: 33413008 DOI: 10.1177/1750458920950164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
33
|
|
34
|
Ellis H. 'An operation under difficulties' 100 years ago. Br J Hosp Med (Lond) 2020; 81:1-2. [PMID: 33377828 DOI: 10.12968/hmed.2020.0387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
In a change from recalling births, deaths or medical discoveries, this article looks at a paper published in The Lancet 100 years ago. Occupying a little more than a single column, its vivid description of an operation carried out successfully under primitive conditions will be of great interest.
Collapse
Affiliation(s)
- Harold Ellis
- King's College London School of Medical Education, London, UK
| |
Collapse
|
35
|
Ellis H. Robert Lawrence, diabetic and Father of the diabetic clinic. J Perioper Pract 2020; 30:395-396. [PMID: 32600185 DOI: 10.1177/1750458920932044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- Harold Ellis
- Department of Anatomy, University of London, Guy's Hospital, London, UK
| |
Collapse
|
36
|
Ellis H. Richard Wiseman: the best known English surgeon of the 17th century. Br J Hosp Med (Lond) 2020; 81:1-2. [PMID: 33263470 DOI: 10.12968/hmed.2020.0386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
This year marks the 400th anniversary of the birth of Richard Wiseman, acknowledged to be the best known surgeon in this country in the 17th century. His authorship of the surgical textbook Several Chirurgical Treatises gave him the well-deserved reputation for being regarded as the father of English surgery.
Collapse
Affiliation(s)
- Harold Ellis
- King's College London School of Medical Education, London, UK
| |
Collapse
|
37
|
Affiliation(s)
- Harold Ellis
- Emeritus Professor of Surgery, University of London, Department of Anatomy, Guy's Hospital, London, UK
| |
Collapse
|
38
|
Ellis H. Sir Astley Cooper, a great surgeon, who reported his failures as well as his successes. J Perioper Pract 2020; 30:360-361. [PMID: 33135592 DOI: 10.1177/1750458920944374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- Harold Ellis
- Department of Anatomy, Guy's Hospital, London, UK
| |
Collapse
|
39
|
Wilkins D, O'Sullivan O, Sayer J, Penny L, Roiz de Sa D, Ellis H, Dharm-Datta S. Neurological rehabilitation following heat illness in the UK Armed Forces. BMJ Mil Health 2020; 168:320-323. [DOI: 10.1136/bmjmilitary-2020-001602] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 08/25/2020] [Accepted: 08/28/2020] [Indexed: 11/04/2022]
Abstract
Heat illness remains a significant threat to health in the UK Armed Forces despite recent improvements in the prevention of cases. A small number of heat illness survivors develop long-term neurological sequelae. Here we briefly review the background literature and present our experience of treating UK Armed Forces patients with neurological consequences of heat illness. In our cohort of patients, we observed significant improvements in subjective symptoms and objective assessments following a period of neurological rehabilitation at the Defence Medical Rehabilitation Centre. We conclude with recommendations for further research and for the incorporation of screening for neurological disability following heat illness into service policy.
Collapse
|
40
|
Ellis H. Academic surgery in the UK and the Surgical Research Society 50 years ago. Br J Hosp Med (Lond) 2020; 81:1-2. [PMID: 33135924 DOI: 10.12968/hmed.2020.0385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Fifty years ago, in 1970, academic surgical units had finally been established throughout the universities in the UK. Such departments had been created in the Scottish university cities in the 19th century; some medical schools in London had resisted this custom, but by now these bastions of the old system had surrendered!
Collapse
Affiliation(s)
- Harold Ellis
- King's College London School of Medical Education, London, UK
| |
Collapse
|
41
|
Ellis H. Augustus Volney Waller: physiologist who described distal degeneration of severed nerve fibres. Br J Hosp Med (Lond) 2020; 81:1-2. [PMID: 32990076 DOI: 10.12968/hmed.2020.0384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Most readers will be familiar with the term 'Wallerian degeneration' - the degenerative changes that take place in nerve fibres distal to the site of their division. Few, I would respectfully suggest, would know very much about the discoverer of this phenomenon, Augustus Waller. This year marks the 200th anniversary of his death.
Collapse
Affiliation(s)
- Harold Ellis
- School of Medical Education, King's College London, London, UK
| |
Collapse
|
42
|
Ellis H. General William Gorgas: outstanding medical administrator. Br J Hosp Med (Lond) 2020; 81:1-2. [PMID: 32845757 DOI: 10.12968/hmed.2020.0383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
This year marks the 100th anniversary of the death of General William Crawford Gorgas, probably the most famous public health administrator, who first achieved fame for his work in dealing with the epidemic of yellow fever in Cuba in the early 20th century.
Collapse
Affiliation(s)
- Harold Ellis
- School of Medical Education, King's College London, London, UK
| |
Collapse
|
43
|
Ellis H. James Syme: distinguished Edinburgh surgeon of the 19th century. Br J Hosp Med (Lond) 2020; 81:1-2. [PMID: 32730157 DOI: 10.12968/hmed.2020.0382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
This year marks the 150th anniversary of the death of James Syme, one of the most distinguished members of the Edinburgh school of surgery in the 19th century.
Collapse
Affiliation(s)
- Harold Ellis
- King's College London School of Medical Education, London, UK
| |
Collapse
|
44
|
Abstract
This year marks the 150th anniversary of the birth of Jules Jean Baptiste Vincent Bordet, to give him his full name, the Belgian immunologist and bacteriologist.
Collapse
Affiliation(s)
- Harold Ellis
- School of Medical Education, King's College London, London, UK
| |
Collapse
|
45
|
Ellis H. Edward Halloran Bennett: Remembered for describing fracture of the proximal part of the metacarpal of the thumb. J Perioper Pract 2020; 30:242-243. [PMID: 32436813 DOI: 10.1177/1750458920916704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Harold Ellis
- Department of Anatomy, University of London, Guy's Hospital, London, UK
| |
Collapse
|
46
|
Ellis H. Sir William Macewen and the first successful excision of an intracranial tumour. J Perioper Pract 2020; 30:283-284. [PMID: 32436811 DOI: 10.1177/1750458920915162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Harold Ellis
- Department of Anatomy, University of London, Guy's Hospital, London, UK
| |
Collapse
|
47
|
Ellis H. State of the art urology 100 years ago. Br J Hosp Med (Lond) 2020; 81:1-2. [PMID: 32468946 DOI: 10.12968/hmed.2020.0109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
One hundred years ago, on 27 May 1920, the inaugural meeting of the Section of Urology was held at the Royal Society of Medicine in London. The lecture, by Sir Peter Freyer KCB, paints a vivid picture of the state of art of urological surgery a century ago.
Collapse
Affiliation(s)
- Harold Ellis
- School of Medical Education, King's College London, London, UK
| |
Collapse
|
48
|
Affiliation(s)
- Harold Ellis
- Department of Anatomy, Guy's Hospital, University of London, London, UK
| |
Collapse
|
49
|
Ellis H. Management of breast cancer 50 years ago. Br J Hosp Med (Lond) 2020; 81:1-2. [PMID: 32239991 DOI: 10.12968/hmed.2020.0013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
In 1970, 50 years ago, I had headed the newly established Academic Unit of Surgery at the Westminster Medical School for 10 years. Since my appointment there in 1960, and for the next 30 years, one of my main interests as a general surgeon was the management of diseases of the breast - breast cancer in particular.
Collapse
Affiliation(s)
- Harold Ellis
- Guy's, King's and St Thomas' School of Biomedical Sciences, London, UK
| |
Collapse
|
50
|
Ellis H. The story of infantile pyloric stenosis. J Perioper Pract 2020; 30:79-80. [PMID: 32116120 DOI: 10.1177/1750458920903246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Harold Ellis
- Department of Anatomy, Guy's Hospital, University of London, London, UK
| |
Collapse
|