BackgroundAcute appendicitis is a common general surgical condition where diagnosis is predominan... more BackgroundAcute appendicitis is a common general surgical condition where diagnosis is predominantly clinical, with the aid of adjunct investigations. This study reviews the relationship between normal and elevated biochemical inflammatory markers, duration of symptoms and proven appendicitis.MethodsA multicentre prospective observational study was performed across 27 centres and included a total of 949 patients with clinical suspicion of appendicitis, who had both white cell count (WCC) and C‐reactive protein (CRP) recorded and underwent appendicectomy.ResultsA total of 90.4% of patients with raised WCC and CRP had appendicitis with a positive predictive value (PPV) of 0.9 and negative predictive value (NPV) of 0.4. Sensitivity and specificity of elevated WCC (sensitivity 66.5%, specificity 66.0%) and elevated CRP (sensitivity 77.3%, specificity 52.0%) lie within ranges identified by previous studies. A total of 39.8% of patients with normal CRP and WCC had appendicitis. Sensitivit...
Power amplifiers based on impact-avalanche-transit-time (IMPATT) diodes developed for operation i... more Power amplifiers based on impact-avalanche-transit-time (IMPATT) diodes developed for operation in communication systems at frequencies near 60 GHz. Built in seven modular stages, power transferred through sections of waveguide and isolator/circulator assemblies. Intended as replacements for bulkier and heavier traveling-wave-tube amplifiers.
AimSurgical site infection (SSI) is a common complication following emergency laparotomy, occurri... more AimSurgical site infection (SSI) is a common complication following emergency laparotomy, occurring in around 25% of patients in UK practice. The adoption of single‐use negative‐pressure dressings (SUNPDs) has been proposed as a prophylactic method of reducing the rate of SSI. The primary aim of the randomized controlled trial (RCT) described herein is to determine if a SUNPD reduces SSI at 30 days after an emergency laparotomy.MethodThe Single Use Negative pRessure dressing for Reduction In Surgical site infection following Emergency laparotomy (SUNRRISE) study is an international, multicentre, pragmatic, phase III RCT with internal feasibility phase. As stated, the primary aim is to determine if a SUNPD reduces SSI at 30 days postoperatively. Patients will be randomized in a 1:1 ratio to receive either a SUNPD or a dressing of the surgeon's preference. Outcome assessors will be blinded to treatment allocation. The primary outcome measure is SSI within 30 days of surgery as def...
Acute colonic pseudo-obstruction (ACPO) is a functional disorder of the large intestine distingui... more Acute colonic pseudo-obstruction (ACPO) is a functional disorder of the large intestine distinguished by colonic dysmotility resulting in colonic distension in the absence of mechanical obstruction. The underlying pathophysiology of ACPO remains unclear despite technological advances in understanding the physiology of colonic motility, such as spatio-temporal mapping and high-resolution manometry. In many ways, the management of ACPO has remained relatively unchanged for 40 years. Patients with perforation or suspected ischemia undergo operative intervention, while patients without undergo initial conservative management with bowel rest, correction of electrolyte disturbances, and mobilization. Patients who fail conservative management or have prominent cecal dilatation undergo decompression with either neostigmine or colonoscopy. A subset of patients with ACPO will have recurrent symptoms despite endoscopic and medical management. For these patients who are difficult to manage, an ...
... After the appearence of the Reverend Marius Byleveld, the personification of Helen's nei... more ... After the appearence of the Reverend Marius Byleveld, the personification of Helen's neighbors, the play is devoted to whether Helen should remain ... When NPR reporter, John Matisonn, asked Miss Bently if she thought that there might ever come a time when black Americans ...
Ingestion of a foreign body is a rare cause of small bowel obstruction. Ingested foreign bodies w... more Ingestion of a foreign body is a rare cause of small bowel obstruction. Ingested foreign bodies will usually pass without clinical sequelae, however on occasion can contribute to significant morbidity. Here we present an unusual case of small bowel obstruction and perforation as a result of accidental ingestion of a nectarine pit.
... The male's role is extremely important to Asian traditional family hierar-chy, the A... more ... The male's role is extremely important to Asian traditional family hierar-chy, the American Indian sense of community, the Hispanic notion of ... with a female therapist, and HispanicLatino men prefer to address machismo-related issues with male clinicians (Comas-Diaz, 1989). ...
This study assessed the Anti-Stigma Project workshop, a contact/education intervention developed ... more This study assessed the Anti-Stigma Project workshop, a contact/education intervention developed by On Our Own of Maryland, Inc. and the Maryland Mental Hygiene Administration. Two separate randomized controlled trials administered pre- and post-test questionnaire assessments. One included people with mental illness (N = 127) and a second included mental health providers (N = 131). Post-intervention, people with mental illness were more aware of stigma, had lower levels of prejudice, and increased belief in recovery. Providers were more aware of stigma, had lower levels of prejudice, and increased concurrence in self-determination of people with mental illness. Increasing providers' stigma awareness and recognition can promote higher quality service delivery. Increasing stigma awareness and recognition for people with mental illness can foster confidence in overcoming psychiatric disabilities. Using a participatory action research team, our protocol included extant and newly developed stigma change tools. Organizations seeking to conduct effective evaluation studies should consider collaborative processes including the expertise of affected constituents.
... Abrams, Nolan E. Clark, William D. Ferguson, Richard D. Freer, Donald W. Fyr, William T. Mayt... more ... Abrams, Nolan E. Clark, William D. Ferguson, Richard D. Freer, Donald W. Fyr, William T. Mayton, Fred S. McChesney, Thomas D. Morgan ... claim that the legislative history reveals almost nothing that might settle any Sherman Act question.8 Courts have thus wisely ignored this ...
... Theatre for Africa, an innovative and superbly trained group organized two-and-a-half years a... more ... Theatre for Africa, an innovative and superbly trained group organized two-and-a-half years ago according to its own publication, is headed by Nicholas Ellenbogen, a performer and ... Swami was first staged in 1968 by its author, Shah Theatre Academy leader Ronnie Govender. ...
Page 1. 163 SATJ 8/2 September 1994 THE 1994 GRAHAMSTOWN FESTIVAL Michael Arthur and Tom Arthur J... more Page 1. 163 SATJ 8/2 September 1994 THE 1994 GRAHAMSTOWN FESTIVAL Michael Arthur and Tom Arthur James Madison University, USA It has been said time and again that the Grahamstown Festival is like a mirror held up to South African society. ...
A statewide data collection effort was implemented to assess the validity and reliability of a 52... more A statewide data collection effort was implemented to assess the validity and reliability of a 52-item consumer assessment instrument of the cultural competency mental health providers. Following a 2-year, community-driven instrument development process, a consumer assessment tool was administered to 238 African American, Latino, and Vietnamese American mental health consumers across the state of Maryland. A subsequent principal components analysis indicated that 44 of the 52 items loaded on one of four factors, which accounted for 52% of the variance in the principal components analysis. It was also found that the overall instrument had a Cronbach’s alpha of .92. The authors conclude that although these findings suggest this scale has good psychometric properties and can be used as a clinical tool in the assessment of the cultural competency of mental health providers, more work is needed to finetune the scale.
... The male's role is extremely important to Asian traditional family hierar-chy, the A... more ... The male's role is extremely important to Asian traditional family hierar-chy, the American Indian sense of community, the Hispanic notion of ... with a female therapist, and HispanicLatino men prefer to address machismo-related issues with male clinicians (Comas-Diaz, 1989). ...
BackgroundAcute appendicitis is a common general surgical condition where diagnosis is predominan... more BackgroundAcute appendicitis is a common general surgical condition where diagnosis is predominantly clinical, with the aid of adjunct investigations. This study reviews the relationship between normal and elevated biochemical inflammatory markers, duration of symptoms and proven appendicitis.MethodsA multicentre prospective observational study was performed across 27 centres and included a total of 949 patients with clinical suspicion of appendicitis, who had both white cell count (WCC) and C‐reactive protein (CRP) recorded and underwent appendicectomy.ResultsA total of 90.4% of patients with raised WCC and CRP had appendicitis with a positive predictive value (PPV) of 0.9 and negative predictive value (NPV) of 0.4. Sensitivity and specificity of elevated WCC (sensitivity 66.5%, specificity 66.0%) and elevated CRP (sensitivity 77.3%, specificity 52.0%) lie within ranges identified by previous studies. A total of 39.8% of patients with normal CRP and WCC had appendicitis. Sensitivit...
Power amplifiers based on impact-avalanche-transit-time (IMPATT) diodes developed for operation i... more Power amplifiers based on impact-avalanche-transit-time (IMPATT) diodes developed for operation in communication systems at frequencies near 60 GHz. Built in seven modular stages, power transferred through sections of waveguide and isolator/circulator assemblies. Intended as replacements for bulkier and heavier traveling-wave-tube amplifiers.
AimSurgical site infection (SSI) is a common complication following emergency laparotomy, occurri... more AimSurgical site infection (SSI) is a common complication following emergency laparotomy, occurring in around 25% of patients in UK practice. The adoption of single‐use negative‐pressure dressings (SUNPDs) has been proposed as a prophylactic method of reducing the rate of SSI. The primary aim of the randomized controlled trial (RCT) described herein is to determine if a SUNPD reduces SSI at 30 days after an emergency laparotomy.MethodThe Single Use Negative pRessure dressing for Reduction In Surgical site infection following Emergency laparotomy (SUNRRISE) study is an international, multicentre, pragmatic, phase III RCT with internal feasibility phase. As stated, the primary aim is to determine if a SUNPD reduces SSI at 30 days postoperatively. Patients will be randomized in a 1:1 ratio to receive either a SUNPD or a dressing of the surgeon's preference. Outcome assessors will be blinded to treatment allocation. The primary outcome measure is SSI within 30 days of surgery as def...
Acute colonic pseudo-obstruction (ACPO) is a functional disorder of the large intestine distingui... more Acute colonic pseudo-obstruction (ACPO) is a functional disorder of the large intestine distinguished by colonic dysmotility resulting in colonic distension in the absence of mechanical obstruction. The underlying pathophysiology of ACPO remains unclear despite technological advances in understanding the physiology of colonic motility, such as spatio-temporal mapping and high-resolution manometry. In many ways, the management of ACPO has remained relatively unchanged for 40 years. Patients with perforation or suspected ischemia undergo operative intervention, while patients without undergo initial conservative management with bowel rest, correction of electrolyte disturbances, and mobilization. Patients who fail conservative management or have prominent cecal dilatation undergo decompression with either neostigmine or colonoscopy. A subset of patients with ACPO will have recurrent symptoms despite endoscopic and medical management. For these patients who are difficult to manage, an ...
... After the appearence of the Reverend Marius Byleveld, the personification of Helen's nei... more ... After the appearence of the Reverend Marius Byleveld, the personification of Helen's neighbors, the play is devoted to whether Helen should remain ... When NPR reporter, John Matisonn, asked Miss Bently if she thought that there might ever come a time when black Americans ...
Ingestion of a foreign body is a rare cause of small bowel obstruction. Ingested foreign bodies w... more Ingestion of a foreign body is a rare cause of small bowel obstruction. Ingested foreign bodies will usually pass without clinical sequelae, however on occasion can contribute to significant morbidity. Here we present an unusual case of small bowel obstruction and perforation as a result of accidental ingestion of a nectarine pit.
... The male's role is extremely important to Asian traditional family hierar-chy, the A... more ... The male's role is extremely important to Asian traditional family hierar-chy, the American Indian sense of community, the Hispanic notion of ... with a female therapist, and HispanicLatino men prefer to address machismo-related issues with male clinicians (Comas-Diaz, 1989). ...
This study assessed the Anti-Stigma Project workshop, a contact/education intervention developed ... more This study assessed the Anti-Stigma Project workshop, a contact/education intervention developed by On Our Own of Maryland, Inc. and the Maryland Mental Hygiene Administration. Two separate randomized controlled trials administered pre- and post-test questionnaire assessments. One included people with mental illness (N = 127) and a second included mental health providers (N = 131). Post-intervention, people with mental illness were more aware of stigma, had lower levels of prejudice, and increased belief in recovery. Providers were more aware of stigma, had lower levels of prejudice, and increased concurrence in self-determination of people with mental illness. Increasing providers' stigma awareness and recognition can promote higher quality service delivery. Increasing stigma awareness and recognition for people with mental illness can foster confidence in overcoming psychiatric disabilities. Using a participatory action research team, our protocol included extant and newly developed stigma change tools. Organizations seeking to conduct effective evaluation studies should consider collaborative processes including the expertise of affected constituents.
... Abrams, Nolan E. Clark, William D. Ferguson, Richard D. Freer, Donald W. Fyr, William T. Mayt... more ... Abrams, Nolan E. Clark, William D. Ferguson, Richard D. Freer, Donald W. Fyr, William T. Mayton, Fred S. McChesney, Thomas D. Morgan ... claim that the legislative history reveals almost nothing that might settle any Sherman Act question.8 Courts have thus wisely ignored this ...
... Theatre for Africa, an innovative and superbly trained group organized two-and-a-half years a... more ... Theatre for Africa, an innovative and superbly trained group organized two-and-a-half years ago according to its own publication, is headed by Nicholas Ellenbogen, a performer and ... Swami was first staged in 1968 by its author, Shah Theatre Academy leader Ronnie Govender. ...
Page 1. 163 SATJ 8/2 September 1994 THE 1994 GRAHAMSTOWN FESTIVAL Michael Arthur and Tom Arthur J... more Page 1. 163 SATJ 8/2 September 1994 THE 1994 GRAHAMSTOWN FESTIVAL Michael Arthur and Tom Arthur James Madison University, USA It has been said time and again that the Grahamstown Festival is like a mirror held up to South African society. ...
A statewide data collection effort was implemented to assess the validity and reliability of a 52... more A statewide data collection effort was implemented to assess the validity and reliability of a 52-item consumer assessment instrument of the cultural competency mental health providers. Following a 2-year, community-driven instrument development process, a consumer assessment tool was administered to 238 African American, Latino, and Vietnamese American mental health consumers across the state of Maryland. A subsequent principal components analysis indicated that 44 of the 52 items loaded on one of four factors, which accounted for 52% of the variance in the principal components analysis. It was also found that the overall instrument had a Cronbach’s alpha of .92. The authors conclude that although these findings suggest this scale has good psychometric properties and can be used as a clinical tool in the assessment of the cultural competency of mental health providers, more work is needed to finetune the scale.
... The male's role is extremely important to Asian traditional family hierar-chy, the A... more ... The male's role is extremely important to Asian traditional family hierar-chy, the American Indian sense of community, the Hispanic notion of ... with a female therapist, and HispanicLatino men prefer to address machismo-related issues with male clinicians (Comas-Diaz, 1989). ...
Uploads
Papers by Thomas Arthur