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1.  Multicentre randomised double bind crossover trial on contamination of conventional ties and bow ties in routine obstetric and gynaecological practice. 
BMJ : British Medical Journal  1993;307(6919):1582-1584.
OBJECTIVE--To assess level of contamination of neckwear worn by gynaecologists and obstetricians during routine working week. DESIGN--Multicentre randomised double blind crossover trial. Participants wore the same conventional ties for three days in one week and bow ties for the same period in second week. SETTING--Two teaching and three district general hospitals in the midlands, Wales, and north England. SUBJECTS--15 registrars and senior registrars. INTERVENTIONS--A swab soaked in sterile saline was taken from specific area on ties at end of first and third working days and sent in transport medium for culture on chocolatised blood and MacConkey agar for 48 hours. MAIN OUTCOME MEASURES--Level of bacteriological growth assessed semiquantitatively (0 for no contamination; for heavy contamination) after swabs had been cultured. At end of study the participants completed a questionnaire to assess their attitude toward wearing different types of necktie. RESULTS--12 doctors (80%) completed the study. Although bow ties were significantly less contaminated at end of first working day (z = -2.354, p = 0.019), this difference was not maintained; there was no difference in level of contamination on third day. Level of contamination did not increase between first and third day of wearing the same garment. One of the 10 doctors who returned the questionnaire found the bow tie very uncomfortable. All participants would consider wearing a bow tie if it proved to be less contaminated than a conventional tie. CONCLUSIONS--Although a significant difference in contamination was established between conventional and bow ties on first day of study, this difference was not confirmed on third day and there is unlikely to be any real association between tie type and bacterial contamination. Because of its negative image and difficulty to tie, the bow tie will probably remain a minority fashion.
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PMCID: PMC1697785  PMID: 8292945
2.  Metachromatic leukodystrophy: two sides of a coin. 
BMJ : British Medical Journal  1993;307(6919):1631-1632.
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PMCID: PMC1697778  PMID: 8292966
3.  Left handedness. 
BMJ : British Medical Journal  1993;307(6919):1577-1578.
PMCID: PMC1697775  PMID: 8292942
4.  Charcot and his visits to Britain. 
BMJ : British Medical Journal  1993;307(6919):1589-1591.
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PMCID: PMC1697759  PMID: 8292949
5.  Was Young's syndrome caused by exposure to mercury in childhood? 
BMJ : British Medical Journal  1993;307(6919):1579-1582.
OBJECTIVE--To determine whether the incidence of chronic sinusitis, bronchitis, or bronchiectasis in men with obstructive azoospermia (Young's syndrome) has fallen in men born after 1955 when calomel (mercurous chloride) was removed from teething powders and worm medication in the United Kingdom. DESIGN--A prospective study of aetiological factors in subfertile men with epididymal obstruction operated on between 1975 and 1993. SETTING--Central London. SUBJECTS--274 men with obstructive azoospermia undergoing epididymovasostomy; date of birth was recorded and illness in childhood, persistent nasal or respiratory symptoms, and previous urinary or genital infection were asked about. MAIN OUTCOME MEASURE--Site of epididymal block and association with possible aetiological factors, related to date of birth. RESULTS--146 men had hold up in the head of the epididymis (capital blocks): 119 (82%) had Young's syndrome, and 11 gave a definite history of pink disease (mercury intoxication) in childhood. 128 had obstruction lower down towards the tail of the epididymis (caudal blocks): 64 (50%) had a history of genital or urinary infection, and only three had Young's syndrome; none had had pink disease. The incidence of Young's syndrome fell significantly from 114 (50%) of 227 men born up to 1955 to eight (17%) of 47 men born since then. CONCLUSIONS--The decline in incidence of Young's syndrome in those born after 1955 is similar to that observed with pink disease, suggesting that both conditions may have had a similar aetiology--mercury intoxication.
PMCID: PMC1697782  PMID: 8292944
6.  A Christmas tale 
BMJ : British Medical Journal  1993;307(6919):1606.
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PMCID: PMC1697794
7.  Big brother is looking after your health. 
BMJ : British Medical Journal  1993;307(6919):1623-1624.
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PMCID: PMC1697793  PMID: 8292961
8.  Gumboots at the Christmas party 
BMJ : British Medical Journal  1993;307(6919):1613-1614.
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PMCID: PMC1697792
9.  Getting started 
BMJ : British Medical Journal  1993;307(6919):1619-1620.
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PMCID: PMC1697791
10.  Hillingdon country Hospital 1930-3 
BMJ : British Medical Journal  1993;307(6919):1621-1622.
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PMCID: PMC1697790
11.  Christmas 1937 in the children's ward 
BMJ : British Medical Journal  1993;307(6919):1618-1619.
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PMCID: PMC1697789
12.  PHOTO FINISH 
BMJ : British Medical Journal  1993;307(6919):1633-1634.
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PMCID: PMC1697788
13.  The Midas touch? 
BMJ : British Medical Journal  1993;307(6919):1587-1588.
OBJECTIVE--To test the hypothesis that GP trainees are worth their weight in gold. DESIGN--Data collected from 100 consecutive patients analysed with reference to practice statistics, fees, and allowances. SETTING--General practice, Edinburgh. RESULTS--In the year April 1992 to April 1993 the trainee saw 3439 patients, who were worth over 18,000 pounds in capitation fees. The training grant is 4570 pounds, the trainee performed child health surveillance worth 1000 pounds, and items of service fees earned more than 8500 pounds. The trainee brought over 31,000 pounds into the practice in one year. CONCLUSION--Trainees are (almost) worth their weight in gold.
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PMCID: PMC1697780  PMID: 8292947
14.  The knowledge disease. 
BMJ : British Medical Journal  1993;307(6919):1578.
PMCID: PMC1697777  PMID: 8292943
15.  A summons to Carthage, December 1943. 
BMJ : British Medical Journal  1993;307(6919):1595-1596.
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PMCID: PMC1697776  PMID: 8292951
16.  A commission of lunacy, mad doctors, and happy hunting. 
BMJ : British Medical Journal  1993;307(6919):1603-1606.
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PMCID: PMC1697774  PMID: 8292955
17.  Mongolia: a health system in transition. 
BMJ : British Medical Journal  1993;307(6919):1609-1611.
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PMCID: PMC1697772  PMID: 8292957
18.  Refugee children. 
BMJ : British Medical Journal  1993;307(6919):1576-1577.
PMCID: PMC1697771  PMID: 8292941
19.  Travelling as a doctor. 
BMJ : British Medical Journal  1993;307(6919):1611-1613.
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PMCID: PMC1697770  PMID: 8292958
20.  Ensuring the robustness of targeted briefs. 
BMJ : British Medical Journal  1993;307(6919):1626-1627.
PMCID: PMC1697767  PMID: 8292963
21.  Cover story: Kitaj's "Heart attack". 
BMJ : British Medical Journal  1993;307(6919):1617.
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PMCID: PMC1697766  PMID: 8292960
22.  Walking across Antarctica. 
BMJ : British Medical Journal  1993;307(6919):1599-1601.
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PMCID: PMC1697763  PMID: 8292953
23.  Medical women in the first world war--ranking nowhere. 
BMJ : British Medical Journal  1993;307(6919):1592-1594.
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PMCID: PMC1697762  PMID: 8292950
24.  Consultatio epistulae--the way forward? 
BMJ : British Medical Journal  1993;307(6919):1624-1625.
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PMCID: PMC1697758  PMID: 8292962
25.  Deprivation and health. 
BMJ : British Medical Journal  1993;307(6919):1630-1631.
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PMCID: PMC1697787  PMID: 8292965

Results 1-25 (3273)