Medicine and Health Sciences Commons^™

Indications For Resection Of Metastatic Liver Lesions, Vivian C. Mcalister

Vivian C. McAlister

No abstract provided.

Pancreatic Cancer: Define Unresectable, Vivian C. Mcalister

Vivian C. McAlister

No abstract provided.

Four Centuries Of Military Surgery In Canada, Vivian C. Mcalister

Vivian C. McAlister

No abstract provided.

London City Life: A Call To Service, Mary Ann Colohan

Vivian C. McAlister

Reuters Health: Factor Vii Curbs Bleeding In Non-Hemophiliac Trauma, Surgical Patients

Vivian C. McAlister

Use of recombinant activated factor VII (rFVIIa) reduces the need for blood transfusion in patients without hemophilia and may also reduce mortality, according to pooled data from randomized placebo-controlled trials involving more than 3000 participants, Canadian researchers report. "I had found it to be effective in some combat situations in Afghanistan," senior investigator Dr. Vivian C. McAlister told Reuters Health.

Waiting For Liver Transplantation In Canada: Waitlist History 2000--2004 And Sensitivity Analysis For The Future., David Stanford, Elizabeth Renouf, Vivian C. Mcalister

Vivian C. McAlister

Report Of The Global Health Task Force, Vivian C. Mcalister

Vivian C. McAlister

The mandate of the Global Health Task Force was to advise the Dean regarding the development of Global Health at SSMD by broadly analyzing Global and international Health activities, within SSMD at The University of Western Ontario and in other Canadian universities, in order to make recommendations with respect to scope, coordinating structure, required administrative support, existing and potential academic activity and placement within the formal undergraduate curriculum for medical and dental students, as well as elective offerings and volunteer opportunities that may also involve students from professional programs within the Faculty of Health Sciences. The Task Force reviewed structures …

In Search Of The Anglophone Doctor In Jacques Ferron’S Story “Le Petit William”, Vivian C. Mcalister, Christiane I. Mcalister

Vivian C. McAlister

"Body Contouring After Massive Weight Loss," Edited By A. Aly., Vivian C. Mcalister

Vivian C. McAlister

Nowhere is the failure of the health care system, as currently managed, more evident than in the surgical care of obesity. A marked contrast has emerged between surgery in the United States and Canada for these patients. It is not clear whether the reluctance to supply surgical services in Canada is due to a bias in favour of “more deserving” patients or whether the considerably higher rate of obesity surgery in the US is due to the excesses of private enterprise. Governments have acknowledged that an element of the former proposition is true by referring obese patients to centres in …

Sacred Disease Of Our Times: Failure Of The Infectious Disease Model Of Spongiform Encephalopathy, Vivian Mcalister

Vivian C. McAlister

BACKGROUND: Public health and agricultural policy attempts to keep bovine spongiform encephalopathy out of North America using infectious disease containment policies. Inconsistencies of the infectious disease model as it applies to the spongiform encephalopathies may result in failure of these policies.

METHODS: Review of historical, political and scientific literature to determine the appropriate disease model of spongiform encephalopathy.

PRINCIPAL FINDINGS: Spongiform encephalopathy has always occurred sporadically in man and other animals. Hippocrates may have described it in goats and cattle. Transmission of spongiform encephalopathy between individuals is too uncommon for it to be usefully considered an infection. Spongiform encephalopathy is …

Demarcated Truncal Jaundice: A Sign Of Retroperitoneal Bile Leakage, Vivian C. Mcalister, Alp Sener

Vivian C. McAlister

The characteristic feature of the clinical sign described here is the demarcation between jaundiced and unaffected areas of the body. The flanks and the genitalia are stained more than would be expected by examination of the sclera or estimation of bilirubin level. Superiorly, a horizontal line about 3 cm below the clavicles, corresponding to the insertion of the fascia of Scarpa into the clavipectoral fascia, allows an easy comparison between the jaundiced trunk and unaffected adjacent areas, such as the neck, shoulder, and arm. Similarly, a line 3 cm below the groin skin crease corresponds to the insertion of the …

Living Donor Liver Transplantation: Surgical Techniques And Innovations, Vivian C. Mcalister

Vivian C. McAlister

A colleague and I attended a talk about a set of liver transplant experiments in mice, which the speaker had designed to undermine a commonly held immunological belief. My companion (who should have known better) afterward asked me rhetorically, "What's next? Heart transplantation in a tadpole?"

When does the awe-inspiring give way to the commonplace? Technically wonderful surgery is considered ordinary not because it is commonly done but because the holder of this opinion has no image of the technique.

Not long ago, resectional hepatic surgery was followed by the development of orthotopic liver transplantation. Although both techniques have matured …

Living-Donor Liver Transplantation: Surgical Techniques And Innovations By Tanaka, Koichi Inomata, Yukihiro Kaihara, Santoshi, Vivian C. Mcalister

Vivian C. McAlister

Living-donor liver transplantation combines the techniques of hepatic resection and transplantation. The principal difference between living donation of liver and resection is the absolute requirement in the former to maintain the integrity of the liver on each side of the dividing line. To do this, the surgeon must retain the vascular supply and drainage of both sides throughout the dissection, up to the moment of graft removal. In this book, Tanaka and colleagues take us through the surgery in a manner that is at once detailed and exciting, through the generous use of magnificent electronic photography.

Surgical Limits: The Life Of Gordon Murray By Shelly Mckellar, Vivian C. Mcalister

Vivian C. McAlister

Gordon Murray ranks as Canada’s greatest surgical pioneer, to whom history has been most unkind. Shelley McKellar has written a surgical biography that goes a long way toward explaining how this came about, and gives us a good opportunity to reassess Murray’s extraordinary career.

Circulating Endothelial Cells After Transplantation, A. B. Salazar, Vivian C. Mcalister, R. Gupta, A. S. Macdonald

Vivian C. McAlister

Fate of renal allografts that survive vascular rejection To measure the outcome for grafts that survive early vascular rejection, we reassessed 411 biopsy samples taken from 260 patients in the first month after transplantation. Patients were separated into four classifications, according to Banff 1997 criteria: vascular rejection (36 patients); acute cellular rejection ([ACR] 30); no rejection (194); and 974 recipients from the same era who did not undergo biopsy. Other than graft histology, the groups did not differ for known adverse prognostic factors. The mean follow-up period was 6·03 years (SD 4·7). Graft survival is presented in the table. The …

Myopia Of Health-Care Reform Using Business Models, Macinnes Kenneth, Vivian C. Mcalister

Vivian C. McAlister

Background: Health-care institutions have looked to business for models to respond to the requirement for reform. This has changed the perspective of institutions that were founded on charitable principles, and managed with liberal employment policies and deficit budgeting. Using lesions from supply-side management, hospitals are fragmenting into independent programs with demands to balance budgets regardless of the source of cost.

Methods: Costs from the institution’s perspective are compared with those of the payer (province) using an example of a proposal to reduce costs in the surgical program by buying disposable drapes.

Results: The actual cost of disposable drapes bought from …

Canadian Medical Officers In The Royal Navy -- World War Ii By Harry Stafford Morton., Vivian C. Mcalister

Vivian C. McAlister

CANADIAN MEDICAL OFFICERS IN THE ROYAL NAVY -- WORLD WAR II. Harry Stafford Morton. 112 pp. Illust. Canadian Naval Memorial Trust, HMCS Sackville, PO Box 99000, Stn Forces, Halifax NS B3K 5X5. 2000. Can$18.00

At the beginning of the Second World War, the Royal Canadian Navy offered 90 medical officers on loan to the Royal Navy. The author was among that group, which included leaders in Canadian surgery such as Surgeon Lieutenant McLachlin of London, Ont. The history of these medical officers has not been written because it fell between histories of the Royal Canadian Navy and the Royal Navy. …

Sirolimus-Tacrolimus Combination Immunosuppression., Vivian C. Mcalister, Zu-Hua Gao, Kevork Peltekian, Javier Domingues, Kamran Mahalati, Allan S. Macdonald

Vivian C. McAlister

A series of 32 recipients of liver, kidney, or pancreas transplants who were treated with sirolimus and low-dose tacrolimus experienced a low rate of rejection and excellent graft function without drug-related toxic effects.

Harpoon Extraction Of A Common Bile Duct Stone Impacted At The Ampulla Of Vater With Needle-Knife Sphincterotome., Vivian C. Mcalister, Andre Roy, Ron Passi

Vivian C. McAlister

The urgency of dealing with impacted ampullary stones is underlined in the first case reported by Opie6 at the autopsy of a young woman. Impacted ampullary stones that prevent papillary cannulation and standard sphincterotomy make up less than 5% of common bile duct stones seen at ERCP.3 Several series suggest the safe use of needle-knife sphincterotomy to create a choledochoduodenal fistula or to allow subsequent standard sphincterotomy in this situation. These series have also reported failure to extract the stone so that surgical removal was required.3,4Successful sphincterotomy may facilitate the early diagnosis of tumors that cause the ampulla to bulge. …

Hereditary Angioneurotic Oedema--The Management Of The Problem In A Family, Vivian C. Mcalister, N Boland, I H. Al-Abdullah, J Greally

Vivian C. McAlister

Diagnosis and treatment of hereditary angioneurotic oedema (HAO) is described in a family. C1 esterase inhibitor (C1 INH) deficiency was confirmed with radial immunodiffusion and functional assays. The effect of treament with combinations of tranexamic acid, danazol and stanozolol on C1 INH levels are reported.