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He was born at Yarmouth on Ralph Outerbridge retired from orthopedics January 11 75mg tofranil for sale, 1814, the sixth child of Samuel and completely in 1986 and lived a full life until he Elizabeth Paget. Bowles’ school and the three elder went on to Charter- house, but owing to a slump in the family for- tunes, James and the younger sons finished their education privately. James, when 16 years old, started a four and a half years’ apprenticeship to Mr. Charles Costerton, an active and energetic medical practitioner of Yarmouth. During this period, Paget had experience of the first epidemic of Asiatic cholera, read many works on medicine, and with other apprentices attended a class of osteology. But apart from his strictly professional training, there were two activities that helped him later as a teacher of surgery. He eagerly embarked upon the study of botany, including plant collect- ing, and he was taught drawing and painting by Young Crome. In both of these pursuits he was encouraged by his mother, herself a collector, and who had been taught painting by Old Crome, a friend of her husband’s. Her skill was such that “some of her oil-paintings would anywhere pass for those of her master. Further- 256 Who’s Who in Orthopedics more, his botanical researches were sufficient to of Surgeons. The ten examiners Charles and James Paget published the Natural sat at the outer side of a long curved table. Each History of Great Yarmouth, wherein the flora and in turn took a candidate, and when he had fin- fauna of the neighborhood are described.

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If we expect people to continue helping us purchase tofranil 25 mg online, we should treat them with hon- esty and respect. X Overt research means that it is out in the open – every- one knows who the researcher is and what she is doing. No- body knows who the researcher is and what she is HOW TO BE AN ETHICAL RESEARCHER/ 155 doing. This type of work can give research a bad name and has personal safety implications for the researcher and for the people with whom she comes into contact. X It is an individual’s prerogative to refuse to take part in research – nobody should be forced, bullied or ca- joled into taking part. X If someone is thinking about helping with your re- search, they should be given a leaflet which includes the following information: – Details about who you are and the organisation for which you work. X A short Code of Ethics should be given to everyone who takes part in the research. This should include the following issues: – anonymity – confidentiality – right to comment – the final report – Data Protection. X A longer, more detailed Statement of Ethical Practice can be produced for anyone who requests a copy. Index action research, 16–17 dissemination, 60 aims and objectives, 56–57 anonymity, 151, 153 epistemology, 18 appendices, 138–139 ethics, 103 arithmetic mean, 127 ethnography, 17 extreme cases, 51 background research, 40–46 feminist research, 18 bibliography, 137–138 field notes, 106–107 bivariate analysis, 126 focus group summary form, 114 body language, 70, 76 frequency counts, 123 box-ticking, 64, 88 budgets, 59–60 gaining access, 102–103 generalising, 47 census, 47 grounded theory, 18–19 closed-ended questionnaires, 31, 87–88 heterogeneous samples, 51 cluster sample, 50 Code of Ethics, 150–154 interactive questionnaires, 32 comparative analysis, 115, 116 interlibrary loan service, 43 confidentiality, 151, 153 interval scales, 127 content analysis, 115, 118 interview schedule, 67–69 convenience sample, 51 interview summary form, 113 conversational analysis, 115, 119 interviewer-administered covering letter, 99 questionnaires, 87 covert participant observation, 33 journal articles, 140 Data Protection Act, 152–153 key informants, 107 direct observation, 32 discourse analysis, 115, 119 listening skills, 71 disproportionate stratified sample, 51 median, 127 157 158 / PRACTICAL RESEARCH METHODS memos, 112 reliability, 110 mode, 127 research ethics committees, 10– multivariate analysis, 126 11 research proposal, 55–63 nominal scales, 126 resources, 59–60 note-taking, 67 response rates, 97–98 open-ended questionnaires, 31, sample size, 49, 53 87–88 saturation point, 19 oral presentations, 141–142 secondary research, 40–42, 45 ordinal scales, 126–127 self-administered questionnaires, overt participant observation, 33 87–88 semi-structured interviews, 28–29 participant observation, 101–109 simple random sample, 50 personal disclosure, 69, 77 snowball sample, 50 personal profile form, 96 stratified random sample, 51 piloting a questionnaire, 95, 97 structured interviews, 29 prestige bias, 89 systematic sample, 51 primary research, 40–41, 45 probability samples, 48–51 tape recorder, 64–67, 80 probing, 71–73 thematic analysis, 115–116 purposive samples, 48–51 theoretical sampling, 51 timetables, 58–59 qualitative research, 14–16 transcripts, 112 quantitative research, 15–16 triangulation, 20 quasi-random sample, 51 questionnaire layout, 93–94 univariate analysis, 123 questionnaire length, 93–94 quota sample, 50 validity, 110 venue, 81–82 rapport, 28, 70–71 video recorder, 66, 80 recruitment, 82–83 referencing, 137–138 written reports, 131–139 . Dr Catherine Dawson 1 H ow to efine Your Project Before you start to think about your research, you need to ask yourself a few questions. If the answer to this question is because you have been told to do so, either by your tutor or by your boss, you need to think about how you’re to remain motivated throughout your project. It is important to stay interested in what you’re doing if you are to complete your project suc- cessfully. However, if you want to conduct some research because something has fascinated you, or you have identi- fied a gap in the research literature, then you are lucky and should not have a problem with motivation. Most of you do have this choice within the limitations of your subject – be creative and think about something which will fascinate you. However, if you have had the topic chosen for you, try instead choosing a re- search method which interests you.

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As with most aspects of this as the patients’ waiting room so that lunch buy tofranil 50mg with mastercard, by remarkable life, his medical career started with a necessity, had to finish by ten minutes to two. Born in 1909, he grew up in south those pre-antibiotic days, long-stay patients were London, being educated at Eltham College. At the lodged in a country hospital and there were age of 16 there was, it seems, a sharp disagree- several of these around London, for example ment between Furlong senior and the house Stanmore, Black Notley, Royal Sea Bathing master, who had taken exception to finding young at Margate and Lord Mayor Treloar’s at Alton. Furlong with his feet up on the mantelpiece while On Fridays, the “great man” from Harley some prospective parents were being shown Street/Teaching Hospital would come down in his round the school. Consequently, one week Rolls Royce, do his ward round, then operate on Furlong junior was a schoolboy and the next, Saturday morning. Sir Reginald Watson-Jones of 108 Who’s Who in Orthopedics the London Hospital went as far as Oswestry. Perkins hospital was the Church of England Home for thrust his hand into his mackintosh pocket, took Waifs and Strays at Pyrford, later renamed the out a large wad of pound notes, thrust them into Rowley Bristow Hospital. Furlong’s formative years were therefore spent He was, I understand, meant to come back as an between St. Thomas’ and Pyrford and periods out expert in spinal fusion and scoliosis, but spinal “on loan” to other friends. He was acclaimed for his surgeon to watch and much of the polish came via excellent monograph on hand injuries, published Sir Harold. Ronnie Furlong was to achieve inter- in the mid-1950s, but much of this was based on national acclaim in this field. He had a fine command of my registrar years was watching him do a of both written and spoken English, with an now unfashionable operation of fasciotomy for extraordinary ability to summarize complex con- Dupuytren’s contracture. As a registrar in the himself had a Dupuytren’s contracture in his left follow-up clinic, what more did you need to know little finger. Rowley Bristow had accounted for a about a patient than the simple statement “sciat- digital nerve and the situation had eventually been ica—all over the body! However, the Furlong diagnostic acumen was the tale of the Furlong thereafter had a touch of numbness on the butterfly, which was recounted to me by David ulnar side of his little finger, but it made no dif- Gruebel-Lee, chief assistant to Furlong and later ference to his technical excellence!

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Choking If airway obstruction caused by aspiration of a foreign body is witnessed or strongly suspected best 25mg tofranil, special measures to clear the airway must be undertaken. Encourage the child, who is conscious and is breathing spontaneously, to cough and clear the obstruction themselves. Intervention is only necessary if these attempts are clearly ineffective and respiration is inadequate. Never perform blind finger sweeps of the pharynx because these can impact a foreign body in the larynx. Use measures intended to create a sharp increase in pressure within the chest cavity, such as an artificial cough. Back blows Hold the infant or child in a prone position and deliver up to five blows to the middle of the back between the shoulder blades. This can be achieved by holding a small infant along the forearm or, for older children, across the thighs. The technique of chest thrusts is similar to that for chest compressions. The chest thrusts should be sharper and more vigorous than compressions and carried out at a slower rate of 20/min. Check mouth Back blows for choking infants and children are delivered between the Remove any visible foreign bodies. Breathe Attempt rescue breathing if there are no signs of effective spontaneous respiration or if the airway remains obstructed. It may be possible to ventilate the child by positive pressure expired air ventilation when the airway is partially obstructed, but care must be taken to ensure that the child exhales most of this artificial ventilation after each breath. Repeat If the above procedure is unsuccessful in infants it should be Abdominal thrusts repeated until the airway is cleared and effective respiration ● In children over one year deliver up to five established. In children, abdominal thrusts are substituted for abdominal thrusts after the second five chest thrusts after the second round of back blows. Use the upright position Subsequently, back blows are combined with chest thrusts or (Heimlich manoeuvre) if the child is abdominal thrusts in alternate cycles until the airway is cleared. Up to five Paediatric advanced life support sharp thrusts should be directed upwards The use of equipment in paediatric resuscitation is fraught with toward the diaphragm ● Abdominal thrusts are not recommended difficulties.