Publications by authors named "William E G Thomas"

Introduction: Very little surgical care is performed in low- and middle-income countries (LMICs). An estimated two billion people in the world have no access to essential surgical care, and non-surgeons perform much of the surgery in remote and rural areas. Surgical care is as yet not recognized as an integral aspect of primary health care despite its self-demonstrated cost-effectiveness.

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Article Synopsis
  • Flatus, or gas from digestion, can cause social issues due to its sound and smell, especially on crowded airplanes where space is limited.
  • The pressure changes in flight can increase intestinal gas, leading to discomfort from holding in flatus, while releasing it can create awkward situations.
  • A proposed solution is to incorporate activated charcoal into seat cushions, clothing, and blankets to mask odors, enhancing comfort for passengers, while other less viable solutions are also suggested.
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Background: Metastasis of carcinoma of the gallbladder to other intra-abdominal organs is recognised, but is rare. Ovarian metastases can mimic the clinical and morphological appearances of primary ovarian tumours, making the diagnosis difficult particularly when the primary source is not apparent.

Case: A patient presented with abdominal pain and was found to have gallstones and bilateral ovarian masses.

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