Queen Victoria Hospital
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Queen Victoria Hospital
The Queen Victoria Hospital (QVH), located in East Grinstead, West Sussex, England is the specialist reconstructive surgery centre for the south east of England, and also provides services at clinics across the region. It has become world-famous for its pioneering burns and plastic surgery. The hospital was named after Queen Victoria. It is managed by the Queen Victoria Hospital NHS Foundation Trust. Proposals that the trust should be taken over by University Hospitals Sussex NHS Foundation Trust in 2021 were objected to by the governors of the trust. In September 2021 66% of the consultants said they had no confidence in the chief executive. In September 2022 the merger plans were abandoned. History Founded as East Grinstead Cottage Hospital in 1863, the hospital adopted the name, "Queen Victoria Hospital", in the 1930s and moved to its present site in 1936. During the Second World War, it developed as a specialist burns unit under the leadership of Sir Archibald McInd ...
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East Grinstead
East Grinstead is a town in West Sussex, England, near the East Sussex, Surrey, and Kent borders, south of London, northeast of Brighton, and northeast of the county town of Chichester. Situated in the extreme northeast of the county, the civil parish has an area of . The population at the 2011 Census was 26,383. Nearby towns include Crawley and Horley to the west, Tunbridge Wells to the east and Redhill and Reigate to the northwest. The town is contiguous with the village of Felbridge to the northwest. Until 1974 East Grinstead was in East Sussex, before joining together with Haywards Heath and Burgess Hill as the Mid-Sussex district of West Sussex. The town is on the Greenwich Meridian. It has many historic buildings, and the Weald and Ashdown Forest lie to the south-east. Places of interest The High Street contains one of the longest continuous runs of 14th-century timber-framed buildings in England. Other notable buildings in the town include Sackville College, the san ...
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Tissue Transplant
Tissue may refer to: Biology * Tissue (biology), an ensemble of similar (or dissimilar in structure but same in origin) cells that together carry out a specific function * ''Triphosa haesitata'', a species of geometer moth ("tissue moth") found in North America * ''Triphosa dubitata'', a species of geometer moth ("tissue") found in Afro-Eurasia Paper products * Tissue paper, a type of thin, gauzy translucent paper used for wrapping and cushioning items ** Facial tissue, tissue paper used for cleaning the face ** Japanese tissue, tissue paper from Japan made of vegetable fibers ** Toilet paper, tissue paper used for cleaning the anus ** Wrapping tissue, tissue paper used for wrapping and cushioning items Other * Aerial tissue Aerial silks (also known as aerial contortion, aerial ribbons, aerial tissues, fabric, ribbon, or ''tissu'') is a type of performance in which one or more artists perform aerial acrobatics while hanging from a specialist fabric. The fabric may ..., an ac ...
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Raman Malhotra
Raman Malhotra is a British ophthalmologist and oculoplastic surgeon. He is a consultant ophthalmic surgeon and head of the Corneoplastic unit, Queen Victoria Hospital, East Grinstead. Education and early career Born on 13 September 1968 at Isleworth, Middlesex, UK, Malhotra attended Hazelwick School, Crawley. He graduated in medicine and surgery from the University of Bristol in 1993 and was a demonstrator in anatomy at the University from 1994 to 1995. Having finished his basic surgical ophthalmic training at The Western Eye Hospital, London, he went on to complete his higher surgical training in Oxford. He was a Fellow in oculoplastic, orbital and lacrimal surgery at the Royal Adelaide Hospital and Women and Children's Hospital, Adelaide, Australia from 2002 to 2003. In 2003 he was appointed as consultant ophthalmic and oculoplastic surgeon at the Queen Victoria Hospital, East Grinstead. Developments Malhotra has developed two instruments used in endoscopic dacryocystorhino ...
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Cornea
The cornea is the transparent front part of the eye that covers the iris, pupil, and anterior chamber. Along with the anterior chamber and lens, the cornea refracts light, accounting for approximately two-thirds of the eye's total optical power. In humans, the refractive power of the cornea is approximately 43 dioptres. The cornea can be reshaped by surgical procedures such as LASIK. While the cornea contributes most of the eye's focusing power, its focus is fixed. Accommodation (the refocusing of light to better view near objects) is accomplished by changing the geometry of the lens. Medical terms related to the cornea often start with the prefix "'' kerat-''" from the Greek word κέρας, ''horn''. Structure The cornea has unmyelinated nerve endings sensitive to touch, temperature and chemicals; a touch of the cornea causes an involuntary reflex to close the eyelid. Because transparency is of prime importance, the healthy cornea does not have or need blood vessels with ...
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Stem Cell Transplantation
Hematopoietic stem-cell transplantation (HSCT) is the transplantation of multipotent hematopoietic stem cells, usually derived from bone marrow, peripheral blood, or umbilical cord blood in order to replicate inside of a patient and to produce additional normal blood cells. It may be autologous (the patient's own stem cells are used), allogeneic (the stem cells come from a donor) or syngeneic (from an identical twin). It is most often performed for patients with certain cancers of the blood or bone marrow, such as multiple myeloma or leukemia. In these cases, the recipient's immune system is usually destroyed with radiation or chemotherapy before the transplantation. Infection and graft-versus-host disease are major complications of allogeneic HSCT. HSCT remains a dangerous procedure with many possible complications; it is reserved for patients with life-threatening diseases. As survival following the procedure has increased, its use has expanded beyond cancer to autoimmune d ...
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Lamellar
A ''lamella'' (plural ''lamellae'') is a small plate or flake, from the Latin, and may also be used to refer to collections of fine sheets of material held adjacent to one another, in a gill-shaped structure, often with fluid in between though sometimes simply a set of 'welded' plates. The term is used in biological contexts to describe thin membranes of plates of tissue. In context of materials science, the microscopic structures in bone and nacre are called lamellae. Moreover, the term lamella is often used as a way to describe crystal structure of some materials. Uses of the term In surface chemistry (especially mineralogy and materials science), lamellar structures are fine layers, alternating between different materials. They can be produced by chemical effects (as in eutectic solidification), biological means, or a deliberate process of lamination, such as pattern welding. Lamellae can also describe the layers of atoms in the crystal lattices of materials such as meta ...
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Ophthalmology
Ophthalmology ( ) is a surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a medical degree, a doctor specialising in ophthalmology must pursue additional postgraduate residency training specific to that field. This may include a one-year integrated internship that involves more general medical training in other fields such as internal medicine or general surgery. Following residency, additional specialty training (or fellowship) may be sought in a particular aspect of eye pathology. Ophthalmologists prescribe medications to treat eye diseases, implement laser therapy, and perform surgery when needed. Ophthalmologists provide both primary and specialty eye care - medical and surgical. Most ophthalmologists participate in academic research on eye diseases at some point in their training and many include research as part ...
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Eye Bank
Eye banks recover, prepare and deliver donated eyes for cornea transplants and research. The first successful cornea transplant was performed in 1905 and the first eye bank was founded in 1944. Currently, in the United States, eye banks provide tissue for over 80,000 cornea transplants each year to treat conditions such as keratoconus and corneal scarring. In some cases, the white of the eye (sclera) is used to surgically repair recipient eyes. Unlike other organs and tissues, there is an adequate supply of corneas for transplants in the United States, and excess tissue is exported internationally, where there are shortages in many countries, due to greater demand and a less-developed eye banking infrastructure. History In 1905, when Eduard Konrad Zirm, MD, performed the first successful full thickness corneal transplant, a long line of corneal transplantation, research and techniques began. During its existence, Zirm’s eye bank, located in a rural area of Austria, treated ov ...
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Oculoplastics
Oculoplastics, or oculoplastic surgery, includes a wide variety of surgical procedures that deal with the orbit (eye socket), eyelids, tear ducts, and the face. It also deals with the reconstruction of the eye and associated structures. Training An oculoplastic surgeon is a specialized ophthalmologist who has completed one or two years of additional fellowship training following ophthalmology residency. Members of the American Society of Ophthalmic Plastic and Reconstructive SurgeonsASOPRS are the most highly qualified oculoplastic surgeons in North America. To qualify, a member must have passed both the American Board of Ophthalmology certification exams, as well as written and oral board examinations through ASOPRS. A candidate must also have made a significant contribution to the field of oculoplastics, which may take the form of a peer-reviewed publication. Such other surgeons as plastic surgeons, otolaryngologists, and oral and maxillofacial surgeons may be trained in ocu ...
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Corneal Transplantation
Corneal transplantation, also known as corneal grafting, is a surgical procedure where a damaged or diseased cornea is replaced by donated corneal tissue (the graft). When the entire cornea is replaced it is known as penetrating keratoplasty and when only part of the cornea is replaced it is known as lamellar keratoplasty. Keratoplasty simply means surgery to the cornea. The graft is taken from a recently deceased individual with no known diseases or other factors that may affect the chance of survival of the donated tissue or the health of the recipient. The cornea is the transparent front part of the eye that covers the iris, pupil and anterior chamber. The surgical procedure is performed by ophthalmologists, physicians who specialize in eyes, and is often done on an outpatient basis. Donors can be of any age, as is shown in the case of Janis Babson, who donated her eyes after dying at the age of 10. Corneal transplantation is performed when medicines, keratoconus conservat ...
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Eye Surgery
Eye surgery, also known as ophthalmic or ocular surgery, is surgery performed on the eye or its adnexa, by an ophthalmologist or sometimes, an optometrist. Eye surgery is synonymous with ophthalmology. The eye is a very fragile organ, and requires extreme care before, during, and after a surgical procedure to minimize or prevent further damage. An expert eye surgeon is responsible for selecting the appropriate surgical procedure for the patient, and for taking the necessary safety precautions. Mentions of eye surgery can be found in several ancient texts dating back as early as 1800 BC, with cataract treatment starting in the fifth century BC. Today it continues to be a widely practiced type of surgery, with various techniques having been developed for treating eye problems. Preparation and precautions Since the eye is heavily supplied by nerves, anesthesia is essential. Local anesthesia is most commonly used. Topical anesthesia using lidocaine topical gel is often used fo ...
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Kent Police
Kent Police is the territorial police force responsible for policing the and approximately 1.8 million inhabitants of Kent, a county in the south east of England. History On 14 January 1857, a 222-strong 'Kent County Constabulary' was formed under Chief Constable John Henry Hay Ruxton. The first headquarters was at Wrens Cross, Stone Street, Maidstone, and was rented for use by the police until 23 November 1860, when the force purchased it for £1,200. It was responsible for policing those parts of the county not already under the jurisdiction of local Borough police forces. In 1860, the initial uniform of a frock coat and a high hat was replaced by a long uniform tunic and shako hat and constables were issued with a rattle and truncheon. In 1885, whistles were introduced. In 1897, the recognisable custodian helmet was introduced. In 1974, the familiar Cox Comb helmet replaced the Rose Top helmet with a new helmet plate. On 1 April 1889, Kent County Constabulary absorbed the ...
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