24 results on '"Birrell W"'
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2. Reviews
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Derbyshire, E., Jeans, D. N., Rose, A. J., Dury, G. H., Butland, Gilbert, Irwin, P., Brookfield, H. C., Gentilli, J., Holmes, J. H., Invin, P. G., Wilson, M. G. A., Frazer, R. M., Mathieson, R. S., Dakeyne, R., Gibbs, W. J., Birrell, W. K., Whalen, G., Irwin, P. G., Wilson, M. G. A., Birrell, W. K., Mathieson, R. S., Birrell, W. K., and Linge, G. J. R.
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NEW INDUSTRIAL TOWNS ON CANADA'S RESOURCE FRONTIER, by Ira M. Robinson, 9 by 6 inches, x and 165 pages, maps, photographs, appendices. University of Chicago, Department of Geography, Research Paper No. 73, Chicago, Illinois, 1962.STATE PARK SYSTEM IN ILLINOIS, by John E. Trotter, 9 by 6 inches, x and 130 pages, maps, tables, appendices. University of Chicago, Department of Geography, Research Paper No. 74, Chicago, Illinois, 1962.LECTURES ON THE HISTORICAL GEOGRAPHY OF THE UNITED STATES, as given in 1933 by Harlan H. Barrows. Edited by William A. Koelsch. 9x6 inches, and 248 pp. Department of Geography Research Paper No. 77, University of Chicago, 1962.POWER IN NEW ZEALAND: A Geography of Energy Resources in New Zealand, by Bryan H. Farrell, 6 x 10 ins., 197 pages, 30 plates, 68 maps and diagrams, appendix, glossary, reference notes, bibliography, index. A. H. & A. W. Reed, Wellington, 1962. 42/6 N.Z.OCEANOGRAPHY FOR GEOGRAPHERS, by Cuchlaine A. M. King, 9 x 5¾ ins., xii and 337 pages, figures, glossary, index. Edward Arnold (Publishers) Ltd., London, 1962, 40/- stg.READINGS IN CULTURAL GEOGRAPHY, edited with Introductions and Translations by Philip L. Wagner and Marvin W. Mikesell. 10 by 7 ins., xii and 589 pages, maps, figures, index. University of Chicago Press, Chicago, 1962, U.S. $8.50.EURASIA, AFRICA AND AUSTRALIA, by R. M. Glendenning, M. Uttley, and A. E. Aitchison, 8 by 10 ins., viii and 568 pages, maps, figures, illustrations, index. Lands and Peoples of the World Series, Ginn and Co., Chicago, 1962.WORLD GEOGRAPHY, by J. H. Bradley, 7 by 9¾ ins., viii and 584 pages, maps, figures, illustrations, index. Ginn and Co., Chicago, revised edition, 1960.TO THE MOUNTAINS OF THE STARS, by L. D. Brongersma and G. F. Venema (translated from the Dutch by Alan G. Readett), xv and 318 pages. Hodder and Stroughton, London, 1962.THE MONSOON, by P. Pedelaborde. translated by M. J. Clegg, 5½ by 8 inches, xii and 196 pages, maps, diagrams, tables, bibliography, index. Methuen & Co. Ltd., London, 1963, 21/- sterling.AUSTRALIA'S FIRST FRONTIER: The Spread of Settlement in New South Wales 1788-1829, by T. M. Perry, 9¾ by 6 ins., 163 pages, maps, plates, index. Melbourne University Press, Melbourne, 1963. 60/- (Aust.).ON THE MARGINS OF THE GOOD EARTH: The South Australian Wheat Frontier, 1869-1884, by D. W. Meinig, 8¾ by 5½ in., 321 pages, plates, maps, index. Monograph Series of the Association of American Geographers, Rand McNally and Co., Chicago, 1962. 43/6 (Aust.).ANGLO-AMERICA, A Regional Geography of the United States and Canada, by Paul Griffin, Robert Young and Ronald Chatham, 10¾ by 7¾ ins., xxxi and 552 pages, maps, charts, illustrations, bibliography, index. Methuen & Co., London, 1963, 63/- (Stg.).ANGLO-AMERICA, A Systematic Regional Geography, by W. H. Parker, 8½ by 5½ ins., 404 pages, maps, diagrams, illustrations, appendices, index. University of London Press Ltd., London, 1962, 55/9.WESTERN SAMOA: LAND, LIFE AND AGRICULTURE IN TROPICAL POLYNESIA, edited by J. W. Fox and K. B. Cumberland, 9¾ by 7½ ins., 337 pages, maps, plates, glossary, index. Whitcombe & Tombs Ltd., Christchurch (New Zealand), 1962, 63/- (N.Z.).MAP OF SOVIET CENTRAL ASIA AND KAZAKHSTAN, 2nd Edition, 1962; 1:3,750,000 in four separate sheets. Published by Central Asian Research Centre in association with the Soviet Affairs Study Group, Oxford. Obtainable: Messrs. Luzac & Co. Ltd., 46, Great Russell St., London, W.C.I. 42/- sterling.THE DISTRIBUTION OF THE AFRICAN POPULATION OF NORTHERN RHODESIA, by Stuart Williams, 10 by 8 ins., VII and 37 pages, maps, appendices, tables, duplicated, Rhodes-Livingstone Institute Communication No. 24, 1962, 25/-.A POPULATION MAP (1:500,000) OF THE LUAPULA - BANGWEULU REGION OF NORTHERN RHODESIA WITH NOTES ON THE POPULATION, by George Kay, 10 by 8 ins., iii and 12 pages, maps, duplicated. Rhodes-Livingstone Institute Communication No. 26, 1962, 10/6.ELEMENTS OF DYNAMIC METEOROLOGY, by A. H. Gordon, 9 by 5iins., xxi and 217 pages, figures, bibliography, index. Physical Sciences Scries (General Editor, G. Sutton). The English Universities Press Ltd., London, 1962. 46/6.JUNIOR WORLD GEOGRAPHY, by Thomas Pickles, 10 by 7½ ins., viii and 132 pages, maps figures, photographs, index. J. M. Dent and Sons Ltd., London, 1963, 9/6 (Stg.).SOUTHERN WORLD - a Physical and Regional Geography for Australian Schools, by G. S. Browne, I. G. Coghill and D. D. Harris: 8¾" x 51½", 480 pp., maps, diagrams, photographs. No index. F. W. Cheshire Ltd., Melbourne, 1962.COCOA, by D. H. Urquhart, 8½ by 5½ ins., xxv and 293 pages, diagrams, maps and index + 56 pages plates. Longmans Tropical Agricultural Series, 2nd edition, London, 1961. 62/-.MANUFACTURING IN ARIZONA, by Tom McKnight, 10¼ by 6¾ ins., 56 pages, maps, figures. University of California Publications in Geography Volume 8, No. 4, University of California Press, Berkeley and Los Angeles, Cambridge University Press, London, 1962, $1.50.EUROPE AND THE BRITISH ISLES, by J. S. Hobbs, 8¾ by 5¾ ins., 194 pages, maps, figures, photographs, appendix, index. Generrl School Geography, The English Universit.as Press Ltd., London, 1963, 17/9 (Aust.).EUROPE AND THE U.S.S.R., by M. Simons, ('Windows on Geography' Series). Hulton Educational Publications, London, 1963. (Australian representatives Georgian House Pty. Ltd., Middle Park, Victoria), price 15/6.UNDERSTANDING BRITAIN, by A. H. T. Glover and I. V. Young. 6⅛ by 8¼ ins., 128 pages, maps, figures and photographs. The New Primary Geography Series, Book 3, University of London Press Ltd. 1962, Limp 13/9, Boards 16/- (Aust.).THE EXTERNAL RELATIONS OF CITIES DURING "INDUSTRIAL REVOLUTION," by Allan Pred, 9 by 6 ins., ix and 113 pages, maps. Department of Geography Research Paper No. 76, University of Chicago, Chicago 1962, no price stated.
- Published
- 1964
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3. THE POLITICAL ROLE AND INFLUENCE OF THE CLERGY IN NORTHERN IRELAND.
- Author
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Birrell, W. D., Greer, J. E., and Roche, D. J. D.
- Subjects
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POLITICAL participation of clergy , *CHURCH membership , *CHOICE of church , *RELIGIOUS institutions , *CHURCH commitment , *CHURCH attendance , *PASTORAL psychology , *CHURCH & politics - Abstract
Our study was aimed at elucidating information on these topics and examining facts that might explain the degree of political participation of clergy and their perceptions of their political r
le and influence. [ABSTRACT FROM AUTHOR] - Published
- 1979
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4. THE MECHANICS OF DEVOLUTION: NORTHERN IRELAND EXPERIENCE AND THE SCOTLAND AND WALES BILLS.
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Birrell, W. D.
- Subjects
DECENTRALIZATION in government ,LEGISLATIVE bills ,CONSTITUTIONS ,POLITICAL science - Abstract
The article focuses on the mechanism involved in the devolution of power in context of Northern Ireland experience and the Scotland and Wales Bills. Northern Ireland provides the only working example of devolved government in Great Britain and its experience of devolution is very relevant to any discussion on how devolution might work in Scotland and Wales. Northern Ireland's system of devolution had a major influence on the recommendation of the Royal Commission on the Constitution and has also clearly influenced the Government's later proposals on devolution and the work of the Cabinet's Constitution Unit in drafting the Scotland and Wales Bills.
- Published
- 1978
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5. Developments in Housing Policy and Administration in Northern Ireland since 1945.
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Murie, A., Birrell, W. D., Hillyard, P. A. R., and Roche, D. J. D.
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- 1972
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6. Housing Policy Between the Wars: Northern Ireland, England and Wales.
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Murie, A., Birrell, W. D., Hillyard, P. A. R., and Roche, D.
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- 1971
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7. THE STORMONT-WESTMINSTER RELATIONSHIP.
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Birrell, W. D.
- Published
- 1973
8. Variations in the standards of housing provision in Northern Ireland
- Author
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Hillyard, P. A. R., Roche, D. J. D., Murie, A. S., and Birrell, W. D.
- Abstract
Hillyard P. A. R., Roche D. J. D., Murie A. S. and Birrell W. D. (1972) Variations in the standards of housing provision in Northern Ireland, Reg. Studies 6, 393-399. Housing has been identified in a number of studies as an important factor in the Northern Ireland problem. Little analysis exists, however, of the nature and extent of differences in housing provision throughout the Province. This paper describes one possible method of measuring provision. Principal component analysis has been applied to selected variables for various administrative divisions, and an index compiled from the eigenvalues. Units within administrative divisions are rank ordered. In conclusion, it is emphasized that this technique could be used more extensively by central and local government to measure provision.
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- 1972
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9. Reviews
- Author
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Langford-Smith, T., Duncan, Craig, Birrell, W. K., Cox, B., Cochrane, G. Ross, Wilcock, A. A., Aurousseau, M., Derbyshire, Edward, Emery, J. S., Rutherford, John, and Tweedie, A. D.
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A GLOSSARY OF GEOGRAPHICAL TERMS, edited by L. Dudley Stamp, 8 3/4 by 5 3/4 ins., xxx and 539 pages. Longmans Green, 1st edition, London, 1961, 90/9 Australian.CONSERVATION IN THE UNITED STATES, by Richard M. Highsmith Jr., J. Granville Jensen, Robert D. Rudd, 10 1/4 by 7 3/4 ins., 322 pages, maps, plates, figures, index. Rand McNally & Coy., Chicago, 1962.THE TEACHING OF GEOGRAPHY, by G. H. Gopsill, 9 by 5 1/2 ins., 314 pages, maps, figures, diagrams, index. Macmillan & Co. Ltd., 2nd edition, London, 1941, 46/6.THE SOUTHERN CONTINENTS, by N. Jackson and P. Penn, 5 1/2 by 8 1/2 ins., viii and 226 pages, maps, diagrams, pictures. George Philp and Son Ltd., Groundwork Geographies, second edition, 1961, Great Britain, 8/6 sterling.INTRODUCTION TO PLANT GEOGRAPHY and Some Related Sciences, by Nicholas Polunin, 9 by 6ins., xv and 640 pages, maps, figures, index. Longmans, Green and Co. Ltd., 1st edition, London, 1960. 98/-.AUSTRALIA IN THE ANTARCTIC, by R. A. Swan, 8 1/2 by 5 1/2 ins., xxiv and 432 pages, maps, photographs, index. Melbourne University Press, Melbourne, 1961. 57/6.VOLCANOES AND THEIR ACTIVITY, by A. Rittmann, translated from the second German edition by E. A. Vincent, 6 by 9 1/4 inches, xiv and 305 pages, map, diagrs., scenic illustrs., indexes to names, localities and subjects. Inter-science Publishers (John Wiley & Sons), New York, London, 1962. $11.95.MAN'S PHYSICAL WORLD, by Joseph E. Van Riper, 9 1/4 by 6 3/4 ins., ix and 568 pages, maps, figures, appendices, index. McGraw-Hill Book Company Inc., New York, 1962. $8.50.AFRICA, by E. O. Robinson; 7 1/4 by 5 1/4 ins., xxxvi and 90 pages, maps, photos, questions and exercises, index. MacMillan & Co. Ltd. Reprinted, London, 1958. 8/6.AUSTRALIA AND NEW ZEALAND, by E. O. Robinson; 7 1/4 by 5 1/4 ins., xxxvi and 73 pages, maps, photos, questions and exercises, index. MacMillan & Co. Ltd. Reprinted, London, 1958. 7/6.SOUTH AMERICA, by E. O. Robinson; 7 1/4 by 5 1/4 ins., xxxvi and 88 pages, maps, photos, questions and exercises, index. MacMillan & Co. Ltd. Reprinted, London, 1957. 8/6.NORTH AMERICA, by E. O. Robinson; 7 1/4 by 5 1/4 ins., viii and 148 pages, maps, photos, questions and exercises, index. MacMillan & Co. Ltd. Reprinted, London, 1959. 15/-.SOUTH AND NORTH AMERICA, by E. O. Robinson; 7 1/4 by 5 1/4 ins., xxxvi and 148 pages, maps, photos, questions and exercises, index. MacMillan & Co. Ltd. Reprinted, London, 1960. 22/3.COMMODITY MOVEMENTS IN SOUTHERN NEW SOUTH WALES, by Robert H. T. Smith, 10 1/2 by 8 1/4 ins., xii and 167 pages (roneoed), tables, plates and figures. The Australian National University, Canberra, 1962.LAND AND LIVELIHOOD: Geographical Essays in Honour of George Jobberns, by M. McCas-kill (Ed.), 8 3/4 by 5 3/4 ins., 280 pages, maps, figures. New Zealand Geographical Society, Christchurch, 1962, 27/6 (N.Z.).
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- 1963
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10. Reviews
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Greenwood, R. H., Mathieson, R. S., Brinkman, L. W., Wilson, M. G. A., Tweedie, A. D., Duncan, J. S., Irwin, P. G., Timms, D. W. G., Davies, J. L., Aurousseau, M., Rutherford, J. L., Thorpe, E. W. R., Wilson, R. Kent, Butland, G. J., and Birrell, W. K.
- Abstract
THE EAST MIDLANDS AND THE PEAK, by G. H. Dury, 9 1/2 y 6 1/4 inches, xii and 299 pages including index with 48 plates and folding map. Thomas Nelson and Sons Ltd., London, 1963. 50/- Sterling.GEOGRAPHY OF THE U.S.S.R., by Paul E. Lydolph, 10 1/2 x 7 1/2 inches, xii and 451 pages, maps, photographs, index. John Wiley and Sons, New York, 1964, 109/6 (Aust.).NORTH AMERICA, by Norman J. G. Pounds, 9 by 6 inches, xii and 238 pages, 46 illustrations, 46 maps and diagrams, bibliography, literary reading list, index. John Murray, London, 1964 (second edition). 18/6 (Aust.).NATIONAL RESOURCES SURVEY, PART III: NORTHLAND REGION. Compiled by Town and Country Planning Branch, Ministry of Works, Government Printer, Wellington, New Zealand, 1964.WATER RESOURCES USE AND MANAGEMENT: Proceedings of a Symposium held at Canberra by the Australian Academy of Science 9-13 September, 1963, 6 by 10 inches, xl and 529 pages, maps, diagrams, tables. Melbourne University Press, Melbourne, 1964, 210/-(Aust.).A NEW MAORI MIGRATION: RURAL AND URBAN RELATIONS IN NORTHERN NEW ZEALAND, by Joan Metge, 8 3/4 x 5 1/2 ins., x and 299 pages, maps, tables, figures, photographs, index. London School of Economics. Monographs on Social Anthropology, No. 27. The Athlone Press, University of London, and Melbourne University Press, Melbourne, 1964. 50/- (Aust.).LAND TENURE IN THE COOK ISLANDS, by R. G. Crocombe. 8 3/4 by 5 1/2 inches, xv and 180 pages, bibliography, index. Oxford University Press, Melbourne, in association with The Australian National University, 1964. 42'.STRUGGLE FOR LAND: AGRICULTURE AND GROUP TERRITORIES AMONG THE CHIMBU OF THE NEW GUINEA HIGHLANDS, by H. C. Brookfield and Paula Brown, 8 3/4 by 5 1/2 ins., xiv and 193 pages, bibliography, index, plates, maps and tables. Oxford University Press, Melbourne, in association with The Australian National University, 1963, 55/6.ENVIRONMENT AND ECONOMIC LIFE: AN ECONOMIC AND SOCIAL GEOGRAPHY, by H. F. Gregor, 10 by 8 inches, xiv and 498 pages, maps figures, end plates, index. D. Van Nostrand Company, Inc., Princeton: New Jersey, 1963.GENERAL OCEANOGRAPHY, by Günter Dietrich, xv + 588 pp., 228 maps and diagrams, 7 charts in rear pocket, 25 photographs, 63 tables, bibliography, author index, subject index. John Wiley, New York: £10 (Aust.)GEOGRAPHY NOW AND THEN, by William Warntz, 8 by 5 1/2 inches, viii and 162 pages, illustr., short index. American Geographical Society of New York, Research Series No. 25, 1964.COMMERCIAL STRUCTURE AND COMMERCIAL BLIGHT, by Brian J. L. Berry, 6 by 9 inches, 235 pages, maps and figures. University of Chicago, Department of Geography Research Paper No. 85, Chicago, 1963. $4.CHICAGO COMMERCIAL REFERENCE HANDBOOK, by Brian J. L. Berry and Robert J. Tennant, 6 by 9 inches, 278 pages, maps and figures. University of Chicago, Department of Geography Research Paper No. 86, Chicago, 1963, $4.TYPES OF AGRICULTURAL OCCUPANCE OF FLOOD PLAINS IN THE UNITED STATES, by Ian Burton. 9 by 6 inches, x and 167 pages, maps, figures. Department of Geography Research Paper No. 75. University of Chicago, Chicago 1962, $4.A BIBLIOGRAPHIC GUIDE TO THE ECONOMIC REGIONS OF THE UNITED STATES, by Brian J. L. Berry and Thomas D. Hankins, 6 by 9 inches, 101 pages. University of Chicago Research Paper No. 87, Chicago. 1963, $4.CHICAGO'S EXTERNAL TRUCK MOVEMENTS, by Magne Helvig, 9 by 6 ins., x and 132 pages, tables, figures. Department of Geography Research Paper No. 90, University of Chicago, Chicago, 1964. $4.OWNER - CULTIVATORSHIP IN MIDDLE CHILE, by William J. Smole, 9 by 6 inches, x and 176 pages, 7 maps, 3 tables, 35 photographs, glossary, bibliography. University of Chicago. Department of Geography, Research Paper No. 89, 1963, $4.THE WORLD SCENE, GEOGRAPHY BOOK I, by G. K. Conolly and B. Cox, 10 by 7 1/2 ins., 142 pages, maps, photographs, diagrams, figures, index. Whitcombe and Tombs Pty. Ltd., 1st Ed., 1963.A REGIONAL GEOGRAPHY OF VICTORIA, by K. J. Collins and D. D. Harris, 7 1/4 by 9 3/4 inches, 168 pages, maps, plates, index. Whitcombe and Tombs, Melbourne, 1964. 25/-.
- Published
- 1965
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11. Delayed interval delivery and multiple pregnancy - Use of cervical suture [2]
- Author
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Chris Wilkinson, Sweet, R., Scott, F., Flynn, A., Birrell, W., and Evans, N.
12. Successful pregnancies in women treated by haemodialysis
- Author
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Savdie, E., primary, Caterson, Robyn J., additional, Mahony, J. F., additional, Clifton‐Bligh, P., additional, Birrell, W., additional, and John, E., additional
- Published
- 1982
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13. Emergency Planning in Ireland.
- Author
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Birrell, W. D.
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EMERGENCY management ,NONFICTION - Abstract
Reviews the book "Emergency Planning in Ireland," by Patrick A. O'Riorden.
- Published
- 1993
14. Posterior vaginal compartment repairs: Where are the main anatomical defects?
- Author
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Haylen BT, Naidoo S, Kerr SJ, Yong CH, and Birrell W
- Subjects
- Adult, Aged, Aged, 80 and over, Anatomic Landmarks, Body Weights and Measures, Cross-Sectional Studies, Female, Humans, Middle Aged, Pelvic Organ Prolapse pathology, Pelvic Organ Prolapse surgery, Vagina pathology, Vagina surgery
- Abstract
Introduction and Hypothesis: Traditionally, it has been believed that posterior vaginal compartment prolapse was largely due to defects in the rectovaginal fascia, with surgical repairs concentrating on addressing this defect. We aimed to determine the relative size of defects at the different vaginal levels (I-III) following a large number of posterior vaginal compartment repairs (PRs) to determine whether this traditional viewpoint is still appropriate., Methods: In a cross-sectional study of 300 consecutive PRs, mostly following prior or concomitant hysterectomy, two sets of markers of posterior compartment prolapse were used to measure anatomical defects at levels I-III: (i) from Pelvic Organ Prolapse Quantification (POP-Q) system points C, Ap, Bp, and genital hiatus (GH), and from Posterior Repair Quantification (PR-Q) perineal gap (PG), posterior vaginal-vault descent (PVVD), midvaginal laxity (MVL)-vault undisplaced, and rectovaginal fascial laxity (RVFL)., Results: The largest defects were found at level I (PVVD: mean 6.0 cm; point C, mean minus 0.9 cm), and level III (PG, mean 2.9 cm; GH, mean 3.7 cm). Level II defects (MVL-vault undisplaced, mean 1.3 cm; RVFL, mean 1.1 cm; points Ap, Bp, both mean 1.0 cm) were relatively small., Conclusions: This study suggests that the defects found at surgery for posterior vaginal compartment prolapse were more frequent at the vaginal vault (level I) and vaginal introitus (level III) than at midvagina (level II). These findings should have implications for surgical planning.
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- 2016
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15. Perineorrhaphy quantitative assessment (Pe-QA).
- Author
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Haylen BT, Younis M, Naidoo S, and Birrell W
- Subjects
- Adult, Aged, Aged, 80 and over, Anatomic Landmarks anatomy & histology, Female, Humans, Middle Aged, Perineum surgery, Vagina surgery, Gynecologic Surgical Procedures methods, Pelvic Organ Prolapse surgery, Perineum anatomy & histology, Vagina anatomy & histology
- Abstract
Introduction and Hypothesis: Perineorrhaphy (Pe) has not been subject to a comprehensive perioperative quantitative assessment (QA). We wish to nominate such an assessment (Pe-QA) for any Pe, through testing the QA on the excision of the perineal gap (PG) at the time of posterior repair (PR)., Methods: At 50 consecutive PRs, the following measurements were taken pre- and postoperatively: (i) perineorrhaphy width (PW) equals PG [1]; (ii) perineorrhaphy depth (PD); (iii) perineal length (PL); (iv) midperineal thickness (MPT); (v) genital hiatus (GH) and (vi) total posterior vaginal length (TPVL). The total vaginal length was also measured. Surgical details deemed appropriate to each repair were recorded., Results: The overall means and ranges (cm) were: (i) PW 2.9 (1.5-5.5); (ii) PD 1.6 (0.8-2.0); (iii) PL 2.9 (1.5-4.5); (iv) MPT 0.7 (0.4-1.1); (v) GH 3.9 (2.3-6.5); (vi) TPVL 9.2 (6.0-12.5). Excision of PG (100 % cases reducing PW and PD to zero) resulted in a mean 23.6 % increase in total vaginal length over that if the repair was commenced at the hymen, despite a 3.3 % decrease in the TPVL perioperatively. There was a mean 30.8 % reduction in the GH, a mean 27.6 % increase in the PL and a mean 57.1 % increase in the MPT., Conclusions: Pe and the anatomical results of such surgery can be subject to quantitative assessment allowing comparison studies between different forms of Pe and possibly other types of perineal surgeries.
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- 2015
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16. Posterior repair quantification (PR-Q) using key anatomical indicators (KAI): preliminary report.
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Haylen BT, Avery D, Chiu TL, and Birrell W
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- Adult, Aged, Aged, 80 and over, Female, Humans, Hysterectomy, Middle Aged, Pelvic Floor surgery, Pelvic Organ Prolapse surgery, Perineum surgery, Rectal Prolapse surgery, Retrospective Studies, Uterine Prolapse surgery, Vagina surgery, Gynecologic Surgical Procedures methods, Pelvic Floor anatomy & histology, Perineum anatomy & histology, Vagina anatomy & histology
- Abstract
Introduction and Hypothesis: Posterior vaginal compartment repairs (PR) have traditionally involved a subjective approach. We aim to quantify such repairs using key anatomical indicators (KAI)., Methods: At 50 consecutive PRs: perineal gap (PG); posterior vaginal vault descent (PVVD); mid-vaginal laxity (MVL-vault undisplaced/displaced); and recto-vaginal fascial laxity (RVFL) were measured. The total posterior vaginal length (TPVL) and from POP-Q, TVL, GH, Ap, Bp C, D were also measured. Surgical details deemed appropriate to each repair were recorded., Results: A mean preoperative PG of 2.5 cm was reduced to 0.0 cm postoperatively by excision (100 % cases) with an average increase of 21.6 % in total vaginal length over that if the repair was commenced at the hymen. There was an average reduction of 25.0 % in the genital hiatus (GH). Mean PVVD was 5.3 cm overall; 6.4 cm for 31 out of 50 (62 %) undergoing sacrospinous colpopexy; 3.5 cm for 19 out of 50 (38 %) with no ligamentous vault fixation. An approximate "cut-off" for PVVD of 5 cm may assist with the differentiation of cases where vault fixation may be desirable. Up to 52 % (1.4/2.7 cm) of preoperative MVL displacement was due to vaginal vault descent. The MVL undisplaced (mean 1.3 cm) may better guide vaginal mucosal trimming. RVFL averaged just 0.8 cm with 22 out of 50 (44 %) RVFL being 0.5 cm or less, and not requiring any RVF plicatory sutures., Conclusions: It is possible to use KAI to assist the planning and execution of posterior vaginal compartment surgery. The PG, PVVD, MVL, and RVFL can indicate surgical measures in the perineum, vaginal vault, vaginal mucosa, and recto-vaginal space respectively.
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- 2014
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17. A preliminary anatomical basis for dual (uterosacral and sacrospinous ligaments) vaginal vault support at colporrhaphy. Dual-balanced vaginal vault support at colporrhaphy.
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Haylen BT, Vu D, Birrell W, Vashevnik S, and Tse K
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- Aged, Aged, 80 and over, Cadaver, Female, Humans, Suture Techniques, Ligaments anatomy & histology, Uterine Prolapse surgery, Vagina anatomy & histology
- Abstract
Introduction and Hypothesis: This study aims to assess anatomically the likely effects of dual vaginal vault support using the uterosacral (USL) and sacrospinous ligaments (SSL) at colporrhaphy., Methods: Observations were made from 13 formalinized cadaver hemipelves to determine the vaginal vault support likely to be provided by traction on the (a) USLs and (b) the posterior vaginal vault towards the SSL., Results: Traction on the USLs and SSLs both appeared to create a posterior and superior vector of vaginal vault tension, though that on the USLs appeared to be mainly on the anterior vaginal vault (and wall) with that on the SSL seemingly mostly on the posterior vaginal vault (and wall)., Conclusions: Concomitant USL and SSL traction on the vaginal vault, now technically possible, appears, from these preliminary findings, to give complementary support to the anterior and posterior aspects of the vaginal vault and walls in a similar posterior and superior vector.
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- 2012
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18. A standardised ultrasonic diagnosis and an accurate prevalence for the retroverted uterus in general gynaecology patients.
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Haylen BT, McNally G, Ramsay P, Birrell W, and Logan V
- Subjects
- Adult, Female, Humans, Middle Aged, Ultrasonography methods, Urination physiology, Vagina diagnostic imaging, Uterus anatomy & histology, Uterus diagnostic imaging
- Abstract
Transvaginal ultrasound with an empty bladder is recommended as a standardised ultrasonic technique for the accurate diagnosis of the retroverted uterus. Using this method, the prevalence of the retroverted uterus in 480 general gynaecological patients attending for subspecialist gynaecological ultrasound was 18%. The anteverting effect of the full bladder required for transabdominal ultrasound reduces the prevalence of the retroverted uterus to 13% (P < 0.001).
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- 2007
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19. Delayed-interval delivery in a quadruplet pregnancy: the use of transperineal ultrasound and cervical cerclage.
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Flynn A, Scott F, Birrell W, and Evans N
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- Adult, Female, Humans, Pregnancy, Quadruplets, Time Factors, Cervix Uteri surgery, Delivery, Obstetric, Obstetric Labor, Premature diagnostic imaging, Obstetric Labor, Premature prevention & control, Pregnancy, Multiple, Sutures, Ultrasonography, Prenatal
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- 1995
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20. Outpatient gamete intrafallopian transfer: a clinical analysis of 710 cases.
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Jansen RP, Anderson JC, Birrell WS, Lyneham RC, Sutherland PD, Turner M, Flowers D, and Ciancaglini E
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- Abortion, Spontaneous epidemiology, Adult, Ambulatory Care, Congenital Abnormalities epidemiology, Female, Follicular Phase physiology, Gonadotropin-Releasing Hormone administration & dosage, Gonadotropin-Releasing Hormone analogs & derivatives, Hormones administration & dosage, Humans, Incidence, Laparoscopy adverse effects, Leuprolide, Luteal Phase physiology, Maternal Age, Middle Aged, Pregnancy, Pregnancy, High-Risk, Progesterone administration & dosage, Prospective Studies, Gamete Intrafallopian Transfer
- Abstract
From February 1986 to June 1989 445 infertile couples were treated with a total of 710 treatment cycles involving laparoscopic gamete intrafallopian transfer (GIFT). The median age of the female partner was 33.5 years (range, 24 to 49 years) and the median duration of infertility was 4 years (range, 2 to 20 years). The final outcome of all 217 clinical pregnancies is known. There were 150 live births among which all but one baby survived, comprising 112 singleton births, 28 twin births, nine triplet births and one quadruplet birth. There were no still births, but there were two premature, multiple live births (one triplet, one quadruplet) among which no babies survived the neonatal period. Overall, 40 of the 152 potentially viable pregnancies were multiple (26.3%). Three of 206 potentially viable babies were born with congenital anomalies (1.5%). There were 50 clinical spontaneous abortions (24.8% of uterine pregnancies), one termination of pregnancy for Down's syndrome, and 14 ectopic pregnancies rate was 30.6% per laparoscopy and, among 740 initiated cycles, a live and surviving birth-per-initiated-cycle rate of 20.2%, or 33.7% to date per couple entering the programme. The 710 laparscopies resulted in two serious complications (0.3%), one of which required laparotomy. Eight other patients were admitted to hospital for rest and observation because of painful ovarian enlargement in the luteal phase. The total inpatient admission rate was 1.4%. Outpatient laparoscopic GIFT under general anaesthesia is a safe and effective procedure when conventional treatment for infertility has been unsuccessful.
- Published
- 1990
- Full Text
- View/download PDF
21. In-vitro fertilization.
- Author
-
Jansen RP, Anderson JC, Radonic I, Lyneham RC, and Birrell WR
- Subjects
- Adult, Australia, Female, Humans, Pregnancy, Fertilization in Vitro methods
- Published
- 1986
22. A reduction in multiple pregnancies following the use of a clomiphene citrate: human gonadotrophin sequence.
- Author
-
Robertson S, Birrell W, and Grant A
- Subjects
- Citrates pharmacology, Clinical Trials as Topic, Estrogens pharmacology, Female, Humans, Ovary drug effects, Pregnancy, Chorionic Gonadotropin pharmacology, Clomiphene pharmacology, Gonadotropins, Pituitary pharmacology, Pregnancy, Multiple drug effects
- Abstract
The results of stimulation with gonadotrophins at the Sterility Clinic (Crown Street) are presented. Two different techniques have been employed involving 86 patients. All patients have similar indications for treatment. All have received the same preliminary investigations and all have been treated previously with a minimum of three cycles of Clomiphene Citrate without satisfactory response (i.e. "clomid failures). Technique (1) involved 51 patients and consisted of daily injections of Human Pituitary Gonadotrophin (H.P.G.) followed by an ovulating injection of Human Chorionic Gonadotrophin (H.C.G.) and a follow up injection of H.C.G. on post-ovulatory Day 7 or 8. This technique had a pregnancy rate of 64 per cent and a multiple pregnancy rate of 34 per cent. Technique (2) involved 35 patients and consisted of 5 days priming with Ethinyl Oestradiol and Clomiphene Citrate together, followed immediately by daily injections of H.P.G., then an ovulating injection of H.C.G. and a follow up injection of H.C.G. on post-ovulatory Day 7 or 8. The results of this variation in technique were a pregnancy rate of 69 percent, a multiple pregnancy rate of 8 percent. It is suggested that the use of Clomiphene Citrate in the latter technique acts as a "buffer" against the more extreme ovarian responses to H.P.G. acting alone and has the apparent advantage of a higher pregnancy rate, a lower multiple pregnancy rate and a reduction in the number of foetuses in each of the multiple pregnancies.
- Published
- 1976
23. Chronic ectopic pregnancy complicated by shock and disseminated intravascular coagulation.
- Author
-
Collier CB and Birrell WR
- Subjects
- Adult, Chronic Disease, Female, Hemoperitoneum etiology, Humans, Hypotension etiology, Pregnancy, Pregnancy Complications, Cardiovascular etiology, Pregnancy Complications, Hematologic etiology, Pregnancy, Tubal diagnosis, Pregnancy, Tubal surgery, Rupture, Spontaneous, Disseminated Intravascular Coagulation etiology, Pregnancy, Tubal complications, Shock etiology
- Published
- 1983
- Full Text
- View/download PDF
24. Cancer of the ovary.
- Author
-
Constable WC, Birrell WR, and Truskett ID
- Subjects
- Adenocarcinoma, Adult, Age Factors, Aged, Cystadenocarcinoma, Cystadenoma, Female, Follow-Up Studies, Humans, Middle Aged, Morphine therapeutic use, Neoplasm Metastasis, Neoplasm Recurrence, Local, New York, Palliative Care, Radium therapeutic use, Skin Neoplasms, Vaginal Neoplasms, Ovarian Neoplasms diagnosis, Ovarian Neoplasms drug therapy, Ovarian Neoplasms epidemiology, Ovarian Neoplasms mortality, Ovarian Neoplasms radiotherapy, Ovarian Neoplasms surgery
- Published
- 1969
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