Person: Milamed, Debra
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Milamed
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Debra
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Milamed, Debra
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Publication Sir Sheldon Francis Dudley, his Contributions to Diphtheria and the Aftermath of the Sinking of HMS Curacoa by the Queen Mary(Ulster Medical Society, 2018-03) Milamed, Debra; Hedley-Whyte, JohnPublication War Neurosurgery: Triumphs and Transportation(Ulster Medical Society, 2020-09) Hedley-Whyte, John; Milamed, DebraPublication Severe Burns in World War II(The Ulster Medical Society, 2017) Hedley-Whyte, John; Milamed, DebraPublication Our Blood Your Money(The Ulster Medical Society, 2013) Hedley-Whyte, John; Milamed, DebraPublication Asbestos and shipbuilding: fatal consequences(The Ulster Medical Society, 2008) Hedley-Whyte, John; Milamed, DebraThe severe bombing of Belfast in 1941 had far-reaching consequences. Harland and Wolff was crippled. The British Merchant Ship Building Mission to the USA was being constrained by the UK treasury. On being told of the Belfast destruction, the British Mission and the United States Maritime Commission were emboldened. The result was 2,710 Liberty Ships launched to a British design. The necessary asbestos use associated with this and other shipbuilding, after a quarter century or more latency, is a genesis of malignancy killing thousands. Reversal of studies on asbestos limitation of fire propagation was crucial to Allied strategic planning of mass-fires which resulted in the slaughter of one to two million civilians. Boston and Belfast institutions made seminal discoveries about asbestos use and its sequelae.Publication Blood and War(The Ulster Medical Society, 2010) Hedley-Whyte, John; Milamed, DebraIn 1894 Ulsterman and pathologist Almroth Wright described the citation of blood. Twenty-one years later it was introduced into wartime and clinical practice. Harvard Medical School had a large part in providing Colonel Andrew Fullerton, later Professor of Surgery, Queen's Belfast, with the intellectual and practical help for the Allies to deploy blood on the post-Somme Western Front and in Salonika. The key investigators and clinicians were Americans and Canadians who with Fullerton and Wright instructed the Allies. The key enablers were two Harvard-trained surgeons surnamed Robertson—Oswald H. (“Robby”) and L. Bruce (no relation). Physician Roger I. Lee of Harvard, surgeon George W Crile of Cleveland, Peyton Rous of the Rockefeller Institute and Richard Lewisohn of Mount Sinai Hospital, both located in the Upper East Side of New York City, played key roles. By Armistice in 1918, indirect citrated nutrient-enhanced blood transfusion was widely used by the Allies. Geoffrey Keynes was taught the techniques of blood transfusion by Dr. Benjamin Harrison Alton of Harvard at a Casualty Clearing Station near Albert at the time of the Battle of Passchendaele. Professor “Robby” Robertson, DSO, Sir Geoffrey Keynes and Sir Thomas Houston established blood banking.Publication Battle of the Atlantic: Military and Medical Role of Northern Ireland (After Pearl Harbor)(The Ulster Medical Society, 2015) Hedley-Whyte, John; Milamed, DebraPublication Lüer’s Lure: From an International Standards Perspective(Ovid Technologies (Wolters Kluwer Health), 2012-12-01) Milamed, Debra; Brown, Karen; Murphy, EdwardPublication Tuberculous Scrofula: Belfast Experience(2011) Hedley-Whyte, John; Milamed, DebraThe Belfast blitzes of 1941 are blamed in our family for the scrofula of my younger brother and sister and myself. Guinea pigs and rabbits at Musgrave Park proved that each of us had bovine derived TB infection caused by failure to pasteurize milk when tuberculin-tested milk was not available. The clinical head of Harvard Medical School’s anti-tuberculosis effort contacted his boss, Professor Maxwell Finland, who ascertained from Selman A. Waksman that his antibiotic streptothricin was bacteriostatic against TB but too toxic for humans. Finland, born 1902, knew Waksman (born 1888) well, each having emigrated from the Czarist-ruled Ukraine. Waksman , in 1942, had hopes for an analog to streptothricin he intended to name streptomycin: an antibiotic from Actinomyces griseus which had been culture-isolated in 1916 for his M.Sc. thesis. Streptomycin was still 6-9 months away from animal testing. The same Actinomyces species was also able to produce actinomycin C and D which was later supplied to Professor Sidney Farber of Harvard to start successful human cancer chemotherapy.Publication Medical History: Surgical Travellers: Tapestry to Bayeux(The Ulster Medical Society, 2014) Hedley-Whyte, John; Milamed, DebraThe planning for surgery in war was revisited in 1937 when Ian Fraser was elected a member of the Surgical Travellers. At their 1938 Surgical Travellers meeting in Vienna, Ian and Eleanor Fraser were evicted from their hotel room by the Nazis. The 1939 meeting in Belfast discussed the organization of surgery and the conduct of Emergency Medical Service Hospitals in the United Kingdom; the vast majority were to be under civilian government and military control. From 1943 lengthy and informative organizational meetings were held at least monthly under the chairmanship of Sir Alexander Hood, KBE, Head of the RAMC. Surgical Consultants, now Major Generals, Brigadiers or Full Colonels in the British and U.S. Armies stationed in the UK, prepared for the invasion of Europe. The allocation of medical, surgical, nursing and auxiliary responsibilities was delineated. Liaison with the RAF and US Army Air Force was close as it was with the proposed leaders, Ulstermen Brooke and Montgomery. Montgomery chose Arthur Porritt as Surgeon in Chief to Supreme Headquarters Allied Expeditionary Force (SHAEF), and Eisenhower, General Albert W. Kenner. Just after D-Day, Porritt met Ian Fraser, who had waded in on Arromanches Beach. The triage and evacuation plans for Allied casualties had been controversial, particularly as regards Landing Ship Tanks (LSTs). The dispute with the Hood-selected surgeons on one side, against medical and surgical deployment of LSTs, and Admiral Ernest King and Winston Churchill on the other, favouring LST use for surgery and evacuation. King and Churchill were correct but total Allied air superiority allowed wide use of many of the Allies' Dakotas; 10,000 DC-3s were eventually in service. Supported by forty Allied combat planes to each Luftwaffe, the dispute about Landing Ship Tank use in about a fortnight became moot. The multifaceted role of the Princess Royal in the Emergency Medical Services of the United Kingdom and her close liaison with the Consultant Surgeons was of great value to the Allies.
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