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International Collaborative Research Professor John Duncan has carried out international collaborative research in the field of PET and epilepsy with groups in Berlin, Copenhagen, Erlangen, Munich and Zurich. Professor David Fish has a programme of collaborative clinical and neurophysiological research with the Montreal Neurological Institute, Canada and Yale University, USA. Professors Simon Shorvon and David Fish have collaborative research with the Cleveland Clinic, USA. Professors Simon Shorvon and Josemir Sander have carried out large-scale epidemiological work with groups in Ecuador and Kenya. Professor Josemir Sander has research collaborations with groups in Brazil, China and Portugal. Collaborative work in epilepsy with the Wellcome Trust Research Centre in Kilifi, Kenya is also carried out by Dr Shelagh Smith and Professor Josemir Sander. Professor Michael Trimble has ongoing collaboration with the Freie Universitt in Berlin. Dr Philip Patsalos is Consultant in Pharmacology and Therapeutics to the Cyprus Institute of Neurology and Genetics. Collaborative work on MRI is being conducted with the Humboldt University in Berlin, the Free University of Amsterdam, the Universities of Freiburg, Gottingen, Yale, Mannheim, Heidelberg, Wurzburg, Florida and Vancouver, and with the Massachusetts General Hospital NMR Centre. The Epilepsy Group has also taken part in an EU-concerted action involving eight European centres. There is collaborative neuropathological work with Sahlgrenska University Hospital, Goteborg. Visiting professorships have been held at the Montreal Neurological Institute, McGill University; the Cleveland Clinic; the Freie Universitt, Berlin and at the Pontifical Catholic University of Rio Grande do Sul, Brazil.

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TO AVOID DISLODGING THE CLOT THAT HAS FORMED AT THE PUNCTURE SITE 1. You must keep your leg straight for 6-8 hours. It is necessary to hold your affected leg still. You may wiggle your toes and flex your ankle as desired, but do DO NOT BEND your knee or hip. 2. You need to hold firm pressure over the dressing with your fingers whenever you laugh, cough, sneeze, use the urinal or bedpan, or use your abdominal muscles. The Angio nurse will review this technique with you. 3. Do not put your hands behind your head or lift your head off the pillow. This activity is like doing a small sit-up and causes you to strain your abdominal muscles. It is okay to turn your head from side to side. The head of the bed can be raised to 30 degrees for your comfort. 4. You may bend your other leg. This may help reduce lower back strain. Do not cross your legs. 5. Bleeding from the puncture site is unlikely if you follow these instructions. If you should feel a warm, wet sensation, remain in your bed; do not lift your head. Press on the dressing with your fingers, and notify your nurse immediately. 6. Your diet and medications will be resumed after the angiogram. Please drink plenty of fluids, this will help flush the dye solution out of the body. 7 . Most patient will be discharged directly to their home. You will be discharged by the radiologist 6-8 hours after the procedure. A responsible person must remain in the home with you overnight. If you have any questions or concerns following the angiogram call the Radiology Department at 274-4377. If there is no answer call the Emergency Department at 274-4411 and they will contact the radiologist and or your regular doctor.
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