Context: King's College Hospital NHS Foundation Trust is an acute care facility in Denmark Hill, Camberwell in the London Borough of Southwark, referred to locally and by staff simply as "King's" or abbreviated internally to "KCH". It serves an inner city population of 700,000 in the London boroughs of Southwark and Lambeth but also serves as a tertiary referral centre in certain specialties to millions of people in southern England. It is a large teaching hospital and is, with Guy's Hospital and St. Thomas' Hospital, the location of King's College London School of Medicine and one of the institutions that comprise the King's Health Partners, an academic health science centre. The current chief executive is Nick Moberley., A hernia is the exit of an organ, such as the bowel, through the wall of the cavity in which it normally resides. Hernias come in a number of different types. Most commonly they involve the abdomen, specifically the groin. Groin hernias are most common of the inguinal type but may also be femoral. Other hernias include hiatus, incisional, and umbilical hernias. Symptoms are present in about 66% of people with groin hernias. This may include pain or discomfort especially with coughing, exercise, or going to the bathroom. Often it gets worse throughout the day and improves when lying down. A bulging area may occur that becomes larger when bearing down. Groin hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the bowel is blocked. This usually produces severe pain and tenderness of the area. Hiatus or hiatal hernias often result in heartburn but may also cause chest pain or pain with eating.
Risk factors for the development of a hernia include: smoking, chronic obstructive pulmonary disease, obesity, pregnancy, peritoneal dialysis, collagen vascular disease, and previous open appendectomy, among others. Hernias are partly genetic and occur more often in certain families. It is unclear if groin hernias are associated with heavy lifting. Hernias can often be diagnosed based on signs and symptoms. Occasionally medical imaging is used to confirm the diagnosis or rule out other possible causes. The diagnosis of hiatus hernias is often by endoscopy.
Groin hernias that do not cause symptoms in males do not need to be repaired. Repair, however, is generally recommended in women due to the higher rate of femoral hernias which have more complications. If strangulation occurs immediate surgery is required. Repair may be done by open surgery or by laparoscopic surgery. Open surgery has the benefit of possibly being done under local anesthesia rather than general anesthesia. Laparoscopic surgery generally has less pain following the procedure. A hiatus hernia may be treated with lifestyle changes such as raising the head of the bed, weight loss, and adjusting eating habits. The medications, H2 blockers or proton pump inhibitors may help. If the symptoms do not improve with medications the surgery known as laparoscopic fundoplication may be an option.
About 27% of males and 3% of females develop a groin hernia at some time in their life. Groin hernias occur most often before the age of one and after the age of fifty. Inguinal, femoral and abdominal hernias resulted in 32,500 deaths in 2013 and 50,500 in 1990. It is not known how commonly hiatus hernias occur with estimates in North America varying from 10 to 80%. The first known description of a hernia dates back to at least 1550 BC in the Ebers Papyrus from Egypt., London is the capital and most populous city of England and the United Kingdom, as well as the most populous city proper in the European Union. Standing on the River Thames in the south east of the island of Great Britain, London has been a major settlement for two millennia. It was founded by the Romans, who named it "Londinium". London's ancient core, the City of London, largely retains its medieval boundaries. Since at least the 19th century, "London" has also referred to the metropolis around this core, historically split between Middlesex, Essex, Surrey, Kent, and Hertfordshire, which today largely makes up Greater London, governed by the Mayor of London and the London Assembly., Southwark is a district of Central London and part of the London Borough of Southwark. Situated east of Charing Cross, it forms one of the oldest parts of London and fronts the River Thames to the north. It historically formed an ancient borough in the county of Surrey, made up of a number of parishes, which increasingly came under the influence and jurisdiction of the City of London. As an inner district of London, Southwark experienced rapid depopulation during the late-19th and early-20th centuries. It is now at an advanced stage of regeneration and is the county town of Greater London which is the location of the City Hall offices of the Greater London Authority.
Southwark had a population of 30,119
in 2011., Sir Astley Paston Cooper, 1st Baronet (23 August 1768  12 February 1841) was an English surgeon and anatomist, who made historical contributions to otology, vascular surgery, the anatomy and pathology of the mammary glands and testicles, and the pathology and surgery of hernia., The River Thames is a river that flows through southern England. At , it is the longest river entirely in England and the second longest in the United Kingdom, after the River Severn. It also flows through Oxford (where it is called Isis), Reading, Henley-on-Thames and Windsor. The lower reaches of the river are called the Tideway, derived from its long tidal reach up to Teddington Lock. It rises at Thames Head in Gloucestershire, and flows into the North Sea via the Thames Estuary. The Thames drains the whole of Greater London. , The London Assembly is an elected body, part of the Greater London Authority, that scrutinises the activities of the Mayor of London and has the power, with a two-thirds majority, to amend the Mayor's annual budget and to reject the Mayor's draft statutory strategies. The assembly was established in 2000 and meets at City Hall on the South Bank of the River Thames, close to Tower Bridge. The assembly is also able to investigate other issues of importance to Londoners (transport, environmental matters, etc.), publish its findings and recommendations, and make proposals to the Mayor., A hospital is a health care institution providing patient treatment with specialized medical and nursing staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergency department to treat urgent health problems ranging from fire and accident victims to a heart attack. A district hospital typically is the major health care facility in its region, with large numbers of beds for intensive care and additional beds for patients who need long-term care. Specialised hospitals include trauma centres, rehabilitation hospitals, children's hospitals, seniors' (geriatric) hospitals, and hospitals for dealing with specific medical needs such as psychiatric treatment (see psychiatric hospital) and certain disease categories. Specialised hospitals can help reduce health care costs compared to general hospitals., The European Union (EU) is a political and economic union of member states that are located primarily in Europe. It has an area of , and an estimated population of over 510 million. The EU has developed an internal single market through a standardised system of laws that apply in all member states. EU policies aim to ensure the free movement of people, goods, services, and capital within the internal market, enact legislation in justice and home affairs, and maintain common policies on trade, agriculture, fisheries, and regional development. Within the Schengen Area, passport controls have been abolished. A monetary union was established in 1999 and came into full force in 2002, and is composed of 19 EU member states which use the euro currency., St Thomas' Hospital is a large NHS teaching hospital in Central London, England. It is one of the institutions that comprise the King's Health Partners, an academic health science centre. Administratively part of the Guy's and St Thomas' NHS Foundation Trust, together with Guy's Hospital and King's College Hospital it provides the location of the King's College London School of Medicine., Vascular surgery is a surgical subspecialty in which diseases of the vascular system, or arteries and veins, are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction. The specialty evolved from general and cardiac surgery as well as minimally invasive techniques pioneered by interventional radiology. The vascular surgeon is trained in the diagnosis and management of diseases affecting all parts of the vascular system except those of the heart and brain. Cardiothoracic surgeons and interventional cardiologists manage disease of vessels of the heart. Neurosurgeons and interventional neuroradiologists manage surgical disease of the vessels in the brain (e.g., intracranial aneurysms)., Middlesex (abbreviation: Middx) was a county in southeast England that is now mostly part of Greater London, with small sections in neighbouring counties. It was established in the Anglo-Saxon system from the territory of the Middle Saxons, and existed as an official unit until 1965. The historic county included land stretching north of the River Thames from east to west of the City of London with the rivers Colne and Lea and a ridge of hills as the other boundaries. The largely low-lying county, dominated by clay in its north and alluvium on gravel in its south, was the second smallest by area in 1831., Pathology (from the Greek roots of "pathos", meaning "experience" or "suffering", and "-logia", "study of") is a significant component of the causal study of disease and a major field in modern medicine and diagnosis., Guy's Hospital is a large NHS hospital in the borough of Southwark in central London. It is part of Guy's and St Thomas' NHS Foundation Trust and one of the institutions that comprise the King's Health Partners, an academic health science centre. It is a large teaching hospital and is, with St Thomas' Hospital and King's College Hospital, the location of King's College London School of Medicine (formerly known as the GKT School of Medicine). The Tower Wing (formerly known as Guy's Tower) is the world's tallest hospital building, standing at with 34 floors., A teaching hospital is a hospital or medical center that provides clinical education and training to future and current health professionals. Teaching hospitals are often affiliated with medical schools and work closely with medical students throughout their period of matriculation, and especially during their clerkship (internship) years. In most cases, teaching hospitals also offer Graduate Medical Education (GME)/ physician residency programs, where medical school graduates train under a supervising (attending) physician to assist with the coordination of care. , The Greater London Authority (GLA) is a top-tier administrative body for Greater London, England. It consists of a directly elected executive Mayor of London, currently Sadiq Khan, and an elected 25-member London Assembly with scrutiny powers. The authority was established in 2000, following a local referendum, and derives most of its powers from the Greater London Authority Act 1999 and the Greater London Authority Act 2007., The United Kingdom of Great Britain and Northern Ireland, commonly known as the United Kingdom (UK) or Britain, is a sovereign country in western Europe. Lying off the north-western coast of the European mainland, it includes the island of Great Britain (the name of which is also loosely applied to the whole country), the north-eastern part of the island of Ireland, and many smaller islands. Northern Ireland is the only part of the UK that shares a land border with another sovereign statethe Republic of Ireland. Apart from this land border, the UK is surrounded by the Atlantic Ocean, with the North Sea to its east, the English Channel to its south and the Celtic Sea to its south-south-west, giving it the 12th-longest coastline in the world. The Irish Sea lies between Great Britain and Ireland. With an area of , the UK is the 78th-largest sovereign state in the world and the 11th-largest in Europe. It is also the 21st-most populous country, with an estimated 65.1 million inhabitants. Together, this makes it the fourth most densely populated country in the European Union., Central London is the innermost part of London, England. There is no official definition of its area but its characteristics are understood to include a high density built environment, high land values, an elevated daytime population and a concentration of regionally, nationally and internationally significant organisations and facilities. Over time a number of definitions have been used to define the scope of central London for statistics, urban planning and local government. , The Mayor of London is an elected politician who, along with the London Assembly of 25 members, is accountable for the strategic government of Greater London. The current mayor is Sadiq Khan, who took up office on 9 May 2016. The position had been held by Ken Livingstone from the creation of the role on 4 May 2000 until he was defeated in 2008 by Boris Johnson, who served two terms before being succeeded by Khan., England is a country that is part of the United Kingdom. It shares land borders with Scotland to the north and Wales to the west. The Irish Sea lies northwest of England and the Celtic Sea lies to the southwest. England is separated from continental Europe by the North Sea to the east and the English Channel to the south. The country covers five-eighths of the island of Great Britain (which lies in the North Atlantic) in its centre and south; and includes over 100 smaller islands such as the Isles of Scilly, and the Isle of Wight., Edward Grainger ( 1797 -- 1824 ) was an English teacher of anatomy , and dresser to Sir Astley Cooper . Grainger opened an anatomical school in Webb Street , Southwark , London in 1819 after his offer to teach at Guy 's Hospital was rejected . The school was successful until the College of Surgeons changed their by - laws to squeeze the independent schools . The Webb St school was continued by Edward 's brother Richard Dugard Grainger after Edward 's early death ., Londinium was a settlement established on the current site of the City of London around  43. Its bridge over the River Thames turned the city into a road nexus and major port, serving as a major commercial centre in Roman Britain until its abandonment during the 5th century., Otology is a branch of medicine which studies normal and pathological anatomy and physiology of the ear (hearing and vestibular sensory systems and related structures and functions) as well as their diseases, diagnosis and treatment. Otologic surgery generally refers to surgery of the middle ear and mastoid related to chronic otitis media, such as tympanoplasty, or ear drum surgery, ossiculoplasty, or surgery of the hearing bones, and mastoidectomy. Otology also includes surgical treatment of conductive hearing loss, such as stapedectomy surgery for otosclerosis. Neurotology, a related field of medicine and subspecialty of Otolaryngology, is the study of diseases of the inner ear, which can lead to hearing and balance disorders. Neurotologic surgery generally refers to surgery of the inner ear or surgery that involves entering the inner ear with risk to the hearing and balance organs, including labyrinthectomy, cochlear implant surgery, and surgery for tumors of the temporal bone, such as intracanlicular acoustic neuromas. Neurotology is expanded to include surgery of the lateral skull base to treat intracranial tumors related to the ear and surrounding nerve and vascular structures, such as large cerebellar pontine angle acoustic neuromas, glomus jugulare tumors and facial nerve tumors., Subject: edward grainger, Relation: occupation, Options: (A) anatomist (B) bank (C) commercial (D) cooper (E) general (F) khan (G) king (H) major (I) mayor (J) member (K) official (L) physician (M) physiology (N) politician (O) science (P) surgeon (Q) united kingdom
Output: anatomist