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Biomedical subjects

B E Berry

Publications and source records attributed to B E Berry.

At least 19 recordsLinked to original sources

Pediatric photoscreening for strabismus and refractive errors in a high-risk population.

OBJECTIVE: To determine the accuracy of the MTI Photoscreener in detecting strabismus and refractive errors in children. PARTICIPANTS: One hundred children underwent MTI photoscreening followed by complete ophthalmologic examination. Six observers graded the photographs for strabismus, according to the location of the corneal light reflexes, and for refractive error, according to the size and location of the light crescent. RESULTS: The sensitivity of the MTI Photoscreener in detecting any amblyogenic factor was 80% to 91%, with a specificity of 20% to 67%. The sensitivity and specificity for particular amblyogenic factors varied widely among observers. The ranges were as follows: strabismus, sensitivity = 23% to 50%, specificity = 76% to 96%; myopia, sensitivity = 89%, specificity = 48% to 76%; hyperopia, sensitivity = 20% to 80%, specificity = 88% to 96%; and astigmatism, sensitivity = 46% to 77%, specificity = 79% to 89%. CONCLUSIONS: These results suggest caution in relying on photoscreening to detect strabismus and refractive errors in children.

Child↗

Cocaine use: implications for intervention with childbearing women and their infants.

This paper summarizes the literature on the effects of maternal cocaine use, drawing implications from the literature for the development of early intervention programs. It is suggested that intervention must be focused on maternal cocaine use among childbearing women as well as perinatal cocaine exposure among infants. Emphasis is placed on interventions that promote a reduction in drug use by potential childbearing women as well as expectant mothers and that focus on promotion of optimum parent-child interaction and parenting skills as well as maternal self-sufficiency.

Cocaine↗

Repair of aortopulmonary window at left thoracotomy for patent ductus arteriosus.

The inability to differentiate accurately between patent ductus arteriosus and aortopulmonary window may occasionally result in finding an aortopulmonary window while prepared to close a patent ductus arteriosus at left thoracotomy. Anatomic and technical factors now allow aortopulmonary window closure from the left chest using surgical clips in certain selected cases. The successful repair of such a case is presented.

Aorta↗

Coronary artery bypass operation in septuagenarians.

Increasing numbers of patients more than 70 years old are at risk from coronary artery disease. The continued success of coronary artery bypass operation in selected patients provides impetus for applying this procedure to older patients as well. Our results indicate coronary artery operation is effective in older patients and has a low mortality (3% in our series). In patients in this age group, coronary artery operation can be combined with other procedures, when indicated, such as cardiac valve replacement or repair, left ventricular aneurysmectomy, carotid endarterectomy, and cholecystectomy.

Age Factors↗

Left ventricular--abdominal aortic conduit complicated by late gastric erosion.

A 70-year-old woman with calcific aortic stenosis and a calcific ascending aorta obtained excellent relief with a left ventricular--abdominal aortic conduit (a Dacron graft containing a porcine valve). Eight months postoperatively, erosion of the conduit into the stomach resulted in fatal gastrointestinal bleeding. This lethal complication may be averted by use of suggested techniques.

Aged↗