Biomedical subjects

Charles Reilly

Publications and source records attributed to Charles Reilly.

3 recordsLinked to original sources

PubMed2005

Intraocular lens calculation in a patient with previous penetrating keratoplasty and LASIK.

PURPOSE: To report a case of a patient who underwent cataract extraction with intraocular lens (IOL) implantation after previous penetrating keratoplasty (PK) followed by laser in situ keratomileusis (LASIK). METHODS: Case report and literature review of cataract surgery after PK and LASIK. Cataract surgery was successfully performed in a patient with previous PK and LASIK. This paper outlines our method of calculating the correct power IOL for implant. RESULTS: The patient's 1-month postoperative uncorrected visual acuity was 20/70 and best spectacle-corrected visual acuity was 20/30+ with -0.75 +0.50 x 180. CONCLUSIONS: We report the case of a patient with cataract extraction with IOL implantation after PK and LASIK as well as a description of the method used to calculate IOL power after PK and LASIK. While the IOL selection can be difficult, using the appropriate nomogram can result in good visual outcomes.

Algorithms↗

PubMed2004

Neurocognitive function in borderline personality disorder.

A battery of neuropsychological measures considered sensitive to dysfunction in prefrontal or temporal cortices was administered to patients with borderline personality disorder (BPD) and healthy controls. BPD patients exhibited striking deficits on measures of nonverbal executive function and nonverbal memory but were unimpaired on tests of alternation learning, response inhibition, divergent thinking, verbal fluency, and verbal working memory. A second study found that university students obtaining high scores on a self-report measure of BPD symptoms exhibited a similar pattern of neuropsychological impairment, although performance deficits were much less pronounced in the student sample. Taken together, these studies suggest that dysfunction of a right hemisphere frontotemporal regions may be associated with borderline personality.

Adolescent↗

PubMed2002

Effectiveness of appropriately trained nurses in preoperative assessment: randomised controlled equivalence/non-inferiority trial.

OBJECTIVE: To determine whether preoperative assessments carried out by appropriately trained nurses are inferior in quality to those carried out by preregistration house officers. DESIGN: Randomised controlled equivalence/non-inferiority trial. SETTING: Four NHS hospitals in three trusts. Three of the four were teaching hospitals. PARTICIPANTS: All patients attending for assessment before general anaesthesia for general, vascular, urological, or breast surgery between April 1998 and March 1999. INTERVENTION: Assessment by one of three appropriately trained nurses or by one of several preregistration house officers. MAIN OUTCOME MEASURES: History taken, physical examination, and investigations ordered. Measures evaluated by a specialist registrar in anaesthetics and placed in four categories: correct, overassessment, underassessment not affecting management, and underassessment possibly affecting management (primary outcome). RESULTS: 1907 patients were randomised, and 1874 completed the study; 926 were assessed by house officers and 948 by nurses. Overall 121/948 (13%) assessments carried out by nurses were judged to have possibly affected management compared with 138/926 (15%) of those performed by house officers. Nurses were judged to be non-inferior to house officers in assessment, although there was variation among them in terms of the quality of history taking. The house officers ordered considerably more unnecessary tests than the nurses (218/926 (24%) v 129/948 (14%). CONCLUSIONS: There is no reason to inhibit the development of nurse led preoperative assessment provided that the nurses involved receive adequate training. However, house officers will continue to require experience in preoperative assessment.

Clinical Competence↗