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Biomedical subjects

J Bolger

Publications and source records attributed to J Bolger.

12 recordsLinked to original sources
PubMed1999

The Behavioral Dyscontrol Scale as a predictor of aggression against self or others in psychogeriatric inpatients.

The ability of the Behavioral Dyscontrol Scale (BDS) and its factors to predict aggression in psychogeriatric inpatients was investigated. Fifty-one neurologic and 33 psychiatric patients participated in the study. In the psychiatric group, Environmental Independence Factor (EIF: consisting of two go/no-go tasks) was more impaired in aggressive than in nonaggressive patients. In both groups, Fluid Intelligence Factor (FIF: consisting of alphanumeric sequencing, non-mirroring, and insight) was more impaired in aggressive than in nonaggressive patients. No differences between aggressive and nonaggressive patients were found for the Motor Programming Factor, BDS total score, or Mini-Mental State Exam. Receiver Operating Characteristic (ROC) curve using an EIF/FIF composite demonstrated high sensitivity and modest specificity for the psychiatric patients, yielding an Area Under the Curve (AUC) of 84%. Differences in the test's ability to predict aggression in the two diagnostic groups underscore the necessity for establishing unique norms for different populations.

Aged↗
PubMed1997

Religion and psychological well-being in later life.

A sample of 50 retired civil servants completed the Bradburn Balanced Affect Scale together with measures of personal prayer and public church attendance. No significant association emerged between psychological well-being and religion.

Adaptation, Psychological↗
PubMed1996

Gains from cataract surgery: visual function and quality of life.

AIMS: To describe the impact of cataract surgery in terms of visual function (functioning in everyday life with respect to vision dependent activities) and health related quality of life. METHODS: An observational, longitudinal study of patients undergoing cataract surgery was carried out at three district general hospitals in outer London districts of North Thames Region with follow up at 4 and 12 months postoperatively for a clinical assessment and a standardised administered interview. Patients were admitted for surgery to the first eye for age-related cataract between 1 May 1993 and 31 August 1994. Visual functioning was assessed by the VF-14, health related quality of life was assessed by the sickness impact profile (SIP), and vision related quality of life was assessed by VR-SIP (a modification of the generic SIP). RESULTS: Significant gains in all the outcome measures were demonstrated at 4 months postoperatively. No significant change (gain or loss) was observed between 4 and 12 months after surgery to the first eye. Postoperatively, the mean visual function (VF-14) scores, and health related (SIP) and vision related (VR-SIP) quality of life scores, indicated less reported trouble with vision dependent activities and better perceived quality of life, respectively. The average gains in visual function and quality of life (health and vision related) were apparent in groups with good visual outcome and poor visual outcome. Significant additional gains were seen at 1 year in patients who had second eye surgery in the interval between the postoperative assessments. CONCLUSIONS: Gains in visual functioning and quality of life (health and vision related) have been demonstrated following cataract surgery. These gains were sustained at 1 year after surgery to the first eye, with additional gains being conferred if second eye surgery had been performed. Assessment of the outcomes of cataract surgery by clinical indicators alone may underestimate the overall benefits of surgery, particularly in patients with poor visual outcome.

Aged↗
PubMed1994

Late hyphema after small incision cataract surgery.

A 68-year-old patient presented with a spontaneous hyphema 11 months after successful small incision cataract surgery. There was evidence of neovascularization of the wound. The intraocular lens was sequestered in the capsular bag within an intact capsulorhexis. Wound neovascularization as a complication of cataract surgery has become extremely rare with the increase in the popularity of the corneal incision for extracapsular cataract surgery. But the complication could become more common with the return to scleral incisions for phacoemulsification. Precise wound construction is necessary to avoid this complication.

Aged↗
PubMed1983

Development and operation of a pharmacy-based intravenous cytotoxic reconstitution service.

An intravenous cytotoxic reconstitution service has proved extremely popular with both medical and nursing staff. Since the pharmacy has taken over the responsibility for presenting these medicines in a readily usable form, many potential hazards to inexperienced medical staff have been eliminated, and much time and money have been saved. The pharmacists are in an excellent position to offer advice on many aspects of excellent position to offer advice on many aspects of cytotoxic treatment and are well equipped to spot prescription errors. They are often asked to supply information concerning rates and methods of administration as well as compatibility data of different diluents with various cytotoxic agents. The eventual objective of the service is to provide reconstituted cytotoxic drugs for all patients in the pharmaceutical district receiving chemotherapy. As it is not practical to have pharmacists available 24 hours a day, some form of batch production of syringe-loaded drugs could be used. In the immediate future the practicality of storing syringe-loaded drugs in a deep freeze (at -20 degrees C) with rapid thawing will be considered.

Antineoplastic Agents↗