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Biomedical subjects

J Trollor

Publications and source records attributed to J Trollor.

11 recordsLinked to original sources
PubMed2004

The prevalence of "cognitive impairment no dementia" in community-dwelling elderly: a pilot study.

OBJECTIVE: To determine the prevalence of "cognitive impairment no dementia" (CIND) and "amnestic mild cognitive impairment" (aMCI) in a population sample of 70-79-year-olds and the risk factors for CIND. METHOD: Cross sectional population survey. SETTING: Sutherland Shire, Sydney, Australia. SUBJECTS: 150 community-dwelling 70-79-year-olds were screened by telephone, 42 of whom were assessed at home. MEASURES: Demographics, subjective ratings of physical and emotional health and memory, cardiovascular risk factors, medications, the Mini-Mental State Examination, Boston Naming Test, Trail Making Tests A and B, Block Design, Rey Auditory Verbal Learning Test (RAVLT), Visual Reproduction, Logical Memory, letter and category fluency, the National Adult Reading Test (NART), the Geriatric Depression Scale (GDS) and the "state" section of the State-Trait Anxiety Inventory (STAI-S). RESULTS: From the 400 subjects contacted initially, 150 consented to be interviewed and 131 eligible subjects were recruited. Of a 1-in-3 random sample of 42 subjects assessed at home, 14 (33.3%) subjects met criteria for CIND, 1 (2.4%) had possible dementia and the 27 remaining (64.3%) were cognitively normal. Four (9.5%) met criteria for aMCI. Subjects with CIND were older, had lower ranking occupations and were less likely to be currently working than those classified as cognitively normal. Ten subjects with CIND did not meet criteria for aMCI because they lacked subjective memory impairment (n = 3) or had cognitive deficits other than memory (n = 7). All subjects with aMCI met criteria for CIND. CONCLUSIONS: One-third of individuals in this population sample met criteria for CIND. CIND is a broader definition than aMCI. Further research is needed to determine the longitudinal course and clinical utility of these definitions of cognitive impairment.

Aged↗
PubMed2001

Bilateral orbitomedial leucotomy for obsessive-compulsive disorder: a single-case study using positron emission tomography.

OBJECTIVE: The objective of this report is to correlate the clinical outcome of neurosurgery for obsessive-compulsive disorder (OCD) with regional cerebral glucose metabolic changes. CLINICAL PICTURE: The patient was a 37-year-old female patient with severe and intractable OCD. TREATMENT: The patient was treated with bilateral stereotactic lesions in the frontal white matter superior to the orbito-medial cortex. OUTCOME: She had a remarkable improvement in her obsessive-compulsive symptoms, which was sustained up to 3 years of follow up. A positron emission tomography (PET) scan performed 18 days after surgery demonstrated an obvious reduction of metabolism in the caudate head, anterior cingulate and orbital, medial and lateral prefrontal cortices and the thalamus. At 1 year postsurgery, metabolic rate was still reduced in the anterior cingulate gyrus, caudate and thalamus compared with preoperative baseline. The patient demonstrated no long-term cognitive effects of the surgery. CONCLUSIONS: This case supports some of the cortical-subcortical circuit dysfunction models of OCD and argues for the further evaluation of neurosurgery for the treatment of a severe and intractable disorder.

Adult↗
PubMed1995

Rural general practitioners and palliative care in the north-west of New South Wales.

OBJECTIVES: To assess palliative care training, involvement and availability of services of 134 GPs in the inland North West of New South Wales. DESIGN: Questionnaire survey. Response rate 88.2%. RESULTS: Few had difficulties in managing terminally ill patients, but a significant minority found bereavement counselling very difficult. Over half expressed the view that the absence of debriefing opportunities was a problem. CONCLUSION: The findings of this survey confirm that rural general practitioners are heavily involved in looking after palliative care patients and require undergraduate, postgraduate and continuing education, both in community and hospital care. There appears to be a need for more nursing and medical palliative care consultant services to be available to rural general practitioners and for the appropriate associations to be more active in rural areas.

Adult↗
PubMed1989

Establishing a treatment room.

The recommendations about the contents of the treatment room are not intended to be complete or a mandatory survival package. Some practitioners manage comfortably with basic equipment such as an Air-viva, a standard doctor's bag and a handful of instruments. Others have very advanced rooms with equipment compatible with their special interests and geographical location. The medical equipment can be obtained from suppliers, and some equipment has been designed by doctors who market their own concepts. The efficiently managed treatment room should have an accurate record of procedures and lists of current stock (including expiry dates, service dates and faulty equipment). There is no doubt patients and therapists benefit from an efficient treatment room.

Equipment and Supplies↗
PubMed1989

A drug information system. The patients' responses.

This article has described the practical aspects of establishing a written drug information system for the doctor and the patient. In addition, a patient questionnaire analysis has shown that patients accept the system, appreciate the material in the leaflet and are willing to receive drug information sheets. The advantages for the practitioner are that in compiling information on drugs the doctor is able to review his or her knowledge of prescriber pharmacology; the information acts as an accessible desk top reference; the information contained for both doctor and patient can be readily revised; the doctor can gain satisfaction by providing a thorough patient service. For the patient the advantages are many. These include: improved patient education; increased compliance; user safety arising from awareness of side effects and interactions; correct use of the drug by those who forget verbal messages quickly (for example, the elderly); thorough knowledge of how and when to dispose of drugs; and increased patient satisfaction with treatment. Such advantages and patient acceptance highlight this system's role as an important tool in the management of patients in general practice.

Australia↗