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Biomedical subjects

R W Connor

Publications and source records attributed to R W Connor.

6 recordsLinked to original sources

Hand infections in patients with diabetes mellitus.

Fifty diabetic patients with hand infections were studied retrospectively. The cause of infection varied, and the infections were divided into two groups: superficial infections and abscesses. The amputation rate was 14%. Only patients who presented with an abscess required amputation, and of those patients with abscesses, 17.5% required amputation. Eighteen of 38 cultured infections were polymicrobial, 4 contained Enterococcus, 11 contained gram-negative bacteria, and 3 contained anaerobic organisms. Bacteriologic culture analysis initiated a two-drug protocol: ampicillin with sulbactam (Unasyn; Pfizer, New York, NY) or piperacillin with tazobactam (Zosyn; Lederle, Pearl River, NY) and gentamicin (renal adjusted).

Adolescent↗

Sclerochorioretinal resection for choroidal melanoma. A clinicopathologic correlation of a postmortem eye.

A 51-year-old patient underwent a technically successful sclerochorioretinal resection with scleral graft for a medium-sized choroidal melanoma, which proved to be of mixed cell type. Though there was complete resection of the tumor and a favorable visual result, the patient developed metastatic melanoma and died 42 months after the original diagnosis and 34 months after the surgical procedure. Postmortem examination of the involved eye demonstrated excellent anatomic preservation of intraocular structures. Of particular interest was the lack of ischemic necrosis in the anterior segment in spite of surgical disinsertion of two rectus muscles and the ablation of the medial long ciliary artery.

Choroid↗

Information control for a general ophthalmic practice.

An integrated ophthalmic office computer system is now functional at five sites. The system automates clerical functions such as appointment scheduling, billing, and preparation of doctors' schedules and insurance forms. It eliminates the need for filing and storage of records. The medical system records the history and physical examination of the eye, offers a broad differential diagnosis, writes prescriptions for glasses and drugs, types referral letters, orders contact lenses from specifications, and catalogues photographic and other patient data vital to the medical record. The accounting system prepares complex accounting records and general ledgers for the combined practice and the individual physician.

Humans↗

Lethal herpes simplex virus type 1 hepatitis in a normal adult.

A fatal case of human herpes simplex type 1 hepatitis is presented and compared with cases previously reported. The patient presented with fulminant hepatic necrosis, coagulopathy, leukopenia, thrombocytopenia, and absence of typical herpetic mucocutaneous lesions. Liver biopsy helped to establish a presumptive diagnosis in this patient and in one previously reported case. Theoretically, early diagnosis might enable application of specific antiviral therapy in future cases of this usually fatal infection.

Adult↗

A working in-house computer system for a general ophthalmology practice.

The authors describe their computer system, which was designed to support all of the information needs of their office and utilize the capabilities of the computer in every aspect of the practice. The system is now intricately involved in both clerical and medical activities. Problems of implementation were alleviated by the participation of the physicians and staff in designing the portions of the system with which they would be working; thus, the system is tailored to fit the needs of each individual.

Computers↗