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Biomedical subjects

R N Bailey

Publications and source records attributed to R N Bailey.

7 recordsLinked to original sources
PubMed1995

Community-oriented primary care programs.

BACKGROUND: Systems are being proposed by health planners in an effort to improve access to health care for the uninsured and underinsured, including the vulnerable and indigent populations. The lack of affordable and adequate health care for significant numbers of our citizens raises the potential for a serious economic crisis for our nation. Modern medicine has been more interested in developing high tech care for the well insured than in preventive and early intervention health care. While the development of this high technology is of great value and will be beneficial to many, it is out of financial reach for increasing numbers of individuals. As a nation we must reduce the demand for high priced medical care by providing a system that keeps people healthy or intervenes in their illness at a stage when less dramatic medical measures are able to restore them to health. To maintain a population that is healthy and productive in the school setting and in the work place, systems must be developed that reach out into the community with prevention-oriented health education programs and health care services at the primary care level. METHODS: A limited literature review was made in order to present to the optometric community the concept of Community Oriented Primary Care (COPC) as a cost-effective method of improving access to primary care services. RESULTS: The literature review demonstrated that Community Oriented Primary Care (COPC) as a health-oriented strategy brings the benefits of primary care closer to those in need. The history of the development of community oriented primary care services as a health delivery methodology, as well as the current utilization of the COPC concept, is presented in this paper. CONCLUSIONS: Optometry, as a provider of primary eye and vision care services should be included in these cost effective programs.

Community Health Services↗
PubMed1993

The surgical removal of a subfoveal choroidal neovascular membrane: an alternative treatment to laser photocoagulation.

Whenever hypoxia occurs as the result of a pathologic condition in or near the highly metabolic retinal tissue, there often is an attempt by the vascular tissue in the area to offset this loss through the development of a neovascular membrane. If the affected tissue is the choroid/retinal pigment epithelium/Bruch's membrane complex, or outer 1/3 of the sensory retina, the source of these new vessels is the choriocapillaris. The vessels in the neovascular membrane are fragile, leak serum profusely and tend to hemorrhage. The natural history of these choroidal neovascular membranes (CNVMs), when they are located in the center of the macula, is the formation of a disciform scar resulting in the severe loss of central vision (20/200 or worse). Laser photocoagulation has been successful in treating neovascular membranes and limiting visual loss when they have been either extrafoveal, i.e., no closer than 200 mu o to the center of the foveal avascular zone (FAZ), or juxtafoveal, i.e., no closer than 1 mu o to the center of the FAZ. Until recently, laser treatment of subfoveal CNVMs was not considered an acceptable option due to its destructive effects on foveal vision. The surgical removal of subfoveal neovascular membranes has been recently described as an attempt to spare more vision.

Aged↗
PubMed1990

Diagnosis and management of conjunctival papillomas.

Lumps and bumps have been seen on the ocular surface or adnexa of many of our patients. Most of these are readily identified; however, we may occasionally see an unusual "growth" and wonder about its pathological significance. The topic of epithelial neoplastic growths with special emphasis on the subclass of papillomas is reviewed. The question of histopathological significance is raised in a case of epibulbar conjunctival growths. The differential diagnosis, which leads to the definitive diagnosis of viral conjunctival papillomas, is discussed. The management of viral conjunctival papillomas is reviewed.

Adult↗