Overestimation of hyperopia with autorefraction compared with retinoscopy under cycloplegia in school-age children

2018 ◽  
Vol 102 (12) ◽  
pp. 1717-1722 ◽  
Author(s):  
Hassan Hashemi ◽  
Mehdi Khabazkhoob ◽  
Amir Asharlous ◽  
Abbasali Yekta ◽  
Mohammad Hassan Emamian ◽  
...  

AimTo compare sphere and cylinder refraction values using retinoscopy and autorefraction under cycloplegic conditions in children.MethodsThis cross-sectional study was carried out using multistage cluster sampling. The target population was children aged 6–12 years in Shahroud, a northern city in Iran. Examinations included measurements of visual acuity, subjective refraction and objective refraction. Objective refraction was measured with and without cycloplegia with a retinoscope and an autorefractometer.ResultsAfter applying the exclusion criteria, data from 5053 children were analysed. Spherical refraction results with autorefraction were significantly higher than results with retinoscopy (P<0.001). Refraction overestimation was significant in all age groups (P<0.0001). Comparison of differences in different spherical ametropia subgroups also showed a significant intermethod difference in all refractive states (P<0. 01). Overall, autorefraction tended to over plus hyperopics and under minus myopic cases compared with retinoscopy. The 95% limits of agreement for spherical values measured with the two techniques were −0.35 Diopter (D) to 0.50 D. The values of J0and J45vectors with autorefraction were significantly higher than those with retinoscopy (P<0.001). The 95% limits of agreement between the two methods for vectors J0and J45were −0.12 D to 0.15 D and −0.10 D to 0.11 D, respectively.ConclusionSince the observed differences in spherical refraction and the cylindrical components obtained through retinoscopy and autorefraction are statistically significant, but clinically insignificant, and the two methods have a strong correlation and agreement, it can be concluded that autorefraction can be a suitable substitute for retinoscopy in children under cycloplegic conditions.

2020 ◽  
Vol 8 (1) ◽  
pp. 77
Author(s):  
K. K. Rakesh Raju ◽  
V. T. Ajithkumar ◽  
T. P. Ashraf ◽  
A. Riyaz ◽  
N. C. Cherian ◽  
...  

Background: Malnutrition and anaemia form major public health problems among the school age children, particularly in the developing countries.Methods: A cross sectional study was conducted among children between 6 months and 18 years, in randomly selected 25 Anganwadis of Attappadi area. Objective of the study was to estimate the prevalence of anaemia and malnutrition among the children of Attappadi. Children were divided in to tribal and nontribal. Anthropometric measurements, haemoglobin estimation by cyanmethemoglobin method and peripheral smear examination were done.Results: 65.5% tribal and 54.1% non-tribal were anaemic. Among males 65.9% tribal and 56.4% non-tribal were anaemic. Among females 65.1% tribal and 52.6% nontribal were anaemic. In the age group less than 6 years, 9% tribal females, 8.9% nontribal females, 12% tribal males and 5.8% nontribal males were severely stunted. Above 6yrs it was 3.3% tribal females, 2.7% nontribal females, 2.4% tribal males and 7.4% nontribal males. In the age group less than 6 years, 12.5% tribal females, 3.9% nontribal females, 15.9% tribal males and 4.3% nontribal males had severe underweight. Above 6 years it was 8.3% tribal females, 0% non-tribal females, 19% tribal males and 3% non-tribal males.Conclusions: Anaemia and malnutrition are common among children of Attappadi. Tribal children are more affected than non-tribal children. Anaemia is more common among two age groups, less than 5 years and more than 11 years. Among females’ adolescent girls are more affected. Periodic assessment of growth parameters and early detection and treatment of anaemia are needed.


Author(s):  
Pothiraj Pitchai ◽  
Anulucia Augustine ◽  
Hiloni R. Badani ◽  
Namrataa H. Anarthe ◽  
Aiyshwarya Avasare

Background: Prevalence of non-communicable diseases (NCDs) is alarmingly increasing along with a rise in population especially in rural India. The objectives of this study are to find out prevalence as well as awareness of NCDs among the rural populations.Methods: This community-based cross-sectional study was conducted in six rural area of Panvel Taluka. One –stage cluster sampling technique was used to recruit participants from each cluster. WHO STEPS questionnaire tool (STEP I and II) was used to measure NCDs risk factors. Face validated pre-designed questionnaire was used to assess participant’s awareness, attitude, and behavior towards NCDs. The target population was classified into different age groups and gender. Data were analyzed using SPSS Software and a descriptive statistics were applied.Results: A total of 483 males and 417 females participated in this study. Among males, 34.8% consumed smoked tobacco whereas 21.8% of females consumed smokeless tobacco. Only 9.32% of male participants were reported as current alcohol drinkers. Both the genders did not meet the recommended amount of fruit consumption. Insufficient physical activity amongst males was 45.21% and females 60.49%. Based on BMI categories 19.04% males were overweight and 27.12% obese and in females 23.02% and 21.34% respectively. Risk of high waist circumference and diabetes was demonstrated more by males whereas females subjected to raised blood pressure. Awareness of NCDs among total subjects found as low as 28%.Conclusions: Awareness about NCDs is alarmingly low among the rural population thus corresponding to an increased prevalence of risk factors.


2014 ◽  
pp. 90-93
Author(s):  
Van Tuan Nguyen ◽  
Tam Vo ◽  
Bui Bao Hoang

Elevated serum Transforming growth factor-beta1 (TGF-beta1) levels have been linked to tissue fibrosis including chronic kidney disease. Objectives: (1) Investigate serum TGF-beta1 levels in healthy adult people and (2) Examined the relation between serum TGF-beta1 level and gender, age, body mass index (BMI). Method: A cross-sectional study. TGF-beta1 were quantified by ELISA. Results: Levels of serum TGF-beta1 in healthy people were 13,45 ± 7,17 ng/mL mL (0,59 - 33,10 ng/mL). There are no difference of serum TGF-beta1 levels between men and women, between the age groups (<40 years, 40 to < 60 years and ≥ 60 years), between BMI groups < 23 and BMI group ≥ 23. Key words: TGF-beta1, healthy people


2019 ◽  
Author(s):  
Chanda Chalela

BACKGROUND ABSTRACT Introduction a study on prevalence of ITN use was carried out in Buchi community Kitwe Zambia from August to October 2019 OBJECTIVE Prevalence of ITN in BUchi METHODS Methodology: This was a cross sectional study design. A structured questionnaire was used to ascertain ownership and utilization and oral interviews, 200 households were targeted 844 individual covered across the 200 households. Data was analyzed with SPSS version 23. RESULTS ABSTRACT Introduction a study on prevalence of ITN use was carried out in Buchi community Kitwe Zambia from August to October 2019 Methodology: This was a cross sectional study design. A structured questionnaire was used to ascertain ownership and utilization and oral interviews, 200 households were targeted 844 individual covered across the 200 households. Data was analyzed with SPSS version 23. Findings: household ownership of at least an ITN was 52% and individual utilization at 37.6%, with 0.825 ITN/households and 0.195ITN /individual. Malaria prevalence of 52.4% /household and a 12.4% of the population. With 47.6% malaria patient coming from households with ITN and 60% of households with ITN have insufficient coverage.61% of malaria patient were female and 31 % male. however there was no significant relation between Gender and malaria prevalence in study area (p value was >0.05). Malaria cases distribution with age groups, 0-15yrs old represented 49.5%, 16-30 yrs., was at 27.6% and the over 30 yrs. case were at 22.9% .use of other preventive measures 23% used mosquito repellent ,others methods 1% with those not using any other methods 76%. CONCLUSIONS Conclusion The study showed clearly that malaria still poses a problem .the prevalence rate of malaria was still high 12.4% of the population and 52.4% of households. With high prevalence of malaria of 49.5% for 0-15yrs.the difference between ownership 52% and Utilization 37.6% showed that even household with ITN, the ITN were not sufficient.60% of households with ITN, the ITN were not sufficient for all occupants


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jackie Kleynhans ◽  
Stefano Tempia ◽  
Meredith L. McMorrow ◽  
Anne von Gottberg ◽  
Neil A. Martinson ◽  
...  

Abstract Background Describing contact patterns is crucial to understanding infectious disease transmission dynamics and guiding targeted transmission mitigation interventions. Data on contact patterns in Africa, especially South Africa, are limited. We measured and compared contact patterns in a rural and urban community, South Africa. We assessed participant and contact characteristics associated with differences in contact rates. Methods We conducted a cross-sectional study nested in a prospective household cohort study. We interviewed participants to collect information on persons in contact with for one day. We described self-reported contact rates as median number people contacted per day, assessed differences in contact rates based on participant characteristics using quantile regression, and used a Poisson model to assess differences in contact rates based on contact characteristics within age groups. We also calculated cumulative person hours in contact within age groups at different locations. Results We conducted 535 interviews (269 rural, 266 urban), with 17,252 contacts reported. The overall contact rate was 14 (interquartile range (IQR) 9–33) contacts per day. Those ≤18 years had higher contact rates at the rural site (coefficient 17, 95% confidence interval (95%CI) 10–23) compared to the urban site, for those aged 14–18 years (13, 95%CI 3–23) compared to < 7 years. No differences were observed for adults. There was a strong age-based mixing, with age groups interacting more with similar age groups, but also interaction of participants of all ages with adults. Children aged 14–18 years had the highest cumulative person hours in contact (116.3 rural and 76.4 urban). Conclusions Age played an important role in the number and duration of contact events, with children at the rural site having almost double the contact rate compared to the urban site. These contact rates can be utilized in mathematical models to assess transmission dynamics of infectious diseases in similar communities.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Geraldine Landon ◽  
Isabelle Denjoy ◽  
Enora Clero ◽  
Aleksandr Silenok ◽  
Irina Kurnosova ◽  
...  

AbstractBetween 2009 and 2013, a large cross-sectional study on the health consequences of the Chernobyl nuclear accident was performed in the contaminated and uncontaminated territories of the Bryansk Oblast (Russian Federation). The objective of this work was to confirm or refute a possible association between childhood cardiac arrhythmia and a chronic exposure to caesium-137. As part of this study, a large number of electrocardiographic and cardiac ultrasound parameters were collected from 18,152 children aged 2–18 years including 12,512 healthy ones not contaminated with caesium-137. It seemed therefore relevant for us to share in a second publication these medical data based on healthy and uncontaminated children with the scientific community because of the large quantities and the limited availability of such kind of data. In the present study, relating to electrocardiographic parameters, the measurements performed fully reflect the expected evolution of the paediatric electrocardiogram between 5 and 18 years of age. Thus, the median values were generally quite close to those available in the literature. In contrast, differences in the 2nd and 98th percentiles were notable and could be explained in particular by the type of equipment used, the number of subjects included in the study and racial disparities. As for echocardiographic parameters, the evolution of the measured values in age groups is consistent with what was expected considering factors such as growth. In comparison with other scientific studies that have investigated these echocardiographic parameters, some differences by age groups have been identified. The ethnic factor truly appears to be a relevant feature to consider. In view of the results, it appeared essential to the authors to approach the methodological conditions of the scientific studies already published on the topic to be truly comparable and thus to provide a reliable answer on a topic for which real expectations in terms of medical care are required.


2020 ◽  
Vol 3 (2) ◽  
pp. 32-40
Author(s):  
Desak Gede Yenny Apriani

Background: Children develop very traumatic and anxious experiences during the infusion process. The role of finance for children in hospitals is related to collaboration between family and nurses or doctors with financial participation in meeting children's needs and care by providing emotional support for children.Objective: This study discusses family relationships with children during infusion of teenage children (12-18 years).Method: The design of this study used a cross sectional study using observational. The samples used were school-age children 12-18 years old who were to take intravenous measures at the BRSU IRD Room in Tabanan Regency.Results: Most respondents who did not get anxious were 55 (38.8%) respondents and family recipients who received 107 (79.9%) respondents. Based on the results of the Spearman rank test the results of the r value are 0.604 and the value of p 0.000 means that there is a family relationship with the children during infusion in adolescents (12-18 years) in the BRSUD Room in Tabanan Regency.Conclusion: Family support provides a strong level of ability for children when installing IVs.


2020 ◽  
Vol 1 (2) ◽  
pp. 91-107
Author(s):  
Tri Wahyuni Lestari ◽  
Annisa Rizky Afrilia ◽  
Nita Prihartini

Traditional cupping therapy is an alternative therapy that is invasive in society. The Indonesian Cupping Association (PBI) has established a Standard Operating Procedure (SOP) as a guide for its practitioners in service. In this study, an analysis of the SOP items was evaluated on 30 cupping practitioners in the DKI Jakarta area. This study aims to obtain an overview of the SOP with easy, medium, and difficult categories that can be fulfilled by cupping practitioners and are expected to provide input to the Standard Cupping Operational Procedure module. Methods: This study was a cross-sectional study, conducted on 30 cupping practitioners in DKI Jakarta who met the inclusion and exclusion criteria. The data collection method was done by observing cupping practitioners three times each to avoid bias in their behavior. In addition, interviews were also conducted with 30 clients who use cupping services to assess SOP  impression. Data analysis explained descriptively. Results show that there were SOP activities in the Standard Cupping Operational Procedure module with an easy category of 64.5%, a moderate category of 14.5%, and a difficult category of 21%.  There are easy categories that mean infrastructure, namely 72.7%, 13.6% moderate category, and difficult category of 13.6%. The conclusion contained in the SOP are included in the easy category. However, SOP items still need attention and supervision, especially SOP items with medium and difficult categories.


2019 ◽  
Vol 11 (1) ◽  
pp. 14-20
Author(s):  
Dr. Padma K Bhat ◽  
Dr. Sushma S G ◽  
Dr. Jayachandra M Y

Background: Tobacco use is so addictive among youth and is one of the global epidemics which require constant monitoring and timely appropriate action to prevent usage. School personnel play one of the main roles in taking appropriate action. Aim: To assess knowledge and attitude of tobacco use pattern among school personnel in Bangalore city. Material and Methods: A cross sectional study was carried out for a period of six months from May to October 2017. Stratified cluster sampling was done to include the government and English medium schools in Bangalore south. All the school personnel in the selected schools were eligible to participate. The data collection tool was GSPS questionnaire (WHO FCTC Tobacco Control). Chi-square test and Fisher’s Exact Test was used to demonstrate cross tabulation with confidence intervals. Significance level of 0.05 was considered for statistical analyses Results : Majority of both Kannada and English medium school personnel did not use any forms of tobacco. Both the English and Kannada medium school personnel were aware of the addictive effect of tobacco, but majority of the Kannada medium personnel said second hand smoke is not harmful as compared to their counterparts. Conclusion: Tobacco use among school personnel was low. Most of the school personnel were informed about the addictive nature of tobacco.


Author(s):  
Amarjot Singh Gill ◽  
Nistara Singh Chawla ◽  
Sandeep Singh Saini

Background: The practices of various health-care professionals have been improvised to accommodate the on-going covid-19 pandemic situation. Different guidelines have been set in place to ease the process of re-opening of non-elective healthcare services like out-patient physiotherapy clinics. Although the measures taken should be guided by evidence based information, major consensus amongst practicing therapists needs to guide the India physiotherapy clinics. Objective: To identify and present the opinions of different physiotherapists about the various strategies for re-opening the out-patient physiotherapy clinics. Methods: An online cross-sectional survey was conducted. Over 169 participants were selected to participate in the survey according to the pre-decided inclusion and exclusion criteria. The data was collected and saved via google forms. Result and conclusion: A majority of respondents had a consensus over different strategies for re-opening the physiotherapy OPDs. These were regarding different measures to be adapted including modifications in the clinic infrastructure and the practice pattern. This would help in smoothly re-instating the physiotherapy services post the covid-19 lockdown.


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