Ocular motility disturbances after glaucoma drainage device implantation for paediatric glaucoma: a cross-sectional study

AimTo grade extraocular motility in the field of action of each extraocular muscle following superotemporal glaucoma drainage device (GDD) implantation in a paediatric population and to investigate which drainage device (Ahmed vs Baerveldt) yields less extraocular motility disturbance.MethodsCross-sectional study of children with a GDD implanted consecutively by a single surgeon who underwent ocular motility examination by two masked orthoptists. Ductions in the cardinal positions were graded. Ocular alignment, visual acuity, binocularity, stereopsis and intraocular pressure were also measured, and patient charts were reviewed.ResultsThirty children each had one eye included. Twenty-one eyes had an Ahmed GDD and 9 had a Baerveldt GDD. Mean time between GDD insertion and ocular motility exam was 68 months in the Ahmed group and 19 months in the Baerveldt group. Exotropia was present in 46% and vertical heterotropia in 46% of children post-GDD insertion. Thirty-three percent of eyes had a moderate or severe limitation of elevation in abduction, 30% of elevation in adduction, 10% of abduction and 10% of adduction. There was a trend towards more eyes in the Ahmed group (62%) having at least a moderate limitation in ocular motility (−2 or worse; scale −1 to −4) compared with the Baerveldt group (22%).ConclusionStrabismus is common in children with GDDs. Our motility and alignment findings are consistent with either a mass effect of the device and bleb and/or scarring beneath the plate in the quadrant of the GDD causing dysmotility, most commonly limitation towards the GDD.

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Results of a Patient Reported Experience Measure (PREM) to measure the rare disease patients and caregivers experience: a Spanish cross-sectional study

Orphanet Journal of Rare Diseases ◽

10.1186/s13023-021-01700-z ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Mercedes Guilabert ◽

Alba Martínez-García ◽

Marina Sala-González ◽

Olga Solas ◽

José Joaquín Mira

Keyword(s):

Rare Disease ◽

Rare Diseases ◽

Healthcare Services ◽

Paediatric Population ◽

Cross Sectional Study ◽

Sectional Study ◽

Optimal Care ◽

Cross Sectional ◽

Patient Reported ◽

Mean Time

Abstract Objective To measure the experience of the person having a rare disease in order to identify objectives for optimal care in the health care received by these patients. Methods. A cross-sectional study was conducted in Spain involving patients associated with the Spanish Rare Diseases Federation [Federación Española de Enfermedades Raras] (FEDER). A modified version of the PREM IEXPAC [Instrumento para evaluar la Experiencia del Paciente Crónico] instrument was used (IEXPAC-rare-diseases). Scores ranged between 0 (worst experience) and 10 (best experience). Results A total of 261 caregivers (in the case of paediatric population) and patients with rare diseases (response rate 54.4%) replied. 232 (88.9%) were adult patients and 29 (11.1%) caregivers of minor patients. Most males, 227 (87%), with an average age of 38 (SD 13.6) years. The mean time since confirmation of diagnosis was 7.8 (SD 8.0) years. The score in this PREM was 3.5 points out to 10 (95%CI 3.2–3.8, SD 2.0). Caregivers of paediatric patients scored higher, except for coordination of social and healthcare services. Conclusions There are wide and important areas for improvement in the care of patients with rare diseases. This study involves a first assesment of the experience of patients with rare diseases in Spain.

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Results of a Patient Reported Experience Measure (PREM) to measure the rare disease patients and caregivers experience: A Spanish cross-sectional study

10.21203/rs.2.19930/v2 ◽

2021 ◽

Author(s):

Mercedes Guilabert Mora ◽

Alba Martínez-García ◽

Marina Sala-González ◽

Olga Solas ◽

José Joaquín Mira

Keyword(s):

Rare Disease ◽

Rare Diseases ◽

Healthcare Services ◽

Paediatric Population ◽

Cross Sectional Study ◽

Sectional Study ◽

Optimal Care ◽

Cross Sectional ◽

Patient Reported ◽

Mean Time

Abstract Objective. To measure the experience of the person having a rare disease in order to identify objectives for optimal care in the health care received by these patients. Methods. A cross-sectional study was conducted in Spain involving patients associated with the Spanish Rare Diseases Federation [Federación Española de Enfermedades Raras] (FEDER). A modified version of the PREM IEXPAC [Instrumento para evaluar la Experiencia del Paciente Crónico] instrument was used (IEXPAC-rare-diseases). Scores ranged between 0 (worst experience) and 10 (best experience).Results. A total of 261 caregivers (in the case of paediatric population) and patients with rare diseases (response rate 54.4%) replied. 232 (88.9%) were adult patients and 29 (11.1%) caregivers of minor patients. Most males, 227 (87%), with an average age of 38 (SD 13.6) years. The mean time since confirmation of diagnosis was 7.8 (SD 8.0) years. The score in this PREM was 3.5 points out to 10 (95%CI 3.2-3.8, SD 2.0). Caregivers of paediatric patients scored higher, except for coordination of social and healthcare services.Conclusions. There are wide and important areas for improvement in the care of patients with rare diseases. This study involves a first assesment of the experience of patients with rare diseases in Spain.

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Results of a PREM to measure the rare disease patients’ caregivers experience: A Spanish cross-sectional study

10.21203/rs.2.19930/v1 ◽

2020 ◽

Author(s):

Mercedes Guilabert Mora ◽

Alba Martínez-García ◽

Marina Sala-González ◽

Olga Solas ◽

José Joaquín Mira

Keyword(s):

Rare Disease ◽

Rare Diseases ◽

Response Rate ◽

Paediatric Population ◽

Cross Sectional Study ◽

Sectional Study ◽

Optimal Care ◽

Cross Sectional ◽

The Mean ◽

Mean Time

Abstract Objective To measure the experience of the person suffering from a rare disease in order to identify objectives for optimal care in the health care received by these patients. Methods. A cross-sectional study was conducted in Spain involving patients associated with the Spanish Rare Diseases Federation [Federación Española de Enfermedades Raras] (FEDER). A modified version of the PREM IEXPAC instrument was used (IEXPAC-rare-diseases). Scores ranged between 0 (worst experience) and 10 (best experience).Results A total of 261 caregivers (in the case of paediatric population) and patients with rare diseases (response rate 54.4%) replied. Most males, 227 (87%), with an average age of 38 (SD 13.6) years. The mean time since confirmation of diagnosis was 7.8 (SD 8.0) years. The score in this PREM was 3.5 points out to 10 (95%CI 3.2-3.8, SD 2.0). Caregivers of paediatric patients scored higher, except for coordination of social and healthcare services.Conclusions There are wide and important areas for improvement in the care of patients with rare diseases. This study involves a first assesment of the experience of patients with rare diseases in Spain.

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Establishing normative foot posture index values for the paediatric population: a cross-sectional study

Journal of Foot and Ankle Research ◽

10.1186/s13047-016-0156-3 ◽

2016 ◽

Vol 9 (1) ◽

Cited By ~ 17

Author(s):

Gabriel Gijon-Nogueron ◽

Jesus Montes-Alguacil ◽

Pilar Alfageme-Garcia ◽

Jose Antonio Cervera-Marin ◽

Jose Miguel Morales-Asencio ◽

...

Keyword(s):

Paediatric Population ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Foot Posture Index ◽

Posture Index ◽

Foot Posture

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Judicial demand of medications through the Federal Justice of the State of Paraná

Einstein (São Paulo) ◽

10.1590/s1679-45082017gs3792 ◽

2017 ◽

Vol 15 (1) ◽

pp. 85-91 ◽

Cited By ~ 3

Author(s):

Renato Mitsunori Nisihara ◽

Ana Carolina Possebom ◽

Luiza de Martino Cruvinel Borges ◽

Ana Claudia Athanasio Shwetz ◽

Fernanda Francis Benevides Bettes

Keyword(s):

Cross Sectional Study ◽

The State ◽

Brand Name ◽

Sectional Study ◽

Cross Sectional ◽

The Public ◽

Online System ◽

Broad Variety ◽

The Mean ◽

Mean Time

ABSTRACT Objective To describe the profile of lawsuits related to drug requests filled at the Federal Justice of the State of Paraná. Methods A cross-sectional study, and the data were obtained through consulting the lawsuits at the online system of the Federal Justice of Paraná. Results Out of 347 lawsuits included in the study, 55% of plaintiffs were women, with a median age of 56 years. Oncology was the field with more requests (23.6%), and the highest mean costs. A wide variety of diseases and broad variety of requested drugs were found in the lawsuits. Approximately two-thirds of them were requested by the brand name, and the most often requested drugs were palivizumab and tiotropium bromide. Only 14.5% of the requested medicines were registered in the National Medication Register. The Public Defender’s Office filled actions in 89.6% of cases and all lawsuits had an interim relief. The mean time for approval was 35 days and 70% of requests were granted. Conclusion Oncology was the field with the highest demand for medicines at the Federal Justice of Paraná in 2014. A great variety of medications was requested. The Public Defender´s Office represented most lawsuits. All demands had an interim relief, and the majority of requests were granted, within an average of 35 days.

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The Rising Double Heterozygous Cases of Haemoglobinopathies In Paediatric Population-A Hospital Based Cross Sectional Study

IOSR Journal of Dental and Medical Sciences ◽

10.9790/0853-1510043336 ◽

2016 ◽

Vol 15 (10) ◽

pp. 33-36

Author(s):

Vikas Dagar ◽

Rajesh Kate ◽

Ashwinkumar Barsagade ◽

Pradeep Male

Keyword(s):

Paediatric Population ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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A relatively low prevalence of Helicobacter pylori infection in a healthy paediatric population in Riga, Latvia: a cross-sectional study

Acta Paediatrica ◽

10.1111/j.1651-2227.2001.tb03255.x ◽

2007 ◽

Vol 90 (10) ◽

pp. 1199-1201 ◽

Cited By ~ 8

Author(s):

I Daugule ◽

I Rumba ◽

P Lindkvist ◽

M Bergström ◽

J Ejderhamn

Keyword(s):

Helicobacter Pylori ◽

Paediatric Population ◽

Cross Sectional Study ◽

Helicobacter Pylori Infection ◽

Sectional Study ◽

Cross Sectional ◽

Low Prevalence

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Blood Lead Level in a Paediatric Population of South-Eastern Spain: A Cross-Sectional Study

10.20944/preprints202101.0359.v1 ◽

2021 ◽

Author(s):

Lucia Ruiz Tudela ◽

Maria Angeles Vazquez Lopez ◽

Iciar Garcia Escobar ◽

Jose Eugenio Cabrera Sevilla ◽

Sara Gomez Bueno ◽

...

Keyword(s):

Healthy Subjects ◽

Parental Education ◽

Blood Lead ◽

Paediatric Population ◽

Cross Sectional Study ◽

Dietary Iron ◽

Sectional Study ◽

Cross Sectional ◽

Low Level ◽

South Eastern

Objective: To determine blood lead levels (BLL) in a healthy paediatric population and to analyse related sociodemographic, dietary and haematological factors. Methods: A cross-sectional study was made of 1,427 healthy subjects aged 1-16 years from the city of Almería (south-eastern Spain). BLL, iron parameters and erythropoietin were determined, and sociodemographic and dietary data obtained. The study data were analysed by multiple logistic regression. Results: The mean BLL was 1.98±1.1 µg/dl (95% CI:1.91–2.04). For 5.7% of the population, mean BLL was 2-5 µg/dl, for 2.1% it was >5 µg/dl and for 0.15% it was >10 µg/dl. Multivariate analysis showed that immigrant origin (OR:11.9; p<0.0001), low level of parental education (OR:4.6; p<0.02) and low dietary iron bioavailability (OR: 3.2; p<0.02) were all risk factors for toxic BLL. Subjects with toxic and non-toxic BLL presented similar iron and erythropoiesis-related parameters, except erythrocyte protoporphyrin, which was significantly higher in the BLL >5 µg/dl group. Conclusions: BLL and the prevalence of toxic BLL in healthy subjects aged 1-16 years living in south-eastern Spain are low and similar to those found in other developed countries. The factors associated with toxic BLL are immigrant origin, low level of parental education and dietary iron deficiency. The toxicity of BLL was not related to changes in the analytical parameters studied.

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