scholarly journals Glaucoma and its predictors among adult patients attending ophthalmic outpatient department: a hospital-based study, North West Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gashaw Mehiret Wubet ◽  
Abiyu Ayalew Assefa
Keyword(s):  
Intraocular Pressure ◽  
Family History ◽  
Public Awareness ◽  
Statistical Significance ◽  
Positive Family History ◽  
Contributing Factors ◽  
North West ◽  
Elevated Intraocular Pressure ◽  
North West Ethiopia ◽  
History Of

Abstract Background Nearly 1.9% of global blindness is caused by glaucoma and this is sadly high in Africa which is around 15% and In Ethiopia, glaucoma is responsible for 5.2% of blindness. It is also the fifth cause of blindness in Ethiopia. Scarce information is available regarding glaucoma in Ethiopia; hence we determined the proportion of glaucoma and its associated factors in North West Ethiopia which will be utilized for future related researches and different stakeholders. Methods Institution based cross-sectional study was conducted from September 1/2020 to February 30/21 among 258 adults aged 40 and above years old. The participants were selected using the systematic random sampling technique. The data was collected using an interview-administered questionnaire. Binary and Multi-variable logistic regressions were fitted to identify independent predictors of glaucoma. P-value less than 0.05 were used as a cutoff point for declaring statistical significance. Results The prevalence of glaucoma was 66(26%) with a 95% CI of 17.7, 35.4%). Individuals with Positive family history of glaucoma (AOR: 3.72, 95% CI: 1.03–3.53), age (AOR: 3.21, 95% CI: 1.92–5.99) and elevated intraocular pressure (AOR: 3.09, 95% CI: 1.45–6.59) were statistically significant contributing factors for the development of glaucoma. Conclusion The study found a relatively high proportion of glaucoma in the study area, which is primarily a disease of the elderly. Age, elevated intraocular pressure, and positive family history of glaucoma was contributing factors for the emergence of glaucoma. Therefore, establishing public awareness programs about the identified risk factors for the prevention and early detection of cases is essential.

scholarly journals Awareness of Glaucoma in Olorunda Local Government Area, Osogbo, Osun State, Nigeria

2021 ◽  
pp. 34-40
Author(s):  
C. O. Adeoti ◽  
E. A. Abioye Kuteyi ◽  
B. V. Olomola ◽  
O. Adejumo
Keyword(s):  
Family History ◽  
Local Government ◽  
Tertiary Education ◽  
Open Angle Glaucoma ◽  
Public Awareness ◽  
Statistical Significance ◽  
Positive Family History ◽  
The State ◽  
Local Government Area ◽  
History Of

Purpose: The commonest type of glaucoma called chronic open angle glaucoma is a silent disease and patients are usually diagnosed late in the disease. Public awareness programs must be actively done to enable a reduction of late detection of the disease and level of awareness must be assessed regularly to appraise the programs. The aim of this study was to assess the level of awareness of the people following the several annual glaucoma week programs we held in the state. Methodology: A descriptive cross-sectional study was done in Osogbo local Government Area (LGA) over six months to assess the awareness of glaucoma following a five-year screening and public health education on glaucoma during the annual World glaucoma week in the state. The interviewer-assisted questionnaire was administered to 279 participants. Obtained data included demography such as age, sex, level of education, occupation, religion, state of origin, knowledge of glaucoma and its treatment, family history of glaucoma and so on. The data were entered and analyzed using SPSS version 21 (SPSS Inc., Chicago, IL). Descriptive statistics was used to analyze demographic data, and cross-tabulations with chi-square were used in comparing variables. Statistical significance was set at P<0.05. Results: Two hundred and seventy-nine people were involved in the study. Many, 192 (68.8%) were aware of glaucoma. Thirty-nine participants (14.0%) had a family history of glaucoma and 63 (22.6%) felt the cause of glaucoma is an act of God. Two hundred and one (72.0%) had tertiary education. Tertiary education was found to be a statistically significant factor associated with glaucoma. Thirty-three (84.6%) of the 39 participants that had a positive family history of glaucoma were aware of glaucoma blindness. Out of participants that claimed to know how to treat glaucoma, eight (5.3%) felt it should be conservatively managed and nothing should be used. Conclusion: The World glaucoma week has yielded results but more efforts must be put in place to increase awareness and knowledge of the populace on the nature of glaucoma. Tertiary education is an important factor in glaucoma awareness. The government must ensure everyone is educated up to tertiary level. Glaucoma patients and their acquaintances may be used in increasing awareness.

scholarly journals Comparison of Maternal and Fetal Outcomes in Parturients With and Without a Diagnosis of Gestational Diabetes

2019 ◽  
Vol 41 (11) ◽  
pp. 647-653 ◽  
Author(s):  
Inês Carolina Siqueira Freitas ◽  
Micheli Cristiane Hintz ◽  
Larissa Chaiane Orth ◽  
Tamara Gonçalves da Rosa ◽  
Betine Moehlecke Iser ◽  
...  
Keyword(s):  
Family History ◽  
Gestational Diabetes ◽  
Statistical Significance ◽  
Positive Family History ◽  
Previous History ◽  
Diabetes Diagnosis ◽  
Fetal Outcomes ◽  
Family History Of Diabetes ◽  
Significant Difference ◽  
History Of

Abstract Objective The present study aims to compare the maternal and fetal outcomes of parturients with and without a gestational diabetes diagnosis. Methods A case-control study including parturients with (cases) and without (control) a gestational diabetes diagnosis, who delivered at a teaching hospital in Southern Brazil, between May and August 2018. Primary and secondary data were used. Bivariate analysis and a backward conditional multivariate logistic regression were used to make comparisons between cases and controls, which were expressed by odds ratio (OR), with a 95% confidence interval (95%CI) and a statistical significance level of 5%. Results The cases (n = 47) were more likely to be 35 years old or older compared with the controls (n = 93) (p < 0.001). The cases had 2.56 times greater chance of being overweight (p = 0.014), and a 2.57 times greater chance of having a positive family history of diabetes mellitus (p = 0.01). There was no significant difference regarding weight gain, presence of a previous history of gestational diabetes, height, or delivery route. The mean weight at birth was significantly higher in the infants of mothers diagnosed with diabetes (p = 0.01). There was a 4.7 times greater chance of macrosomia (p < 0.001) and a 5.4 times greater chance of neonatal hypoglycemia (p = 0.01) in the infants of mothers with gestational diabetes. Conclusion Therefore, maternal age, family history of type 2 diabetes, obesity and pregestational overweightness are important associated factors for a higher chance of developing gestational diabetes.

scholarly journals Practice and Associated Factors among Adult Residents towards Traditional Eye Medicine in Gondar City, North West Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Minychil Bantihun Munaw ◽  
Natnael Lakachew Assefa ◽  
Dereje Hayilu Anbesse ◽  
Mebratu Mulusew Tegegne
Keyword(s):  
Associated Factors ◽  
Positive Family History ◽  
Traditional Healers ◽  
Medicine Use ◽  
Eye Care ◽  
North West ◽  
The Past ◽  
Poor Access ◽  
North West Ethiopia ◽  
History Of

Traditional medicines are commonly used in Africa. About 13.2–82.3% of the population use traditional eye medicine. The aim of this study was to assess practice and associated factors among adult residents towards traditional eye medicine in Gondar city, North West Ethiopia. Methods. A community-based cross-sectional study was conducted on 600 participants by using a pretested structured questionnaire. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 20 computer software. Association and strength between dependent and independent variables were determined using odds ratio with a 95% confidence interval. Results. A total of 600 respondents participated in the study with a 95 % response rate. From the total study participants, 73 (12.2%) (95% CI: 10–15%) had used traditional eye medicine in the past two years. Variables such as being unmarried (AOR = 0.48 (95% CI: 0.17–0.83)), being illiterate (AOR = 5.40 (95% CI: 5.3–12.3)), living in traditional healers available area (AOR = 2.84 (95% CI: 1.44–7.56)), poor access to modern eye care services (AOR = 2.11 (95% CI: 1.06–4.19)), and positive family history of traditional eye medicine use (AOR = 4.00 (95% CI: 1.84–8.67)) were significantly associated with traditional eye medicine practice. Conclusion. The proportion of traditional eye medicine practice was low in the past two years in Gondar city, Ethiopia, as compared to most African and Asian studies like south East Nigeria and Nepal, respectively. This may be due to the presence of tertiary eye care centers in the city that lets the residents prefer modern eye medicines over traditional eye medicines. Positive family history of traditional eye medicine use, being unmarried, being illiterate, poor access to modern eye care service, and availability of traditional healers had a significant association with the practice of traditional eye medicine. Community awareness about traditional eye medicine use is important to reduce the risk of complications even if the proportion is low.

scholarly journals Attitude and its Associated Factors Among Adults Towards Traditional Eye Medicine in Gondar City, North West Ethiopia

2021 ◽  
Author(s):  
minychil Bantihun Munaw ◽  
Dereje hayilu anbesse ◽  
natnael lakachew assefa
Keyword(s):  
Health Insurance ◽  
Family History ◽  
Associated Factors ◽  
Traditional Healers ◽  
Medicine Use ◽  
North West ◽  
North West Ethiopia ◽  
History Of ◽  
Study Participants ◽  
Good Attitude

Abstract Background Traditional medicines are commonly practiced in Africa. It is believed to be alternative health care used in the developing world. It is a more widely available and affordable alternative to pharmaceutical drugs. In Africa, about 13.2–82.3% of the population utilizes traditional eye medicine. This study aimed to assess attitude and its associated factors among adults towards traditional eye medicine in Gondar city, North West Ethiopia. Methods A community-based cross-sectional study was conducted on 600 study participants using a pre-tested structured questionnaire. Data analysis was performed using Statistical Package for Social Sciences (SPSS) version 20 computer software. Association and strength between the outcome variable and independent variables were determined using the odds ratio with a 95 % confidence interval. Results A total of 633 subjects were included in the study with a 95 % response rate. From the total study subjects, 292 (48.7 %) (95% CI: 44.7–52.7%)) had a good attitude towards traditional eye medicine use. Variables like being male (AOR = 2.00(95% CI: 1.23–2.68)), family history of traditional eye medicine use (AOR = 3.31(95% CI: 2.01–5.47)), availability of traditional healer (AOR = 1.81(95% CI: 1.12–2.95)) and absence of health insurance (AOR = 1.63(95% CI: 1.14–2.55)) were variables significantly associated with good attitude towards traditional eye medicine use. Conclusion The result of this study shows that attitude towards traditional eye medicine use for the treatment of eye disease was fairly good. It indicates that almost half of the study participants had a good attitude towards traditional eye medicine use. Even though the attitude is fairly good, still it needs improvement. Male sex, family history of traditional eye medicine use, availability of traditional healers, and absence of health insurance had a statistically significant relationship with good attitude towards traditional eye medicine use. Community awareness creation through the joint up effort by the health ministry of Ethiopia and traditional healers about traditional eye medicine use can help to build the right perception and reduce the risk of complications.

scholarly journals The association between diabetes and thyroid cancer risk: a hospital-based case-control study in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Meng Wang ◽  
Wei-Wei Gong ◽  
Feng Lu ◽  
Ru-Ying Hu ◽  
Qing-Fang He ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Family History ◽  
Case Control Study ◽  
Positive Family History ◽  
Case Control ◽  
Diabetes Duration ◽  
Family History Of Diabetes ◽  
Thyroid Cancer Risk ◽  
History Of ◽  
Control Study

Abstract Background Previous studies have indicated inconsistent relationships of diabetes with thyroid cancer risk, yet little is known in China. In this study, we aimed to investigate the associations between diabetes, diabetes duration and the risk of thyroid cancer in Chinese population. Methods A 1:1 matched case-control study was performed between 2015 and 2017 in Zhejiang Province including 2,937 thyroid cancer cases and 2,937 healthy controls. Odds ratios (ORs) with 95 % confidence intervals (CIs) for thyroid cancer were estimated in logistic regression models. Specific effects stratified by age, as well as sex, body mass index (BMI) and family history of diabetes were also examined. Results Overall, neither diabetes (OR = 0.75, 95 % CI: 0.21–2.73) nor diabetes duration (OR = 0.14, 95 % CI: 0.02–1.22 for diabetes duration ≦ 5 years; OR = 2.10, 95 % CI: 0.32–13.94 for diabetes duration > 5 years) was significantly associated with thyroid cancer. In stratified analyses, significant lower risk of thyroid cancer was observed among subjects with diabetes and shorter diabetes duration ( ≦ 5 years), but limited to those who were aged more than 40 years, female, overweight/obese and had positive family history of diabetes. Conclusions Diabetes and shorter diabetes duration were significantly associated with decreased risk of thyroid cancer in individuals characterized by older age, female sex, higher BMI and positive family history of diabetes.

scholarly journals Incidence of elevated intraocular pressure after intravitreal injection in Japanese patients with age-related macular degeneration

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Maiko Maruyama-Inoue ◽  
Tatsuya Inoue ◽  
Shaheeda Mohamed ◽  
Yoko Kitajima ◽  
Shoko Ikeda ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intraocular Pressure ◽  
Macular Degeneration ◽  
Intravitreal Injection ◽  
Odds Ratio ◽  
Japanese Patients ◽  
Age Related Macular Degeneration ◽  
Age Related ◽  
Elevated Intraocular Pressure ◽  
History Of

AbstractThe purpose of this study was to report the incidence of elevated intraocular pressure (IOP) after intravitreal injection (IVI) of anti-vascular endothelial growth factor (VEGF) in Japanese patients with age-related macular degeneration (AMD). A retrospective study of chart review of patients who underwent ≥ 10 intravitreal anti-VEGF injections between April 2009 and December 2019 was conducted. Elevated IOP was defined as IOP ≥ 25 mmHg at one visit. Cases with elevated IOP resulting from IVI were identified. Furthermore, the association between elevated IOP and some parameters, as the risk factors that influence elevated IOP, was investigated. A total of 402 eyes of 370 patients were included in this study. Twenty-eight eyes of 26 patients (7.0%) were identified as cases with elevated IOP after IVI. The mean time of elevation after baseline was 50.6 ± 26.5 months. History of glaucoma (p = 0.021; odds ratio, 5.85), treatment modality (p = 0.019; odds ratio, 6.32), and total number of injections (p = 0.003; odds ratio, 1.03) were significantly associated with elevated IOP. A late complication of elevated IOP is associated with IVI in patients with AMD. Particularly, history of glaucoma and treat and extend regimen with frequent injections were found to be risk factors of elevated IOP.

scholarly journals Differential expression of micro RNA-29 family in non-diabetic adults of diabetic and non-diabetic parents

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Uzair Abbas ◽  
Bushra Imdad ◽  
Sikander Adil Mughal ◽  
Israr Ahmed Baloch ◽  
Afshan Mehboob Khan ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Family History ◽  
Positive Family History ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Micro Rna ◽  
Cross Sectional ◽  
Family History Of Diabetes ◽  
History Of

Abstract Objective MicroRNAs are known to regulate 60% of genes at post translational level. MicroRNAs including Micro RNA-29 family play a vital role in cellular activities and have validate role in numerous metabolic disorders inclusive of diabetes mellitus and its complications. While micro RNA profile changes years before the occurrence of disease. This cross-sectional study was conducted in non-diabetic adults of diabetic and non-diabetic parents to explore the early changes in expression of micro RNA-29 family as it can be served as early biomarker of type 2 diabetes in non-diabetic adults. This study was conducted from January 2019 to January 2021. Micro RNA was extracted from plasma of 50 participants and expression was compared through qPCR. While data was analyzed through SPSS version 21.0. Results 29a and 29b had lower expression in participants with family history of DM compared to those having no family history of DM (P < 0.0001). While micro RNA 29c was found to be significantly higher in participants with positive family history of type 2 diabetes as compared to those without family history of diabetes (P = 0.001).

A Group Therapy Approach to Facilitate Integration of Risk Information for Women at Risk for Breast Cancer

1998 ◽  
Vol 43 (4) ◽  
pp. 375-380 ◽  
Author(s):  
Mary Jane Esplen ◽  
Brenda Toner ◽  
Jonathan Hunter ◽  
Gordon Glendon ◽  
Kate Butler ◽  
...  
Keyword(s):  
Breast Cancer ◽  
At Risk ◽  
Family History ◽  
Group Therapy ◽  
Perceived Risk ◽  
Positive Family History ◽  
Risk Information ◽  
Degree Relative ◽  
Therapy Approach ◽  
History Of

Objective: To describe and illustrate elements of a group counselling approach designed to enhance the communication of risk information on breast cancer (BC) to women with a family history of this disease. Breast cancer is a leading cause of female cancer death. The most important risk factor for BC is a positive family history in at least 1 first-degree relative, and approximately one-third of women with BC have a family history of the disease. Recent evidence suggests that there is a significant psychological impact associated with having a family history of BC, and this may influence the psychological adjustment and response to being counselled for personal risk. New counselling approaches are required. Method: This paper describes a group therapy approach that incorporates principles of supportive-expressive therapy designed to address the emotional impact of being at risk for BC and to promote accuracy of perceived risk. The key elements of the intervention are described along with clinical illustrations from groups that are part of an ongoing study to develop and standardize the group therapy. Conclusion: Qualitative data from the groups suggest that this model of therapy is both feasible and effective.

Levels of anxiety, depression and denial in patients with myocardial infarction

1997 ◽  
Vol 12 (3) ◽  
pp. 149-151 ◽  
Author(s):  
D Sarantidis ◽  
A Thomas ◽  
K Iphantis ◽  
N Katsaros ◽  
J Tripodianakis ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Intensive Care Unit ◽  
Family History ◽  
Positive Family History ◽  
Anxiety And Depression ◽  
Previous Myocardial Infarction ◽  
History Of ◽  
Seeking Help ◽  
Anxiety Depression

SummaryIn this study we investigated 1) the changes in anxiety, depression and denial from admission to discharge in patients admitted to the intensive care unit following an acute myocardial infarction and 2) the effect of smoking habits, time lapsed from the appearance of symptoms to seeking help behavior, presence of a person that motivated the patient to seek help, previous myocardial infarction (MI) and family history of MI, on these changes. The results indicated that 1) the levels of both anxiety and depression increased from admission to discharge, while denial decreased; 2) positive family history of MI was associated with lower difference of denial between admission and discharge.

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