scholarly journals Analysis of a two-year independent screening effort for retinopathy of prematurity in rural Egypt

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sara Tawfik ◽  
Ahmed Mansour ◽  
Norhan Lotfy Selim ◽  
Ahmed M. Habib ◽  
Yousef A. Fouad ◽  
...  
Keyword(s):  
Retinopathy Of Prematurity ◽  
Clinical Course ◽  
Rural Setting ◽  
Prevention Measures ◽  
Intravitreal Ranibizumab ◽  
Middle Income ◽  
Ablation Therapy ◽  
Middle Income Countries ◽  
The Third ◽  
Independent Screening

Abstract Background The third epidemic of retinopathy of prematurity (ROP) has majorly involved middle income countries in which tailored screening and local guidelines require development. The data regarding ROP prevalence and cutoff numbers for screening in Egypt are lacking. Methods Retrospective analysis of an independent screening effort spanning 2 years (February 2019 to February 2021) and involving 32 neonatal care units within Sharkia governorate, Egypt. Infants of gestational age (GA) ≤ 34 weeks and/or birth weight (BW) ≤ 2000 g were included, as well as those with unstable clinical course. Two eyecare centers located in Sharkia and Cairo governorates served as referral centers for any required interventions. Results Of the 276 screened infants, 133 (48.2%) had some form of ROP that was bilateral in 127 (95.5%) of them. Aggressive posterior ROP (AP-ROP) was detected in both eyes of 24 infants (8.7%). The median (IQR) GA of infants with ROP was 32 (30–34) weeks, and the median (IQR) BW was 1600 (1350–2000) g. Sixty-three infants (47.4%) required treatment. Of the total 84 eyes that primarily were treated, 73 (86.9%) received intravitreal ranibizumab, 8 (9.5%) underwent laser ablation therapy, and 3 eyes (3.6%) underwent surgery. Recurrence rate was 16.7% (14 eyes). Final outcome was favorable in 83 eyes (98.8%). Applying the American Academy criteria would have led to the missing of 36.8% of infants with ROP and 28.6% of those requiring treatment in our sample. Conclusion The incidence of both ROP and AP-ROP in the Egyptian rural setting appears to be in the high end of global reported rates. Prevention measures should urgently be planned and implemented.

scholarly journals Analysis of a Two-Year Independent Screening Effort for Retinopathy of Prematurity in Rural Egypt

2021 ◽  
Author(s):  
Sara Tawfik ◽  
Ahmed Mansour ◽  
Norhan Lotfy Selim ◽  
Ahmed M. Habib ◽  
Yousef A. Fouad ◽  
...  
Keyword(s):  
Retinopathy Of Prematurity ◽  
Primary Outcome ◽  
Clinical Course ◽  
Rural Setting ◽  
Prevention Measures ◽  
Intravitreal Ranibizumab ◽  
Middle Income ◽  
Ablation Therapy ◽  
Middle Income Countries ◽  
Independent Screening

Abstract Background: The third epidemic of retinopathy of prematurity (ROP) has majorly involved middle income countries in which tailored screening and local guidelines require development. The data regarding ROP prevalence and cutoff numbers for screening in Egypt are lacking.Methods: Retrospective analysis of an independent screening effort spanning 2 years and involving 32 neonatal care units within Sharkia governorate, Egypt. Infants of gestational age (GA) ≤ 34 weeks and/or birth weight (BW) ≤ 2000 g were included, as well as those with unstable clinical course. Two eyecare centers located in Sharkia and Cairo governorates served as referral centers for any required interventions.Results: Of the 276 screened infants, 133 (48.19%) had some form of ROP that was bilateral in 127 (95.49%) of them. Aggressive posterior ROP (AP-ROP) was detected in both eyes of 24 infants (8.7%). The median (IQR) GA of infants with ROP was 32 (30 - 34) weeks, and the median (IQR) BW was 1600 (1350 - 2000) g. Sixty-three infants (47.37%) required treatment. Of the total 84 eyes that were treated, 73 (86.9%) received intravitreal ranibizumab, 8 (9.52%) underwent laser ablation therapy, and 3 eyes (3.57%) underwent surgery. Primary outcome was favorable in 83 eyes (98.81%). Applying the American Academy criteria would have led to the missing of 36.84% of infants with ROP and 28.57% of those requiring treatment in our sample.Conclusion: The incidence of both ROP and AP-ROP in the Egyptian rural setting appears to be in the high end of global reported rates. Prevention measures should urgently be planned and implemented.

Retinopathy of prematurity in middle-income countries

1997 ◽  
Vol 124 (5) ◽  
pp. 720
Author(s):  
J Rahi ◽  
M Eckstein ◽  
J O'Sullivan ◽  
A Foster ◽  
C Gilbert
Keyword(s):  
Retinopathy Of Prematurity ◽  
Middle Income ◽  
Middle Income Countries

scholarly journals The third millennium dementia epidemic

2018 ◽  
Vol 37 (1) ◽  
pp. 1
Author(s):  
Richard Tjan
Keyword(s):  
Older Persons ◽  
Steady Increase ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Third ◽  
People With Dementia ◽  
Third Millennium ◽  
The Future ◽  
Low And Middle Income

The global dementia epidemic now and in the future is mainly caused by the steady increase in the population of older persons, where around 2 billion people will be 60 years of age and older by 2050.<sup>(1,2)</sup> As a consequence, in that year  there will be 135 million people with dementia, particularly in low- and middle-income countries where 60% of the more than 47 million cases (2015 estimate) are living now.<sup>(2)</sup>

Retinopathy of prematurity in middle-income countries

The Lancet ◽  
1997 ◽  
Vol 350 (9070) ◽  
pp. 12-14 ◽  
Author(s):  
Clare Gilbert ◽  
Jugnoo Rahi ◽  
Michael Eckstein ◽  
Jane O'Sullivan ◽  
Allen Foster
Keyword(s):  
Retinopathy Of Prematurity ◽  
Middle Income ◽  
Middle Income Countries

scholarly journals May Measurement Month 2019: an analysis of blood pressure screening results from Colombia

2021 ◽  
Vol 23 (Supplement_B) ◽  
pp. B46-B48
Author(s):  
Patricio Lopez-Jaramillo ◽  
Jose P Lopez-Lopez ◽  
Johanna Otero ◽  
Natalia Alarcon-Ariza ◽  
Margarita Mogollon-Zehr ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Antihypertensive Medication ◽  
Hypertension Detection ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Third ◽  
Hypertension Awareness ◽  
Low Levels ◽  
And Control ◽  
Implementing Strategies

Abstract Hypertension awareness and control is poor in low- and middle-income countries. Thus, implementing strategies to increase hypertension detection is needed. Colombia participated as one of the 92 countries involved in the third campaign of the May Measurement Month in 2019. Blood pressure (BP) was measured in 48 324 volunteers from 13 departments in Colombia. In total, 27.9% individuals were identified with hypertension. Of those with hypertension, 63.7% were aware of their condition, 60.0% were on antihypertensive medication, and 38.4% had controlled BP. These results showed low levels of awareness, treatment, and control of hypertension in this sample of subjects volunteered to participate, suggest the urgent necessity of implementing programmes to improve the diagnosis and management of hypertension in Colombia.

scholarly journals Challenges for Diagnostic Clarity for Post-stroke Cognitive Impairment and Behavioural Issues in Middle-Income Countries: Case Studies From Malaysia

2021 ◽  
Vol 12 ◽  
Author(s):  
Kwong Hsia Yap ◽  
Narelle Warren ◽  
Pascale Allotey ◽  
Daniel Reidpath
Keyword(s):  
Cognitive Impairment ◽  
Case Studies ◽  
Community Dwelling ◽  
Rural Setting ◽  
Term Care ◽  
Middle Income ◽  
Treatment Pathways ◽  
Behavioural Symptoms ◽  
Post Stroke ◽  
Middle Income Countries

Following stroke, individuals require ongoing screening, diagnosis and monitoring for cognitive impairment. Services and policies around these vary widely between settings, and reports from many countries highlight persistent under-diagnosis of cognitive impairment in the months and years after stroke. Missed and delayed diagnosis of post-stroke cognitive impairment, including dementia, are important factors in shaping the experiences of people so affected and their family members, especially in low- and middle-income countries. Drawing upon ethnographic research conducted in Malaysia, this article draws upon three case studies to examine the continued health-seeking behaviour after the appearance of salient cognitive and behavioural symptoms that occurred after stroke. Findings highlight the challenges in getting formal diagnostic clarity for cognitive and behavioural symptoms in a rural setting within a middle-income country. No study participants sought help for memory or cognitive problems, partly due to limited lay awareness of cognitive impairment but more significantly due to health service factors. Despite their elevated risk for dementia, participants were not monitored for cognitive impairment during any follow-up care in various health facilities. Furthermore, caregivers' attempts to seek help when behavioural issues became untenable were met with multiple health system barriers. The journey was complicated by the meanings attached to the reactions towards cognitive symptoms at the community level. We suggest that strategies seek to increase the awareness of post-stroke cognitive and behavioural symptoms, and incorporate clear treatment pathways into the long-term care plans of community-dwelling stroke survivors.

scholarly journals PENGUJIAN STRUKTUR FAKTOR PADA KONSTRUK BECK SCALE FOR SUICIDE IDEATION DENGAN INDIVIDU DEWASA AWAL

2021 ◽  
Vol 5 (2) ◽  
pp. 549
Author(s):  
Verisca Marciana Kesuma ◽  
Ediasri Toto Atmodiwirjo ◽  
Rita Markus Idulfilastri
Keyword(s):  
Factor Structure ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Third ◽  
The Future ◽  
Commit Suicide ◽  
Low And Middle Income

WHO called suicide become a global phenomenon. There are at least 800,000 people who commit suicide each year or at least one death every 40 seconds. In fact, 79% of suicide occur in low and middle income countries from ages 15-29. Suicides have also increased in Indonesia at least in January to September 2019 by 302 cases. According to Beck et al. individuals who want to commit suicide are preceded by the suicide ideation so its appropriate to assess suicide in predicting suicide risk later in life. According to Beck et. al. it’s appropriate to assess suicide ideation to predicting suicide risk in the future. Scale For Suicide Ideation (BSS) is one of the measuring tools to assess someone’s suicide ideation by Beck et al. Some researchers in Indonesia use or refer to indicators in BSS. There are 4 studies that use BSS. 2 of them, use three indicators, 1 of them use five indicators, and other only use BSS without mentioning the indicator. Based on this, researchers want to test the factor structure of the construct in BSS. Participants in this study were 158. The results obtained from testing the factor structure are that there are 3 indicators with the model classified as fit. The first indicator has 10 significant items, the second indicator has 6 significant items, while the third indicator has 3 significant items. WHO menyebutkan bunuh diri menjadi suatu fenomena yang global. Terdapat setidaknya lebih dari 800 ribu orang yang melakukan bunuh diri tiap tahunnya atau setidaknya 1 kematian setiap 40 detik. Faktanya 79% bunuh diri terjadi pada negara-negara dengan pendapatan rendah dan menengah dari usia 15-29 tahun. Kasus bunuh diri juga bertambah di Indonesia setidaknya pada Januari sampai September 2019 sebanyak 302 kasus. Menurut Beck et al. individu yang ingin bunuh diri didahului oleh ide untuk bunuh diri sehingga tepat untuk menilai bunuh diri dalam memprediksi risiko bunuh diri di kemudian hari.  Scale for Suicide Ideation (BSS) merupakan salah satu alat ukur untuk menilai ide bunuh diri seseorang yang disusun oleh Beck et al. Beberapa peneliti di Indonesia menggunakan atau mengacu pada indikator dalam BSS. Terdapat 4 penelitian yang menggunakan BSS, 2 diantaranya menggunakan tiga indikator, 1 peneliti menggunakan lima indikator dan yang lainnya hanya menggunakan alat ukur BSS tanpa menyebutkan indikator yang digunakan. Berdasarkan hal ini, peneliti ingin menguji struktur faktor pada konstruk BSS. Partisipan dalam penelitian ini sebanyak 158 partisipan. Hasil yang didapatkan dari pengujian struktur faktor adalah terdapat 3 indikator dengan model yang tergolong fit. Indikator pertama memiliki 10 butir yang signifikan, indikator ke 2 memiliki 6 butir yang signifikan, sedangkan indikator ke 3 memiliki 3 butir yang signifikan.

scholarly journals Retinopathy of Prematurity: Nursing Perspective

2021 ◽  
Author(s):  
Bindu K Sankar ◽  
Hrishikesh Amin ◽  
KM Riaz ◽  
P Pappa ◽  
Shalu Varghese
Keyword(s):  
Retinopathy Of Prematurity ◽  
Neonatal Intensive Care ◽  
Vital Role ◽  
Neonatal Intensive Care Units ◽  
Postnatal Life ◽  
Middle Income ◽  
Middle Income Countries ◽  
Care Givers ◽  
Preterm Babies

Retinopathy of Prematurity (ROP) is the leading cause of childhood blindness. India and other middle income countries are currently facing the third ‘epidemic’ of this disease which is mainly due to increased survival of preterm babies, suboptimal neonatal care and lack of proper screening and management of ROP. This is a disorder of the immature retina of preterm babies in which abnormal vascularisation occurs after birth. ROP is multifactorial, and is sensitive to the quality of neonatal inpatient care received during early postnatal life. Nurses, being the primary care givers in Neonatal Intensive Care Units (NICUs), plays a vital role in prevention and management of ROP.

Sign in / Sign up

Export Citation Format

Share Document