scholarly journals Factors associated with visual outcomes after cataract surgery: A cross-sectional or retrospective study in Liberia

PLoS ONE ◽  
2020 ◽  
Vol 15 (5) ◽  
pp. e0233118
Author(s):  
Rohit C. Khanna ◽  
Varsha M. Rathi ◽  
Edward Guizie ◽  
Gurcharan Singh ◽  
Kumar Nishant ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Cataract Surgery ◽  
Cross Sectional ◽  
Factors Associated ◽  
Visual Outcomes

Prevalence and Visual Outcomes of Cataract Surgery in Rural South India: A Cross-Sectional Study

2016 ◽  
Vol 23 (5) ◽  
pp. 309-315 ◽  
Author(s):  
P. Paul ◽  
T. Kuriakose ◽  
J. John ◽  
R. Raju ◽  
K. George ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
South India ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Rural South ◽  
Visual Outcomes

scholarly journals Factors Associated with Utilization of Dipeptidyl-4 Inhibitors in Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Retrospective Study

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Hasniza Zaman Huri ◽  
NorFarahen Selamat ◽  
Shireene Ratna Vethakkan
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Retrospective Study ◽  
Beta Blockers ◽  
Oral Antidiabetic Agents ◽  
Cross Sectional ◽  
Factors Associated ◽  
Utilization Patterns

Dipeptidyl-4 (DPP-4) inhibitors are oral antidiabetic agents recently introduced to Malaysia. Thus, limited data is available on their utilization patterns and factors associated with their use. This study aims to analyse the utilization patterns of DPP-4 inhibitors, factors that influenced the choice of agent, and the rationale for treatment with DPP-4 inhibitors in patients with type 2 diabetes mellitus. This retrospective study was conducted to address the utilization pattern of DPP-4 inhibitors and factors that influence choice in type 2 diabetes mellitus patients. 299 subjects taking either sitagliptin or vildagliptin from September 2008 to September 2012 were included in the study. Sitagliptin was more frequently prescribed than vildagliptin. Of the patients prescribed DPP-4 inhibitors, 95% received combinations of these and other agents, whereas only 5% were prescribed DPP-4 inhibitors as monotherapy. Factors affecting the utilization of DPP-4 inhibitors included age(P=0.049)and concomitant use of beta blockers(P=0.045)and aspirin(P=0.008). Early identification of factors associated with DPP-4 inhibitors is essential to enhance quality use of the drugs.

scholarly journals Burden and Factors Associated with Refractive Errors Post Cataract Surgery at Kilimanjaro Christian Medical Center: A Hospital Based Retrospective Cross-sectional Study

2020 ◽  
pp. 6-16
Author(s):  
Livin Uwemeye ◽  
William U. Makupa
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Medical Center ◽  
Cross Sectional Study ◽  
Refractive Errors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Corrected Visual Acuity ◽  
Best Corrected Visual Acuity

Aims: To determine the burden and factors associated with refractive errors after cataract surgery in a training institution. Study Design: A retrospective cross-sectional study. Place and Duration of the Study: Kilimanjaro Christian Medical Center Eye department. Northern Tanzania, from January 2016 to December 2017. Methods: A review of files of all adult patients who have had cataract surgery in 2016 and 2017 was conducted. A total of 626 eyes of 554 patients who had post-operative refraction by experienced optometrists were included. Information were extracted from patients’ files then entered into SPSS version 20 for analysis. The main outcomes were post-operative refraction and best corrected visual acuity.  Results: Mean age was 69.3 years (SD=10.7) and ECCE accounted for 76% of surgeries. At least 84.6% had post-operative refractive error and astigmatism was the most common refractive error (56.8%). Spherical error accounted for 27.8%. Spherical error ranged from -12 to 4DS, mean = -0.42 (SD=1.3) DS and median = 0.00DS. The maximum cylindrical error was -7.5 DC, mean = -1.15 (SD=1.36) DC and median = -1.0DC. At least 56% had spherical equivalent within 1D of emmetropia. A BCVA of 6/18 or better was achieved in 92.8%. Age, poor pre-operative VA, poor presenting VA, astigmatism on keratometry, difference between recommended and inserted IOL, ECCE, grade of surgeon and suturing were associated with refractive errors. Conclusion: Refractive errors following cataract surgery are common. Best corrected visual acuity outcome was in normal recommended range; however, the magnitude of refractive errors was high and the proportion of patients who achieved a final refraction within 1D of emmetropia was below the recommended range. An effort should be made to lower the prevalence and magnitude of refractive errors associated with cataract surgery in training institutions.

scholarly journals The visual outcomes after cataract surgery in urban slums of Raipur, Chhattisgarh, India: a cross sectional study

2019 ◽  
Vol 6 (2) ◽  
pp. 638
Author(s):  
Anjana Tiwari ◽  
Indu Padmey
Keyword(s):  
Cataract Surgery ◽  
Visual Outcome ◽  
Cross Sectional Study ◽  
Urban Slums ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Visual Outcomes ◽  
Chi Square Test ◽  
Poor Outcomes

Background: Poor outcomes of cataract surgery are a major problem in developing countries, including India which affects the demand and uptake of cataract surgical services. The present study was aimed to assess the visual outcomes after cataract surgery and identify factors associated with it, among persons aged 50 year and above in urban slums of Raipur.Methods: A community-based, cross-sectional study was conducted in15 randomly selected clusters (urban slums) of Raipur from June 2012 to March 2013. Interviews, Visual Acuity measurements and ocular examinations were performed on all persons aged 50 year and above through house to house visits. Details about surgical intervention i.e. date, setting, type of cataract surgery were obtained from cataract operated persons, for each eye that had cataract surgery. Collected data were analyzed by using both descriptive and inferential statistics. The chi- square test was used to determine the associations of different cataract related parameters with visual outcomes in cataract operated eyes.Results: Of the 870 participants, 203 persons (329 eyes) had undergone cataract surgery. Among all operated eyes, visual outcome was good (VA ≥6/18) in 84.5%, borderline (VA <6/18 and ≥6/60) in 12.5%, and poor (VA <6/60) in 3% of eyes with available correction. Visual outcome of cataract surgery was significantly associated with age at time of surgery, literacy, type of surgery, place of surgery and time since surgery.Conclusions: The visual outcomes of cataract surgery were excellent in study area; it can be further improved by appropriate refractive correction, provision of glasses and adequate follow up after cataract surgery.

scholarly journals Factors associated with delayed uptake of cataract surgery among adult patients at Mulago National Referral Hospital, Uganda

2021 ◽  
Vol 21 (3) ◽  
pp. 1259-1265
Author(s):  
Francis O Sebabi ◽  
Walter O Okello ◽  
Faith Nakubulwa ◽  
Rogers Sempindu ◽  
Catherine Driciru ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Adult Patients ◽  
Sub Saharan Africa ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Mulago National Referral Hospital ◽  
National Referral Hospital

Background: Cataract is the leading cause of blindness globally. Many patients with cataract in developing countries delay to come for cataract surgery. Objectives: This study aimed to determine the factors associated with delayed uptake of cataract surgery among adult pa- tients seen at Mulago National Referral Hospital eye clinic in Uganda. Methods: Employing a hospital based cross-sectional study, adult patients with cataract and having moderate visual impair- ment or blindness were recruited. Patient-related factors for delayed surgery were assessed using a predetermined question- naire. Data was analyzed using stata version 14.2. Logistic regressions were used to determine the factors associated with delayed uptake of cataract surgery among these patients. Results: Eighty two participants with operable cataract were evaluated. Females were 44 (54%) and the mean age of partic- ipants was 67 years. Fifty three (65%) had delayed uptake of cataract surgery. The factors associated with delayed uptake of cataract surgery among patients with cataract were financial constraint, felt no need for surgery and good unilateral vision. Conclusions: Financial constraints, no felt need for cataract surgery and having good unilateral vision are the factors asso- ciated with delayed uptake of cataract surgery among cataract patients. We recommend cataract surgical outreach to remote areas and health education. Keywords: Risk factors; operable cataract; cataract; surgery; Uganda; sub-Saharan Africa.

scholarly journals Visual outcomes after cataract surgery among the elderly residents in the ‘homes for the aged’ in South India: the Hyderabad Ocular Morbidity in Elderly Study

2020 ◽  
pp. bjophthalmol-2020-317167
Author(s):  
Srinivas Marmamula ◽  
Navya Rekha Barrenakala ◽  
Rajesh Challa ◽  
Thirupathi Reddy Kumbham ◽  
Satya Brahmanandam Modepalli ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Multivariable Analysis ◽  
The Elderly ◽  
Posterior Capsular Opacification ◽  
Homes For The Aged ◽  
Factors Associated ◽  
Visual Outcomes ◽  
History Of ◽  
Refractive Correction ◽  
Uncorrected Refractive Error

Background/AimTo report visual outcomes and factors associated with good visual outcomes after cataract surgery among the elderly residents in ‘homes for the aged’ in Hyderabad, India.MethodsIndividuals aged ≥60 years were recruited from 41 ‘homes for the aged’. All participants had a detailed eye examinations including visual acuity (VA) assessment , refraction, slit-lamp examination and fundus imaging by trained professionals. A detailed history of cataract surgery was recorded. Multivariate logistic regression was used to determine the factors associated with good visual outcomes after cataract surgery which was defined as presenting VA of 6/18 or better in the operated eye. Visual impairment (VI) is defined as presenting VA worse than 6/18 in the operated eye.Results1215 eyes of 703 individuals had cataract surgery. The mean age of these participants was 77.5 years (SD: 8.2 years; range: 60–108 years), 66.8% were women, 29.9% reported diabetes and 61% reported hypertension. 406/1215 (33.4%; 95% CI 30.8 to 36.1) eyes had VI after cataract surgery. Posterior capsular opacification (31.8%; n=129) was the leading cause of VI followed by uncorrected refractive error (24.1%; n=98). The prevalence of good outcomes was 66.6% (95% CI 63.8 to 69.2). On applying multivariable analysis, younger age, self-reported hypertension, independent mobility, surgery in a non-government (as opposed to private) hospital and undergoing paid surgery were associated with good outcomes.ConclusionsOne-third of the eyes of elderly individuals living in homes for the aged that had previously undergone cataract surgery had VI. Regular eye examinations with the provision of laser capsulotomy and appropriate refractive correction can substantially improve their vision.

Faktor yang Berhubungan dengan Penggunaan Partograf dalam Persalinan oleh Bidan Praktik Mandiri

2020 ◽  
Vol 2 (2) ◽  
pp. 72-80
Author(s):  
Niluh Nita Silfia
Keyword(s):  
Total Population ◽  
Sampling Technique ◽  
Population Data ◽  
Statistical Test ◽  
Influential Factor ◽  
Test Results ◽  
Cross Sectional ◽  
Factors Associated ◽  
Survey Results ◽  
Research Criteria

Partographs are guidelines for childbirth observations that will facilitate labor assistants in first identifying emergency cases and complications for mothers and fetuses. Preliminary survey at the Sigi Community Health Sub-Center (Pustu) of the 8 Pustu midwives found two midwives (25%) to complete a complete partograph, six midwives (75%) incomplete. The purpose of this study was to determine the determinant factors associated with the use of partographs in labor. The design of this study used observational analytic methods with a cross-sectional approach. 24 BPM survey results were obtained with 30 samples of midwives who met the research criteria and data completeness. The sampling technique was by the total population. Data analysis used logistic regression. The multivariate analysis results showed that APN training was the most influential factor in the use of partographs in labor by midwives. Statistical test results obtained a POR value of 37.7 (95% CI 12.1 - 60.2). This study suggests that midwives must have APN certificates to be valid in providing services.

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