scholarly journals Changing trend in prevalence of refractive errors: a hospital-based study

2020 ◽  
Vol 7 (3) ◽  
pp. 1127
Author(s):  
Vimal Krishna Rajput ◽  
Naren B. Shetty
Keyword(s):  
Refractive Error ◽  
Statistical Tests ◽  
Tertiary Care ◽  
Anterior Segment ◽  
Ocular Motility ◽  
Refractive Errors ◽  
Chi Square ◽  
Reverse Pattern ◽  
Significant Difference ◽  
Changing Trend

Background: Refractive errors are the second most common reason of blindness in India after cataract. It accounts for 33.3% of cases of childhood blindness. The purpose of this study was to estimate the prevalence of refractive error and related visual impairment in children visiting a tertiary care eye center in Southern India.Methods: This was hospital-based descriptive study. Children <15 years of age with significant refractive error were included in the study. They were examined for visual acuity measurements, ocular motility evaluation, retinoscopy and autorefraction under cycloplegia, and examination of the anterior segment and fundus. Significant refractive error was defined as myopia ≥-0.75D, hypermetropia >+2D and astigmatism >0.75D. Descriptive statistics with frequency, mean±Standard deviation were computed for better and the worse eye. Statistical tests were applied between the worse and better eye using Chi square test.Results: A total of 946 children were screened. The mean age was 10.5±6.2 years (3-15 years) with 503 (53.2%) males and 443 (46.8%) females. With respect to vision in the worse eye; 54.01% (n=511) had moderately subnormal vision. One hundred and twenty- two children (23.4%) of <10 years, and 351 (67.4%) of ≥10 years group had myopia, with statistically significant difference (p<0.001). The reverse pattern was seen with respect to hypermetropia and astigmatism. Prevalence of amblyopia was found to be 8.6%.Conclusions: Though myopia is more prevalent among general population, prevalence of astigmatism is higher among children attending an eye hospital and uncorrected astigmatism is the most significant amblyogenic factor in refractive amblyopia.

scholarly journals Refractive Error in Juvenile Patients Presenting with Nystagmus at Tertiary Care Hospital of Karachi

2021 ◽  
Vol 11 (03) ◽  
pp. 112-115
Author(s):  
Kanwal Perveen ◽  
Nasir Ahmed ◽  
Khalida Perveen ◽  
Tauseef Mehmood
Keyword(s):  
Refractive Error ◽  
Demographic Data ◽  
Tertiary Care ◽  
Anterior Segment ◽  
P Value ◽  
Ocular Motility ◽  
Care Hospital ◽  
Pupillary Reflex ◽  
Special Clinic ◽  
Myopic Astigmatism

Objective: To evaluate the types of refractive errors in nystagmus patients among the age (5-15 years) patients. Study Design and Setting: An observational cross-sectional study was conducted at Pediatric department of Al-Ibrahim Eye Hospital, Karachi from June 2018 to March 2019. Methodology: A total of 55 patients (110 eyes) were selected from study setting. The protocol for examination for all patients were evaluated at the special clinic of Orthoptics includes the demographic data, educational status, history of onset, type of nystagmus. The anterior segment was examined with a slit-lamp to exclude any other ocular disease. Orthoptic assessment includes cover uncover test, Hirschberg, ocular motility, prism cover test and pupillary reflex test, to observe any associated deviation. All the patients were examined after obtaining a fully informed consent. After the proper diagnosis of nystagmus patient was recruited as per inclusion and exclusion criteria with no restrictions of gender. All the observations were noted on a Proforma, Data analysis was done by using SPSS version 20. P-value <0.05 was considered as statistically significant. RESULTS: A total of 55 patients, 29 male (52.7%) and 26 female (47.3%) were selected. This study shows out of 55 patients (110 eyes), 46 (42%) eyes had myopic astigmatism, while 33 (30%) eyes were found hyperopic astigmatism, 20 (18%) eyes were observed hyperopic and 11 (10%) eyes were observed myopic. CONCLUSION: Most common type of refractive error in nystagmus was myopic astigmatism. The refractive correction should be encouraged in children with nystagmus; improvement in visual function is likely to occur

Association of Rugae Pattern with Skeletal Malocclusion in Orthodontic Patients Visiting Tertiary Care Hospital

2020 ◽  
Author(s):  
Sarwat Memon
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Class Iii ◽  
Chi Square ◽  
Cross Sectional ◽  
Skeletal Malocclusion ◽  
Palatal Rugae ◽  
Significant Difference ◽  
Orthodontic Patients

Background: The palatal rugae are special constructions that are inalterable in their position and pattern during the lifestyles of an individual. This imparts them an exceptional role in the forensic dentistry and may play potential role in malocclusion identification. This study was aimed to see association of rugae pattern with sagittal skeletal malocclusion in orthodontic patients visiting tertiary care hospital. Methods: This cross-sectional examination was completed on pretreatment records (lateral Cephalometric radiographs and maxillary dental casts) of 384 subjects at the orthodontic department of Ziauddin Dental Hospital, Karachi. The study duration was from January to July 2019. The samples were sub-divided into three sagittal skeletal groups based on ANB angle proposed by Steiner’s on lateral Cephalometric radiographs (Class I with ANB angle between 0° to 4°; Class II: ANB angle greater than 5°; Class III: ANB angle less than 0°). The shapes of three most-anterior primary rugae were then evaluated bilaterally using Kapali et al., Classification. Chi Square test was applied to find association of rugae pattern among sagittal skeletal malocclusions groups. Results: Circular and curved rugae shapes were the most prevalent in all skeletal malocclusions. The primary palatal rugae pattern was seen to be significantly different among three skeletal malocclusion groups (p<0.05). The right and left sided palatal rugae pattern showed significant difference in all three skeletal malocclusion groups (p<0.05). Conclusion: The present study showed no specific palatal rugae pattern associated with sagittal skeletal malocclusion. Further studies on larger sample and use of modern 3D technologies to scan the maxillary casts are required for results that are more precise.

Abstract 14721: Impact of Covid-19 on Cardiology Consultation in Tertiary Care Hospital of a Developing Country

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
ghufran adnan ◽  
Osman Faheem ◽  
Maria Khan ◽  
Pirbhat Shams ◽  
Jamshed Ali
Keyword(s):  
Emergency Department ◽  
Tertiary Care ◽  
Reduction Rate ◽  
Care Hospital ◽  
Chi Square ◽  
Coronary Syndrome ◽  
Significant Difference ◽  
Drastic Increase ◽  
Chi Square Test ◽  
The Difference

Introduction: COVID-19 pandemic has overwhelmed the healthcare system of Pakistan. There has been observation regarding changes in pattern of patient presentation to emergency department (ED) for all diseases particularly cardiovascular. The aim of the study is to investigate these changes in cardiology consultations and compare pre-COVID-19 and COVID-19 era. Hypothesis: There is a significant difference in cardiology consultations during COVID era as compared to non-COVID era. Method: We collected data retrospectively of consecutive patients who visited emergency department (ED) during March-April 2019 (non-COVID era) and March-April 2020 (COVID era). Comparison has been made to quantify the differences in clinical characteristics, locality, admission, type, number, and reason of Cardiology consults generated. Results: We calculated the difference of 1351 patients between COVID and non-COVID era in terms of cardiology consults generated from Emergency department, using Chi-square test. Out of which 880 (59%) are male with mean age of 61(SD=15). Analysis shows pronounced augmentation in number of comorbidities [Hypertension(6%), Chronic kidney disease (6%), Diabetes (5%)] but there was 36% drop in total cardiology consultations and 43% reduction rate in patient’s ED visit from other cities during COVID era. There was 60% decrease in acute coronary syndrome presentation in COVID era, but fortuitously drastic increase (30%) in type II myocardial injury has been noted. Conclusion: There is a remarkable decline observed in patients presenting with cardiac manifestations during COVID era. Lack in timely care could have a pernicious impact on outcomes, global health care organizations should issue directions to adopt telemedicine services in underprivileged areas to provide timely care to cardiac patients.

scholarly journals Instrumental delivery: a comparative study in a tertiary care hospital

2018 ◽  
Vol 7 (3) ◽  
pp. 1079
Author(s):  
Bhanu B. T. ◽  
Anitha G. S.
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Neonatal Morbidity ◽  
Fetal Distress ◽  
Care Hospital ◽  
Chi Square ◽  
Significant Difference ◽  
Chi Square Test ◽  
Maternal And Neonatal Outcomes ◽  
Vertex Presentation

Background: To compare maternal and neonatal outcomes of vacuum versus forceps application in assisted vaginal delivery.Methods: Women in labor with vertex presentation were delivered by indicated/propylactic vacuum or forceps. A total of 500 cases were included in this retrospective study. Maternal and neonatal morbidity were compared in terms of perineal lacerations, episiotomy extension, post-partum hemorrhage, Apgar score, neonatal jaundice, perinatal mortality, NICU admissions etc. Chi square test was used to analyze the data.Results: Maternal morbidity was significant in the forceps group. With regards to neonatal morbidity, in NICU admissions, statistically significant difference was noted.Conclusions: Vacuum and forceps should remain appropriate tools in the modern obstetrics. However, ventouse may be chosen first (if there is no fetal distress) as it is significantly less likely to injure the mother and decrease NICU admissions.

scholarly journals Application of big-data for epidemiological studies of refractive error

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250468
Author(s):  
Michael Moore ◽  
James Loughman ◽  
John S. Butler ◽  
Arne Ohlendorf ◽  
Siegfried Wahl ◽  
...  
Keyword(s):  
Refractive Error ◽  
Epidemiological Studies ◽  
Error Distribution ◽  
Service Planning ◽  
Health Study ◽  
Refractive Errors ◽  
Population Surveys ◽  
Future Health ◽  
Spectacle Lens ◽  
Significant Difference

Purpose To examine whether data sourced from electronic medical records (EMR) and a large industrial spectacle lens manufacturing database can estimate refractive error distribution within large populations as an alternative to typical population surveys of refractive error. Subjects A total of 555,528 patient visits from 28 Irish primary care optometry practices between the years 1980 and 2019 and 141,547,436 spectacle lens sales records from an international European lens manufacturer between the years 1998 and 2016. Methods Anonymized EMR data included demographic, refractive and visual acuity values. Anonymized spectacle lens data included refractive data. Spectacle lens data was separated into lenses containing an addition (ADD) and those without an addition (SV). The proportions of refractive errors from the EMR data and ADD lenses were compared to published results from the European Eye Epidemiology (E3) Consortium and the Gutenberg Health Study (GHS). Results Age and gender matched proportions of refractive error were comparable in the E3 data and the EMR data, with no significant difference in the overall refractive error distribution (χ2 = 527, p = 0.29, DoF = 510). EMR data provided a closer match to the E3 refractive error distribution by age than the ADD lens data. The ADD lens data, however, provided a closer approximation to the E3 data for total myopia prevalence than the GHS data, up to age 64. Conclusions The prevalence of refractive error within a population can be estimated using EMR data in the absence of population surveys. Industry derived sales data can also provide insights on the epidemiology of refractive errors in a population over certain age ranges. EMR and industrial data may therefore provide a fast and cost-effective surrogate measure of refractive error distribution that can be used for future health service planning purposes.

scholarly journals The Difference of Positive or Negative Views on Patients of Soul Disorders Between Students of Faculty of Medicine Hang Tuah University Surabaya Semester 5 with Semester 7

2019 ◽  
Vol 2 (1) ◽  
pp. 27
Author(s):  
Fifin Yulia Candra Pangestika ◽  
Sadya Wendra ◽  
Edward Imanuel Simon
Keyword(s):  
Mental Disorders ◽  
Statistical Tests ◽  
Chi Square ◽  
Positive View ◽  
Mental Patients ◽  
Independent Variables ◽  
Significant Difference ◽  
Dependent Variables ◽  
The Difference ◽  
Positive Outlook

<p><strong>Background</strong><strong>:</strong> Most people in Indonesia still negatively regard mental patients as someone who is dangerous and the disease cannot be cured. This happens because people do not understand well the causes and methods of care for patients with mental disorders. Negative views that exist in the community cause mental patients to get less appropriate and humane treatment in the community even in their own families, such as being installed, ignored, insulted, and alienating family members who experience mental disorders.</p><p><strong>Objectif:</strong> This study aims to determine the differences in positive or negative views of mental patients between students of the Faculty of Medicine, Hang Tuah Surabaya, 5th semester with 7th semester.</p><p><strong>Methods: </strong>The population in this study were students of the Faculty of Medicine, University of Hang Tuah Surabaya in semester 5 with semester 7. with a large sample taken as many as 136 people. The independent variables in this study were positive or negative views about mental patients while the dependent variables in this study were students of semester 5 and semester 7 students. Analysis of the data of this study using Chi Square statistical tests.</p><p><strong>Results: </strong>Obtained results of respondents from semester 5 with a positive outlook that is 38 people (55.9%) and negative views namely 30 people (44.1%), then the results of respondents from 7th semester with a positive outlook that is 53 people (77.9%) and negative view of 15 people (22.1%). Where the total number of all respondents who answered a positive view was 91 people (66.9%) and all respondents who answered negative views were 45 people (33.1%). And based on gender, male respondents who looked positively about mental patients were 51 people (66.2%) and those who viewed negativity were 26 people (33.8%). Whereas female respondents who viewed positively regarding mental patients were 40 people (67.8%) and those who viewed negatively were 19 people (32.2%).</p><p><strong>Conclusions: </strong>The results showed a significant difference regarding the differences in positive or negative views of mental patients between semester 5 students and 7th semester students, as evidenced by the acquisition of the Sig. = 0.006 (&lt;0.05).</p><p><strong>Keywords: </strong>Differences in Positive or Negative Views, Mental Disorders</p>

scholarly journals Parameters of Capsulorrhexis and Intraocular Lens Decentration After Femtosecond and Manual Capsulotomies in High Myopic Patients With Cataracts

2021 ◽  
Vol 8 ◽  
Author(s):  
Yanan Zhu ◽  
Kexin Shi ◽  
Ke Yao ◽  
Yuyan Wang ◽  
Sifan Zheng ◽  
...  
Keyword(s):  
Femtosecond Laser ◽  
Anterior Chamber ◽  
Intraocular Lens ◽  
Intraoperative Complications ◽  
Anterior Segment ◽  
Anterior Chamber Depth ◽  
Rank Correlation ◽  
Chi Square ◽  
Significant Difference ◽  
Intraocular Lens Decentration

Purpose: To compare the parameters of capsulorrhexis and intraocular lens decentration after femtosecond laser capsulotomy and manual continuous curvilinear capsulorrhexis in high myopic patients with cataracts.Methods: This is a prospective consecutive non-randomized comparative cohort study. Selected patients with axial length &gt; 26.0 mm were divided into femtosecond laser capsulotomy (FS) group and manual continuous curvilinear capsulorrhexis (CCC) group. Five experienced phacoemulsification surgeons conducted all surgeries. Intraoperative complications and post-operative anterior segment photography were recorded. Intraocular lens decentration, area of capsulorrhexis, circularity, and capsule overlap were measured at 1 week, 1 month, and 2 years after surgery. Between group differences of parameters were determined with independent-sample t-test or the Mann–Whitney U-test, analysis of variance test, Pearson chi-square test, and Spearman rank correlation test.Results: The study included 142 eyes (108 patients), 68 eyes in the FS group, and 74 eyes in the CCC group. At 1 week, 1 month, and 2 years after surgery, the area of capsulorrhexis in the CCC group was significantly larger than in the FS group (P &lt; 0.05), while no significant difference was noted in circularity values. The complete overlap ratio in the FS group was significantly higher than that in the CCC group (P &lt; 0.05) at each measured timepoint. Significant correlations were noted between the anterior chamber depth and the area of capsulorrhexis in the CCC group (R = 0.25, P = 0.04), but did not correlate in the FS group (P &gt; 0.05). In patients with an anterior chamber depth &gt;3 mm, the capsule-intraocular lens (IOL) overlap of the CCC group was less than that of the FS group at all measured timepoints after surgery (P &lt; 0.05). Meanwhile, the IOL decentration in the CCC group was significantly greater than that of the FS group in those patients at 2 years after surgery (P &lt; 0.05).Conclusion: In high myopic patients with cataracts, with anterior chamber depth more than 3 mm, femtosecond laser capsulotomy can achieve better capsulorrhexis sizing and centering. Due to more precise capsulotomy and a better capsule-IOL overlap in the FS group, femtosecond laser capsulotomy resulted in better long-term centration of the IOL.

Utility of transport risk index of physiological stability score for predicting likely outcome of extramural neonates transferred to NICU

2020 ◽  
Vol 7 (5) ◽  
pp. 1081
Author(s):  
Deepali M. Shah ◽  
Bhuvaneswari M. ◽  
Ramaprasad G. S.
Keyword(s):  
Neonatal Mortality ◽  
Risk Index ◽  
Tertiary Care ◽  
Area Under The Curve ◽  
Roc Curve Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Early Neonatal Mortality ◽  
Significant Difference

Background: To accomplish ‘Mission Twenty - Twenty’ and to achieve ‘Sustainable Development Goal 3’, now we need to focus our attention more towards neonates being transported to higher centre in this very fragile period. We planned this study to assess demographic, transport and clinical characteristics of referred neonates and to determine whether TRIPS score serves as predictor of early neonatal mortality i.e. mortality within the first seven days after admission in these babies.Methods: This cross sectional descriptive study with analytic components was carried out in a tertiary care teaching hospital. All neonates ≥1 kg, born outside of this hospital, and referred here during study period for further management were included. All the data pertaining to clinical, demographic and transport characteristics were recorded. TRIPS score was applied at admission and was related with the final outcome within first seven days of admission; expired or survived. The association between the outcome and TRIPS score was tested using chi square test or fisher’s exact test. ROC curve analysis was done to find out optimum TRIPS score to predict mortality.Results: Neonatal mortality within first 7 days after admission is related to the TRIPS rating. The score of the survivors and neonatal deaths show a significant difference which is also even reflected by its individual components (p< 0.001). For a score of >18.5, a sensitivity of 89.47% and a specificity of 91.47%; area under the curve of 0.954 was determined.Conclusions: TRIPS score is a valid predictor of early neonatal mortality. The components of TRIPS score also correlate with early neonatal death. It is important to establish measures to improve physiological stability of the newborn before, during and after the transfer in order to reduce neonatal mortality.

scholarly journals Study of Delirium on Psychiatric Referrals at Helping Hands Community Hospital, Kathmandu, Nepal

2018 ◽  
Vol 5 (2) ◽  
pp. 19-26
Author(s):  
Praveen Bhattarai ◽  
Devavrat Joshi
Keyword(s):  
Risk Factors ◽  
Alcohol Intoxication ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Liaison Psychiatry ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Associated Risk Factors

Background and Objectives: Delirium is one of the most important neuro-psychiatric disorders in Consultation liaison psychiatry. There is a dearth of studies in this subject in Nepalese context. The objective of this study was to find out the demographic profile, source of referral, reason for referral and possible risk factors for delirium and association between risk factors and subtypes of delirium.Material and Methods: This is a descriptive cross-sectional study carried out in a tertiary care center over a period of six months. Delirium was diagnosed by psychiatrist based on International Classification of Disease, 10th revision, Diagnostic Criteria for Research (ICD-10 DCR) and was classified into subtypes using the Liptzin and Levkoff criteria. Data analysis was done using SPSS version 16 and chi- square test was applied to find the association between risk factors and subtypes of delirium.Results: A total of 52 cases of delirium were included in the study. Majority of cases were aged 65 years and above with male preponderance. The most common cause for referral was disturbed behavior and disorientation. Hyperactive delirium was the most common subtype of delirium. Most of the referred cases of delirium were from Medical ward and Intensive Care Unit/Critical Care Unit (ICU/CCU). Infection / Inflammation, Drug/alcohol intoxication or withdrawal and those with multiple etiologies were the most common possible causes of delirium. There was no significant difference in terms of associated risk factors between the clinical subtype (p = 0.8023).Conclusion: The presence of delirium warrants prompt intervention to identify and treat the underlying causes and consultation liaison psychiatric services should be enhanced to achieve this goal.Janaki Medical College Journal of Medical Sciences (2017) Vol. 5(2): 19-26

scholarly journals 219. Is the modified quick SOFA scale superior to quick SOFA in patients with diagnosed septic shock?

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S128-S128
Author(s):  
Deniz Akyol ◽  
Ayşe Uyan Önal ◽  
Uğur Önal ◽  
Damla Akdağ ◽  
Cansu Bulut Avşar ◽  
...  
Keyword(s):  
Septic Shock ◽  
Survival Rate ◽  
Tertiary Care ◽  
University Hospital ◽  
P Value ◽  
Chi Square ◽  
Number Of Patients ◽  
Significant Difference ◽  
Chi Square Test ◽  
Qsofa Score

Abstract Background In this study it was aimed to compare the effects of qSOFA (Quick Sequential Organ Failure Assessment) score with modified qSOFA score (PLoS One. 2018 Sep 26;13(9):e0204608) for predicting one month survival in patients with diagnosed septic shock (SS) in a tertiary-care educational university hospital in a developing country. Methods Modified qSOFA was created by adding age factor (>50 years=1 point) to patients with qSOFA scale 1 or 2 or 3 who had SS (sepsis+hypotension+adrenergic agent) and consulted by Infectious Diseases consultants between December 2013-December 2018. Arterial lactate level of >2 mmol/L criterion was added as an including criteria for SS according to 3rd International Sepsis and Septic Shock Consensus Statement after 23rd February 2016. Statistical analysis was performed via Chi-square test and a p-value <0.05 was considered significant. Results The number of patients with qSOFA score of 1 or 2 or 3 from 527 patients are in Table1 [some of the cases were diagnosed as septic shock according to elder definition (without lactate criterion) and there was a subgroup with qSOFA score 1]. Among the >50-year aged group, the 30-day survival rate was lower in patients with qSOFA3 vs. qSOFA 2 vs. qSOFA 1 (Table1, 3x2 Chi Square test, P = 0.0057). Among the <50 years group, the qSOFA one month survival rate was lower in patients with qSOFA 3 vs. qSOFA 2 vs. qSOFA 1 (Table, 3x2 Chi Square Test, P = 0.0052). According to modified qSOFA, there was a significant difference for one month survival among SS cases with scores of 1, 2, 3 and 4 (12/21 57% vs. Fifty/126 40% vs. 78/269 29% vs. 22/111 20%, 4x2 Chi-square test, P = 0.0003). On the other hand, there was no significant difference in terms of one month survival when we performed subgroup analysis in qSOFA score 1, 2, or 3 subgroups, as ≤50 years vs. >50 years (table, Chi-square test, 12/21 vs. 39/97 P = 0.224, 11/29 vs. 75/244 P = 0.526, 3/25 vs. 22/111 P = 0.572). Conclusion In terms of survival at one month, there was a significant difference between qSOFA score 1, 2, 3 and 4 subgroups. In patients with qSOFA score of 1 or 2 or 3, being under 50 years did not have a significant effect on one-month survival. Modified qSOFA may be beneficial to foresee the probable mortality but these findings need to be validated in larger cohorts Disclosures All authors: No reported disclosures.

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