scholarly journals PREDICTION OF THE DURATION OF HOSPITAL TREATMENT OF PATIENTS WITH CATARACT

2017 ◽  
Vol 1 ◽  
pp. 46-50 ◽  
Author(s):  
Mihail Kovtun ◽  
Marina Kochina ◽  
Inna Lapkina
Keyword(s):  
Surgical Treatment ◽  
Eye Diseases ◽  
Hospital Treatment ◽  
Case Histories ◽  
Financial Status ◽  
Somatic Disease ◽  
The Social ◽  
Operation Results ◽  
To Receive ◽  
Informative Indices

The aim of the paper was to evaluate and determine the duration of the hospital treatment of patients with cataract. Materials and methods of the investigation. 629 case histories were analyzed and 60 patients’ forms were also analyzed. The assessment of case histories was done according to the scheme: sex, age, the stage of cataract, the duration of hospital treatment, the cause of treatment which lasts more than 1 day (postoperative complication, treatment of concomitant eye diseases, patient’s desire), the type of complication. 60 surveyed patients with cataract required surgical treatment in order to work out the model of the duration of hospital treatment. The questionnaire contained several questions, which answers allow evaluating the social status of patients, somatic and optic status, peculiarities of the main disease and also the duration at the hospital after the operation. Results. It has been demonstrated that patient’s age, his or her financial status, the number of concomitant somatic and eye diseases are the main peculiarities for the prognosis for long-lasting stay at hospital after surgical treatment. Undetermined logics was used to create the model of prognosis of the duration of hospital treatment based on еру results of patients’ questionnaire, the method of clustering was used to receive undetermined rules. Conclusions. Ophthalmologic status of the patient, the presence of concomitant eye diseases, such as myopia alta, glaucoma, diseases of retina, and optic nerve and concomitant somatic disease play an important role in the choice of the type of treatment. The most informative indices for hospital treatment of patients with cataract after surgery are patient’s age, his/her financial status, the number of concomitant somatic and eye diseases.

scholarly journals Features of Surgical Correction of Spontaneous Luxation of the Complex “IOL Posterior Chamber – Capsular Bag”

2019 ◽  
Vol 4 (4) ◽  
pp. 108-112
Author(s):  
O. P. Mishchenko ◽  
N. A. Senchenko ◽  
A. G. Shchuko
Keyword(s):  
Visual Acuity ◽  
Surgical Treatment ◽  
Posterior Chamber ◽  
Case Histories ◽  
Corrected Visual Acuity ◽  
Postoperative Astigmatism ◽  
Operation Results ◽  
Best Corrected Visual Acuity ◽  
Capsular Bag ◽  
Iol Dislocation

Luxation of intraocular lens in capsular bag several years after cataract surgery leads to a decrease in visual function and requires surgical treatment.Aim: to determine effectiveness of various types of surgical treatment of late spontaneous dislocations of IOL in capsular bag.Methods. Analysis of 123 case histories of patients with late IOL dislocation, operated in 2013–2015, was made. First group included patients with replaced IOLs dislocated into pupillary lens. Second group consisted of patients who underwent reposition and suture of IOL to iris. Examination was made before operation and 6–12 months after operation. Results. The average term from moment of IOL implantation to its luxation was 8.78 ± 4.85 years. II degree of dislocation was detected in 74 % of patients, III degree of dislocation – in 10 %, and IV degree – in 16 % of patients.Uncorrected visual acuity was reduced to 0.15 ± 0.16; best corrected visual acuity to 0.31 ± 0.26. In 83.7 % of patients a pseudoexfoliation syndrome was detected. In 62.6 % of patients IOL luxation was accompanied byhydrodynamic disturbances. Best corrected visual acuity in period from 6 to 12 months after surgery was 0.40 ± 0.24, and after IOL reposition – 0.49 ± 0.22. In addition, after IOL replacement a significant increase in postoperative astigmatism was noted from –0.44 ± 0.84 to –1.96 ± 1.60 D (p < 0.001).Conclusion. As a result of surgical treatment of late spontaneous IOL dislocations in both groups increase in distance uncorrected and best corrected visual acuity was noted. Insufficient visual functions after surgical treatment were caused by concomitant pathology as well as increased postoperative astigmatism.

Severity of Penetrating Eye Trauma in Children in Tajikistan

2020 ◽  
pp. 39-42
Author(s):  
K.M. Saidzhamolov ◽  
◽  
E.V. Gromakina ◽  
S.K. Makhmadzoda ◽  
◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Eye Injury ◽  
Case Histories ◽  
Second Child ◽  
National Medical ◽  
Eye Trauma ◽  
Penetrating Eye Injury ◽  
Eye Damage ◽  
The Republic ◽  
Large Wound

Purpose. To assess the severity of penetrating eye trauma in children in Tajikistan. Material and methods. Retrospectively there was analyzed 277 case histories of children with a diagnosis of penetrating eye injury, admitted to the children’s department of the National Medical Centre of the Republic of Tajikistan for the provision of specialized ophthalmological care. Results. The average age of children at the time of injury to the organ of sight was 7.06 ± 3.01 years, mainly these were villagers (70%). Children under 7 years old accounted for 57.8% of those admitted to the hospital. The terms of admission to the hospital ranged from 1 to 14 days, an average of 43.02 ± 33.35 hours. The severity is caused by damage to 2 or more structures of the eyeball in 81,3%. Wounds larger than 6 mm prevailed and amounted to 63,5%. Endophthalmitis at admission was noted in 8,3% of cases. Enucleation was performed in 2 children; 244 children underwent primary surgical treatment. Visual acuity at discharge was higher than 0.1 in 72 of 275 children (26.2%), lower than 0,1 in 194 (70.7%). Conclusion. Almost every second child (43.0%) is admitted to the hospital for primary surgical treatment of an eyeball wound after 24 hours. About 2/3 of cases of eye damage are characterized by large wound sizes. Stab wounds were noted in 90.2% of cases. In 58.8% of cases, damage to the cornea was observed and in 68.6% – damage to the lens area.

FEATURES OF OPHTHALMIC CARE FOR PATIENTS WITH COMPLICATED CATARACTS

2020 ◽  
pp. 84-89
Author(s):  
Inna Ivanovna Lapkina
Keyword(s):  
Health Care ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Key Words ◽  
Outpatient Treatment ◽  
Practical Application ◽  
Unified Approach ◽  
Case Histories ◽  
High Prevalence

Today, around 50 million people worldwide suffer from cataracts, more than a half of them need surgical treatment. High prevalence of this pathology in Ukraine, the need to improve the provision of ophthalmic care to patients, and the reform of the health care system have made the research relevant. Concomitant diseases and special conditions of the eye increase the risk of intra− and postoperative complications, worsen the functional parameters of patients after surgery. In order to develop a unified approach to the treatment of complicated cataracts based on diagnostically related groups of patients, a retrospective analysis of case histories of patients with different variants of complications related to the condition of the lens itself, its ligament apparatus and other structures of the eye was conducted. In each case, the surgeon has to choose the appropriate modification of cataract phacoemulsification surgery. The study proposed the classification of cataract phacoemulsification modifications on the basis of the techniques and the sequence of operation stages, taking into account the classification of the degrees of turbidity of the lens, proposed by L. Buratto. It has been noted that in complicated cases, according to the indications of the patient, surgery may be performed on several modifications of cataract phacoemulsification. The developed classification made it possible to generalize the various variants of pathology and greatly facilitate the choice of tactics of surgical treatment in complicated cataracts. It can be used not only for practical application, but also for improving the qualification of trained professionals. The prospect of further research is to identify contraindications for outpatient treatment of the patients with complicated cataracts. Key words: cataract complication, classification of phacoemulsification modifications, diagnostically related groups.

Guide to Africa Bibliography

2020 ◽  
Vol 2019 ◽  
pp. xxix-xxx
Keyword(s):  
Social Sciences ◽  
Natural Sciences ◽  
Development Studies ◽  
Environmental Sciences ◽  
African Government ◽  
The Social ◽  
To Receive ◽  
Cover Material

This bibliography records publications on Africa of interest to students of Africa, principally in the social and environmental sciences, development studies, humanities and arts. Some items from the medical, biological and natural sciences are included. The criterion used is potential relevance to a reader from a social sciences/arts background. The whole continent and associated islands are covered, with selective coverage of the diaspora. This volume aims to cover material published in 2019 together with items from earlier years not previously listed. The editor is always very glad to hear of any items omitted so that they may be included in future volumes. He would be particularly pleased to receive notification of new periodicals, print or online. African government publications and works of creative literature are not normally listed.

Vulnerability context and well-being factors of Indigenous community development: a study of Peninsular Malaysia

2021 ◽  
Vol 17 (1) ◽  
pp. 94-105
Author(s):  
Md. Khaled Saifullah ◽  
Muhammad Mehedi Masud ◽  
Fatimah Binti Kari
Keyword(s):  
Basic Education ◽  
Economic Status ◽  
Well Being ◽  
Peninsular Malaysia ◽  
Indigenous Community ◽  
Access To Education ◽  
Environmental Aspects ◽  
The Social ◽  
To Receive ◽  
Significant Factors

The Indigenous people of Malaysia are a heterogeneous community scattered over more than 852 villages in Peninsular Malaysia. This community has been identified to be among the poorest and marginalized in Peninsular Malaysia. This study evaluates the well-being factors as well as problems that hinder the development of an Indigenous community in Peninsular Malaysia. This article adopted a quantitative approach based on data collected through survey and 2,136 respondents were interviewed. The study reveals that the Indigenous community is likely to remain poor in terms of economic status significantly because of insufficient access to basic education and the inability of being employed. This is also due to the inability to receive support for housing, economic livelihood, and other social infrastructures. In addition, the study indicates that economic status and access to education are the most significant factors that may help improve the overall well-being of an Indigenous community. This finding also suggests that the social and environmental aspects in Peninsular Malaysia have not improved together with economic development.

scholarly journals Guide to Africa Bibliography

2019 ◽  
Vol 2018 ◽  
pp. xxiii-xxiv
Keyword(s):  
Social Sciences ◽  
Natural Sciences ◽  
Development Studies ◽  
Environmental Sciences ◽  
African Government ◽  
The Social ◽  
To Receive ◽  
Cover Material

This bibliography records publications on Africa of interest to students of Africa, principally in the social and environmental sciences, development studies, humanities and arts. Some items from the medical, biological and natural sciences are included. The criterion used is potential relevance to a reader from a social sciences/arts background. The whole continent and associated islands are covered, with selective coverage of the diaspora. This volume aims to cover material published in 2018 together with items from earlier years not previously listed. The editor is always very glad to hear of any items omitted so that they may be included in future volumes. He would be particularly pleased to receive notification of new periodicals, print or online. African government publications and works of creative literature are not normally listed.

Reassessing Freud's Case Histories: The Social Construction of Psychoanalysis

Isis ◽  
1991 ◽  
Vol 82 (2) ◽  
pp. 245-275 ◽  
Author(s):  
Frank J. Sulloway
Keyword(s):  
Social Construction ◽  
Case Histories ◽  
The Social

scholarly journals LIFE ON DISPLAY: WHY IT IS IMPORTANT TO EXPOSE YOUR ACTIONS ON THE SOCIAL NETWORK

2021 ◽  
Vol 6(72) (4) ◽  
pp. 41-48
Author(s):  
A. E. Starchenko ◽  
M. V. Semina
Keyword(s):  
Higher Education ◽  
Social Networks ◽  
Social Network ◽  
Reference Group ◽  
Human Life ◽  
Sociological Study ◽  
The Social ◽  
Personal Accounts ◽  
The Impact ◽  
To Receive

Social networks have emerged relatively recently in human life, but have already become an integral part of it. Companies tell about themselves, their activities, innovations, promotions and events in their profiles. This helps increase audience coverage, tell more about your brand, products, services. People in personal accounts have the opportunity to share their lives and creativity through photos, videos and texts. Now it is not necessary to receive higher education to become an operator, director or actor whose talent is recognized by society. It is enough to start a page on the social network and start sharing your knowledge and creativity. To find out why people post photos, videos and write texts on their social networks, a pilot sociological study was carried out. The method of deep interview with active users of social networks was chosen to carry out the study. The interview allowed getting unique information, to learn the opinion of users about social networks, the impact of the new way of communication on their life, to identify the reasons why users start and maintain profiles. The respondents were 20 users of social networks between the ages of 19 and 22. Interviewees have profiles on the most popular Instagram and Vkontakte networks. As a result of the analysis of the interview, a tendency was revealed to differ in the perception of users of their actions on the social network and similar actions of other users. Their content is perceived by them as opportunities to be in sight, as a resource to form their social status and an element of influence on their reference group. And the same content published by others is perceived as boasting.

DACRYOCYSTITIS AS AN OTOLARYNGOLOGICAL PROBLEM: OWN TREATMENT EXPERIENCE

2021 ◽  
pp. 76-82
Author(s):  
S. O. Samusenko ◽  
I. V. Filatova
Keyword(s):  
Chronic Disease ◽  
Surgical Treatment ◽  
Surgical Intervention ◽  
Clinical Effectiveness ◽  
Postoperative Management ◽  
Eye Diseases ◽  
Social Significance ◽  
Endoscopic Dacryocystorhinostomy ◽  
Chronic Dacryocystitis ◽  
Post Traumatic

The urgency of improving the effectiveness of dacryocystitis treatment is determined by: their stable proportion among eye diseases, a high percentage of post−traumatic, iatrogenic and chronic forms, ability to be a source of dangerous complications and social significance. Existing anatomical and physiological relations and values of rhinogenic factors determine the involvement of otolaryngologists in dacryocystitis treatment. In order to determine the characteristics of the contingent of patients with dacryocystitis, structure of rhinogenic factors, methods of examination, surgical treatment and principles of postoperative management of patients, a study was conducted with 107 patients with chronic disease. The clinical effectiveness in diagnosis and planning of surgical intervention of the combination of endonasal optical rhinoscopy, probing and contrast of the nasolacrimal pathway with triombrast with subsequent radiological and (or) CT examination was determined. It is shown that the correction of endonasal structures should be performed simultaneously with dacryocystorhinostomy. The efficiency of the classical West−Bokstein surgery has been determined, the necessity of an individual approach to its planning has been shown. The main tasks of each stage of the surgery, which significantly affect its outcome, are established. When performed correctly, the effectiveness of "plastic" and "simple" rhinostomy, management of patients with and without stenting is almost the same. It has been proven that the use of radio wave and shaver techniques can greatly simplify the stages of the surgery and improve healing. Based on the obtained results, a conclusion was made about the expediency of involving an otolaryngologist in the consultation of patients with chronic dacryocystitis in each case. The criterion for choosing treatment tactics in favor of endonasal endoscopic dacryocystorhinostomy is the presence of rhinogenic factors of dacryocystitis. Key words: dacryocystitis, endonasal endoscopic dacryocystorhinostomy, rhinogenic factors, stenting, surgical treatment, epiphora, lacrimation.

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