scholarly journals Characteristics of Individuals with Dry Eye Symptoms without Clinical Diagnosis: Analysis of a Web-Based Survey

2019 ◽  
Vol 8 (5) ◽  
pp. 721 ◽  
Author(s):  
Ryutaro Yamanishi ◽  
Miki Uchino ◽  
Motoko Kawashima ◽  
Yuichi Uchino ◽  
Norihiko Yokoi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Clinical Diagnosis ◽  
Dry Eye ◽  
Care Management ◽  
Self Care ◽  
Visual Display ◽  
Web Based ◽  
Visual Display Terminal ◽  
Related Quality ◽  
One Year

Currently, the available treatment for dry eye disease (DED) varies. The present study aimed to investigate the characteristics of undiagnosed DED and patient-based self-care management for DED based on a web-based survey performed for Tear’s Day in Japan; 1030 participants (301 women) responded; 155 participants (72 women) had a clinical diagnosis of DED. We defined undiagnosed DED (n = 116; 54 women) as those with DED symptoms, as evaluated by a frequently used questionnaire despite not having a clinical diagnosis. A multivariate adjusted model indicated that younger age (odds ratio (OR), 0.97 for each one-year decrease; 95% confidence interval (CI), 0.95–0.99), female sex (OR, 2.12; 95% CI, 1.28–3.50), and prolonged visual display terminal usage (OR, 1.12; 95% CI, 1.04–1.21) were risk factors for undiagnosed DED. To investigate the efficacy of self-care management for DED, a sub-analysis was conducted. The number of self-care methods used was significantly higher among women than men. For undiagnosed DED, those with less than three self-care methods had a significantly worse Dry Eye-related Quality-of-Life Score compared with those with diagnosed DED. This study revealed risk factors for undiagnosed DED; individuals with those risk factors need to be clinically assessed and should not rely solely on self-care.

Prevalence of Dry Eye Disease and its Risk Factors in Visual Display Terminal Users: The Osaka Study

2013 ◽  
Vol 156 (4) ◽  
pp. 759-766.e1 ◽  
Author(s):  
Miki Uchino ◽  
Norihiko Yokoi ◽  
Yuichi Uchino ◽  
Murat Dogru ◽  
Motoko Kawashima ◽  
...  
Keyword(s):  
Risk Factors ◽  
Dry Eye ◽  
Visual Display ◽  
Dry Eye Disease ◽  
Eye Disease ◽  
Visual Display Terminal

Changes in Distribution of Dry Eye Diagnostic Status Among Visual Display Terminal Workers According to the Revised Criteria of the Asia Dry Eye Society

Cornea ◽  
2020 ◽  
Vol 39 (5) ◽  
pp. 578-583 ◽  
Author(s):  
Ryutaro Yamanishi ◽  
Miki Uchino ◽  
Yuichi Uchino ◽  
Motoko Kawashima ◽  
Murat Dogru ◽  
...  
Keyword(s):  
Dry Eye ◽  
Visual Display ◽  
Visual Display Terminal ◽  
Diagnostic Status

scholarly journals Web-based self-care management program of patients with type 2 diabetes mellitus

2019 ◽  
pp. 28
Author(s):  
Maraeh Angela Mancha ◽  
B.R.G. Marie ◽  
E.C. Ela Shyr ◽  
Racquel Tayor ◽  
Cruz ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Care Management ◽  
Self Care ◽  
Management Program ◽  
Web Based ◽  
Significant Difference ◽  
Care Management Program

Background: The purpose of the study is to determine the effectiveness of web-based self-care management program for type 2 diabetes mellitus through sharing evidenced-based information about Diabetes through the use of a web-based module. Materials and methods: The study used the quasi-experimental pre and posttest design to determine the effectiveness of a web-based self-care management program in the management of patients with type 2 Diabetes mellitus (DM). The study was conducted in three phases and acquired 30 purposively selected type 2 DM adult patients. The study used a web-based self-care management program that included basic information about Type 2 Diabetes mellitus using three designed modules specifically for diet, exercise and drug management. Results: The patient status during the pre and post-intervention phase is an FBS reading of 152 mg/dl or diabetes stage to pre-diabetes stage (119 mg/dl), normal BMI (22), low risk for obesity WHR and barely satisfactory to satisfactory level of knowledge to diabetes and DM management. There is very significant difference (p=<000) in the pre and post FBS reading of patients and the level of knowledge to diabetes and DM management after the web based DSME while there is no significant difference in the BMI and WHR. There is very significant difference (p=<000) in the RBS readings of the patients during the 1st, 2nd and 3rd phases of the intervention of .web based DSME (p=<000) post hoc analysis with Wilcoxon Signed Rank Test revealed that there is very significant difference (p=<000) between groups. Conclusion: The use of web-based self-care management program is effective in improving FBS/RBS and level of knowledge to diabetes and DM management of patients with type 2 diabetes mellitus but needed longer intervention to improve BMI and WHR .Nurses as part of the DSME group and as health educator may use technology in giving health education to patients to improve patients self-management to diabetes.

scholarly journals Dry Eye in the Beaver Dam Offspring Study: Prevalence, Risk Factors, and Health-Related Quality of Life

2014 ◽  
Vol 157 (4) ◽  
pp. 799-806 ◽  
Author(s):  
Adam J. Paulsen ◽  
Karen J. Cruickshanks ◽  
Mary E. Fischer ◽  
Guan-Hua Huang ◽  
Barbara E.K. Klein ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Dry Eye ◽  
Health Related Quality ◽  
Beaver Dam ◽  
Related Quality ◽  
Health Related

Advanced dry eye screening for visual display terminal workers using functional visual acuity measurement: the Moriguchi study

2015 ◽  
Vol 99 (11) ◽  
pp. 1488-1492 ◽  
Author(s):  
Minako Kaido ◽  
Motoko Kawashima ◽  
Norihiko Yokoi ◽  
Masaki Fukui ◽  
Yoshiyuki Ichihashi ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Dry Eye ◽  
Visual Display ◽  
Visual Display Terminal ◽  
Eye Screening ◽  
Functional Visual Acuity

Self-care management and risk factors for depressive symptoms among elderly outpatients in Taiwan

2011 ◽  
Vol 24 (2) ◽  
pp. 278-287 ◽  
Author(s):  
Yun-Fang Tsai ◽  
Li-Ling Liu ◽  
Hsiu-Hsin Tsai ◽  
Shih-Chi Chung
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Depressive Symptoms ◽  
Care Management ◽  
Self Care ◽  
Perceived Health ◽  
Income Adequacy ◽  
Perceived Income Adequacy ◽  
Elderly Outpatients ◽  
Depressive Tendency

ABSTRACTBackground: Early detection and appropriate treatment interventions for depressive symptoms in the elderly are important issues for healthcare systems. However, few studies to date have focused on understanding self-care strategies to manage depressive symptoms among elderly people worldwide. The purpose of this study was to explore self-care management strategies and risk factors for depressive symptoms among elderly outpatients in Taiwan.Methods: A convenience sample of elderly persons (≥65 years old; N = 1054) was recruited from outpatient clinics of two hospitals in northern Taiwan.Results: In our sample, the prevalence of depressive tendency was 16.3%. The majority of participants (70.1%) managed depressive symptoms with self-care strategies. The strategy most often used to relieve depressive symptoms was “take a walk.” The main information source for self-care strategies was self-learning. Depressive tendency in this sample was shown by logistic regression analysis to be significantly predicted by gender, marital status, perceived income adequacy, perceived health condition, stroke, and cancer.Conclusion: Elderly people need to be made more aware of strategies to self-manage depressive symptoms. Healthcare providers can decrease/prevent the first risk factor for depressive symptoms (poor perceived health status) by improving elders’ perceived health and promoting their actual health. The second risk factor (poor perceived income adequacy) can be decreased/prevented by carefully assessing patients’ financial situation during clinic visits and providing suitable referral for further assistance.

scholarly journals The effect of problem-based learning after coronary heart disease – A randomised study in primary health care (COR-PRIM)

2020 ◽  
Author(s):  
Anita Kärner Köhler ◽  
Tiny Jaarsma ◽  
Pia Tingström ◽  
Staffan Nilsson
Keyword(s):  
Risk Factors ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Patient Information ◽  
Patient Empowerment ◽  
Self Care ◽  
Problem Based Learning ◽  
Hdl Cholesterol ◽  
One Year ◽  
Experimental Group

Abstract Background Cardiac rehabilitation including patient education is effective after coronary heart disease (CHD). However, risk factors remain, and patients report fear for recurrence during recovery. Problem-based learning is a pedagogical method, where patients work self-directed in small groups with problem solving of real-life situations to manage CHD risk factors and self-care. The aim of the study was to demonstrate the better effectiveness of patient problem-based learning over home-sent patient information for evaluating long-term effects of patient empowerment and self-care in patients with CHD. The hypothesis tested was that one year of problem-based learning improves patients’ empowerment- and self-efficacy, to change self-care compared to one year of standardised home-sent patient information after CHD. Methods We randomly assigned 157 patients (78% male; age 68±8.5 years) with CHD verified by percutaneous coronary intervention (PCI) (70.1%) or coronary artery by-pass surgery (CABG) and CABG+PCI or myocardial infarction (29.9%) to problem-based learning (experimental group; n = 79) or home-sent patient information group (controls; n = 78). The problem-based learning intervention consisted of patient education in primary care by nurses tutoring groups of 6-9 patients on 13 occasions over one year. Controls received home- sent patient information on 11 occasions during the study year. Results At the one-year follow-up, the primary outcome, patient empowerment, did not significantly differ between the experimental group and controls. We found no significant differences between the groups regarding the secondary outcomes e.g. self-efficacy, although we found significant differences for body mass index (BMI) [-0.17 (SD 1.5) vs. 0.50 (SD 1.6), P=0.033 ], body weight [-0.83 (SD) 4.45 vs. 1.14 kg (SD 4.85), P=0.026 ] and HDL cholesterol [0.1 (SD 0.7) vs. 0.0 mmol/L (SD 0.3), P=0.038 ] favouring the experimental group compared to controls. Conclusions The problem-based learning- and the home-sent patient information interventions had similar results regarding patient empowerment. However, problem-based learning exhibited significant effects on weight loss, BMI, and HDL cholesterol levels, indicating that this intervention positively affected risk factors compared to the home-sent patient information intervention. Trial registration : NCT01462799 (February 2020)

“ASSESSMENT OF VISUAL DISPLAY TERMINAL USE AS A RISK FACTOR FOR PAEDIATRIC DRY EYE DISEASE” : A CROSS SECTIONAL STUDY

2021 ◽  
pp. 55-58
Author(s):  
Souvik Ganguly ◽  
Sheuli Kumar ◽  
Sambuddha Ghosh ◽  
Debarshi Jana
Keyword(s):  
Risk Factor ◽  
Dry Eye ◽  
Ocular Surface ◽  
Visual Display ◽  
Cross Sectional Study ◽  
Eye Disease ◽  
Sectional Study ◽  
Outdoor Activity ◽  
Cross Sectional ◽  
Visual Display Terminal

Purpose: To assess Visual Display Terminal(VDT) exposure as a risk factor for paediatric Dry Eye Disease(DED). Methodology: In this cross sectional study, children(5-15 years) from both urban and rural regions with VDT(computer,smartphone,television) exposure(1-2,3-4,>=5hours) were enrolled. Dry eye evaluation was done using Ocular Surface Disease Index (OSDI) Questionnaire, Schirmer's without anesthesia, Fluorescein-Tear lm Break-up Time(F-TBUT) and corneal , conjunctival uorescein staining as per Tear Film and Ocular Surface Society(TFOS) Dry Eye Workshop II Guidelines 2017(DEWS II). DED diagnosis was based on OSDI grading(>=13) and objective tests(>=1 positive test). Results: 315 children exposed to VDTwere selected for the study. Burning sensation and redness were the most common symptoms. Prevalence of DED was observed to be 6.03%(19 children-38 eyes). Mean age and hours of VDT exposure was signicantly higher and hours of outdoor activity and sleep signicantly lower in DED children compared to NON DED children(p<.05). Urban elder children had highest DED prevalence rate of 13.19% .Prevalence of DED in children using VDTfor 1-2 hours was .74%,3-4 hours was 28.57%, and >=5 hours was 47.83% (p=<.001). Children with short hours of outdoor activity(<3hours) had DED prevalence of 24.62 % whereas children with longer outdoor activity(>=3 hours) showed 1.20% prevalence(p<.001). Children with less hours of sleep(<8hours) showed DED prevalence of 22.58% and those with longer hours(>=8 hours) of sleep had only 1.98% DED prevalence (p<.001). Conclusion: DED was found to be associated with elder age, longer hours of VDT exposure , short hours of outdoor activity and sleep in VDTexposed children.

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