STUDY OF CLINICALAND DEMOGRAPHIC PROFILE OF PATIENTS VISITING A TERTIARY EYE CARE CENTRE ALONG WITH THE EFFECT OF LOCKDOWN DURING COVID-19 PANDEMIC

Aim – To study the clinical and demographic profile of patients visiting a tertiary eye care centre along with the effect of lockdown during Covid-19 pandemic. Material and Methods – This cross-sectional study included patients presenting during the entire lockdown period i.e. 25th March to 31st May, 2020. Records of the patients relating to symptoms, diagnosis and treatment modalities were analysed. Results – A total of 723 patients presented in the ophthalmology department of which 82.43% were in the OPD and 17.57% in the emergency. 60.03% were male and 39.97% were female. In the OPD, 21.81% patients had refractory errors, 12.08% presented with corneal disorders of which viral keratitis was the most common disorder. 10.57% presented with retinal disorders, 8.05% of patients had cataract and 4.69% had glaucoma. During this period 21 emergency surgeries were conducted. Conclusion – As a result of the nationwide lockdown in response to Covid-19 pandemic, there was considerable reduction in patients indicating lesser accessibility of health services to the needy patients. This needs to be addressed by planning delivery of health services in an effective and better way.

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Traditional eye medicine associated keratitis- Current trends and practices

Indian Journal of Clinical and Experimental Ophthalmology ◽

10.18231/j.ijceo.2021.148 ◽

2022 ◽

Vol 7 (4) ◽

pp. 731-735

Author(s):

Preethi B ◽

Preeti Mittal ◽

Kiran Kumar K ◽

Sriya Sridhar ◽

Suresh Babu G

Keyword(s):

Rural Areas ◽

South India ◽

Corneal Ulcer ◽

Cross Sectional Study ◽

Care Centre ◽

Health Seeking ◽

Eye Care ◽

Cross Sectional ◽

Demographic Profile ◽

Study Population

To study the prevalence, types and demographic profile of traditional eye medicine (TEM) use among corneal ulcer patients presenting to a tertiary eye care centre in South India.A cross-sectional study conducted on 432 new corneal ulcer patients at a tertiary eye care centre in South India from September 2018 to July 2019. Data collected included demographic profile such as name, age, sex, occupation, income, rural/urban residence, type of TEM use. Of the 432 new corneal ulcer cases, 32 used TEM. Most TEM users belonged to the age group 40- 60 years (n= 20; 62.5%). There was no difference in sex distribution. Majority of TEM users in our study resided in rural areas (n= 30; 93.75%), were involved in agriculture as occupation (n=28, 87.5%) and belonged to the lower socioeconomic status n=31(96.88%) as per Kuppuswamy classification. Profile of TEM used ranged from plant extract (n= 14; 43.75%), tongue cleaning (n= 5; 15.63%), oil (n= 7; 21.87%), breast milk (n= 4; 12.5%) and ash (n= 2; 6.25%). Use of traditional medicine is a prevalent practice in the study population. These findings offer a better understanding of health seeking behaviour of the study population which will lead to better planning, implementation and targeting of preventive and promotive eye services and awareness programmes.

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Optimization of Surgeon Ergonomics With Three-dimensional Heads Up Display for Ophthalmic Surgeries

10.21203/rs.3.rs-519366/v1 ◽

2021 ◽

Author(s):

Yogita Gupta ◽

Radhika Tandon

Keyword(s):

Three Dimensional ◽

Cross Sectional Study ◽

3D Image ◽

Care Centre ◽

Sectional Study ◽

Eye Care ◽

Cross Sectional ◽

Surgical Microscope ◽

Before And After ◽

Display Monitor

Abstract Purpose: To describe the variables that may be utilized in the optimization of three dimensional heads up surgeries (3D-HUS) for achieving better ergonomics among ophthalmic surgeons. Methods: A cross-sectional study conducted at the operating room of a tertiary eye care centre, equipped with ARTEVO 800 3D surgical microscope and display monitor. The parameters noted were: monitor height (MH), surgeon eye to floor distance (ETFD) surgeon eye to monitor distance (ETMD) (Fig. 1a) and viewing tilt (VT) angle. The neck and eye strain of the surgeon and assistant were scored as per Borg’s CR-10 scale, before and after surgeries.Results: 15 surgeries were analysed. The minimum ETMD was 51 inches and eye strain reduced with shorted ETMD. VT and ETFD was higher for right eye surgeries. The optimum MH was between 50 to 55 inches. Overall, neck strain and eye strain were in the range of 0-3 and 0-1, respectively.Conclusion: The various parameters affecting 3D image quality, neck and eye strain are: chair height, viewing tilt angle, eye centration, monitor distance, laterality of the eye and room illumination.

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Risk of HIV infection among indoor and street sex workers and their use of health services in Belgrade, Serbia

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1004219i ◽

2010 ◽

Vol 138 (3-4) ◽

pp. 219-224 ◽

Cited By ~ 3

Author(s):

Dragan Ilic ◽

Sandra Sipetic ◽

Vesna Bjegovic

Keyword(s):

Health Services ◽

Hiv Infection ◽

Sex Workers ◽

Hiv Transmission ◽

Daily Basis ◽

Cross Sectional Study ◽

Risky Behaviour ◽

Cross Sectional ◽

Accessibility Of Health Services ◽

Vaginal Sex

Introduction. HIV in Serbia is most often transmitted through sexual contact, and therefore numerous prevention activities are geared towards sex workers (SW). Objective. To analyze the differences in knowledge, attitudes and risky behaviour between indoor and street SW in Belgrade; to examine the accessibility of health services to this vulnerable group. Methods. In this behavioural cross-sectional study, 113 street and 78 indoor SW were included. The sampling method used was snowball samples. Data were gathered through structured questionnaires. Results. Around 15% of respondents used drugs intravenously. Around 60% of SW used a condom during the last sexual intercourse with their private partner, and around 90% with a commercial partner. Indoor SW had lower levels of education more often than outdoor SW, and they used marijuana, sedatives and painkillers on a daily basis. A significantly higher number of indoor SW were informed about HIV, HBV and HCV testing, and that the risk for HIV infection is not lower if a condom is used exclusively for vaginal sex. Indoor SW reported using health services and testing and counseling for HIV, HBV and HCV more frequently than outdoor SW. Outdoor SW had significantly more sex partners in the previous month than indoor SW. Indoor SW recognized more frequently that providing sex services posed a higher risk for HIV infection. Conclusion. The results of this research study show that even though outdoor SW had higher levels of education than indoor SW, their level of knowledge about HIV transmission was lower and they reported more risky behaviour than indoor SW. Data show that both groups reported not taking care of their health.

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Knowledge and Awareness of Medical Practitioners of Jazan City towards Oral and Maxillofacial Surgery as a Specialty

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2018.114 ◽

2018 ◽

Vol 6 (3) ◽

pp. 588-591 ◽

Cited By ~ 2

Author(s):

Fareedi Mukram Ali ◽

Ghassan M. Al-Irany ◽

Sultan Mohammed Namis ◽

Asma Ali Heezam ◽

Salma Abdu Swaid ◽

...

Keyword(s):

Health Services ◽

Maxillofacial Surgery ◽

Cross Sectional Study ◽

Medical Community ◽

Treatment Modalities ◽

General Surgeon ◽

Oral And Maxillofacial Surgery ◽

Cross Sectional ◽

Medical Practitioners ◽

Oral And Maxillofacial Surgeon

BACKGROUND: In many health services communities the scope of oral and maxillofacial surgery (OMFS) as a discipline is frequently not probably understood. Good awareness towards OMFS among different branches of health services providers is essential for better referral strategies and will be for the benefit of the patient. MATERIALS AND METHODS: The cross-sectional study was done using a specially prepared questionnaire distributed randomly to 125 general medical practitioners working in Jazan province. In this questionnaire, there were also some close-ended questions to evaluate awareness regarding a variety of conditions treated by the oral and maxillofacial surgeons.RESULTS: Out of 125 participants, 105 (84%) were aware of the oral and maxillofacial surgery as a speciality branch of dentistry. Only 52 (41.6%) participants were aware of the different treatment modalities coming under the scope of oral and maxillofacial surgery. Also in the referral of cases to the oral and maxillofacial surgeon, 50 (40%) participants referred their oral and maxillofacial region cases to OMS. Tooth removal was the only procedure where most of the medical practitioners knew it is a speciality procedure of the oral and maxillofacial surgeon. For facial fractures, 76 medical practitioners believe it comes under the scope of the orthopaedic surgeon. Similarly, for facial abscesses, 81 and 36 practitioners responded that it is a job of a general surgeon and OMS respectively.CONCLUSION: There is low awareness toward the scope of oral and maxillofacial surgery in the medical community. Knowledge and awareness of the scope of oral and maxillofacial surgery can improve the success and promptness of delivery of health services.

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A cross-sectional study to assess the cause of present suicide attempt and socio-demographic profile among the suicide attemptees in a tertiary care centre, Bengaluru

International Journal of Family & Community Medicine ◽

10.15406/ijfcm.2021.05.00245 ◽

2021 ◽

Vol 5 (6) ◽

pp. 198-202

Author(s):

Kavya M Alalageri ◽

Shobha Shobha ◽

Ranganath TS

Keyword(s):

Risk Factors ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Centre ◽

Sectional Study ◽

Tertiary Care Centre ◽

Cross Sectional ◽

Demographic Profile ◽

Study Participants ◽

Suicide Attempted

Context: A high suicide rate is an index of social disorganization. In India, it is the second leading cause of death among 15-29 years age group. Young age, female sex, poor education, unemployment and socio economic deprivation are some of the potential risk factors. Aim: To assess the cause of present suicide intent and socio-demographic profile in patients with attempted suicide in a tertiary care centre. Settings and design: Study setting in tertiary care centre, Bengaluru and a Cross-sectional study design. Methods and material: A Cross Sectional Study was conducted among 476 suicide attempted patients by Convenient sampling from January 2016 to May 2017. Data was collected by using a pretested, semi-structured questionnaire. Statistical analysis: Descriptive statistics and inferential statistics if required. Results: Mean age of study participants was 30.65+0.75 years. Most of the suicide victims (82.97%) were from nuclear families.24.57%of study participants had family history of suicide.49.66% of them had a suicidal intent during the past 12 months and only 26.89% of them sought professional help. Conclusion: Suicides and attempted suicides are slowly but steadily assuming the levels of a public health problem caused by multiple factors. Hence there is a need to address the risk factors for suicide attempts and preventing them by taking proper measures at individual, family and societal level.

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Demographic pattern and clinical characteristics of optic neuritis in a tertiary eye care centre

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v9i1.17533 ◽

2017 ◽

Vol 9 (1) ◽

pp. 51-55

Author(s):

Manita Sunam Godar ◽

Ananda Kumar Sharma ◽

Madhu Thapa ◽

Sanjeeta Sitaula ◽

Shanti Gurung

Keyword(s):

Optic Neuritis ◽

Contrast Sensitivity ◽

Colour Vision ◽

Clinical Characteristics ◽

Cross Sectional Study ◽

Visual Field Defects ◽

Care Centre ◽

Eye Care ◽

Cross Sectional ◽

Female Ratio

Purpose: To study the demographic pattern and clinical characteristics of optic neuritis cases in a tertiary eye care centre in Nepal. Design: Descriptive, cross-sectional study. Methodology: Complete ocular examination was done in all the newly diagnosed cases of optic neuritis presenting from January 1st 2012 to June 30th 2013. Demographic pattern, clinical features, visual acuity, colour vision, contrast sensitivity and visual field defects were studied. Results: Sixty seven eyes of 50 patients (28 females and 22 males) with optic neuritis were included in the study. The mean age was 34.32 years ± 13.72 years. The male: female ratio was 1:1.27. All the cases presented with complaint of blurring of vision. Painful ocular movement was noted in 58%. On ophthalmoscopic examination around 2/3rd of eyes suffered from papillitis (72%) and 1/3rd from retrobulbar optic neuritis (27%). Only one case of neuroretinitis (1%) was seen in the study. The colour vision pattern was variable. Contrast sensitivity was reduced in 94%. Centrocaecal scotoma was seen in 10.5%. Conclusion: Females were predominantly affected. Unilateral involvement was the most common presenting as papillitis.

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Thyroid cancer overdiagnosis and overtreatment: a cross- sectional study at a thyroid cancer referral center in Ecuador

BMC Cancer ◽

10.1186/s12885-020-07735-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Paola Solis-Pazmino ◽

Jorge Salazar-Vega ◽

Eddy Lincango-Naranjo ◽

Cristhian Garcia ◽

Gabriela Jaramillo Koupermann ◽

...

Keyword(s):

Thyroid Cancer ◽

Cancer Mortality ◽

Incidental Finding ◽

Cross Sectional Study ◽

Anaplastic Carcinoma ◽

Treatment Modalities ◽

Sectional Study ◽

Cross Sectional ◽

Referral Center ◽

Clinical Records

Abstract Background In contrast to the rapid increase in thyroid cancer incidence, the mortality has remained low and stable over the last decades. In Ecuador, however, thyroid cancer mortality has increased. The objective of this study is to determine possible drivers of high rates of thyroid cancer mortality, through a cross-sectional analysis of all patients attending a thyroid cancer referral center in Ecuador. Methods From June 2014 to December 2017, a cross-sectional study was conducted at the Hospital de Especialidades Eugenio Espejo, a regional reference public hospital for endocrine neoplasia in adults in Quito, Ecuador. We identified the mechanism of detection, histopathology and treatment modalities from a patient interview and review of clinical records. Results Among 452 patients, 74.8% were young adults and 94.2% (426) were female. 13.7% had a family history of thyroid cancer, and patients’ median tumor size was 2 cm. The incidental finding was 54.2% whereas 45.8% was non-incidental. Thyroid cancer histology reported that 93.3% had papillary thyroid cancer (PTC), 2.7% follicular, 1.5% Hurtle cells, 1.6% medullary, 0.7% poor differentiated, and 0.2% anaplastic carcinoma. The mean MACIS (metastasis, age, completeness, invasion, and size) score was 4.95 (CI 4.15–5.95) with 76.2% of the thyroid cancer patients having MACIS score less than or equal to 6. The very low and low risk of recurrence was 18.1% (79) and 62% (271) respectively. An analysis of 319 patients with non-metastatic thyroid cancer showed that 10.7% (34) of patients had surgical complications. Moreover, around 62.5% (80 from 128 patients with thyroglobulin laboratory results) of TC patients had a stimulated-thyroglobulin value equal or higher than 2 ng/ml. Overall, a poor surgical outcome was present in 35.1% (112) patients. Out of 436 patients with differentiated thyroid carcinoma, 86% (375) received radioactive iodine. Conclusion Thyroid cancer histological characteristics and method of diagnosis are like those described in other reports without any evidence of the high frequency of aggressive thyroid cancer histology. However, we observed evidence of overtreatment and poor surgical outcomes that demand additional studies to understand their association with thyroid cancer mortality in Ecuador.

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POS1274 THERAPEUTIC MANAGEMENT OF RHEUMATOLOGISTS VERSUS OTORHINOLARYNGOLOGISTS OF CERVICOGENIC DIZZINESS

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.2230 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 921.2-922

Author(s):

M. Yasmine ◽

K. Maatallah ◽

H. Ferjani ◽

W. Triki ◽

D. Ben Nsib ◽

...

Keyword(s):

Physical Therapy ◽

Treatment Approach ◽

Cross Sectional Study ◽

Treatment Modalities ◽

Sectional Study ◽

Cross Sectional ◽

Standard Assessment ◽

Number Of Patients ◽

Cervicogenic Dizziness ◽

No Gold Standard

Background:The treatment of patients presenting with cervicogenic dizziness (CGD) may be challenging. Indeed, there is no consensual treatment approach for CGD, nor is there no gold-standard assessment for diagnosis.Objectives:Our study aimed to assess the management of CGD by rheumatologists versus otorhinolaryngologists.Methods:We conducted a cross-sectional study including Tunisian doctors dealing with CGD. Rheumatologists (RTO) and otorhinolaryngologists (ORL) were invited to answer a questionnaire via google form about CGD daily management. Outcomes of interest were treatment modalities.Results:The study included 30 RTO and 32 ORL. Most of the doctors (RTO, vs ORL) were females (88.3%, vs 56.3%), aged between 35 and 45 (43.3%, vs 62.5%), and worked at a private practice (33.3%, vs 59.4%). The number of patients diagnosed with CGD by RTO was as follows: 1-2 per year (33.3%), 1-2 per month (18.8%), 1-2 per week (20%), less than one patient a year (10%) and none in 3.3% of cases. The number of patients diagnosed with CGD by ORL was as follows: 1-2 per year (50%), 1-2 per month (33.3%), 1-2 per week (6.2%), less than one patient a year (15.7%) and none (9.4%). Most patients presenting with CGD were females in both groups (93.1%, vs 82.8% respectively) with a mean age between 36 and 65 (79.3%, vs 82.1%). Most of the respondents declared treating patients with CGD (93.1%, vs 79.1%). Regarding treatment modalities, physical therapy was the most prescribed in both specialties (81.5% and 48.3%, respectively). Only RTO (18.5%) prescribed manual therapy. Concerning medical treatment, anti-inflammatory were the most prescribed drugs in both groups (92.6, and 34.5%, respectively). Sixty-seven percent of RTO prescribed anti-vertigo medication. Interestingly, it was the least prescribed drug by ORL (6.9%). Only RTO (59.3%) prescribed Muscle relaxants.Conclusion:Despite the disparities in the management of CGD, physical therapy remains the first prescribed treatment by Tunisian doctors. Further studies are needed to establish a consensus to treat CGD.Disclosure of Interests:None declared

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Evaluation of e-health (Seha) application: a cross-sectional study in Saudi Arabia

BMC Medical Informatics and Decision Making ◽

10.1186/s12911-021-01437-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Abeer Alharbi ◽

Joharah Alzuwaed ◽

Hind Qasem

Keyword(s):

Saudi Arabia ◽

Health Services ◽

Healthcare Services ◽

Cross Sectional Study ◽

Advanced Technology ◽

Sectional Study ◽

Cross Sectional ◽

Technical Problems ◽

Significant Difference ◽

Ease Of Access

Abstract Background The Ministry of Health in Saudi Arabia is expanding the country’s telemedicine services by using advanced technology in health services. In doing so, an e-health application (app), Seha, was introduced in 2018 that allows individuals to have face-to-face visual medical consultations with their doctors on their smartphones. Objective This study evaluated the effectiveness of the app in improving healthcare delivery by ensuring patient satisfaction with the care given, increasing access to care, and improving efficiency in the healthcare system. Methods A cross-sectional study design was used to assess the perceptions of users of the Seha app and non-users who continued with traditional health services. The data were collected using an online survey via Google Forms between June 2020 and September 2020. Independent t tests and chi-square (χ2) tests were conducted to answer the research questions. Results There was a significant difference between users and non-users in terms of ease of access to health services (t = − 9.38, p < 0.05), with app users having a higher mean score (4.19 ± 0.91) than non-users (3.41 ± 1.00); satisfaction with health services (t = − 6.33, p < 0.05), with users having a higher mean score (3.96 ± 0.91) than non-users (3.45 ± 0.94); and efficiency (only one visit needed for treatment) (t = − 3.20, p < 0.05), with users having a higher mean score (3.71 ± 0.93) than non-users (3.45 ± 0.93). There were significant associations between the use of the Seha app and age (χ2 = 8.79, p < 0.05), gender (χ2 = 22.19, p < 0.05), region (χ2 = 19.74, p < 0.05), and occupation (χ2 = 22.05, p < 0.05). There were significant relationships between the three items (on access, satisfaction, and efficiency) and experiencing technical issues (t = 4.47, t = 8.11, and t = 3.24, respectively, p < 0.05), with users who faced technical problems having significantly lower mean scores for all three items. Conclusion This study provided evidence that the Seha app improved the delivery of healthcare in Saudi Arabia. Users of the app had a better health experience in terms of their perceived ease of access to healthcare services; their satisfaction with healthcare services; and the efficiency of the system, measured by the number of required doctor visits. Other factors that appeared to influence the use of the app included age, gender, usual source of care, and technical difficulties.

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