scholarly journals A retrospective analysis of eye injuries in rural KwaZulu-Natal, South Africa

2012 ◽  
Vol 71 (4) ◽  
Author(s):  
V. N. Sukati ◽  
R. Hansraj
Keyword(s):  
Age Groups ◽  
Young Patients ◽  
Epidemiological Data ◽  
Black Population ◽  
Eye Injuries ◽  
Solid Objects ◽  
Open Globe ◽  
Kwazulu Natal ◽  
Ocular Injuries ◽  
Injured Patients

Purpose:  To provide epidemiological data on ocular injuries among patients utilising two provincial hospital eye care clinics in rural KwaZulu-Natal, South Africa.Methods: Record cards of 440 ocular injured patients seen at two selected rural provincial hospitals over a period of four years were reviewed.Results: More males (68.9%) had eye injuries than females (31.1%). The Black population (97.7%) had a higher prevalence of ocular injuries than other race groups. Young patients between 21 and 30 years old incurred more ocular injuries (31.4%) than other age groups.  Open globe injuries were more frequent (56.1%) than closed globe injuries (43.9%). Blunt trauma/contusion (36.4%) was the most frequent type of injury (36.4%). Solid objects (53.4%) were responsible for more than half of the injuries followed by assaults (28.2%).  The majority of the eye injuries (54.5%) occurred at home. There was a reduction in visual acuity of 37.7% of the subjects following treatment.Conclusion: Ocular trauma is a relatively common health problem in rural KwaZulu-Natal and is significantly more common among the male and Black population.  (S Afr Optom 2012 71(4) 159-165)

scholarly journals Characteristics of eye injuries in urban KwaZulu-Natal Province, South Africa: 2005-2008

2013 ◽  
Vol 72 (3) ◽  
Author(s):  
V.N. Sukati ◽  
R. Hansraj
Keyword(s):  
South Africa ◽  
Blunt Trauma ◽  
Age Groups ◽  
Epidemiological Data ◽  
Ocular Injury ◽  
Eye Injuries ◽  
Solid Objects ◽  
Open Globe ◽  
Kwazulu Natal ◽  
Ocular Injuries

Purpose:   To provide epidemiological data on ocular injuries among patients utilising the provincial hospitals eye care clinics in urban KwaZulu-Natal, South Africa.  This data can be used in the future planning and intervention for ocular injuries at provincial hospitals.Methods:  Record cards of 220 ocular injury patients seen at two selected urban provincial hospitals over a period of four years were reviewed.Results:   Male presentation was higher (79.1%) compared to females (20.9%). The  Black  population (85.9%) experienced more ocular injuries than other race groups.  The 21 to 30 age group incurred more injuries (32.3%) than other age groups.  Open globe injuries occurred more frequent (56.4%) than closed globe injuries (43.6%).  The frequent type of injury was blunt trauma/contusion (32.7%).  More than half of the injuries were from solid objects (56.4%) followed by assaults (16.4%).  The home was the common place to incur an injury (72.2%).  Twenty four patients (10.9%) required surgical intervention at initial presentation.  One hundred and fifty eight (71.8%) patients returned for follow up examination.  Twenty five percent of the patients remained with poor vision following treatment.  Conclusion:   Ocular trauma due to burns is usually bilateral while that due to blunt trauma and intra ocular foreign bodies are generally unilateral.  Solid objects were the most frequent cause of ocular injury and injuries due to this cause were most often incurred in the home. (S Afr Optom 2013 72(3) 119-126)

Evolving prevalence and incidence trends of SCC of the anal canal: A SEER study.

2018 ◽  
Vol 36 (4_suppl) ◽  
pp. 583-583 ◽  
Author(s):  
Shunqing Zhang ◽  
Thomas A. DiPetrillo ◽  
Kara Lynne Leonard
Keyword(s):  
Anal Canal ◽  
Incidence Rate ◽  
Age Groups ◽  
Young Patients ◽  
Black Population ◽  
Racial Groups ◽  
Data Set ◽  
Incidence Trends ◽  
Indian American ◽  
Race Ethnicity

583 Background: The incidence of squamous cell carcinoma of the anal canal (SCCA) has been rising in the last three decades. With changing patient demographics and behaviors, the trends in prevalence and incidence of the disease have changed in recent years. Methods: The Surveillance, Epidemiology, and End Results (SEER) data set from 2000 to 2014 was analyzed for trends in prevalence and incidence of SCCA and for associated demographic and tumor characteristics including stage (localized vs. regional vs. distant disease), age (20-34, 35-49, 50-64, > 65 years), and race/ethnicity (White, Black, American Indian/American Natives (AI/AN), American Pacific Islanders (API)). Results: 16,540 patients with SCCA were identified in the SEER database within the study period. The prevalence rate of SCCA was 0.01% (of 2000 standard U.S population), and the age-adjusted incidence rate of SCCA was 1.3/100,000. Prevalence and incidence was highest in patients age 50-64 and in the black population. Trend analysis of incidence demonstrated that while incidence rate continued to increase from 2000 to 2014, the average annual percentage change (APC) of incidence decreased from 4.80 before 2009 to 1.44 after. Patient population was divided into two groups: 2000-2008, with incidence of 1.6/100,000 and 2009-2014, with incidence of 2.1/100,000 (RR = 1.29, 95%CI = 1.25-1.33, p < 0.001). Incidence in the 2009-2014 group increased compared to the 2000-2008 group among all staged SCCA, patients 50 years of age and older (RR = 1.41, p < 0.001 and RR = 1.37, p < 0.001 for age groups 50-64 and > 65, respectively), and black (RR = 1.33, p < 0.001) and white (RR = 1.32, p < 0.001) race/ethnicity groups. APC in the 2009-2014 group decreased in all staged SCCA, increased in patients age 20-34, and decreased in all racial groups except AI/AN. Conclusions: There is a higher incidence and prevalence of SCCA in patients 50 years or older and in those of black ethnicity. Incidence of SCCA has increased in the US from 2000-2014, but the average APC in incidence has been decreasing except for in young patients and in those of AI/AN ethnicity. Awareness of disease prevalence and the pattern of change in incidence rate is important in the effort of disease prevention.

scholarly journals Ocular injuries in the people’s uprising of April 2006 in Kathmandu, Nepal

2014 ◽  
Vol 6 (1) ◽  
pp. 71-79 ◽  
Author(s):  
Ananda K Sharma ◽  
Dev N Shah ◽  
Jeevan K Shrestha ◽  
Madhu Thapa ◽  
Gauri S Shrestha
Keyword(s):  
Visual Outcome ◽  
Open Globe Injury ◽  
Eye Injuries ◽  
The People ◽  
Open Globe ◽  
Before And After ◽  
Tear Gas ◽  
Ocular Injuries ◽  
The Right ◽  
Unemployed Youth

Introduction: In April 2006, the people of Nepal organised mass demonstrations demanding the restoration of democracy in the country. The ocular injuries that resulted during the riots that ensued, their pattern and the visual outcome of the injured have not yet been reported. Objective: To study the demographic profile, type, severity and the visual outcome of ocular injuries that occurred during the 2006 people’s uprising in Nepal. Subjects and methods: This was a retrospective interventional series of cases involving 29 subjects. The main outcome measures were demography, laterality of injury, type of injury and the visual status before and after the trauma. Results: The age of the victims ranged from 14 to 32 years. Among the victims with eye injuries, 27 (93.1 %) were males, who were unemployed youth, students and construction workers. The left eye was injured more frequently than the right. Non-lethal bullets and explosive tear gas were the commonest agents of the major ocular injuries. The main types of injuries requiring hospitalization were closed globe injuries in eight victims and open globe in six. Surgical intervention was required in 57.2 % (n = 29) of the cases. The visual outcome was poor in cases of open globe injury with posterior segment involvement. Conclusion: Non-lethal bullets and explosive tear gases can cause significant visual impairment. Severe open globe injury with a retained intra-ocular foreign body is associated with significant visual loss. DOI: http://dx.doi.org/10.3126/nepjoph.v6i1.10775   Nepal J Ophthalmol 2014; 6 (2): 71-79

scholarly journals Severe open-globe eye injuries: socio-demographic aspects and risk factors

Medicina ◽  
2007 ◽  
Vol 43 (8) ◽  
pp. 637 ◽  
Author(s):  
Edita Puodžiuvienė ◽  
Alvydas Paunksnis
Keyword(s):  
Risk Factors ◽  
Alcohol Use ◽  
Alcohol Intoxication ◽  
Male Gender ◽  
Urban Setting ◽  
Eye Injuries ◽  
Female Ratio ◽  
Work Related ◽  
Open Globe ◽  
Ocular Injuries

The aim of study. To evaluate sociodemographic aspects and risk factors of severe open-globe ocular injuries. Material and methods. We present data from prospective study of 315 patients with severe open-globe ocular injuries, meeting inclusion criteria. Results. The patients in our series were predominantly male (92.70%). The male to female ratio was 12.7:1. Almost 27% of the patients were from the age group of 30–39 years. Home (53.65%), streets and highways (19.05%) were the most common place of injury, followed by industrial premises (11.11%), agricultural activities (8.25%), recreation and sports (5.40%); 15.56% of cases were work-related. Sharp objects (43.17%) and hammering on metal (24.44%) were the two major causes of injury. Alcohol intoxication was observed in 13.65% of cases. Severe open-globe eye injuries were classified into four categories: penetrating injuries (56.83%), perforating injuries (2.54%), globe ruptures (12.38 %), and IOFB injuries (28.25%). Males suffered significantly more often than females in the age of 20–29 (OR=1.39±95% CI 1.10–1.75, P<0.01) and 30–39-year (OR=1.75±95% PI 1.45–2.22, P<0.01). Risk factors of severe open-globe eye injuries for male gender were living in urban setting (P=0.001), alcohol use (P=0.001), occupation – unemployed (P=0.001) and retired persons (P=0.011). Conclusions. Risk factors for male gender to sustain severe open-globe eye injury were living in urban setting, alcohol use, and occupation (unemployed and retired persons).

A Study on Prevalence of Ocular Injuries among Workmen of Welding, Grinding and Polishing, Attending the Out Patient Department and Emergency Department of a Tertiary Care Centre

2021 ◽  
Vol 8 (8) ◽  
pp. 425-428
Author(s):  
Lipika Panda ◽  
Prafulla Chandra Mahapatra ◽  
Kamala Kanta Sahoo
Keyword(s):  
Foreign Body ◽  
Tertiary Care ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Eye Injuries ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Department Of Ophthalmology ◽  
Ocular Injuries

BACKGROUND We wanted to estimate the incidence and prevalence of ocular injuries among occupational workers in welding and grinding industry treated in a tertiary care hospital, determine the major types of ocular morbidities in welding and grinding workers and identify the vulnerable age groups suffering from ocular injuries due to welding and grinding. METHODS This hospital based cross-sectional study was carried out among 712 patients having ocular injuries only for occupational workers doing welding, grinding or polishing work. The study period was from 01 / 01 / 2018 to 30 / 06 / 2018. The study was conducted in the Department of Ophthalmology, Hi-Tech Medical College and Hospital. All patients were assessed for demographic distribution, detailed ocular evaluation and a questionnaire related to awareness about the injuries and safety measures taken during the work. RESULTS During the period of study, 712 patients who had ocular injuries due to welding and grinding work were included in the study. The mean age was 33.87 years with a standard deviation (SD) of 9.86. There were no female workers who reported such injuries. Most injuries were corneal foreign body (63.90 %), conjunctival foreign body (2.81 %), conjunctivitis due to fumes (11.94 %), laceration (8.71 %) and keratoconjunctivitis (12.64 %). CONCLUSIONS To complement standard epidemiological research, the narrative accident text offers useful evidence. Staff conducting a welding job or working with local welders should be qualified to recognise possible dangers and appropriate protective equipment should be used to prevent eye injury. KEYWORDS Ocular Injuries, Welding & Grinding Work, Risk Factor for Eye Injuries

Projected future risk of leukemia and brain tumors from unnecessary brain CT scans: a multi-center study in Iran

2020 ◽  
Author(s):  
A. Asgari ◽  
A.A. Parach ◽  
F. Bouzarjomehri ◽  
F. Shirani-Takabi ◽  
A.H. Mehrparvar ◽  
...  
Keyword(s):  
Brain Cancer ◽  
Age Groups ◽  
Young Patients ◽  
Ct Scans ◽  
Brain Ct ◽  
Males And Females ◽  
And Gender ◽  
Multi Center Study ◽  
Gender Groups ◽  
Probability Of Cancer

Introduction: Computer Tomography (CT) scans can deliver a relatively high radiation dose to the patient, therefore radiation protection for this modality is paramount. The present study determined the frequency of no abnormality detected (NAD) brain CT scans and probability of cancer induction in different age groups and genders. Methods: In this study, brain CT reports were used to identify any findings as abnormality detected (AD) and others as NAD. Then probability of future leukemia and brain cancer was estimated for different age and gender groups. Results: On average, in 65% of the cases the results were NAD (56% and 76% among males and females, respectively). Among children, 79% of the reports were NAD. The total number of projected brain cancers was 1.8 and 1.3 for males and females, respectively. The number of projected leukemia cases was 0.75 and 0.7 for males and females, respectively. For pediatric patients, brain CT scans can lead to leukemia cases about 4.5 times more often than adults. Conclusion: Brain CT scans can lead to additional cases of brain cancer and leukemia. A significant fraction of brain CTs were NAD (non-pathologic) and could practically be replaced by other radiation-free imaging modalities, especially in pediatric and young patients.

Current trends in the structure of eye injuries

2020 ◽  
Vol 21 (3) ◽  
pp. 106-108
Author(s):  
M. N. Ponomareva ◽  
◽  
S. V. Sakharova ◽  
E. M. Pochinok ◽  
E. V. Fomina ◽  
...  
Keyword(s):  
Medical Records ◽  
Young Patients ◽  
Present Stage ◽  
Eye Injuries ◽  
Third Place ◽  
The Third ◽  
Eye Trauma ◽  
Current Trends ◽  
The Poor ◽  
Leading Position

Aim. To identify current trends in hospital eye trauma based on the materials of the specialized ophthalmology department of a round-the-clock hospital. Materials and methods. The analysis of medical records of patients treated in the round-the-clock specialized ophthalmology department of the state medical establishment OKB No. 2 in the period since January 2017-2019. Results. During the analyzed period, 4948 patients were treated, of which 218 patients (5.6%) were identified for nosologies belonging to the category of eye trauma. Men are most often exposed to eye injuries (84%), in addition, in 62% of cases, these are young patients (18-44 years). The structure of eye trauma is almost unchanged: the leading position is occupied by penetrating wounds of the eyeball and contusions, the third place is occupied by burns, through wounds of the eyeball are rare. Conclusions. Given the poor prognosis of the outcome of a severe eyeball injury, it requires the introduction of modern types of microsurgical intervention using endovitreal surgery at the present stage.

Perfil Epidemiológico de Pacientes Submetidos à Biópsia Gástrica em um Hospital Escola do Sul de Minas Gerais/ Epidemiological Profile of Patients Undergo Gastric Biopsy in a School Hospital of Minas Gerais

1970 ◽  
Vol 4 (3) ◽  
pp. 48-57
Author(s):  
Isabela Maria A. Ribeiro Simões ◽  
Ana Carolina Mauad Coli ◽  
Roseane de Souza Candido Irulegui
Keyword(s):  
Helicobacter Pylori ◽  
Age Groups ◽  
Epidemiological Data ◽  
Minas Gerais ◽  
Gastric Biopsy ◽  
Gastric Ulcers ◽  
Histopathological Diagnosis ◽  
Gastric Diseases ◽  
H Pylori ◽  
Epidemiological Profile

Objetivo: Determinar a prevalência de lesões benignas e neoplasia gástrica através do estudo de biópsias realizadas em um Hospital Escola do Sul de Minas Gerais, no período entre 2007 e 2011. Materiais e Métodos: A pesquisa documental foi quantitativa e retrospectiva, baseada na análise dos registros de biópsias e prontuários. Realizou-se o levantamento de dados referentes à idade, gênero, cor, profissão, diagnóstico histopatológico e presença de Helicobacter pylori nas amostras. Resultados: O número total de biópsias gástricas analisadas foi de 1225, cujo perfil populacional encontrado foi: idade média de 56,75 anos, sexo masculino (52%), cor branca (81,9 %), aposentado (30%). Os diagnósticos mais frequentes foram: gastrites (71,9%), pólipos (14,2%), adenocarcinomas (5,9%), úlceras gástricas (6%), linfomas (0,4%), sem alterações (0,4%) e outros (1,2%). Em outros, encontram-se achados de malignidade, metaplasia e xantelasma gástrico. Em relação à presença de Helicobacter pylori nas amostras, o resultado encontrado foi de24% positivas, 46% negativas e 30% não pesquisadas. Conclusão: Os resultados confirmam a alta frequência das doenças gástricas e sua incidência nas diversas faixas etárias, além do envolvimento do H. pylori em tais afecções. É de grande importância a caracterização dos dados epidemiológicos, o que permite prováveis direcionamentos para programas de prevenção e informação para a população. Palavras-chave: biópsia gástrica, gastropatia, perfil epidemiológico.  ABSTRACTObjective: To determine the prevalence of benign lesions and gastric cancer through study of biopsies performed at a school hospital in southern Minas Gerais, in the period between 2007 and 2011.Materials and Methods: The research was quantitative and retrospective, based on analysis of biopsies records and medical records. We conducted the survey data regarding age, sex, color, profession, histopathological diagnosis and the presence of Helicobacter pylori in the samples. Results: The total number of gastric biopsies analyzed was 1225. Population listing was found: mean age of 56.75 years, male (52%), white (81.9%), retired (30%). The most frequent diagnoses were gastritis (71.9%), polyps (14.2%), adenocarcinomas (5.9%), gastric ulcers (6%), lymphoma (0.4%), unchanged (0, 4%) and others (1.2%). In others, there are: findings of malignancy, metaplasia, gastric xanthelasma. Regarding the presence of Helicobacter pylori in the sample, the result was: 24% positive, 46% negative, 30% non searched. Conclusion: The results confirm the high frequency of gastric diseases and their incidence in the various age groups additionally to the involvement of H. pylori in such conditions. It is of great importance to characterize the epidemiological data, allowing probable directions for prevention and information programs for population. Keywords: gastric biopsy, gastropathy, epidemiological profile

scholarly journals Neisseria meningitidis carriage and risk factors among teenagers in Suizhou city in China

2020 ◽  
Vol 148 ◽  
Author(s):  
Fei He ◽  
Hong mei Yang ◽  
Guo ming Li ◽  
Bing qing Zhu ◽  
Yating Zhang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Population Density ◽  
Neisseria Meningitidis ◽  
Old Age ◽  
Age Groups ◽  
Significant Risk ◽  
Epidemiological Data ◽  
Significant Risk Factor ◽  
Antibiotic Use ◽  
Carriage Rate

Abstract Teenagers are important carriers of Neisseria meningitidis, which is a leading cause of invasive meningococcal disease. In China, the carriage rate and risk factors among teenagers are unclear. The present study presents a retrospective analysis of epidemiological data for N. meningitidis carriage from 2013 to 2017 in Suizhou city, China. The carriage rates were 3.26%, 2.22%, 3.33%, 3.53% and 9.88% for 2013, 2014, 2015, 2016 and 2017, respectively. From 2014 to 2017, the carriage rate in the 15- to 19-year-old age group (teenagers) was the highest and significantly higher than that in remain age groups. Subsequently, a larger scale survey (December 2017) for carriage rate and relative risk factors (population density, time spent in the classroom, gender and antibiotics use) were investigated on the teenagers (15- to 19-year-old age) at the same school. The carriage rate was still high at 33.48% (223/663) and varied greatly from 6.56% to 52.94% in a different class. Population density of the classroom was found to be a significant risk factor for carriage, and 1.4 persons/m2 is recommended as the maximum classroom density. Further, higher male gender ratio and more time spent in the classroom were also significantly associated with higher carriage. Finally, antibiotic use was associated with a significantly lower carriage rate. All the results imply that attention should be paid to the teenagers and various measures can be taken to reduce the N. meningitidis carriage, to prevent and control the outbreak of IMD.

Optimal Propofol Plasma Concentration during Upper Gastrointestinal Endoscopy in Young, Middle-aged, and Elderly Patients

2000 ◽  
Vol 93 (3) ◽  
pp. 662-669 ◽  
Author(s):  
Tomiei Kazama ◽  
Ken Takeuchi ◽  
Kazuyuki Ikeda ◽  
Takehiko Ikeda ◽  
Mutsuhito Kikura ◽  
...  
Keyword(s):  
Plasma Concentrations ◽  
Age Groups ◽  
Young Patients ◽  
Upper Gastrointestinal Endoscopy ◽  
Hemodynamic Responses ◽  
Verbal Command ◽  
Group 3 ◽  
Group 2 ◽  
Somatic Response ◽  
Group 1

Background Suitable propofol plasma concentrations during gastroscopy have not been determined for suppressing somatic and hemodynamic responses in different age groups. Methods Propofol sedation at target plasma concentrations from 0.5 to 4.0 microgram/ml were performed randomly in three groups of patients (23 per group) who were undergoing elective outpatient gastroscopy: ages 17-49 yr (group 1), 50-69 yr (group 2), and 70-89 yr (group 3). Plasma propofol concentration in which 50% of patients do not respond to these different stimuli were determined by logistic regression: verbal command (Cp50ls), somatic response to gastroscopy (Cp50endo), and gag response to gastroscopy (Cp50gag). Hemodynamic responses were also investigated in the different age groups. Results Cp50ls concentrations were 2.23 microgram/ml (group 1), 1.75 microgram/ml (group 2), and 1.40 microgram/ml (group 3). The Cp50endo values in groups 1 and 2 were 2.87 and 2.34 microgram/ml, respectively, which were significantly higher than their respective Cp50ls values. Cp50endo value in group 3 was 1.64 microgram/ml, which was close to its Cp50ls value. Because of a high degree of interpatient variability, Cp50gag could not be defined. Systolic blood pressure response decreased with increasing propofol concentrations. Conclusions The authors determined the propofol concentration necessary for gastroscopy and showed that increasing age reduces it. Propofol concentration that suppresses somatic response induces loss of consciousness in almost all young patients.

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