Kebiasaan dan Pengetahuan Masyarakat Usia Produktif Mengenai Kesehatan Mata Selama Pandemi Covid-19

COVID-19 pandemic requires the community to adapt and limit their activities to minimize the transmission of COVID-19. This policy increasing the use of gadgets, which can affect eye health. The purpose of this study is to determine the level of public knowledge about eye health while using gadgets before and after receiving education and to determine the relationship between habitual electronic device use and Computer Vision Syndrome. The design of this research is analytic observational. Data were obtained from questionnaires given before and after education regarding eye health when using gadgets during WFH. Data were analyzed descriptively and presented in frequency table and statistical analysis will be conducted using the Wilcoxon Signed Rank Test, Chi-Square and Contingency Coefficients. The mean scores at pre-test and post-test were 4.84±1.65 and 6.10±1.77, respectively, representing a significant increase in knowledge of eye health by 26.0% (p= 0.000). Habits of using gadgets including duration, distance and use of spectacles correlated with the incidence of Computer Vision Syndrome (CVS) (p=0.016, C=0.168; p=0.010, C=0.181; p=0.035, C=0.181). Eye health education is useful for increasing knowledge and changing people's behavior to prevent fatigue due to the use of gadgets. Inappropriate use of gadgets can increase the incidence of CVS.

Hoagland Sign as an Aid for Antimicrobial Stewardship—A Case Report

Hoagland sign is an early and transient bilateral painless upper eyelid edema observed in patients with Epstein-Barr virus (EBV)-related infectious mononucleosis. This sign can predate the appearance of exudative pharyngitis and cervical lymphadenopathy. Usually, this sign disappears by first week of infection. Here, we describe the occurrence of late onset Hoagland sign in a 14-year old boy who presented to us on 10th day of fever. Hoagland sign appeared after 10 days from symptom onset in our patient. Despite persistence of fever, the presence of Hoagland sign which appeared prior to confirmation of EBV infection was a helpful indicator for stopping antibiotics. In view of tonsillar hypertrophy with potential airway compromise and biochemical parameters suggestive of possible secondary hemophagocytic lymphohistiocytosis, he was initiated on steroids with which defervescence and prompt resolution of symptoms occurred. EBV can present as acute undifferentiated febrile syndrome which might result in inappropriate use of antibiotics. This case highlights the importance of using clinical clues like Hoagland sign to optimize antimicrobial stewardship.

Wave Climate and Trends for the Marine Experimental Station of Capo Tirone Based on a 70-Year-Long Hindcast Dataset

Nearshore marine systems provide multiple economic and ecological services to human communities. Several studies addressing the climate change stressors and the inappropriate use of the sea indicate a decline of coastal areas. An extensive monitoring of the most important marine sites and protected areas is crucial to design effective environmental-friendly measures to support the sustainable development of coastal regions. A 70-year-long wave climate analysis is presented to study the climatology of the area belonging to the Marine Experimental Station of Capo Tirone, Italy. The analysis is based on the global atmospheric reanalysis developed by the European Centre for Medium-Range Weather Forecasts, validated through an observed buoy dataset recorded by the Italian Sea Wave Measurement Network. No significant long-term trends have been detected. The need to set up new monitoring stations has been pointed out by means of a hydrodynamic model developed at the regional scale, evaluating the effect of the local morphology on the nearshore wave climate and highlighting the importance of surveying the marine protected area of Capo Tirone located therein.

Misinterpretation of Genomic Data Matters for Endangered Species Listing: The Sub-specific Status of the Peñasco Least Chipmunk (Neotamias minimus atristriatus)

We provide a response to a recently published evaluation of the subspecies status of the Peñasco least chipmunk (Neotamias minimus atristriatus). The work we discuss used exon capture genomic approaches and concluded that their results did not support the distinction of this taxon as a subspecies, with recommendation that it be synonymized with N. m. operarius. We refute the interpretations, conclusions, and taxonomic recommendations of this study, and explain in clearer terms how to interpret genomic analyses for applied management. We identify four broad conceptual issues that led to errant recommendations: (1) interpretation of subspecies and diagnosability, (2) inappropriate use of reciprocal monophyly as a criterion for subspecies, (3) importance of geographic isolation, and (4) error in hypothesis testing and misinterpretation of results. We conclude that the data from this genomic appraisal add to information from prior studies providing strong support for recognition of N. m. atristriatus as a subspecies. Our conclusions have important and immediate implications for the proposed listing of N. m. atristriatus as an endangered species under the U.S. Endangered Species Act.

Blood Transfusion in Obstetrics and Gynecology: A Retrospective Analysis in Government Naseerullah Babar Hospital Peshawar

OBJECTIVES: To evaluate the indications of blood transfusion in the Obstetrics and Gynecology Department of Government NaseerUllah Khan Babar Memorial Hospital. METHODOLOGY: This retrospective observational study was performed on indoor gynecology and obstetrics patients for the period of one year, a total of 100 patients were included in this study that received blood transfusion. Samples were collected by non-random convenience sampling after getting approval from the hospital ethical committee. Data was analyzed by using SPSS version 20. RESULTS: In this study a total of 100 patients who received blood transfusion were analyzed, out of 100 patients 78% of patients received transfusion due to obstetrical causes and 22% patients got transfused for gynecological causes. Most common blood group transfused was B+ and O+ and mean hemoglobin level at which patients received blood transfusion was 9.7g/dl. Blood components preparation can provide components to treat two to three patients from a single donor. The use of packed cell transfusion should be promoted instead of whole blood transfusion that is not even needed in most of the cases. CONCLUSION: Blood transfusion practice has been used aggressively in gynecology and obstetrics in some cases even without proper indications. There is a need to modify this practice by correcting anemia through drugs to avoid the inappropriate use of blood. Use of blood components should be encouraged.

Types of screening tools used to identify potential inappropriate medication in the geriatric

Inappropriate intake of medications can increase the risk of many morbidities and mortality among the geriatric population. Therefore, assessment of drug underuse, overuse, and inappropriate use has been an area of interest across the different investigations, and according to which, different screening tools were developed to identify these problems and enhance the quality of care to these patients. In the present study, we aim comprehensively discuss the different types of currently reported screening tools that can identify potentially inappropriate medication in the geriatric population. Studies show that assess, review, minimize, optimize, reassess (ARMOR), and medication appropriateness index (MAI) tools are the most commonly reported for this purpose to appropriately evaluate drug administration practices. However, they are time-consuming and need adequately trained personnel, which might not be available within the different settings. Accordingly, we suggest that more than one tool should be used, as we have reviewed all the advantages and disadvantages of the modality within the current study, to adequately facilitate and make the process of evaluation easy and enhance the quality of care for the geriatric population.