Screening for Stereopsis Using an Eye-Tracking Glasses-Free Display in Adults: A Pilot Study

Purpose:To explore the feasibility and repeatability of a novel glasses-free display combined with random-dot stimulus and eye-tracking technology for screening stereopsis in adults.Methods:A total of 74 patients aged 18–44 years were recruited in this study (male: female, 32:42), including 33 patients with high myopia [≤ -6.0 diopters (D)] and 41 patients with moderate-to-low myopia (>-6.0 D). Stereopsis was measured using glasses-free, polarized, and Titmus stereotests. All patients completed a visual fatigue questionnaire after the polarized stereotest and glasses-free test. Kendall's W and Cohen's Kappa tests were used to evaluate repeatability and consistency of the glasses-free stereotest.Results:The stereotest results using the glasses-free monitor showed strong repeatability in the three consecutive tests (W = 0.968, P < 0.01) and good consistency with the polarized stereotest and Titmus test results (vs. polarization: Kappa = 0.910, P < 0.001; vs. Titmus: Kappa = 0.493, P < 0.001). Stereopsis levels of the high myopia group were significantly poorer than those of the moderate-to-low myopia group in three stereotest monitors (all P < 0.05). There was no significant difference in visual fatigue level between the polarized and the glasses-free display test (P = 0.72). Compared with the polarized test, 56.76% of patients preferred the glasses-free display and found it more comfortable, 20.27% reported both tests to be acceptable.Conclusions:In our adult patients, the new eye-tracking glasses-free display system feasibly screened stereopsis with good repeatability, consistency, and patient acceptance.

Acceptability of Plant-Based Diets for People with Chronic Kidney Disease: Perspectives of Renal Dietitians

The purpose of this study was to explore the perspective of renal dietitians regarding plant-based diets for chronic kidney disease (CKD) management and evaluate the acceptability of a hypothetical plant-based dietary prescription aiming for the consumption of 30 unique plant foods per week. This study used an exploratory mixed methods design. Forty-six renal dietitians participated in either an online survey (n = 35) or an in-depth interview (n = 11). Dietitians perceived that plant-based diets could address multiple clinical concerns relevant to CKD. Forty percent of survey respondents reported the hypothetical dietary prescription was realistic for people with CKD, 34.3% were unsure, and 25.7% perceived it as unrealistic. Strengths of the hypothetical prescription included shifting the focus to whole foods and using practical resources like recipes. Limited staffing, time, and follow-up opportunities with patients, as well as differing nutrition philosophies were the most commonly reported challenges to implementation; while a supportive multidisciplinary team was identified as an important enabler. To increase patient acceptance of plant-based dietary approaches, education about plant food benefits was recommended, as was implementing small, incremental dietary changes. Successful implementation of plant-based diets is perceived to require frequent patient contact and ongoing education and support by a dietitian. Buy-in from the multidisciplinary team was also considered imperative.

Penerimaan dan Kualitas Hidup Caregiver dengan Kekambuhan pada Pasien Rawat Jalan Skizofrenia

<p><strong>Abstract. </strong><em>Relapse is a state of recurrence and worsening symptom experienced by patient. Acceptance and quality of life of caregivers can affect their attitude toward patient and might be affecting the possibility of schizophrenia relapse</em>. <em>This study intended to seek the correlation between caregiver’s acceptance and quality of life with relapse of schizophrenia outpatient in Surakarta Regional Psychiatric Hospital that involved 35 caregivers with incidental sampling technique. The measurement used on this study are BPRS for assessing schizophrenia relapse (α = 0,908), Caregiver Acceptance Scale (α = 0,934), and Caregiver Quality of Life Scale (α = 0,960). This study used multiple linear regression analysis to analyze the output.</em> <em>Based on the data showed that the level of acceptance and quality of life perceived by caregivers didn’t affect the likelihood of relapse of schizophrenia outpatient in Surakarta Regional Psychiatric Hospital.</em></p><p><strong><em>Keywords: </em></strong><em>Acceptance, Caregiver, Schizophrenia Relapse, Quality of Life</em><strong></strong></p><p><strong>Abstrak.</strong><em> </em><em>Relapse </em>merupakan keadaan muncul kembali dan bertambah parah simptom yang dialami oleh pasien skizofrenia. Penerimaan dan kualitas hidup dari <em>caregiver </em>dapat mempengaruhi sikapnya dalam merawat pasien sehingga mungkin mempengaruhi kemungkinan terjadinya <em>relapse</em>. Penelitian ini bertujuan untuk mengetahui hubungan antara penerimaan dan kualitas hidup <em>caregiver</em> dengan <em>relapse </em>pada pasien rawat jalan skizofrenia di RSJ Daerah Surakarta yang melibatkan 35 <em>caregiver</em> dengan teknik <em>incidental sampling</em>. Instrumen yang digunakan adalah Skala <em>Relapse </em>Skizofrenia (α = 0,908), Skala Penerimaan <em>Caregiver </em>(α = 0,934), dan Skala Kualitas Hidup <em>Caregiver </em>(α = 0,960). Analisis data dalam penelitian ini menggunakan uji regresi linear berganda. Berdasarkan hasil data penelitian menunjukkan bahwa tingkatan penerimaan dan kualitas hidup dari <em>caregiver </em>tidak memiliki pengaruh terhadap munculnya <em>relapse </em>pada pasien rawat jalan skizofrenia di RSJ Daerah Surakarta.</p><strong>Kata Kunci: </strong><em>Caregiver</em>, Kualitas Hidup, Penerimaan,<em> Relapse </em>Skizofrenia

Overdentures the realms of overshadowness or obliviousness

The overdenture is a predictable and valuable option in the treatment of a patient with multiple missing teeth. It aids by preservation of alveolar bone, teeth and supporting structures, maintenance of proprioceptive response and neuromuscular co-ordination, and enhances the quality of a prosthesis by improving the stability, retention and patient acceptance. Often while fabricating an overdenture with retained attachments it becomes mandatory to cast the wax pattern and by no means can that be judged for parallelism with the abutments. A lucid method of obtaining parallelism has been described, adjunct with significant improvement of bite force has been portrayed.Careful case selection and abutment preparation as well as periodic recall is the key to a successful over denture rehabilitation. This case report also depicts the tooth supported overdenture as a viable option with the use of a customized parallelometer which has its ease of use and cost effectiveness for determining parallelism of abutments using a prefabricated ball attachment system and deciphers the increase in bite force in a dynamic manner.

Evaluation of Patient Attitude towards Rubber dam use in Endodontic Treatment

Background: Rubber dam is an indispensable tool to isolate teeth during dental treatment, but its application can be disagreeable for some patients. Aim: to determine the patient’s attitude to rubber dam use during endodontic procedures. Methods: Cross-sectional study was carried out in Operative Dentistry, Lahore Medical and Dental College, from 31st August 2021 to 21st October 2021. Using convenience sampling, 130 proformas were dispersed amongst house officers and postgraduate residents, who were performing endodontics under rubber dam. Questionnaires consisting demographic information, participant’s previous and current experience of rubber dam use, the treating doctor, time taken to apply rubber dam and duration of procedure. 126 completed forms were returned. Chi-square test was done for proportionate variables to determine statistical significance. Results: 46 patients (36.5%) answered their current experience was better with rubber application, 41 (32.5%) said about the same experience as compared to their previous rubber dam experience, and 11 (8.7%) had a worse current experience. Current experience of rubber dam use was: (i) pleasant/comfortable= 56 (44.4%), and (ii) uncomfortable/painful= 70(55.6%). The results further demonstrated that middle aged patients were more receptive to reapplication of the dam for future endodontic use. Statistically significant finding was that the postgraduate trainees applied the dam faster. Conclusion: Patient acceptance increased as the operator became more experienced, in lieu, more efficient in rubber dam placement. MeSH words: Rubber Dams, Endodontics, Patient

Applicability of colon capsule endoscopy as pan-endoscopy: From bowel preparation, transit, and rating times to completion rate and patient acceptance

Background and study aims Colon capsule endoscopy (CCE) has the potential to explore the entire gastrointestinal tract. The aim of this study was to assess the applicability of CCE as pan-endoscopy. Patients and methods Healthy participants received CCE with bowel preparation (bisacodyl, polyethylene electrolyte glycol (PEG) + ascorbic acid) and booster regimen (metoclopramide, oral sulfate solution (OSS)). For each segment of the gastrointestinal tract, the following quality parameters were assessed: cleanliness, transit times, reading times, patient acceptance and safety of the procedure. When all gastrointestinal segments had cleansing score good or excellent, cleanliness of the whole gastrointestinal tract was assessed as good. Participants’ expected and perceived burden was assessed by questionnaires and participants were asked to grade the procedure (scale 0–10). All serious adverse events (SAEs) were documented. Results A total of 451 CCE procedures were analyzed. A good cleansing score was achieved in the stomach in 69.6%, in the SB in 99.1 % and in the colon in 76.6 %. Cleanliness of the whole gastrointestinal tract was good in 52.8 % of the participants. CCE median transit time of the whole gastrointestinal tract was 583 minutes IQR 303–659). The capsule reached the descending colon in 94.7 %. Median reading time per procedure was 70 minutes (IQR 57–83). Participants graded the procedure with a 7.8. There were no procedure-related SAEs. Conclusions CCE as pan-endoscopy has shown to be a safe procedure with good patient acceptance. When cleanliness of all gastrointestinal segments per patient, completion rate and reading time will be improved, CCE can be applied as a good non-invasive alternative to evaluate the gastrointestinal tract.

A dual pressure indicator, two-layer compression system for treatment of venous leg ulcers: a review

Objective: Venous leg ulcers (VLUs) are considered the most frequent category of hard-to-heal limb ulcers. Although evidence-based care of VLUs suggests that compression therapy plays a pivotal role in the standard of care, patient adherence is considered low, with at least 33% non-compliance, either due to perceived problems from clinicians regarding their own competency in applying the bandages, or from the patient finding the wrapping bothersome. For many years, four-layer bandaging has been considered the ‘gold standard’, but application can be difficult and may also prove uncomfortable for patients. Accurate application may be facilitated by a stretch indicator which has been engineered to act as a surrogate for appropriate pressure application that can address the skill concern, while fewer layers can save clinicians' time and improve the quality of life of patients. Here, we review the literature supporting a two-layer system which combines elastic (long stretch) and inelastic (short stretch) components as well as both layers having graphic markers to define that the dressing has been applied at the proper tension. Method: An initial search was conducted on PubMed and then followed up by a manual search of Google Scholar to retrieve evidence of different levels, in order to evaluate the outcomes of use of the specific two-layer compression system with pressure indicators in the management of patients presenting with VLUs. Results: A total of four papers discussing the specific compression system in question were identified from 32 publications retrieved from PubMed, while a further six were retrieved from Google Scholar. These 10 publications were considered relevant to the two-layer system and were analysed for the outcomes of care, including wound healing, appropriate application, time-saving and better patient acceptance and adherence. Conclusion: Previous authors have demonstrated that two-layer systems are equivalent to four-layer systems. However, the ability to reproducibly apply appropriate compression has remained a question. The papers reviewed demonstrate that evidence suggests that the two-layer compression bandage system with indicators provides continuous, consistent and comfortable treatment that may be easier to apply with accurate pressure levels due to their indicator systems, and therefore, is a procedure that may increase patient adherence and acceptability to the wound therapy.

Use of 17% EDTA as an Adjunct in Management of Class I Recession with Semilunar Coronally Advanced Flap - A Case Report

Gingival recession is usually characterized by the apical displacement of the gingival margin, exposing the root surface when related to cemento-enamel junction. It has turned out to be one of the most common perturbations for the patients, apart from esthetic, root sensitivity, progression of periodontal diseases and root caries are the major fields of concern. The goal of periodontist is not only to treat gingival recession but also to rectify the functional and esthetic deficiencies to further combat the periodontal destruction. Semilunar flap is one of the procedures followed to cover recession, being a simple, minimally invasive and effective technique with higher patient acceptance and provides satisfactory results for Miller’s class I recession. Semilunar flap when combined with EDTA, as root conditioner provides a biocompatible cell surface for tissue attachment. Here we are presenting a case report where semilunar coronally advanced flap was used for treatment of Miller’s Class I recession in maxillary central incisor. Keywords: EDTA, Esthetics, Gingival Recession, Semilunar Flap.