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https://www.readbyqxmd.com/read/28423107/health-program-in-a-brazilian-school
#1
Ubaldo O A Silva, Gerian L Nascimento, Isis Kelly Santos, Kesley P M Azevedo, Christiane F Santos, Maria I Knackfuss, Humberto J Medeiros
Objective: To analyze the School Health Program (SHP) through the perceptions of managers and health professionals. Materials and methods: This was a descriptive, cross-sectional, and qualitative study that conducted interviews with 21 individuals using the lexical analysis of Bardin's speech and processed the data through the Alceste software. Results: In the interviewees' perception, verification of blood pressure, visual acuity, weight, height, body mass index, oral health, preventive actions and educational lectures are recommended in the program's guidelines...
January 2017: Salud Pública de México
https://www.readbyqxmd.com/read/28403072/retinal-microvascular-alterations-related-to-diabetes-assessed-by-optical-coherence-tomography-angiography-a-cross-sectional-analysis
#2
Julien Gozlan, Pierre Ingrand, Olivier Lichtwitz, Agathe Cazet-Supervielle, Léa Benoudis, Michele Boissonnot, Samy Hadjadj, Nicolas Leveziel
Fluorescein angiography has been so far the gold-standard test to assess diabetic macular ischemia (DMI), a cause of irreversible visual impairment in diabetic patients. The aim of this study was to investigate foveal avascular zone (FAZ) and perifoveal microcirculation changes in eyes with nonproliferative diabetic retinopathy (NPDR) using optical coherence tomography angiography (OCTA), a new and noninvasive vascular imaging technique.Cross-sectional study including eyes of diabetic patients with NPDR.All patients underwent medical history, best-corrected visual acuity (BCVA) measurement, slit-lamp and fundus examination, multicolor imaging, SD-OCT, and swept-source OCT...
April 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28396804/impact-of-treatment-decentration-on-higher-order-aberrations-after-smile
#3
Ying Yu, Wenwen Zhang, Xinliang Cheng, Jianru Cai, Hui Chen
Purpose. To evaluate decentration following femtosecond laser small incision lenticule extraction (SMILE) and sub-Bowman keratomileusis (SBK) and its impact on higher-order aberrations (HOAs). Methods. Prospective, nonrandom, and comparison study. There were 96 eyes of 52 patients who received SMILE and 96 eyes of 49 patients who received SBK in this study. Decentration was calculated 6 months after surgery with Pentacam. HOAs and visual acuity after the surgery were examined for patients in both groups before and 6 months after surgery...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28393341/-effects-of-nurse-led-team-management-on-type-2-diabetes-patients-in-the-community
#4
Yun-Xia Ni, Su-Zhen Liu, Ji-Ping Li, Yong-Shu Diao, Ting Dong, Lin Tao
BACKGROUND: Managing increasing numbers of diabetic patients is placing increasing pressure on healthcare providers, especially general practitioners, who usually serve in multiple roles. This situation has caused generally poor results in terms of diabetes management. However, community nurses in some countries have successfully and effectively controlled chronic diseases among their patients. Therefore, the effects of nurse-led management is worth further exploration in order to better understand and promote this mode of care...
April 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28393038/single-step-transepithelial-photorefractive-keratectomy-in-high-myopia-qualitative-and-quantitative-visual-functions
#5
Soheil Adib-Moghaddam, Saeed Soleyman-Jahi, Fatemeh Adili-Aghdam, Samuel Arba Mosquera, Niloofar Hoorshad, Salar Tofighi
AIM: To investigate quantitative and qualitative optical outcomes of single-step transepithelial photorefractive keratectomy (TransPRK) in high myopia. METHODS: In a prospective interventional case-series, 30 eyes with high myopia (-6.00 to -8.75 D) with (up to -3.00 D) or without astigmatism were enrolled from Bina Eye Hospital, Tehran, Iran. One-step TransPRK was performed with aberration-free aspherical optimized profile and SCHWIND AMARIS 500 laser. One-year follow-up results for refraction, visual acuities, vector analysis, ocular wave-front (OWF) and corneal wave-front (CWF) higher order aberrations (HOA), contrast sensitivity (CS), and post-operative haze were assessed...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/28382879/frequent-users-of-the-pediatric-emergency-department
#6
Jade Seguin, Esli Osmanlliu, Xun Zhang, Virginie Clavel, Harley Eisman, Robert Rodrigues, Maryam Oskoui
OBJECTIVES: Emergency department (ED) crowding is associated with increased morbidity and mortality. Its etiology is multifactorial, and frequent ED use (defined as more or equal to five visits per year) is a major contributor to high patient volumes. Our primary objective is to characterize the frequent user population. Our secondary objective is to examine risk factors for frequent emergency use. METHODS: We conducted a retrospective cohort study of pediatric emergency department (PED) visits at the Montreal Children's Hospital using the Système Informatique Urgence (SIURGE), electronic medical record database...
April 6, 2017: CJEM
https://www.readbyqxmd.com/read/28379654/corneal-collagen-crosslinking-for-post-lasik-ectasia-an-australian-study
#7
Jessica Y Tong, Deepa Viswanathan, Christopher Hodge, Gerard Sutton, Colin Chan, John J Males
PURPOSE: Post laser-assisted in situ keratomileusis (LASIK) ectasia is a rare and unpredictable complication after LASIK. Corneal collagen crosslinking (CXL) has emerged as a promising technique to address this complication. Our study evaluates the long-term efficacy of CXL for post-LASIK ectasia in an Australian setting. DESIGN: Retrospective review of post-LASIK ectasia patients referred to and treated at 3 corneal refractive surgery institutions in Sydney, Australia...
March 29, 2017: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/28379651/visual-quality-after-femtosecond-laser-small-incision-lenticule-extraction
#8
Huamao Miao, Tian Han, Mi Tian, Xiaoying Wang, Xingtao Zhou
Femtosecond laser small incision lenticule extraction (SMILE) is a newly developed form of "flapless" corneal refractive surgery with all-in-one technology. Femtosecond laser SMILE is increasingly attractive for both doctors and patients because it is minimally invasive and does not require a flap to be lifted during surgery. It exhibits many advantages in terms of morphology, biomechanical effects, corneal wound healing, and nerve rehabilitation. However, visual quality assessment after refractive surgeries is just as important as these advantages and correlates with patient satisfaction...
March 29, 2017: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/28375790/the-effect-of-immunologically-safe-plasma-rich-in-growth-factor-eye-drops-in-patients-with-sj%C3%A3-gren-syndrome
#9
Ronald Mauricio Sanchez-Avila, Jesus Merayo-Lloves, Ana Cristina Riestra, Eduardo Anitua, Francisco Muruzabal, Gorka Orive, Luis Fernández-Vega
PURPOSE: The objective was to provide preliminary information about the efficacy and safety of immunologically safe plasma rich in growth factor (immunosafe PRGF) eye drops in the treatment of moderate to severe dry eye in patients with primary and secondary Sjögren's syndrome (SS) and to analyze the influence of several variables on treatment outcomes. METHODS: This retrospective study included patients with SS. All patients were treated with previously immunosafe PRGF eye drops to reduce the immunologic component contents...
April 4, 2017: Journal of Ocular Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/28371261/visual-and-health-outcomes-measured-with-the-activity-inventory-and-the-eq-5d-in-visual-impairment
#10
Antonio Filipe Macedo, Pedro Lima Ramos, Laura Hernandez-Moreno, Joana Cima, António M G Baptista, Ana Patricia Marques, Robert Massof, Rui Santana
PURPOSE: Generic instruments to assess health utilities can be used to express the burden of health problems in widely used indexes. That is in contrast with what can be obtained with condition-specific instruments, outcomes are very specific and difficult to compare across conditions. The purpose of this study was to assess health and visual outcomes and its determinants in patients with visual impairment (VI) using the EQ-5D-3L and the Activity Inventory (AI). METHODS: Participants were recruited in different hospitals during the PCVIP-study...
March 30, 2017: Acta Ophthalmologica
https://www.readbyqxmd.com/read/28368995/proposal-for-a-novel-severity-grading-system-for-pterygia-based-on-corneal-topographic-data
#11
Kazunori Miyata, Keiichiro Minami, Atsushi Otani, Tadatoshi Tokunaga, Shouta Tokuda, Shiro Amano
PURPOSE: To propose a grading system of pterygium severity based on corneal higher-order irregularity (HOI) and to evaluate postoperative changes in corneal irregularity of the graded pterygia. METHODS: In 268 eyes of 226 patients undergoing excision surgery of primary nasal pterygium, Placido corneal topography images were taken before and until 6 months after surgery. The best-corrected visual acuity (BCVA) and pterygium size with respect to the corneal diameter were also measured...
March 31, 2017: Cornea
https://www.readbyqxmd.com/read/28366426/homr-now-model-accurately-predicts-1-year-death-risk-for-hospitalized-patients-on-admission
#12
Carl van Walraven, Alan J Forster
BACKGROUND: The Hospital-patient One-year Mortality Risk (HOMR) score is an externally validated index using health administrative data to accurately predict the risk of death within one year of admission to hospital. This study derived and internally validated a HOMR modification using data that are available when the patient is admitted to hospital. METHODS: From all adult hospitalizations at our tertiary-care teaching hospital between 2004 and 2015, we randomly selected one per patient...
March 30, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28358956/ethnic-differences-in-the-association-between-age-related-macular-degeneration-and-vision-specific-functioning
#13
Eva K Fenwick, Ryan E K Man, Chui Ming Gemmy Cheung, Charumathi Sabanayagam, Ching-Yu Cheng, Kumari Neelam, Jacqueline Chua, Alfred T L Gan, Paul Mitchell, Tien Y Wong, Ecosse L Lamoureux
Importance: Understanding the link between ethnicity and health is critical to making appropriate public policy decisions. Few population-level data are available about this connection, however, including the influence of ethnicity on the association between age-related macular degeneration (AMD)and vision-specific functioning (VSF). Objective: To identify the influence of ethnicity on VSF among Chinese, Malay, and Indian patients with AMD. Design, Setting, and Participants: This cross-sectional, population-based study relied on patients and their data from 3 population-based studies in 3 ethnic groups: Chinese, Malay and Indian...
March 30, 2017: JAMA Ophthalmology
https://www.readbyqxmd.com/read/28355986/retinal-vasculopathy-in-patients-with-systemic-lupus-erythematosus
#14
N Gao, M T Li, Y H Li, S H Zhang, R P Dai, S Z Zhang, L D Zhao, L Wang, F C Zhang, Y Zhao, X F Zeng
A retrospective case control study was conducted in the Peking Union Medical College Hospital. Medical records were reviewed for demographic data, clinical features, laboratory results, systemic lupus erythematosus (SLE) disease activity evaluations, and ophthalmic examinations to investigate the clinical characteristics and significance of retinal vasculopathy (RV) in Chinese patients with systemic lupus erythematosus. The prevalence of RV was approximately 0.66% (35/5298) in SLE patients. A total of 60 eyes were involved...
January 1, 2017: Lupus
https://www.readbyqxmd.com/read/28355700/-effects-of-video-work-on-the-ocular-vascular-hemodynamic-and-visual-of-the-operators
#15
J P Yang, L P Zhu, Z L Zhang, X Y Huang
Objective: To investigate the effects of long time video display terminal (VDT) operation on the ocular vascular hemodynamic and visual acuity. Methods: During March and October 2015, 120 cases of video monitoring warriors were selected as study group, another 155 cases of logistics personnel as the control group. The low vision of the two groups was calculated and compared, and the color Doppler flow imaging was used to measure the central retinal artery (CRA) , short posterior ciliary artery (SPCA) , anterior ciliary artery (ACA) , (peak systolic velocity, PSV) , end diastolic velocity (EDV) and (resistance index (RI) ...
February 20, 2017: Chinese Journal of Industrial Hygiene and Occupational Diseases
https://www.readbyqxmd.com/read/28337057/accelerated-corneal-collagen-cross-linking-in-pediatric-keratoconus-one-year-study
#16
Amani E Badawi
PURPOSE: To evaluate the safety and effectiveness of accelerated corneal collagen crosslinking (CXL) in pediatric keratoconus. DESIGN: Prospective non-randomized observational study. METHODS: 33 eyes of 25 children with keratoconus were included. The corneal epithelium was mechanically removed. Next, riboflavin/hydroxypropyl methylcellulose solution) was applied for 10 min. Accelerated CXL (10 mW/cm(2) for 9 min), was accomplished. Visual acuity, slit lamp examination, refraction, keratometry readings, pachymetry, anterior and posterior elevations, average progression indices, and Q values were recorded...
January 2017: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/28335755/the-incidence-of-diabetes-mellitus-and-diabetic-retinopathy-in-a-population-based-cohort-study-of-people-age-50%C3%A2-years-and-over-in-nakuru-kenya
#17
Andrew Bastawrous, Wanjiku Mathenge, Kevin Wing, Madeleine Bastawrous, Hillary Rono, Helen A Weiss, David Macleod, Allen Foster, Tunde Peto, Peter Blows, Matthew Burton, Hannah Kuper
BACKGROUND: The epidemic rise of diabetes carries major negative public health and economic consequences particularly for low and middle-income countries. The highest predicted percentage growth in diabetes is in the sub-Saharan Africa (SSA) region where to date there has been no data on the incidence of diabetic retinopathy from population-based cohort studies and minimal data on incident diabetes. The primary aims of this study were to estimate the cumulative six-year incidence of Diabetes Mellitus (DM) and DR (Diabetic Retinopathy), respectively, among people aged ≥50 years in Kenya...
March 23, 2017: BMC Endocrine Disorders
https://www.readbyqxmd.com/read/28333894/m-s-smart-system-contrast-sensitivity-measurements-compared-with-standard-visual-function-measurements-in-primary-open-angle-glaucoma-patients
#18
Jessica L Liu, J Jason McAnany, Jacob T Wilensky, Ahmad A Aref, Thasarat S Vajaranant
PURPOSE: To evaluate the nature and extent of letter contrast sensitivity (CS) deficits in glaucoma patients using a commercially available computer-based system (M&S Smart System II) and to compare the letter CS measurements to standard clinical measures of visual function. METHODS: Ninety-four subjects with primary open-angle glaucoma participated. Each subject underwent visual acuity, letter CS, and standard automated perimetry testing (Humphrey SITA 24-2). All subjects had a best-corrected visual acuity (BCVA) of 0...
March 22, 2017: Journal of Glaucoma
https://www.readbyqxmd.com/read/28332896/the-distribution-of-macular-thickness-and-its-determinants-in-a-healthy-population
#19
Hassan Hashemi, Mehdi Khabazkhoob, AbbasAli Yekta, Mohammad Hassan Emamian, Payam Nabovati, Akbar Fotouhi
PURPOSE: To determine the distribution of macular thickness in a healthy Iranian population aged 45-69 years and its association with certain determinants. METHODS: All participants underwent optometric examinations including measurement of uncorrected and corrected visual acuity, objective refraction by retinoscopy, and subjective refraction. Subsequently, all participants underwent slit-lamp biomicroscopy followed by fundus examination through direct and indirect ophthalmoscopy, and optical coherence tomography (OCT) imaging under pupil dilation...
March 23, 2017: Ophthalmic Epidemiology
https://www.readbyqxmd.com/read/28295635/quality-of-life-and-handling-experience-with-the-prose-device-an-indian-scenario
#20
Pradipta Bhattacharya, Rajeswari Mahadevan
BACKGROUND: PROSE (prosthetic replacement of ocular surface ecosystem) device is a custom-designed, corneal vaulting scleral contact lens, which is used in the treatment of irregular corneal conditions to improve vision and comfort. The present study aimed at assessing the success of the PROSE device in an Indian scenario in terms of change in quality of life and to understand the handling issues related to the device use. METHODS: Thirty-two subjects with various irregular corneal conditions meeting the inclusion criteria were included in the study...
March 12, 2017: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
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