A significant reduction in CCT was observed at the 6th, 12th, and 24th months with latanoprost and bimatoprost. Serial CCT measurements in determining the IOP values may be helpful in the follow-up of prostaglandin analogs.
Hormonal changes during pregnancy may not affect corneal biomechanics. This may be due to the balanced effect of the various hormones on the cornea during pregnancy.
Although a training set still needs to be created manually, text mining can help reduce the amount of manual work needed to incorporate narrative data in an epidemiological study and will make the data extraction more reproducible. An advantage of machine learning is that it is able to pick up specific language use, such as abbreviations and synonyms used by physicians.
There are studies showing the variation of CCT values among different nations and ethnicities. There is no agreement about the relationship between age, IOP, Kh-Kv, spherical equivalence of refractive error, systemic disorders, menopause and CCT. In our study CCT was correlated with Kh-Kv and IOP in correlation analysis but in multivariate regression analysis only Kv appeared to influence corneal thickness.
PurposeThis study aimed to investigate the frequency and characteristics of childhood-onset uveitis and evaluate the rate and specific causes of visual loss in this population.MethodsThe data of 121 patients (179 eyes) with uveitis starting before ≤16 years and followed up for at least 6 months were retrospectively evaluated. Age at onset, sex, laterality, associated systemic disease, laboratory data, therapeutic strategies, surgeries, final visual acuity, and causes leading to visual acuity ≤20/200 were analyzed.ResultsChildhood-onset uveitis made up 9.6% of our uveitis patients. The mean age at onset was 11.7 years (1–16) and the mean follow-up period was 38.5 months (6–148). Forty-three patients (35.5%) were female and 78 were male (64.5%). The disease was bilateral in 58 (47.9%) and unilateral in 63 (52.1%) patients. Uveitis was mostly (59.5%) seen between 12 and 16 years of age. Pars planitis, observed in 29 (24%) patients, was the leading cause of childhood-onset uveitis. Uveitis was idiopathic in 20 (16.5%) of patients. The most frequently associated diseases were Behcet’s disease (BD) in 20 (16.5%), toxoplasmosis in 16 (13.2%), and juvenile idiopathic arthritis (JIA) in 8 (6.6%) patients. Anterior uveitis was observed in 38 (31.4%), intermediate uveitis in 31 (25.6%), posterior uveitis in 30 (24.8%), and panuveitis in 22 (18.2%) patients. The final visual acuity was ≤20/200 in 32/179 eyes (17.9%) of 27/121 patients (22.3%). The most often ocular complication leading to visual acuity ≤20/200 was optic atrophy and had been observed in 14 of 32 eyes (43.7%). Macular scar observed in five eyes (15.6%) was the second most often complication. Etiological distribution of 27 patients with visual acuity ≤20/200 was as follows: 12 had BD (44.4%), 5 had idiopathic uveitis (18.5%), 4 had pars planitis (14.8%), 3 had toxoplasmosis (11.1%), 2 had JIA (7.4%), and 1 had toxocara (3.7%).ConclusionsAlthough rare, childhood-onset uveitis has a blinding potential and causes visual loss in up to 22.3% of the patients. In endemic areas like Turkey, BD may be the most common uveitis-associated systemic disease and the leading cause of visual loss in childhood uveitis as adulthood.
ÖzetBu araştırma vajinal doğum yapmış, postpartum dönemde olan kadınların hastaneden taburculuğa hazır oluşluklarının değerlendirilmesi amacıyla tanımlayıcı ve kesitsel tipte planlanmıştır. Araştırma, 01.03.2012-01.04.2012 tarihleri arasında bir devlet hastanesinde vajinal doğum yapmış 110 kadına uygulanmıştır. Veri toplama aracı olarak birey tanılama formu ve Hastane Taburculuğuna Hazır Oluşluk Ölçeği-Yeni Doğum Yapmış Anne Formu (HTHÖ-YDAF) kullanılmıştır. Katılımcıların yaş ortalaması 25.30± 5.32 olup %38.2'si ilkokul mezunu ve %51.8'i en uzun süre yaşadığı yer olarak il saptanmıştır. Annelerin %66.4'ü taburculukla ilgili bilgi almamış olup bilgi alanların %31.8'i hemşire ve öğrenci hemşirelerden almıştır. Annelere taburcu olmadan önce en fazla bilgi verilen ilk üç konu arasında %47.3 bebeğin gazının çıkartılması, %46.4 bebeğin alt temizliği, %40.9 bebeğin göbek bakımı olarak belirlenirken, en az bilgi verilen konu ise %87.3 lohusalık egzersizleri olarak belirlenmiştir. Annelerin %41.8'si bebek bakımı konusunda kendilerine en çok yardım eden kişinin kayınvalidesini olduğunu belirtmiştir. Katılımcıların %74.5'i taburculuğa kendini hazır hissettiğini belirtmiştir. HTHÖ-YDAF'nin puan ortalaması 142.09±43.76 olup ölçeğin alt boyutlarının sırasıyla puan ortalamaları: kişisel durum 52.56±12.82, bilgi durumu 44.63±17.97, yetenek durumu 19.04±7.75, beklenen destek 25.85±11.15 olarak saptanmıştır. Çalışmamızın sonuçlarına göre annelerin yarısından fazlası kendini taburculuğa hazır hissetmesine rağmen ölçek puanlarına göre taburculuğa orta düzeyde hazır oldukları, yetenek ve beklenen destek alt boyutlarından düşük puan aldıkları belirlenmiştir. Sağlık personeli tarafından annelere taburculuk eğitiminde daha kapsamlı bilgi verilmelidir. Anahtar kelimeler: Doğum sonrası bakım; eğitim; taburculuk.
AbstractThis research was planned to evaluate postpartum discharge readiness situation of women who had vaginal deliveries at hospital as being a descriptive, cross sectional study. This research was made in a state hospital between 01.03.2012-01.04.2012 to 110 women who had vaginal deliveries. In data collection, individual data collection form, Readiness for Hospital Discharge Scale-New Mother Form (RHD-NMF) was used. The average age of participants was 25.30±5.32 and 38.2% of them have primary school education and 51.8% of them lived in the province the longest. 66.4% of mother's did not receive any information about discharge and 31.8% of them took it from nurses and nursing students. The first three mostly information given subjects to mothers before discharge are 47.3% baby's gas extraction, 46.4% perineal cleaning of the baby, 40.9% umbilical cord care and least information given subject is 87.3% postpartum exercises. 41.8% of the mothers stated that who helped them the most in the baby care is mothers in laws. 74.5% of the participants stated that they feel ready themselves for hospital discharge. The mean score of RHD-NMF was 142.09±43.76, respectively the mean scores of subscales are: personal status 52.56±12.82, knowl...
Our study showed lower aqueous humor level of superoxide dismutase in pseudo-exfoliation syndrome patients compared to pseudo-exfoliative glaucoma patients. Significantly lower superoxide dismutase level was observed in pseudo-exfoliative glaucoma patients who received topical Coqun compared to pseudo-exfoliative glaucoma patients without Coqun treatment. No significant change was observed on the malondialdehyde level during 1-month follow-up period.
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