In this study, we compared the effectiveness (comparison of post-operative visual acuity/VA) of phacoemulsification by ophthalmologists versus manual small incision cataract surgery (mSICS) by residents in a mass cataract surgery setting. This research was a cross-sectional study of 1137 cataract patients who underwent cataract surgery by ophthalmologists and residents in outreach eye camps during 2015-2017 (3 years). There were 554 patients who underwent phacoemulsification by ophthalmologists and 583 patients who underwent mSICS by residents. Basic patient characteristics data, such as: age, sex and pre-surgical VA were recorded and we compared pre- versus post-operative VA (best corrected VA/BCVA) and surgical adverse events in 4 weeks post-operative follow-up. In basic subject characteristics, there were no differences in age and sex between the 2 groups, in which 602 (52.9%) were men and 535 (47.1%) were women. Overall 583 (51.3%) eyes received mSICS and 554 (48,7%) eyes received phacoemulsification. Visual acuity improvement (≥6/18) was achieved in 59.61% of eyes after phacoemulsification and 53.5% eyes after mSICS. There were no statistical differences in visual outcome results between both groups (p=0.10). Severe surgical adverse events (nucleus drop and endophthalmitis) were found in 3 cases (0.26%) and choroidal bleeding in 1 eye (0.08%). The effectiveness of phacoemulsification and mSICS in improving visual acuity was found similar between ophthalmologists and residents. mSICS should be considered for more frequent use in high volume mass cataract surgery.KEYWORDS cataract surgery; phacoemulsification; manual small incision cataract surgery; outreach program; community ophthalmology
Newborns in hospitals often have a variety of invasive procedures, so that the baby is experiencingpain. Baby’s sense of discomfort and fear which will result from the pain can be observed throughthe tears. While wrapping the newborn to fit in a blanket (swaddling) can soothe a fussy baby or cry. Thepurpose of this study was to identify the effect of swaddling on pain response in neonates after venousblood sampling procedures in hospitals Ngudi Waluyo Wlingi. This study was descriptive. Samplestaken by accidental sampling technique with a sample of 35 neonates. The results showed that swaddledneonates after venous blood sampling procedure was 80% (28 respondents) pulse between 120–160times per minute, 100% (35 respondents) respiration between 30–60 times per minute and 51.4% (18respondents) SaO2 is greater than 92%. Behavioral responses such as shrill and loud cry was 8.4% (24respondents), stretching in some facial muscles and facial muscles stretching along each was 4.2% (12respondents), a strong move is 5.95% (17 respondents ), and increased muscle tone face with flexion ofthe fingers and toes was 7.7% (22 respondents).Use of swaddling post venous blood sampling proceduresin neonates can be used as a way of making neonates feel comfortable and calm.
Abstrak Kegiatan pengabdian masyarakat yang dilakukan tim dosen dan mahasiswa Institut Agama Islam Negeri Metro di Desa Sumberejo Kecamatan Bangkunat Kabupaten Pesisir Barat yang merupakan daerah dengan penduduk yang sebagian besar bermata pencaharian sebagai petani kebun. Komoditas hasil bumi di sini yang paling banyak adalah pisang dan pepaya. Setelah melakukan identifikasi masalah ditemukanlah hal-hal yang menjadi fokus dari kajian tersebut. Dimana daerah ini merupakan salah satu daerah yang baru saja mengalami pemekaran dengan segala prasarana dan fasilitas yang ada terbatas bahkan belum dapat dikatakan memadai. Dari segi pendidikan tenaga medis dan lain sebagainya masih dikatakan kurang. Bahkan yang menjadi tenaga kerja pendidik dan tenaga medis kebanyakan berasal dari daerah lain atau bukan asli dari masyarakat di sini. Menurut hasil wawancara kepada salah satu warga hal tersebut terjadi sebab masyarakat di daerah ini masih sedikit kesadarannya dalam segi pendidikan. Mereka cenderung lebih memilih bekerja di kebun yang merupakan mata pencaharian pokok masyarakat di sini. Karena hal itulah perlu adanya pengoptimalisasian kader-kader yang bergerak di bidangnya seperti kesehatan khususnya kesehatan kelompok lanjut usia (lansia). Sebab di daerah ini banyak terdapat lansia yang masih sedikit kesadaran mengenai kesehatan. Padahal sudah ada wadah dan prasarana yang disediakan melalui posyandu lansia. Peran kader sangat dibutuhkan untuk menyadarkan atau menumbuhkan kesadaran dalam diri masyarakat khususnya lansia melalui usaha optimalisasi peran kader posyandu lansia di Desa Sumberejo. Kata Kunci: Kader posyandu, Pengoptimalan
Refractive disorders begin to affect many children and become a burden of disease in the community due to lack of awareness by parents and screening by health workers. This research was a cross-sectional study and carried out at screening of visual acuity in primary school-aged children. A total of 38 children aged 6 - 12 were the subjects in this study. This research was conducted in Banjararum sub-district, Kulon Progo Regency, Yogyakarta Special Province in September 2018. The average age of subjects was 8.8 ± 1.4 years. Result showed refraction status before correction (uncorrected refractive error/URE) with mean visual acuity of 0.3 logMAR (equivalent to 6/12 Snellen). The most common refractive disorders were myopia simplex (63.2%) and 38.8% of subjects experienced moderate visual impairment. After being corrected, as much as 97.4% of subjects reached normal vision. Burden of undiagnosed refractive disorders in rural population was high even though the visual disturbance is reversible.
Cataract is the most common cause of reversible blindness, and its prevalence have been increasing in the community depend on the age. Phacoemulsification and manual Small-Incision Cataract Surgery (mSICS) were the techniques of cataract surgery that was frequently used in high-volume cataract surgery setting. This study aimed to compare the complications between phacoemulsification and mSICS in high-volume cataract surgery. This research was a retrospective cohort study with the data taken from the medical record of high-volume cataract surgery organized by Community Ophthalmology Division, Department of Ophthalmology Universitas Gadjah Mada (UGM) from January 2018 to November 2018. Cataract surgery was performed by consultant ophthalmologists, general ophthalmologist, and senior ophthalmology resident for phacoemulsification and by senior ophthalmology resident and junior ophthalmology resident for mSICS. Intraoperative and postoperative complications (i.e. posterior capsule rupture, vitreous prolapse, aphakia, iridodialysis, endophthalmitis) until four weeks of follow up were compared in both techniques. There were 483 patients who had been operated, 188 (38.9%) patients underwent phacoemulsification and 295 (61.1%) patients underwent mSICS. Intraoperative and postoperative complications in phacoemulsification and mSICS performed by senior ophthalmology resident were no statistically significant different (p > 0.05). Nevertheles, there was statistically significant different in the complication of posterior capsule rupture and aphakia in phacoemulsification based on the level of surgeon’s skill (p < 0.05). Most of them performed by senior ophthalmology resident in 11 (35.5%) cases and 5 (16.1%) cases respectively. However, complications in mSICS were no significantly different based on the level of surgeon’s skill performed by senior ophthalmology resident and junior ophthalmology resident (p > 0.05). Complications in phacoemulsification and mSICS performed by senior ophthalmology resident with relatively similar in the level of surgeon’s skill were not significantly different. However, the complication of posterior capsule rupture and aphakia in phacoemulsification was significantly different based on the level of surgeon’s skill.
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