804 research outputs found
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Bilateral, Full-thickness Macular Holes While Undergoing Chemotherapy
Get PDFBackground: Bilateral, full-thickness macular holes are a rare condition that can substantially affect quality of life. Macular hole diagnosis and treatment is key for these patients.
Case Report: A 71 year old Caucasian male presented with a chief complaint of distance blur in both eyes, worsening over the past 1-2 weeks. He had no diagnosis of diabetes. He added that his prostate cancer had spread and that his last treatment ended 9 days ago. He was ultimately diagnosed with bilateral, full-thickness macular holes. Referral to a retinal specialist for surgical management yielded good results.
Conclusion: This is the first case report documenting bilateral macular holes in a patient with these systemic meds to date. More research on any potential ocular side effects of these medications is recommended
Isolated Optic Neuropathy as the Presenting Sign of Neurosyphilis
Get PDFBackground: Detection and treatment of syphilitic ocular disease without a known history of syphilis is often difficult due to its varied presentations. Early diagnosis and treatment are the key to reducing risk of permanent vision loss, particularly with optic nerve and retinal manifestations.
Case Report: This case report describes a 44 year-old male who was diagnosed with neurosyphilis through his work-up for unilateral optic neuropathy.
Conclusion: This report illustrates the importance of including syphilis lab testing in the setting of optic nerve edema. Syphilis should be considered in any inflammatory ocular disease, especially in patients with atypical presentations and high-risk populations. As the incidence of syphilis continues to rise, it is important that eye care providers play a vital role in prompt diagnosis to decrease the risk of vision loss and limit further spread of the disease
On the Frontline
Get PDFMy story is about how stressed I became from my mother having to work on the frontline during COVID
Social Wellness and My Experience
Get PDFMy view on how COVID affected my social health and how I can take what I learned from it and apply it to my future career as an optometris
Patient Care Management of Hypertension Through Improving Follow-up and Reducing Missed Appointments in a Primary Care Clinic: A QI Project
Get PDFBackground. Missed follow-up appointments constitute significant problems clinics and health centers face nationwide. A significant portion of primary care providers’ patients will require follow-up appointments to manage their chronic illnesses. About 20 to 40% of patients seen at this clinic have a history of hypertension. Uncontrolled hypertension has been shown to increase the risk of certain cardiovascular disease events and mortality. Follow-up appointments are crucial for patients with hypertension to monitor for more life-threatening signs and manage their overall care. Purpose. The purpose of this project is to improve the timely management of care for patients with hypertension through the implementation of a new appointment reminder process and policy addressing missed appointments in a primary care clinic. Methodology/Results. Data through the EHR was obtained on 90 patients. Among these patients, 55% had hypertension as their primary diagnosis. After 19 weeks of implementation, the rate of missed appointments decreased by 4%, and for patients with hypertension, there was a reduction in blood pressure by 9/4mmHg. Implications for practice. This project’s findings may help create a culture of continuous improvement by raising knowledge of evidence-based strategies that work in primary care practices to reduce missed appointments. Results may also lead to better management of disease processes, improved patient health outcomes, and increased clinic revenue
Book Review: Applied Concepts in Vision Therapy 2.0
Get PDFPress LJ, Taub MB, Schnell PH. Applied Concepts in Vision Therapy 2.0. Santa Ana: Optometric Extension Program; 2022, $159.00, 543 pages, Paperback, ISBN: 978092978054
Dean\u27s View
Get PDFDean of University of the Incarnate Word-Rosenberg School of Optometry shares insight
Book Review: Foundations of Artificial Intelligence in Healthcare and Bioscience
Get PDFBook Review:
Catania LJ. Foundations of Artificial Intelligence in Healthcare and Bioscience. Cambridge: Academic Press; 2020, $150.00, 524 pages, Paperback ISBN:9780128244777, e-book ISBN: 9780323860055
A Participatory Action Research Study of Police Interviewing Following Crisis Intervention Team Training
Get PDFEstimates vary, but a third to one half of individuals shot and killed by police have a mental illness or disability, and many who are taken into custody languish in county jails where no treatment for their illness is available. The Crisis Intervention Team (CIT) model is an increasingly important adjunct to U.S. police training because it de-escalates tense situations, diverts people with mental illness away from jail and into treatment, and can reduce the risk of civilian deaths during a police encounter. As such, it is a strategy for reducing the social injustice of incarceration or deaths of people with mental illness during police encounters. Studies of CIT effectiveness are challenging due to mistrust between law enforcement and the community, policy that limits communication (including a hierarchical structure), and the danger involved in observing police behavior in the field. As a result, studies of CIT effectiveness typically rely on a survey of the CIT officers and do not observe behavior in the field to confirm reported changes. In this small participatory action research (PAR) study, we used a community-based participatory research method featuring “ride-along” observations of CIT-trained officers and untrained officers to examine the various effects of CIT training in one U.S. metropolitan community. We documented some evidence of changes in community relationships, as well as different interviewing styles among police officers following CIT training. CIT training increased the length of interviewing time and resulted in more diversions away from jails