19 research outputs found
Comparação da Retinoscopia de Mohindra com dois métodos de Refração Cicloplégica
Get PDFIntrodução: O uso de cicloplégicos na prática clínica é comum e são bem conhecidos os efeitos
adversos associados ao seu uso em diferentes populações. A retinoscopia de Mohindra pode ser
comparada com técnicas objetivas de refração nomeadamente as que recorrem a agentes
cicloplégicos. A retinoscopia de Mohindra é rápida e precisa e comparável à retinoscopia
cicloplégica que é mais demorada e que em alguns casos, bem documentados, não deve ser
utilizada. Este trabalho tem como objetivo principal comparar os resultados da retinoscopia
de Mohindra com dois métodos refrativos objetivos: a retinoscopia cicloplégica e autorefração
com e sem cicloplegia.
Métodos: 16 indivíduos que foram selecionados a partir de um total de 30 voluntários
estudantes de Licenciatura e Mestrado na Universidade da Beira Interior. Todos foram
submetidos à verificação dos critérios inclusão através da: medição da pressão intraocular, do
ângulo Iridocorneal e avaliação através de entrevista com perguntas de resposta fechada.
Apenas os 16 indivíduos foram submetidos à medição objetiva do erro refrativo através da
Retinoscopia de Mohindra, Retinoscopia Cicloplégica, autorefração com e sem cicloplegia.
Mediu-se a acuidade visual usando os resultados das diferentes técnicas. Foram ainda avaliados
os efeitos secundários através de um questionário on-line desenvolvido pela autora, em
português de Portugal, para a investigação em questão e todos os participantes que foram
incluídos no estudo responderam ao mesmo.
Resultados: Quando comparadas as diferentes técnicas estudadas com Retinoscopia de
Mohindra observa-se não existirem diferenças estatisticamente significativas para o valor do
equivalente esférico do estado refrativo obtido (ρARseco=0,930; ρARhúmido=0,104; ρRC=0,431). Por
outro lado, para a medição da AV com o erro refrativo obtido nas diferentes técnicas não
existem diferenças estatisticamente significativas. Verifica-se uma correspondência linear
forte entre os valores refrativos obtidos nas diferentes técnicas (RARseco=0,979;ρARseco=1,000;
RARhúmido=0,982;ρARhúmido=0,384; RRC=0,992;ρRC=0,939) e correspondência linear moderada para a
AV determinados na Retinoscopia de Mohindra e as outras três técnicas
(RARseco=0,546;ρARseco=0,024; RARhúmido=0,573;ρARhúmido=0,006; RRC=0,642;ρRC=0,074).
Conclusão: Com base nos resultados conclui-se que a Retinoscopia de Mohindra é a técnica
mais indicada e com resultados mais fiáveis em comparação com os valores obtidos com a
Retinoscopia Cicloplégica e com o Auto Refratometrio.Background: The use of cycloplegics in clinical practice is common and the adverse effects
associated with its use in different populations are well known. Mohindra retinoscopy can be
compared with other objective refraction techniques, namely those using cycloplegic agents.
Mohindra retinoscopy is fast, accurate and comparable to cycloplegic retinoscopy which takes
more time and, in some well-documented cases, can’t be used. This study aims to compare
Mohindra retinoscopy with two objective refractive methods: cycloplegic retinoscopy and selfrefractometry.
Methods: 16 participants were selected from a total of 30 volunteers, students at the Beira
Interior University. All volunteers were subjected to intraocular pressure measurement,
Iridocorneal angle measurement, and evaluation of the history of drug allergies,
accommodative and/or vergence problems and ocular, neurological and/or systemic disorders.
The participants were subsequently subjected to objective measurement of refractive error
through Mohindra Retinoscopy, Cycloplegic Retinoscopy, automatic refractometry with and
without cycloplegia. Visual acuity was measured using the refractive results of the different
techniques. All participants who were included in the study answered an online questionnaire
developed by the author for this research aiming to evaluate the side effects.
Results: There are no significant differences in the value of the spherical equivalent of the
refractive state obtained between the different techniques. Also wasn’t found any significant
differences regarding VA measurement with the refractive error obtained in the different
techniques, there are no statistically significant differences. There is a strong linear
correspondence between the refractive values obtained in the different techniques
(RARseco=0,979;ρARseco=1,000; RARhúmido=0,982;ρARhúmido=0,384; RRC=0,992;ρRC=0,939) and moderate
linear correspondence for VA) determined in Mohindra retinoscopy and the other three
techniques (RARseco=0,546;ρARseco=0,024; RARhúmido=0,573;ρARhúmido=0,006; RRC=0,642;ρRC=0,074).
Conclusion: Based on the results, we concluded that Mohindra retinoscopy is an appropriate
technique with reliable results compared to the refractive values obtained with the other
techniques
Diagnosis and management of obstetric cerebral venous thrombosis: a stringent challenge
Get PDFoai:ojs.ijrcog.org:article/1 Cerebral venous thrombosis is an uncommon but serious neurologic disorder in young adults with a peculiarly high preponderance for females. Diagnosis is frequently overlooked or deferred due to its subacute or lingering onset and the wide spectrum of clinical symptoms. Headache is the most frequent symptom occurring in up to 95% of all cases. One must consider stroke in all cases of neurological deterioration in pregnancy and puerperium. Imaging plays a primary role in diagnosis with magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) having proven to be the best both for diagnosis and follow-up of these women. Current therapeutic measures used include the utilization of anticoagulants such as dose-adjusted intravenous heparin or body weight adjusted subcutaneous low-molecular-weight heparin (LMWH), the use of thrombolysis and symptomatic therapy including control of seizures and elevated intracranial pressure. Recurrence in future pregnancy is usually low
Systemic lupus erythematosus in pregnancy - intricate, but wieldy
Get PDFSystemic Lupus Erythematosus (SLE) predominantly afflicts young women in reproductive age. In this context, it is only rational that pregnancy and its outcome becomes an imperative concern for the lupus patients and their health care providers. Queries regarding the risk of disease flares during pregnancy, chance of fetal loss, and the safety of various drugs are often raised. However the present day availability of effective treatment regimens has meant that many patients achieve protracted remissions and better disease control. Indeed, a high proportion of lupus patients, with professional care, can thus look forward to a successful pregnancy.1 This article reviews the contemporary concepts regarding SLE and pregnancy, especially regarding the fertility rate, optimal timing of conception, risk of disease flares during lupus pregnancy, pregnancy course, fetal outcome, safety of various drugs used for disease control during pregnancy and lactation, and contraceptive advice
A Drug Utilization Study: Use of Sedative Hypnotic Drugs in Acute Care, Hospital In-patients
No full textInternship Report - Summer 2010This report summarizes the internship work of Kunal Mohindra, a Master in Health Informatics candidate (2009-2011) for the period: May 3, 2010 – August 31, 2010. The internship was completed as a part of the HINF 7000: Internship course with Dalhousie University, Halifax, NS.
The project undertaken during the internship period was a drug utilization study on sedative hypnotic drugs. It was conducted at the Victoria General site of the Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia.
The main objective of the study was to examine the use of sedative hypnotic drugs, for acute care in-patients over a period of 6 years (2004-2010). This retrospective study utilized the drug use prescription data from the Pharmacy database, Centricity at the Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia. Descriptive statistics were used to examine the use of sedative hypnotic drugs by each service, both annually and quarterly.
The experience of working in a „real world? setting throughout the summer of 2010 has enabled the author to find some areas where Health Informatics solutions can be applied to improve health outcomes.
Recommendations:
1. Nova Scotia should have a common drug formulary that can be followed by all the 35 acute care facilities in Nova Scotia. This would help in preventing medication errors, when a patient is shifted from one health institution to the other, within Nova Scotia.
2. At Capital Health, the preprinted physician orders that have sedative hypnotic drugs on them should include some information on improving sleep hygiene. This might help reduce the use of sedative hypnotic drugs.
3. General education on the harmful effects of sedative hypnotic drugs should be provided to physicians and other health care providers. Also, education on the other non - pharmacological alternatives for sleep should be provided and their use should be encouraged.
4. Work on the implementation of a computerized physician order entry system should be initiated at Capital Health. Once the system is operational, it can be programmed to generate alerts as soon as a physician orders sedative hypnotic drugs. The alerts can include information on the adverse effects of these drugs and links to information on improving sleep hygiene.Capital Health
Pharmacy Department
Oral Primary Syphilis - A Rare Case Report
No full textSyphilis is a sexually transmitted disease caused by spirochete, Treponema palladium. The incidence of syphilis has greatly increased in the past few years, though oral disease as a consequence of primary syphilis is rare. Extragenital chancres occur in about 5-10% of cases with primary syphilis and may occur as a consequence of orogenital contact. We report a case of 40 year old man, with primary syphilis, who presented with ulceration in the palate and non tender lymphadenopathy. The oral aspects of primary syphilis and the need for dentists to be aware of changing epidemiologic trends are highlighted
Correction to: How do patients interpret and respond to a single‑item global indicator of cancer treatment tolerability?
No full textCorrection to: Supportive Care in Cancer (2023) 31:37https://doi.org/10.1007/s00520-022-07484-7The article “How do patients interpret and respond to a single‑item global indicator of cancer treatment tolerability?”, written by Peipert, J.D., Shaunfield, S., Kaiser, K., Moreno, P.I., Fox, R.S., Kircher, S., Mohindra, N., Ip, E., Zhao, F., Wagner, L., Cella, D., was originally published Online First without Open Access. After publication in volume 31, issue 1, page 31:37 the author decided to opt for Open Choice and to make the article an Open Access publication.</p
Altered Sensorium in Pregnancy
Get PDFAltered sensorium in prenatal and post-partum women results due to exacerbation of a pre-existing neurological condition, preliminary presentation of a non-pregnancy-related problem, or a novel acute-onset of neurological malady that is either unique to or occurs with increased frequency during this period. Headache and neurological symptoms are often diagnosed with pre-eclampsia; however, a range of other causes must also be considered, such as cerebral venous sinus thrombosis and reversible cerebral vasoconstriction syndrome. Precise diagnosis is essential to guide subsequent management. If not treated promptly, many of these conditions can bring about morbidity or mortality in young, usually previously healthy females
Pattern of hepatitis B and C infection among gravid women and their newborns in a tertiary care infirmary in India
Get PDFBackground: The objective is to determine the prevalence of the hepatitis B and C virus among pregnant women, to assess impact of maternal hepatitis B virus (HBV) or hepatitis C virus (HCV) carrier status on pregnancy outcomes and to gauge the risk factors associated with them. Antenatal clinic attenders and women undergoing termination of pregnancy over three years.Methods: The study was conducted in Gian Sagar Medical College & Hospital, Patiala, Punjab, India. Hepatitis B antigen and Hepatitis C virus antibody testing of sera from specimens sent to the hospital laboratory for routine serological testing. The results were then linked to risk information, obstetric complications and pregnancy outcome.Results: Overall HBsAg and anti-hepatitis C antibody prevalence was 1.2% (33/2031). Increased risk of transmission was associated with sexually transmitted diseases and previous surgical procedures. High rates of preterm labor pains, CD (27.27%), and non-reassuring fetal heart rate patterns and meconium stained liquor were found in the seropositive patients.Conclusions: Maternal hepatitis B and C carrier status is an eminent risk factor for adverse pregnancy outcome.
Creepy Crawlies in the Mouth: A Rare Case Report
No full textMyiasis is characterized by the invasion of body tissues of live animals by larvae. It is most frequently observed in underdeveloped and tropical countries, though there are cases described worldwide. A case of oral myiasis in the maxillary anterior region in a 13-year-old mentally challenged boy caused by the larvae (maggots) of Musca nebulo (Family Diptera) is reported. The treatment consisted of topical application of turpentine oil, oral therapy with ivermectin and surgical debridement of the oral wound- Diagnosis was based on the visual presence of larvae
