المؤلفون: Saajida Mahomed, Thilendran Nadasan, Ozayr H. Mahomed

المصدر: African Vision and Eye Health, Vol 83, Iss 1, Pp e1-e6 (2024)

مصطلحات موضوعية: phacoemulsification, cost analysis, human resources, consumables, ophthalmologist, public sector., Ophthalmology, RE1-994

الوصف: Background: Despite the high burden of cataracts, South Africa is not meeting its cataract surgery rate, mainly because of health system factors. Information on the costs involved can be beneficial in upscaling cataract surgery. Aim: To estimate the cost of cataract surgery from the health service perspective. Setting: Public-sector eye hospital in KwaZulu-Natal, South Africa. Methods: A retrospective cost analysis using a mixed costing approach was used. The study population included adult patients who had cataract surgery performed at the hospital between 01 April 2018 and 31 March 2019. An activity-based approach was used. Results: The cost for a cataract in a single eye in 2018/2019 was R4184.81 ($299.00). The highest contributor to the cost was human resources (46%), followed by equipment (19%) and medication (17%). Doctors accounted for 59% of the human resource cost, followed by nurses (24%). Theatre equipment cost accounted for 97% of the equipment cost, with two major equipment (operating microscope and phacoemulsification machine) accounting for 80% (R587.80) per patient. The medication used for anaesthesia contributed 59% (R499.04) of the medication cost. Conclusion: This is the first cost estimate of cataract surgery in the public sector in South Africa. It provides preliminary information that may be used to inform the buy-out of ophthalmology services when the National Health Insurance is implemented. Contribution: This study provides useful information on costing cataract surgery in the African setting, and the information can be used to determine how to attain cataract surgery goals in a cost-effective manner.

وصف الملف: electronic resource

العلاقة: https://avehjournal.org/index.php/aveh/article/view/901Test; https://doaj.org/toc/2413-3183Test; https://doaj.org/toc/2410-1516Test

الوصول الحر: https://doaj.org/article/3be533f613014ed09b0771dcab8dd20eTest

المؤلفون: L. A. Kalenich, S. N. Sakhnov

المصدر: Инновационная медицина Кубани, Vol 0, Iss 4, Pp 148-151 (2023)

مصطلحات موضوعية: stanislav vladimirovich ochapovsky, ophthalmologist, trachoma, surgical care organization, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282, Diseases of the circulatory (Cardiovascular) system, RC666-701, Surgery, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9

الوصف: Professor Stanislav Vladimirovich Ochapovsky (1878-1945)—Doctor of Medical Science, Honored Scientist of the Russian Soviet Federative Socialist Republic—was a Soviet ophthalmologist, public figure, local historian, and honorary citizen of the Caucasus, Uchkulan, and Beslan. He organized the fight against trachoma in the North Caucasus, founded the school of Kuban ophthalmology, and laid the groundwork for regional medicine and ophthalmology.

وصف الملف: electronic resource

العلاقة: https://www.innovmedkub.ru/jour/article/view/757Test; https://doaj.org/toc/2541-9897Test

الوصول الحر: https://doaj.org/article/eecff463a80c43cd8c41e335af54f23bTest

المؤلفون: Bin Zhang, Jun Li, Wei He

المصدر: Guoji Yanke Zazhi, Vol 23, Iss 9, Pp 1564-1567 (2023)

مصطلحات موضوعية: surgical simulator, ophthalmologist, cataract surgery, small incision extracapsular cataract extraction training, Ophthalmology, RE1-994

الوصف: AIM:To investigate the effectiveness of surgical simulator-based small-incision extracapsular cataract extraction training for young ophthalmologists.METHODS:Prospective and controlled study. A total of 48 young participants who had completed at least 3a standardized residency training or had obtained the attending certificate in the He Eye Specialist Hospital from 2020 to 2022 were enrolled. All the participants were randomly divided into simulator surgical operation training group(experimental group, n=24)and real animal eye operation training group(control group, n=24)after passing the theoretical training and assessment of small incision extracapsular cataract extraction. The participants in the experimental group and control group were trained with the surgical simulator and pig eyes respectively. After training, the overall effectiveness of training in both groups was rated using the simulator and pig eye operation was evaluated.RESULTS: The participants in the experimental group used less time than the participants in the control group on simulator assessment(all P0.05). For the rest of the steps, the scores of experimental group were higher than those of the control group(all P

وصف الملف: electronic resource

العلاقة: http://ies.ijo.cn/cn_publish/2023/9/202309028.pdfTest; https://doaj.org/toc/1672-5123Test

الوصول الحر: https://doaj.org/article/4c22b746f858401d8b8f59a5de833d59Test

المؤلفون: Sadeghi M, Shahid S

المصدر: Clinical Ophthalmology, Vol Volume 18, Pp 791-792 (2024)

مصطلحات موضوعية: glaucoma, fundus interpretation, diagnostic accuracy, ophthalmologist, Ophthalmology, RE1-994

الوصف: Mahdi Sadeghi, Sabrina Shahid Medical Education, King’s College London, London, UKCorrespondence: Mahdi Sadeghi, King’s College London, Guy’s Campus, Great Maze Pond, London, SE1 1UL, UK, Email Mahdi.Sadeghi@kcl.ac.uk

وصف الملف: electronic resource

العلاقة: https://www.dovepress.com/comparative-evaluation-of-fundus-image-interpretation-accuracy-in-gl-2-peer-reviewed-fulltext-article-OPTHTest; https://doaj.org/toc/1177-5483Test

الوصول الحر: https://doaj.org/article/b2874f55651f4c1da512dc4ecf2df2e7Test

المؤلفون: Archana Senapati, Hrudaya Kumar Tripathy, Vandana Sharma, Amir H. Gandomi

المصدر: Informatics in Medicine Unlocked, Vol 45, Iss , Pp 101445- (2024)

مصطلحات موضوعية: Diabetic retinopathy, Ophthalmologist, Proliferative diabetic retinopathy vision loss, Artificial intelligence, Machine learning, Deep learning, Computer applications to medicine. Medical informatics, R858-859.7

الوصف: The incidence of diabetic retinopathy (DR) has increased at a rapid pace in recent years all over the world. Diabetic eye illness is identified as one of the most common reasons for vision loss among people. To properly manage DR, there has been immense research and exploration of state-of-the-art methods using artificial intelligence (AI) enabled models. Specifically, AI-empowered models combine multiple machine learning (ML) and deep learning (DL) based algorithms to improve the performance of the developed system architectures that are commercially utilized for the detection of DR disease. However, these models still exhibit several limitations, such as computational complexity, low accuracy in DR stage detection due to class imbalance, more time consumption, and high maintenance cost. To overcome these limits, a more advanced model is required to accurately predict the DR stage in the initial stages. For example, the identification of DR disease in the initial stage helps the ophthalmologist to make an accurate and safe diagnosis, and thereby, eyesight-related issues may be treated more effectively. This study conducted a systematic literature review (SLR) to provide a detailed discussion of the background of diabetic retinopathy, its major causes, challenges faced by ophthalmologists in DR detection, and possible solutions for identifying DR in the initial stage. Also, the SLR provides an in-depth analysis of the existing state-of-the-art techniques and system models used in DR diagnosis based on AI, ML, and recently developed DL-based approaches. Furthermore, this present survey would be helpful for the research community to receive information on the recent approaches used for DR identification along with their significant challenges and limitations.

وصف الملف: electronic resource

العلاقة: http://www.sciencedirect.com/science/article/pii/S2352914824000017Test; https://doaj.org/toc/2352-9148Test

الوصول الحر: https://doaj.org/article/4589c8de99324e85b6ded5c8854f015aTest

المؤلفون: Muhammad Shaheer, Asima Rafique, Zahid Kamal Siddiqui

المصدر: Journal of Shalamar Medical & Dental College, Vol 4, Iss 2 (2023)

مصطلحات موضوعية: Emotional intelligence, Empathy, Ophthalmologist., Nursing, RT1-120

الوصف: Background: Emotional intelligence and empathy plays a key role in coping with varying situations in daily life. Objective: The purpose of this study was to determine emotional intelligence and empathy among ophthalmologists. Methods: This cross-sectional study was carried out at the College of Ophthalmology & Allied Vision Sciences from 1st June 2022 till 31st December 2022. After the ethical approval of the study, a Google form was developed which included Schutte‘s scale (Emotional Intelligence) and Davis‘s Interpersonal index (Empathy) questions in addition to those related to basic demographic information. A sample size of 19 was calculated and sampling was done by non-probability convenient sampling. The proforma was sent via social media application (WhatsApp) to study participants. A total of 39 ophthalmologists including residents and faculty members of either gender responded to be part of the study. A comparison of emotional intelligencescores was done by applying Independent sample t-test and one-way ANOVA. Results: A total of 39 ophthalmologists participated in the study with a mean age of 35.31 ± 9.83 years. The Emotional Appraisal‖ mean score was found to be highest in post-graduate residents (p = 0.05) and the mean scores of the sub-scale ―Non-Verbal Communication‖ was highest in faculty (Assistant professor or above in designation) followed by Postgraduate resident (PGR), (p=0.04). Comparison of empathy scores revealed asignificant difference in the sub-scales of the Davis scale ―Perspective taking‖ (p = 0.04) and Personal distress (p=0.03) between the male and female participants. Conclusion: Among ophthalmologists, postgraduate residents were better in terms of emotional intelligence than faculty who had better skills with regards to non-verbal communication.

وصف الملف: electronic resource

العلاقة: https://journal.smdc.edu.pk/index.php/journal/article/view/166Test; https://doaj.org/toc/2789-3669Test; https://doaj.org/toc/2789-3677Test

الوصول الحر: https://doaj.org/article/22a11a92d7644df695ac37d88a10bc3cTest

المؤلفون: Daphne Viel Cruzat-Tsuru, MD, Jose Ma. D. Martinez, MD, MBA

المصدر: Philippine Journal of Ophthalmology, Vol 48, Iss 1, Pp 16-26 (2023)

مصطلحات موضوعية: trust scale, trust in ophthalmologist, patients’ trust, questionnaire validation, patient-physician relationship, Ophthalmology, RE1-994

الوصف: Objective: This study adapted and translated the Trust in Oncologist Scale (TiOS) into the Tagalog Trust in Ophthalmologist Scale (TTOS) and validated the latter. Method: The 18-item TiOS questionnaire was translated into Tagalog and validated in a cohort of 200 Filipino ophthalmology patients of a single institution. Internal consistency, construct validity, and test-retest reliabilities were determined. Exploratory factor analyses were also performed. Results: The TTOS showed high internal consistency with Cronbach alpha of 0.92, high reliability with Pearson’s coefficient of 0.85, and high validity with Spearman’s coefficient of 0.67. Conclusion: The TTOS is a valid and reliable tool to measure the level of trust of Filipino patients in their ophthalmologists.

وصف الملف: electronic resource

العلاقة: https://paojournal.com/wp-content/uploads/2023/07/004-ORIGINAL-RESEARCH_PJO-JAN-JUN2023-CRUZAT_16-23_V2.pdfTest; https://doaj.org/toc/0031-7659Test

الوصول الحر: https://doaj.org/article/3e37ec0ebd384406aed50147696e8e4bTest

المؤلفون: Se-Kwon JEONG

المصدر: Uisahak, Vol 32, Iss 1, Pp 81-111 (2023)

مصطلحات موضوعية: contact lens, dream lens, vision correct technology, optician, ophthalmologist, lasik, History of medicine. Medical expeditions, R131-687

الوصف: This paper traces how medical technologies to correct vision were introduced and changed in Korean society until the introduction of Orthokeratology called ‘Dream Lens’ in the late 1990s. First of all, I outlines the historical background of the introduction and spread of the relatively unfamiliar and expensive Orthokeratology, which is said to “cure” myopia and astigmatism by pressing the cornea. ‘Dream Lens’, a ‘lens for correcting corneal refractive error’, was a popular vision correction technology in terms of its name, treatment method, and effect. Not only was it introduced with a name similar to contact lens used instead of glasses from decades ago, but the way it was attached to and removed from the cornea was also similar. On the other hand, the public was already familiar with the principle of correcting the refractive index by pressing the cornea and improving visual acuity in the long term, just like LASIK which became popular in the mid-1990s. The use of contact lens which was similar in terms of the name ‘lens’ and the effect of ‘correcting vision’, and the trend of LASIK which was similar in principle of controlling corneal refraction, was a historical stage that helped soft landing of orthokeratology. However, from contact lens, vision correction technology did not settle down without any conflict. There was a conflict between medical experts traditionally responsible for optometry and production of spectacles and lens, and opticians who were newly in charge of that area. Ophthalmologists who have been in charge of optometry and prescriptions for a long time had no choice but to hand over some of the inspection areas to opticians due to the rapidly increasing number of opticians and the implementation of the optician system in 1989. And they had no choice but to watch the expansion of the business of opticians who manufactured glasses based on their own vision tests and sold them together with contact lens. Instead, corneal resection, which is not a technique for correcting visual acuity due to corneal refractive error, but a surgical technique for treating the corneal refractive error itself, has become an ophthalmologist's unique task. In addition, Dream Lens, which corrects corneal refractive error using a similar principle, has also become an object of professional medical practice because it required more precise examination and treatment than eyeglasses or contact lenses. By understanding the process by which vision correction technologies, from contact lens to dream lens, have been introduced into Korean society over the past few decades, this paper gives a new understanding how different medical technologies with the same or similar purposes are settling down, and the tension between experts in charge of them.

وصف الملف: electronic resource

العلاقة: http://www.medhist.or.kr/upload/pdf/kjmh-32-1-81.pdfTest; https://doaj.org/toc/1225-505XTest; https://doaj.org/toc/2093-5609Test

الوصول الحر: https://doaj.org/article/0869444a32aa40db98874e562246c3f3Test

المؤلفون: Mansoor Shahriari, Mohammad Sistanizad, Maryam Foruzani Haghighi, Ghader Mohammadnezhad, Hadi Esmaily

المصدر: Bulletin of Emergency and Trauma, Vol 11, Iss 2, Pp 96-101 (2023)

مصطلحات موضوعية: knowledge, ophthalmologist, prophylaxis, open globe injury, antibiotics, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9

الوصف: Objective: This study aimed to evaluate the Iranian ophthalmologists’ knowledge of prescribing prophylacticantibiotics to patients with open globe injury (OGI) in Iran.Methods: In this cross-sectional study, we utilized a questionnaire to evaluate the ophthalmologists’ knowledgeabout prescribing antibiotics as prophylaxis. This survey was conducted in Tehran and its suburbs. Thequestionnaire included demographic information as well as ophthalmologists’ knowledge levels. Cronbach’salpha was used to determine its validity and reliability. The obtained data were analyzed using SPSS 24.0.Results: Of 192 subjects, 111 (35 women, 76 men) were included. About 65 (58.6%) specialists and 45 (41.4%)subspecialists with different orientations completed the questionnaires. The total knowledge score was13.04±2.96. The following are the results of ophthalmologists’ responses to questions regarding the cornea/scleral injury (1.09±1.72), prophylactic antibiotics administration (2.79±1.11), the infectious agents in eyesurgeries (3.21±1.49), diagnosis and treatment (2.84±0.944), and the effects of ocular antibiotics as well as theirproper dosage (2.96±2.35). There was no significant relationship between some demographic information suchas sex, working hours, workplace, and the number of studied articles (p>0.05). In addition, ophthalmologistswith less work experience had significantly higher levels of knowledge than those with more work experience.Conclusion: The findings indicated that the majority of ophthalmologists had a basic knowledge of prescribingprophylactic antibiotics in OGI.

وصف الملف: electronic resource

العلاقة: https://beat.sums.ac.ir/article_49208_b5a46623c8eadb25256811fe53a04af7.pdfTest; https://doaj.org/toc/2322-2522Test; https://doaj.org/toc/2322-3960Test

الوصول الحر: https://doaj.org/article/1a38f867ae11455f83973d4491d02bfbTest

المؤلفون: Dulnério Barbosa Sengo, Zubair Momade Abudo Salamo, Isaura Ilorena d’Alva Brito dos Santos, Laura Mavota Mate, Sancho Manuel Chivinde, Raul Moragues, Pablo Caballero Pérez, Inmaculada López-Izquierdo

المصدر: Human Resources for Health, Vol 21, Iss 1, Pp 1-11 (2023)

مصطلحات موضوعية: Eye health professionals, Ophthalmologist, Optometrist, Allied ophthalmic personnel, Eye health services, Equipment, Medicine (General), R5-920, Public aspects of medicine, RA1-1270

الوصف: Abstract Background The unavailability of human and material resources can affect access to eye health services, constituting an obstacle in the fight against avoidable visual impairment. This study aimed to assess the availability and distribution of human and material resources for eye health in the public sector in Nampula province. Methods A mixed method approach was used, which included document reviews (to extract information regarding the number of professionals and inhabitants in each district) and application of a questionnaire to heads of the ophthalmology department in each health facility (to obtain the list of available equipment). The ratios of eye health professionals per population in Nampula province and each of its districts were calculated and evaluated taking into account the recommendations of the World Health Organization (WHO). Based on the level of care of each health facility, the availability of equipment was evaluated. Results Nampula Province has not reached the recommended ratio of eye health professionals per population in the different categories (ophthalmic technicians with 0.8 per 100 thousand inhabitants; optometrists and ophthalmologists with 0.4 and 0.2 per 250 thousand inhabitants, respectively). Most districts of Nampula did not reach the recommended ratio in the three categories of professionals, except Nampula City (provincial capital). However, there was a greater concentration of professionals and facilities with eye health services in the provincial capital. Primary and secondary level health facilities lacked some equipment to provide eye health services within their scope. Conclusions There is an unequal distribution of the workforce in Nampula and the centralization of surgical services at the Central Hospital of Nampula level. Therefore, there is a need to review resource distribution strategies and decentralization policy of eye health services in Nampula.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1478-4491Test

الوصول الحر: https://doaj.org/article/800e599af67343b39362546fbfb06ac3Test