Ocular disorders in children in Zaria children’s school

Background: The main causes of blindness in children change over time. The prevalence and pattern of eye diseases in children were studied in northern Nigeria 6 years ago. This study like the previous one was a school eye health screening conducted in Zaria children school located at the centre of Zaria, a city in northern Nigeria.Aims and Objectives: to determine the current prevalence and pattern of eye diseases affecting school children in Zaria. This is to serve as a current template for planning eye care for children in Zaria and environs.Materials and Methods: a cross sectional study of 327 children who completed a pre-designed school eye screening format was conducted. Consent was obtained from the school authority and the parents before the screening exercise. It involved assessment of visual acuity, anterior and posterior segment examination and colour vision testing. Intraocular pressure measurement and refraction were done for those with indications.Result: A total of 327 children were examined, out of which 45.6% (n=149) were males and 54.4% (n=178) were females. M: F=1:1.2. Age range 5-17yrs with mean of 9.6 ± 3.1(SD). The commonest causes of eye disorders were refractive errors 8.0% (n=26), allergic conjunctivitis 7.3 % (n=24), glaucoma suspects 3.7% (n=12) and colour deficiency 1.5%(n=5).Conclusion: The major causes of childhood eye disorders were uncorrected refractive errors and allergic conjunctivitis. The predominance of uncorrected refractive error is similar to what is obtainable in other parts of the world especially in the urban areas

Comparison of pyrethrins extraction methods efficiencies

Extraction efficiency of insecticidal active compounds from dried Dalmatian pyrethrum flowers (Chrysanthemum cinerariaefolium /Trevir/Vis) was tested using different techniques and solvents. The research included six treatments which are the combination of two techniques (soxtec and ultrasound) and three different solvents (hexane, ethanol and petroleum ether). Dalmatian pyrethrum is a perennial herb native to Croatia. Its powder prepared from dried flower heads has been used as naturalinsecticide for centuries in traditional Croatian farming systems. It has no toxicity to man and animals but possesses ecological benefits that have led to increasing worldwide production of this natural insecticide. Nowadays, it is cultivated mainly at higher altitudes in tropical countries such as Kenya, Tanzania and Rwanda. The present investigation was directed in identifying a simple and reliable extraction treatment using solvents with lower cost and toxicity and an adequate method for the identification and separation of active compounds (pyrethrins) with possible application in enterprises or industry. Best developed method was used for determination of pyrethrin content in three different natural populations of Chrysanthemum. The results revealed high content of total pyrethrins inpopulations grown in Croatia. Developed method and good quality product give a possibility for this culture to become again an exporting and economically valid product for Croatia

Economic evaluation of surgical insertion of ventilation tubes for the management of persistent bilateral otitis media with effusion in children

BACKGROUND: The surgical insertion of Ventilation Tubes (VTs) for the management of persistent bilateral Otitis Media with Effusion (OME) in children remains a contentious issue due to the varying opinions regarding the risks and benefits of this procedure. The aim of this study was to evaluate the economic impact of VTs insertion for the management of persistent bilateral OME in children, providing an additional perspective on the management of one of the commonest medical conditions of childhood. METHODS: A decision-tree model was constructed to assess the cost-effectiveness of VTs strategy compared with the Hearing Aids (HAs) alone and HAs plus VTs strategies. The model used data from published sources, and assumed a 2-year time horizon and UK NHS perspective for costs. Outcomes were computed as Quality-Adjusted Life-Years (QALYs) by attaching a utility value to the total potential gains in Hearing Level in decibels (dBHL) over 12 and 24 months. Modelling uncertainty in the specification of decision-tree probabilities and QALYs was performed through Monte Carlo simulation. Expected Value of Perfect Information (EVPI) and partial EVPI (EVPPI) analyses were conducted to estimate the potential value of future research and uncertainty associated with the key parameters. RESULTS: The VTs strategy was more effective and less costly when compared with the HAs plus VTs strategy, while the incremental cost-effectiveness ratio for the VTs strategy compared with the HAs strategy was £5,086 per QALY gained. At the willingness-to-pay threshold of £20,000 per QALY, the probability that the VTs strategy is likely to be more cost-effective was 0.58. The EVPI value at population level of around £9.5 million at the willingness-to-pay threshold of £20,000 indicated that future research in this area is potentially worthwhile, while the EVPPI analysis indicated considerable uncertainty surrounding the parameters used for computing the QALYs for which more precise estimates would be most valuable. CONCLUSIONS: The VTs strategy is a cost-effective option when compared with the HAs alone and HAs plus VTs strategies, but the need for additional information from future study is evident to inform this surgical treatment choice. Future studies of surgical and non-surgical treatment of OME in childhood should evaluate the economic impact of pertinent interventions to provide greater context