Managing a patient with open-angle glaucoma: a case study.

How would a panel of experts manage the case presentation of Mr AA

The basics of good postoperative care after glaucoma surgery.

Glaucoma patients are treated by lowering the intraocular pressure (IOP) to a level that it is not harmful to the optic nerve. This prevents or delays loss of vision. Lowering of the IOP can be achieved through use of eye medication, surgery or laser procedures. The most common glaucoma surgery is trabeculectomy

Epidemiology of glaucoma in sub-saharan Africa: prevalence, incidence and risk factors.

PURPOSE: The purpose of this study is to review the epidemiology of different types of glaucoma relevant to Sub-Saharan Africa (SSA) and to discuss the evidence regarding the risk factors for onset and progression of glaucoma, including risk factors for glaucoma blindness. METHODS: Electronic databases (PubMed, MedLine, African Journals Online- AJOL) were searched using the full text, Medical Subject Headings (MeSH) terms, author(s) and title to identify publications since 1982 in the following areas: population-based glaucoma prevalence and incidence studies in SSA and in African-derived black populations outside Africa; population-based prevalence and incidence of blindness and visual impairment studies in SSA including rapid assessment methods, which elucidate the glaucoma-specific blindness prevalence; studies of risk factors for glaucoma; and publications that discussed public health approaches for the control of glaucoma in Africa. RESULTS: Studies highlighted that glaucoma in SSA is a public health problem and predominantly open-angle glaucoma. It is the second-leading cause of blindness, has a high prevalence, an early onset and progresses more rapidly than in Caucasians. These factors are further compounded by poor awareness and low knowledge about glaucoma even by persons affected by the condition. CONCLUSION: Glaucoma care needs to be given high priority in Vision 2020 programs in Africa. Many questions remain unanswered and there is a need for further research in glaucoma in SSA in all aspects especially epidemiology and clinical care and outcomes involving randomized controlled trials. Genetic and genome-wide association studies may aid identification of high-risk groups. Social sciences and qualitative studies, health economics and health systems research will also enhance public health approaches for the prevention of blindness due to glaucoma

Counselling in a glaucoma care service.

Glaucoma patients often think that their condition is synonymous with blindness and disability, leaving them feeling worried and vulnerable. They may also develop mental health issues such as depression or anxiety. Unfortunately glaucoma patients may have mental health issues even if these concerns are addressed. The glaucoma care team must offer patients balanced information that will help them to understand their options, regain hope for their future, and take practical action to protect their eyes and vision. This support – known as counselling – will help to improve patient’s quality of life

A comparative review of dynamic neural networks and hidden Markov model methods for mobile on-device speech recognition

The adoption of high-accuracy speech recognition algorithms without an effective evaluation of their impact on the target computational resource is impractical for mobile and embedded systems. In this paper, techniques are adopted to minimise the required computational resource for an effective mobile-based speech recognition system. A Dynamic Multi-Layer Perceptron speech recognition technique, capable of running in real time on a state-of-the-art mobile device, has been introduced. Even though a conventional hidden Markov model when applied to the same dataset slightly outperformed our approach, its processing time is much higher. The Dynamic Multi-layer Perceptron presented here has an accuracy level of 96.94% and runs significantly faster than similar techniques

Risk factors for open-angle glaucoma in Nigeria: results from the Nigeria National Blindness and Visual Impairment Survey.

BACKGROUND: The glaucoma-specific blindness prevalence in Nigeria (0.7 %, 95 % CI 0.6-0.9 %) among those aged ≥40 years is one of the highest ever reported. This study determined the risk factors for open-angle glaucoma (OAG) in adults examined in the Nigeria National Blindness and Visual Impairment Survey. METHODS: A nationally representative sample of 13,591 people aged ≥40 years in 305 clusters in Nigeria were examined (response rate 90.4 %) between January 2005 to June 2007. Everyone had logMAR visual acuity measurement, Frequency Doubling Technology (FDT) visual field testing, autorefraction, A-scan biometry and optic disc assessment. Full ocular examination (n = 6397), included Goldmann applanation tonometry. Values for defining glaucoma using International Society of Geographical and Epidemiological Ophthalmology criteria were derived from the study population. Disc images were graded by Moorfields Eye Hospital Reading Centre. Socio-demographic factors (age, gender, ethnicity, literacy and place of residence), ocular parameters (intraocular pressure [IOP], axial length and mean ocular perfusion pressure [MOPP]) and systemic parameters (blood pressure, blood glucose and body mass index [BMI]) were assessed for association with OAG. RESULTS: Thirteen thousand eighty-one (96 %) of 13,591 participants had vertical cup:disc ratio measured in at least one eye. 682 eyes of 462 participants were classified as OAG, with 12,738 controls. In univariate analyses the following were associated with OAG: increasing age, male gender, Igbo and Yoruba ethnic groups, illiteracy, longer axial length, higher IOP, lower MOPP, greater severity of hypertension and low BMI (underweight). In multivariate analysis, increasing age (odds ratio [OR] 1.04, 95 % CI 1.03-1.05), higher IOP (OR 1.22, 95 % CI 1.18-1.25) and Igbo ethnicity (OR 1.73, 95 % CI 1.18-2.56) were independent risk factors for OAG. CONCLUSION: Case detection strategies for OAG should be improved for those aged ≥40 years and for ethnic groups most at risk as a public health intervention

Influence of process variables on the yield and composition of products from the pyrolysis of scrap automotive tyres

EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Patients and glaucoma: what are the challenges?

Mohammed Abdull is the head of the ophthalmology department at Abubakar Tafawa Balewa University Teaching hospital in Bauchi, Bauchi State, Nigeria, and is studying for a PhD at the International Centre for Eye Health, London School of Hygiene and Tropical Medicine. His field research, conducted in Bauchi, is aimed at understanding how people’s awareness of glaucoma relates to the severity of glaucoma they have when they arrive at the hospital as well as their ability to manage the disease. He spoke to Fatima Kyari

Gastrointestinal parasites of dogs (Canis familiaris) in Maiduguri, Borno State, Northeastern Nigeria: Risk factors and zoonotic implications for human health

Aim: This study was designed to investigate the prevalence, associated risk factors, and zoonotic implications of gastrointestinal parasites of dogs in Maiduguri, Borno State, Northeastern Nigeria. Materials and Methods: A total of 200 rectal fecal samples were collected from dogs in Maiduguri for coprological examination using the saturated sodium chloride floatation technique. Detection of eggs or oocyst was done on the basis of keys of identification of parasites based on the morphology and size of eggs or oocyst. Results: The prevalence of gastrointestinal parasites of dogs was 31.5% (63/200) in Maiduguri. The prevalence of the infection was higher in young, male dogs kept outdoor in terms of age, sex, and management; the difference was statistically significant (p<0.05). The parasites detected in Maiduguri include Ancylostoma spp., Toxocara spp., Dipylidium spp., Isospora spp., and Taenia spp., with Ancylostoma spp. (16%) having the highest prevalence rate. Conclusion: Gastrointestinal parasites have high prevalence in Maiduguri and constitute potential risk to human health because all genera of parasites detected in the study area are of public health importance