Progression from ocular hypertension to visual field loss in the English hospital eye service

Background There are more than one million National Health Service visits in England and Wales each year for patients with glaucoma or ocular hypertension (OHT). With the ageing population and an increase in optometric testing, the economic burden of glaucoma-related visits is predicted to increase. We examined the conversion rates of OHT to primary open-angle glaucoma (POAG) in England and assessed factors associated with risk of conversion. Methods Electronic medical records of 45 309 patients from five regionally different glaucoma clinics in England were retrospectively examined. Conversion to POAG from OHT was defined by deterioration in visual field (two consecutive tests classified as stage 1 or worse as per the glaucoma staging system 2). Cox proportional hazards models were used to examine factors (age, sex, treatment status and baseline intraocular pressure (IOP)) associated with conversion. Results The cumulative risk of conversion to POAG was 17.5% (95% CI 15.4% to 19.6%) at 5 years. Older age (HR 1.35 per decade, 95% CI 1.22 to 1.50, p<0.001) was associated with a higher risk of conversion. IOP-lowering therapy (HR 0.45, 95% CI 0.35 to 0.57, p<0.001) was associated with a lower risk of conversion. Predicted 5-year conversion rates for treated and untreated groups were 14.0% and 26.9%, respectively. Conclusion Less than one-fifth of OHT patients managed in glaucoma clinics in the UK converted to POAG over a 5-year period, suggesting many patients may require less intensive follow-up. Our study provides real-world evidence for the efficacy of current management (including IOP-lowering treatment) at reducing risk of conversion

Addressing the Complexity of the Digital Divide and the Role of Government in Addressing It : Role of Government in Bridging the Digital Divide

The digital divide refers to the gap among citizens of a country or across borders due to the lack of ease of access to digital means for some and the difficulty for others. The possession of electronic gadgets, smooth internet connectivity, and other forms of digital communication can have a wide gap in availability among countries. This gap is mostly influenced by factors that are of infrastructural, political, cultural, demographical, generational, and socioeconomic nature. On account of developed and developing countries, the gap is disseminated and thoroughly complex. Although the developed nations around the globe proved to have narrowed digital divide as a major source of development and advancement in respective countries, it is quite challenging for emerging economies to adhere to the same processes for development. For an emerging economy, the prudent cost-benefit analysis carried out by the government can have varying effects on undertaking projects related to minimizing the digital divide. Nevertheless, the importance of narrowing the gap of the digital divide is unparalleled, and governments of emerging economies are realizing the benefits of it and investing their resources accordingly. Furthermore, information technology can be a catalyst in facilitating processes that save a lot of costs, bring holistic quality improvements, and implement effective and efficient government policies that lead to digitalization and sustainable consumption of resources. Consequently, governments are getting actively involved in the digitalization of their respective countries to turn their smart cities into more intelligent ones. Even so, it is important to understand that taking one policy to address all citizens is not realistic. Hence, understanding the foundational knowledge of the citizens, the demand of the population under various sectors, framing well-rounded policies with alternatives, and effectively and efficiently implementing them are extremely crucial.©2023 Emerald Publishing Limited. This manuscript version is made available under the Creative Commons Attribution–NonCommercial 4.0 International (CC BY–NC 4.0) license, https://creativecommons.org/licenses/by-nc/4.0/fi=vertaisarvioitu|en=peerReviewed

Bright soliton trains of trapped Bose-Einstein condensates

We variationally determine the dynamics of bright soliton trains composed of harmonically trapped Bose-Einstein condensates with attractive interatomic interactions. In particular, we obtain the interaction potential between two solitons. We also discuss the formation of soliton trains due to the quantum mechanical phase fluctuations of a one-dimensional condensate.Comment: 4 pages, 2 figures, submitted to PR

Mass transfer efficiency of a tall and low plate free area liquid pulsed sieve-plate extraction column

Acknowledgements The authors would like to acknowledge Chakwal group of industries for funding the project. Ms. Madiha, Ms. Zona, Mr. Sohaib, Mr. Abdullah, Mr. Mudassar, and Mr. Salahuddin also deserve our acknowledgements for their assistance in different ways.Peer reviewedPublisher PD

Knowledge and awareness of pregnant women about ultrasounsd scanning and prenatal diagnosis

Objective: Antenatal screening and ultrasound scan has become an integral part of the antenatal care in the present time. The aim of this study is to accurately describe the background knowledge and awareness of pregnant women about ultrasound scan and prenatal diagnosis.Methods: It is a clinic based cross sectional study. Four hundred women, attending the antenatal clinics, were asked to fill in a pre tested structured questionnaire. Different variables of interest were collected. Statistical Program for the social sciences (SPSS) was used for the data management.Results: Over 93.5% of the women were aware that ultrasound examination is an important investigation. They believed that it should be performed at least twice during pregnancy but were not sure about the timing of the test. Most of them felt that it was to check the growth of the baby and 97% of women considered ultrasound to be safe. However, only 26% of women had any knowledge about Down\u27s syndrome or its screening.Conclusion: Pregnant women in our set-up are aware of importance of ultrasound examination during pregnancy. However, there is a need to improve public awareness of problems like Down\u27s syndrome

Web-Based Interface for Command and Control of Network Sensors

This software allows for the visualization and control of a network of sensors through a Web browser interface. It is currently being deployed for a network of sensors monitoring Mt. Saint Helen s volcano; however, this innovation is generic enough that it can be deployed for any type of sensor Web. From this interface, the user is able to fully control and monitor the sensor Web. This includes, but is not limited to, sending "test" commands to individual sensors in the network, monitoring for real-world events, and reacting to those event

Soliton response to transient trap variations

The response of bright and dark solitons to rapid variations in an expulsive longitudinal trap is investigated. We concentrate on the effect of transient changes in the trap frequency in the form of temporal delta kicks and the hyperbolic cotangent functions. Exact expressions are obtained for the soliton profiles. This is accomplished using the fact that a suitable linear Schrodinger stationary state solution in time can be effectively combined with the solutions of non-linear Schrodinger equation, for obtaining solutions of the Gross-Pitaevskii equation with time dependent scattering length in a harmonic trap. Interestingly, there is rapid pulse amplification in certain scenarios

Mermin-Ho vortex in ferromagnetic spinor Bose-Einstein condensates

The Mermin-Ho and Anderson-Toulouse coreless non-singular vortices are demonstrated to be thermodynamically stable in ferromagnetic spinor Bose-Einstein condensates with the hyperfine state F=1. The phase diagram is established in a plane of the rotation drive vs the total magnetization by comparing the energies for other competing non-axis-symmetric or singular vortices. Their stability is also checked by evaluating collective modes.Comment: 4 pages, 4 figure