11,338 research outputs found

    Interaction of pediatrician, oncologist and therapist in the complex therapy of children’s patients

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    The interaction of pediatricians with pediatric oncologists is important for the optimization and treatment of children suffering from oncological diseases. Modern practice strives for a combined approach that includes the interaction of specialists from different fields of medicine in order to improve the quality of medical services provided. The purpose of the article is to provide pediatricians with updated information about the state of pediatric cancer care. In this paper, the following aspects are highlighted, which are aimed at optimizing and applying innovations in the treatment of oncological diseases in children, in particular: reducing the toxicity of drugs in treatment, studying cancer biology, considering new treatment methods, monitoring the disease, since these areas are key topics of general pediatric medicine. The review of immunotherapy and combined approaches in the treatment of oncological diseases of children was carried out. Attention is paid to precision oncology aimed at identifying drugs that will work with specific mutations in the field of tumor destruction. Issues related to the interaction of a pediatrician, oncologist and ENT in combination therapy are also considered

    Depression and anxiety in social media: Jordan case study

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    The expression "social media" refers to a software-based platform developed for users’ benefit. People use it to gain social power, market their products, conduct online business, and share information and ideas. This digital ecosystem has become helpful in various ways, but research indicates that it does not come for free. Addiction, depression, and anxiety are some of the adverse conditions discussed in many studies. The purpose of this study is to mark if there is a relationship between using social media networks and the numbering of people with anxiety or depression. Also, by addressing the need to learn more about what makes people use social networks and how that use affects anxiety and depression in Arabic-speaking users in Jordan, we can help people from different cultures understand each other better. This research uses TAM, telepresence, and survey data from 1050 people, mainly from Jordan. The research looks at how the usage of social media is related to supposed usefulness, supposed ease of use, trust, social influence, age, gender, level of education, marital status, the time spent on the internet, preferred social media network, and perceived usefulness of SNS. AMOS 20 methods of confirmatory factor analysis (CFA), structural equation modeling (SEM), and machine learning (ML), such as SMO, ANN, random forest, and the bagging reduced error pruning tree (RepTree), were used to test the proposed model hypotheses. According to the results, the researchers found high correlations between social network usage and depression and anxiety. The use of social networking sites is also affected by how useful they are seen to be, how easy they are to use, trust, social influence, and telepresence. Also, the moderator's age, gender, level of education, marital status, amount of time spent on the internet, experience with the internet, and favorite social networks all affect how they plan to use social networks

    Prevalence of Glaucoma Following Paediatric Cataract Surgery in an Australian Tertiary Referral Centre

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    Alanna Wood,1,2 Benjamin Lim,2 Jim Matthews,3 Tanya Karaconji,1,2 Sophia L Zagora,1,2 Robyn V Jamieson,1,2,4,5 John R Grigg,1,2,4 Michael Jones,2,* Neil Rowe,2,* Stephen Hing,2,* Craig Donaldson,2,* James EH Smith2,* 1Save Sight Institute, Discipline of Clinical Ophthalmology and Eye Health, Faculty of Medicine and Health, Sydney, NSW, Australia; 2Department of Ophthalmology, The Children’s Hospital at Westmead, Sydney, Australia; 3Sydney Informatics Hub, The University of Sydney, Sydney, NSW, Australia; 4Eye Genetics Research, The Children’s Hospital at Westmead, Save Sight Institute, Children’s Medical Research Institute, University of Sydney, Sydney, NSW, Australia; 5Disciplines of Genetic Medicine, and Child and Adolescent, Health, Sydney Medical School, University of Sydney, Sydney, NSW, Australia*These authors contributed equally to this workCorrespondence: Alanna Wood, Tel +61 404 072 401, Email [email protected]; [email protected]: Secondary glaucoma following childhood cataract surgery remains the most common complication in the paediatric population. This study aimed to determine the incidence, time to progression and risk factors associated with the development of secondary glaucoma following childhood cataract surgery in a paediatric population. Outcome measures were the detection of secondary glaucoma, postoperative time frame to development of glaucoma and risk factors in its development.Patients and Methods: A retrospective case series was conducted between 2003 and 2017 at a tertiary children’s hospital in Sydney. The patient population included those 16 years or less of age who underwent congenital cataract extraction, with or without an intraocular lens implantation and who had been followed up for a minimum of six months following surgery. Patients were excluded if they had cataract aetiology other than congenital idiopathic cataract. Multivariate Cox Regression analysis was used to determine relevant risk factors.Results: A total of 320 eyes in 216 patients were included in the study. Secondary glaucoma developed in 11.9% of eyes. In those that developed secondary glaucoma, the average time to onset from surgery was 3.2 years (median 2.75 years). The mean age of diagnosis of secondary glaucoma was 4.58 years (median 3.5 years, range 2.5 months to 13.23 years). Microcornea was the only adverse characteristic significantly associated with an increased risk of secondary glaucoma (HR 6.30, p 0.003).Conclusion: Despite modern surgical techniques, glaucoma remains a significant long-term sequela in children following cataract surgery.Keywords: secondary glaucoma, paediatric, childhood cataract surgery, glaucoma following cataract surger

    Retinopathy of prematurity publications: A bibliometric analysis

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    Objective: In this study, we aimed to evaluate the cytometric features of the retinopathy of prematurity (ROP) in literature in the period of 1979-2019. Materials and methods: This study utilized data from Thomson Reuters' Web of Science (WoS) database from 1979 to 2019, focusing on 'Retinopathy of Prematurity.' The research incorporated the VOS viewer tool for arranging bibliometric networks and figures. The data were divided and analyzed based on variables like time, country, authors, research institutes, and document types. Info maps and bibliometric infographics were created with Microsoft Excel and VOS-Viewer tools. Moreover, population data, GDP per capita, health expenditure, and ICU bed data were sourced from the World Bank and OECD Health Statistics. Results: A total of 4080 publications in the period of 1979-2019 were scanned. Of all the evaluated publications, 2217 (54.33%) were original articles, 989 (24.24%) were meeting abstracts and 375 (9.19%) were letters, while the others were of the proceeding paper, editorial material, review, correction, book chapter types, respectively. The most widely used language was English with 3977 (97.47%) publications, while German was ranked second, followed by French, Spanish, Portuguese, Italian, and Turkish. A total of 83 countries made 4080 publications on ROP. The United States was the country with the most publications - 1820 (44.6%), followed by the UK - 262 (6.42%), India -242 (5.93%), Turkey - 178 (4.36%), Canada -167 (4.09%), Germany -154 (3.77%), China-153 (3.75%), respectively. Conclusions: ROP is a significant global health issue with socio-economic implications. Despite higher citation rates in developed countries, efforts should be aimed at reducing healthcare and publication disparities. Screening programs and health policies are crucial, particularly in developing countries

    СТАН ТА ПЕРСПЕКТИВИ УДОСКОНАЛЕННЯ (огляд літератури)

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    The aim: to conduct an analysis and generalization of scientific publications regarding the current state and prospects for further development of the ophthalmological care system in Ukraine. Materials and methods. An analysis and generalization of scientific research and publications regarding the current state and prospects for further development of the ophthalmological care system in Ukraine has been carried out. Methods were used: systematic approach, bibliosemantic, analytical. Results and discussion. According to medical statistics, the most common eye pathology is inflammatory eye diseases, which in 80% of cases lead to temporary disability. Age-related macular degeneration occupies the leading position in the world ranking of causes of blindness. On average, the incidence is about 15 people per 1,000 population, increasing significantly with age, for example, in the age group from 52 to 64 years it is 1.6%, from 65 to 74 years - 15%, from 75 to 84 years - 25% , and among people over 85 years old – 30%. The strategic areas of WHO activity are embodied in the national health care policy of Ukraine. When developing programs to preserve and improve the health of the population of disabled age at the state and regional levels, attention should be paid to measures against the most common age-related pathology. In addition, issues of ensuring the availability of high-quality ophthalmic care remain unresolved; the activity of the ophthalmology service in conditions of deficit of budget funding of the health care system; reduction of the cost of ophthalmic care against the background of maintaining its high quality; modernization of the system for managing the efficiency and quality of ophthalmic care, etc. Conclusions. The analysis of the domestic and foreign experience in the theory and practice of quality assurance and management in health care, its types, approaches and methods showed that one of the priority directions of the development of the domestic health care system at present is the creation and development of the management system of health care , in particular in the system of ophthalmological care for the population.Мета: провести аналіз і узагальнення наукових публікацій щодо сучасного стану та перспектив подальшого розвитку системи офтальмологічної допомоги в Україні. Матеріали і методи. Проведено аналіз та узагальнення наукових досліджень і публікацій щодо сучасного стану та перспектив подальшого розвитку системи офтальмологічної допомоги в Україні. Використовувались методи: системний підхід, бібліосемантичний, аналітичний. Результати та обговорення. Згідно з медичною статистикою, найпоширеніша очна патологія – це запальні захворювання очей, які в 80% випадків призводять до тимчасової втрати працездатності. Лідируючі позиції в світовому рейтингу причин сліпоти посідає вікова макулярна дегенерація. В середньому захворюваність становить близько 15 осіб на 1000 населення, значно збільшуючись з віком, так, у віковій групі від 52 до 64 років вона становить 1,6%, від 65 до 74 років – 15%, від 75 до 84 років – 25%, а серед осіб старше 85 років – 30%. Стратегічні напрями діяльності ВООЗ знаходять своє втілення в національній політиці охорони здоров’я України. При розробці програм збереження та поліпшення здоров'я населення непрацездатного віку на державному та регіональному рівнях слід приділяти увагу заходам проти найбільш поширеної вікозалежної патології. Окрім того, залишаються невирішеними питання забезпечення доступності високоякісної офтальмологічної допомоги; діяльності офтальмологічної служби в умовах дефіциту бюджетного фінансування системи охорони здоров’я; зниження собівартості офтальмологічної допомоги на фоні збереження її високої якості; модернізації системи управління ефективністю і якістю офтальмологічної допомоги тощо. Висновки. Проведений аналіз вітчизняного та зарубіжного досвіду з теорії і практики забезпечення і управління якістю в охороні здоров'я, її видам, підходам і методам показав, що одним із пріоритетних напрямків розвитку вітчизняної системи охорони здоров'я в даний час є створення і розвиток системи управління ЯМД ,зокрема в системі офтальмологічної допомоги населенню

    Delay in presentation of childhood cataract cases for surgery and its determinants in a tertiary care hospital of Kolkata during the Covid-19 pandemic period: a cross-sectional study

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    Background: In India the already existing problem of late detection and late presentation of childhood cataract got further worsened during Covid lock down period due to disruption of regular services delivery, lack of transport and fear of getting Covid infection leading to a massive reduction in hospital attendance. This study was done to find out the delay in presentation of pediatric cataract cases along with its determinants during the covid-19 pandemic and lockdown. Methodology: A descriptive, observational study was conducted among 96 paediatric cataract patients attending ophthalmology OPD of IPGMER during April 2020 to March 2021. Patients were subjected to ophthalmological examination to find out the laterality and type of cataract. Principal care givers of the patients were interviewed to study the socio-demographic, Covid related and clinical variables. Result: Mean age of study population was 4.18±2.99 completed years. 90% of patients residing in rural areas reported with delay to the hospital which was statistically significant (p<0.05). Developmental and unilateral cataract cases had a significantly higher proportion of delayed presentation (p<0.05). Urban residence, bilateral cataract cases and patients with Covid-19 negative status of family members had significantly (p<0.05) lower odds of delayed presentation. Conclusion: Covid-19 lock down led to a reduction in hospital attendance due to non-availability of transport, Covid-19 positive family member, or loss of daily wages

    Healthy and connected member newsletter

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    The South Carolina Department of Health and Human Services regularly publishes this e-newsletter that focuses on covered benefits and includes tips and tools to help you and your loved ones live healthier lives. Each edition highlights new topics to help you stay healthy and make sure you are connected to resources

    Innovation and Entrepreneurship to Address the UN Sustainable Development Goals

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    The UN Sustainable Development Goals (UN SDGs) were developed in 2015 to address many global development challenges. Some of these goals include bringing affordable and clean energy to all (UN SDG7), provide clean water and sanitation for all (UN SDG6), providing quality education from early childhood to adults (UN SDG4), and decent work and economic growth (UN SDG 8). Technology has been advancing and can be deployed to address these challenges through entrepreneurial ways. In this chapter we will describe how technology-enabled innovative and entrepreneurial solutions are being brought to address these goals. The specific research questions to be addressed are: What types of Innovation and Entrepreneurship models are most effective in addressing the UN Sustainable Development Goals? This book chapter reviews different innovations in technologies and business models in the energy sector, particularly off-grid renewable energy, health care, water and sanitation, agriculture, and education sectors. The common themes of innovations in business models and technologies will be drawn from these case study reviews to guide researchers in developing new entrepreneurial approaches to addressing the UN SDGs
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