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Referral Patterns of Children with Glaucoma and Their Caretakers in Northern Tanzania
Abstract: AIM: To describe the referral patterns of children with primary childhood glaucoma (PCG) or secondary childhood glaucoma (SCG) and their presenting symptoms in Northern Tanzania. METHODS: A retrospective observational study of children 17y with PCG or SCG who were referred to Kilimanjaro Christian Medical Centre (KCMC) Eye Department between 2000 and 2013 was conducted. Presenting symptoms, age at presentation, place of origin, distance to hospital, type of glaucoma, visual acuity, optic disc appearance (vertical cup-to-disc ratio) and type of referral were described.brRESULTS: brSeventy patients with PCG and 27 patients with SCG were included in the study. Median age at first pres...
Severity of Visual Field Loss at First Presentation to Glaucoma Clinics in England and Tanzania
Abstract: Purpose: To compare severity of visual field (VF) loss at first presentation in glaucoma clinics in England and Tanzania. Methods: Large archives of VF records from automated perimetry were used to retrospectively examine vision loss at first presentation in glaucoma clinics in Tanzania (N = 1,502) and England (N = 9,264). Mean deviation (MD) of the worse eye at the first hospital visit was used as an estimate of detectable VF loss severity. Results: In Tanzania, 44.7% {CI95%: 42.2, 47.2} of patients presented with severe VF loss ( −20 dB), versus 4.6% {4.1, 5.0} in England. If we consider late presentation to also include cases of advanced loss (-12.01 dB to -20 dB), then the proportion of patients presenting late was 58.1% {55.6, 60.6} and 14.0% {13.3, 14.7}, respectively. The proportion of late presentations was greater in Tanzania at all ages, but the difference was particularly pronounced among working-age adults, with 50.3% {46.9, 53.7} of 18-65-year-olds presenting with advanced or severe VF loss, versus 10.2% {9.3, 11.3} in England. In both countries, men were more likely to present late than women.br
XEN®-63 Compared to XEN®-45 Gel Stents to Reduce Intraocular Pressure in Glaucoma
Abstract: The XEN® gel stent reduces intraocular pressure (IOP) in glaucoma. XEN®-45 is widely used; the newer XEN®-63 has a larger lumen targeting potentially lower IOP outcomes. We retrospectively compared the first 15 XEN®-63 cases to 15 matched XEN®-45 controls. With a preoperative IOP of 18.1 ± 3.9 mmHg (mean ± SD) and a final IOP of 9.1 ± 2.0 mmHg, XEN®-63 implantation resulted in an IOP reduction of 44.6 ± 16.5%. Similarly, with a preoperative IOP of 18.3 ± 4.5 mmHg and a final IOP of 10.3 ± 2.1 mmHg, XEN®-45 implantation resulted in an IOP reduction of 40.1 ± 17.2%. The median follow-up period was 204 days (range 78-338 days) for the XEN®-63 group and 386 days (range 9...
Clinical Nursing Skills
Clinical Nursing Skills is designed to equip nursing students with the practical knowledge and hands-on skills necessary to provide comprehensive patient care. The material emphasizes the application of clinical judgment in a variety of settings, ensuring that students are prepared to deliver high-quality care across different patient populations and clinical scenarios. The content utilizes concepts promoting the development of clinical judgment by building upon the systematic model developed by the National Council of State Boards of Nursing (NCSBN). Clinical Nursing Skills provides detailed instructions on basic procedures such as hygiene, mobility, vital signs assessment, medication admin...
Clinical Insights and Examination Techniques in Ophthalmology
This book elucidates the principles of sound clinical examination in ophthalmology. Based on the author’s extensive teaching experience, it makes the case for arriving at a diagnosis through detailed clinical examinations, including history taking, knowledge of clinical epidemiology, and using only the most relevant clinical tests. Starting with basic chapters on relevant statistics and clinical epidemiology, the book covers history-taking, visual function assessment, slit lamp examination, and examinations of each important field (e.g. the lids, orbit, cornea, iris and pupil, glaucoma patients, sclera, lens, posterior segment, pediatric patient and neuro-ophthalmology) in separate chapter...
A Reckoning
A critical examination of the newly independent Philippine government's efforts to mete out justice for Japanese war crimes against the civilian population. It offers an authoritative analysis of the trial proceedings and a thoughtful assessment of the postwar implications for both the Philippines and Japan as they grappled with competing perceptions of fairness in the proceedings.
Philippines
Philippines is Hélène Cixous's reverie or 'true dreaming' which intertwines Freud's uneasy views on telepathy, autobiographical memories conflating Algeria and Paris, childhood and adult life, shared with her brother 'Pete', and literary evocations from Proust and George du Maurier's forgotten novel Peter Ibbetson. Amid telepathic conversations, real or imagined, and life events uncannily answering one another from a distance, Cixous's dense evocative journey ceaselessly 'returns to its starting point' and, like the twin almonds in one shell evoked by the title, reveals intimate, secret bonds between scenes and beings, real and fictional. Its interpretive sharpness delivered with stylistic elegance and candour will make this study typical of Cixous's art, which plies between literature and criticism, appealing not only to scholars and critics interested in psychoanalysis, autobiography and the act of reading, but also to a broader readership captivated by the hallucinatory coincidences between life, dream and fiction, when 'Reality is the dream. The dream is the true reality'.
Child of the Sun
Historian Lonn Taylor built a career as a curator in history museums, including the Smithsonian Institution. In retirement he wrote weekly columns on the people and places of Texas, signed the “Rambling Boy,” that were distributed widely in print and on the radio. This book stands out from his numerous other books on historical and literary topics: it’s the only one he wrote about himself and the last book he wrote before he died in June 2019. It describes how his experience of growing up in the Philippines from 1947 to 1955 shaped his entire life by teaching him the destructive power of war. In the Philippines, his father was employed as a civil engineer building and rebuilding roads ...
Philippine Sanctuary
During World War II, the United States government and many Western democracies limited or closed themselves off entirely to Jewish refugees. By contrast, a Pacific island nation decided to keep its doors open. Between 1938 and 1941, the Philippine Commonwealth provided safe asylum to more than 1,300 German Jews. In highlighting the efforts by Philippine president Manual Quezon and High Commissioner Paul V. McNutt, Bonnie M. Harris offers fuller implications for our understanding of the Roosevelt administration's response to the Holocaust. This untold history is brought to life by focusing on the incredible journey of synagogue cantor Joseph Cysner. Drawing from oral histories, memoirs, and personal papers, Harris documents Cysner's harrowing escape from the Nazis and his heroic rescue by the American-led Jewish community of the Philippines in 1939. Moving and rich in historical detail, Philippine Sanctuary reveals new insights for an overlooked period in our recent history, and emphasizes the continued importance of humanitarian efforts to aid those being persecuted.
