ABSTRACT
According to World Health Organization, health not only refers to the absence of physical diseases, but also includes psychological and social well-being of individuals.[1] Quality of life (QoL) on the other hand, lacks a single, universally accepted definition.[2] However, QoL may be defined subjectively as "an individual's perception of his/her life in the context of the culture and value system in which they live, and in relation to their goals, expectations, standards and concerns.[3] QoL also has an objective component which can be measured objectively using validated instruments (e.g. questionnaires) in which a score is assigned to specific indices or characteristics in different domains along a scale in a continuum.[4],[5],[6]Visual function is important for optimal orientation in functional and social life and has effects on physical, psychological, mental and emotional well-being of the individual.[7] Visual function therefore is a domain under which QoL may be assessed. This is referred to as vision-specific or vision-related QoL. The National Eye Institute Visual Function Questionnaire (NEI-VFQ) is an example of an instrument designed and validated for the objective assessment of vision-specific QoL.[8]Broman et al.[9] revealed that a visual acuity of at least 6/12 was found to negatively impact on n individual's quality of life. This was also reiterated by Bekibele et al.[10] The Proyecto VER study[9] observed that visual impairment was associated with a decrease in the quality of life among elderly patients, and that the severity of ocular diseases was related to the level of visual impairment. In relation to persons with no visual impairment, persons with bilateral mild and unilateral or bilateral moderate or severe visual impairment report greater difficulties in performing most vision-dependent daily activities, experience vision-related dependency and poorer vision-related mental health.[11]Ee Munn Chia et al.[12] further disclosed that the impact of visual impairment on mental domains was much greater compared to co-existing medical conditions like stroke.Therefore, data is needed on the effect of ocular diseases on vision-related quality of life among the elderly for the purpose of making recommendations for improved eye care with resultant improvement in their quality of life
Subject(s)
Aged , Geriatric Assessment , Nigeria , Quality of Life , Vision ScreeningABSTRACT
Le cancer du col de l'uterus est: l'une des principales causes de mortalite chez les femmes; dans les pays en developpement depourvus de moyens necessaires pour generaliser le depistage cytologique. Aussi; comme la decouverte d'une tumeur du col; a son debut; assure aux femmes de meilleures chances de survie que n'importe quel traitement administre plus tard; differentes etudes sont en cours; tendant a evaluer l'impact du depistage de La maladie au stade ou elle est cliniquement decelable. L'inspection visuelle du col uterin est ainsi en cours de validation dans de nombreux pays en developpement ou elle a ete proposee comme une alternative a la cytologie classique. Nous avons effectue une etude prospective dont l'objectif est d'evaluer les probabilites conditionnelles de l'inspection visuelle du col uterin dans le depistage du cancer du col. Elle a concerne une serie de 312 patientes recrutees en consultation externe au CHU de Yopougon. Nos resultats sont les suivants: *La frequence de detection des lesions precancereuses et cancereuses est de 14;75pour cent. ; *L'age inferieur a 19 ans aux premiers rapports sexuels et le bas niveau d'instruction sont les facteurs de risques individualises dans l'apparition des lesions precancereuses et cancereuses ; La combinaison du test a l'acide acetique et au Lugol est la meilleure de tous les tests etudies en terme de sensibilite (100pour cent) ; -L'absence de colposcopie a grevee la performance du test a l'acide acetique