Résumé
Background: One of the most widely performed surgical procedures nowadays is cataract surgery combined with monofocal intraocular lens implantation (IOL). Monofocal IOLs can compensate for the spherical refractive error but not astigmatism. Thus, patients with astigmatism are unable to see well after surgery without spectacles. A new generation of IOLs called toric IOLs, improve uncorrected visual acuity in eyes with high astigmatism due to a specific lens design. This study aimed to present a practical method of toric intraocular lens (IOL) implantation based on a refractive power analyzer system and slit-lamp observation.Material & Methods:This prospective study comprised 30 patients who underwent toric IOL implantation with cataract extraction at the Department of Ophthalmology, National Institute of Ophthalmology, Dhaka, Bangladesh. This study was conducted from Jan 2021 to Dec 2021. Approval from the local ethical committee was obtained.Results:The study included 45 eyes of 30 patients. The sex distribution of the study patients where the male was 18(60%) and the female was 12(40%). In the age distribution of the study, 5(16.67%) patients were from the 60-69 range, 10(33.33%) patients were from the 70-79 range, and 15(50.00%) patients were from the 80-89 range. The patients’ demographic variables consequently. Changes in visual acuity and refraction are shown in table-4 thorough preoperative and postoperative. Postoperative IOL alignment methods are shown in table-5, the mean±SD of the slit-lamp target was 2.55±2.76 and in the range, of 0.0 to 12.0, the mean±SD of the corneal analyzer target was 2.55±1.98 and range was 0.0 to 11.0, and the mean±SD of the slit-lamp corneal analyzer was 3.27±2.98 and range was 0.0 to 16.0.Conclusions:We studied 2 methods of assessing toric IOL alignment postoperatively and found no significant difference between them. Both were reliable and predictable. In addition, we found that the simple preoperative marking technique we used yielded toric IOL alignment that was as accurate as that obtained with other commonly used techniques and that was within a clinically acceptable level.
Résumé
Background: Diabetes management requires a fundamentalchange in the lifestyle of a patient and quality of life is one ofthe core consequences. This analysis attempted to determinethe Diabetes Quality of Life (DQoL) score; a measurementdeveloped for WHOs Diabetes Control and Complications Trial(DCCT) and analyzed the factors related to it in diabetes.Objectives: The main objective of the study is to assess theimpact of physiological, biological, medical and co-morbiditymeasures on the quality of life of patients with diabetes.Methods: This was a cross sectional method conducted inBirdem, Hospital, and the study duration was from October2018 to September 2019. The research site was at BIRDEM,where the study population was available. A total of 750sample of patients were chosen for the study using a statisticalmethod. Patients with diabetes diagnosed for at least 1 yearperiod were considered for the research. Severely ill patientswith numerous co-morbid conditions have been removed.Results: In this sample, 51% of patients were female and 49%were male. About 96% patients had type 2 diabetes, 65% hadcompleted their graduation and 70% were from lower middle tomiddle class families. Approximately 76.9% of patients wereeither overweight or obese, 52% had mobility problems, 27%had self-care issues, 49.2% had normal activities, 74.4% hadpain and 76.3% had depression problems. Results showedthat age, gender, lower - middle income, and HbA1c weresignificantly (p<0.05) associated with mobility. Self-care wassignificantly linked (p<0.05) to age, family history and period ofdiabetes mellitus (DM).Conclusions: Most patients had problems with pain /discomfort and anxiety / depression; half had problems withmobility and usual activities; and three in ten had problems withself-care. Age, gender, employment, education, family historyand length of DM and prescription care are important factorsassociated with diabetes quality of life in diabetes.
Résumé
Purpose: The aim of the present study was to estimate the prevalence of household food insecurity and to determine the dietary and non-dietary factors associated with household food insecurity among pregnant women of mid-west Bangladesh. Methodology: The study was conducted in four sub-districts of Rajshahi district: Rajshahi Sadar, Godagari, Tanor and Shardah. It was a cross-sectional study which randomly enrolled 150 pregnant women. Household food insecurity among the respondents was calculated with the Household Food Insecurity Access Scale (HFIAS). Results: The mean age of the pregnant women was 29±3 years. About 76% of respondents were food secure, 23% of respondents were mildly food insecure, and only 1% of respondents were moderately food insecure. Severe food insecurity was not observed among the respondents in Rajshahi. About 17% of respondents were anxious and uncertain about their household food supply, about 23% of respondents said that they had to eat foods of insufficient quality and only 1% of respondents replied that they had eaten an insufficient amount of food during the month prior to the study. It was observed that the mean Dietary Diversity Score (DDS) and mean Food Consumption Score (FCS) significantly differed (P < .05) between food secure and food insecure respondents. Meat, fish and poultry consumption were found higher among the food secure respondents but vegetable consumption was higher among the food insecure group. Some socio-economic factors such as household size, respondents’ educational status, husbands’ educational status, husbands’ occupation and monthly household income were significantly associated (P < .05) with household food insecurity of the respondents.