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1.
J Biomol Struct Dyn ; : 1-13, 2024 Mar 31.
Article in English | MEDLINE | ID: mdl-38555730

ABSTRACT

Aminopeptidase P (APPro) is a crucial metalloaminopeptidase involved in amino acid cleavage from peptide N-termini, playing essential roles as versatile biocatalysts with applications ranging from pharmaceuticals to industrial processes. Despite acknowledging its potential for catalysis in lower temperatures, detailed molecular basis and biotechnological implications in cold environments are yet to be explored. Therefore, this research aims to investigate the molecular mechanisms underlying the cold-adapted characteristics of APPro from Pseudomonas sp. strain AMS3 (AMS3-APPro) through a detailed analysis of its structure and dynamics. In this study, structure analysis and molecular dynamics (MD) simulation of a predicted model of AMS3-APPro has been performed at different temperatures to assess structural flexibility and thermostability across a temperature range of 0-60 °C over 100 ns. The MD simulation results revealed that the structure were able to remain stable at low temperatures. Increased temperatures present a potential threat to the overall stability of AMS3-APPro by disrupting the intricate hydrogen bond networks crucial for maintaining structural integrity, thereby increasing the likelihood of protein unfolding. While the metal binding site at the catalytic core exhibits resilience at higher temperatures, highlighting its local structural integrity, the overall enzyme structure undergoes fluctuations and potential denaturation. This extensive structural instability surpasses the localized stability observed at the metal binding site. Consequently, these assessments offer in-depth understanding of the cold-adapted characteristics of AMS3-APPro, highlighting its capability to uphold its native conformation and stability in low-temperature environments. In summary, this research provides valuable insights into the cold-adapted features of AMS3-APPro, suggesting its efficient operation in low thermal conditions, particularly relevant for potential biotechnological applications in cold environments.Communicated by Ramaswamy H. Sarma.

3.
Malays J Med Sci ; 30(6): 147-155, 2023 Dec.
Article in English | MEDLINE | ID: mdl-38239245

ABSTRACT

Background: Certified training must be provided for lay vision screeners prior to their conduct of a vision screening programme. However, the effectiveness of trained lay screeners does deteriorate over time. This study aims to evaluate the effectiveness of a recertification vision screening training module using the KieVision™ Preschool Vision Screening Kit for preschool teachers in Malaysia. Methods: This was a randomised control trial. Fifty-nine preschool teachers previously enrolled in a Knowledge Transfer Programme were divided into a Study Group (n = 31) to receive recertification training and a Control Group (n = 28) to attend briefing sessions. Subjects was then asked to perform vision screening on 15 preschool children aged 4 years old-6 years old at their respective premises, then verified by optometrists after 2 weeks from the initial screening on the same children. Results: A total of 894 children were screened, with the Study Group and Control Group screened 49.7% and 50.3%, respectively. There was higher validity in vision screening findings from the Study Group (sensitivity = 66.7%, positive predictive value (PPV) = 61.5%) compared to the Control Group (sensitivity = 36.0 %, PPV = 40.9%). Conclusion: Teachers who received recertification training were more competent in detecting children's vision impairment using KieVision™ Preschool Vision Screening Kit. Thus, timely recertification training should be emphasised to ensure sustainable consistency and reliability of vision screening programmes conducted by lay vision screeners.

4.
Materials (Basel) ; 15(24)2022 Dec 15.
Article in English | MEDLINE | ID: mdl-36556760

ABSTRACT

Thermoplastic starch is a material that has the potential to be environmentally friendly and biodegradable. However, it has certain drawbacks concerning its mechanical performance and is sensitive to the presence of moisture. The current study assessed agar-containing thermoplastic sago starch (TPSS) properties at various loadings. Variable proportions of agar (5%, 10%, and 15% wt%) were used to produce TPSS by the hot-pressing method. Then, the samples were subjected to characterisation using scanning electron microscopy (SEM), mechanical analysis, differential scanning calorimetry (DSC), thermogravimetric analysis (TGA), Fourier transform infrared spectroscopy (FT-IR), and moisture absorption tests. The results demonstrated that adding agar to starch-based thermoplastic blends significantly improved their tensile, flexural, and impact properties. The samples' morphology showed that the fracture had become more erratic and uneven after adding agar. FT-IR revealed that intermolecular hydrogen bonds formed between TPSS and agar. Moreover, with an increase in agar content, TPSS's thermal stability was also increased. However, the moisture absorption values among the samples increased slightly as the amount of agar increased. Overall, the proposed TPSS/agar blend has the potential to be employed as biodegradable material due to its improved mechanical characteristics.

5.
Materials (Basel) ; 15(22)2022 Nov 15.
Article in English | MEDLINE | ID: mdl-36431566

ABSTRACT

The thermal and rheological properties of bio-composite filament materials are crucial characteristics in the development of a bio-composite Fused Deposition Modeling (FDM) filament since the printing mechanism of FDM strongly depends on the heating and extrusion process. The effect of chemical treatment on the thermal and rheological properties was investigated to develop composite filaments for FDM using natural fibres such as sugar palm fibre (SPF). SPF underwent alkaline and silane treatment processes before being reinforced with PLA for improving adhesion and removing impurities. Thermogravimetric Analysis (TGA), Differential Scanning Calorimetric (DSC), and Melt Flow Index (MFI) analyses were conducted to identify the differences in thermal properties. Meanwhile, a rheological test was conducted to investigate the shear stress and its viscosity. The TGA test shows that the SPF/PLA composite treated with NaOH and silane showed good thermal stability at 789.5 °C with 0.4% final residue. The DSC results indicate that the melting temperature of all samples is slightly the same at 155 °C (in the range of 1 °C), showing that the treatment does not interfere with the melting temperature of the SPF/PLA composite. Thus, the untreated SPF/PLA composite showed the highest degradation temperature, which was 383.2 °C. The SPF/PLA composite treated with NaOH and silane demonstrated the highest melt flow index of 17.6 g/min. In conclusion, these findings offer a reference point for determining the filament extrusion and printability of SPF/PLA composite filaments.

6.
Polymers (Basel) ; 14(20)2022 Oct 21.
Article in English | MEDLINE | ID: mdl-36298039

ABSTRACT

Chemical sensors are a rapidly developing technology that has received much attention in diverse industries such as military, medicine, environmental surveillance, automotive power and mobility, food manufacturing, infrastructure construction, product packaging and many more. The mass production of low-cost devices and components for use as chemical sensors is a major driving force for improvements in each of these industries. Recently, studies have found that using renewable and eco-friendly materials would be advantageous for both manufacturers and consumers. Thus, nanotechnology has led to the investigation of nanocellulose, an emerging and desirable bio-material for use as a chemical sensor. The inherent properties of nanocellulose, its high tensile strength, large specific surface area and good porous structure have many advantages in its use as a composite material for chemical sensors, intended to decrease response time by minimizing barriers to mass transport between an analyte and the immobilized indicator in the sensor. Besides which, the piezoelectric effect from aligned fibers in nanocellulose composites is beneficial for application in chemical sensors. Therefore, this review presents a discussion on recent progress and achievements made in the area of nanocellulose composites for chemical sensing applications. Important aspects regarding the preparation of nanocellulose composites using different functionalization with other compounds are also critically discussed in this review.

7.
Malays Fam Physician ; 17(1): 29-35, 2022 Mar 28.
Article in English | MEDLINE | ID: mdl-35440969

ABSTRACT

Purpose: This study aimed to determine the prevalence and status of refractive error among Chinese primary school children in a rural area in Pahang. Methods: This investigation entailed a cross-sectional retrospective study design involving case file analyses. The study site was a Chinese medium primary school in a rural locality within Bentong district. A total of 82 school children met the B40 classification and selection criteria; therefore, universal sampling was done. Analyses were done according to age group: Level 1 included ages 7 to 9 years, while Level 2 comprised 10- to 12-year-olds. Results: The mean age of the 82 Chinese school children was 9.72±1.5 years; the percentage of refractive errors found was 80.48%. A total of 53 (64.63%) children had myopia. Two-way ANOVA showed a significant difference (P=0.038) in the refractive error between age groups Level 1 and 2, but no significant difference (P=0.947) was observed in refractive error between genders. The chi-square test and Fishers exact test showed no significant association between the type of refractive error with gender (P>0.05) and age group (P=0.319). Conclusion: Myopia was the most common type of refractive error among Chinese school children in a rural area in Pahang. Refractive error severity was influenced by age group but not by gender. Types of refractive error were not associated with age group and gender. Hence, it is recommended that Chinese school children in rural areas seek an annual vision screening or eye test.

8.
BMJ Open ; 12(1): e048965, 2022 Jan 31.
Article in English | MEDLINE | ID: mdl-35105614

ABSTRACT

OBJECTIVE: The aim of this study is to determine the characteristics of eye injuries, medical costs and return-to-work status among industrial workers to provide better vision rehabilitative services. SETTING: Nationwide data from the Social Security Organisation (SOCSO) of Malaysia. PARTICIPANTS: A stratified random sample of workers registered with the SOCSO of Malaysia with documentation of eye injury. PRIMARY AND SECONDARY OUTCOME MEASURES: Characteristics of eye injuries and medical costs related to eye injury (primary) and return-to-work status (secondary). RESULTS: A total of 884 from 8861 case files workplace accidents involving eye injury registered with Social Security Services (SOCSO) were identified. The mean age was 35±10 years and the highest incidence of work-related eye injury occurred in the age group 30-39 years and among Malay ethnics. Males are affected more than females' workers. The highest cause of eye injury was the impact from a moving object excluding falling objects (89.2%) and anterior segment injuries occurred more than posterior segment injuries. The total direct and Indirect medical cost was RM1 108 098.00 (US$316 599.40) and RM4 150 140.00 (US$1 185 754.20) for 884 cases. CONCLUSION: The majority of workers suffered from the low level of eye injury. A significant relationship was found between the severity of eye injury and employee work status. The indirect cost of medical and vision rehabilitation was higher than the direct cost. Awareness and vision rehabilitation programmes at the workplace need to be addressed for better prevention and rehabilitative service.


Subject(s)
Eye Injuries , Return to Work , Accidents, Occupational , Adult , Eye Injuries/epidemiology , Eye Injuries/etiology , Female , Humans , Male , Middle Aged , Retrospective Studies , Workplace
9.
Article in English | MEDLINE | ID: mdl-37641697

ABSTRACT

Background: Clear vision is crucial for effective learning among preschool children. Hence, early detection of vision impairment and prompt treatment are required to improve prognosis. Currently, limited information is available, and no program exists to screen for vision impairment among preschoolers in Bangladesh. This study aimed to validate the KieVision™ Preschool Vision Screening Kit, translated into the Bengali language, to improve vision impairment detection among preschool children. Methods: In this prospective case-control study, 60 preschool teachers from Chittagong were randomly selected. The study group was trained to conduct vision screening among preschool children using the translated kit, whereas the control group was trained using the Chittagong Eye Infirmary and Training Complex (CEITC) School Teachers' Training Module. Fifteen preschool children aged 4-6 years were screened by each preschool teacher and again by the optometrist. Results: Sixty preschool teachers screened 900 children. The results showed a higher validity of vision screening findings by the preschool teachers in the study group (sensitivity, 68.00%; specificity, 92.75%) than in the control group (sensitivity 47.37%, specificity 70.39%). The level of agreement between the preschool teachers and optometrists was high for all tests (first-order agreement coefficient [AC1] ≥ 0.80 in the study group). The sensitivity and specificity of the visual acuity test for the study group were 59.65% and 94.15%, respectively, while in the control group it was 13.33% and 62.54%, respectively. A similar trend was noted in the general observation component and Hirschberg's test. Conclusions: The Bengali Language KieVision™ Preschool Vision Screening Kit can be used effectively by preschool teachers in vision screening programs to improve the identification of vision impairment among preschool children in Bangladesh.

10.
Polymers (Basel) ; 13(19)2021 Sep 24.
Article in English | MEDLINE | ID: mdl-34641067

ABSTRACT

The wide availability and diversity of dangerous microbes poses a considerable problem for health professionals and in the development of new healthcare products. Numerous studies have been conducted to develop membrane filters that have antibacterial properties to solve this problem. Without proper protective filter equipment, healthcare providers, essential workers, and the general public are exposed to the risk of infection. A combination of nanotechnology and biosorption is expected to offer a new and greener approach to improve the usefulness of polysaccharides as an advanced membrane filtration material. Nanocellulose is among the emerging materials of this century and several studies have proven its use in filtering microbes. Its high specific surface area enables the adsorption of various microbial species, and its innate porosity can separate various molecules and retain microbial objects. Besides this, the presence of an abundant OH groups in nanocellulose grants its unique surface modification, which can increase its filtration efficiency through the formation of affinity interactions toward microbes. In this review, an update of the most relevant uses of nanocellulose as a new class of membrane filters against microbes is outlined. Key advancements in surface modifications of nanocellulose to enhance its rejection mechanism are also critically discussed. To the best of our knowledge, this is the first review focusing on the development of nanocellulose as a membrane filter against microbes.

11.
Polymers (Basel) ; 13(16)2021 Aug 15.
Article in English | MEDLINE | ID: mdl-34451266

ABSTRACT

Conducting polymers have been widely used in electrochemical sensors as receptors of the sensing signal's analytes and transducers. Polypyrrole (PPy) conducting polymers are highlighted due to their good electrical conductive properties, ease in preparation, and flexibility of surface characteristics. The objective of this review paper is to discuss the theoretical background of the two main types of electrochemical detection: impedimetric and voltammetric analysis. It also reviews the application and results obtained from these two electrochemical detections when utilizing PPy as a based sensing material in electrochemical sensor. Finally, related aspects in electrochemical sensor construction using PPy will also be discussed. It is anticipated that this review will provide researchers, especially those without an electrochemical analysis background, with an easy-to-understand summary of the concepts and technologies used in electrochemical sensor research, particularly those interested in utilizing PPy as a based sensing material.

12.
RSC Adv ; 11(13): 7347-7368, 2021 Feb 10.
Article in English | MEDLINE | ID: mdl-35423275

ABSTRACT

Chemical contaminants such as heavy metals, dyes, and organic oils seriously affect the environment and threaten human health. About 2 million tons of waste is released every day into the water system. Heavy metals are the largest contributor which cover about 31% of the total composition of water contaminants. Every day, approximately 14 000 people die due to environmental exposure to selected chemicals. Removal of these contaminants down to safe levels is expensive, high energy and unsustainable by current approaches such as oxidation, biodegradation, photocatalysis, precipitation, reverse osmosis and adsorption. A combination of biosorption and nanotechnology offers a new way to remediate these chemical contaminants. Nanostructured materials are proven to have higher adsorption capacities than the same material in its larger-scale form. Nanocellulose is very promising as a high-performance bioadsorbent due to its interesting characteristics of high adsorption capacity, high mechanical strength, hydrophilic surface chemistry, renewability and biodegradability. It has been proven to have higher adsorption capacity and better binding affinity than other similar materials at the macroscale. The high specific surface area and abundance of hydroxyl groups within lead to the possible functionalization of this material for decontamination purposes. Several research papers have shown the effectiveness of nanocellulose in the remediation of chemical contaminants. This review aims to provide an overview of the most recent developments regarding nanocellulose as an adsorbent for chemical contamination remediation. Recent advancements regarding the modification of nanocellulose to enhance its adsorption efficiency towards heavy metals, dyes and organic oils were highlighted. Moreover, the desorption capability and environmental issue related to every developed nanocellulose-based adsorbent were also tackled.

13.
RSC Adv ; 11(42): 25933-25942, 2021 Jul 27.
Article in English | MEDLINE | ID: mdl-35479481

ABSTRACT

Acephate (Ac) is an organophosphate (OP) compound, which is able to inhibit the activity of acetylcholinesterase. Thus, the aim of this study was to optimize the detection of Ac using a thiolated acephate binding aptamer-citrate capped gold nanoparticle (TABA-Cit-AuNP) sensor that also incorporated an image processing technique. The effects of independent variables, such as the incubation period of TABA-Cit-AuNPs (3-24 h) for binding TABA to Cit-AuNPs, the concentration of phosphate buffer saline (PBS) (0.001-0.01 M), the concentration of thiolated acephate binding aptamer (TABA) (50-200 nM), and the concentration of magnesium sulphate (MgSO4) (1-300 mM) were investigated. A quadratic model was developed using a central composite design (CCD) from response surface methodology (RSM) to predict the sensing response to Ac. The optimum conditions such as the concentration of PBS (0.01 M), the concentration of TABA (200 nM), the incubation period of TABA-Cit-AuNPs (3 h), and the concentration of MgSO4 (1 mM) were used to produce a TABA-Cit-AuNPs sensor for the detection of Ac. Under optimal conditions, this sensor showed a detection ranging from 0.01 to 2.73 µM and a limit of detection (LOD) of 0.06 µM. Real sample analysis demonstrated this aptasensor as a good analytical method to detect Ac.

14.
RSC Adv ; 10(8): 4465-4489, 2020 Jan 24.
Article in English | MEDLINE | ID: mdl-35495228

ABSTRACT

Organophosphorus (OP) compounds are highly toxic synthetic compounds which have been used as pesticides and developed as warfare nerve agents. They represent a threat to both military and civilian populations. OP pesticides affect the nervous system and are thought to have caused at least 5 million deaths since their discovery in the 1930s. At present the treatment of OP nerve agent poisoning commonly involves the use of parenteral oximes. However, the blood brain barrier (BBB) remains a challenge in the delivery of oximes to the central nervous system (CNS). This is because almost all macromolecule drugs (including oximes) fail to pass through the BBB to reach the CNS structures. The presence of a permanent cationic charge in oximes has made these compounds inefficient in crossing the BBB. Thus, oximes are unable to reactivate acetylcholinesterase (AChE) in the CNS. Using current structural and mechanistic understanding of the BBB under both physiological and pathological conditions, it becomes possible to design delivery systems for oximes and other drugs that are able to cross the BBB effectively. This review summarises the recent strategies in the development of oximes which are capable of crossing the BBB to treat OP poisoning. Several new developments using oximes are reviewed along with their advantages and disadvantages. This review could be beneficial for future directions in the development of oxime and other drug delivery systems into the CNS.

15.
RSC Adv ; 10(71): 43704-43732, 2020 Nov 27.
Article in English | MEDLINE | ID: mdl-35519676

ABSTRACT

Carbon nanotubes (CNTs) have been recognised as a promising material in a wide range of applications, from safety to energy-related devices. However, poor solubility in aqueous and organic solvents has hindered the utilisation and applications of carbon nanotubes. As studies progressed, the methodology for CNTs dispersion was established. The current state of research in CNTs either single wall or multiwall/polymer nanocomposites has been reviewed in context with the various types of functionalisation presently employed. Functionalised CNTs have been playing an increasingly central role in the research, development, and application of carbon nanotube-based nanomaterials and systems. The extremely high surface-to-volume ratio, geometry, and hollow structure of nanomaterials are ideal for the adsorption of gas molecules. This offers great potential applications, such as in gas sensor devices working at room temperature. Particularly, the advent of CNTs has fuelled the invention of CNT-based gas sensors which are very sensitive to the surrounding environment. The presence of O2, NH3, NO2 gases and many other chemicals and molecules can either donate or accept electrons, resulting in an alteration of the overall conductivity. Such properties make CNTs ideal for nano-scale gas-sensing materials. Conductive-based devices have already been demonstrated as gas sensors. However, CNTs still have certain limitations for gas sensor application, such as a long recovery time, limited gas detection, and weakness to humidity and other gases. Therefore, the nanocomposites of interest consisting of polymer and CNTs have received a great deal of attention for gas-sensing application due to higher sensitivity over a wide range of gas concentrations at room temperature compared to only using CNTs and the polymer of interest separately.

16.
BMC Public Health ; 19(Suppl 4): 543, 2019 Jun 13.
Article in English | MEDLINE | ID: mdl-31196018

ABSTRACT

BACKGROUND: School children are considered a high-risk group for visual impairment because uncorrected refractive errors and problems such as amblyopia can seriously affect their learning abilities and their physical and mental development. There are many studies reporting the prevalence of refractive errors among school children of different ethnic groups in Malaysia, however, studies concerning the prevalence of refractive errors among indigenous or Orang Asli children are very limited. Therefore, the objective of this study was to determine the prevalence and causes of visual impairment among Orang Asli children. METHODS: One hundred ten Orang Asli children aged 7 to 12 years old in Negeri Sembilan, Malaysia were selected. 51% of these children were boys while the remainders were girls. They underwent visual acuity test, cover test, Hirschberg's test, ocular external assessment and ophthalmoscopy. Children who failed the vision screening were then referred for further eye examination. RESULTS: Of these 110 Orang Asli children, 46 failed the vision screening and subsequently 45 of them were confirmed to have visual problems (40.9% of the total subjects). The main cause of visual impairment in this study was refractive error (34.5% of the total subjects) where the main refractive error found was hyperopia (28.2%) followed by amblyopia (2.7%), strabismus (1.8%) and ocular abnormalities (1.8%). CONCLUSION: Hence, vision screening and a comprehensive eye examination is very important and needs to be done on all Orang Asli children so that any visual problems can be detect at an early stage to avoid the development of learning difficulties among these already disadvantaged children.


Subject(s)
Asian People/statistics & numerical data , Ethnicity/statistics & numerical data , Refractive Errors/epidemiology , Students/statistics & numerical data , Vision Disorders/epidemiology , Asian People/ethnology , Child , Cross-Sectional Studies , Female , Humans , Malaysia/epidemiology , Male , Prevalence , Refractive Errors/ethnology , Vision Disorders/ethnology , Vision Tests , Visual Acuity
17.
Int J Ophthalmol ; 10(9): 1460-1464, 2017.
Article in English | MEDLINE | ID: mdl-28944208

ABSTRACT

AIM: To compare visual efficiency, specifically accom-modation, vergence, and oculomotor functions among athletes and non-athletes. METHODS: A cross-sectional study on sports vision screening was used to evaluate the visual skills of 214 elementary students (107 athletes, 107 non-athletes), aged between 13 and 16y. The visual screening assessed visual parameters such as ocular motor alignment, accommodation, and vergence functions. RESULTS: Mean visual parameters were compared between age-group matched athletes (mean age 14.82±0.98y) and non-athletes (mean age 15.00±1.04y). The refractive errors of all participants were corrected to maximal attainable best corrected visual acuity of logMAR 0.0. Accommodation function assessment evaluated amplitude of accommodation and accommodation facility. Vergence functions measured the near point of convergence, vergence facility, and distance fusional vergence at break and recovery point. Ocular motor alignment was not statistically significant between both groups. Athletes had a statistically significant amplitude of accommodation for both the right eye (t=2.30, P=0.02) and the left eye (t=1.99, P=0.05). Conversely, non-athletes had better accommodation facility (t=-2.54, P=0.01) and near point of convergence (t=4.39, P<0.001) when compared to athletes. Vergence facility was found to be better among athletes (t=2.47, P=0.01). Nevertheless, non-athletes were significantly better for both distance negative and positive fusional vergence. CONCLUSION: Although the findings are still inconclusive as to whether athletes had superior visual skills as compared to non-athletes, it remains important to identify and elucidate the key visual skills needed by athletes in order for them to achieve higher performance in their sports.

18.
BMC Res Notes ; 7: 667, 2014 Sep 23.
Article in English | MEDLINE | ID: mdl-25245590

ABSTRACT

BACKGROUND: Vision impairment associated with diabetic retinopathy, is well known and low vision rehabilitation is always recommended. In this report, the importance of objective measure of mental health and quality of life screening in diabetic retinopathy low-vision assessment is discussed. CASE PRESENTATION: We describe the case of a 43-year-old Asian female who has mild vision impairment due to tractional retinal detachment secondary to diabetic retinopathy and how mental health screening and quality of life screening during low vision rehabilitation can improve in the management of this patient. CONCLUSION: Although vision impairment was mild, the psychological impact was enormous and affected her quality of life substantially. This case report illustrates that recognition of the mental health and quality of life impact on visual impairment is critical to the rehabilitation management of low vision patients with diabetic retinopathy.


Subject(s)
Mental Health , Quality of Life , Vision, Low/physiopathology , Adult , Female , Humans , Surveys and Questionnaires
19.
J Med Case Rep ; 6: 316, 2012 Sep 19.
Article in English | MEDLINE | ID: mdl-22992390

ABSTRACT

INTRODUCTION: A number of vision defects have been reported in association with albinism, such as photophobia, nystagmus and astigmatism. In many cases only prescription sunglasses are prescribed. In this report, the effectiveness of low-vision rehabilitation in albinism, which included prescription of multiple visual aids, is discussed. CASE PRESENTATION: We present the case of a 21-year-old Asian woman with albinism and associated vision defects. Her problems were blurring of distant vision, glare and her dissatisfaction with her current auto-focus spectacle-mounted telescope device, which she reported as being heavy as well as cosmetically unacceptable. We describe how low-vision rehabilitation using multiple visual aids, namely spectacles, special iris-tinted contact lenses with clear pupils, and bi-level telemicroscopic apparatus devices improved her quality of life. Subsequent to rehabilitation our patient is happier and continues to use the visual aids. CONCLUSIONS: Contact lenses with a special iris tint and clear pupil area are useful aids to reduce the glare experienced by albinos. Bi-level telemicroscopic apparatus telemicroscopes fitted onto our patient's prescription spectacles were cosmetically acceptable and able to improve her distance vision. As a result these low-vision rehabilitation approaches improved the quality of life of our albino patient.

20.
J Med Assoc Thai ; 95(3): 412-7, 2012 Mar.
Article in English | MEDLINE | ID: mdl-22550841

ABSTRACT

OBJECTIVE: Compare the performance of Lea Symbols and Sheridan Gardiner charts against the standard test chart used to determine reduced VA during vision screening among pre-schoolers. MATERIAL AND METHOD: Seven hundred seventy five pre-school participated where 389 subjects were boys and 386 subjects were girls were tested using the Lea Symbols chart and the Sheridan Gardiner chart. The mean age of the pre-school children was 5.3 +/- 0.7 years old. RESULTS: The Lea Symbols chart showed a higher sensitivity (97.5%) compared to the Sheridan Gardiner chart (57.1%). While the Sheridan Gardiner chart showed higher specificity (92.0%) compared to the Lea Symbols chart (45.0%). CONCLUSION: The Lea Symbols chart offers a better pick-up rate of visual impairment during a vision-screening program especially cases of amblyopia among pre-school children compared to the Sheridan Gardiner chart in Malaysia.


Subject(s)
Vision Disorders/diagnosis , Vision Screening/methods , Amblyopia/epidemiology , Child , Child, Preschool , Cross-Sectional Studies , Female , Humans , Malaysia , Male
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