Ocular complications and associated factors among traditional eye medicines users attending the eye clinic at Mulago national referral hospital, Uganda.

Background: Over the past decades there has been a phenomenal increase in the use of Traditional Eye medicines (TEM) worldwide and there are several factors that compel patients to use TEM. Objectives: We conducted a study to determine the types of traditional eye medicine, ocular complications, and associated factors among traditional eye medicine users at the Mulago National Referral Hospital (MNRH) eye clinic. Methods and Materials: A hospital-based cross-sectional study among TEM users at MNRH eye clinic from June to August 2021. Epi Data version 4.2 and STATA version 15 used for analysis. A modified Poisson regression with robust standard errors was used to determine the associated factors. Results: Overall, 182 TEM users (males:53.3%) were enrolled, with a mean age of 36±21SD years. The most frequently used type of TEM were plant products (47.8%). 70% of TEM users had ocular complications, the most frequent manifestation was conjunctivitis (53.9%). Ocular complications were significantly associated with living in the urban areas (p< 0.006) and participants who reported ease and availability of TEM (p < 0.001). Conclusion: Plant-based products were the most frequently used types of TEM, a large proportion of the TEM users were found with sight-threatening ocular complications.

Rotator cuff injuries: current perspectives and trends for treatment and rehabilitation / Lesão do manguito rotador: tratamento e reabilitação. Perspectivas e tendências atuais

To map out the approaches used by Brazilian orthopedists in treating complete tears of the rotator cuff. METHODS: A multiple-choice questionnaire was handed out to 232 orthopedists at the 45th Brazilian Congress of Orthopedics and Traumatology. Of these, 207 were returned but five were incomplete and were excluded. Thus, 202 questionnaires were used. RESULTS: Among the orthopedists who answered the questionnaires, around 60% were from the southeastern region and 46% were shoulder and elbow surgeons. There was a significant association ( p < 0.05) between length of experience and number of rotator cuff repairs performed per year. There was also a significant association ( p < 0.05) between shoulder specialty and the following variables: arthroscopic technique, use of anchors in a single-row configuration, mean time taken for an indication for surgery to be made in cases of traumatic and degenerative lesions, use of a specific protocol for postsurgical rehabilitation, return to sport and indication of irreparable injuries. CONCLUSIONS: Brazilian shoulder surgeons have well-established approaches toward treating rotator cuff injuries. Most of these approaches differ significantly from those of other specialties. This shows the importance of placing value on training in preparing shoulder specialists in this country.

Mapear as condutas dos ortopedistas brasileiros no tratamento das lesões completas do manguito rotador. MÉTODOS: Um questionário de múltiplas escolhas foi entregue a 232 ortopedistas no 45° Congresso Brasileiro de Ortopedia e Traumatologia. Foram devolvidos 207 questionários, mas cinco estavam incompletos e foram excluídos. Total final de 202 questionários. RESULTADOS: Dos ortopedistas que responderam os questionários, cerca de 60% foram da Região Sudeste, 46% eram cirurgiões de ombro e cotovelo. Houve associação significativa (p < 0,05) entre tempo de experiência e número de reparos do manguito rotador feitos anualmente. Também houve associação significativa (p < 0,05) entre especialidade de ombro e as seguintes variáveis: técnica artroscópica, uso de âncoras na configuração de fileira simples, tempo médio para indicação de cirurgia em lesões traumáticas e degenerativas, uso de protocolo específico para reabilitação pós-cirúrgica, retorno ao esporte e indicação de lesões irreparáveis. CONCLUSÕES: Os cirurgiões de ombro do Brasil têm condutas bem estabelecidas em relação ao tratamento das lesões do manguito rotador que diferem, em sua maioria, significativamente, das condutas dos cirurgiões de outras especialidades. Isso mostra a importância da valorização do treinamento na formação dos especialistas de ombro em nosso país.

Rotator cuff injuries: current perspectives and trends for treatment and rehabilitation.

OBJECTIVE: To map out the approaches used by Brazilian orthopedists in treating complete tears of the rotator cuff. METHODS: A multiple-choice questionnaire was handed out to 232 orthopedists at the 45th Brazilian Congress of Orthopedics and Traumatology. Of these, 207 were returned but five were incomplete and were excluded. Thus, 202 questionnaires were used. RESULTS: Among the orthopedists who answered the questionnaires, around 60% were from the southeastern region and 46% were shoulder and elbow surgeons. There was a significant association (p < 0.05) between length of experience and number of rotator cuff repairs performed per year. There was also a significant association (p < 0.05) between shoulder specialty and the following variables: arthroscopic technique, use of anchors in a single-row configuration, mean time taken for an indication for surgery to be made in cases of traumatic and degenerative lesions, use of a specific protocol for postsurgical rehabilitation, return to sport and indication of irreparable injuries. CONCLUSIONS: Brazilian shoulder surgeons have well-established approaches toward treating rotator cuff injuries. Most of these approaches differ significantly from those of other specialties. This shows the importance of placing value on training in preparing shoulder specialists in this country.

OBJETIVO: Mapear as condutas dos ortopedistas brasileiros no tratamento das lesões completas do manguito rotador. MÉTODOS: Um questionário de múltiplas escolhas foi entregue a 232 ortopedistas no 45° Congresso Brasileiro de Ortopedia e Traumatologia. Foram devolvidos 207 questionários, mas cinco estavam incompletos e foram excluídos. Total final de 202 questionários. RESULTADOS: Dos ortopedistas que responderam os questionários, cerca de 60% foram da Região Sudeste, 46% eram cirurgiões de ombro e cotovelo. Houve associação significativa (p < 0,05) entre tempo de experiência e número de reparos do manguito rotador feitos anualmente. Também houve associação significativa (p < 0,05) entre especialidade de ombro e as seguintes variáveis: técnica artroscópica, uso de âncoras na configuração de fileira simples, tempo médio para indicação de cirurgia em lesões traumáticas e degenerativas, uso de protocolo específico para reabilitação pós-cirúrgica, retorno ao esporte e indicação de lesões irreparáveis. CONCLUSÕES: Os cirurgiões de ombro do Brasil têm condutas bem estabelecidas em relação ao tratamento das lesões do manguito rotador que diferem, em sua maioria, significativamente, das condutas dos cirurgiões de outras especialidades. Isso mostra a importância da valorização do treinamento na formação dos especialistas de ombro em nosso país.