Relationship Between the Clinical Factors and Deviation Control in Intermittent Exotropia.

PURPOSE: To establish whether clinical factors were correlated with deviation control in intermittent exotropia. METHODS: This retrospective study included 54 patients with intermittent exotropia. The patient's sex, family history, age at first admission, best corrected visual acuity, refractive errors after cycloplegia, angles of ocular deviation at near and distance, and near, distance, and total deviation control were evaluated. Ocular deviation controls were determined according to the Mayo Clinic's office-based scale. Correlation analysis was performed between the deviation control and the determined clinical factors. RESULTS: Spearman correlation analyses revealed a mild correlation between age with total exotropia control score and age with the control of near exotropia control score (r = 0.320, P = .018 and r = 0.339, P = .012, respectively). The angle of deviation at near showed a significant moderate correlation between total exotropia control score and near exotropia control score (r = 0.523, P < .001 and r = 0.780, P < .001, respectively). The deviation angle at distance showed a mild correlation with distance exotropia control score and total exotropia control score (r = 0.423, P = .001 and r = 0.288, P = .034, respectively). The angle of deviation at distance showed a mild correlation with the angle of deviation at near (r = 0.359, P = .008). The deviation angle at distance was established as an independent factor for predicting total exotropia score (P = .037, P = .015, respectively). CONCLUSIONS: The high deviation angle correlates positively with poor deviation control. The distance deviation angle is an independent predictor of total deviation control for the first time in the literature. [J Pediatr Ophthalmol Strabismus. 2022;59(1):53-59.].

International Classification of the Pneumoconiosis Radiograph Reader Training in Turkey.

OBJECTIVES: We aimed to determine the characteristics of physicians who had attended the Readers Training of the International Labour Organization International Classification of Radiographs of Pneumoconioses (ILO ICRP) in Turkey. MATERIALS AND METHODS: This study included 601 physicians attending the Reader Training of the ILO ICRP. Data were collected using an electronic questionnaire, and the inclusiveness of the study was 29.8% (n=179). RESULTS: In this study, 70.6% of the physicians were men, and the mean age was 48.6±9.6 years; 46.6% of the participants had at least one medical specialty or side branch specialty, and 51.8% were pulmonologists. Furthermore, 52.6% of the physicians worked in the private sector, and 86.6% had an occupational physician certificate. Moreover, 55.3% of the participants evaluated the radiographs using the authority gained by the certification, and 68.3% of those who did not evaluate the films stated that the reason for not evaluating the films was a lack of demand. Participants who evaluated radiographs had received a demand for films most frequently from 1 to 2 different jobs (33.4%) and from 1 to 3 different workplaces (30.1%). Most films came from the mining (47.5%) and quarrying (50.5%) sectors. Some participants (64.3%) stated that the quality of the radiographs was insufficient, 59.2% experienced difficulties because the radiographs were not obtained using proper techniques, 23.4% stated that the fees per film evaluated were low, and 81.5% believed that update training is necessary. CONCLUSION: The demand for these services will increase in line with the training and surveillance as stipulated by the legislation.