IHOPE Journal of Ophthalmology最新文献

{"title":"Eye care and the carbon foot print","authors":"Thulasiraj D Ravilla, Venkatesh Rengaraj, N. Balakrishnan, Sriram Ravilla","doi":"10.25259/ihopejo_3_2022","DOIUrl":"https://doi.org/10.25259/ihopejo_3_2022","url":null,"abstract":"\u0000\u0000Climate change and its impact on the environment are rapidly becoming a crisis, resulting in extreme climate conditions and directly impacting health. The World Health Organization attributes 13.7 million deaths in 2016 to overall environmental factors. As health-care providers, we seem to be a significant contributor to carbon emissions. Health Care Without Harm, an organization promoting environmental health and justice, estimates that health-care accounts for an equivalent to 4.4% of global net carbon emissions. As a specialty with very high surgical volume, eye care would be contributing a significant portion of these carbon emissions. Thus, there is a need for us to explore ways of mitigating this.\u0000\u0000\u0000\u0000A descriptive case study method has been adopted to study environmentally sustainable practices with published or real-world data. Data from power consumption and energy audits were used in the analysis. The various approaches to reducing carbon emissions in eye care were studied using a broad framework of looking at what resources are deployed and how those resources are used.\u0000\u0000\u0000\u0000Whether it is resources or how they are put to use, there is a great scope for reducing carbon emissions through reducing use, re-use, and recycling. On the energy front just through the use of energy efficient electrical devices, and 8%–10% reduction in power consumption could be achieved immediately. Since green energy is less expensive than grid power, switching to it can generate another 15% in cost savings. It was feasible to switch to green energy for 75% of the power needs in the larger hospitals. Organic water recycling technology could recycle over 90% of the water and re-used it. Lean clinical protocols showed that the carbon emissions could be reduced to 5% of what it is in the west for procedures like phacoemulsification.\u0000\u0000\u0000\u0000While it is inevitable that eye care delivery will generate carbon emissions, it is well within our control to minimize it, per unit of care. This could be achieved essentially by minimizing waste or underutilization, enhancing efficiency, reducing consumption, and reducing patients’ efforts.\u0000\u0000\u0000\u0000These are the early days of trying to figure out, how the eye care sector can change its practices to minimize carbon emissions. A lot more evidence is required, signaling the need for research and publications in this space. As with any activity, for continuous improvement, we need benchmarks and robust monitoring systems. All of these are yet to evolve in clinical care.\u0000","PeriodicalId":176313,"journal":{"name":"IHOPE Journal of Ophthalmology","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127348052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation: Putting guidance into practice","authors":"Raashi Raj, H. McGuire, Pilar Pinilla-Dominguez","doi":"10.25259/ihopejo_10_2022","DOIUrl":"https://doi.org/10.25259/ihopejo_10_2022","url":null,"abstract":"The implementation of guidance and advice into practice is a crucial step in ensuring that the uptake of guidelines’ recommendations that can contribute to improvements in health outcomes and equitable access to health services. The objective of this paper is to give an understanding of the common barriers to guideline implementation and the evidence-based implementation approach adopted by NICE to overcome these barriers.","PeriodicalId":176313,"journal":{"name":"IHOPE Journal of Ophthalmology","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128197161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using real-world data alongside evidence in guideline development","authors":"A. G. Gudlavalleti, H. McGuire, Pilar Pinilla Dominguez","doi":"10.25259/ihopejo_11_2022","DOIUrl":"https://doi.org/10.25259/ihopejo_11_2022","url":null,"abstract":"","PeriodicalId":176313,"journal":{"name":"IHOPE Journal of Ophthalmology","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114063996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eye care and the carbon foot print","authors":"M. Fernandes","doi":"10.25259/ihopejo_16_2022","DOIUrl":"https://doi.org/10.25259/ihopejo_16_2022","url":null,"abstract":"","PeriodicalId":176313,"journal":{"name":"IHOPE Journal of Ophthalmology","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114640968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inclusion of screening procedures in Ayushman Bharat Pradhan Mantri Jan Arogya Yojana: Steps in the right direction","authors":"R. Narayanan, S. Senthil, S. Chandrashekar","doi":"10.25259/ihopejo_15_2022","DOIUrl":"https://doi.org/10.25259/ihopejo_15_2022","url":null,"abstract":"","PeriodicalId":176313,"journal":{"name":"IHOPE Journal of Ophthalmology","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133728843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screening for angle-closure disease in the community: A review","authors":"R. Philip, M. Baskaran, L. Vijaya, R. George","doi":"10.25259/ihopejo_2_2022","DOIUrl":"https://doi.org/10.25259/ihopejo_2_2022","url":null,"abstract":"Primary angle-closure glaucoma (PACG) has a higher risk of association with blindness compared to primary open-angle glaucoma. Early determination of PAC disease (PACD) before progression to PACG can help prevent loss of vision. Although gonioscopy is the gold standard for the determination of angle status, it requires more training and experience and may not be feasible to use for screening. We reviewed the performance of other modalities of angle assessment in population studies in comparison with gonioscopy. Assessment of limbal anterior chamber depth, biometric parameters such as central anterior chamber depth, lens thickness, axial length measurements, and anterior segment optical coherence tomography were used to qualitatively and quantitatively assess the angle structures in these studies. The sensitivity, specificity, and predictive values varied widely due to the use of varying techniques and definitions. A combination of more than 1 parameter was found to give better results in comparison with gonioscopy in some studies. Individual or combination tests most appropriate for screening need to be determined and reassessed by further well-controlled studies with uniform criteria.","PeriodicalId":176313,"journal":{"name":"IHOPE Journal of Ophthalmology","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132432276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surveillance and guidelines update process at NICE","authors":"Kriti Shukla, H. McGuire, Pilar Pinilla Dominguez","doi":"10.25259/ihopejo_14_2022","DOIUrl":"https://doi.org/10.25259/ihopejo_14_2022","url":null,"abstract":"The discoveries, new body of evidence, interventions, and new knowledge are inherent to science. Therefore, guidelines and recommendations also need to be under constant surveillance to update and embrace the new evidence, resulting in improved quality and safety. This article covers the process and decision-making process around the guidelines. The article captures the essence of discussion in the knowledge exchange seminar series between national institute for health and care excellence (NICE) and IHOPE, which was organized as a part of the collaborative project between NICE International and IHOPE to develop and implement evidence-based clinical guidelines in India. This paper is the fourth in the series, and further information on the other papers can be found at this link.","PeriodicalId":176313,"journal":{"name":"IHOPE Journal of Ophthalmology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130494886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Performance incentives and the structure of contracts","authors":"M. Mohanan","doi":"10.25259/ihopejo_13_2021","DOIUrl":"https://doi.org/10.25259/ihopejo_13_2021","url":null,"abstract":"","PeriodicalId":176313,"journal":{"name":"IHOPE Journal of Ophthalmology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114648444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction to NICE: Improving health and well-being by putting science at the heart of health and care decision-making","authors":"G. Leng","doi":"10.25259/ihopejo_16_2021","DOIUrl":"https://doi.org/10.25259/ihopejo_16_2021","url":null,"abstract":"","PeriodicalId":176313,"journal":{"name":"IHOPE Journal of Ophthalmology","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125974142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intravitreal anti-VEGF agents – The way forward","authors":"S. Sengupta, V. Raval","doi":"10.25259/ihopejo_4_2021","DOIUrl":"https://doi.org/10.25259/ihopejo_4_2021","url":null,"abstract":"","PeriodicalId":176313,"journal":{"name":"IHOPE Journal of Ophthalmology","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133664645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}