The Homoeopathic physician最新文献_第6页

Effect of COVID-19 Pandemic on Anti-VEGF Treatment of Medical Retinal Conditions COVID-19大流行对抗vegf治疗医学视网膜疾病的影响

The Homoeopathic physician Pub Date : 2020-12-27 DOI: 10.38192/1.6.3.10

M. Rahimzadeh, R. Muniraju, S. Izadi

{"title":"Effect of COVID-19 Pandemic on Anti-VEGF Treatment of Medical Retinal Conditions","authors":"M. Rahimzadeh, R. Muniraju, S. Izadi","doi":"10.38192/1.6.3.10","DOIUrl":"https://doi.org/10.38192/1.6.3.10","url":null,"abstract":"Introduction: Ophthalmology services have been significantly impacted by the COVID-19 pandemic. Frequency of intravitreal anti-vascular endothelial growth factor (Anti-VEGF) injections are important in visual outcomes.\u0000Methods: We conducted an audit on intravitreal services in an NHS district general hospital in the UK including all new patients with diabetic macular oedema (CI-DMO) and wet age-related macular degeneration (AMD) who were initiated on intravitreal injection of Aflibercept (EYLEA) between 1st January to 15th July 2020, and had subsequent injections until October 2020. Data on injection dates and visual acuity was extracted, and the total number of all intravitreal injections for all indications between January to September 2020 and the same period in 2019. Delay to treatment was defined as more than 14 days, according to the fixed dosing schedule.\u0000Results: We found 31% (n=17) of patients initiated on treatment for wet AMD and 44% (N=11) for CI-DMO had delayed injections. There was no correlation between total duration of delay and change in best-corrected visual acuity (BCVA). Similarly, we found no association between duration of delay and change in BCVA. The number of intravitreal injections declined during the COVID-19 pandemic by 17.8% compared to 2019.\u0000Conclusion: Majority of patients initiated on anti-VEGF injections just before the pandemic or during the pandemic received injections on time. Where there were significant delays to treatment, there was no detected loss in vision over the short term. However, the long-term impact and impact of overall reduction in intravitreal injections are unknown.","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89338377","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}

引用次数: 8

Assessing Vision in Elderly Patients Admitted to Hospital Following a Fall 老年人跌倒后入院的视力评估

The Homoeopathic physician Pub Date : 2020-12-20 DOI: 10.38192/1.6.3.8

M. Rahimzadeh, G. S. Alg, Aisling Robinson, A. Moseley

{"title":"Assessing Vision in Elderly Patients Admitted to Hospital Following a Fall","authors":"M. Rahimzadeh, G. S. Alg, Aisling Robinson, A. Moseley","doi":"10.38192/1.6.3.8","DOIUrl":"https://doi.org/10.38192/1.6.3.8","url":null,"abstract":"Introduction: Falls are a major cause of morbidity and mortality in older people, and those with reduced visual acuity are twice as likely to fall as those with normal eyesight. Accordingly, NICE guidelines recommend assessment of vision as part of a multi-factorial risk assessment in older people, who present for medical attention, because of a fall.\u0000Methods: We included all patients admitted to a senior health ward at St George’s hospital because of a fall. A baseline audit was conducted in May 2020. Our primary intervention was a departmental teaching session with subsequent first cycle data. We trialled the ‘Lookout! Bedside vision check for falls prevention’ recommended by the Royal College of Physicians. Our secondary intervention was designing an ‘initial assessment’ proforma to include a section for sensory impairment followed by a second cycle data collection.\u0000Results: Our initial results showed that none of the 24 patients admitted with a fall had any form of documented visual assessment. Using a simple bedside vision check tool, we found 22% (n=2) of screened patients had significantly impaired vision. Following our teaching session, 50% (n=7) of patients had some form of visual assessment on admission and after introduction of the proforma, this increased to 56% (n=5). Visual risk factors were identified in multiple patients, including outdated prescriptions for corrective glasses.\u0000Discussion: Identifying reversible visual risk factors may reduce recurrent falls and subsequent complications as well as hospital admissions in older patients. A teaching session was found to be effective, however a ‘proforma’ may encourage more sustainable improvements. The reduction in ophthalmology and optometry services during the Covid-19 pandemic will inevitably increase the prevalence of visual risk factors. Effects including delayed eyesight tests and cataract operations. It is therefore more important now than ever, to ensure bedside assessment of vision in older adults presenting to hospital, with a fall and proactively in falls prevention strategies.","PeriodicalId":75015,"journal":{"name":"The Homoeopathic physician","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76496027","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}

引用次数: 1

After the Pandemic 大流行之后

The Homoeopathic physician Pub Date : 2020-09-13 DOI: 10.38192/1.6.2.25

I. Chakravorty, A. Chopada, V. Zamvar

引用次数: 0

Calcium imbalance in Sarcoidosis and Renal Failure 结节病与肾衰竭的钙失衡

The Homoeopathic physician Pub Date : 2020-08-23 DOI: 10.38192/1.6.2.21

A. Sathyanarayan

引用次数: 0

Relevance of FGFR1-NMDAR2B heteroreceptor complexes in treating major depressive disorder FGFR1-NMDAR2B异受体复合物在治疗重度抑郁症中的相关性

The Homoeopathic physician Pub Date : 2020-08-03 DOI: 10.38192/1.6.2.13

Ashwin Venkatesh