Epidemiology and Outcomes Following Open Globe Injury in Agricultural Region,an 11-Year Experience

ABSTRACT

Purpose

To determine the characteristics and epidemiology of open globe injury (OGI) in a third referral centre over 11 years.     

Improvement of pulmonary function with arm swing exercise in patients with type 2 diabetes

[Purpose] Obesity and hyperglycemia play roles in the impairment of pulmonary function in type 2 diabetes mellitus (T2DM) patients. Low-intensity exercise is known to reduce body fat and improve hyperglycemia. The arm swing exercise (ASE), a low-intensity exercise, is easy and convenient to perform without any equipment and is suitable for daily practice. Therefore, we aimed to investigate the effects of ASE on lung function and obesity in overweight T2DM patients. [Subjects and Methods] Twenty-four subjects continued their daily life routines for 8 weeks (control period), and then performed ASE for 8 weeks (30 minutes per day, 3 days per week) (ASE period). Pulmonary function tests were performed, and fasting blood glucose, haemoglobin A1c (HbA1c), lipid profiles, high-sensitive C-reactive protein (HSCRP), insulin concentration, and anthropometric parameters were measured before and after each period. [Results] After the ASE period, the forced vital capacity, forced expiratory volume in the first second of expiration, and maximal voluntary ventilation were increased when compared with after the control period. HbA1c, a low-density lipoprotein, malondialdehyde, oxidized glutathione, and the percent body fat were significantly decreased when compared with after the control period. However, other parameters, such as lung volume, anthropometric parameters, and fasting blood glucose, insulin, high-density lipoprotein, triglycerides, total cholesterol and glutathione concentrations, showed no differences between the two periods. [Conclusion] These data suggest that there is improvement of pulmonary functions in T2DM patients after ASE training.Key words: Physical activity, Pulmonary functions, Fatness     

CIRCADIAN PREFERENCE AND COGNITIVE FUNCTIONING AMONG REHABILITATION INPATIENTS

The influence of circadian preference was examined among 56 morning-oriented rehabilitation inpatients with cognitive (n = 28) and noncognitive (n = 28) impairments. Each individual was tested twice: morning (preferred time) and evening (nonpreferred time); sessions and test batteries were counterbalanced to control for practice effects. Standard measures assessed attention, language, memory, visuospatial, and executive functions. Persons with cognitive impairment showed disproportionate vulnerability to the effects of circadian preference and time of testing, performing more poorly at nonpreferred than preferred times. Substantial effects (eta² .12 to .48) were found on tests of executive functioning and tasks incorporating similar higher-order demands (e.g., complex figure copy). Results are supported by tympanic temperature changes during a vigilance task, an index of cerebral blood flow in response to cognitive challenge. Cognitive reserve theory is suggested as an explanation for the differential effects. These findings may have implications for inpatient therapeutic interventions and discharge planning.     

Facile synthesis of highly conductive PEDOT:PSS via surfactant templates

Poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS) nanoparticles in powder form with high electrical conductivity were synthesized via chemical oxidative polymerization. In addition, the effects of EDOT : PSS weight ratio, EDOT : Na₂S₂O₈ mole ratio, and surfactant concentration and type, namely hexadecyltrimethylammonium bromide (CTAB), sodium dodecylsulfate (SDS), and polyoxyethylene octyl phenyl ether (Triton X-100) on the properties of PEDOT:PSS were investigated. For the effect of EDOT : PSS weight ratio, at the EDOT : Na₂S₂O₈ mole ratio of 1 : 1, the EDOT : PSS weight ratio of 1 : 11 was the optimal condition to obtain electrical conductivity of 999.74 ± 10.86 S cm⁻¹ due to the high amount of PSS⁻ and SO₄²⁻ available to interact with the PEDOT chain with a low % PSSNa. For the effect of EDOT : Na₂S₂O₈ mole ratio, at the EDOT : PSS weight ratio of 1 : 11, the EDOT : Na₂S₂O₈ mole ratio of 1 : 2 was the best condition as it provided the highest dopant (PSS⁻ and SO₄²⁻) amount, while the % PSSNa was relatively low. For the effect of surfactant type and concentration, at the EDOT : PSS weight ratio of 1 : 11 and EDOT : Na₂S₂O₈ mole ratio of 1 : 2, Triton X-100 at 2.5CMC provided electrical conductivity higher than with CTAB and SDS. The thermal stability of PEDOT:PSS obtained from various conditions was investigated, and PEDOT:PSS without surfactant showed the highest thermal stability since it produced the highest char yield. In this study, the highest electrical conductivity of PEDOT:PSS, which was obtained in the presence of Triton X-100 to reduce the PSSNa amount, was 1879.49 ± 13.87 S cm⁻¹, the highest value reported to date.

The electrical conductivity of 1879.49 ± 13.87 S cm⁻¹ was achieved for PEDOT:PSS, which is the highest value reported to date.     

Spontaneous Large Serous Retinal Pigment Epithelial Tear

Purpose

To report cases of spontaneous retinal pigment epithelial (RPE) tear complicating serous pigment epithelial detachment (PED).

Methods

The records of 3 Asian patients with spontaneous giant RPE tear were reviewed retrospectively by including clinical presentation, angiography, optical coherence tomography, fundus autofluorescence imaging, and visual outcome.

Results

Three patients (4 eyes) were included in this study, with a mean age of 48.3 (42–56) years, and a mean follow-up period of 7.75 (4–18) months. Fundus examination in all patients showed giant RPE tear associated with bullous PED. Two cases had a history of prior corticosteroid use, and 1 had no history of medication use. All 3 patients developed spontaneous resolution of subretinal fluid with no treatment. However, in patients who used corticosteroids, initial progression of the tear and subretinal fluid were observed despite ceasing medication. On subsequent follow-up, an incomplete RPE regeneration was demonstrated by fundus autofluorescence imaging, and choroidal neovascularization developed in 1 patient.

Conclusion

Large PED with RPE tear is a rare manifestation. When the fovea is spared, visual prognosis is favorable. No specific treatment is required, but careful choroidal neovascularization monitoring should be performed.Key Words: Retinal pigment epithelial tear, Pigment epithelial detachment, Retinal pigment epithelial rip     

The diagnostic value of intraocular fluid analysis by polymerase chain reaction in Thai patients with uveitis

Uveitis is a major cause of severe visual impairment throughout the world and can be initiated by various infectious and non-infectious causes. Early recognition of specific infections is important as the treatment with antimicrobial agents might stop the progression or even cure the eye disease. To determine the infectious causes of uveitis in Thailand, intraocular fluid samples of 100 HIV-negative patients and 47 HIV-positive patients with uveitis were examined using real-time PCR analysis for herpes simplex virus, varicella zoster virus, cytomegalovirus and Toxoplasma gondii. Positive PCR results were found in 33/100 (33%) HIV-negative patients and in 33/47 (70%) HIV-positive patients with uveitis. In Thailand, cytomegalovirus was identified as the most frequent cause of infectious uveitis in both HIV-negative and HIV-positive patients (49 and 91%, respectively). PCR analysis of intraocular samples in uveitis was a valuable diagnostic assay. The pattern of uveitis observed in the Far East differs from that found in the West.