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  1. Article ; Online: Status of Vision and Eye Care Among Patients in Rehabilitation Hospital Units: A Cross-Sectional Study.

    Stalin, Amritha / Narayan, Abhishek / Labreche, Tammy / Khan, Shamrozé / Stanberry, Andre / Christian, Lisa W T / Leat, Susan J

    Journal of the American Medical Directors Association

    2023  Volume 25, Issue 2, Page(s) 361–367.e1

    Abstract: Objectives: The prevalence of vision disorders is high among geriatric and hospital inpatient populations, yet they often go undetected, resulting in consequences such as falls or prolonged recovery time. A needs assessment study was conducted to ... ...

    Abstract Objectives: The prevalence of vision disorders is high among geriatric and hospital inpatient populations, yet they often go undetected, resulting in consequences such as falls or prolonged recovery time. A needs assessment study was conducted to investigate levels of vision and the potential prevalence of unmanaged/undiagnosed ocular disorders among adult inpatients in a hospital-based rehabilitation unit.
    Design: Cross-sectional study.
    Setting & participants: Inpatient rehabilitation units of an acute care hospital system in Ontario, Canada. Adults (n = 112) in a hospital inpatient rehabilitation unit participated from October 2018 to February 2019.
    Methods: Participants were surveyed regarding their demographic, ocular, and medical data and spectacle wear. Visual acuity, contrast sensitivity, visual fields, and stereoacuity plus the spectacle condition were directly assessed.
    Results: The majority (75%) were found to have reduced habitual vision while in hospital. Nearly 60% of participants reported at least some difficulty reading a newspaper or distinguishing a face or were "not happy with their vision." This was despite 80% of participants reporting that they had an eye care practitioner and 70% that they had an eye examination within the last 2 years. More than half (51.8%) of the participants received the recommendation to follow up with their eye care practitioner on discharge from the hospital.
    Conclusions and implications: Reduced vision and vision disorders has a high prevalence among hospital patients in rehabilitation units and should be evaluated at or soon after hospital intake. By incorporating vision screening tools, necessary precautions may be taken to avoid possible falls and promote recovery.
    MeSH term(s) Adult ; Humans ; Aged ; Cross-Sectional Studies ; Visual Acuity ; Vision Disorders/epidemiology ; Vision Screening ; Ontario/epidemiology
    Language English
    Publishing date 2023-12-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2171030-2
    ISSN 1538-9375 ; 1525-8610
    ISSN (online) 1538-9375
    ISSN 1525-8610
    DOI 10.1016/j.jamda.2023.10.030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A differential effect of visual cortex tDCS on reading of English and Chinese in patients with central vision loss.

    Silva, Andrew E / Lyu, Anqi / Leat, Susan J / Khan, Shamrozé / Labreche, Tammy / Chan, Jonathan C H / Li, Qing / Woo, George C / Woo, Stanley / Cheong, Allen M Y / Thompson, Benjamin

    Brain stimulation

    2022  Volume 15, Issue 5, Page(s) 1215–1217

    MeSH term(s) China ; Humans ; Language ; Reading ; Transcranial Direct Current Stimulation ; Visual Cortex
    Language English
    Publishing date 2022-08-28
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 2394410-9
    ISSN 1876-4754 ; 1935-861X
    ISSN (online) 1876-4754
    ISSN 1935-861X
    DOI 10.1016/j.brs.2022.08.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Cataract surgery and optimal spherical aberration: as simple as you think?

    Khan, Shamrozé / Rocha, Guillermo

    Canadian journal of ophthalmology. Journal canadien d'ophtalmologie

    2008  Volume 43, Issue 6, Page(s) 693–701

    Abstract: This paper reviews the optics of higher-order and spherical aberrations and discusses aspheric intraocular lenses, attempting to address 2 questions that, despite an abundance of information, remain unanswered: what amount of ocular spherical aberration ... ...

    Abstract This paper reviews the optics of higher-order and spherical aberrations and discusses aspheric intraocular lenses, attempting to address 2 questions that, despite an abundance of information, remain unanswered: what amount of ocular spherical aberration has been correlated with optimum visual performance, and for what final amount of spherical aberration should the cataract surgeon aim? Finally, the paper briefly reviews recent publications and makes suggestions for future studies in the area.
    MeSH term(s) Cataract Extraction ; Humans ; Lens Implantation, Intraocular ; Lenses, Intraocular ; Refractive Errors/physiopathology ; Vision, Ocular/physiology ; Visual Acuity/physiology
    Language English
    Publishing date 2008-12
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 80091-0
    ISSN 1715-3360 ; 0008-4182
    ISSN (online) 1715-3360
    ISSN 0008-4182
    DOI 10.3129/i08-152
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Stroke and visual rehabilitation.

    Khan, Shamrozé / Leung, Eric / Jay, Walter M

    Topics in stroke rehabilitation

    2008  Volume 15, Issue 1, Page(s) 27–36

    Abstract: Many patients will experience some type of visual dysfunction following a stroke. The visual changes associated with stroke can be categorized as sensory (visual acuity and visual field), motor (extraocular muscle motility), and perceptual. These ... ...

    Abstract Many patients will experience some type of visual dysfunction following a stroke. The visual changes associated with stroke can be categorized as sensory (visual acuity and visual field), motor (extraocular muscle motility), and perceptual. These disturbances affect the patient's quality of life and can impede overall rehabilitation. Many of these impairments can be addressed by simple yet effective techniques. As a result, vision rehabilitation specialists are becoming an important part of the multidisciplinary stroke rehabilitation team.
    MeSH term(s) Aged ; Diplopia/etiology ; Diplopia/rehabilitation ; Eyeglasses ; Humans ; Ocular Motility Disorders/etiology ; Ocular Motility Disorders/rehabilitation ; Perceptual Disorders/etiology ; Perceptual Disorders/rehabilitation ; Stroke/complications ; Stroke Rehabilitation ; Vision Disorders/etiology ; Vision Disorders/rehabilitation ; Visual Acuity/physiology ; Visual Fields/physiology
    Language English
    Publishing date 2008-01
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1213112-x
    ISSN 1074-9357
    ISSN 1074-9357
    DOI 10.1310/tsr1501-27
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: ClereMed: Lessons Learned From a Pilot Study of a Mobile Screening Tool to Identify and Support Adults Who Have Difficulty With Medication Labels.

    Grindrod, Kelly Anne / Gates, Allison / Dolovich, Lisa / Slavcev, Roderick / Drimmie, Rob / Aghaei, Behzad / Poon, Calvin / Khan, Shamrozé / Leat, Susan J

    JMIR mHealth and uHealth

    2014  Volume 2, Issue 3, Page(s) e35

    Abstract: Background: In order to take medications safely and effectively, individuals need to be able to see, read, and understand the medication labels. However, one-half of medication labels are currently misunderstood, often because of low literacy, low ... ...

    Abstract Background: In order to take medications safely and effectively, individuals need to be able to see, read, and understand the medication labels. However, one-half of medication labels are currently misunderstood, often because of low literacy, low vision, and cognitive impairment. We sought to design a mobile tool termed ClereMed that could rapidly screen for adults who have difficulty reading or understanding their medication labels.
    Objective: The aim of this study was to build the ClereMed prototype; to determine the usability of the prototype with adults 55 and over; to assess its accuracy for identifying adults with low-functional reading ability, poor ability on a real-life pill-sorting task, and low cognition; and to assess the acceptability of a touchscreen device with older adults with age-related changes to vision and cognition.
    Methods: This pilot study enrolled adults (≥55 years) who were recruited through pharmacies, retirement residences, and a low-vision optometry clinic. ClereMed is a hypertext markup language (HTML)-5 prototype app that simulates medication taking using an iPad, and also provides information on how to improve the accessibility of prescription labels. A paper-based questionnaire included questions on participant demographics, computer literacy, and the Systems Usability Scale (SUS). Cognition was assessed using the Montreal Cognitive Assessment tool, and functional reading ability was measured using the MNRead Acuity Chart. Simulation results were compared with a real-life, medication-taking exercise using prescription vials, tablets, and pillboxes.
    Results: The 47 participants had a mean age of 76 (SD 11) years and 60% (28/47) were female. Of the participants, 32% (15/47) did not own a computer or touchscreen device. The mean SUS score was 76/100. ClereMed correctly identified 72% (5/7) of participants with functional reading difficulty, and 63% (5/8) who failed a real-life pill-sorting task, but only 21% (6/28) of participants with cognitive impairment. Participants who owned a computer or touchscreen completed ClereMed in a mean time of 26 (SD 16) seconds, compared with 52 (SD 34) seconds for those who do not own a device (P<.001). Those who had difficulty, struggled with screen glare, button activation, and the "drag and drop" function.
    Conclusions: ClereMed was well accepted by older participants, but it was only moderately accurate for reading ability and not for mild cognitive impairment. Future versions may be most useful as part of a larger medication assessment or as a tool to help family members and caregivers identify individuals with impaired functional reading ability. Future research is needed to improve the sensitivity for measuring cognitive impairment and on the feasibility of implementing a mobile app into pharmacy workflow.
    Language English
    Publishing date 2014-08-15
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2719220-9
    ISSN 2291-5222
    ISSN 2291-5222
    DOI 10.2196/mhealth.3250
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: ClereMed

    Grindrod, Kelly Anne / Gates, Allison / Dolovich, Lisa / Slavcev, Roderick / Drimmie, Rob / Aghaei, Behzad / Poon, Calvin / Khan, Shamrozé / Leat, Susan J

    JMIR mHealth and uHealth, Vol 2, Iss 3, p e

    Lessons Learned From a Pilot Study of a Mobile Screening Tool to Identify and Support Adults Who Have Difficulty With Medication Labels

    2014  Volume 35

    Abstract: BackgroundIn order to take medications safely and effectively, individuals need to be able to see, read, and understand the medication labels. However, one-half of medication labels are currently misunderstood, often because of low literacy, low vision, ... ...

    Abstract BackgroundIn order to take medications safely and effectively, individuals need to be able to see, read, and understand the medication labels. However, one-half of medication labels are currently misunderstood, often because of low literacy, low vision, and cognitive impairment. We sought to design a mobile tool termed ClereMed that could rapidly screen for adults who have difficulty reading or understanding their medication labels. ObjectiveThe aim of this study was to build the ClereMed prototype; to determine the usability of the prototype with adults 55 and over; to assess its accuracy for identifying adults with low-functional reading ability, poor ability on a real-life pill-sorting task, and low cognition; and to assess the acceptability of a touchscreen device with older adults with age-related changes to vision and cognition. MethodsThis pilot study enrolled adults (≥55 years) who were recruited through pharmacies, retirement residences, and a low-vision optometry clinic. ClereMed is a hypertext markup language (HTML)-5 prototype app that simulates medication taking using an iPad, and also provides information on how to improve the accessibility of prescription labels. A paper-based questionnaire included questions on participant demographics, computer literacy, and the Systems Usability Scale (SUS). Cognition was assessed using the Montreal Cognitive Assessment tool, and functional reading ability was measured using the MNRead Acuity Chart. Simulation results were compared with a real-life, medication-taking exercise using prescription vials, tablets, and pillboxes. ResultsThe 47 participants had a mean age of 76 (SD 11) years and 60% (28/47) were female. Of the participants, 32% (15/47) did not own a computer or touchscreen device. The mean SUS score was 76/100. ClereMed correctly identified 72% (5/7) of participants with functional reading difficulty, and 63% (5/8) who failed a real-life pill-sorting task, but only 21% (6/28) of participants with cognitive impairment. Participants who owned a ...
    Keywords Information technology ; T58.5-58.64 ; Public aspects of medicine ; RA1-1270
    Subject code 150
    Language English
    Publishing date 2014-08-01T00:00:00Z
    Publisher JMIR Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Mapping Institutional Interventions to Mitigate Suicides: A Study of Causes and Prevention.

    Ullah, Zia / Shah, Nighat Akbar / Khan, Sonia Shamroz / Ahmad, Naveed / Scholz, Miklas

    International journal of environmental research and public health

    2021  Volume 18, Issue 20

    Abstract: Suicide is an extreme, tragic act and an important subject for social inquiry. It is the rising public health issue prevalent in the Himalayan range of Pakistan. The young and educated population is more prone to suicide instead of using this prime phase ...

    Abstract Suicide is an extreme, tragic act and an important subject for social inquiry. It is the rising public health issue prevalent in the Himalayan range of Pakistan. The young and educated population is more prone to suicide instead of using this prime phase of age productively. Unfortunately, the suicide problem remains unaddressed, the causes remain undefined, solutions are not in the works, and in situations when others play a part in driving someone to commit suicide, no one is being held accountable. This study is aimed at uncovering the root causes of suicide and proposing some preventive measures to mitigate the problem. Our team studied three years' worth of data (2017-2019) on suicides from the office of Human Rights Commission of Pakistan, Chitral. In addition, we conducted semi-structured interviews of different stakeholders, including family members, neighbors, lawyers, and police personnel. The findings revealed that extended family pressures, the power dynamic between sustainers and dependents, family conflicts, and inheritance cases were the major causes of the domestic violence that preceded suicide attempts. Mental health issues, forced marriages, academic competitions, and flawed litigation processes were also among the leading causes of suicide. Awareness through education and religious sermons, strengthening healthcare organizations, restructuring family systems, establishing police complaint centers, effective prosecution processes, and imparting lifesaving skills have been identified as measures to prevent suicide. This study has theoretical and practical implications, as it adds certain novel variables regarding the causes and solutions of suicide to the existing body of literature and guides public authorities to strengthen institutions to intervene effectively.
    MeSH term(s) Age Distribution ; Cause of Death ; Family Conflict ; Homicide ; Humans ; Population Surveillance ; Sex Distribution ; Violence
    Language English
    Publishing date 2021-10-16
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph182010880
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Morphological variability in okra germplasm due to the infection of root-knot nematode (Meloidogyne incognita)

    Iram, Muneeba / Abbas, Huma / Khan, Sajid Aleem / Javed, Nazir / Kamran, Muhammad / Hassan, Muhammad / Riaz, Kashaf / Khan, Shamroz / Junaid, Muhammad / Sajjad, Akbar

    Archiv für Phytopathologie und Pflanzenschutz. 2022 June 14, v. 55, no. 9

    2022  

    Abstract: Root-knot nematode (Meloidogyne incognita) is a notorious pathogen of okra (Abelmoschus esculentus L.) from the family Malvaceae. This investigation was planned to corroborate the damaging impact of M. incognita on growth parameters of different ... ...

    Abstract Root-knot nematode (Meloidogyne incognita) is a notorious pathogen of okra (Abelmoschus esculentus L.) from the family Malvaceae. This investigation was planned to corroborate the damaging impact of M. incognita on growth parameters of different varieties of okra. Seeds of ten different varieties of okra were taken and sown in earthen pots containing sterilized soil. There were five replications for each variety along with control. Approximately 1000 freshly hatched juveniles of M. incognita were applied on okra seedlings after three weeks of seed germination. Harvesting was done after 60 days of inoculation and different plant growth and nematode reproduction parameters were recorded. Significant differences of growth parameters were observed among all the varieties of okra. The variety Kiran showed maximum number of galls, egg masses and females with lowest number of fruits and other growth parameters except root weight while Anarkali showed minimum number of galls with better growth parameters.
    Keywords Abelmoschus esculentus ; Meloidogyne incognita ; eggs ; germplasm ; okra ; pathogens ; plant growth ; root-knot nematodes ; seed germination ; soil sterilization
    Language English
    Dates of publication 2022-0614
    Size p. 1158-1168.
    Publishing place Taylor & Francis
    Document type Article
    ZDB-ID 2068307-8
    ISSN 1477-2906 ; 0323-5408
    ISSN (online) 1477-2906
    ISSN 0323-5408
    DOI 10.1080/03235408.2022.2083868
    Database NAL-Catalogue (AGRICOLA)

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