Public and private hospitals in Kuala Lumpur and Selangor were evaluated in terms of their accessibility for the physically disabled. The research hypotheses for this study included the following: (1) Both types of hospitals are accessible for the physically disabled as measured by specifi c criteria but (2) the degree of accessibility is higher in the case of private hospitals as compared to public hospitals. A total of 23 private hospitals and 11 public hospitals in Kuala Lumpur and Selangor were invited to participate in the study. The 5 private hospitals and 5 public hospitals that agreed were evaluated for adequacy of facilities for the physically-disabled. For this purpose, 13 specifi c criteria were assessed and scored for each hospital. These criteria were also grouped into 5 categories, namely, parking, toilet, door and lift, corridor and ramp. Scores were compared between each hospital and then aggregated and compared for private hospitals versus public hospitals. It was found that none of the 5 private hospitals and 5 public hospitals studied satisfi ed 100% of the criteria evaluated. Looking at each hospital individually, the overall scores range from 32% to 92% for the criteria set. Only 4 of the 10 hospitals in our sample achieved overall scores of 80% or higher in terms of the evaluation criteria we used. With the exception of availability of ramps where public hospitals scored slightly higher ,for most of the individual criterion, private hospitals scored higher than public hospitals. Looking at each criterion across all hospitals, the scores range from 59.2% (adequacy of parking) to 85% (adequacy of corridors). The median score obtained by private hospitals and by public hospitals for all 13 criteria were analysed for any difference. The difference between private hospitals and public hospitals is not statistically signifi cant (Mann-Whitney U = 6.5, p-value = 0.099). There is no signifi cant difference between Kuala Lumpur/Selangor private and public hospitals in terms of accessibility for physically disabled people. However, some hospitals are more accessible for the physically disabled than other hospitals. These fi ndings indicate that there is room for improvement.
Disabled Persons ; Health Care Facilities, Manpower, and Services

PURPOSE: The aim of this study was to assess the esthetic outcome of maxillary anterior single implants by comparing the esthetic perception of dental professionals and patients. MATERIALS AND METHODS: Twenty-three patients with single implants in the esthetic zone were enrolled in this study. Dentists of four different dental specialties (Three orthodontists, three oral surgeons, three prosthodontists, and three periodontists) evaluated the pink esthetic score (PES)/white esthetic score (WES) for 23 implant-supported single restorations. The satisfactions of the patients on the esthetic outcome of the treatment have been evaluated according to the visual analog scale (VAS). RESULTS: The mean total PES/WES was 12.26 ± 4.76. The mean PES was 6.45 ± 2.78 and mean WES was 5.80 ± 2.82. There was a statistically significant difference among the different specialties for WES (P<.01) and Total PES/WES (P<.01). Prosthodontists were found to have assigned poorer ratings among the other specialties, while oral surgeons gave the higher ratings than periodontists, orthodontists, and prosthodontists. CONCLUSION: Prosthodontists seemed to be stricter when assessing aesthetic outcome among other specialties. Moreover, a clear correlation existed between dentists' and patients' esthetic perception, thereby providing rationales for involving patients in the treatment plan to achieve higher levels of patient satisfaction.
Dental Implants, Single-Tooth ; Dentists ; Humans ; Oral and Maxillofacial Surgeons ; Orthodontists ; Patient Satisfaction ; Specialization* ; Specialties, Dental ; Visual Analog Scale

This is a cross sectional study, including quantitative (household survey) and qualitative methods (indept- interview) on 699 people of 157 household living at Cau Giay district. Findings reveal that few people used medical care at the centers (4.3%), the self-medicated rate was highest (42.3%), then the rate of using private services: 27.7% and using services of higher referral levels: 16.7%... Quality and favorable of services, and level of illness... had major influenced to the choices of healthcare services
Health Care Facilities, Manpower, and Services ; Delivery of Health Care ; Medical Staff

Virtual reality (VR) therapy has many benefits to promote neurological and functional recovery in the field of neurorehabilitation after brain injury. VR-assisted neurorehabilitation can be applied in motor, sensori-motor, cognitive, activities of daily living (ADL), and telerehabilitation. Recent reports found that VR therapy appears to be a safe intervention that is effective at improving arm function and ADL function following stroke. Greater improvements were seen at a higher VR therapeutic dose. There has been insufficient evidence that VR therapy improved lower extremity gait speed, balance, and cognitive function after brain injury. As a result, the number of commercially available devices have increased and large-scale controlled trials have reported positive effects recently. Interface devices, various feedback methods, and the advancement of augmented reality technology are quickly developing, therefore, the potential value of VR therapy in neurorehabilitation will be high and its clinical application will be diversified.
Activities of Daily Living ; Arm ; Brain Injuries ; Cognition ; Gait ; Lower Extremity ; Neurological Rehabilitation* ; Rehabilitation ; Stroke ; Telerehabilitation

PURPOSE: To evaluate the influence of suppression by intermittent exotropia on axial length progression. METHODS: The medical records of patients with intermittent exotropia who had undergone surgery at the Korea University Medical Center from 2003 to 2010 were reviewed. The age upon visit, age at operation, visual acuity, refractive error, type of strabismus, angle of strabismic deviation, suppression test (Vectographic projector test, Reneau, France), and axial length test were analyzed. Subjects with amblyopia or anisometropia were excluded. RESULTS: A total of 75 patients with intermittent exotropia who had definite suppression in 1 eye were identified. The mean age at visit was 6.87 +/- 2.73 years and mean angle of exodeviation was 25.65 +/- 6.68 / 26.17 +/- 6.59 (prism diopters, distant / near). There was no statistical difference in exotropia patients' interocular axial length value who showed suppression in 1 eye (p = 0.992 in the right-eye suppression group, and p = 0.528 in the left-eye suppression group). CONCLUSIONS: In the present study, there was no statistical difference in interocular axial length value of intermittent exotropia patients with suppression in one eye (p > 0.05).
Academic Medical Centers ; Amblyopia ; Anisometropia ; Exotropia ; Eye ; Humans ; Korea ; Medical Records ; Refractive Errors ; Strabismus ; Visual Acuity

OBJECTIVE: This study aims to describe the socio-ecological and health profile of the Philippine LIFECARE study sites, its health care services and leading causes of mortality and morbidity.

METHODS: This is a prospective cohort study that recruited participants aged 20-50 years from Metro Manila and four provinces (Bulacan, Batangas, Quezon, Rizal). Study sites were characterized according to their geographical area, terrain and environmental profile, and available health care system.

RESULTS: 3,072 subejects were included, with male-to-female ratio of 1:1.3 and majority aged 30-50 years. Metro Manila was the most congested site. Two-thirds of the 62 villages (barangays) were rural, outside the town proper, and in lowlands. One-fourth were along coastal area. Almost all were accessible by public transportation. Majority have reduced forest cover, but were relatively safe from environmental hazards. Rural health units, hospitals, and professional health care workers were concentrated in Metro Manila. Leading cause of morbidity was respiratory tract infection, while cardiovascular diseases caused most of mortalities.

CONCLUSION: Study sites were mainly rural, outside the town proper and in lowlands, with available public transportation. There is an unequal distribution of health resources. Cardiovascular diseases is still the leading cause of mortality. The disparities in geographical access to health care play an important role in shaping human health.

No abstract available.
Brain* ; Neurological Rehabilitation*

Among 8,796 patients seen in the department of ophthalmology Yonsei University Medical Center from August 1. 1965 to July 31, 1968 there were 1,919 who were seen because of refractive error. These were selected for classification and special statistical study. In 1962 we reported a similar study of 2,004 patients having errors in refraction among a total of 9,716 patients seen in the same department from August 1. 1958 to July 31. 1961. The findings of the more recently studied group are compared with the study made in 1962. 1. 1,919 out of 8.796 patients seen in the department of ophthalmology had errors in refraction (21.8%). 2. 2,932(76.3%) had refractive error of the myopic (including simple myopic astigmatism) type. 740(19.4%) were hyperopic (had simple hyperopic astigmatism). The others had a mixed astigmatism. 3. 56.5% of the total group studied had astigmatism. 4. The highest incidence of refractive errors was found between 11 and 20 years of age. The older patients had a low incidence. 5. There was no relationship between sex and the incidence of refractive error. 6. Among the total number of refractive errors 55.9% were found to be in myopic patients who had less than a -3.00 diopter error. 18.9% were found among hyperopic patients who had less than a +3.00 diopter error. 7. Among the three types of astigmatic errors seen 970 cases(44.7%) were "with the rule"; 864 cases(39.8%) were "against the rule"; and 336 cases (15.5%) were "oblique". 8. 9.6% of the total refractive errors were those of different types of anisometropia. The most commanly seen type was that of compound myopic anisometropia. The next type seen was compound hypo eropic anisometropia and the least frequently seen type was mixed anisometropia. 9. When the results of the present study were compared with those found in 1962 there were no significant differences found between the two groups.
Academic Medical Centers ; Anisometropia ; Astigmatism ; Classification ; Humans ; Incidence ; Ophthalmology ; Refractive Errors ; Statistics as Topic

The purpose of this study is to present quantitative data showing the relationship between visual acuity and refractive error in the various types of myopia: simple myopia, simple myopic astigmatism and compound myopic astigmatism. 1. The study covered 681 patient (1259 eyes) examined by having refractive error in myopia. (-0.25 ~ -20.00D) the Department of Ophthalmology, Yonsei University Medical Center and Wonju Christian Hospital. 2. Plotting the logarithm of visual acuity on the logarithm of the degree of myopia gives a coefficient correlation of -0.8028. The statistical data showed significant in correlation coefficient (r) in various types of myopIa: simple myopia r=-0.7789(p=0.001), simple myopic astigmatism r=-0.7877(p=0.001), compound myopic astigmatism r=-0.7537(p=0.001). 3. The coefficient of determination (R2) was 0.6445. 4. The mathematical mean of the various types of myopia: a. myopIa; simple myopia: 0.29(=20/60), simple myopic astigmatism: 0.87(=20/25), compound myopic astigmatism: 0.29(=20/60). b. visual acuity; simple myopia: -2.53D, simple myopic astigmatism: -0.50D, compound myopic astigmatism: -3.04D. 5. The formulas for the two regression line were: log V=-0.7385 log M-0.4976 (A)(F=2175.7303, p=0.001), log M= -0.8727 log V -0.3641 (B)(F=2175.7303, p=0.001). 6. Confidence limits were determined for the regression lines and table and set up for predicting either the degree of myopia or the visual acuity if the other is known.
Academic Medical Centers ; Astigmatism ; Gangwon-do ; Humans ; Myopia* ; Ophthalmology ; Refractive Errors* ; Visual Acuity*

Among 8, 350 patients seen in the department of ophthalmology, Yonsei University Medical Center from August 1, 1968 to July 31, 1971 there were 2,313 who were seen because of refractive error. These were selected for classification and special statistical study. We reported two similar studies of 2,004 patients having errors in refraction among a total of 9,716 patients seen from August 1, 1958 to July 31, 1961 and 1,919 patients having errors in refraction among a total of 8,796 patients from August 1, 1965 to July 31, 1968 seen in the same department in 1962 and 1968 respectively. The finding of the more recently studied groups are compared with the studies made in 1962 and 1968. 1. 2,313 out of 8,350 patients seen in the department of ophthalmology had errors in refraction (27.7%). 2. 2,949 cases (63.8%) had refractive errors of the myopic type. 626 cases (13.5%) were hyperopic. The others had a simple and a mixed astigmatism. 3. 61.2% of the total group studied had astigmatism. 4. The highest incidence of refractive errors was found between 11 and 20 years of age The older patients had a low incidence. 5. Among the total number of refractive errors 56.3% were found to be in myopic patients who had less than a -3.00 diopters error. 16.8% were found among hyperopic patients who had less than a +3.00 diopters error. 6. Among the three types of astigmatic error seen 1,507 cases (53.2%) were "with the rule", 872 cases (30.8%) were "against the rule", and 456 cases (16.0%) were "oblique". 7. 6.9% of the total refractive errors were those of different types of anisometropia. The most commonly seen type was that of compound myopic anisometropia. The next type seen was simple myopic anisometropia and the least frequently seen type was compound hyperopic anisometropia. 8. When the results of the present study were compared with those found in 1962 and 1968 there are no significant difference between these three groups.
Academic Medical Centers ; Anisometropia ; Astigmatism ; Classification ; Humans ; Incidence ; Ophthalmology ; Refractive Errors ; Statistics as Topic