Treatment of Chalazian: a Comparative Cross-sectional Study | Author : *Binita Bhattarai1, Koshal Shrestha1, Sushila Patel2, Laxmi Devi Manandhar1, Rosy Karki3, Nanda Gurung4 | Abstract | Full Text | Abstract :Introduction: Chalazion is a common eyelid margin disorder manifesting as granulomatous inflammation associated with meibomian gland lipids. There are three methods of treating chalazian: Intralesional Triamcinolone Acetonide (0.1-0.3 ml of 40mg/ml), Incision and Curettage and Conservative Treatment (hot compression +lid hygiene + antibiotic ointment).
Methods: Patients with chalazian presenting to Outpatient Department (OPD) of Lumbini Eye Institute and Reserch Center (LEIRC) from 15 March 2017 to 15 July 2017 were included in the study. They underwent any of the three procedures (Conservative Treatment or Triamcinolone Acetonide Injection or Incision and Curettage) according to their choice. We compared all three methods of treatment of chalazion on follow up visit at 2 weeks, which was done to determine effectiveness in terms of reduction of size or complete resolution of the chalazia.
Results: Out of 112 patients enrolled in the study 65(58%) were females and 47(42%) were male with a male: female ratio of (0.7:1). Mean age of involvement was 25.7years (SD 10.3). At 2 weeks follow up there was complete resolution in incision and curettage (I and C) group 77 % (41/53) and in Triamcinolone Acetonide (TA) injection group 63 %( 20/32). Pearson’s correlations showed that I and C were superior to any other forms of intervention for any size of chalazian followed by intralesional injection of TA.
Conclusion: Incision and Curettage remained the best choice for treatment of chalazion followed by triamcinolone acetonide injection but may need multiple injections. |
| Cool Parent Syndrome; Redefining Cool | Author : Ganesh Amgain | Abstract | Full Text | Abstract :Parenting style also called parental behaviour is the way parents generally relate to their children. It is the overall emotional climate in which parents raise their children. It has been divided into four different categories; Authoritative, Authoritarian, Permissive and Uninvolved. Experts recommend parents to follow authoritative parenting styles which is perceived to be the most effective one. But in Nepalese context authoritarian parenting style runs among the families. Researches has shown that Nepalese parenting style could not be incorporated into a single parenting style as suggested by Baumrind. Present day’s parents in Nepalese context, not setting clear rules for the children, and provision of more than enough freedom, is found to be cool. Most of the parenting studies only find the correlation between the parenting styles and outcomes rather than cause and effect. That’s why, rather than sticking to specific type of parenting style or be cool with them, it’s crucial to take time and be able to connect to them and address the needs of the children. |
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