Prevalence of diabetic retinopathy in type II diabetic patients in a health facility in Karachi, Pakistan

Purpose: To study the prevalence of diabetic retinopathy in known diabetic patients attending the diabetes outpatient department (OPD) of Sind Government Hospital (SGH), New Karachi Township (NKT), Pakistan. Methods: A cross-sectional observational study was carried out at the diabetic OPD of SGH, NKT over the period of 17 months from March 2013 to August 2014. The selected patients were interviewed based on a questionnaire; laboratory investigations were performed and examination of the eye was conducted by a specialist ophthalmologist. One hundred and fifty four (154) subjects out of 305 patients contacted fully completed the study. Stratification of the data on gender basis was done, after which one-way ANOVA, χ2 test of correlation, binary logistic regression and relative risk analyses were carried out using SPSS-20. Results: It was found that 66 % men of normal weight (χ2 = 4.667, p < 0.05) and 60.7 % overweight women (χ2 = 5.143, p < 0.05) were more likely to present with diabetic retinopathy (DR). Prevalence of DR in this target population was 42.86 % (N = 66). Background DR (56 %) and maculopathy (23 %) were more prevalent than advanced conditions of the disease. There was no gender-based preponderance for the presentation of DR (χ2 = 0.663; p > 0.05), nor was this seen in different ethnic groups. Conclusion: DR is prevalent in the target population and, therefore, emphasis should be on the education of the local population of New Karachi Township on how to attain euglycemic state with regular medication, diet and exercise to avoid development and progress of DR.

Being on the edge of a shipwreck in planning decision-making: design as an anchor and future maker

This paper investigates recent attempts to Masterplan tourism planning and landscape development of the town of Port Campbell based on the concept of community-driven tourism planning. The Masterplan process generally sought to upgrade tourism facilities and to re-plan a core part of the Great Ocean Road corridor the proposed scheme little engendered community confidence nor encouraged the use of local community public resources of the Masterplan proposed outcomes. While analyzing broad range of aspects of the township and the national park, this design thesis attempted to identify the possible initiatives and landscape development models and also applied landscape narrative theory to focus on tourism experience making and landscape with layers of content embedded such as local history, environmental stories that would enrich the experience. The need for this paper is to articulate an alternate and more robust approach to designing on the fragile coastal edge whilst engendering community engagement and ensuring their aspirations are addressed. It is main contribution is both offering an alternate process but also demonstrating the use of design as a vehicle to reach this outcome. The research gap addressed is to challenge a conventional planning practice that was very much constrained by upper-level Melbourne-based parochial and managerial imperatives than lower-level community aspirations and perspectives.

Intereses económicos y políticos versus identidad cultural del corregimiento de Belén de Bajirá

En Colombia, el ordenamiento territorial debe ser una política de estado, un instrumento estratégico para el desarrollo del país que debe tener una visión de largo plazo y debe tener como objetivos la sostenibilidad de recursos naturales, la preservación de la biodiversidad y reconocimiento de servicios eco sistémicos, la equidad en el acceso a los servicios e infraestructura, la preservación del patrimonio étnico y cultural además de incentivar la competitividad con perspectiva de responsabilidad territorial. Es precisamente en la zona de Urabá, entre el límite entre Chocó y Antioquia donde existe un corregimiento llamado Belén de Bajirá, el cual se encuentra en un conflicto territorial hace 16 años. Los dos departamentos se disputan la posesión de este corregimiento que tiene un censo de 16 mil habitantes, un inspector de policía, rector de colegio, recaudador de impuestos que no se pueden cobrar, asimilando un gobierno paralelo; este trabajo de grado busca explicar o dilucidar las causas por las cuales esta diferencia limítrofe ocurrió y dar posibles soluciones.