Onyekachi Jane Ireka
Location Nigeria
Activity
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Onyekachi Jane Ireka made a comment
Wonderful
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Onyekachi Jane Ireka made a comment
Awesome
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Onyekachi Jane Ireka made a comment
Thank you
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Onyekachi Jane Ireka made a comment
Much thanks
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Onyekachi Jane Ireka made a comment
Thank you so much for this great opportunity to improve my knowledge. I
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No awareness
Lack of facility
Lack of man power -
No awareness
Lack of facility
Lack of man power -
Great lecture
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Onyekachi Jane Ireka made a comment
Good lecture
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Onyekachi Jane Ireka made a comment
Great leaning indeed
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Onyekachi Jane Ireka made a comment
Simplified and informative
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What is gestational diabetes? How is it different from diabetes in pregnancy and
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Onyekachi Jane Ireka made a comment
Hello everyone,
I am Onyekachi, an Ophthalmologist with special interest in vitreoretina. Looking forward to greater learning -
Onyekachi Jane Ireka made a comment
Informative, thanks
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Onyekachi Jane Ireka made a comment
I am Onyekachi from Nigeria
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Onyekachi Jane Ireka made a comment
Trained graders will suffice. By the time we allocate our jobs to AI. We all will be out of job
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Onyekachi Jane Ireka made a comment
In my facility, we are at the planning stage of bringing out a screening protocol
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Easy to comprehend flow chart. Will recommend to be adapted in my facility.
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Onyekachi Jane Ireka made a comment
Team work, information dissertation and sharing of ideas is the way forward
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We already have a dedicated self care educator in our clinic.
Currently we are trying to introduce peers lead educator groups. Hopefully it will be fully functional.
The self care structured education program is also feasible but may be limited to few. This will be considered in due course. -
The relevant of the 4 A's mentioned above cannot be over emphasized. All are crucial for DR management.
A DR management protocol has to be available, affordable, accessible to the knowledge of the users.
Great lecture. Thank you -
Onyekachi Jane Ireka made a comment
Ready to learn new things
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Onyekachi Jane Ireka made a comment
Need assessment as well as situation as had been initiated is the way to go. Action plan can be tailored on the findings of the assessment.
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Good experience
Wll structured program, Fantastic outcome,
Worth adopting.
Thank you -
Proper concealing and health educate and establishing a good health provider - patients relationships.
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Onyekachi Jane Ireka made a comment
Cost is a huge barrier to patients getting appropriate care. This should not be. Health care should be made affordable through national insurance schemes.
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Onyekachi Jane Ireka made a comment
ICO screening guidelines are very practical screening protocol and my center is practicing it.
Great lecture, thank you -
Onyekachi Jane Ireka made a comment
Fundus photography is the best for my facility. Though we don't have fundus camera yet but we use improvised telescope attached to iPhone to take photographs of the fundus. We have even thought our technicians the procedure unlike slit lamp biomocroscopy that requires specialized training.
It has saved a lot of arguments from inter observer errors that occur... -
The missed cases which are the false negatives is where the problem is. Health care providers must be dedicated and offer individualized therapy to patients.
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In my country, there are no guidelines.
In my opinion, advocacy at all levels, multidisciplinary, inter sectoral approach, and collaboration of Health care providers, and government, policy makers and non governmentak agencies for national guidelines on DR is paramount. -
Onyekachi Jane Ireka made a comment
Systematic screening should be recommended.
In my setting, we have to start with Opportunitic screening though it is in existence but sparingly and gradually build up to Systematic screening.
Great lecture. -
Health education to create awareness and routine screening for early detection is the key
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Great illustrations. All areas covered.
Health education, health education at all levels. -
Onyekachi Jane Ireka made a comment
We are good to go
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Onyekachi Jane Ireka made a comment
I have learnt a lot.
Looking forward to week 2
Thank you -
Strengths
Good referral system
Adequate infrastructure
Good collaboration with NGOChalenges
Lack of trained specialists
Lack of awareness
Distribution -
The challenges in mu community include lack of trained personnel, lack of infrastructures and lack of funding.
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Challenges
Lack of manpower
Lack of equipment
High cost of treatment -
Late diagnosis and lack of universal guidelines for screening, how and when to treat.
Wonderful lecture, thank you. -
In my community, I lack of awareness, lack of manpower, cost and lack of universal guidelines for screening and treatment are the barriers to reducing the burden of diabetes eye complications.
Patients based and health provider based barriers have to be effectively addressed to get good results.
Thank you for the lecture -
Differences in prevalence most likely from genetic and environmental.
Quite a challenge we have to rise up to in Africa -
Informative. Every health care giver has a role to play. All levels of prevention must be put in place.
Some challenges are unavailability of national functional program for diabetic retinopathy prevention in some countries.
We all have to contribute our quota to educate the populace.
Wonderful lecture, thank you -
Good lecture with key strengths of ICO classification which are to determine the severity, predict progression and know what treatment modality to institute. With this, health provider is equipped to better educate patients.
Thank you for the wonderful lecture -
Onyekachi Jane Ireka made a comment
Quiet concise. Thank you
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Succinct
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Onyekachi Jane Ireka made a comment
The burden of diabetes and its complications is worrisome. Even in our clinics, the number of patients coming down with diabetic retinopathy is increasing. Sometimes it's difficult to convince them that the eye condition is from diabetes. It's quite a challenge
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Onyekachi Jane Ireka made a comment
Fundus photography is the best but in in areas with limited resources where they are not available then Ophthalmoscope may suffice
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Good introduction, simple and informative
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Onyekachi Jane Ireka made a comment
Here we are
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Onyekachi Jane Ireka made a comment
Looking forward to wider knowledge
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Fundus camera is the ultimate but unfortunately, we don't have it in my center yet
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Wow, detailed introduction and informative. Glad to learn