La chirurgie correctrice au laser peut se faire directement sur la surface oculaire a l'aide du laser excimer. Cette technique n'implique pas la découpe d'un volet et est une excellente alternative pour les patients avec de faibles myopies ou des cornées fines.
La chirurgie correctrice au laser peut se faire directement sur la surface oculaire a l'aide du laser excimer. Cette technique n'implique pas la découpe d'un volet et est une excellente alternative pour les patients avec de faibles myopies ou des cornées fines.
Presentation revealing several main concepts regarding management of anophthalmic socket. It includes orbital implants during amputation surgery (evisceration or enucleation), managing the socket immediately after the removal of the eye; fitting the artificial eye and taking care of it during rest of the time. What the ophthalmic nurse and general ophthalmologist should know about artificial eye?
Presentation revealing several main concepts regarding management of anophthalmic socket. It includes orbital implants during amputation surgery (evisceration or enucleation), managing the socket immediately after the removal of the eye; fitting the artificial eye and taking care of it during rest of the time. What the ophthalmic nurse and general ophthalmologist should know about artificial eye?
Goals of anophthalmic socket surgery are-
-Maximizing orbital implant volume with good centration within the orbit
- Achieving optimal eyelid contour, volume, and tone
- Establishing a socket lining with deep fornices to retain the prosthesis
- Transmitting motility from the implant to the overlying prosthesis
- Achieving comfort and symmetry
Implant surgeries to overcome anatomic difficulties / implant dentistry cour...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Implant surgeries to overcome anatomic difficulties ii / dental implant cour...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
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Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. Introduction
Congenital Anophthalmia – a rare
congenital eye anomaly due to
deficiency in development of primary
optic vesicle.
There is no detectable ocular tissue.
Associated with microblepharon,short
conjunctival sac, absence of
extraocular muscles.
Replaced completely by a cyst.
3.
4. Purpose of review
The introduction of hydrogel socket &
orbital expanders has modified
approach towards rehabilitation of
congenital anophthalmia.
5. Recent advances
Hydrogel socket expander as an
outpatient procedure.
Increased orbital volume confirmed by
CT ,MRI.
Inflatable orbital tissue expander new
design
8. 1.Positioning of progressively enlarging
static acrylic conformers asap after
birth
- Orbital cyst –dynamic expander like
conformer
Drainage or Excision – Rapid growth
- Uncomfortable
to wear
MRI to exclude connection to brain
10. Inert spherical implants
Advantages
Provide comfort and low rates of
extrusion.
Cost-effective choice in patients.
Disadvantages
decreased motility and implant migration.
Buried motility implants
anterior surface projections push the
overlying
prosthesis with direct force and can
improve prosthetic motility.
may pinch the conjunctiva between the
implant and the prosthesis - painful
11. Hydroxyapatite and porous
polyethylene implants allow for drilling
and placement of a peg to integrate
the prosthesis directly with the moving
implant.
Pegging is usually carried out 6-12
months after enucleation. Pegged
porous implants offer excellent
motility,
12.
Locations for implants -within the Tenon capsule
/behind the posteri or Tenon capsule in the
muscle cone.
Spheres may be covered with other materials
such as
sclera (homologous or cadaveric) or autogenous
fascia,
Secure closure of Tenon fasci a over the anterior
surface of an anophthalmic implant is an
important barrier to later extrusion.
14. Hard silicone spheres
-
Need of series of surgeries
Multiple general anaesthesias
Repeated trauma to soft tissues
15. Inflatable soft tissue
expanders
-
Better orbital bone stimulation &
socket enlargement.
Difficult to control direction ,maintain
expansion pressure.
Chance of displacing
conformer,extrusion
16. Hydrogel expander implant
To stimulate growth of conjunctival sac
& eyelids followed by serial
implantation for Orbital volume with
temporary tarsorraphy.
Methylmethacrylate & Nvinylpyrrolidone
materials.
Small Soft tissue incision – quick
surgery , recovery
17. Injectable pellet expanders through
trocar tru skin at inferior orbital rim to
deep orbit.
Safe & minimally invasive technique
Easy to insert , biocompatible.
Migration & extrusion.
18. Positioning with cyanoacrylate glue
- No suture related complications
- Avoids multiple general anaesthesias
- Outpatient procedure with topical
anaesthesia.
19. Dermis –fat grafts
Outcomes:
-Good orbital volume ,adequate
fornices
-No excessive growth / need of
surgery
-Allows lid & socket expansion
Problems:
-second surgical site,unpleasant scar
-delay in healing,chronic discharge
20.
A study on evaluation of an integrated
orbital tissue expander in congenital
anophthalmos . Am J Ophthalmol
2011
-
An inflatable silicone globe sliding on
titanium T- plate secured to lateral
orbital rim with screws.
Inflating with transconjunctival inj of
normal saline ,30 G needle.
-
21. Outcomes:
- ease of insertion
- Absence of displacement
- Uniform pressure
- Reduced trauma
22. Guidelines for enucleation
A functionally and aesthetically acceptable
anophthalmic socket must have following –
an orbital implant of sufficient volume centered
within the orbit
a socket lined with conjunctiva or mucous
membrane with fornices deep enough to hold a
prosthesis.
eyelids with normal appearance and adequate
tone to support a prosthesis
good transmission of motility from the implant to
the overlying prosthesis
a comfortable ocular prosthesis that looks similar
to the normal eye
33. Advantages of Evisceration in
orbital implant
Less disruption of orbital anatomy.
Good motility of prosthesis
Lower rate of
migration,extrusion,reoperation.
34.
35.
36. Anophthalmic Socket
Complications and Treatment
Deep superior sulcus
Contracture of fornices
Exposure & extrusion of implant
Contracted socket
Anophthalmic ectropion
Anophthalmic ptosis
Lash margin entropion
Cosmetic Optics