Corneal crosslinking - sarveiskalvon kovetushoito
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Corneal crosslinking eli sarveiskalvon kovetushoito on jo etabloitunut ja tehokkaaksi todettu keino pysäyttää keratoconuksen eteneminen. Tässä esityksessä esitetään CCL-hoidon indikaatiot, toimenpide sekä riskit.
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- The latest trends in AI and automation, and what this means for an evolving paid search ecosystem.
- New developments in privacy and data regulation.
- Emerging ad formats that are expected to make an impact next year.
Watch Sreekant Lanka from iQuanti and Irina Klein from OneMain Financial as they dive into the future of paid search and explore the trends, strategies, and technologies that will shape the search marketing landscape.
If you’re looking to assess your paid search strategy and design an industry-aligned plan for 2024, then this webinar is for you.
5 Public speaking tips from TED - Visualized summary
From their humble beginnings in 1984, TED has grown into the world’s most powerful amplifier for speakers and thought-leaders to share their ideas. They have over 2,400 filmed talks (not including the 30,000+ TEDx videos) freely available online, and have hosted over 17,500 events around the world.
With over one billion views in a year, it’s no wonder that so many speakers are looking to TED for ideas on how to share their message more effectively.
The article “5 Public-Speaking Tips TED Gives Its Speakers”, by Carmine Gallo for Forbes, gives speakers five practical ways to connect with their audience, and effectively share their ideas on stage.
Whether you are gearing up to get on a TED stage yourself, or just want to master the skills that so many of their speakers possess, these tips and quotes from Chris Anderson, the TED Talks Curator, will encourage you to make the most impactful impression on your audience.
See the full article and more summaries like this on SpeakerHub here: https://speakerhub.com/blog/5-presentation-tips-ted-gives-its-speakers
See the original article on Forbes here:
http://www.forbes.com/forbes/welcome/?toURL=http://www.forbes.com/sites/carminegallo/2016/05/06/5-public-speaking-tips-ted-gives-its-speakers/&refURL=&referrer=#5c07a8221d9b
ChatGPT and the Future of Work - Clark Boyd
Everyone is in agreement that ChatGPT (and other generative AI tools) will shape the future of work. Yet there is little consensus on exactly how, when, and to what extent this technology will change our world.
Businesses that extract maximum value from ChatGPT will use it as a collaborative tool for everything from brainstorming to technical maintenance.
For individuals, now is the time to pinpoint the skills the future professional will need to thrive in the AI age.
Check out this presentation to understand what ChatGPT is, how it will shape the future of work, and how you can prepare to take advantage.
Getting into the tech field. what next
a presentation to give to a programming class on how to land a 6 figure job right out of college, and how to prepare during and after school
Google's Just Not That Into You: Understanding Core Updates & Search Intent
Lily Ray's MozCon talk from 2023 about how core updates work and how search intent plays a role.
How to have difficult conversations
Stop putting off having difficult conversations. Seven practical tips to ensure your next difficult conversation go smoothly.
Introduction to Data Science
A brief introduction to DataScience with explaining of the concepts, algorithms, machine learning, supervised and unsupervised learning, clustering, statistics, data preprocessing, real-world applications etc.
It's part of a Data Science Corner Campaign where I will be discussing the fundamentals of DataScience, AIML, Statistics etc.
Time Management & Productivity - Best Practices
Here's my presentation on by proven best practices how to manage your work time effectively and how to improve your productivity. It includes practical tips and how to use tools such as Slack, Google Apps, Hubspot, Google Calendar, Gmail and others.
The six step guide to practical project management
The six step guide to practical project management
If you think managing projects is too difficult, think again.
We’ve stripped back project management processes to the
basics – to make it quicker and easier, without sacrificing
the vital ingredients for success.
“If you’re looking for some real-world guidance, then The Six Step Guide to Practical Project Management will help.”
Dr Andrew Makar, Tactical Project Management
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
A presentation for absolute beginners who have never touched TikTok and may be a bit scared of it!
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Product Design Trends in 2024 | Teenage Engineerings
Product Design Trends in 2024 | Teenage Engineerings
How Race, Age and Gender Shape Attitudes Towards Mental Health
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AI Trends in Creative Operations 2024 by Artwork Flow.pdf
Content Methodology: A Best Practices Report (Webinar)
Content Methodology: A Best Practices Report (Webinar)
How to Prepare For a Successful Job Search for 2024
How to Prepare For a Successful Job Search for 2024
Social Media Marketing Trends 2024 // The Global Indie Insights
Social Media Marketing Trends 2024 // The Global Indie Insights
Trends In Paid Search: Navigating The Digital Landscape In 2024
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5 Public speaking tips from TED - Visualized summary
5 Public speaking tips from TED - Visualized summary
Google's Just Not That Into You: Understanding Core Updates & Search Intent
Google's Just Not That Into You: Understanding Core Updates & Search Intent
The six step guide to practical project management
The six step guide to practical project management
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
Corneal crosslinking - sarveiskalvon kovetushoito
- 1. Corneal Crosslinking Hoito keratoconukseen? Tero Rinne | Iogen Oy
- 2. Mitä on crosslinking? Crosslinkingin aikana indusoidaan uusia kemiallisia liitoksia strooman eri kerroksissa.
- 3. Mitä on crosslinking? • Fysiologinen prosessi, hyvin tunnettu muun muassa diabeteksen ja ikääntymisen yhteydessä. • Diabetes on tunnetusti keratoconusta ehkäisevä tekijä.
- 4. 1. Yhdistetyn UVA-säteilyn ja riboflaviinin vaikutus Riboflaviini (vit. B2) UV-säteily 2. Happiradikaalien tuotanto O2- 3. Kollageenin ristiliitosten indusointi -CH2-CH2-CH2-CH = NH-CH2-CH2-CH2-CH2kollageenifibriili kollageenifibriili
- 5. Ketkä hyötyvät Crosslinking-hoidosta? • Keratoconus • Pellucid marginal degeneration • Iatrogeninen keratoektasia • Corneal melting Vaatimukset • Sarveiskalvon paksuus ohuimmillaan yli 400 μm • Maksimikaarevuus alle 60 D
- 6. Mitkä ovat hoidon tavoitteet ottaen huomioon nämä indikaatiot? • Estää vaivan eteneminen • Vakauttaa SAK • Mahdollistaako jatkotoimenpiteitä?
- 7. Missä vaiheessa taudin etenemistä hoito pitäisi antaa? • Heti, kun merkittävää ektasian etenemistä tai SAK:in ohenemista on havaittavissa.
- 8. Mitä diagnostiikkatyökaluja voidaan käyttää arvioidaksemme hoidon tehokkuutta? • Topografia • BCVA • Pakymetria • Rakolamppututkimus (keratoconuksen taso ja luokittelu)
- 9. Toimenpide • Epiteelin poisto Ø 9mm • 0.1% Riboflaviinia 20% dextraanissa, kunnes etukammio on värjäytynyt keltaiseksi (25 - 30 minuuttia) • 365 nm, 3 mW/cm2, 30 minuutin ajan
- 12. Vaurion kynnysarvot 2 2 0.65 J/cm² 5.4 J/cm2 Altistus CCL-hoidossa 70 J/cm² 0.46 J/cm² (9 %) 0.33 J/cm² (7 %) 0.14 J/cm² (2,1 %) 0.12 J/cm² (1,9 %) 2 70 J/cm² 2 7.7 J/cm²
- 13. Endoteeli on riskialttein rakenne toimenpiteen aikana. Mahdollisia syitä vaurioihin: • SAK liian ohut. • Riboflaviinin imeytyminen liian vähäistä. • UV-säteily liian voimakasta.
- 14. Ei sivu- tai haittavaikutuksia Progrediointi on lakannut kaikilla potilailla Maksimaaliset K-arvot pienenivät merkittävästi 65 prosentissa tapauksista
- 15. Ota yhteyttä iogen@iogen.fi 040 52 89 866 15
Editor's Notes
- Aikainen diagnosointi on erittäin tärkeää G IV keratoconuksessa ei ole enää järkeä hoitaa, sillä visus on jo mennyt.
- Useimmiten poistetaan epiteeli, joko mekaanisesti (kuten PRK:ssa) tai 20% alkoholilla (kuten LASEKissa).
- Endoteeli sietää 0.65 J/cm² UV-säteilyä. Crosslinking-hoidossa tällä hetkellä CORNEALLE syntyy 0.46 J/cm² UV-säteilyä, joka imeytyy riboflaviiniin, ja endoteelille päätyvä energiamäärä on erittäin pieni. Riski on siis lähinnä teoreettinen, mutta tästä(kin) syystä on tärkeää varmistaa, että riboflaviini todellakin on imeytynyt sarveiskalvon sisäisiin kerroksiin yli puolet sarveiskalvon paksuudesta.
- Hoidon tavoitteena siis SAKin vakauttaminen. Iloisena lisäyllätyksenä 2/3 potilaista kokee myös K-arvojen pienentymistä (= pientä visuksen paranemista) Tämän takia on tärkeää antaa näön stabiloitua, ennen kuin annetaan (refraktiivista) jatkohoitoa. Vielä ei tiedetä, kauanko pitää odottaa lopullista stabiloitumista, jotkut puhuvat kahdesta viikosta, jotkut kahdesta kuukaudesta, jotkut kuudesta kuukaudesta.