The document discusses various causes of corneal blindness globally, including infectious diseases like trachoma, vitamin A deficiency, and onchocerciasis. It outlines signs and symptoms, as well as prevention and treatment options. The most common cause of blindness is microbial keratitis resulting from corneal abrasions in developing areas. Simple tools like fluorescein dye and prophylactic antibiotics administered by community health workers can effectively diagnose and prevent infectious keratitis. Overall the document provides an overview of major corneal diseases and blindness issues particularly impacting poor communities worldwide.
A Project on CONJUNCTIVITIS and HYPERTHYROIDISMUTSAV KUNDU
Conjunctivitis (also called pink eye in North America or Madras eye in India) is inflammation of the conjunctiva (the outermost layer of the eye and the inner surface of the eyelids).It is commonly due to an infection (usually viral, but sometimes bacterial) or an allergic reaction.
Presentation made from the Kanski,Wills eye manual,Harper,And Oxford handbook of ophthalmology.You dont need to read these books for VIRAL CONJUNCTIVITIS after reading this this presentation.
A Project on CONJUNCTIVITIS and HYPERTHYROIDISMUTSAV KUNDU
Conjunctivitis (also called pink eye in North America or Madras eye in India) is inflammation of the conjunctiva (the outermost layer of the eye and the inner surface of the eyelids).It is commonly due to an infection (usually viral, but sometimes bacterial) or an allergic reaction.
Presentation made from the Kanski,Wills eye manual,Harper,And Oxford handbook of ophthalmology.You dont need to read these books for VIRAL CONJUNCTIVITIS after reading this this presentation.
The corneal diseases are one of the leading causes of blindness in the world. in most cases, these infections are preventable or treatable.
This seminar provides an overview of the anatomy and physiology of the cornea, as well as an overview of common conditions.
This slide contains information regarding trachoma, entropian and ectropian. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated.
Trachoma History :-
Trachoma was previously known as Egyptian ophthalmia and endemic in the Middle East since prehistoric times.
Name comes from Greek word for ROUGH.
Other name :- Granular conjunctivitis, blinding trachoma, Egyptian ophthalmia
Trachoma is the most common infectious cause of blindness in the world Due to recurrent ocular infection with Chlamydia trachomatis.
Trachoma is the leading cause of preventable irreversible blindness in the world.
Repeat infection with this organism leads to conjunctival inflammation and scarring, trichiasis, and ultimately blinding corneal opacification
Epidemiology:-The World Health Organization (WHO) reports trachoma is endemic to more than 50 countries, with most blinding trachoma in Africa.
Worldwide, an estimated 2.2 million people are visually impaired as a result of trachoma, of whom 1.2 million are blind.
India has become free from Trachoma-with an overall prevalence found to be only 0.7% in the National Trachoma Survey Report (2014-17).
Just one bite of a mosquito can take us closer to death. Don't let that happen to anyone. Happy World Malaria Day. The only way to celebrate the occasion of World Malaria Day is by joining hands against this disease.
Tropical diseases are the diseases that are most prevalent in tropical regions of the world. There are around 14 tropical diseases that causes great morbidity but still ranks low in the international health agendas and being "neglected" since it is confined to certain regions and does not spread across the globe. These diseases are eliminated in developed countries but are prevalent in developing countries because of improper sanitation.Here,I hope I have covered almost all the neglected tropical diseases.
• Onchocerciasis also known as ‘’river blindness’’ and ‘’Robles disease.’’
• It is a parasitic disease caused by infection by Onchocerca volvulus, a nematode (roundworm).
• It is the world's second-leading infectious cause of blindness.
• The parasite is transmitted to humans through the bite of a black fly of the genus Simulium.
• The larval nematodes spread throughout the body
Figure 1 Onchocerciasis
CAUSES
The disease is caused by filaria of O Volvulus.
Figure 2 O Volvulus.
LIFE CYCLE OF O. VOLVULUS
1. A Simulium female black fly takes a blood meal on an infected human host, and ingests microfilaria
2. microfilaria enter the gut and thoracic flight muscles of the black fly
3. progressing into the first larval stage.
4. The larvae mature into the second larval stage
5. move to the proboscis and into the saliva in its third larval stage
6. Maturation takes about 7 days.
7. After maturing, adult male worms mate with female worms in the subcutaneous tissue to produce Simulium female black fly takes a blood meal on an infected human host, and ingests between 700 and 1,500 microfilaria per day.
8. the black flies only feed in the day
Figure 3 LIFE CYCLE OF O. VOLVULUS
SIGNS AND SYMPTOMS
Skin involvement
• Typically consists of intense itching, swelling, and inflammation.
• Skin atrophy - loss of elasticity, the skin resembles tissue paper 'lizard skin' appearance.
• Depigmentation
• Nodules under the skin form around the adult worms.
Ocular involvement
• may involve any part of the eye from conjunctiva and cornea to uvea and posterior segment, including the retina and optic nerve
• cornea: Punctate keratitis
• can lead to visual impairment and permanent blindness
Figure 4 'lizard skin'
Onchocerciasis – the disease and its impact
Onchocercal skin disease also has an important socio-cultural impact. People with the disease often have low self esteem, experience social isolation, and worry that they will never marry. Children are distracted in school due to constant itching.
Blindness is caused when microfilariae migrate to the eye and die, causing an inflammatory response. Over time the affected area becomes opaque, leading to impaired vision and eventually blindness.
TREATMENT
• infected people can be treated with two doses of ivermectin,
• six months apart, repeated every three years
• Ivermectin treatment is particularly effective because it only needs to be taken once or twice a year
PREVENTION
Primary prevention:
• Vector control- applications of environmentally safe insecticides to the black flies breeding areas during rainy seasons.
• Mass treatment with Ivermectin.
• Various control programs aim to stop Onchocerciasis from being a public health problem
• larvicide spraying of fast-flowing rivers to control black fly populations
• The disease can be controlled by actions at the primary level with the village health worker administering the drug according to t
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
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.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Corneal diseases - community eye care
1. B Y S . P E R S I S B E N E T T A ,
M . O P T OM 2 N D Y E A R
COMMUNITY
CORNEAL
DISEASES
2. INTRODUCTION
• Blindness from corneal disease is a major ophthalmic public health problem.
• According to the most recent WHO global data on the causes of blindness (2002), ‘corneal opacities’
affected 1.9 million people (5.1% of the total number of bind people).
• If other conditions causing blindness through corneal pathology are included, such as trachoma, vitamin
A deficiency, ophthalmia neonatorum, and onchocerciasis, the number would be significantly higher.
• It also disproportionately affects poor rural communities, because of the increased risk of eye injuries
from contaminated objects such as plant material, limited access to treatment, and higher prevalence of
communicable diseases such as trachoma and onchocerciasis.
3. CAUSES
• There are many different conditions which can damage the structure and shape of the cornea leading to
visual impairment and blindness.
• These include infectious, nutritional, inflammatory, inherited, iatrogenic (doctor-caused), and
degenerative conditions.
• Overall, in low- and middle-income countries, infectious keratitis tends to be the most common
problem.
• However, other conditions, such as trachoma or onchocerciasis, may dominate in some areas.
4. TRACHOMA
• Trachoma, caused by recurrent infection with Chlamydia Trachomatis, causes blinding corneal
opacification through the traumatic effect of entropion / trichiasis and possibly secondary bacterial
infection.
• Once established, trachomatous corneal opacification is difficult to treat: the results of corneal grafting
are often disappointing, in part due to a dry and damaged ocular surface.
• The disease is more common in poor classes owing to unhygienic living conditions, overcrowding
unsanitary conditions, abundant fly populations, paucity of water, lack of materials like, separate towels
and handkerchiefs, and lack of education and understanding about contagious diseases.
• Modes of infection: can be by direct spread, materials transferred and vector transfer.
5. PREVENTION AND MANAGEMENT
• Blinding trachoma can be prevented through the full implementation of the SAFE Strategy (Surgery for trichiasis, Antibiotics
for infection, Facial cleanliness and Environmental improvement to control transmission).
• Topical therapy:
• Tetracycline
• Erythromycin
• Sulfectamide
• Systemic therapy:
• Azithromycin
• Tetracycline
• Doxycycline
• Combined therapy
• Tetracycline
6. XEROPHTHALMIA
• Xerophthalmia, which is caused by vitamin A deficiency and sometimes precipitated by measles, accounts
for more than half the new cases of childhood blindness each year.
• In addition to blindness, these young children are at increased risk of death.
• Prevention is key: vitamin A supplementation, measles vaccination, and nutritional advice have led to a
marked reduction in this condition.
7. ONCHOCERCIASIS
• Onchocerciasis (river blindness) leads to blindness through an inflammatory response to the microfilaria of
Onchocerca volvulus in the retina and the cornea.
• caused by the parasitic worm Onchocerca volvulus.
• It is transmitted to humans through exposure to repeated bites of infected blackflies of the genus Simulium
• Symptoms include severe itching, disfiguring skin conditions, and visual impairment, including permanent
blindness.
• More than 99% of infected people live in 31 African countries.
• In the human body, the adult worms produce embryonic larvae (microfilariae) that migrate to the skin, eyes
and other organs.
• When a female blackfly bites an infected person during a blood meal, it also ingests microfilariae which
develop further in the blackfly and are then transmitted to the next human host during subsequent bites.
8. • Onchocerca volvulus that can lead to visual morbidity via multiple mechanisms including
chorioretinitis, uveitis, and sclerosing keratitis.
• It manifests systemically but is best known for its cutaneous and ocular pathologies.
• Onchocerciasis is the second leading cause of blindness due to infection in the world.
• The associated iridocyclitis is thought to result from this inflammatory response, which in turn can lead
to cataract formation.
9. • O. volvulus involves all ocular tissues. Initially, it can involve the eyelid and conjunctiva, leading to
eyelid nodules and edema, chronic conjunctivitis, chemosis, and phlyctenule-like kerato-conjunctival
lesions.
• Then, by direct invasion, microfilariae infect the cornea and sclera.
• Corneal manifestations include fine interpalpebral sub-epithelial punctate lesions.
• These “snowflake opacities” can lead to a chronic sclerosing keratitis and discrete nummular scars with
stromal edema, corneal infiltration, and neovascularization.
• It is the sclerosing keratitis that contributes to this nematode's permanent blinding effect.
10. • The microfilariae invade the iris and the ciliary body, leading to iridocyclitis that can be severe.
• This can result in correctopia, iris atrophy and extensive synechiae that can result in secondary
glaucoma, as well as early cataract formation.
• Posterior chamber involvement can include chorioretinal lesions.
• Peripapillary chorioretinitis can result in optic nerve dysfunction secondary to optic nerve edema and
optic neuritis, eventually leading to optic atrophy.
11.
12.
13. SIGNS AND SYMPTOMS
• Symptoms are caused by the microfilariae, which move around the human body in the subcutaneous
tissue and induce intense inflammatory responses when they die.
• Infected people may show symptoms such as severe itching and various skin changes.
• Some infected people develop eye lesions which can lead to visual impairment and permanent blindness.
• In most cases, nodules under the skin form around the adult worms.
14. PREVENTION
• There is no vaccine or medication to prevent infection with O. volvulus.
• Between 1974 and 2002, disease caused by onchocerciasis was brought under control in West Africa
through the work of the Onchocerciasis Control Programme (OCP), using mainly the spraying of
insecticides against blackfly larvae (vector control) by helicopters and airplanes.
• This has been supplemented by large-scale distribution of ivermectin since 1989.
• The African Programme for Onchocerciasis Control (APOC) was launched in 1995 with the objective of
controlling onchocerciasis in the remaining endemic countries in Africa and closed at the end of 2015
after beginning the transition to onchocerciasis elimination.
• Its main strategy has been the establishment of sustainable community-directed treatment with
ivermectin (CDTI) and vector control with environmentally-safe methods where appropriate.
15. • Colombia was the first country in the world to be verified and declared free of onchocerciasis by WHO.
• WHO recommends treating onchocerciasis with ivermectin at least once yearly for between 10 to 15
years.
• Control programmes have been very effective in preventing blindness through the mass distribution of
ivermectin and measures to control the Simulium fly.
16. MICROBIAL KERATITIS
• Traumatic corneal abrasion is a common event and is the major risk factor for microbial keratitis in low-
and middle-income countries.
• Microbial keratitis is an infection of the cornea. Corneal opacities, which are frequently due to microbial
keratitis, remain among the top five causes of blindness worldwide.
• The most common cause of microbial keratitis is infection following a corneal abrasion.
• People are at greater risk of corneal injuries from agricultural activities, manual labor, and domestic
work, which can result in infections of the cornea through contact with contaminated objects.
• Microbial keratitis tends to affect people at younger ages, in their prime working years.
17. A community health volunteer practices applying fluorescein to detect corneal abrasions. NEPAL.
18. PREVENTION AND MANAGEMENT
• Opportunities for rehabilitation through surgical procedures are also limited by a lack of donor corneas
for transplants.
• Even when appropriate medical care is available, the corneal scarring that accompanies healing often
results in visual impairment, despite successful antimicrobial treatment.
• An exception is that natamycin has been shown to be more effective than voriconazole for fungal
corneal ulcers.
• These studies demonstrated that village health workers can be trained to diagnose corneal abrasions and
provide prophylactic treatment, and suggested that this simple intervention might be effective.
• Simple topical antibiotic prophylaxis for a few days while the epithelium heals can protect the eye from
developing potentially blinding infection.
19. • These studies also indicate that the following simple tools may be used to identify and prevent microbial
keratitis.
• Fluorescein dye: Applied to the eye using sterile strips or solution, fluorescein will stain corneal epithelial
defects/abrasions.
• Blue torch: A blue light shone onto the cornea with fluorescein dye will highlight a corneal abrasion, which is
visible as a bright green area.
• Loupes: Magnifying loupes are helpful in determining the existence of a corneal abrasion.
• Prophylaxis: Once a corneal abrasion is identified, antibiotic and antifungal ointments should be applied three
times a day for 3 days to prevent infection.
• Education: Health education campaigns inform local community members about corneal infections and
encourage them to seek care in the event of ocular injury.