A systematic approach with practical tips to diagnose and manage optic disc pallor. Disc pallor is often encountered in the routine clinical practice and remains a diagnostic enigma for most ophthalmologist. I illustrate the relevant practical points to be looked out for to deal with disc pallor.
A systematic approach with practical tips to diagnose and manage optic disc pallor. Disc pallor is often encountered in the routine clinical practice and remains a diagnostic enigma for most ophthalmologist. I illustrate the relevant practical points to be looked out for to deal with disc pallor.
Syphilis and gonorrhea - Its etiology, pathophysiology, signs and symptoms,di...Aiswarya Thomas
Discussed about Syphilis and gonorrhea - Its etiology, pathophysiology, signs and symptoms,diagnosis and prevention. Also dicussed about the classifications of both STDs and its diagnostic tests
Retinal vasculitis refers to the inflammation of the retinal vessel resulting in evident clinical manifestations i.e. vascular sheathing, leakage and occlusion. This presentation covers the etiology, pathogenesis, clinical features, diagnosis and management of this spectrum of retinal disease.
updating in diabetic macular edema including old and new approach era, including DRCR protocol
how to approach, how to treat, when to surgery
plus knownledge about anti-VEGF therapy up to date
slide presentation about ptosis in ophthalmology department
including mechanical,myogenic,aponeurotic,traumatic,neurogenic cause
plus dermatochalasis
in general appraoch and surgery choice
Epiretinal membrane and vitreomacula traction in updates by Panit Cherdchu, MD.Panit Cherdchu
Epiretinal membrane + Vitreomacula traction in focus of PPP from AAO guidelines includes definition, classification, investigation, treatment (Ocriplasmin,vitrectomy,observation)
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
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
22. Reported rubella and CRS: United States, 1966-2004
Meissner, H. C. et al. Pediatrics 2006;117:933-935
23. Gestational Ages Incidence of congenital infection
First 11 weeks 90%
Weeks 11-20 50%
Weeks 20-35 37%
Last month of pregnancy 100%
24.
25.
26.
27. CORNEA
• Edematous
(from
endotheliopathy
or glaucoma)
• microphthalmos
IRIS+CILIARY
BODY
• Poorly
developed
(virus in 1st
trimester)
• Iris hypoplasia
• Granulomatous
iridocyclitis
• Focal necrosis
• Vacuolization of
pigment
epithelium
• Glaucoma 10%
LENS
• Cataract
formation
(Nuclear type)
RETINA
• Salt and pepper
retinopathy
• Depigmentation
of the RPE
without ass.
Inflammation
• But normal ERG
42. Organ manifestation
Anterior segments corneal opacities, bilateral anterior polar
cataracts
Retina Chorioretinitisscar similar to toxo
Focal destructionpseudocolobomas
Retinitis =diffuse retinal necrosis with area of
retinal thickening and whitening, hemorrhages
and venous sheathing
+/-vitritis
Optic nerve Optic nerve hypoplasia
Optic nerve coloboma
others Cyclopia and anophthalmia
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53. Organ Manifestation
Anterior segment Conjunctivitis
Keratitis
Iridocyclitis
Iris atrophy
Posterior synechiae
Cataracts
Retina Reitnitis
Chorioretinitis
Chorioretinal scarring
White vitreous masses
Optic nerve Optic neuritis
Optic atrophy
microphthalmia Microcornea
Micropthalmia ass. IUGR and microcephaly
suggest early infection during pregnancy
54.
55. Causes of infectious
retinitis, including
cytomegalovirus (A),
varicella-zoster virus(B),
herpes simplex virus (C),
toxoplasmosis (D)
in four different patients
with AIDS
66. Syphilictic interstitial keratitis showing inactive
deep stromal vessels in retroillumination (A) and
active deep stromal vessels with perivascular
leukocytic cuffing in direct illumination (B)
Large granulomatous KP in
patient with syphilitic
uveitis
67. Iris roseola in a patient with syphilitic
uveitis, 2 patent iridotomies are visible
at 2,10 o’clock
A patch of peripheral “ground glass”
retinitis and vasculitis in a patient
with syphilitic uveitis
74. Centers for Disease Control and Prevention. Sexually transmitted diseases
surveillance, 2011: syphilis. Available from
www.cdc.gov/std/stats11/tables/1.htm. AccessedFebruary19, 2014.
75.
76.
77.
78.
79.
80.
81.
82. The right eye of a 3-year-old child with a diagnosis of congenital lymphocytic choriomeningitis virus (LCVM) A
large chorioretinal scar is visible temporal to the macular. There are peripapillary irregularities of the retinal
pigment epithelium as well as some along the inferior arcade.
83.
84.
85.
86.
87. ucey DR, Gostin LO. The emerging Zika pandemic: enhancing preparedness
[published online January 27, 2016]. JAMA. doi:10.1001/jama.2016.0904.
Editor's Notes
These infections can cause ongoing tissue damage; long-term evaluation is thus required in order to determine their full impact. Most perinatal disorders have an exceedingly broad spectrum of clinical presentation, ranging from silent disease to life-threatening tissue and organ damage. The common types of congenital infections can be remembered by the acronym TORCH: toxoplasmosis; rubella; cytomegalovirus; and herpesviruses. Other infections discussed in this section include syphilis and lymphocytic choriomeningitis virus.
Retina The retinal disease is a chorioretinitis, re- sulting in a chorioretinal scar similar to that of toxoplasmosis. Dobbins reported 15% of pa- tients showed retinal disease, and a later study by Coats, had 22% of symptomatic patients with retinal disease (7% macular and 14% peripheral scar^).'^,^^ The retinitis usually de- velops in patients with clinically apparent cy- tomegalic inclusion disease, but has been re- ported as the only manifestation of congenital CMV infection (Fig. 4).62 In addition, it has been reported that the retinal disease has de- veloped several weeks after birth.28 The histo- pathology has been reported as, many inclu- sion bodies in the retina and a few in the choroid, accompanied by extensive choriore- tinitis. Accumulation of inclusion bodies in the retina caused its focal destruction and gave rise to the development of pseudocolobomas.47
Optic Nerve Optic nerve hypoplasia and optic nerve coloboma have been described in association with cytomegalic inclusion disease.30 These findings are consistent with the teratogenic ef- fect on the central nervous system seen in this infection, which results in faulty organogen- esis. In a large study by Coats 7% of 42 symp- tomatic patients had bilateral optic atrophy.I3
Gangciclovir and foscarnet sodium deliv- ered intravenously are being used and stud- ied. However, trials of both show that viruria returns to pre-treatment levels after cessation of the dr~g.~,~~,~~ Intravitreal therapy with gangciclovir implants has also been used for the eye disease.