for eye care professionals.. will help them to understand slit lamp examination based on theory can co-relate with the practicals to gain more knowledge
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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for eye care professionals.. will help them to understand slit lamp examination based on theory can co-relate with the practicals to gain more knowledge
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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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
www.indiandentalacademy.com
Compound microscopes are what most people visualize when they think about microscopes. They are available in monocular, binocular and trinocular formats. They have a number of objectives (the lens closest to the object being viewed) of varying magnifications mounted in a rotating nosepiece.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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Compound microscopes are what most people visualize when they think about microscopes. They are available in monocular, binocular and trinocular formats. They have a number of objectives (the lens closest to the object being viewed) of varying magnifications mounted in a rotating nosepiece.
Who wouldn’t want to experience a greater level of happiness on a regular basis? It’s much easier to be happier than you think. There are many simple things you can do each day to enhance your level of happiness.
I hope you enjoy both these guides and put the steps into practice.
Бизнес-мастерская "ТОП-10" - лучшие бизнес-книги по мнению экспертовМегаполис Персонал
Современный учебный центр “Мегаполис-Персонал” совместно с Открытым Корпоративным Дистанционным Университетом и Академией Предпринимателя 22 мая 2015 провели бизнес-мастерскую на тему “ТОП-10” – лучшие бизнес-книги, по мнению экспертов.
Building the Courage to Break Out Your Comfort ZoneRaymond Red
The quality of courage is an important quality for your success in life. Watch this slideshare to learn how to dream big and how to be persistent whenever the situation requires it. Brian Tracy's Videos Inside.
EPC in Leisure Centres - Dublin City Council's Exemplar ProjectCodema
As part of the SEAI Exemplar Projects and the EESI2020 project, Dublin City Council and Codema are currently involved in the process of establishing an Energy Performance Contract for 3 leisure centres in Dublin. Cormac Healy of DCC and Declan McCormac of Codema present their experience at the EPC Information Seminar in The Morgan Hotel, Dublin on 13 October 2015, organised by Codema.
Introduction
History
Compound microscope
Variants of microscopes
Dark field microscope
Phase contrast microscope
Fluorescent microscope
Polarising microscope
Electron microscope
A Microscope is an instrument for viewing objects that are too small to be seen by the naked/ unaided eyes.
In Greek micron= small
skopien=to look at
The science of investigating small object using such an instrument is called microscopy
The term microscopic means minute or very small, not visible with the eye unless aided by a microscope
From ancient times, man wanted to see things for smaller than could be perceived with the naked eye.
This led to the construction in the 16th century, of a magnifier composed of a single convex lens, and this in turn led to the eventual development of the microscope.
The most famous early pioneers in the history of microscope are Digges of England and Hans & Zcharias Janssen of Holland
It was Antony Van Leeuwenhoek who became the man to make and use a real microscope.
Leeuwenhoek microscope was called as single lens microscope because it had convex lens attached to metal holder and was focused using screws
The "Exploring the Versatility of Slit Lamp Examination: A Comprehensive Guide" PowerPoint presentation is designed to provide a thorough understanding of slit lamp examination in ophthalmology. This educational resource aims to equip healthcare professionals, ophthalmologists, optometrists, and medical students with the knowledge and skills necessary to perform accurate and detailed assessments using the slit lamp.
The presentation begins with an introduction to the slit lamp, highlighting its essential components and its significance in ophthalmic practice. Participants will gain a clear understanding of the microscope and illumination system integrated into the slit lamp, enabling them to appreciate the versatility and wide range of applications this instrument offers.
The indications for slit lamp examination will be discussed in detail, emphasizing its role in diagnosing and monitoring various ocular conditions, as well as its utility in preoperative assessments for cataract surgery and other procedures. Participants will also learn about the step-by-step technique of performing a slit lamp examination, including proper patient positioning and adjustments, and the effective use of chin rests, forehead rests, and oculars for optimal visualization.
An in-depth exploration of various illumination techniques used during slit lamp examination will be presented, such as direct illumination, diffuse illumination, retroillumination, and specular reflection. Participants will gain proficiency in applying these techniques to evaluate the anterior segment of the eye, including the conjunctiva, cornea, iris, and lens. They will also learn how to identify and assess abnormalities through the examination of the posterior segment, including the vitreous, retina, and optic nerve.
The presentation will highlight the integration of additional diagnostic tools with slit lamp examination, such as fluorescein staining for corneal integrity assessment, gonioscopy for angle structure evaluation, and anterior segment photography for documentation purposes. Real-life case examples and clinical photographs will be utilized to illustrate common findings observed during slit lamp examination, helping participants enhance their diagnostic skills and understand the significance of each finding.
The limitations and challenges associated with slit lamp examination will also be discussed, including factors that may affect image quality and interpretation. Strategies for managing patient discomfort and maximizing cooperation will be addressed.
In conclusion, this comprehensive guide on slit lamp examination will empower healthcare professionals with the necessary knowledge and techniques to perform accurate assessments and diagnose a wide range of ocular conditions. Attendees will leave with a deep understanding of the slit lamp's versatility and its invaluable role in comprehensive eye care.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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
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.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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4. • By now you know that my voice is tragically
out of order. So I can’t shout as I used to. So
just read this,
“When I lost my voice, I gained my words;
In chasing our dream, we get resurrected.”
7. Lets discuss the formation of a
compound microscope; what are
the different parts of a compound
microscope?
8. OCULAR LENS OR EYEPIECE:
• It is usually a set of convex lens and field lens
present in a short cylinder, which fits the top
and at the body tubes.
9.
10. BODY TUBE:
• It is a long metallic cylinder with an eye piece
at the upper end and screw at the lower end.
It can be moved vertically by coarse
adjustment screws.
11.
12. NOSE PIECE:
• It is a circular flat screwed attached to the
body tube which holds two or more objective
lenses of different magnitudes. It can be
rotated to bring the required objective lens
against the eyepiece.
13.
14. OBJECTIVE LENS:
• There is usually a single lens present in a
metallic cylindrical case with engraved
magnitudes.
15.
16. Low powered & high powered
objective
• The low powered objective lens magnifies the
image 10 times as compared to the normal
eye, it provides the maximum field for
viewing.
• The high powered objective lens magnifies the
image 40 times.
17. COARSE ADJUSTMENT SCREWS
• There are two wheels one on either side
mounted on a spiral tooth axle. They move
the body tube against stage in vertical
direction to achieve focus.
18.
19. FINE ADJUSTMENT SCREW:
• These are two smaller knobs below the coarse
adjustments screws. They provide sharp focus.
20.
21. STAGE
• It is a horizontal plate with a central hole
below the body tube either fixed or movable
against the objective lens. It is used to place
glass slides having a specimen to observe.
22.
23. STAGE CLIPS:
• They are two flat metallic clips placed in the
clip holes. They hold the specimen during
observation.
24.
25. CONDENSER
• It is a moveable or fixed lens mounted below
the stage. It converges the light source on the
object
26. IRIS DIAPHRAGM:
• it is assembly of semi lunar metallic plate
which regulates; i.e. increase or decrease the
intensity of reflected light by diameter of its
aperture.
27.
28. MIRROR OR LIGHT SOURCE.
• It is a Plano-concave mirror fixed in a movable
holder. It reflect right upwards towards the
stage.
29.
30. ARM OF THE MAIN BODY.
• It is a solid structure on which different parts
of the microscope are mounted and is used to
grip the microscope.
31.
32. INCLINED JOINTS:
• It is a joint where the main body is attached to
the pillar of foot or base. It keeps the
microscope at various inclination angles to
facilitate the viewing.
33. FOOT OR BASE:
• It is the lower solid part of the instrument on
which it rests and it is horse-shoe shaped.
34.
35. so lets try something new !
No one must feel awkward if a question is
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45. PROCEDURE:
• Improved neubauer’s chamber is a heavy
colorless glass slide which has two vertical
grooves in the central area. The central
platform in between the two vertical grooves
is divided into two equal halves by a
transverses grove
47. PROCEDURE:
• A square is marked on each half so that two
preparation may be set up simultaneously for
observation. Each of these squares has got the
counting chamber and a size of 3mm X 3mm
i.e. an area of 9mm2 Each square is divided
into nine smaller squares with a dimension of
1mmx 1mm having an area of 1mm2
.
50. PROCEDURE:
• Examining the counting chamber under the
microscope we find that the four smaller
squares at the corners of counting are divided
into sixteen smaller squares each. Each of
these sixteen smaller squares has an area of
1/4X1/4 mm. i.e. an area of 1/16mm2 The corner
squares are used for white blood cell count.
51.
52. • How are the four smaller squares at the
corners of counting chamber divided?
• For what purpose do we use the corner
counting chambers?
53. PROCEDURE:
• Examine the central square under high power
of microscope. This square is divided into 25
medium squares each of the size
1/5mmX1/5mm thus having a surface area of
1/25mm2. These medium squares are
bounded by thick lines and each is further
sub-divided into sixteen smaller squares.
54.
55. While examining the central platform of the
counting chamber what do we find?
56. PROCEDURE:
• These smaller squares therefore are
1/20mmX1/20mm in size having an area of
1/400mm2. These squares are used for red
blood cell count. Generally the four squares at
the corners and the fifth at the center are
used
57.
58. • What is the area of the smaller squares of the
RBC counting area?
59. PROCEDURE:
• Height of the central platform having the
counting chamber is 0.1mm less than the
ridges on either side. When a cover slip is
placed over the central platform and fluid
containing cells is examined under it,
thickness of the film is 0.1mm or 1/10mm
60.
61. • Height of the central platform having the
counting chamber is _______mm less than
the ridges on either side?
62. Calculation For RBC Count
• 1 small square = 1/10 x 1/25 x 1/16 = 1/4000
mm3
63. Calculation for WBC Count:
• 1 squares = L X B X D
= 1mm X 1mm X 1/10 = 1/10
mm3
64. PRECAUTION
• While in use the counting chamber should be
absolutely clean.
• To observe the smaller squares under high
power, use low power first and then shift to
high power.
65. PRECAUTION
• Lenses of the microscope should be kept
spotlessly clean using a soft cloth.
• Never use the coarse adjustment of the
microscope while viewing under high power
as the chamber might be crushed.