This document discusses ophthalmoscopy techniques for examining the fundus of animal eyes. It describes direct ophthalmoscopy, where a handheld device is placed against the examiner's eye, and indirect ophthalmoscopy, which uses a light source and lenses. Both techniques allow viewing of the retina and optic disc but have different advantages - direct provides higher magnification while indirect allows a wider field of view. Proper animal restraint, pupil dilation, and examination procedure are emphasized. Examples of normal and abnormal fundus findings are also presented.
Keratometer is an ophthalmic instruments and has a very important role in optometry field specially for IOL power calculation, Contact lens fitting, to rule out corneal pathology and its progression ie Keratoconus, PMCD.
Keratometer is an ophthalmic instruments and has a very important role in optometry field specially for IOL power calculation, Contact lens fitting, to rule out corneal pathology and its progression ie Keratoconus, PMCD.
Binocular Indirect Ophthalmoscopy is known to provide a wider view of the inside of the eye. It is one of the most commonly used ophthalmic instrument.
To know Humphrey visual field analyser
To know about various types of perimetry
To identify field defect
To recognize that field defect is due to glaucoma or neurological lesion
To know that field defect is progressive or not
Interpretation of HVFA
Real subjective refraction in astigmatismBipin Koirala
hope it will be beneficial for the students in eye care system . please like it and share it if you think it is beneficial for your studies. It will motivate me to upload more slides ..
Binocular Indirect Ophthalmoscopy is known to provide a wider view of the inside of the eye. It is one of the most commonly used ophthalmic instrument.
To know Humphrey visual field analyser
To know about various types of perimetry
To identify field defect
To recognize that field defect is due to glaucoma or neurological lesion
To know that field defect is progressive or not
Interpretation of HVFA
Real subjective refraction in astigmatismBipin Koirala
hope it will be beneficial for the students in eye care system . please like it and share it if you think it is beneficial for your studies. It will motivate me to upload more slides ..
Newsletter n°1 de juin 2013. Actualités en ophtalmologie vétérinaire.
Les lentilles de collagène résorbables.
Cas clinique : cécité brutale chez un chat
Lecture on Clinical Methods; Anterior Segment Proptosis & Ptosis examination...DrHussainAhmadKhaqan
Lecture on Clinical Methods; Anterior Segment Proptosis & Ptosis examination For 4th Year MBBS Undergraduate Students By Prof. Dr. Hussain Ahmad Khaqan
Evaluating Human Visual Search Performance by Monte Carlo methods and Heurist...Giacomo Veneri
Visual search is an everyday activity that enables
humans to explore the real world. Given the visual input,
during a visual search, it’s required to select some aspects of the input in order to move to the next location. Exploration is guided by two factors: saliency of image (bottom-up) and endogenous mechanism (top-down). These two mechanisms interact to perform an efficient visual search. We developed a stochastic model, the ”break away from fixations” (BAF), to emulate the visual search on a high cognitively demanding task such as a trail making test (TMT). The paper reports a case study providing evidence that human exploration performs an efficient visual search based also on an internal model of regions already explored.
Introduction to general ophthalmic evaluation and management principles. Lecture taken at Central Park Medical College Lahore Pakistan. The guidelines will be useful for General Practitioners as well.
Dark Room Procedures for undergraduates(MB,BS) in the field of Ophthalmology are explained in simple terms in this presentation. Series of lectures taken at Central Park Medical College Lahore Pakistan.
Orthoptic evaluation : Complete orthoptic evaluation for optometric students. Basics of orthoptics are explained here. Strabismus is evaluated in many ways, few of them have been discussed here
Intraocular Lens (IOL) power calculation is a crucial step in cataract surgery and certain refractive surgeries like phakic IOL implantation. The goal is to determine the appropriate power of the IOL to be implanted into the eye, ensuring that the patient achieves their desired postoperative visual outcome. Several formulas and methods are available for IOL power calculation, and the choice of formula depends on various factors, including the patient's eye measurements and the surgeon's preference. Here, we describe the basic principles and some commonly used formulas.
Ocular Biometry:
Ocular biometry is the process of measuring various dimensions of the eye, primarily the axial length, corneal power, and anterior chamber depth. These measurements are essential for accurate IOL power calculation and achieving the desired post-surgical refractive outcome. Here are the key components of ocular biometry:
Axial Length: This measurement determines the overall length of the eye, from the cornea's front surface to the retina's back surface. Axial length is a critical factor in IOL power calculation because it helps determine the eye's focusing power.
Corneal Power: The cornea is the transparent front surface of the eye, and its curvature affects the eye's refractive power. Corneal power is typically measured using techniques like keratometry or corneal topography. It helps account for the eye's astigmatism and assists in selecting the appropriate IOL.
some basic notions on how they are measured is explored here.
Présentation faite au Xème congrés international sur le cross-linking du collagène cornéen (Zurich 5-6 décembre 2014).
Lecture given during the Xth international congress of corneal collagen cross-linking, (Zurich 5-6 th december 2014)
Présentation proposée aux journées d'actualités thérapeutique de la SFEROV en octobre 2014. Intérêt de la Iontophorèse pour l'imprégnation de la cornée par la riboflavine avant cross-linking du collagène cornéen.
Diaporama présenté lors des dernières journées SFEROV de Toulouse (26 octobre 2014). Utilisation de l'OCT dans le diagnostic des affections de la cornée chez le chien et le chat.
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!
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
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.
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 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
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.
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
1. 26/04/2010
OPHTHALMOSCOPY
Dr Frank FAMOSE
DVM, CES Ophtalmologie
Ekaterinburg May 2010
What is ophthalmoscopy ?
►Fundus examination ►Direct
Tapetum ophthalmoscopy
Non-tapetal zone
Vascularisation ►Indirect
Optic nerve papilla ophthalmoscopy
►Skiascopy
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3. 26/04/2010
Principles of ophthalmoscopy
History
►1704 : First description of feline ocular fundus
►1846-1854 : Babbage-Wharton-Jones
►1858 : First use of direct ophthalmology in animals
►1892 : First atlas of veterinary ophthalmoscopy
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5. 26/04/2010
What do you see ?
►Image size
Magnification from x17 to x19
Comparison to optic disc
(vision field about 2-3 Odisc)
► Image position
Real image
Erect image
Practical realization
►Animal restraint
►Sedation
5
6. 26/04/2010
Practical realization
►Dilatation
Tropicamide 0,5%
1 drop ev. 5 min for
20 min
►Dark room
Practical realization : step by step
►What to do ? ►How to do ?
Place the ophthalmoscope on Place it against your right brow
your eye (for exam of right eye)
Look for the Fundus reflexion Look for it from a 0,5 to 0,75 m
(green reflex) distance
Get closer Till the Fundus is full field
Follow eye movements
►Difficulties ?
Keep both eyes opened
Right for right, left for left
Don’t lose fundus reflexion
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7. 26/04/2010
Systematic examination of fundus
Tapetum
Retinal
Vessels
Non tapetal Optic
Zone Disc
Systematic examination of fundus
First Second
quadrant quadrant
Fourth Third
quadrant quadrant
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8. 26/04/2010
Adjustements
►Rekoss disc
Description
-2
Uses
►Light source size
►Light colour
►Grille
►Slit source
15
Pros and cons of direct
ophthalmoscopy
►Pros ►Cons
Greater magnification Small field of view
Grid and slit Short working distance
Alteration of dioptric Monocular vision
power Bad vision of peripheral
Lower cost retina
Greater distorsion if
opacities
8
13. 26/04/2010
Practical realization : step by step
►What to do ? ►How to do ?
Place the ophthalmoscope on Adjust pupillary space and
your head direction of light source
Look for the Fundus reflexion Look for it from a 0,5 to 0,75 cm
(green reflex) distance
Place the lens 2-3 cm from the Move it till the Fundus is full field
eye
Follow eye movements
►Difficulties ?
Placement of lens
Inversion of movements
Don’t lose fundus reflexion
Systematic examination of fundus
Tapetum
Retinal
Vessels
Non tapetal Optic
Zone Disc
13
18. 26/04/2010
Retinal detachement - Dog
Adjustements : lenses
►Plan-convex lens :
converging effect
►Effect of power of
lens
On magnification
On visual field
36
18
19. 26/04/2010
Pros and cons of indirect
ophthalmoscopy
►Pros ►Cons
Larger field of view Inversion of image
Safer distance from the Less magnification
patient Technically more
Binocular evaluation difficult
More expensive
Conclusion
►Ophthalmoscopy : essential part of eye examination
►Direct and indirect complements each other
►Practice, practice, practice…
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