This document discusses various techniques for adjusting eyeglass frames and lenses to improve comfort and prevent skin irritation, especially for aging patients. It describes choosing lightweight frames and materials, adjusting nose pads for proper size and position, modifying bridge contours, and more advanced techniques like Usden crutches or saddle conversions that redirect pressure away from fragile nasal skin. The goal is to properly fit spectacles and modify them when needed to avoid issues like redness, infection, swelling or erosion on the nose and skin.
Pediatric Ophthalmic dispensing in different visual problemsRaju Kaiti
Pediatric dispensing, introduction, different from adult dispensing, frame selection, lens selection, special case fitting, Do's and Dont's, Measurements, Down's syndrome, albinism, aphakia, strabismus, syndromes
Detailed instumentaion and use of manual Lensometer and just a outline of automated lensometer.
I have used the picture of manual lensometer with out the parts describtion because i have explained orally by showing the picture..
Hope u all like it and may help you in learning better. :)
Pediatric Ophthalmic dispensing in different visual problemsRaju Kaiti
Pediatric dispensing, introduction, different from adult dispensing, frame selection, lens selection, special case fitting, Do's and Dont's, Measurements, Down's syndrome, albinism, aphakia, strabismus, syndromes
Detailed instumentaion and use of manual Lensometer and just a outline of automated lensometer.
I have used the picture of manual lensometer with out the parts describtion because i have explained orally by showing the picture..
Hope u all like it and may help you in learning better. :)
Contact lens for congenital aphakia and other eye conditions for infants and toddlers. The slide presentation encompasses indications for CL fitting in paediatric, contact lens options, fitting techniques, challenges and contact lens as myopia control.
How to protect your eye?
With sunglasses? Mirror glasses? Tinted or polarized glasses?
What is right tint colour for you?
What are antireflection coat glasses?
Contact lens for congenital aphakia and other eye conditions for infants and toddlers. The slide presentation encompasses indications for CL fitting in paediatric, contact lens options, fitting techniques, challenges and contact lens as myopia control.
How to protect your eye?
With sunglasses? Mirror glasses? Tinted or polarized glasses?
What is right tint colour for you?
What are antireflection coat glasses?
Scleral lens is a large rigid contact lens with a diameter range of 15mm to 25mm. Its resting point is beyond the
corneal borders, and are believed to be among the best vision correction options for irregular corneas. Wearing scleral lens also can postpone or even prevent surgical intervention as well as decrease the risk of corneal scarring.
Description :
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
A brief presentation about the maxillofacial extra-oral defects, and the prosthesis used for the rehabilitation, as well as steps of fabrication.
Hossam Faisal - TA of Prosthodontics, Future University Egypt
in this slide we include the normal development of human vision step by step with advancing age, visual system process, synaptic connections development with age,Measuring performance of babies with various technique,
progressive addition lenses , needs of PAL, permanent and temporary marking of PAL, parts of PAL, design of PAL, Progressive corridor and their importance ,theory behind the PAL,Sand box analogy,OPTICAL DESCRIPTION OF PROGRESSIVELENSES,patterns of PAL,Advantage and Limitation of PAL,fitting of PAL and Frame selection for PAL,measurements for fitting,verification of PALs,
traubleshooting in PALs,Brands and special design of PALs
Thyroid eye disease evaluation and managementAnurag Shukla
in this presentation, we discussed about thyroid gland and their hormone briefly , TED, interpretation of thyroid test report , sign and symptoms , classification systems and grading system and management
discussion about Aspheric lens, fitting, indication,advantage and Disadvantages with traditional aspheric lens,need of Asphericity,Aspheric Lens Design, identification, troubleshooting
In this ppt included:-
Color definition
Visual spectrum of light
MUNSELL SYSTEM
CIE SYSTEM
Neuropsychology of color
Genetics
Color vision defects and management
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
2. Frame Adjustment and Modification
Fitting Parameters Of The Frame
Lens Material and Quality
Spectacle Comfort and Discomfort due to
ageing
Treatment Plan
3. Type of frame should be chosen
Ways to reduce the weight of spectacle
lenses
Types Of Lens Material
How to handle it safetly
4. Strong light weight
Frame PD should coincide with IPD of the
spectacle lenses
Adjustable bridge, with DBL as small as
Possible
Cable type of temple is the temple of choice
5. Correct size
Adjustable pad
Eye wire posioned lower to eye brow
6. High Impact Resitance Lens
Light Weight
Scratch Resistance
Unwanted reflection avoided with anti
reflection coating
Multilayer coating with protective coating
7. Changes Occur in the skin
Skin becomes fragile and loss tonicity and
easily prone to get inflammation
Fitting Of Spectacle needs to be proper to
avoid unwanted incidents
8. Redness
Infection
Irritation
Swelling and erosion of skin
Improper positioning of the spectacle lens
9. Reduce pressure on the nose/weakened area
To make sure healing works first
Temporary or permanent attachment on the
frames to reduce the weight bearing surface
10. Pad size , material,shape, may reduce the
weight on the nose pads
Soft, flexible and polyvinly pad
Stick on cushions made of foam may give
temporary relief
11. Modify the bridge contour, particularly in
fixed bridge frames
Custom design and construct a frame that
meets the specific requirements of a
particular patients
12. Foam stick on nose pad cushion may relieve
the discomfort caused by a previously worn
ill fitting frame
Not an permanent mode of correction
Relieve the discomfort by the masking the
portion with cushion pad
13.
14. Pad size shape and texture are also very
important
Small hard and plastic pads should be
replaced with soft flexible and polyvinly pad
15. Size of the pad depends on the factors
relating to the spectacle weight and typeof
the nose to be fitted
As a general rule we should use a pad size
that will distribute the bearing load over as
great an area as possible
16.
17. Usden crutch technique is used for extreme
or advanced case where the skin and tissue
have become serious damaged
Usden crutch is easily attaches to the
patients spectacle
Simple attachment consist of two 1.5 inch
long extension bars that are fastened to
underside of the each temple hinge
18. On end of the each bar is a large polyvinly
pad
The pad can be positioned so as to rest on
the cheek result in slight vertical elevation
of the entire front portion of the spectacle
The regular nose pads will be clear of skin
contact
19.
20. To increase the weight beraing surface of the
spectacle load to an complete rest
Individual nose pads are replaced with one
piece poly vinly strap that froms a U shaped
bridge
Major contact over the crest region rather
than at the side of the nose
Redirecting the weight from side tissue to
the nasal crest which lessen the strain
21.
22. It act as temporary aids to overcome the
irritation due to spectacle
Temple grips slipped over the ends will
prevent slippage and also add to overall
comfort
Temporary aid for frame alignment
23. Final treatment where temporary measures
are not effective
After basic fitting arrangement of the nose
piece
Saddle Conversion
- Adjustable pad bridges
- Non adjustable bridges
24. Nose pads have been removed
Adjustable arms must be straightened and
rebent into horizontal position
Arms should meet and overlap in the centre
of the bridge
Adjustments to the metal core over the crest
of the nose will regulate the frontal
positioning of the spectacle
25. Vertex distance and vertical position ofbthe
spectacle front are the two important
adjustment to be completed
Jet Acrylic mixture is applied over the metal
joint area
Saddle DESIGN is shaped ACCORDING to the
nose crest
Final phase of filing, sandling and polishing
and saddle piece
26.
27. Adjustable is not possible with the fixed
bridge design frames
So the metal pin must be implanted across
the bridge area to from the reinforcing bar
for the saddle
With the frame , bar and nose crest locations
are marked
Two small nasal holes are drilled on the nasal
edge of the eyewire
28. Metal part of the saddle should cut long
enough so it can be forced between the
opposing holes
Procedure for finishing the plastic portion of
the saddle will be same as it was for the
adjustable pad bridge saddle conversion
technique
29. Astro spec is a unique design
Absolute free from nasal contact
Principal of using headband that uses the
brow region as asupporting portion
It requires minimal pressure of the side
Pantascopic tilt and multifocal posioning
arecdifficult in this technique