Determinants Of Visual Outcomes After Small Incision Cataract Surgery In Pati...Dr. Jagannath Boramani
Authors : Presenting author- Dr. Kumud Jeswani Co authors: Dr. Kuldeep Dole, Dr. Shruti Shah, Dr. Nilesh Kakade. PMBA ‘S H .V . Desai Eye Hospital, PUNE.
Convergence insufficiency is one of the most frequently encountered binocular vision problem in children and adults. It is often associated with a variety of symptoms, including eyestrain, headaches, blurred vision, diplopia [double vision], sleepiness, difficulty concentrating, movement of print while reading, and loss of comprehension after short periods of reading or performing close activities. Have your doctor diagnose and treat this significant visual problem.
Determinants Of Visual Outcomes After Small Incision Cataract Surgery In Pati...Dr. Jagannath Boramani
Authors : Presenting author- Dr. Kumud Jeswani Co authors: Dr. Kuldeep Dole, Dr. Shruti Shah, Dr. Nilesh Kakade. PMBA ‘S H .V . Desai Eye Hospital, PUNE.
Convergence insufficiency is one of the most frequently encountered binocular vision problem in children and adults. It is often associated with a variety of symptoms, including eyestrain, headaches, blurred vision, diplopia [double vision], sleepiness, difficulty concentrating, movement of print while reading, and loss of comprehension after short periods of reading or performing close activities. Have your doctor diagnose and treat this significant visual problem.
Restoration of visual acuity with #Isotine eye drops - An Ayurvedic formulati...Mandeep Basu
Approximately 8 million to 2.3 million people worldwide have impaired vision due to uncorrected refractive error and cataract1. Hence the World Health Organization (WHO) has initiated Vision 2020 global program – “The right to sight”. The main motto of Vision 2020 is to correct refractive errors. The author after years of trial and error has formulated unique Ayurvedic eye drops “ISOTINE”. This has a very precise and balanced combination of Ayurved content that not only corrects the refractive errors but also visual acuity and subjective symptoms.
Restoration of visual acuity with #Isotine eye drops - An Ayurvedic formulati...Mandeep Basu
Approximately 8 million to 2.3 million people worldwide have impaired vision due to uncorrected refractive error and cataract1. Hence the World Health Organization (WHO) has initiated Vision 2020 global program – “The right to sight”. The main motto of Vision 2020 is to correct refractive errors. The author after years of trial and error has formulated unique Ayurvedic eye drops “ISOTINE”. This has a very precise and balanced combination of Ayurved content that not only corrects the refractive errors but also visual acuity and subjective symptoms.
When you or your child has an eye turn all too often the first recommendation for intervention is surgery. You should know the outcomes, risks and complications associated with this surgical procedure and alternative ways to manage these problems.
Active Vision Therapy in Management of Amblyopia (healthkura.com)Bikash Sapkota
DIRECT DOWNLOAD LINK ❤❤https://healthkura.com/lazy-eye-amblyopia/❤❤
In the request of my viewers, I have compiled my works here in a website. Visit this website (healthkura.com) to freely download this presentation along with other tons of presentations. Some useful links are given here.____Remember___healthkura.com
Active Vision Therapy in Management of Amblyopia
- Pleoptics
- Near activities
- Active stimulation therapy using CAM vision stimulator
- Syntonic phototherapy
- Role of perceptual learning
- Binocular stimulation
- Software-based active treatments
- Exposure to dark
- Pharmacological Therapy
Background: Strabismic amblyopia is characterized by an imbalance of the sensorial and motor system. Differences between both
eyes due to squinting during 1st months of life can originate an entire fovea fixation and ARC, which is a binocular condition generated
by the absence of a correct bi-foveal fixation [2]. Accommodative esotropia usually presents between 2 and 4 years of age with an
increase in accommodative needs and is directly linked to the amount of hypermetropia [9]. Although patching remains the gold
standard therapy of amblyopia, several new treatment options have emerged over the years. These include refractive adaptation,
atropine penalization, and several binocular activities with varying success rates [10].
Case Report: 6-year-old male presented with complaints of inward deviation, and blurring of vision for distance and near. A proper
squint evaluation was performed to determine the presence of the type of squint. Accommodative esotropia with amblyopia in one
eye was reported. Synoptophorehaidinger brushes were recommended for foveal stimulation for the amblyopic eye followed by
patching. The patient reported good compliance and significant vision improvement in the amblyopic eye and no longer blur and
deviation with glasses were observed.
Conclusion: Accommodative esotropia with amblyopia showed substantial improvement with the help of Haidinger brushes in the
amblyopic eye. A combination of patching and Haidinger brushes is an efficacious approach for achieving an improvement in visual
acuity and binocular function in strabismic amblyopia.
Keywords: Accommodative Esotropia; Strabismic Amblyopia; Haidinger Brushes; Synoptophore
Evidence-Based Practice in Vestibular RehabilitationBrenda Howard
Presented at the Indiana Occupational Therapy Association Fall Conference, October 26, 2013, at IUPUI. This presentation gives occupational therapists a few tools to recognize, begin treatment, and refer patients with vestibular dysfunction, for earlier identification and return to productive living.
Low vision rehabilitation in patients with retinal dystrophyAmrit Pokharel
The presentation I have made and uploaded provides you with an in-depth insight into the rehabilitation of patients with retinal dystrophy on the part of LOW VSION. It also details the features the patients present with and specific tests that are launched.
The author does not assume responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work.
No copyright infringement, or plagiarism intended.
Amrit Pokharel
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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
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.
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
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.
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.
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
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
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3. A hemianopia is complete when the defect
follows the vertical meridian, has macular
splitting and involves the entire hemifield of
the affected side
All other visual field defects are termed as
incomplete and can be congruous or
incongrous
(Biousse 2010,Up To Date)
6. Confrontation testing
Perimertry (Humphrey and Goldmans)
Line bisection error analysis
Observation in function
7. There are various techniques, they are usually
kinetic or static and are widely used at
bedside
Confrontation testing was found to have
inadequate sensitivity as a screen (74%).
Although kinetic testing was superior to static
tests
Improved sensitivity was found when
confrontation tests were combined (78%)
Specificity was found to be 93%
8. Previous studies have found that patients
with Homonymous Hemianopia make
contralesional line bisection errors towards
their affected hemifield
Schuett et al (2010) found that this error was
made independent of the type of visual field
defect
It is believed to be related to an underlying
visual spatial disorder
Still unclear if this test could be used as a
reliable screening tool for visual field defect
9. Wall trailing
Head turning/tilting
Hesitancy
Stopping suddenly
Giving a wide berth
Going a long way round
Laboured scanning strategy
◦ Increase in saccades to blind field
◦ Inconsistant exploration of space
(Zihl 2000, Pambakakian 2000)
10. Reading
Collisions
Shopping
Anxiety/loss of confidence
Driving
Knocking things over
Financial management
Meal preparation
Disorientation
(Warren 2010,Pambakian 2000,Papageorgiou 2007)
11. Substitution/Optical therapy, not currently
recommended for routine practice by the RCP
guidelines (2008)
Compensation, RCP(2008) guidelines recommend
that techniques should be taught to overcome VF
loss
Restitution, not currently recommended
Recommendations based on 2 systematic reviews,
Riggs(2007) and Bouwmeester (2006)
12.
13. This novel prism placement was first trialled by Peli et al
(2000), who found positive results but it was only a small trial
Previously prism placement had caused distortion and
diplopia
Bowers et al(2008) trial was a larger and multi centred n=43
but was not randomised and there was no control group
(although an RCT is underway but has not yet been
published)
Bowers found positive acceptance by patients who found
them useful in mobility and obstacle avoidance (74% wearing
at 6 weeks,47% at 12 months)
14. What is Compensation in the literature?
◦ Saccadic visual search training(Pambakian
2004),explorative saccade training(Roth 2009) and visual
search training (Schofield 2009)
◦ All based on mass practice using computer based
technology for about 30 mins daily over a six week
period
◦ Improvement is mainly measured in terms of response
time of patients scanning into the hemianoptic field
◦ There is strengthening evidence that this training does
improve scanning into the hemianoptic field but what is
less clear is its impact on ADL’s
15. Did Angela receive typical current OT’s
practice?
How else do we encourage compensation?
Do we target response time or accuracy? Is
there a trade off?
16.
17. How do you read text?
outside foveal vision to
identify
24. Outcome = time on visual search in naturalistic
scenes.
Paperclip
25. 76 year old lady lives with husband,
previously independent
Had surgery on 29/06/10 to correct
complicated cataract surgery,this resulted in
loss af vision in left eye
Suffered a CVA post surgery
MR brain showed left Occipital and Cerebellar
infarcts
Right VF defect suspected through screening
26. Look out for increasing evidence into the use
of prisms
Be ready to do mass scanning practice using
technology either at home or in hospital
Combine screening methods to assess for
Visual field defects
Visual field defects can confound other visual
perceptual problems as well as cause them
27. Kerr et al (2010) Diagnostic accuracy of
confrontation visual field
tests,Neurology,13;74(15):1184-90
Pambakian et al (2000)Scanning the visual world:a
study of patients with homonymous hemianopia.
Journal of neurology Neurosurgery and psychiatry
69:751-9
Schuett et al (2010),Line bisection in unilateral
homonymous visual field defects,
Cortex,doi:10.1016/j.cortex.2010.01.008
