Viscoelastiques
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This document discusses viscoelastics used in ophthalmic surgery to protect ocular tissues, manipulate tissues, and maintain space during surgery. It describes the characteristics, polymer structures, and types of common viscoelastics including hydroxypropylmethylcellulose, hyaluronic acid, and chondroitin sulfate. The document emphasizes that total washing out of viscoelastics, especially high molecular weight cohesive types, is important to prevent postoperative complications like increased intraocular pressure. No single viscoelastic is ideal for all cases so surgeons should choose ones suitable for their technique.
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Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
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Chapter 6
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The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
skeleton System.pdf (skeleton system wow)
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إضغ بين إيديكم من أقوى الملازم التي صممتها
ملزمة تشريح الجهاز الهيكلي (نظري 3)
💀💀💀💀💀💀💀💀💀💀
تتميز هذهِ الملزمة بعِدة مُميزات :
1- مُترجمة ترجمة تُناسب جميع المستويات
2- تحتوي على 78 رسم توضيحي لكل كلمة موجودة بالملزمة (لكل كلمة !!!!)
#فهم_ماكو_درخ
3- دقة الكتابة والصور عالية جداً جداً جداً
4- هُنالك بعض المعلومات تم توضيحها بشكل تفصيلي جداً (تُعتبر لدى الطالب أو الطالبة بإنها معلومات مُبهمة ومع ذلك تم توضيح هذهِ المعلومات المُبهمة بشكل تفصيلي جداً
5- الملزمة تشرح نفسها ب نفسها بس تكلك تعال اقراني
6- تحتوي الملزمة في اول سلايد على خارطة تتضمن جميع تفرُعات معلومات الجهاز الهيكلي المذكورة في هذهِ الملزمة
واخيراً هذهِ الملزمة حلالٌ عليكم وإتمنى منكم إن تدعولي بالخير والصحة والعافية فقط
كل التوفيق زملائي وزميلاتي ، زميلكم محمد الذهبي 💊💊
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This presentation was provided by Racquel Jemison, Ph.D., Christina MacLaughlin, Ph.D., and Paulomi Majumder. Ph.D., all of the American Chemical Society, for the second session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session Two: 'Expanding Pathways to Publishing Careers,' was held June 13, 2024.Mule event processing models | MuleSoft Mysore Meetup #47
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Event Link:- https://meetups.mulesoft.com/events/details/mulesoft-mysore-presents-mule-event-processing-models/
Agenda
● What is event processing in MuleSoft?
● Types of event processing models in Mule 4
● Distinction between the reactive, parallel, blocking & non-blocking processing
For Upcoming Meetups Join Mysore Meetup Group - https://meetups.mulesoft.com/mysore/YouTube:- youtube.com/@mulesoftmysore
Mysore WhatsApp group:- https://chat.whatsapp.com/EhqtHtCC75vCAX7gaO842N
Speaker:-
Shivani Yasaswi - https://www.linkedin.com/in/shivaniyasaswi/
Organizers:-
Shubham Chaurasia - https://www.linkedin.com/in/shubhamchaurasia1/
Giridhar Meka - https://www.linkedin.com/in/giridharmeka
Priya Shaw - https://www.linkedin.com/in/priya-shaw
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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Viscoelastiques
- 1. Viscoelastics in ophthalmicsurgery OphthalmicViscosurgicalDevices – OVD DusanPusnik Novo mesto, Slovenia
- 2. Viscoelastics To protecttheoculartissue – mechanicalandlessdevelopmentoffreeradicalsduringphacoemulsification-Takahashi, Maugeryresearch To manipulatethetissue To maintainthespaceduringsurgery
- 3. OVD- Characteristics Viscosity – measurementofhowmuchenergy it takes to deformthe OVD Shear - forcethatoccurswhenobjectpassesviscoelastic substance Pseudoplastic – differencebetweenrestinganddynamicviscosity Elasticity – tendency to return to original shapeafterbeingstretched Coatability – adhesivness
- 4. Viscosity Viscosity – measurementofhowmuchenergy it takes to deformthe OVD Restingviscosity – measurementofresistance to flowwhen substance is at rest Dynamicviscosity – measurementofresistance to flowwhen substance is underpressure (shear) Thegreaterthedifferencethe more PSEUDOPLASTIC the material is
- 5. Viscoelastics – polymerstructure Hydroxipropylmethylcellulose (HPMC) Hyluronicacid (NaHa) Chondroitine sulfate (CS)
- 6. Hydroxypropylmethylcellulose Plantorigin – cellulose Lowmolecularweight Lowcost Methylvisc, Ocucoat, Viscel,…
- 7. Hyaluronicacid (NaHa) Polysaccharide (sugar) naturallypresent in the human bodyandeyes Totallybiocompatible, biodegradable MolecularweightthatcanattainmillionsofDaltons Twooriginsofsodiumhyaluronate (NaHa) Non-animal = biofermatation-bacterialfermantationAmvisc, Provisc Animal (extractionofroostercombs), Healon, Hyalmax, Hyalvisc,…
- 8. Chondroitine sulfate (CS) Polysaccharidealsopresent in the human body Biocompatibleandbiodegradable Veryhighcoveringpower Lowmolecularweightcompared to longNaHachain Riskofallergy (animalorigin) Viscoat
- 9. Requirementsofviscoelastics Perfectly transparent Easy to injectandremove Sterile Noninflammatory Nonallergenic Pyrogenfree
- 10. Cohesiveviscoelastic Highmolecularweight Pseudoplastic Long molecularchain Goodformaintainingspace Easy to remove Veryhigh rise ofocularpressureif not totallywashedout (more than 60mmHg)-verydangerous Healon, Provisc, healov GV, Amvisc
- 11. Dispersiveviscoelastic Tendencyofthe OVD to spread Shortmolecularchain Goodcoatability Goodtissueprotection More difficult to remove Not veryhigh rise ofocularpressureif not totallywashedout (30-40 mmHg) Viscoat, Occucoat, Celoftal, Cellugel, Viscel,…
- 12. Cohesiveanddispersive No OVD – OcularViscoelastic Device is ideal Mixeduseof OVD Duovisc Rhexeal Achievesthebenefitsandeliminatesthedisadvantagesofeachtypeof OVD
- 13. Viscoelasticcomplications IOP elevationdue to incompleteremovalofviscoelastics Woundburns, whenOVDs (Healon 5) blockthespaceforirrigatingfluidduringphacoemulsification
- 14. Conclusion Totalwashingoutofthe OVD is mandatoryespeciallyforcohesiveviscoelastics (more than 60mmHg rise ofocularpressure Use differenttechniquesforremoving Washoutunderthelens as well No ideal OVD Take yourown OVD, suitableforyoursurgerytechniqueand skills
- 15. Thankyou DusanPusnik Novo mesto Slovenia