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Measure your blood pressure at home with this easy to use and compact blood pressure monitor for adults and seniors. Measuring your blood pressure with FamilyDoc Wrist Blood Pressure Monitor at home and keeping a record of the measurements will show you and your doctor how much your blood pressure changes during the day. Hypotension, or low blood pressure, happens when your systolic pressure is consistently below 90--or 25 points below your normal reading.
A few days back I was reading in a newspaper that anger is something which can even increase with time, means the more anger you are, you can become even more angry next time. These days I am managing the site with myself only and the focus is to share blogs on the topics like Blogging Tips, Self Improvement, SEO, and all other things which can make you to enhance your life. Enter your email address to subscribe to I News India and receive notifications of new posts by email. Citizen Journalism - As to promote the citizen journalism concept, we are here by inviting our visitors to share their views about any topic.
With respect to the latest update by Matt Cutts, Guest Blogging is a topic of discussion at the moment, for many people it is a great way to build link to their website, but my opinion about it is a bit different.
You all are already aware about this, as you read my blogs on guest blogging time to time, but my first book has all the details about how to use the guest blogging in a proper manner, so that you can get the best result of it. Former Head of Department of Ophthalmology, Kilimanjaro Christian Medical Centre, Tanzania.
Laser treatment should use small spots and just enough power to produce a visible reaction.
Vitrectomy is useful for vitreous haemorrhage and late complications of proliferative retinopathy. The management of diabetic retinopathy (DR) depends on accurately recognising or classifying the different types of DR and knowing what treatment to give the patient.
DR has clinical signs which can be seen with an ophthalmoscope or with a slit lamp and a 90- or 78-dioptre lens. The new vessels damage sight by bleeding (Figure 5) or forming sheets of fibrovascular membranes that may cause traction retinal detachments. The early treatment of diabetic retinopathy study (ETDRS) defined clinically significant macular oedema (CSMO)1 as the stage at which the eye needs to be treated in order to prevent loss of vision. The blood vessels in the central part of the retina may also become blocked (capillary closure), leading to macular ischaemia.
The two main treatment options for proliferative DR are pan-retinal laser photocoagulation and diabetic vitrectomy. Pan-retinal photocoagulation (PRP), or scatter laser, is the main form of treatment for proliferative diabetic retinopathy. The aim of the laser is to induce regression of new blood vessels (that is, to make them stop growing and shrink).
The technique is an important part of the treatment of proliferative diabetic retinopathy and leads to improvement or stabilisation of vision in 90% of patients.1 2 Vitreous and blood are cut and aspirated and membranes causing tractional detachment of the retina are removed.
In countries without screening, many people present with long-standing tractional retinal detachments of the macula. In a proportion of patients, intravitreal bevacizumab preoperatively may lead to clearing of the vitreous haemorrhage, thus avoiding surgery.
In the Diabetic Retinopathy Clinical Research Network trial, intravitreal injections of the steroid triamcinolone acetonide was compared with standard laser treatment.
Anti-vascular endothelial growth factor (anti-VEGF) treatment VEGF levels are increased in the vitreous and retina in patients with diabetic retinopathy. In practice, laser should remain the cornerstone of treating clinically significant macular oedema and the use of intravitreal injections should be tailored to the needs of individual patients.
Treat circinate exudates (Figure 6) with focal laser, blanching the retina in the centre of the exudate. Start with a low power setting, around 150 milliwatt, and increase the power until the desired endpoint is reached. In patients with established foveal thickening or who are not responding to laser, consider intravitreal bevacizumab. We audited a number of patients who had ultimately needed vitrectomy for advanced proliferative disease to find out how we could improve, and arrived at the following recommendations for laser in countries where patients may not come for regular appointments. Warn all diabetes patients to come if they experience floaters or blur, as these symptoms suggest a vitreous haemorrhage.
Give PRP to anyone who has vitreous or sub-hyaloid blood (Figure 5) even if there are no visible new vessels. Diabetic retinopathy (DR) can be diagnosed by clinical examination alone if you are good at examining the retina with a slit lamp microscope. Fluorescein angiography is a technique for examining the fine detail of the retinal circulation.
Optical coherence tomography (OCT) is a relatively new technique that uses lasers to scan the retina and build up a very detailed three-dimensional image.
Your doctor can use your record of measurements to see how well your medicine is working to control your high blood pressure. Most doctors will check your blood pressure several times on different days before deciding that you have high blood pressure.
Check the Source of Your Anger: If you are a frequent anger, means you get angry every time, then you must need to check the source of your anger.


From last six years I am trying to build this website, I started this website from scratch and then with the help of my friends like Pooja, Prachi, and Divya I published many articles over here. If neglected or not done consistently and correctly, serious consequences and eventual amputations and death may occur.
There are clinical signs which can be seen with an ophthalmoscope or a slit lamp and 90- or 78-dioptre lens. Treatment usually maintains vision, but does not restore vision that has already been lost. The commonest error is undertreatment, and laser should be applied until there is regression of the new vessels or there is no room for further treatment. The advantage of the slit lamp is that it allows you to visualise the retina with both eyes. However, the key characteristic of proliferative DR is new vessels growing onto the posterior vitreous surface from the retina or optic disc (Figure 4). Traction retinal detachment occurs when the fibrovascular tissue contracts and pulls the retina away from the underlying choroid.
I hail from a remote rural village in Prakasham District and I joined the vision technician programme at LVPEI in 2007.
I also record any history of blurred vision for distance or near vision, flashes, floaters in the field of view, and any fluctuations in vision. During a slit lamp examination (before dilation) I look mainly for neovascularisation of the iris and record intraocular pressure. Eye care workers would do well to check their patients’ blood pressure and advise those with high blood pressure on the importance of control, referring them to a physician if they needed help. So, for practical clinical purposes, look for other easily visible markers for macular oedema such as exudates within a disk diameter of the fovea. It must be given early enough and cover enough retina to induce regression of the vessels that cause the complications of vitreous haemorrhage and tractional detachment of the retina. Treatment includes steroids, anti-vascular endothelial growth factor (anti-VEGF), and laser. Although there were short-term improvements in visual acuity with intravitreal triamcinolone acetonide (IVTA), this improvement was not sustained. The most recent anti-VEGF drugs to be evaluated in the treatment of diabetic maculopathy are ranibizumab2 (Lucentis) and bevacizumab5 (Avastin).
There was a 50% reduction in moderate visual loss in the group that received laser (from 24% to 12%). Burns should be one burn width apart, using a spot size of 75 to 125 microns, duration 20–50 milliseconds.
It is wise to avoid treating perifoveal microaneurysms as this is likely to increase perifoveal capillary dropout (consider intravitreal bevacizumab instead). The treatment plan followed the textbook recommendation of doing focal laser for the maculopathy first.
Using the slit lamp, you will be able to detect haemorrhages, new vessels, exudates, and retinal thickening due to oedema.
The cost of fundus cameras is still high, but they are becoming more affordable and the quality of pictures is improving all the time. It will show the leaks that cause exudative maculopathy and the areas of blocked capillaries that cause ischaemic maculopathy and proliferative retinopathy.
This will not only detect any oedema or swelling of the retina, but also measure it and draw a map that shows the areas where the swelling is greatest. Predictive clinical features and outcomes of vitrectomy for proliferative diabetic retinopathy. Intravitreal bevacizumab for prevention of early postvitrectomy hemorrhage in diabetic patients: a randomized clinical trial. Randomized trial evaluating ranibizumab plus prompt or deferred laser or triamcinolone plus prompt laser for diabetic macular edema.
Randomized trial of intravitreal bevacizumab alone or combined with triamcinolone versus macular photocoagulation in diabetic macular edema. Unless otherwise stated, all content is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Also, measuring your own blood pressure is a good way to take part in managing your own health and recognizing changes. If you have high blood pressure or prehypertension, you will need to check your blood pressure regularly and keep in touch with your family doctor. It is one sort of very strong emotion but in a negative manner and I really dislike showing anger to anyone. Sometimes it is also bad for your health, like it can increase the blood pressure, and cause damage for your heart too.
You need to consult a psychologist, so that he or she can figure out the source of your anger and they can even advice you to remove it.
Recently Harshita, Tanmay and Aayushi too joined my website, and am really glad to share some articles written by them over here. For these reasons it is absolutely crucial to have an accurate, effective and simple way to track your blood sugar. This stereoscopic vision provides a sense of depth which aids diagnosis, particularly of macular oedema. During this programme, we were trained to look for diabetic retinopathy (DR) by direct ophthalmoscope. If the media are not clear or if the patient has signs of DR, I will refer the patient to a secondary centre ophthalmologist for dilated fundus examination, which will give them the information they need to manage the patient’s DR.


The optimum time for a preoperative injection would seem to be 5–7 days before the operation.
These trials showed a benefit with intravitreal ranibizumab and bevacizumab in patients with foveal thickening. The chorioretinal atrophy caused by burns, especially intense burns, within 300 to 500 microns of the fovea can years later extend into the fovea and cause vision loss, particularly in myopes. In the interim, every residency programme must provide training in the skills needed to manage DR, including interpreting investigations and delivering laser and other treatments. The patient then missed two appointments and pan-retinal photocoagulation (PRP) was delayed by about two months. This is particularly important if there are large neovascular (NV) formations which have an increased risk of bleeding, or if the patient is unlikely to return. However, injections of fluorescein carry a small risk (about 1:20,000) of a severe allergic response, which can be fatal.
Sometimes it really becomes very difficult to face the person who is in anger and thus it causes hardship for the person who is experiencing the anger of another one.
To keep the anger inside your heart will damage you only, so you should know how you can throw it out.
If you are unable to express your feelings in a proper manner then it can damage your brain too, or bring more loads on your heart too.
The blood sugar chart template is a simple, accurate and effective way to manage your blood sugar. Other aids to DR diagnosis are fundus photography, fluorescein angiography, and optical coherence tomography (see box on page 7).
However, intravitreal ranibizumab injections cost around US $1,200 each and the patients in this study received eight or nine injections in the first year (a cost of around US $10,000 per patient per year.) Intravitreal bevacizumab is much cheaper. Refresher courses can be arranged for those not adequately trained or who have been without the necessary equipment for some time.
When PRP was finally given, the intention was to give it in the recommended multiple sessions. If patients come from far away, consider admitting them to complete the laser before they are discharged. If bleeding occurs after laser, re-treat until NV formations have gone or maximal treatment has been given.
The most valuable use of photography is in patients with diabetic maculopathy or new vessels who have laser treatment. Always remember one thing that you should not express something bad about the other person’s character, behavior, attitude or intent. This easy to use blood sugar chart helps you to not only keep a log of your sugar levels, it also tracks and graphs your levels over time.The ability to see how your blood sugar is managed over time is also of vital importance in the maintenance of Diabetes. This helps me to identify patients with DR, who I would then send to a secondary centre for further management.
We are able to offer patients an intravitreal bevacizumab injection for as little as US $25. We must also advocate for lasers and other necessary equipment wherever there is a trained ophthalmologist.
However, due to further missed appointments, the interval between laser sessions was over a month.
A pan-retinal pattern of excessively intense burns can lead to choroidal effusion and angle-closure glaucoma with blindness. In high-income countries, OCT and photos, in combination, are the usual means of documenting and investigating DR. The hemoglobin A1C test is a test that shows how well you’ve managed your blood sugar over a period of 6 months. As cameras and OCT machines become more affordable, they will also become more widely used in low- and middle income countries. Getting a number lower than a 6 and 7 on this test shows that you’re doing a good job managing your sugars, however a higher number shows that you have poor blood sugar management. If you only examine the patient occasionally, it is difficult to remember exactly what the retina looked like before you treated it. By then, tractional retinal detachment involving the macula had developed and vitrectomy was required. When you can still see retinopathy months after laser treatment, you may be unsure if it is better, worse, or much the same.
Are you the one who feels uncertain, uncomfortable and confusion spreads everywhere when thinking of following […]How to Overcome your Fears? If you wish to be successful in life and wish to achieve what you want then you will have to learn to overcome your fears. We know it is easy to say but to apply it practically is a bit […]Music and Art: The Boon in Disguise! If you have been thinking that music is just about a melodious sound tuning into your ears and art is just a piece of colored painting, probably you are wrong.




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Comments

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  3. 22.01.2015 at 12:31:34


    For a?2-hour postprandial test, the.

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  4. 22.01.2015 at 20:10:42


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