...A REVIEW ON RETINAL FEATURE SEGMENTATION METHODOLOGIES FOR IABETIC RETINOPATHY Dr. N. Jayalakshmi1 K. Priya2 HOD and Professor, Research Scholar, Saveetha Engineering College, Research & Development Centre, Chennai , India Bharathiar University, Coimbatore, India Abstract--Diabetic Retinopathy is a most common diabetic eye disease, which occurs when a blood vessel in the retina change. There are two stages of the disease. The early stage is Non proliferative diabetic retinopathy (NPDR) and later is Proliferative diabetic retinopathy (PDR). In NPDR, various problems may occur, such as macular edema which is swelling in the central retina and retinal ischemia which occurs due to poor blood flow. PDR is the advanced stage of NPDR, new blood...
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...weight loss (Diabetes in Australia, 2018). According to American Diabetes Association criteria, people with primary diabetes is diagnosed fasting plasm glucose >=7.0mmol/l or 2-h plasma glucose>=11.1mmol.l after a 75g oral glucose load. Most patients with T2DM have metabolic syndrome, whose prevalence will increase with age. The T2DM is a serious threat to impact significantly on quality of patients’ life, because hyperglycaemia is associated with development of microvascular complications that clinically apparent in the eyes, kidneys and nerves. Over time, the conditions of the patients may become worse, if they can not manage T2DM well, long-term complication of T2DM include retinopathy with potential blindness; peripheral neuropathy which will cause lower-extremity amputations and foot ulcers; and diabetic nephropathy with risk of kidney...
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...Preventing Diabetes: A Literature Review Health promotion is defined as “the process of advocating health in order to enhance the probability that personal (individual, family, and community), private (professional and business), and public (federal, state, and local government) support of positive health practices will become a societal norm,” (Edelman 2010, p. 14) as quoted by Kreuter and Devore (1980). The purpose of health promotion in nursing is to convince those who create our public policies that slowing these alarming trends and focusing on prevention of diabetes needs to be a national priority. Those who decide how our public resources are allocated must understand the gravity of diabetes. The role of the nurse is ever-changing with the evolution of health promotion. Nursing is becoming more a profession of education rather than treatment. In the past, nurses administered medications and treatments to assist with the improvement of a patients health, and the relief of symptoms. Now more than ever, nurses are expected to be at the forefront of health prevention. The role of the nurse now involves education on signs and symptoms, lifestyle changes, dietary changes, health screening and monitoring to prevent the acquisition of a new disease or the progression of a current disease process. There are three main levels of health prevention within the general health promotion umbrella. The first is primary prevention. Primary prevention involves a proactive approach...
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...Conditions Related to the Eye and Blindness Michael A. Allen Jackson State University Abstract Conditions related to the eye and blindness is very common. There are many disease of the eye. Many of these diseases can cause a lot of harm. There are five main points that will be discussed they are age-related macular degeneration, retinitis pigmentosa, retinopathy, visual impairment in higher learning, and social support for the visually impaired. Macular degeneration often damages central vision and is prevalent in people age 60 and over with rare cases of people fewer than 50. Retinitis Pigmentosa is common among families; it’s not always related to hereditary factors. Retinopathy is a common problem for people with diabetes where retinal blood vessels break down and affect vision. People with visual impairments who are in higher learning are very common now days and accommodations are set up for persons. Social support for people who are visually impaired is key factors to helping those individuals have a normal and productive life. Introduction There are many eye conditions. They are listed as followed. Lazy Eye or Amblyopia is a very common condition. Usually present early in childhood, lazy eye can be corrected if caught early. Learn what you can do to correct this eye condition before it becomes severe. Aphakia is a condition where the lens of the eye is missing. It can greatly decrease your vision acuity and cause other problems if not treated. Astigmatism...
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...REFLECTION INTRODUCTION The essence of this essay is to reflect on my 'lived' personal experience as a newly diagnosed patient with type II Diabetes. The author's assignment was to pretend to have been diagnosed with type 2 diabetes. As part of this exercise, the author was to maintain a record of exercise, food, and a regular blood sugar monitoring regime on daily basis. This reflection seeks to highlight the impact, experience and changes that occurred in the author's 'lived lifestyle of a patient with type II diabetes' and will include reference to current literature, research, theories and best practice. The author would explain the changes that occurred in her life and how experiencing type two diabetes has helped her to understand the challenges patients undergo in relation to their daily routine of monitoring their blood sugar levels. The author will explain how her 'lived experience' would help her understand and provide the necessary support for people with diabetes in the future. BACKGROUND INFORMATION I am a female non-smoker of African descent. I am married with two children aged 13 and 21. My thirteen-year old daughter currently lives with me in New Zealand. I am of an average height of about 163cm and weigh 80kg which signifies an unhealthy BMI of 30.1 (Health Information for New Zealanders, (n.d.) BMI Calculator section) I am currently out of job and often depressed as a result of my inactivity. I have a normal blood pressure of 136/78 and my pulse rate...
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...Diabetes [Name of Author] [Name of Institution] Introduction The examination profile of Mr Ward is not satisfactory and predicts he is confronted with several risk factors. Triglyceride level of Mr. Ward is 1.8mmol/l which is considered to be borderline high. Likewise, the cholesterol is 5.2mmol/l which again is very high. He also has a blood pressure higher than a safe range and a BMI below satisfactory level. This paper aims to highlight the facts and interventions which can be used for disease management for Mr Ward. Discussion The major challenge for maintaining a suitable glycemic control for diabetic patients is to restrict the progression of disease or development of the risk factors which turn pertinent over the course of time. The progression of disease can be restricted through considering the factors leading to weight gain, the pharmaceutical considerations, incurrence of glycemic conditions, and by taking into account the inherent restraints for administering exogenous insulin (Nichols et al, 2000). According to Davies (2004), there are number of factors which influences the consultation for diabetes patients amongst which the prominent ones include age, span of diabetes, the BMI, and measure of physical exercise. The glycaemic control remains the first and foremost target for every healthcare provider to enable insulin uptake in patients suffering from type 2 diabetes. Janes et al (2013) have highlighted the significance of daily routine and activities...
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...Jimenez1, 1 1 1 3 ´ ´ ´ ˜ ´ Silvia Vazquez , Deysi Bermudez-Ocana , Teresa Ramon-Frıas , Alma D. Genis Mendoza , Sherezada ´ ´ ´ Pool Garcıa4, Lilia Lopez Narvaez5 ´ ´ ´ ´mica Multidisciplinaria de Comalcalco, Comalcalco, Tabasco, Me ´xico, 2 Universidad Juarez Autonoma de ´ ´ 1 Universidad Juarez Autonoma de Tabasco, Division Acade ´ ´ ´xico, 3 Servicios de Atencion Psiquia ´ ´trica, Secretarıa de Salud. Me ´xico D. F., Me ´xico, ´ Tabasco, Division Academica de Ciencias de la Salud, Villahermosa, Tabasco, Me ´xico, 5 Centro de Investigacion Genomica, Comalcalco, Tabasco, Mexico ´ ´ ´ ´ 4 Hospital General de Comalcalco, Tabasco. Secretarıa de Salud, Comalcalco, Tabasco, Me Abstract Background: Depression and anxiety are common in diabetic patients; however, in recent years the frequency of these symptoms has markedly increased worldwide. Therefore, it is necessary to establish the frequency and factors associated with depression and anxiety, since they can be responsible for premature morbidity, mortality, risk of developing comorbidities, complications, suffering of patients, as well as escalation of costs. We studied the frequency of depression and anxiety in Mexican outpatients with type 2 diabetes and identified the risk factors for depression and anxiety. Methods and Findings: We performed a study in 820 patients with type 2 diabetes. The prevalence of depression and anxiety was estimated using the Hamilton Depression Rating Scale and the Hamilton Anxiety Rating Scale...
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...Journal of Diabetology, June 2010; 3 :4 http://www.journalofdiabetology.org/ Review Article: Diabetes in Prevention Abstract: Pakistan: Epidemiology, Determinants and * R. Hakeem 1 , 2 , A . Fawwad 2 Epidemiology and determinants of diabetes in Pakistan have peculiar combination of risk factors. Strong gene and environment interplay along with in-utero programming in context of low birth weight and gestational diabetes are the main contributors of a high prevalence of type 2 diabetes in Pakistan. The real burden of diabetes is due to its chronic complications leading to increased morbidity and mortality. The unique combination of various risk factors necessitates research studies to make appropriate risk assessment tools to control this diabetes pandemic. Better understanding of aetio-pathological genetic and environmental factors are suggesting prevention should begin much before the start of disease process and interventions in high-risk subjects alone will not be sufficient. It is necessary to initiate population based programmes for primary prevention of diabetes including a range of activities targeted at different age groups from fetal life to old age. Synchronized and coordinated efforts from public and private sectors are needed to combat this mammoth health and economic issue. Key words: Diabetes, Pakistan, Introduction: Escalation in rates of diabetes, especially type 2 diabetes in Pakistan is posing threats to the economy and quality of life...
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...Chapter I The Problem and its Background Introduction Diabetes is a chronic disease that can cause heart disease and stroke. It can also lead to defects like blindness. Because of its horrifying effects on human health, the researchers planned to conduct a study using makopa, a native Philippine fruit, to be a component of a natural medicine for diabetes. Makopa (Syzygium samarangense) leaves have been found to have antihyperglycemic properties. The researchers thought of another way to produce the same result by using the fruit instead of the leaves. The fruit was put into a food processor, to separate the liquid extract and from the pulp. The retrieved extract was filtered using cheesecloth to remove impurities. The pure extract was put into a vial. The pulp of the fruit was sun dried, powdered using a blender. The resulting powder was combined with the pure extract. The extract from the pulp was the tea that can be orally taken by the mice through regulated feeding. Having produced two products, the researchers were able to come up with a pure makopa extract, and be able to apply current discoveries and studies to produce a medicinal product from makopa. Background of the Study The study was conducted to prevent and cure diabetes through makopa. Also, the study was driven by the medical history of diabetes in the families of two out of three researchers. Because of diabetes’ horrifying effects on human health and it is continuous effect on a larger population...
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...Diabetes Working Group White Paper Avalere Health LLC on behalf of the Diabetes Working Group January 23, 2012 Table of Contents Authors.......................................................................................................................................... 3 Acknowledgments ......................................................................................................................... 4 Executive Summary ...................................................................................................................... 5 Provider Survey ......................................................................................................................... 6 Standards of Care Economic Model .......................................................................................... 7 Recommendations .................................................................................................................... 8 Care Management ................................................................................................................................ 8 Payment Reform ................................................................................................................................... 9 Workforce Supply ............................................................................................................................... 10 Background and Role of the Diabetes Working Group ............................
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...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
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...work and will be involved in planning how to take this project forwards. Therefore thanks go to: • Fiona Campbell • Deborah Christie • Chris Cooper • Julie Cropper • Gail Dovey-Pearce • Jane Edmunds • Gavin Eyres • Sue Greenhalgh • Peter Hammond • Gillian Johnson • Susannah Rowles • Carolyn Stephenson • Helen Thornton • Peter Winocour • Alison Woodhead Without the two clinical leads, Peter Hammond from Harrogate and Fiona Campbell from Leeds, this work and report would not have been possible. Contents Executive summary Context Background and rationale Aims of the project Timing of the project Process undertaken for the project Evidence base and policy background Results from the snapshot research Good practice Examples of good practice Review of key findings Project recommendations Core values, competencies and skills needed to deliver a quality consultation References Appendix 1 – Principles of a diabetes transition service Appendix 2 – Snapshot research 4 6 8 9 10 11 12 18 19 20 25 26 27 28 30 33 3 Executive summary Transition processes in diabetes healthcare are important. The move from paediatric to...
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...SITUATION : Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene. 1. As a registered nurse, Arthur knew that the first thing that he will do at the scene is A. Stay with the person, Encourage her to remain still and Immobilize the leg while While waiting for the ambulance. B. Leave the person for a few moments to call for help. C. Reduce the fracture manually. D. Move the person to a safer place. 2. Arthur suspects a hip fracture when he noticed that the old woman’s leg is A. Lengthened, Abducted and Internally Rotated. B. Shortened, Abducted and Externally Rotated. C. Shortened, Adducted and Internally Rotated. D. Shortened, Adducted and Externally Rotated. 3. The old woman complains of pain. John noticed that the knee is reddened, warm to touch and swollen. John interprets that this signs and symptoms are likely related to A. Infection B. Thrombophlebitis C. Inflammation D. Degenerative disease 4. The old woman told John that she has osteoporosis; Arthur knew that all of the following factors would contribute to osteoporosis except A. Hypothyroidism B. End stage renal disease C. Cushing’s Disease D. Taking Furosemide and Phenytoin. 5. Martha, The old woman was now Immobilized and brought to the emergency room. The X-ray shows a fractured femur and pelvis. The ER Nurse would carefully monitor Martha for which of the following...
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...ETHICS IN INFORMATION TECHNOLOGY Third Edition This page intentionally left blank ETHICS IN INFORMATION TECHNOLOGY Third Edition George W. Reynolds Australia • Brazil • Japan • Korea • Mexico • Singapore • Spain • United Kingdom • United States Ethics in Information Technology, Third Edition by George W. Reynolds VP/Editorial Director: Jack Calhoun Publisher: Joe Sabatino Senior Acquisitions Editor: Charles McCormick Jr. Senior Product Manager: Kate Hennessy Mason Development Editor: Mary Pat Shaffer Editorial Assistant: Nora Heink Marketing Manager: Bryant Chrzan Marketing Coordinator: Suellen Ruttkay Content Product Manager: Jennifer Feltri Senior Art Director: Stacy Jenkins Shirley Cover Designer: Itzhack Shelomi Cover Image: iStock Images Technology Project Manager: Chris Valentine Manufacturing Coordinator: Julio Esperas Copyeditor: Green Pen Quality Assurance Proofreader: Suzanne Huizenga Indexer: Alexandra Nickerson Composition: Pre-Press PMG © 2010 Course Technology, Cengage Learning ALL RIGHTS RESERVED. No part of this work covered by the copyright herein may be reproduced, transmitted, stored or used in any form or by any means graphic, electronic, or mechanical, including but not limited to photocopying, recording, scanning, digitizing, taping, Web distribution, information networks, or information storage and retrieval systems, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without the prior written permission...
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