A Template for (How to plant a garden, cook Thanksgiving, create a newsletter) tasly microcirculation test
How to Maintenance tasly microcirculation test?
How to Maintenance tasly microcirculation test
1. Place in a cool, dry, no dust, no acid, no-place.
2. The air relative humidity less than 60%.
3. When moving, before installation if two temperature difference, room temperature should be adapted to the use of the instrument, in order to prevent the optical lens fogging, mildew.
4.The objective has been parity, can not disassemble. Dust on the mirror ball blow hair available, or gently wipe with a clean brush (or lens cleaning paper).
5. The camera target surface is dusty, slightly soiled cotton xylene gently wipe test, turn gently rub outward from the center of the target surface wipe.
6. The objective should be taken to avoid being hit.
7. Keep the instrument surface clean.
Integration of tasly microcirculation test and Dermoscopy into the Rheumatology Fellows Curriculum
Integration of tasly microcirculation test and Dermoscopy into the Rheumatology Fellows Curriculum
Daniele Lerner1, Stephen A. Paget2, Maurizio Cutolo3, Vanessa Smith4, Robert F. Spiera1 and Jessica K. Gordon1, 1Rheumatology, Hospital for Special Surgery, New York, NY, 2Division of Rheumatology, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, 3Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, Genoa, Italy, 4Ghent University Hospital, Ghent, Belgium.
Background/Purpose: Microvascular damage is an intrinsic and early pathological event in Systemic Sclerosis (SSc) and can be observed using nailfold capillaroscopy (NFC). NFC can be performed using different techniques, including dermoscopy, widefield microscopy, and videocapillaroscopy. Abnormal nailfold capillaries are part of the 2013 diagnostic criteria for systemic sclerosis and may be observed in other connective tissue diseases (CTD) as well. With the support of our Academy of Medical Educators, we developed and assessed an educational curriculum to teach adult and pediatric rheumatology fellows the techniques and skills required for NFC.
Methods: Our curriculum had three programmatic elements. First, the fellows were provided with dermatoscopes and were given the opportunity to learn both the normal exam and abnormal capillary patterns. They were then given a one-hour didactic session and workshop where they used dermoscopy and widefield microscopy to examine the normal and abnormal patterns on themselves and an SSc patient. The third part of the curriculum involved a full-day course given by two experts in NFC that incorporated videocapillaroscopy and patient cases. Tests of usage and interest were taken at three time points – prior to giving the dermatoscopes, following the one-hour didactic session, and following the full-day course. Tests of knowledge were given to attendees of the full-day course before and after and included fellows, rheumatology attendings, and others. Comparisons were made using Fischer Exact Tests.
Results: In our institution there are 12 pediatric and adult rheumatology fellows. Response rates were 100%, 83% and 75% at the 1st, 2nd and 3rdtimepoints- respectively. At all time points 100% of fellows noted interest or strong interest in learning NFC techniques. After the course 67% felt confident in their ability to perform NFC while before the course only 17% felt confident, p = 0.03. Prior to the completion of the curriculum 25% of fellows responded that they used NFC frequently when they performed rheumatologic consultation compared to 67% after the course, p= 0.09.
Before and after the one-day course participants were asked to look at photographs of normal and abnormal NFC using a web-based application via SurveyMonkey. Response rates were 36/70 (51%) prior and 19/70 (27%) after. In the pre-test 74% answered all questions correctly and 95.5% answered all questions correctly in the post-test. Improved identification of normal NFC was observed: 18/36 (50%) before the course and (18/18) 100% after the course on one question, p<0.001. Improved identification of neoangiogenesis was observed, 18% pre versus 77% post, p <0.001.
Conclusion: NFC is an area of interest for rheumatology trainees and attendings. This curriculum was feasible and led to improved ability of learners to distinguish normal from abnormal and to recognize and describe SSc-specific NFC changes that identify validated patterns of disease progression. This curriculum also led to improved confidence in examining nailfold capillaries and increased use of this skill in rheumatologic consultation.
Where and who need the tasly microcirculation test?
Where and who need the tasly microcirculation test?
The microcirculation microscope is widely used in the field of hospitals, school laboratories, clinics, etc., as the best auxiliary testing equipment. And it is also used in health food industry, as a communication platform for product promotion when, making money equipment, beauty industry.
For it is non-invasive, only to observe the end of the finger armor section, you can do the blood microcirculation review. You can observe microcirculation pipe loop patterns, the number of pipe loop, blood flow, bleeding, etc., help determine the sub-health status and blood stasis and brain / cardiovascular related diseases.
tasly microcirculation test Findings in Diabetic Patients (A Pilot Cross-Sectional Study)
tasly microcirculation test Findings in Diabetic Patients (A Pilot Cross-Sectional Study)
Background: Microcirculation is affected in diabetes mellitus and Microvascular abnormalities cause persistent diabetic complications. The aim of this study was nailfold capillaroscopic assessment to describe the pathological changes (morphological and structural) in capillary of a large series of patients with type 1 and 2 diabetes. Methods: A cross-sectional study was carried out in a tasly microcirculation test Center (Tehran-Iran) between 2011 and 2014. The study included 235 types 1, 2 diabetic patients. All patients underwent 10 nailfolds capillaroscopy examinations. Microvascular architecture, disturbances capillary distribution, capillary morphology, capillary density, efferent/afferent limb ratio, subpapillary venular plexus, and morphological abnormalities were evaluated. Conclusions were stated as normalor scleroderma pattern. Results of patients’ capillaroscopic images were recorded and analyzed quantitatively and qualitatively. P value < 0.05 was considered as statistical significance. Results: of all participants with mean age 59.91 ± 12.39, 183 cases (77.9%) were female and 52 (22.1%) were male. Tortuosity of capillaries was more often observed in our subjects (235 cases) followed by angiogenesis (171 cases). Normal and early scleroderma patterns were observed in 195 (83.0%) and 40 cases (17.0%). Based on P values, altered micro vascular architecture, capillary distribution and capillary morphology were more frequent in patients with scleroderma pattern in comparison to patients with normal pattern (P value < 0.05). Morphological abnormalities except from neo formation capillary and mega capillary were also significantly more common in patients with scleroderma pattern than patients in counterpart group (P value < 0.05). Conclusion: Nailfold capillaroscopy as a non-invasive, diagnostic and prognostic method may potentially affect on diabetes outcome and control.
Where need the tasly microcirculation test nls device?
Where need the tasly microcirculation test nls device?
All these techniques are very diverse and complementary. This makes it possible to combine them together for achieving the best possible results in the work of holistic doctors, as well as alternative practitioners and naturopaths.
The most effective use of our equipment is observed in the following areas of holistic medicine:
Holistic doctors providing general practice and specializations
Experts in detoxification and in removal of contaminants
Removal of parasites and other microorganisms without the use of chemicals
Experts in smoking cessation (anti-smoking programs), as well as experts oin the withdrawal of other types of addictions
Experts in holistic health and anti-aging
Experts in psychosomatic correction
Experts in the field of quantum medicine
As well as a number of other specialties
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