Introduction: Morning Glory Syndrome (MGS) is a rare anomaly of the optic nerve characterized by a flower-shaped excavation in the optic disc. This anatomical peculiarity is of growing interest due to its impact on vi...Introduction: Morning Glory Syndrome (MGS) is a rare anomaly of the optic nerve characterized by a flower-shaped excavation in the optic disc. This anatomical peculiarity is of growing interest due to its impact on vision and the therapeutic challenges it presents. Despite research advances, gaps persist, requiring thorough exploration to better understand this rare condition. We present the case of a young girl. Observation: A 7-year-old girl presented with persistent deterioration of vision in the right eye since birth. Visual acuity was counting fingers at 2 meters in the right eye and 10/10 in the left eye. Biomicroscopy was normal in both eyes, and fundus examination revealed a funnel-shaped excavation at the optic disc of the right eye, associated with central glial proliferation, thin blood vessels in a radial distribution, and atrophy of the neuroretinal rim. Additional tests confirmed the diagnosis of isolated unilateral Morning Glory Syndrome in the right eye. Combined treatment included appropriate optical correction and functional rehabilitation. Regular ophthalmological follow-up over a one-year period was established to monitor visual acuity evolution, optic disc stability, and detect any potential complications. The reserved prognosis was marked by the absence of ocular complications and maintenance of initial visual acuity in the right eye. Conclusion: The positive response to management underscores the importance of an integrated approach, early diagnosis, therapeutic adherence, and personalized strategies.展开更多
Introduction: Congenital optic disc anomalies in children refer to structural variations of the optic nerve head present from birth. These deformations involve the size, shape, color, and vessels of the optic disc. Al...Introduction: Congenital optic disc anomalies in children refer to structural variations of the optic nerve head present from birth. These deformations involve the size, shape, color, and vessels of the optic disc. Although often asymptomatic, these anomalies can impact the visual development of the child, underscoring the importance of a thorough fundus examination for early detection and appropriate medical follow-up. We present two cases of congenital optic disc anomalies in children, illustrating the diagnostic challenges and complexity of their management. Case 1: A 3-year-old girl presented with a white spot in her left eye present since birth. Uncorrected distance visual acuity was 2/10 in the right eye, while she could perceive hand movements at 2 meters with the left eye. Normal examination in the right eye showed leukocoria, microphthalmia, and a white mass at the center of the optic disc on fundus examination in the left eye. Ocular imaging, including ultrasound and optical coherence tomography (OCT), confirmed the diagnosis of persistent hyperplastic primary vitreous (PHPV) in its mixed form in the left eye. Management included prescribing full optical correction and functional rehabilitation, without resorting to surgery. The course was marked by persistent amblyopia leading to a poor prognosis. Case 2: A 7-year-old girl consulted for vision disturbance in her right eye. Visual acuity was finger counting at 2 meters in the right eye and 10/10 in the left eye. Anterior segment examination revealed no abnormalities in both eyes. However, fundus examination highlighted a large funnel-shaped excavation associated with central glial proliferation, wheel spoke vessels, and neuroretinal ring atrophy in the right eye. Optical coherence tomography (OCT) of the right eye confirmed the diagnosis of isolated unilateral Morning Glory syndrome. Management included full optical correction and orthoptic rehabilitation. The course was marked by the absence of ocular complication and maintenance of visual stability in the right eye. The prognosis seemed favorable. Conclusion: Congenital optic disc anomalies in children exhibit great clinical variability and require an individualized diagnostic and therapeutic approach.展开更多
Convenience cafeterias in Beijing’s residential compounds provide a good meal option for the city’s large aging population.AT5 a.m.,workers at the cafeteria inside the 3rd Residential Compound of Jinding Street in S...Convenience cafeterias in Beijing’s residential compounds provide a good meal option for the city’s large aging population.AT5 a.m.,workers at the cafeteria inside the 3rd Residential Compound of Jinding Street in Shijingshan District,Beijing,begin their daily work.By 7 a.m.deep fried dough cakes,steamed buns stuffed with meat,eggs stewed in sauce,and several kinds of congee porridge are ready to be served.Ma Fengqin,a 69-year-old who lives nearby,has her breakfast at the cafeteria every day.“It saves me from cooking early in the morning,and gives me more time for morning exercise,”she said,while enjoying a bowl of porridge.展开更多
Purpose: To show epidemiological and imaging aspects of congenital optic disc abnormalities diagnosed late. Method: It was a retrospective study, including all patients with congenital optic disc abnormalities diagnos...Purpose: To show epidemiological and imaging aspects of congenital optic disc abnormalities diagnosed late. Method: It was a retrospective study, including all patients with congenital optic disc abnormalities diagnosed at a late age between January 2020 and October 2022 at the eye center of Abass Ndao Hospital. Complete ophthalmological examination was performed with eye imaging according to the cases. Results: 09 patients (10 eyes) were diagnosed with congenital optic disc abnormalities. The mean age was 29 years, with a sex ratio of 0.8. Three patients had consulted for unilateral decreased visual acuity since childhood, two for sudden vision loss and in four cases the diagnosis was fortuitous. Visual acuity was ranged from 1/200 to 20/20. Fundus examination showed myelinated retinal nerve fibers in four eyes, optic disc pit in three eyes including two complicated by maculopathy, two cases of morning glory syndrome and a case of pseudoduplication of the optic disc. Optical coherence tomography, ocular ultrasound B and OCT-Angiography were performed according to the cases. Conclusion: Congenital optic disc abnormalities are often diagnosed late. They are potentially amblyogenic and complications are not rare, worsening the visual prognosis. Their screening should be systematic by ophthalmological examination in newborns.展开更多
The morning began with the rhythmic sound of heavy rain awakening me from my sleep. As I opened my eyes, I was greeted by the soothing melody of raindrops hitting the ground outside my window.
Non-pharmacological interventions for improved home care of persons with dementia and their family caregiver are and will be increasingly important for society. A music intervention study was performed on persons with...Non-pharmacological interventions for improved home care of persons with dementia and their family caregiver are and will be increasingly important for society. A music intervention study was performed on persons with persons with dementia and family caregiver. The persons with dementia and family caregiver were instructed to choose a daily routine for joint listening to recorded music. They selected the music they were interested in from a menu. The intervention period lasted for two months. Both persons with dementia and family caregiver provided daily saliva samples for the assessment of stress-related steroid hormones. In previous reports we have reported that the morning cortisol levels decreased significantly among the family caregiver when the intervention group was compared to a control group. In the present study we report narratives from four dyads, two of whom with beneficial effects of the music intervention, one dyad with no clear beneficial effects and one dyad with mixed results. The narratives illustrate the strong cohesive effect that the joint music listening could have, leading to improved social functioning paralleled by decreased morning cortisol levels particularly in the family caregiver. The narratives also illustrate reasons for failed effects.展开更多
Dear Xu Yan,How is everything going these days? I am writing to invite you to an outing on Sunday,May 10th.We will meet at the school gate at 6:30 in the morning and then go to Yongfeng Mountain by bus.We will climb t...Dear Xu Yan,How is everything going these days? I am writing to invite you to an outing on Sunday,May 10th.We will meet at the school gate at 6:30 in the morning and then go to Yongfeng Mountain by bus.We will climb the mountain there in the morning and then have a picnic at noon.If you can come,you don’t need to bring food but it’s best for you to wear sports shoes and suitable clothes.展开更多
PART ONEⅠ.用适当的语法形式或词汇填空。从[A]、[B]、[C]、[D]四个选项中,选出一个正确答案。(本大题共30小题,每小题1分,共30分)1. Doctors _parents to give their childrenhealthier snacks such as fruit, vegetables, and juice....PART ONEⅠ.用适当的语法形式或词汇填空。从[A]、[B]、[C]、[D]四个选项中,选出一个正确答案。(本大题共30小题,每小题1分,共30分)1. Doctors _parents to give their childrenhealthier snacks such as fruit, vegetables, and juice.A. inform B. teachC. advise D. help2. He knew that a promotion was_.展开更多
PART ONE1.用适当的语法形式或词汇填空。从A、B、C、D 四个选项中.选出一个正确答案。(本大题共30 小题,每小题1分,共30分)1.This morning drivers__of thick fog in thecity.A.warned B.were warningC.were warned D.warn2.Mr.Robert ...PART ONE1.用适当的语法形式或词汇填空。从A、B、C、D 四个选项中.选出一个正确答案。(本大题共30 小题,每小题1分,共30分)1.This morning drivers__of thick fog in thecity.A.warned B.were warningC.were warned D.warn2.Mr.Robert knows the problems in the companybecause he__there for 20 years.展开更多
文摘Introduction: Morning Glory Syndrome (MGS) is a rare anomaly of the optic nerve characterized by a flower-shaped excavation in the optic disc. This anatomical peculiarity is of growing interest due to its impact on vision and the therapeutic challenges it presents. Despite research advances, gaps persist, requiring thorough exploration to better understand this rare condition. We present the case of a young girl. Observation: A 7-year-old girl presented with persistent deterioration of vision in the right eye since birth. Visual acuity was counting fingers at 2 meters in the right eye and 10/10 in the left eye. Biomicroscopy was normal in both eyes, and fundus examination revealed a funnel-shaped excavation at the optic disc of the right eye, associated with central glial proliferation, thin blood vessels in a radial distribution, and atrophy of the neuroretinal rim. Additional tests confirmed the diagnosis of isolated unilateral Morning Glory Syndrome in the right eye. Combined treatment included appropriate optical correction and functional rehabilitation. Regular ophthalmological follow-up over a one-year period was established to monitor visual acuity evolution, optic disc stability, and detect any potential complications. The reserved prognosis was marked by the absence of ocular complications and maintenance of initial visual acuity in the right eye. Conclusion: The positive response to management underscores the importance of an integrated approach, early diagnosis, therapeutic adherence, and personalized strategies.
文摘Introduction: Congenital optic disc anomalies in children refer to structural variations of the optic nerve head present from birth. These deformations involve the size, shape, color, and vessels of the optic disc. Although often asymptomatic, these anomalies can impact the visual development of the child, underscoring the importance of a thorough fundus examination for early detection and appropriate medical follow-up. We present two cases of congenital optic disc anomalies in children, illustrating the diagnostic challenges and complexity of their management. Case 1: A 3-year-old girl presented with a white spot in her left eye present since birth. Uncorrected distance visual acuity was 2/10 in the right eye, while she could perceive hand movements at 2 meters with the left eye. Normal examination in the right eye showed leukocoria, microphthalmia, and a white mass at the center of the optic disc on fundus examination in the left eye. Ocular imaging, including ultrasound and optical coherence tomography (OCT), confirmed the diagnosis of persistent hyperplastic primary vitreous (PHPV) in its mixed form in the left eye. Management included prescribing full optical correction and functional rehabilitation, without resorting to surgery. The course was marked by persistent amblyopia leading to a poor prognosis. Case 2: A 7-year-old girl consulted for vision disturbance in her right eye. Visual acuity was finger counting at 2 meters in the right eye and 10/10 in the left eye. Anterior segment examination revealed no abnormalities in both eyes. However, fundus examination highlighted a large funnel-shaped excavation associated with central glial proliferation, wheel spoke vessels, and neuroretinal ring atrophy in the right eye. Optical coherence tomography (OCT) of the right eye confirmed the diagnosis of isolated unilateral Morning Glory syndrome. Management included full optical correction and orthoptic rehabilitation. The course was marked by the absence of ocular complication and maintenance of visual stability in the right eye. The prognosis seemed favorable. Conclusion: Congenital optic disc anomalies in children exhibit great clinical variability and require an individualized diagnostic and therapeutic approach.
文摘Convenience cafeterias in Beijing’s residential compounds provide a good meal option for the city’s large aging population.AT5 a.m.,workers at the cafeteria inside the 3rd Residential Compound of Jinding Street in Shijingshan District,Beijing,begin their daily work.By 7 a.m.deep fried dough cakes,steamed buns stuffed with meat,eggs stewed in sauce,and several kinds of congee porridge are ready to be served.Ma Fengqin,a 69-year-old who lives nearby,has her breakfast at the cafeteria every day.“It saves me from cooking early in the morning,and gives me more time for morning exercise,”she said,while enjoying a bowl of porridge.
文摘Purpose: To show epidemiological and imaging aspects of congenital optic disc abnormalities diagnosed late. Method: It was a retrospective study, including all patients with congenital optic disc abnormalities diagnosed at a late age between January 2020 and October 2022 at the eye center of Abass Ndao Hospital. Complete ophthalmological examination was performed with eye imaging according to the cases. Results: 09 patients (10 eyes) were diagnosed with congenital optic disc abnormalities. The mean age was 29 years, with a sex ratio of 0.8. Three patients had consulted for unilateral decreased visual acuity since childhood, two for sudden vision loss and in four cases the diagnosis was fortuitous. Visual acuity was ranged from 1/200 to 20/20. Fundus examination showed myelinated retinal nerve fibers in four eyes, optic disc pit in three eyes including two complicated by maculopathy, two cases of morning glory syndrome and a case of pseudoduplication of the optic disc. Optical coherence tomography, ocular ultrasound B and OCT-Angiography were performed according to the cases. Conclusion: Congenital optic disc abnormalities are often diagnosed late. They are potentially amblyogenic and complications are not rare, worsening the visual prognosis. Their screening should be systematic by ophthalmological examination in newborns.
文摘The morning began with the rhythmic sound of heavy rain awakening me from my sleep. As I opened my eyes, I was greeted by the soothing melody of raindrops hitting the ground outside my window.
文摘Non-pharmacological interventions for improved home care of persons with dementia and their family caregiver are and will be increasingly important for society. A music intervention study was performed on persons with persons with dementia and family caregiver. The persons with dementia and family caregiver were instructed to choose a daily routine for joint listening to recorded music. They selected the music they were interested in from a menu. The intervention period lasted for two months. Both persons with dementia and family caregiver provided daily saliva samples for the assessment of stress-related steroid hormones. In previous reports we have reported that the morning cortisol levels decreased significantly among the family caregiver when the intervention group was compared to a control group. In the present study we report narratives from four dyads, two of whom with beneficial effects of the music intervention, one dyad with no clear beneficial effects and one dyad with mixed results. The narratives illustrate the strong cohesive effect that the joint music listening could have, leading to improved social functioning paralleled by decreased morning cortisol levels particularly in the family caregiver. The narratives also illustrate reasons for failed effects.
文摘Dear Xu Yan,How is everything going these days? I am writing to invite you to an outing on Sunday,May 10th.We will meet at the school gate at 6:30 in the morning and then go to Yongfeng Mountain by bus.We will climb the mountain there in the morning and then have a picnic at noon.If you can come,you don’t need to bring food but it’s best for you to wear sports shoes and suitable clothes.
文摘PART ONEⅠ.用适当的语法形式或词汇填空。从[A]、[B]、[C]、[D]四个选项中,选出一个正确答案。(本大题共30小题,每小题1分,共30分)1. Doctors _parents to give their childrenhealthier snacks such as fruit, vegetables, and juice.A. inform B. teachC. advise D. help2. He knew that a promotion was_.
文摘PART ONE1.用适当的语法形式或词汇填空。从A、B、C、D 四个选项中.选出一个正确答案。(本大题共30 小题,每小题1分,共30分)1.This morning drivers__of thick fog in thecity.A.warned B.were warningC.were warned D.warn2.Mr.Robert knows the problems in the companybecause he__there for 20 years.
