Age-Related Macular Degeneration

Dry age-related Macular Degeneration early and mid-points, had a similar wet stage it?

If dry age-related macular degeneration affects only one eye to your vision, you may not notice a significant change, because the other eye vision is good, you can still drive, read, and understand the details; only age-related macular degeneration involving when your eyes will notice changes in vision. If you have blurred vision, you should go to ophthalmology comprehensive dilated fundus examination.

No. Wet age-related macular degeneration is the advanced age-related macular degeneration.

What is wet age-related macular degeneration?

Wet age-related macular degeneration is also known as neovascular or exudative age-related macular degeneration, abnormal vascular proliferation of choroidal neovascularization and retinal pigment epithelium through.

Since neovascularization more vulnerable, easy bleeding or leakage of blood components, leading to retinal detachment, macular edema, and cause visual distortion or blind spots are formed, and then decreased vision, so wet age-related macular degeneration is a serious affect vision, everyday life and disease activity.

With the development of wet age-related macular degeneration, rapid loss of central vision, patients may blindness in 2-3 months, and wet age-related macular degeneration can be said to be a late old age-related macular degeneration, far more than the severity of dry age-related macular degeneration.

Wet age-related macular degeneration what are the main symptoms?

Wet age-related macular degeneration is the early symptoms of visual distortion, advanced vision loss, blurred object seen; the whole field of view is not bright colors, the contrast is reduced; see middle dim or dark center of the object point, if your this vision changes or other conditions, should be immediate to the eye doctor, you need to complete a detailed eye examination.

Wet age-related macular degeneration in the end how serious?

Wet age-related macular degeneration caused more severe visual impairment, accounting for age-related macular degeneration causes severe visual impairment of 90%. Wet age-related macular degeneration patients with decreased vision, visual distortion and other symptoms of central scotoma serious impact on daily life skills, such as walking, cooking, housework, shopping and phone calls.

Wet age-related macular degeneration disease progression is rapid, blinding rate, patients and society a heavy mental and economic burden. A study abroad show: the burden of disease wet age-related macular degeneration and even more than AIDS and cancer.

Seriously impair vision limits the ability of life of elderly patients, reducing their self-confidence or sense of independence, but also psychological health problems.

The results of research showed that patients with low vision, difficulty in facial recognition and other life-related goals significantly increased, and the visual acuity, contrast sensitivity, and reduce the useful visual field loss, so their ability to independently perform daily household activities were seriously affected.

The performance of commodity tag does not recognize, you cannot determine the location of items. Visual dysfunction, the elderly prone to fractures, with poor visual function will increase the cost of home care.

A study at the University of Birmingham, the United States showed that the development of visual impairment from mild to severe vision loss, the annual economic burden of patients will substantially increase from $ 3300 to nearly $ 40,000, an increase of nearly 12 times, where most of the costs are due home care, trauma and psychological recovery and generate indirect costs.

With the severity of age-related macular degeneration increases investigations related vision quality of life and lower scores. A visual function questionnaire (NEIVFQ-25) showed that, reduce the quality of life of patients with age-related macular degeneration is often underestimated.

Age-related macular degeneration can lead to quality of life in patients by 17% to 63% decline, the result with certain systemic diseases, such as cancer, heart disease and cerebrovascular close. Brody and other studies of 151 cases of age-related macular degeneration patients, about one-third of patients with varying degrees of depression, which is twice the community elderly.

Rovner and other 51 cases of age-related macular degeneration patients prospective study found that 33% of patients suffering from depression, and poor vision; at the same time accompanied by systemic vision associated with physiological dysfunction, with depressive symptoms increase, depending on the dysfunction is more obvious.

These psychological problems derived from patients who in the past could not be completed and can be completed on their very worthwhile activities, such as reading and walking, unable to recognize family and friends, the fear of blindness, high medical costs. An important reason in everyday life of the family and increasing social dependence and psychological barriers generated.

Dry age-related macular degeneration and wet age-related macular degeneration, which is more common?

Dry age-related macular degeneration is more common. All middle and late age-related macular degeneration dry age-related macular degeneration than 85%. However, in advanced age-related macular degeneration, which is about two-thirds of wet age-related macular degeneration, and almost all vision loss from advanced age-related macular degeneration, so wet age-related macular degeneration than dry age-related macular degeneration lead to more loss of vision.

What Are Nice Cars?

Advantages Of Nice Cars

Japanese cars biggest advantage is fuel economy because the engine is very good and the body is also very good power light vehicle electronic systems is a leading global soft shell drawback is easily deformed

Safety concerns at least I think that the Japanese manufacturer of car safety has not done just good Chinese manufacturing quality, but off nothing more

American cars powered car class appearance is generally very arrogant and very rugged in terms of engine durability or shell rigidity are good shortcomings are obvious fuel American cars are generally too high-powered high fuel consumption

German car I think is the most law-abiding, no matter where in single than in Germany can not get the first car is no particular advantage but German cars are no obvious shortcomings, whether dynamic contrast for Japanese cars and American cars are not absolute advantage but fuel consumption is a lot less than American cars Japanese cars more rigidity and the car much harder than Japanese cars American cars almost Durability is perhaps the best (nonsense more and more embarrassing discovery) is a German car short of the overall most people director good car

French car and not much worse than the German car but much cheaper price, whether car or vehicle fuel cheaper than Germany and durability but generally not as Germany opened 10 years 8 years lacks the problem (in France running on the road for more than 15 years some vehicles) Moreover, because France’s Renault and Japan’s Nissan are cousins in France, the number of the vehicle body can see the shadow of one o’clock Japanese cars

Star emblem sponsorship

Sponsored by the Mercedes-Benz sponsor of the music, sports and commercial projects. The whole world without break free concert admission ticket waits for you to come and collect; Tennis, the golf competition invites you to splurge the passion, to show the skill; The F1 battle situation and the competition wonderful moment will lead you to tour each big competition station, share it.

Select customization

Mercedes – Benz selected custom, in a professional car repairer and experience, for the different models configured the best option. Mercedes-Benz proud of the technology and technology to meet the growing diversity of consumer demand and the pursuit.

Mercedes Benz, the Nice cars

Mercedes-Benz is designed to create the most user-friendly car and car purchase experience, in the vehicle configuration platform can be customized according to your preferences with the car’s interior, appearance and accessories, and through 360 ° all-round look at the car, to bring you more intuitive feel.

Alfa Romeo,the Nice cars

Alfa Romeo, the well-known sports car brand in Italy, is famous for its elegant styling and excellent performance. However, Chinese consumers probably only hear the name of Alfa Romeo, the natural reminiscent of Romeo and Juliet’s love story, which gives birth to a trace of goodwill, but never had the opportunity to really see its style, more difficult to buy it. Because the Alfa Romeo brand has not been formally introduced into China. Now, its arrival finally has a point in time.

March 11, the reporter learned from the exact sources, the current Chrysler (China) Co., Ltd. Zheng Jie, president of car sales in the company’s recent internal meeting, said Alfa Romeo is now part of Fiat’s 100-year sports car brand , Will be introduced in China in 2018, when the sales will be imported.

This point in time from now there are 3 years, so look forward to Alfa Romeo’s domestic consumers need to wait patiently. But to be sure, this time, Alfa Romeo will no longer be the same as the previous “bounced” the.

Previously on the Alfa Romeo industry about to come to China’s news come and go, but never come true. All rumors are from the 2011 Guangzhou Auto Show began. At that time, Guangzhou Automobile Fiat in their own booth to display the Alfa Romeo’s Giulietta, MiTo, 4C concept car that several cars.

The industry have speculated that this is Alfa Romeo is about to enter the prelude to China. But then the speculation was officially denied Guangzhou Automobile Fiat. But this does not eliminate the rumors continue to exist. In fact, if careful analysis of the past few years, the development of Fiat in China is not difficult to judge the situation, Alfa Romeo to China is not easy.

Prior to the Guangzhou Automobile Fiat official denial of Alfa Romeo rumors into China, said, “need to consider the changes in the Chinese market, combined with market demand, careful decision.” Now the Fiat Fiat joint venture has been established for several years, the performance of the Chinese market is tepid, almost just rely on a car in the Philippines Xiang hard, just last year, more than 60,000 vehicles in annual sales. Which undoubtedly makes Alfa Romeo want to rely on the Guangzhou Automobile Fiat platform to enter China’s hope becomes slim.

On the other hand, in order to promote Chrysler’s JEEP brand to achieve production in China, Fiat – Chrysler Alliance for the past two years did not spend less energy to play each other until the end of last year to finalize the establishment of Guangzhou Automobile Fiat Chrysler joint venture, the company expects 10 Month in order to formally put into operation. In this way, Alfa Romeo into China matters can only “stand aside.”

In fact, under the banner of the Fiat Group, as well as Ferrari, Maserati, Lancia these brands, now in the Chinese market can not see the difference between Alfa Romeo and Lancia.

The currentChryslerChinese president Zheng Jie, another job is the Lancia brand Asia-Pacific region responsible person. The mention by her 2018 Alfa Romeo will be introduced into the country, but also should be through the early stage of communication with the Fiat did not do the position.

It is envisaged that, by 2018, JEEP domestic brands will enter a mature period, Fiat Chrysler Group will have the time and effort to fully handle the Alfa Romeo into China.

The most convincing argument is that in 2018 or Fiat Chrysler last year to develop a new five-year plan ending period. The plan has already mentioned the introduction of Alfa Romeo brand in the future, but does not directly indicate the point in time.

The plan said: 2018 Fiat Chrysler Group in the next five years will total investment of 50 billion euros, pushing the global target of 7 million; and the Asia-Pacific region through the introduction of competitive products, 5-year compound annual growth rate of 35 %; The goal in China is to achieve 38% compound annual growth through domestic and introduction of Alfa Romeo brand.

Prior to the Alfa Romeo into China many rumors, some analysts believe that Alfa Romeo will be further into the domestic. But it now appears that by 2018 the brand can only be imported car sales. “Will not be incorporated into the Guangzhou Automobile Fiat Chrysler joint venture, but a separate way to import sales.” The source told the Economic Observer reporter.

The world, clear in the chest; scale, can be more in-depth. Welcome to scan the bottom of the two-dimensional code Sina Finance official WeChat (micro-signal sinacaijing).

What is Dementia Or Alzheimer’s?

What is Alzheimer’s disease?

The older the more ignorant, the older the more silly is not inevitable phenomenon of the elderly only part of the older people with age will suffer from Alzheimer’s disease

Alzheimer’s disease is a major disease affecting the brain, in simple terms, the patient’s brain will have the phenomenon of functional degradation.

Older people are more susceptible (65 years or older: 4-8% 80 years and older: 20%)

main problem:

A, memory decline

B, intelligence and brain function degradation (Cognitive Decline)

C, self-care ability decreased (ADL)

D, behavioral problems and psychiatric symptoms (Challenging Behaviour and Psychiatric Symptoms)

2A. What are the initial symptoms of patients?

Ten Alzheimer ‘s alarm

  1. Memory decline, affecting daily activities
  2. Difficulties in dealing with familiar things
  3. Confusion about time, place and person
  4. Judgment diminishes
  5. Put things in an inappropriate place
  6. Problems with more abstract ideas
  7. Emotional or behavioral changes
  8. Change of character
  9. Lose the initiative to do things
  10. Express or understand the language difficulties

2B. What will be the symptoms of patients in the late?

The development of symptoms varies from person to person, but also due to different causes and vary

2.  Medium term

Memory and self-care ability continues to decline

Personality change / emotional instability / stubborn / bad temper

The state of mind is different day and night (Sundowner)

The ability to lose time and place

Action and slow thinking

Judgment Ability + Analytical Ability + Speech Ability Degradation

Behavioral problems (emotional, tantrum, violence, suspicion, shouting, spitting, losing homemade, dung)

Psychotic symptoms (depression, hallucinations, delusions, anxiety)

3.  Late

Completely dependent on others to take care of

Loss of language and communication skills

Loss of activity

Incontinence

  1. What causes Alzheimer’s disease?

Cause: divided into four categories

  1. Alzheimer’s disease (50%) (Alzheimer’s Disease)
  2. Multi Infarct Dementia or Vascular Dementia = similar to a number of minor strokes (more than 15%),
  3. Lewy body-positive dementia
  4. Other rare causes
  5. How to prevent Alzheimer’s disease?

Although there is no sure way to effectively prevent Alzheimer’s disease, the following points will make the elderly maintain mental health:

  1. – Prevent head trauma
  2. – Early treatment, minimizing impact
  3. – for vascular dementia: no smoking, attention to blood pressure, prevention of diabetes, avoid excessive and high-fat diet
  4. – Do more exercise
  5. – Daily plan and daily social life
  6. – Do not stop using the brain, multi-purpose brain thinking, learn more new things
  7. How to treat Alzheimer’s disease?

Major principles:

  1. Early diagnosis and treatment
  2. For the causes and lists the various problems

Treatment mainly do the following:

  1. Preserve existing skills (Preserve Existing Skills)
  2. Decrease degradation
  3. Maintain the quality of life is not reduced
  4. To the listed problems to make treatment (Problem Orientated)
  5. Support the caregiver

Treatment method:

  1. Drugs
  2. To help the family as a caregiver and to plan for future care
  3. Memory treatment
  4. Reality-oriented therapy
  5. Day Hospital
  6. Support groups

Anxiety Problems

Have you been suffering from anxiety?

Get rid of anxiety and get out of the emotional predicament
“People have no foresight, there must be near worry.”
Everyone will always encounter the time of anxiety, is a normal psychological reaction. Anxiety can be caused by personality, that is, how individuals look at things around, the face of adversity and stress response. But few studies have found that imbalance in brain secretion can lead to emotional illness, anxiety is one.

How to relief from Stress?

It is not to say that there is often a sense of unease, anxiety, anxiety, anxiety and other emotions if lasting, almost every day, and not self-control, there is lingering tendency, and such bad mood has affected daily life , Such as work, social and get along with family, we must wonder whether they are suffering from anxiety disorders, it is recommended to go into the doctor. Otherwise, the occasional anxiety symptoms need not worry too much.

Causes of anxiety

The causes of anxiety disorders can be attributed to genetic, physiological and psychological factors, especially psychological factors. So, the first step in dealing with anxiety or avoiding anxiety is to learn to fight adversity and relief stress. “Stress is a physiological response to a person’s challenge or adversity, perceived to be threatened, and is internal rather than external.

” Appropriate pressure can push the individual forward, but can not manage the pressure but “backlog”. Exercise is good for the body and mind, and regular exercise every day will definitely help decompression. In addition, it is also possible to cultivate personal interest.
As for the face of adversity, I suggest that you use the following three measures:

1) A positive way of thinking.

2) To stop unnecessary tension, try to do something to relax themselves and transfer negative thinking; The spirit to cope with immediate challenges, not self-pity.
To find out if you are anxious or have an anxiety disorder, try asking yourself the following six questions:
1. Is there a habit of inertia anxiety?
2. Try to ask friends around if they are more prone to anxiety than others?
3. Has the anxiety symptoms been sustained for 3-6 months or more?
4. Can they control their own emotions of anxiety?
5. Are lifestyle habits affected by anxiety?
6. Are there any physical symptoms such as heart or angina, gastrointestinal discomfort, headache, tinnitus, fatigue, mental or insomnia and other functional reactions?

Sick medications 

Because of the lack of understanding of the face of stress caused by somatic symptoms of anxiety patients, it is generally easier to deal with; If there is deep rooted solid anxiety tendency, the patient often suffer from pressure overload caused by anxiety disease.

Dr. Huang admitted that these patients more than the disease, but the drugs will definitely help them, especially a new generation of drugs, such as serotonin modulating agent (SSRI) or serotonin and brain adrenergic regulator (SNRI), for individual Brain secretions, Less side effects than traditional drugs.

As long as the instructions by doctors medication, psychiatric drugs side effects are not many and not addictive, patients do not worry.