1, have chipset Exynos 9611 (10nm) CPU Octa-core (4x2. 5beta1 main board firmware will work with version 3. To update your router’s firmware, type your router’s IP address into your web browser and enter your login information. Only the Wifi-Configuration page is shown, when accessing the IP-Adress of the ESP32 plugged in the USB-Port of the Growatt - no inverter data. x will be the last supported firmware for UCM61xx. 0 Dump file for Walksnail … Video Intercom. Lokale inbedrijfstelling en firmware-upgrades (voor ShineWiFi-X) Databeveiliging - Versleutelde data - Geïntegreerd geheugen voor één maand aan data - Ondersteunt hertransmissie vanaf het onderbrekingspunt. Download Growatt SPA 10000T元 BH-UP - Datasheet Growatt SPA 10000T元 BH-UP - User Manual. RFID Authorisatie Download ShineTools in your phone (You can scan the QR code on the right or search ShineTools on the App store /Play Store) 3. Please get in touch with us if you need other firmware which not on the list. THOR 11kW&22kW AC EV Charger User Manual 202304 18. A WIFI dongle for the Growatt MIC-X, XE and 3ph X range inverters. Download the ShinePhone APP Scan the QR code below to download ShinePhone, also you After installing the ShineWiFi-X/S module, turn on the inverter, then the red LED can search ShinePhone in Apple Store or Google Play to flashing indicates the inverter and ShineWiFi-X/S communication is normal for download the APP the first … - Puesta en servicio y actualización del firmware en linea (para ShineWiFi-X) Seguridad de los datos - Datos cifrados - Memoria interna para un mes de datos - Admiten retransmisión de puntos de interrupción. Please note that for SPH 3-6K TL BL UP, our factory has produced 2 generation models, but in first generation, we just manufacture dozens of SPH 3-6K TL BL UP. x expansion board firmware, and vice versa. SMO 360 WIFI issue after upgrading Insta ONE R V1. wx4 on Firmware download For off grid inverter 2023年9月7日 note: this has worked for about 5 months until intermittent failures to start charging recently EG4 48V lithium battery with… amos on SPF 3500-5000ES 02 warning 2023年9月7日 Download. Contact us Growatt New Energy Australia Pty Ltd C1, 27-29 Fariola Street, Silverwater, NSW 2128 Service Hot Line +61 (0)2 80651298 1800 476 928 - Powering Downloads. Note: This firmware update is only for REVEAL X (2021) models. Can i do this manually? Stick type What Stick type are … Download ShineWIFI and enjoy it on your iPhone, iPad and iPod touch. Once the flashing process is complete, disconnect your Jazz Digit 4G device from the computer and restart it.
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If you meet the requirements that should be good enough for the unlock. Adam warlock is a mythic legendary so nodes are pretty easy just with the bare minimum Reply TwistThis. This is exactly why we will indicate where characters can be farmed. Marvel Strike Force Mobile game Action role-playing game Gaming Role-playing video game Action game comments sorted by. Welcome to the Iso-8 guide for Adam Warlock, the latest in our series about the popular game Marvel Strike Force.In this series we look at the best Iso-8 enhancements for MSF characters. However, the more stars a character has, the stronger it is, which automatically means it will be easier to complete a specific challenge. Thor (Infinity War) – Currently not farmableĪs we can see, yellow stars are not necessary to play Apocalypse or any other Saga.Nodes 5 and 10 in War Scourge Event require Hero Asgardian, Ravagers, and/or Wave I Avenger Characters. 500k Points: Immediately unlocks a 3* Red Hulk.425k Points: Earns a 3* Red Hulk via Rank Rewards.Safeguard AND immunity at the start of a match is beyond OP and easily the best way to stop your toons from getting their buffs removed and one shot or heavily debuffed, he has a two person stun (in arena that basically half the team) a two turn ability block and can extend. Requirements: Earn Points in War Scourge Event: Even if Warlock did literally 0 damage (and I mean like he didn’t even have a damage stat) I would still use him. So the standard Young Avenger line-up (Without Miles). Here is the full list of requirements to unlock adam at 5 Marvel Strike Force is a turn-based RPG where you bring five heroes and Legendary character Adam. However, we recommend that you focus on the Young Avengers, as the other teams are not good enough to overcome all the challenges of Famine Scourge nodes 5 and 10. Requirements: 5 Brotherhood or X-Men Characters with 4 Yellow Stars to unlock Magneto. Requirements: 5 Kree Minions at 3 Yellow Stars are needed to unlock Nick Fury. The game takes place in the fictional universe, Legoland, where the player can assume the role of a rider.The ultimate task of the player is to participate in different racing events and try to win the competition. Lego Racers is a Racing, Single and Multiplayer video game created by High Voltage Software and published by Lego Media. Angry Birds Go! Is a Kart Racing, Single and Multiplayer video game created and published by Rovio Entertainment. With enhanced mechanics, stunning environment, detailed graphics, and smooth controls, Sonic and SEGA All-Stars Racing is a beautiful game to play and enjoy. It offers unique vehicles, including planes, bikes, cars, a giant banana, and more. In local multiplayer mode, you have to defeat opposing drivers using crazy power-ups and gain an advantage.Sega Universe contains over twenty-seven challenging tracks. Your objective is to select your vehicle and jump into the world to compete against other rival drivers, pick up power-ups to eliminate other karts to win.The game uses a third-person perspective to navigate the area and allows you to take part in tournaments and race against other players. The game takes place in the 3D environment and introduces new circuits, including Curien Mansion, Sonic Seaside Hill, and Blizzard Castle.There are lots of famous characters and karts to choose from to start the game. Sonic and SEGA All-Stars Racing is an Arcade, Action, Kart Racing, Split-Screen, Single and Multiplayer video game developed by Sumo Digital and published by Sega. With enhanced mechanics, addictive gameplay, and superb visuals, ModNation Racers is the best game to play and enjoy. Gather weapons, including sonic attacks, lightning strikes, and missiles, to attack other players and eliminate them from race to remain the last driver who crosses the finish line.Follow the story, complete a series of levels, dominate challenging tracks, and prove yourself as the best driver. There are a variety of cars, and you, as the protagonist, must select your vehicle to customize your vehicle using different gear, and accessories to race against AI-controlled vehicles and other players on various tracks to win.You can drift and accelerate to refill your boost meter and enhance speed when needs. The game has both Single and Multiplayer modes and available to play on the PlayStation platform.The story centers around the protagonist named Tagger and his attempts to win the race to become the best driver. ModNation Racers is an exciting Kart Racing video game by United Front Games. In-car mode, your aim to earn boost by drifting across corners or performing amazing stunts in the air. During the gameplay, you can pick up power-ups to boost your speed and weapons to slow down and eliminate the opponents from the race to win.It has three different modes, such as Car, Plane, and Boat. It is the four massive entry in the series of Sega Superstars game, serving as the eighth installment in the series of Sonic Hedgehog.The game puts you in the 3D world to race against other players using different characters from the famous Sega Franchise, and it offers enhanced mechanics and gameplay from the last entry.You can select your vehicle and playable character to get into the world where you have to race against competitors in various tracks. Sonic and All-Stars Racing Transformed revolve around Kart Racing elements developed by Sumo Digital and published by Sega. With superb gameplay, smooth controls, and enjoyable gameplay, Re-Volt is the best game to play and enjoy. F.A.It has two different modes, such as Battle Tag, and Single Race.Eagle One - Harrier Attack (Europe) (En,Fr,De,Es,It).EA Sports Superbike 2000 (Europe) (En,Fr,De,Es,It,Sv).Interaktive Abenteuer - Mulan (Germany).102 Dalmatians - Puppies to the Rescue (Scandinavia) (Sv,No,Da).102 Dalmatians - Puppies to the Rescue (Europe) (Rev 1).102 Dalmatians - Puppies to the Rescue (Europe) (Fr,De,Es,It,Nl).CTR - Crash Team Racing (Europe) (En,Fr,De,Es,It,Nl).CTR - Crash Team Racing (Europe) (En,Fr,De,Es,It,Nl) (EDC).Canal+ Premier Manager (Europe) (Fr,Es,It).
Keeping jade in strategic locations can help you create certain protective energies within your home. Jade has been prized for centuries because of its numerous health benefits. Jade is a valuable and cultural gem, particularly in Native American cultures and Chinese practices. Ultimately, it is up to the individual to decide where they believe is best. Some people believe that it is best to keep jade crystals in close proximity to the body, such as in a pocket or on a nightstand, while others believe that it is best to place them in an area of the home that is associated with positive energy, such as near a window or in a plant. There is no definitive answer, as people have different beliefs and opinions on the matter. The stone is suitable for use with hearts and with the spiritual realm because of its excellent working qualities. In addition to assisting the wearer in his psychic abilities, it can aid in the protection of the wearer from negative energy. The Power Of AmethystĪmethyst is thought to be associated with spiritual enlightenment and peace of mind, and it has been used to do so in recent years. For more information, see the full disclosure. The information provided does not have any commercial or monetary value, and it is intended solely for entertainment purposes. The amethyst and rose quartz set is currently available for $55, but prices may change in the future. Can you use multiple crystals for crystal healing? Please let us know what you’ve been through by submitting your story. If the stones are softer, they should be kept separated. You are provided with the benefit of each stone because it contains more than one mineral. Despite the fact that crystals are known to be vibrationally varying, they are all equally potent. There are numerous types of crystal shapes that you can incorporate into your meditation and healing practices. Amethyst, quartz, rose quartz, and Smoky Quartz are the various types of quartz crystals.Ĭombining the two can be beneficial to empaths who are particularly sensitive to negative emotions. Determine how each crystal combination will affect you by experimenting with it. Combine some sun, moon, and/or earth crystals to strengthen your astrological abilities. What are some of the stones that work together to form a solid base? Combine the colors of the rainbow to align all seven major chakras. Your own conclusions must be drawn as you go. Learn about our thoughts on the subject of crystals in general. Amethyst is said to go well with all stones, but some people believe that it looks especially nice with peridot, tourmaline, and Topaz. It is the most valuable form of quartz and has been used in jewelry and other decorative items for centuries. What Stones Go With Amethyst?Īmethyst is a purple stone that is part of the quartz family. Clear quartz has the ability to increase the energy of jade, making it a potent combination. The jade stone is revered for its purity and ability to bring peace and calm to the workplace, making it an excellent addition to any room. When they are combined, they can bring harmony, balance, and abundance to the environment. The two stones complement each other because of their support and amplification. The sphatik (crystal stone / clear quartz) is a white, shiny, and transparent stone with the same color as the quartz. The Power Of Jade And QuartzĬombining green jade and clear quartz in this ring is said to bring about love and compassion. As you can see, combining crystals with similar characteristics, as we discussed above, will most likely result in positive changes in your life. The zodiac of the crystals can also be found, as can their relationship to one another. When crystals of the same color are used, they are usually compatible with energy levels. Crystals, on the other hand, will aid in the healing process by acting as an antiseptic and detoxifier. When it comes to relieving back pain, calcite is thought to be effective, whereas jade has been shown to be effective in treating a wide range of health problems. One of the benefits of combining jade and jasper is that it can be used to achieve a good relationship balance. Crystalries such as jade and aquamarine can be used to increase prosperity, good fortune, and wealth. When you combine it with other crystals, you will be able to direct the energies of Jade. Many crystals complement the jade crystal perfectly. ’s list of the best crystal combinations for jade. She claims that each of these stones is made up of a strong vibrating material. Boote claims that jade is a great earth stone that can be combined with other stones such as jet, onyx, obsidian, and black tourmaline. Samurai XDR gives users visibility and control across network, endpoint, cloud, email and more through an intuitive interface. NTT unveils Samurai XDR SaaS to strengthen detection and response capabilities across the network This new plan covers a broader range of an organization’s Microsoft 365 security, compliance management and data protection needs, and prevents existing and potential risks of spam, malware, and threats. Hornetsecurity has launched its Plan 4 “Compliance & Awareness” solution of 365 Total Protection Suite, offering a higher level of defence and compliance with new AI tools, security awareness service, and permission management for Microsoft 365. Hornetsecurity releases 365 Total Protection Plan 4 for Microsoft 365 to protect email communications It focuses on automation, collaboration, and building universally distributable workflows. Reaper is an open-source reconnaissance and attack proxy, built to be a modern, lightweight, and efficient equivalent to Burp Suite/ZAP. Reaper: Open-source reconnaissance and attack proxy workflow automation Here’s a look at the most interesting products from the past week, featuring releases from CyberSaint, Ghost Security, Hornetsecurity, NTT Security Holdings, and TXOne Networks. Similar to VS Code, Atom is also based on the Electron framework, although, unlike VS Code, it is not as feature-rich natively. As a result, a lot of the features you get on it are community developed and maintained. If you are just getting started, Visual Studio Code provides features like IntelliSense and Peek Definition to help you understand various aspects of programming languages.Ītom is a free and open-source source- code editor developed by GitHub - now owned by Microsoft. Moreover, you also get the ability to collaborate and work remotely with your peers in real-time. It provides an extensive set of features to help you in the coding process, such as support for syntax highlighting, snippets, code refactoring, debugging, intelligent code completion (or autocomplete), and Git integration. Talking about functionality, you can use VS Code to write programs in various languages: C/C++, Java, Python, JavaScript, and Go. One aspect of VS Code that separates it from other source-code editors is that, instead of using a project-based system, it allows you to work with multiple directories and isolate them into different workspaces - kind of like a language-agnostic code editor. It is built on the Electron framework and is compatible with all major operating systems: Linux, macOS, and Windows. Visual Studio Code or VS Code is a freeware source- code editor from Microsoft. With that out of the way, here are the best text editors for Mac. For, even though you can do it, the lack of development-specific features on a basic text editor might not offer as good an experience as a source- code editor or an IDE ( integrated development environment). For instance, a source- code editor gives you syntax highlighting, autocomplete, indentation, and bracket matching, among other features, which you do not get to see on a basic text editor.Īs such, you can use a source- code editor for general document writing and editing, but it is not wise to use a basic editor for writing code. While text editors offer functionalities that solely focus on simplifying creating and editing documents, source-code editors provide additional features to speed up the code writing process. The difference between both kinds, at large, lies in the functionality and purpose that they serve. Text editors come in various forms, but you can broadly classify them as basic text editors (plain text or rich text) and source-code editors. Text Editors to Improve Text and Code Writing/Editing. Table of contents : Basics 1: How to Open a Document Basics 2: How Designer's Screen is Organized Extra: How to Add Two Columns to the Tools Basics 3: How to Use the Shape Tools Basics 4: How to Navigate Inside the Document Basics 5: How to Use Colors in Designer Basics 6: How to Use Layers Basics 7: How to Use the Text Tool Basics 8: How to Combine Shapes Using the Boolean Tools Basics 9: How to Use the Pen Tool Basics 10: How to Save, Share, and Export Extra: Color Theory, Modes and Codes Lesson 1: How to Add Fonts to Designer Lesson 2: How to Create Your Own Brushes Lesson 3: How to Use the Color Picker Tool Lesson 4: How to Make a Modern Logo Lesson 5: How to Create a Customized Retro Wallpaper Lesson 6: How to Create Neon Text Lesson 7: How to Create a Shadow for an Object Lesson 8: How to Duplicate Any Object Around Another Shape Lesson 9: How to Create a Beautiful Flower Design Lesson 10: How to Create a Shirt Mock-Up Lesson 11: How Remove the Background from an Image Lesson 12: How to Create a Sunburst Background Lesson 13: How to Put a Picture in a Text Lesson 14: How to Create 3D Text Lesson 15: How to Create a Flat Design Character with Shading Lesson 16: How to Create a Landscape Design Extra: How to Save a Document with its History Lesson 17: How to Colorize a Vector Object and Add it to an Existing Document Lesson 18: How to Steal Colors from Any Source Lesson 19: How to Make a Cool Blended Theme Lesson 20: How to Create a Sacred Geometry Design Citation preview 1080x2160px Minimal - Android, iPhone, Background / (, ) HD phone wallpaper.2560x1440px 2560x1440 Minimalist Mountains Landscape Scenery 1440P Resolution, purple minimal mountain HD wallpaper.3692x2468px Sea, Nature, Beach, Sand, Palms, Foam, Tropics HD wallpaper.Minimalist, Cute, Aesthetic, Pink Beach Laptop HD wallpaper 3000x2000px Swimsuit Model at the Beach, models, blondes, swimsuits, beach HD wallpaper.1080x1920px 4 Anime Landscape for iPhone and Android by Matthew Gonzales, phone anime scenery HD phone wallpaper.Scenery, Painting, Nature, Simple Sunset HD phone wallpaper 736x1309px Simple Minimalistic - Best Phone Background No Distractions.3792x4740px Beach, island, sunset, clouds, nature HD phone wallpaper.900x1600px The city of dream HD phone wallpaper.900x1600px Scenery Aesthetic Anime, landscape aesthetic HD phone wallpaper.1170x2532px 1170x2532 Anime Landscape, Blue Sky, Clouds, Scenery, Starry Night for iPhone 12 Pro, night anime aesthetic scenery HD phone wallpaper.1020x1024px National Emblem, state emblem of india HD phone wallpaper.2304x5184px Indian National Flag, army, cloud, sky, india HD phone wallpaper.1078x1917px Tiranga, India, India Tiranga, National Tiranga HD phone wallpaper.Landscape, Anime background, Anime scenery, Studio Ghibli Nature HD wallpaper 1920x1080px 1920x1080 Indian Flag 34883, indian national flag HD wallpaper.3443x2403px Beach Sunset, Beach, Nature, Sunset, Ocean HD wallpaper.iPhone graphy, Scenery, Landscape, Super Amoled Mobile HD phone wallpaper Cool anime, Anime character design, Anime scenery, Galaxy Anime Boy HD phone wallpaper 1078x1920px beach glass pebbles Colourful iphone Stone for your, Mobile & Tablet, sea glass HD phone wallpaper.Pixel art background, Art background, Anime scenery, Pixel Art Japan HD phone wallpaper 910x1464px : streetlight, mist, road light, scene, autumn, outdoor, night, Street Scene HD phone wallpaper.1125x2436px Palm trees, beach, sea, tropical, summer iPhone 11 Pro, Summer Beach Plus HD phone wallpaper.1920x1036px Studio Ghibli, Studio Ghibli Garden Scenery HD wallpaper.Colourful iphone, Colorful, Flower phone, Glass Beach HD phone wallpaper Mocah, Minimalist Forest Sunset HD wallpaper 3840x2160px Digital Art, Minimalist, Minimalism, Simple, Mountain, Lake, Scenery, Landscape.3000x2000px Love Those Summer Shorts!!, outdoors, model, blondes, brunettes, shorts HD wallpaper.545x1600px Anime Landscape Phone - Anime Landscape Gallery, Anime Scenery HD phone wallpaper.1242x2809px iPhone X nature beach ocean blue, iphone x HD phone wallpaper.Anime scenery, Scenery, Anime scenery, Alone Boy Sad Anime HD phone wallpaper 1080x1920px Green Beautiful Nature Scenery Android ⋆ Traxzee, green scenery android mobile HD phone wallpaper.5897x3931px Beach, sand, night's moon, palm tree, nature HD wallpaper.2828x5656px cyberpunk HD phone wallpaper.Anime scenery, Scenery, Anime background, Pemandangan Anime HD phone wallpaper 1600x1600px BUSSID : National travels Dream Girl bus livery, bus simulator indonesia HD phone wallpaper.1920x2804px Summer Day HD phone wallpaper. 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His congregation, “The Fellowship of Joy,” is part of a larger collaborative called “4141 Ministries,” of which he is Executive Director & he is an active Toastmaster. Tom Sims is a local pastor (and Grandpa!), writer, and blogger. When, in the neighborhood, it will be my favorite place to stop, sit, and sip. They put a lot of love into their work as well as extra care. Everything seems designed to make people feel at home, settle down, and talk, read, or work. The decor reveals imagination and thought. That is verified by my perusal of an overwhelming number of positive reviews and comments on social media and foodie sites on the internet. My observation is that the clientele was a mix of faculty, students, business professional people, and a cross-section of ordinary folks. All the pastries are seasonal, outsourced, and local. I resisted the displays of tempting looking food. Get the latest business insights from Dun & Bradstreet. Since we were both already members of the choir, we did not need to cite sources or argue the point. Find company research, competitor information, contact details & financial data for Coffee Break Service, Inc. We agreed that coffee and tea are very healthy. It was great to meet you and your husband.” Coffee Break Service Inc, 1408 H Street in Fresno California, phone (559) 485-8700, contacts, special offers, sales and business relations. It was inspiring to sense the buzz of conversations around me. The atmosphere is relaxed, yet stimulating. Just come sip, bite and collect.”Ĭollect Coffee Bar opened last year and is one of the signature locations at the new Campus Pointe Center on Shaw near the 168 exit across the street from Save-Mart Center and Fresno State University.Īfter my time there, I emailed Sara, “The tea was absolutely delicious. So please enjoy our different brewing methods and pick out your mug from our wide collection. We proudly serve Portland’s Stumptown coffee, and the Valley’s Raizana tea, as well as pastries from local bakeries. I just love this place Celebrating grand re-opening. We believe in good people and good coffee! The staff is not only competent, but very friendly and go out of their way to serve their customers well. “Welcome to Collect Coffee Bar! We are Fresno’s new hang-out spot, study pad and business meeting location.Īt Collect Coffee Bar, we believe in direct trade and local business. I will go back for the coffee.Ĭollect’s website greets you with these words: It wants to take advantage of the micro roaster where with every order you can get fresh new beans and have something completely new.I guess I’ll have to go back for the coffee. “They’re afraid to lose their customer base, whereas Alchemist is the opposite. They don’t want new things,” said Mahmou. “A lot of coffee shops are afraid to change. For Alchemist Coffee Lab, which is a new and separate company, Mahmou is excited to follow his own muse with a greater variety of coffees and an emphasis on the bright, natural qualities of each. Through Q29 Roastery, Mahmou has been serving wholesale clients around the Fresno region for the past three years, roasting in the styles that suit customers’ needs. “The main thing is making sure the farmer gets the best price that can.” “My main priority is either Fairtrade or direct trade,” said Mahmou. Green coffee comes from numerous importers, including Covoya, Genuine Origin, Mercanta and Sucafina. See reviews, photos, directions, phone numbers and more for the best Coffee Break Service & Supplies in Fresno, CA. (preparation and delivery) of ordered snack services, water service, or room services orders. Coffee Break Services jobs in Fresno, CA. Apply to Person in Charge (pic), Custodian. Today, he uses that same machine as a sample roaster, while a 20-kilo Toper machine handles the production load. 13 Coffee Break Services jobs available in Fresno, CA on. Mahmou was living in Jordan when he bought his first 1-kilo Toper roaster and dove into the craft. So just paying homage to it with the language and calligraphy.” “You know, kind of founded and invented the thing, and made it into what people know as it is today. “It’s just a token back to my culture,” Mahmou told DCN. With Turkish coffee also on the menu, and the Arabic style artwork of its logo, Alchemist Coffee Lab also pays homage to coffee’s commercial history, having been introduced to the West by way of the Middle East. Photo by Steven Pacho, courtesy of Alchemist Coffee Lab. Intraretinal microvascular abnormalities and 4-quadrant dot-blot hemorrhages are key clinical signs (which can be diagnosed on clinical examination or photography) with respect to vision-threatening disease progression, and these features should be highlighted when training staff (technicians, nurses, physicians) involved in diabetic retinopathy screening. This study demonstrates that baseline diabetic retinopathy severities and clinical features of initial diabetic retinopathy screening remain key prognostic factors. The authors note that because the latter two features can be distinguished with ocular coherence tomography, the evaluation of venous beading with or without fluorescein angiography may become less important in the future if these results are validated in other cohorts. One interesting consequence of these findings is that venous beading, another feature of severe disease, did not appear as critical as the other 2 features (intraretinal microvascular abnormalities and 4-quadrant dot-blot hemorrhages) in predicting proliferative diabetic retinopathy or vitreous hemorrhage. The presence of 4-quadrant dot-blot hemorrhages, however, was the most significant risk factor for vitreous hemorrhage. In addition, for patients with severe nonproliferative disease at baseline, the disease feature that was more predictive of progression to proliferative disease was the presence of intraretinal microvascular abnormalities. Approximately 44%-56% of patients with severe or very severe nonproliferative diabetic retinopathy progressed to proliferative disease or vitreous hemorrhage in less than 3 years. The results confirmed that baseline severity of diabetic retinopathy is predictive of patients' clinical outcomes. Shaded areas represent 95% confidence intervals. NPDR = nonproliferative diabetic retinopathy. x-axis: time in years y-axis: percentage of patient eyes at risk. Time to PDR is associated with baseline DR severity after adjusting for age, sex, race, and starting visual acuity. Kaplan-Meier curves on survival analyses in progression to proliferative diabetic retinopathy (PDR), stratified by severity of diabetic retinopathy (DR) at initial evaluation. They also identified the clinical features of diabetic retinopathy that are most predictive of vision-threatening disease. The authors retrospectively analyzed this clinical data to determine current rates of diabetic retinopathy progression in the UK and to define the time to progression to proliferative disease and vitreous hemorrhage in diabetic patients who present to eye care providers for the first time. The UK has a unique screening system in that each clinical feature of diabetic retinopathy is entered by physicians at baseline and at each retina clinic visit in a structured manner. Patients with diabetes should have regular screening for early signs of diabetic retinopathy, but the current severity classification systems may not be the most accurate method for predicting which patients are most at risk for vision-threatening disease, particularly as standards of care have been updated. Diabetic retinopathy is a major cause of blindness in working-age adults, and early detection can substantially decrease the risk of progression to vision loss. In this large study using data from more than 30,000 patients in the UK, the authors analyzed potential risk factors for developing proliferative diabetic retinopathy and vitreous hemorrhage in patients with diabetes mellitus. |
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