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Dr. Alex Campbell and Dr. Carolina Restrepo of Premium Care Plastic Surgery in Cartagena, Colombia perform a Mommy Makeover on an international patient. Watch the procedure as Dr. Campbell and Dr. Restrepo work together to offer this patient more surgery in less time, which leads to a quicker recovery and better results.
The dentin is a hard tissue that forms the bulk of the tooth. It is similar to bone but is slightly harder, although softer than enamel. The dentin has numerous dentinal tubules that run across its length. Each dentinal tubule houses the cytoplasmic process of an odontoblast (odontoblastic process).
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References and further reading:
💡Berkovitz BKB, Hollan GR, Moxham BJ. Oral Anatomy, Histology and Embryology. 4th ed. Mosby Elsevier; 2009.
💡Nanci A. Tencate’s Oral Histology. Development, Structure and Function. 8th ed. Elsevier; 2013.
💡Kumar GS. Orban’s Oral Histology and Embryology.13th ed. Elsevier; 2011.
💡Avery JK. Oral development and Histology. 3rd ed. Thieme Medical Publishers; 2002.
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Stoma Care- Changing a Colostomy Bag (Nursing Skills)
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Stoma Care- Changing a Colostomy Bag (Nursing Skills)
In this video, we’re going to talk about stoma care. Now, the wafer and bag for an ostomy only NEEDS to be changed every 3 days, or if it’s leaking. But, you still need to be able to assess the stoma itself. In this case we’re going to show you how to replace the bag and clean and assess the stoma. Start by putting a towel under the patient on the side of the stoma. We love you guys! Go out and be your best selves today! And, as always, happy nursing!
Bookmarks:
0.05 Introduction to Stoma Care
0:20 Assessing the stoma
0:47 Cleaning the stoma
1:12 Inspecting the stoma
1:25 Measuring and cutting the stoma
2:00 Applying and sealing the bag
2:35 Documentation
2:41 Outro
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How To Stop Bloating, Belching And Flatulence, How To Reduce Bloating And Gas, Flatulence Cause ---- http://flatulence-cure.plus101.com --- Relieve Flatulence by Changing Your Diet 1. Flatulence is a problem for many people - although the seriousness naturally varies considerably from person to person. In some cases, what one person would consider problem flatulence will not be an issue for another. However most people who have problem flatulence will want to make a change - and if you want to relieve flatulence then you may find that the best way of doing so is to make a change in your diet. Changing your diet is considered to be a quite extreme reaction to a problem when over the counter remedies to relieve flatulence already exist. However, there should be no doubt that a natural solution is more desirable. 2. Know The Problem And Relieve Flatulence People who have problem flatulence are often quick to put the problem down to something which may be unconnected. We can usually feel quite confident that the reason for flatulence is dietary, and that a dietary solution is the best way to relieve flatulence. However, before we do this it is essential that we take a long view of the situation. This can best be done by looking at the potential causes of our problem flatulence, and a food diary can be the first step in a plan to relieve flatulence - as heavy as it sounds, writing things down helps us notice patterns. 3. Consider what you eat over the course of a day. Remember that what you eat will affect how much you break wind, and everything else to do with your digestion. How much you eat will also play a part. When you write down what you eat, you should also include a record of any particular cases of flatulence you have had in the aftermath of that meal - whether you do this as you go along, or when you next come to record what you ate is up to you. In order to decide your "relieve flatulence" plan, knowing what foods and what quantities are involved where flatulence is common will help you out massively. Flatulence relief should be natural, and this is the best natural way of evaluating it. 4. What If Problem Foods Are Your Favorites? Flatulence "problem foods" differ between people. It depends considerably upon your definition of a problem and also upon how your digestive system works. One person may have a problem with beans but find broccoli completely innocuous, while others will feel that the reverse is true for them. You won't relieve flatulence by looking at a list and recognising that the foods on there will have to be cut from your diet. You may by doing that deny yourself a good, healthy food which has no ill-effect on you. Instead, you should consider what your food diary - your "relieve flatulence" planner - is telling you. 5. No-one likes having to give up foods they love. But by keeping a food diary it may be possible to diagnose conditions like lactose intolerance or celiac disease. These are essential pieces of knowledge to relieve flatulence, and should be paid close attention. The quickest way to relieve flatulence that is natural and will work is to audit your diet. Finally, it's been revealed how you can cure flatulence quickly and easily... All FULLY Naturally Just see for yourself... http://flatulence-cure.plus101.com
Dr. Jawad has been performing Bariatric Surgery in Central Florida since 1984, and Laparoscopic Bariatric Surgery since 1999, having completed over 2000 Bariatric Surgical Cases safely, and with great success. Here you can watch Dr. Jawad performing a Laparoscopic Adjustable Gastric Band procedure, with audio commentary describing the procedure.
To record the sequence, Stephan Gordts and Ivo Brosens of the Leuven Institute for Fertility & Embryology in Belgium performed transvaginal laparoscopy, which involves making a small cut in the vaginal wall and observing the ovary with an endoscope.
"This allows us direct access to and observation of the tubo-ovarian structures without manipulation using forceps," says Gordts.
For the photos of ovulation, which only accidentally captured the critical moment, Jacques Donnez at the Catholic University of Louvain (UCL) in Brussels, Belgium, used gas to distend the organs for photography. However, Gordts and Brosens planned the procedure to coincide with ovulation and used saline solution to "float" the structures.
Perfect timing
Observation was timed for the day of the peak of the patient's luteal hormone cycle. Ovulation was predicted to occur on the evening of the day of the LH peak, and the endoscope introduced at 6 pm.
A small amount of saline was used to float the opening of the fallopian tube, its fimbriae (the "fingers" that sweep the egg into the tube) and the ovary itself. This gives a more natural appearance than gas, says Gordts.
In the video, the fimbriae can be seen sweeping in time with the patient's heartbeat. A mucus plug can be seen protruding from the ovary – this contains the egg.
"The ovum is not captured 'naked'," says Gordts. "There is no eruption like a volcano."
Gordts says that in clinical practice it is not easy to organise the observation of ovulation. "We were probably lucky to be successful at our first attempt," he says.