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If you're sensitive do not watch this videoEmergent Tracheotomy!
40 years old patient, Parity 3, wanted to have a sterilization. The surgery was perfomed laparoscopically with coagulation technique. This video is not edited and presented in full length.
Shoulder dystocia is a specific case of obstructed labour whereby after the delivery of the head, the anterior shoulder of the infant cannot pass below, or requires significant manipulation to pass below, the pubic symphysis. It is diagnosed when the shoulders fail to deliver shortly after the fetal head. Shoulder dystocia is an obstetric emergency, and fetal demise can occur if the infant is not delivered, due to compression of the umbilical cord within the birth canal. It occurs in approximately 0.3-1% of vaginal births. Contemporary management of shoulder dystocia requires a calm operator and a well-thought-out plan of action. It is imperative that if not already present, help is summoned immediately after shoulder dystocia is recognized. This help may include additional nursing staff, an anesthesiologist, a pediatrician or neonatologist and an additional obstetrician or midwife. Future coordination may demonstrate that rapid response teams are best suited to attend to this emergency.
Each person's knee is different. This is why UC San Diego Health offers several surgical options for knee replacements to tailor care to each person's injury and health. Each surgical approach has benefits for the right surgical candidate. Our surgeons can discuss what option is most appropriate for each person.
To learn more about knee replacement options at UC San Diego Health, visit:
https://health.ucsd.edu/specia....lties/orthopedics/jo
Francis Gonzales, MD, is a board-certified orthopedic surgeon who specializes in adult hip and knee joint replacement surgery. Learn more about Dr. Gonzales: https://providers.ucsd.edu/det....ails/11935/orthopedi
UC San Diego Health is repeatedly ranked among the nation's best in orthopedic care by U.S. News & World Report. We are also a Blue Distinction Center recognized for our treatment expertise and better overall patient results for knee replacement, as well as a designated Center of Excellence for orthopedic care by Optum. This means you'll receive expert, safe and cost-effective care.
UC San Diego Health's orthopedic surgeons are the first and only in San Diego to offer customized knee replacements with the ROSA knee system โ for a faster recovery and more natural feeling knee. Talk to one of our surgeons about whether a ROSA knee replacement is right for you. https://health.ucsd.edu/specia....lties/orthopedics/jo#a
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A new well designed randomized study has suggested that long term baby aspirin usage may aid in fight against cancer. The suggested mechanism is that cancers induce inflammatory responses so the anti-inflammatory mechanism of prostaglandins inhibitors may cease the progress of many cancers. There are some concerns about the study because despite the well-designed randomized study; the study didn't include a satisfying number of female participants. The study was also conducted on esophageal, colorectal and lung cancers.
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According to the 2007 Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II), acute limb ischemia is defined as a sudden decrease in limb perfusion that causes a potential threat to limb viability [1]. The threatened limb may manifest as ischemic rest pain or the development of tissue loss (ulcers, gangrene). The clinical presentation depends upon the etiology and whether the patient has underlying peripheral artery disease. Patients who present later than two weeks after the onset of the acute event are considered to have chronic limb ischemia. The management of acute arterial occlusion remains a challenge for vascular specialists. Surgical thromboembolectomy and bypass grafting were the mainstays of therapy for many years [2]. Subsequently, thrombolytic therapy and percutaneous transluminal angioplasty (PTA) have become treatment options for selected patients [3,4]. Despite these advances, the morbidity, mortality, and limb loss rates from acute lower extremity ischemia remain high [5]. Thus, regardless of the treatment modality used, early diagnosis and rapid initiation of therapy are essential in order to salvage the ischemic extremity.
Throughout the body, there are several points at which blood vessels unite. The junctions are termed anastomoses. In the simplest sense, an anastomosis is any connection (made surgically or occurring naturally) between tube-like structures. Naturally occurring arterial anastomoses provide an alternative blood supply to target areas in cases where the primary arterial pathway is obstructed. They are most abundant in regions of the body where the blood supply may can be easily damaged or blocked (such as the joints or intestines). This article focuses on the arterial anastomotic networks of the upper limb.
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No condom prevents pregnancy or sexually transmitted diseases (STDs) 100% of the time. But if you and your partner are having sex, nothing protects against STDs better than a properly used condom. For those having sex, condoms must always be used to protect against STDs even when using another method of birth control.
The video will describe aerobic and anaerobic metabolim in mitochondria. Please visit my website for disclaimer.
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Upper Limb Examination Video
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Pelvic ureter. The ureter enters the pelvis, where it crosses anteriorly to the iliac vessels, which usually occurs at the bifurcation of the common iliac artery into the internal and external iliac arteries. Here, the ureters are within 5 cm of one another before they diverge laterally.
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