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Cytomegalovirus in solid organ transplant recipients
Cytomegalovirus in solid organ transplant recipients samer kareem 1,531 Views • 3 years ago

Cytomegalovirus (CMV) continues to have a tremendous impact in solid organ transplantation despite remarkable advances in its diagnosis, prevention and treatment. It can affect allograft function and increase patient morbidity and mortality through a number of direct and indirect effects. Patients may develop asymptomatic viremia, CMV syndrome or tissue-invasive disease. Late-onset CMV disease continues to be a major problem in high-risk patients after completion of antiviral prophylaxis. Emerging data suggests that immunologic monitoring may be useful in predicting the risk of late onset CMV disease. There is now increasing interest in the development of an effective vaccine for prevention. Novel antiviral drugs with unique mechanisms of action and lesser toxicity are being developed. Viral load quantification is now undergoing standardization, and this will permit the generation of clinically relevant viral thresholds for the management of patients. This article provides a brief overview of the contemporary epidemiology, clinical presentation, diagnosis, prevention and treatment of CMV infection in solid organ transplant recipients.

Da Vinci  Robotic Hysterectomy
Da Vinci Robotic Hysterectomy M_Nabil 39,024 Views • 3 years ago

The surgical video details a robotic assisted hysterectomy in a patient with early stage endometrial/uterine cancer. Anatomy of the pelvis and the technique of a robotic hysterectomy is demonstrated in this video.

Robotic Endometrial Cancer Surgery
Robotic Endometrial Cancer Surgery M_Nabil 17,421 Views • 3 years ago

daVinci Robotic hysterectomy, pelvic, and para-aortic lymphadenectomy for endometrial cancer

Female to Male Breast Removal Surgery
Female to Male Breast Removal Surgery Scott 13,785 Views • 3 years ago

Female to Male gender confirming top surgery video : "Double Incision" Technique.

Human ovulation captured on film
Human ovulation captured on film Mohamed 27,435 Views • 3 years ago

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.

Obstetric History
Obstetric History samer kareem 4,282 Views • 3 years ago

Obstetrics is the field of medicine which encompasses the care of a woman during pregnancy and childbirth. In that way it is very unique, as when assessing these patients, your actually also assessing another the child.

Understanding Food Allergy
Understanding Food Allergy samer kareem 12,394 Views • 3 years ago

The National Institute of Allergy and Infectious Diseases explains food allergy and offers tips on how to manage the condition.

G-SPOT AMPLIFICATION (G-SHOT)
G-SPOT AMPLIFICATION (G-SHOT) samer kareem 5,833 Views • 3 years ago

The G-SHOT® (clinical description: G-Spot Amplification™ or GSA™), is a simple, nonsurgical, physician-administered treatment that can temporarily augment the Grafenburg spot (G-Spot) in sexually active women with normal sexual function.

Constitutional Puberty Delay
Constitutional Puberty Delay samer kareem 4,204 Views • 3 years ago

Delayed puberty is defined as the absence of any signs suggestive of puberty by 14 years of age. In this case, the patient's pubertal delay appears to be constitutional because of his positive family history, absence of syndromic features or systemic illness, and bone age of 12 years. Puberty correlates more closely with bone age than chronological age. On follow-up, the patient will most likely demonstrate a similar onset of puberty as his father.

How to Use a Condom Correctly
How to Use a Condom Correctly Scott 7,686 Views • 3 years ago

Pinch air out of the tip of the condom. Unroll condom all the way down the penis. After sex but before pulling out, hold the condom at the base. Then pull out, while holding the condom in place. Carefully remove the condom and throw it in the trash.

Enlarged Nasal Turbinates, Symptoms, and Treatment
Enlarged Nasal Turbinates, Symptoms, and Treatment samer kareem 4,596 Views • 3 years ago

Remove of ascaris lumbricoides
Remove of ascaris lumbricoides samer kareem 2,349 Views • 3 years ago

Remove of ascaris lumbricoides worms due to intestinal obstruction

External Cephalic Version!
External Cephalic Version! samer kareem 21,444 Views • 3 years ago

External cephalic version is a process by which a breech baby can sometimes be turned from buttocks or foot first to head first. External cephalic version (ECV) is a manual procedure that is advocated by national guidelines for breech presentation singleton pregnancy, in order to enable vaginal delivery.

Lupus Disease and it's Symptoms
Lupus Disease and it's Symptoms samer kareem 5,498 Views • 3 years ago

What is systemic lupus erythematosus? The immune system normally fights off dangerous infections and bacteria to keep the body healthy. An autoimmune disease occurs when the immune system attacks the body because it confuses it for something foreign. There are many autoimmune diseases, including systemic lupus erythematosus (SLE). The term lupus has been used to identify a number of immune diseases that have similar clinical presentations and laboratory features, but SLE is the most common type of lupus. People are often referring to SLE when they say lupus.

Ureteroscopy and Intracorporeal Lithotripsy (Using Holmium Laser)
Ureteroscopy and Intracorporeal Lithotripsy (Using Holmium Laser) dglusaya 19,612 Views • 3 years ago

Minimally Invasive treatment of Ureteral stones after failed Extracorporeal Shockwave Lithotripsy

Gastric Lavage Video
Gastric Lavage Video Alicia Berger 15,713 Views • 3 years ago

Gastric Lavage Video

Vaginal Prep for D&C
Vaginal Prep for D&C samer kareem 4,207 Views • 3 years ago

Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Doctors perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.

Disorders of sexual development
Disorders of sexual development samer kareem 3,921 Views • 3 years ago

Do I Need to See My Doctor for Menstrual Cramps?
Do I Need to See My Doctor for Menstrual Cramps? samer kareem 1,349 Views • 3 years ago

Do I Need to See My Doctor for Menstrual Cramps? || Common gynaecological problems in women It's perfectly normal to experience mild cramps during your period, and the good news is that these cramps can usually be eased with simple therapies like a heating pad or an over-the-counter pain reliever. However, some women's menstrual cramps may not feel better with these basic remedies. If this is the case for you, making an appointment with your doctor is important. This way you not only get the pain relief you deserve but also ensure there is nothing else going on.

Como Quitar Acne Cara
Como Quitar Acne Cara Frank Vela 1,462 Views • 3 years ago

http://milagroparaelacne.plus101.com
---Como Quitar Acne Cara. Existe una CAUSA PRINCIPAL DEL ACNÉ. Y no siempre un producto para el acné ataca esta causa. Esto significa que, si bien podrías obtener un beneficio de lociones, u otros productos o terapias, nunca curarás tu acné con ellos.
Es un poco como tener un techo con goteras y "solucionarlo" poniendo recipientes para recoger el agua de lluvia que cae del techo. Para solucionar adecuadamente el techo con goteras, se debe corregir la causa de raíz, que es el agujero en el techo.
Entonces... ¿Cuál Es La Principal
Causa Del ACNE?
La causa del acné es un DESEQUILIBRIO HORMONAL. Esto es algo que las empresas del acné nunca te dirán...
... Sin embargo, saber la causa del acné es una cosa. Descubrir la forma de eliminar eficazmente esta causa es otra cosa...

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