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Dropping the Needle Tip: Clinical Skills SHORT | @LevelUpRN
Dropping the Needle Tip: Clinical Skills SHORT | @LevelUpRN nurse 98 Views • 3 years ago

Ellis demonstrates the need to drop the tip of the needle when withdrawing medication from a vial.

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Two port laparoscopic Cholecystectomy
Two port laparoscopic Cholecystectomy DrPhil 28,618 Views • 3 years ago

A video showing Two port laparoscopic Cholecystectomy

Cervical Spine Exam
Cervical Spine Exam DrPhil 17,681 Views • 3 years ago

Examination of the cervical spines

First Trimester Scan (UltraSound)
First Trimester Scan (UltraSound) DrHouse 15,682 Views • 3 years ago

An U/S showing first trimesteric scan

Chalazion Eye Surgery
Chalazion Eye Surgery Mohamed 23,221 Views • 3 years ago

Surgical removal of a Chalazion from the eye lid

Cornual Ectopic Pregnancy
Cornual Ectopic Pregnancy Scott 20,811 Views • 3 years ago

Laparoscopic excision of a 6cm Cornual Ectopic Pregnancy that failed initial MTX treatment.

Sinusitis Pathology (Para-nasal Sinus Anatomy)
Sinusitis Pathology (Para-nasal Sinus Anatomy) Scott 17,788 Views • 3 years ago

Sinusitis Pathology (Para-nasal Sinus Anatomy)

From axons to tracts
From axons to tracts Mohamed 21,098 Views • 3 years ago

The complex circuitry interconnecting different areas in the brain, known collectively as white matter, is composed of millions of axons organized into fascicles and bundles. Upon macroscopic examination of sections of the brain, it is difficult to discern the orientation of the fibers. The same is true for conventional imaging modalities. However, recent advancements in magnetic resonance imaging (MRI) make such task possible in a live subject. By sensitizing an otherwise typical MRI sequence to the diffusion of water molecules it is possible to measure their diffusion coefficient in a given direction1. Normally, the axonal membrane and myelin sheaths pose barriers to the movement of water molecules and, thus, they diffuse preferentially along the axon2. Therefore, the direction of white matter bundles can be elucidated by determining the principal diffusivity of water. The three-dimensional representation of the diffusion coefficient can be given by a tensor and its mathematical decomposition provides the direction of the tracts3; this MRI technique is known as diffusion tensor imaging (DTI). By connecting the information acquired with DTI, three-dimensional depictions of white matter fascicles are obtained4. The virtual dissection of white matter bundles is rapidly becoming a valuable tool in clinical research.

Our journey begins with a transverse section of tightly packed axons as seen through light microscopy. Although represented as a two-dimensional "slice", we see that these axons in fact resemble tubes. A simulation of water molecules diffusing randomly inside the axons demonstrates how the membranes and myelin hinder their movement across them and shows the preferred diffusion direction --along the axons. The tracts depicted through DTI slowly blend in and we ride along with them. As we zoom out even more, we realize that it is a portion of the corpus callosum connecting the two sides of the brain we were traveling on and the great difference in relative scale of the individual axons becomes evident. The surface of the brain is then shown, as well as the rest of the white matter bundles--a big, apparently chaotic tangle of wires. Finally, the skin covers the brain.

With the exception of the simulated water molecules, all the data presented in the animation is obtained through microscopy and MRI. Computer algorithms for the extraction of the cerebral structures and a custom-built graphics engine make our journey through the brain's anatomy possible in a living person.

Micrograph courtesy of Dr. Christian Beaulieu, University of Alberta.
Music by Mario Mattioli.

References:
1. Stejskal, E.O., et al., J. Chem. Phys., 1965. 42:
2. Beaulieu, C., NMR Biomed., 2002. 15:435-55.
3. Basser, P.J., et al., J. Magn. Reson. B, 1994. 103:247-54.
4. Mori, S., et al., NMR Biomed., 2002. 15:468-80.

The ABC's of Adult CPR Part 2
The ABC's of Adult CPR Part 2 Mohamed 20,144 Views • 3 years ago

The ABC's of Adult CPR

Sentinel Lymph Node Biopsy
Sentinel Lymph Node Biopsy DrHouse 15,660 Views • 3 years ago

A video-animation presentation about sentinel lymph node biopsies for breast cancer diagnosis. 3D graphics are used to explain the process. Topics include the lymphatic system and the methods used. This video is part of the breast cancer education series produced by CancerQuest at Emory University

Diverticulosis of the Colon
Diverticulosis of the Colon Mohamed 25,477 Views • 3 years ago

The colonoscope is slowly withdrawn during this screening colonoscopy down from the transverse colon, back around the splenic flexure, and down the descending colon, and reveals this finding a colonic diverticula. Diverticulosis is a common, acquired, age-related occurrence affecting over 50% of the... western adult population over the age of 50. It is seen rarely in Africa and Asia where the dietary fiber content is traditionally higher. Thus most investigators feel that low fiber diets are related to the development of this condition. Ironically, colonic diverticula are not true diverticula but rather pseudodiverticula in that the sac includes layers of the mucosa and submucosa that push through rather than include the outer muscular layer. As with the small bowel the colon has an inner circular muscular layer, but the outer longitudinal layer is composed of three bands of muscle that run the length of the colon known as teniae. Diverticula occur in rows between the mesenteric and two antimesenteric teniae where the colonic wall is further weakened by the defect caused by the perforating vasa recti artery which supplies the colonic mucosa. Occasionally, the anatomic propensity of diverticula to form in rows is quite apparent as seen when this clip is replayed in slow motion. Most often, however, the arrangement of the diverticula appears random due to the angulation of the bowel and thickening of the semi lunar folds. The conditions that cause these pulsion diverticula are not know with certainty but may include high intrahaustral pressures, muscular hypertrophy, and age related alterations in collagen cross linking. Diverticula can bleed or can abscess and perforate. The incidence of diverticulitis or diverticular bleeding is in the range of 1:1,000 patients with diverticulosis.

Intraoral Camera
Intraoral Camera Dentist 13,083 Views • 3 years ago

Intraoral Camera

Laparoscopic Suture Repair of Bowel
Laparoscopic Suture Repair of Bowel DrPhil 9,214 Views • 3 years ago

Laparoscopic Suture Repair of Bowel

Horizontal Mattress Suturing
Horizontal Mattress Suturing DrPhil 14,233 Views • 3 years ago

Demonstration of horizontal mattress suturing technique for laceration repair or wound closure in the operating room.

The Nose Knows: Sinus Surgery at DMC
The Nose Knows: Sinus Surgery at DMC Emery King 19,810 Views • 3 years ago

DMC Huron Valley-Sinai Hospital offers hope for severe sinus sufferers through new image-guided surgery that opens up passages, allowing freer breathing and higher quality of life. See two patients who have undergone the procedure and hear about their new lease on life. ~ Detroit Medical Center

H1N1 (Swine Flu)
H1N1 (Swine Flu) Doctor 15,150 Views • 3 years ago

In this video, Dr. Joe Bresee, with the CDC Influenza Division, describes swine flu - its signs and symptoms, how it's transmitted, medicines to treat it, steps people can take to protect themselves from it, and what people should do if they become ill.

Suturing a Wound
Suturing a Wound Mohamed Ibrahim 43,747 Views • 3 years ago

The proper way to suture a wound for best healing and cosmetic results

Detroit Medical Center Electronic Medical Record
Detroit Medical Center Electronic Medical Record Emery King 122,672 Views • 3 years ago

Detroit Medical Center commercial for Electronic Medical Record - DMC is the only healthcare system in Michigan with 100% medication scanning - a huge leap forward in patient safety. ~ Detroit Medical Center

Tracheostomy in the ICU
Tracheostomy in the ICU Surgeon 20,785 Views • 3 years ago

Tracheostomy in the ICU

 Your Snoring Cures...How to Cure Snoring Naturally
Your Snoring Cures...How to Cure Snoring Naturally Frank Vela 16,614 Views • 3 years ago


http://yoursnoringcures.plus101.com
--Your Snoring Cures...How to Cure Snoring Naturally without Using Any Medication or Ridiculous Device!
How to Cure Snoring Naturally and Easily without Undertaking any Dangerous Surgery, Nor using any Medication or Ridiculous Device ! Doctors and Pharmaceutical Companies have tried to have my guide BANNED ...

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