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Hirschsprung's (HIRSH-sproongz) disease is a condition that affects the large intestine (colon) and causes problems with passing stool. The condition is present at birth (congenital) as a result of missing nerve cells in the muscles of the baby's colon. A newborn who has Hirschsprung's disease usually can't have a bowel movement in the days after birth. In mild cases, the condition might not be detected until later in childhood. Uncommonly, Hirschsprung's disease is first diagnosed in adults.
Vatche, Minassian, MD, MPH, Chief of Urogynecology, and Sarah Cohen, MD, MPH, Director of the Minimally Invasive Gynecologic Surgery Fellowship Program at Brigham and Women’s Hospital, perform a laparoscopic burch colposuspension, a procedure used to correct stress urinary incontinence.
Stress urinary incontinence is one of the most common types of incontinence and is characterized by urinary leakage during physical activities including coughing, sneezing, exercising, lifting, and laughing. As the condition progresses, it can become severe enough to happen with simple acts such as bending and walking. This condition is due to an anatomic weakness of the bladder neck which typically maintains the seal of urine during activity. Stress incontinence can result from a variety of conditions including vaginal childbirth, aging, menopause and obesity. As this is an anatomic condition, primary treatment may involve pelvic floor exercises and/or minimally invasive surgery.
Learn more about treatment for stress urinary incontinence:
Division of Urogynecology: http://www.brighamandwomens.or....g/Departments_and_Se
Division of Minimally Invasive Gynecologic Surgery: http://www.brighamandwomens.or....g/Departments_and_Se
#dialysis #uvahealth
If your kidney function is declining and medications and other treatments aren’t working, dialysis can offer life-saving care. UVA has one of the largest dialysis programs in the country. Nephrologist Daphne Knicely, MD, explains the types of home dialysis and how they can work to fit your life.
Find out more at: https://uvahealth.com/services/dialysis
Transcript
Dialysis is just a way to replace the kidneys when they're not working anymore. So when the kidneys stop working, they stop getting rid of water, stop balancing the chemistry, stop getting rid of the toxins. Then dialysis does its job by balancing the chemistries, getting rid of the toxins, and help remove fluid. It doesn't fix the kidneys. It just replaces them.
I usually think of dialysis as two components. There's hemodialysis and peritoneal dialysis. So peritoneal dialysis can only be done at home. Hemodialysis can be done in a center, or it can be done at home.
Hemodialysis is where you have some sort of access to the blood. Either some sort of shunt in the arm that connects an artery and vein, or a catheter. And it allows for blood to leave you, go through a machine, get cleaned, chemistries balanced, and then comes back to you.
For home hemodialysis, the patient actually learns how to do that treatment. It's a very simple machine, very user-friendly. Training is usually about anywhere from four weeks up to eight weeks, and you work one-on-one with a nurse. You still see the physician. You come in about once a month, maybe twice a month, to get labs. You'll see a social worker, and a nutritionist at the same time.
Peritoneal dialysis takes place by putting a tube into your abdomen. And we take dialysis fluid that's chemically balanced. When we put it into the abdomen, it uses those little blood vessels to pull toxins out, to balance chemistries, kind of like little filters. Now, after it sits in there for several hours, we drain it out.
Anyone that needs dialysis is a candidate for home dialysis. There's not one type of dialysis that's going to make you live longer. They're all equal. The goal is to pick the type of dialysis that fits with your life.
Though the risk of HIV transmission through oral sex is very low, but several factors might increase the risk, including sores in the mouth or vagina or on the penis, bleeding gums, having an oral contact with menstrual blood, and the presence of other sexually transmitted diseases. But still the risk is low. by the way better to think twice before having the Oralsex with strangers. because you are not safe 100%.
Linen Changes (with Patient in Bed)- Nursing Skills
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Linen Changes (with Patient in Bed)- Nursing Skills
In this video, we’re going to show you how to change the linens with a patient in the bed. This might be after a bed bath or during incontinence care. So check out the bed bath video to see what got us up to this point. We love you guys! Go out and be your best selves today! And, as always, happy nursing!
Bookmarks:
0.05 Linen change introduction
0.16 Linen change supplies
0.30 Adjusting the patient/ sheet removal
1.00 Secure new fitted sheet
1.12 Pro tip
1.40 Roll patient back over
1.50 Repeat linen removal
2.02 Linen disposal
2.20 Wrinkle check
2.31 Reposition the patient for comfort
2.40 Covering the patient/ tuck-in
2.48 Pillowcase change (trick)
3.30 Making the patient comfortable
3.40 Linen change outro
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The baby will move head down if there is room or if there is tone in the support to the uterus to direct baby head down. Before 24-26 weeks most babies lie diagonal or sideways in the Transverse Lie position. Between 24-29 weeks most babies turn vertical and some will be breech.
A seizure occurs when there’s abnormal electrical activity in the brain. Seizures may go virtually unnoticed. Or, in severe cases, they may produce a change or loss of consciousness and involuntary muscle spasms called convulsions. Seizures usually come on suddenly and vary in duration and severity. A seizure may be a one-time event, or you may have seizures repeatedly. Recurrent seizures are called epilepsy, or a seizure disorder. Less than one in 10 people who has a seizure develops epilepsy. Experts classify seizures into two general categories and many subtypes based on the pattern of the attack. Generalized seizures involve both sides of the brain from the start of the attack. Common subtypes include tonic-clonic (grand mal) and absence seizures (petit mal). Febrile and infantile spasms are two types of generalized seizures that occur almost exclusively in young children. Partial (or focal) seizures are the second major seizure type. These begin in a specific area of the brain and may be contained there. Or they may spread to the entire brain. With simple partial seizures, the person remains conscious. Complex partial seizures involve impaired consciousness. What Causes Seizures? Often the cause of a seizure is unknown. Many conditions can provoke seizures, including: Stroke Brain tumors Head injuries Electrolyte imbalance Very low blood sugar Repetitive sounds or flashing lights, such as in video games Medications, such as antipsychotics and some asthma drugs Withdrawal from medications, such as Xanax, narcotics, or alcohol Use of drugs such as cocaine and heroin Cancer Brain infections, such as meningitis
Don't let your wrinkles reveal your age. Get rid of ageing lines with botox. Book your appointment, Call at +918939636222, +9189398 81919. For more visit - https://www.dermatologistchennai.in/anti-aging-treatment-in-nungambakkam.php
The Spirotome belongs to the Direct & Frontal type of biopsy systems for taking large core biopsy from virtually every soft tissue in the body. The FDA has approved 13 applications. This video shows how easy it is to take a large core from a thoracic wall tumor mass. The size and quality of the sample allows quantitative molecular biology.