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Bruce had a stroke 2 years ago. Then, he broke his hip. The stroke affected his right side, and he has had limited mobility and was using a walker for recovery, Bruce could only walk with breaks and was hunched over. The GlideTrak opened Bruce's posture and allowed him to breath better and allowed for over 25 minutes of walking exercise, greatly increasing the Patients self-confidence and at the end he was actually able to stand on his own feet, with the straps as guides, whereas this was not possible before his sessions on the GlideTrak. clean, water-damp cloth. Repeat application procedure as needed.
Learn about electromagnetic navigation diagnostic bronchoscopy, a new technology used to diagnose small lung cancer tumors as small as a pencil eraser before they have the chance to spread. Cleveland Clinic physician Dr. Thomas Gildea demonstrates how this endobronchial ultrasound procedure, which involves using a small camera probe inserted thru the nose into the lungs, allows doctors to reach possible cancer in the lungs that they could never reliably get to before
Dr.Prof Abdelsalam AL Howni
Squmaous Cell Carcinoma Of Scalp Challenging Cases & Controversial Questions with a focus on Mohs frozen section histology and pathology. Visit us @ www.skincancercentre.com.
Graphic images focusing on the reconstruction of an ear after the removal of a long-standing skin cancer that this patient allowed to slowly grow over many years because he was afraid of what the surgery to remove might entail. Go to www.skincancercentre.com to learn more about the importance of the early diagnosis of skin cancer. BTW, when you put on your sunscreen, don't forget your ears, and wear a broad brimmed hat to cover this very vulnerable area of your anatomy. www.skincancercentre.com
USMLE Step 2 CS - Back Pain - This is just preview video. To get full access please visit our website : www.usmletutoring.com
Operation ofInguinal hernia repair without mesh, Desarda Repair, no recurrence, pain, no mesh hernia surgery, hernia operation, no mesh, without mesh, hernia operation, hernia surgery, new method.
Laparoscopic Gastric Band in Qatar by Dr. Emadi
this is an arabic explanation to ecg from a to z
Kirschner wires or K-wires or pins are sterilized, sharpened, smooth stainless steel pins. Introduced in 1909 by Martin Kirschner, the wires are now widely used in orthopaedics and other types of medical and veterinary surgery. They come in different sizes and are used to hold bone fragments together (pin fixation) or to provide an anchor for skeletal traction. The pins are often driven into the bone through the skin (percutaneous pin fixation) using a power or hand drill. They also form part of the Ilizarov apparatus.
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A simple video showing the small tips to be followed by patients which a clinician should provide. The video is simple, easy to understand and can be provided to the patient for their reference.
Women Health Tips: Importance of getting a pap smear, breast exam, and mammogram
The menopause experience is different for everyone so explore options to manage symptoms from proper diet and exercise to hormone therapy.
Sleepiness, tiredness and fatigue are complaints which must be thoroughly analyzed to eliminate blur and ambiguity.
Physiological sleepiness (โsleep pressureโ) increases while being awake and additionally underlies the circadian rhythm with a lower threshold to fall asleep during night time.
Excessive daytime sleepiness (EDS) is considered normal only after sleep deprivation. Clinically, EDS manifests by frequents daytime napping and/or reduced alertness with automatic behavior or - in its extreme form - in recurrent attacks of sudden, uncontrollable compulsion to sleep also in inappropriate situations (= โsleep attacksโ).
EDS is โobjectivelyโ addressed by measuring the mean sleep latency to four to five nap opportunities throughout the day using the multiple sleep latency test (MSLT) or the maintenance of wakefulness test (MWT).
EDS denotes both, a ready entrance into sleep as well as difficulty in staying awake during daytime or accordingly in inappropriate situations. These two partially independent aspects of EDS are separately assessed by the โpassiveโ MSLT and the โactiveโ MWT respectively.
For that reason the MSLT and MWT only weakly correlate with each other when tested over a broad range of patients with EDS. It is important to keep in mind, that these tests are importantly influenced by a great variety of factors such as mood, anxiety, and motivation.
โVigilanceโ comprises wakefulness, alertness and attention and therefore is more than just the reciprocal to sleepiness. Cognitive performance tasks such as Steer Clear Reaction Time Test (SCRTT) or driving simulators require the complete integrity of vigilance to achieve normal results. Hypersomnia is usually broadly defined as the combination of abnormally prolonged night-time sleep (regularly >10 h) with EDS during โฅ1 months.
On the other hand, the term hypersomnia has also been used in a narrower scene for the isolated abnormality of a prolonged night-time sleep need (>10 h). โTirednessโ, also in colloquial language often used for sleepiness, in a broader sense also describes the feeling of lack of energy, motivation and initiative.
These patients seek rest rather than sleep. They often cannot fall asleep when given the opportunity in spite of feeling tired, and hence, in an MSLT, do not show an abnormally short sleep latency. Furthermore, tiredness (and fatigue) as opposed to sleepiness has a mental (โcentralโ) and physiological (bodily or โperipheralโ) component, which the patients can readily distinguish. Patients with insomnia, mild sleep apnea syndrome, or depression rather suffer from mental tiredness than sleepiness during the day.
The simple subjective self-assessment using the Epworth Sleepiness Scale (ESS) quite reliably differentiates between sleepiness and mental tiredness (without sleepiness), which makes it a widely used test. The term โfatigueโ is also heterogeneously used.
In physiology the โfatigueโ implied a โtime on task performance decrementโ to describe decreasing muscle force during a sustained physical effort. In clinical medicine one distinguishes physical (โperipheralโ) from mental (โcentralโ) fatigue and the term usually denotes a chronic and more abnormal situation than tiredness.
In a broad sense โfatigueโ implies a deficiency in coping satisfactorily with mental and physical work load. The chronic fatigue syndrome entails both mental as well as a physical fatigue (so called โleaden paralysisโ of limbs). Depressive states are often associated with insomnia and fatigue, but there are also cases with hypersomnia rather than insomnia ( non organic hypersomnia , โatypical depressionโ or โhypersomnolent depressionโ)
Sometimes these patients have a tendency to spend much of the day lying in the bed without actually sleeping (so called clinophilia). The basic and clinical aspects of fatigu