Recurrent varicose veins are a common problem. The patient in this video was operated for great saphenous vein insufficiency and a “neocrosse” occurred after few years. Surgical exploration revealed a “cavernoma” just over the nodes of the crural area, feeding varicose veins of thigh and leg.

An educational video demonstrating ultrasound-guided amniocentesis of the amniotic fluid

The Fibroids Project Interviews Dr. Brown. Haywood Brown, MD, is the chair of the Department of Obstetrics and Gynecology at Duke University Medical Center. He also is a nationally recognized specialist in maternal-fetal medicine.

Repair of an indirect inguinal hernia

this is an arabic explanation to ecg from a to z

Doctor Amneris Luque talks about HIV Prevention in Africa. STDdatings .com was created to help people to learn HIV / AIDS prevention, share medical treatments, find trusted people to talk, get help and advice.

Anatomy of The Nasal Cavity and Sinuses

Anatomy of The Superficial Face

Histology of Lung

Histology of Large Artery

Chronic Myeloid Leukemia Diagnosis and Treatment

Eye Surgery Trabeculectomy

Mumps Signs Symptoms Complications

Human Embryo and Fetal Development

TAPP

The Cardiac Cycle

M.Torabi Nami MD, PhDc Department of Neuroscience Institute for Cognitive Science Studies (ICSS), Tehran 15948 Iran Torabi_m@iricss.org Abstract Sleepiness, tiredness and fatigue are complaints which must be thoroughly analyzed to eliminate blur and ambiguity. Physiological sleepiness (“sleep pressure”) 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 (= “sleep attacks”). EDS is “objectively” 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 “passive” MSLT and the “active” 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. “Vigilance” 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 ≥1 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). “Tiredness”, 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 (“central”) and physiological (bodily or “peripheral”) 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 “fatigue” is also heterogeneously used. In physiology the “fatigue” implied a “time on task performance decrement” to describe decreasing muscle force during a sustained physical effort. In clinical medicine one distinguishes physical (“peripheral”) from mental (“central”) fatigue and the term usually denotes a chronic and more abnormal situation than tiredness. In a broad sense “fatigue” 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 “leaden paralysis” of limbs). Depressive states are often associated with insomnia and fatigue, but there are also cases with hypersomnia rather than insomnia ( non organic hypersomnia , “atypical depression” or “hypersom

Understanding Male Infertility

Acne, or acne vulgaris, is a skin problem that starts when oil and dead skin cells clog up your pores. Some people call it blackheads, blemishes, whiteheads, pimples, or zits. Check out the video for detailed research study on Acne vulgaris and provide us feedbacks. Please subscribe for regular updates...............

Hipertension Arterial Pdf, Hipertension Esencial, Hipertension Pulmonar Tratamiento

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Lo Que Todos Necesitan Saber Sobre La Presión Arterial Alta

Si le han dicho que tiene presión arterial alta, usted puede decir, "Pero me siento muy bien!" Esto se debe a que la hipertensión o la presión arterial alta no tiene síntomas visibles. Es por eso que se la describe a menudo como el "asesino silencioso". No hay achaques o limitaciones físicas sólo porque tiene la presión arterial alta. Entonces, por qué siquiera preocuparse?

La hipertensión afecta a uno de cada tres adultos estadounidenses, y muchas de estas personas ni siquiera saben que la tienen. Además, aquellos con presión arterial alta tienen también un mayor riesgo de tener el colesterol alto.

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