د.أحمد عزوعبد الله- د.حسين الحمود- د.حازم العجيلي- د.حسان الضويحي- د.أحمد العيسى
hassandouayhi@yahoo.com

The Combitube is a twin lumen device designed for use in emergency situations and difficult airways. It can be inserted without the need for visualization into the oropharynx, and usually enters the esophagus. It has a low volume inflatable distal cuff and a much larger proximal cuff designed to occlude the oro- and nasopharynx.

If the tube has entered the trachea, ventilation is achieved through the distal lumen as with a standard ETT. More commonly the device enters the esophagus and ventilation is achieved through multiple proximal apertures situated above the distal cuff. In the latter case the proximal and distal cuffs have to be inflated to prevent air from escaping through the esophagus or back out of the oro- and nasopharynx.

This child is suffering from sleep-related breathing disorder. He has very large adenoids and tonsils obstructing his way to normal breathing. Adenotonsillectomy is the best TTT modality to relieve the obstruction.

Cisplatin is in a class of drugs known as platinum-containing compounds used to treat various types of cancers including metastatic testicular and ovarian tumors. The molecule was first discovered in 1845, but did not receive FDA approval until 1978. Today it is known as the "penicillin of cancer drugs," because it is so effective for many different cancers. There are three key players involved in Cisplatin's mechanism: (1) Cisplatin, (2) DNA (3) and an HMG Protein. Most Cisplatin enters the body through active transport, but some molecules are passively defused through the cell membrane. Once in the nucleus, Cisplatin can form an adduct with two consecutive guanine bases within a strand of DNA. The molecule loses its chlorine atoms in exchange for the nitrogen atoms of the target guanines. Cisplatin can bond more tightly with nitrogen because nitrogen balances the platinum charge more effectively than chlorine. It is this adduct-induced DNA bend that allows binding of proteins which contain the high mobility group, HMG domain. Once the protein is bound to the DNA, it inserts a wedge-like phenyl group of phenylalanine 37 into the widened minor groove created by the bend. The tightly bound HMG protein causes destacking of the nucleotide bases, resulting in the DNA helix becoming kinked. In this way, Cisplatin can be thought of as a monkey wrench in the DNA repair system. With the HMG protein bound to the DNA, the modified strand is not repaired properly and so the cell dies. The success of Cisplatin depends on its ratio of efficacy between cancerous and healthy cells.

A Medical Video showing an overview of the endocrine and gland system of the human body

High definition video showing laparoscopic appendectomy operation

Tampa body sculpting is the specialty of Dr. Thomas Su of the Artistic Lipo Sculpting Center. Dr. Su’s dedication to body contouring has allowed him to finely hone his craft over the years, making him the most trusted Tampa lipo surgeon. To learn more about Tampa fat removal procedures, visit http://www.artlipo.com/liposuction/liposuction-body-areas/lipo-abdomen.html.

Pilonidal Cyst Removal with Laser

Histology of Tongue Circumvallate Papilla

Peripheral Venous Access Technique Video

The Role and Function of Nursing

The Nephron Functional Unit of Kidney

Eye Surgery penetrating Keratoplasty

Calculate Ovulation

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---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...

Como, Quitar, Acne, Cara, manchas de acne, quitar el acne, cicatrices de acne, como quitar granos, como quitar espinillas, cicatrices de acne, eliminar el acne, como eliminar barros, eliminar los barros,

New methods in heart diseases diagnostics and imaging

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Leading NYC plastic surgeon, Dr. Carlin Vickery of 5th Avenue Millennium Aesthetic Surgery explains all of the steps that should go into choosing the right plastic surgeon. For more information, here are some more videos from Dr. Vickery.

A paralyzed teenager will make the first kick at the 2014 World Cup before the opening match between Brazil v. Croatia. The exoskeleton, which is enabling the paralyzed teen to walk and kick a soccer ball, has been designed by Duke University supported by the Walk Again Project. This monumental step in technology will make for a very exciting first kick, and let's not forget that this teenager will be walking when prior knowledge told us that was impossible. What are your thoughts on the opening kick?

Exercicios Para Perder Barriga, Produtos Naturais Para Emagrecer, Dieta Para Perder A Barriga.
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Você Tem Esse Vício?

Você Sabia Que Um Dos Maiores Motivos Que Fazem As Pessoas Afirmarem Que Não Conseguem Perder Peso É Por Alegarem Que Elas São "Viciadas Em Comida"?

De Fato, Milhões De Pessoas Abandonam Programas De Dieta E Exercícios Anualmente Por, Literalmente, Acreditarem Que Não Tem Capacidade De Resistir Aos Alimentos Que Amam.

É Isso Mesmo! Não Importa O Quanto Você Ame Pizza, Sorvete Ou Qualquer Outra Coisa, Não Há Nada Que Te Force A Comer Em Excesso A Não Ser A Sua Própria Cabeça.

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Exercicios Para Perder Barriga, Produtos Naturais Para Emagrecer, Dieta Para Perder A Barriga, produto para queima de gordura, tratamento para perder barriga, como fazer uma dieta para emagrecer rapido, remedio para perder barriga, o que fazer para perder gordura abdominal, dieta de perder barriga rapido, dicas para perder gordura abdominal, para perder a barriga, emagrecer a barriga rapido, suco para perder a barriga rapido, receitas de dietas para emagrecer

CIAP patienten hebben vaak pijn met al de karaketristieken van neuropathische pijn. Amitriptyline en pregabaline per os geven vaak bijwerkingen, vooral in de oudere patienten. Ons behandelprotocol gaf het volgende resultaat bij een refractaire patient met CIAP: palmitoylethanolamide (3 maal 400 mg capsules), samen met 10% topicale magistrale amitriptyline creme