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Minimally Invasive Bypass: A Better Way. Sanger Heart & Vascular Institute
Minimally Invasive Bypass: A Better Way. Sanger Heart & Vascular Institute Surgeon 360 Views • 3 years ago

Dr. Joseph McGinn explains minimally invasive bypass, the procedure he pioneered as an alternative to open heart surgery.

Barrett esophagus Therapy
Barrett esophagus Therapy samer kareem 3,620 Views • 3 years ago

Barrett's esophagus is a complication of chronic (long lasting) and usually severe gastrointestinal reflux disease (GERD), but occurs in only a small percentage of patients with GERD. Criteria are needed for screening patients with GERD for Barrett's esophagus. Until validated criteria are available, it seems reasonable to do screening endoscopies in GERD patients who cannot be taken off acid suppression therapy after two to three years. The diagnosis of Barrett's esophagus rests upon seeing (at endoscopy) a pink esophageal lining that extends a short distance (usually less than 2.5 inches) up the esophagus from the gastroesophageal junction and finding intestinal type cells (goblet cells) on biopsy of the lining. There is a small but definite increased risk of cancer of the esophagus (adenocarcinoma) in patients with Barrett's esophagus.

Kidney Transpalantation
Kidney Transpalantation samer kareem 1,410 Views • 3 years ago

Renal transplantation is the treatment of choice for a minority of patients with end-stage renal disease (ESRD). Most adult patients with ESRD are never referred for evaluation for transplantation, and have a 70% 5-year mortality on dialysis. Marked improvements in early graft survival and long-term graft function have made kidney transplantation a more cost-effective alternative to dialysis. In the United States, over 375,000 kidney transplants have been performed, and in 2012, 191,400 patients were alive and with a functioning transplanted kidney; currently, more than 101,000 patients are waiting for kidney transplants.[1, 2] Before the advent of immunosuppression, renal transplantation was limited to identical twins and was not applicable to the vast majority of patients with ESRD. The introduction of combined azathioprine-steroid therapy in 1963 produced encouraging results and became the mainstay of immunosuppression. Although this therapy improved the results of transplantation, acute rejection and complications associated with steroid therapy persisted. The introduction of cyclosporine in 1983 significantly improved the outcomes of all solid-organ transplants by reducing the risk of rejection. Further innovations, including anti–T cell antibodies (both monoclonal and polyclonal preparations), as well as other maintenance immunosuppressants (eg, tacrolimus, mycophenolate, sirolimus), have made a significant impact on both patient and graft survival. Currently, 1-year patient and graft survival rates exceed 90% in most transplant centers. For patient education information, see Kidney Transplant and the Mayo Clinic's kidney transplant information Web page.

Fremale to male gender reassignment surgery
Fremale to male gender reassignment surgery samer kareem 11,242 Views • 3 years ago

Fremale to male gender reassignment surgery

Male Breast Liposuction Reduction
Male Breast Liposuction Reduction Surgeon 12,001 Views • 3 years ago

Male Breast Liposuction Reduction

Vial Medication Administration: How to Withdraw Vial Medication Nursing Skill
Vial Medication Administration: How to Withdraw Vial Medication Nursing Skill nurse 168 Views • 3 years ago

Vial medication administration nursing skill. Learn techniques to withdraw medication from a vial using a syringe with a needle.

Medications can come in different forms, such as ampules, vials, tablets, capsules, and so forth. When withdrawing medication from a vial, there are a few things you'll want to know as a nursing student or nurse.

First, there are different needles that can be attached to the syringe. You can use a traditional needle with a beveled tip; you can use a blunt-tip needle to reduce the risk of needle sticks; or you can use a filter needle, which is sometimes required or recommended when drawing medication from a vial, particularly in cases of reconstituted medication.

When withdrawing from a vial, you'll want to do these things (assuming they fit with the protocols and manufacturer's instructions):


NOTE: Some medications or vaccines may require a different technique, so always consult with the manufacturer's instructions.

-gather your supplies
-perform hand hygiene
-clean the vial's top with alcohol prep
-attach the appropriate needle
-stick the needle using a technique to prevent coring of the rubber on the vial (start with 45 degree angle, and as you puncture the vial, rotate the needle to a 90 degree angle in one smooth motion).
-push air into the vial equal to the amount of medication you plan to draw
-invert the vial to withdraw medication
-remove air bubbles
-and much more

See more Nursing Skills: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf


Notes: https://www.registerednursern.....com/how-to-withdraw-

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Difference between arteriosclerosis and atherosclerosis
Difference between arteriosclerosis and atherosclerosis samer kareem 1,855 Views • 3 years ago

Arteriosclerosis occurs when the blood vessels that carry oxygen and nutrients from your heart to the rest of your body (arteries) become thick and stiff — sometimes restricting blood flow to your organs and tissues. Healthy arteries are flexible and elastic, but over time, the walls in your arteries can harden, a condition commonly called hardening of the arteries. Atherosclerosis is a specific type of arteriosclerosis, but the terms are sometimes used interchangeably. Atherosclerosis refers to the buildup of fats, cholesterol and other substances in and on your artery walls (plaques), which can restrict blood flow. These plaques can burst, triggering a blood clot. Although atherosclerosis is often considered a heart problem, it can affect arteries anywhere in your body. Atherosclerosis may be preventable and is treatable.

Epley Maneuver to Treat BPPV
Epley Maneuver to Treat BPPV samer kareem 5,589 Views • 3 years ago

The Epley maneuver is a series of movements, normally carried out on a person by a doctor, to relieve the symptoms of BPPV. Research has found it to be an easy, safe, and effective treatment for the condition in both the long- and short-term. The Epley maneuver is sometimes called the particle repositioning maneuver or the canalith repositioning maneuver. These names are used because the maneuver involves a series of movements that help to reposition crystals in a person's ear that may cause feelings of dizziness. Repositioning the crystals helps to relieve the person's dizziness and nausea.

Early symptoms of Multiple Sclerosis
Early symptoms of Multiple Sclerosis samer kareem 1,587 Views • 3 years ago

Early symptoms of MS include blurred vision, numbness, dizziness, and muscle weakness.

White Blood Cell Chasing Bacteria
White Blood Cell Chasing Bacteria Doctor 62,357 Views • 3 years ago

A very interesting video showing how white blood cells (Neutrophil) are chasing bacteria (Diplococci). It also shows how the white blood cell engulf the bacteria. This is a real video.

What is Ankylosing Spondylitis ?
What is Ankylosing Spondylitis ? samer kareem 2,113 Views • 3 years ago

nkylosing spondylitis (pronounced ank-kih-low-sing spon-dill-eye-tiss), or AS, is a form of arthritis that primarily affects the spine, although other joints can become involved. It causes inflammation of the spinal joints (vertebrae) that can lead to severe, chronic pain and discomfort

Drawing from an Ampoule
Drawing from an Ampoule Harvard_Student 7,650 Views • 3 years ago

Drawing from an Ampoule

Effect of High Heels on Your Feet
Effect of High Heels on Your Feet samer kareem 1,729 Views • 3 years ago

The pain is your feet trying to tell you something!

Keratoconus Cure
Keratoconus Cure samer kareem 2,164 Views • 3 years ago

Caring For a Newly Circumcised Baby
Caring For a Newly Circumcised Baby Mohamed Ibrahim 24,078 Views • 3 years ago

An OB/GYN nurse from Erlanger Hospital discusses caring for a newborn baby after a circumcision.

Wilms' tumor (nephroblastoma)
Wilms' tumor (nephroblastoma) samer kareem 6,583 Views • 3 years ago

Wilms tumor, also known as nephroblastoma, is a cancer of the kidneys that typically occurs in children, rarely in adults. It is named after Dr. Max Wilms, the German surgeon (1867–1918) who first described it. Approximately 500 cases are diagnosed in the U.S. annually.

Sex During Pregnancy: Is This Safe?
Sex During Pregnancy: Is This Safe? hooda 111,494 Views • 3 years ago

Watch that video to know if it is safe to have sex during pregnancy or not

CT Scan of the Chest
CT Scan of the Chest samer kareem 2,813 Views • 3 years ago

Understand Chest CT (Computed Tomography) scans with this clear explanation

What is Bartter syndrome
What is Bartter syndrome samer kareem 5,551 Views • 3 years ago

Bartter syndrome is a rare inherited defect in the thick ascending limb of the loop of Henle. It is characterized by low potassium levels (hypokalemia), increased blood pH (alkalosis), and normal to low blood pressure. There are two types of Bartter syndrome: neonatal and classic

Can a Vaccine Give Me the Disease ?
Can a Vaccine Give Me the Disease ? samer kareem 4,596 Views • 3 years ago

Can a Vaccine Give Me the Disease It’s Supposed to Protect Me Against?

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