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the most funny medical examination ever..Not: do not try at your office or clinic

Review of heart sounds

olusegun adekanye's spinal disc replacement operation performed by Dr. Nick Thomas at the Blackheath Hospital.

Symptoms of carcinoma of the breast

Pediatric IV insertion

Aneurysm of Splenic Artery from Cairo College of Medicine Hospitals

Anatomy of the Prostate

Doctors at the Detroit Medical Center pioneer laparoscopy procedures and other minimally invasive techniques that result in less pain, fewer risks, and quicker recovery time for surgical patients. ~ Detroit Medical Center

A new promising technique in saving the lives of patients with cancer of the esophagus. It is minimally invasive and the recovery time is quicker than ever. H. Lee Moffitt Cancer Center

USMLE Step 2 CS - Numbness Weakness This is just preview video. To get full access please visit our website : www.usmletutoring.com

Skin cancer is the most common of all cancer types, accounting for an estimated one third of all new cases. It’s important to take the right steps to ensure proper protection and adopt good sun care habits no matter what your age or stage in life.

Anatomy of The Infratemporal Fossa

Plastic Surgeon in NY Doctor Michael Wolfeld of Wolfeld Plastic Surgery (http://www.drwolfeld.com) discusses case studies of of two patients who underwent a liposuction procedure.

A very funny song made by the staff of the Ob/Gyn Gangnam style

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---Sintomas Del Autismo Cura Autismo. Más de la mitad de los niños del país que padecen autismo tienen sobrepeso, lo que los pone además en riesgo de sufrir diabetes, enfermedades cardiovasculares y problemas en los huesos y articulaciones. Esta estadística alarmante motivó a la experta en fitness Suzanne M. Gray a desarrollar una rutina de ejercicios que los padres pueden hacer con los pequeños con autismo. Gray ha pasado alrededor de 30 años desarrollando diferentes programas de acondicionamiento físico para niños con necesidades especiales y nos ofrece algunos valiosos consejos.

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Sintomas Del Autismo Cura Autismo

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Perleche, Boqueras Remedios Caseros, Estomatitis Bucal, Comisura Labios, Para Labios Partidos
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¿Qué Es Y Cómo Se Trata La Queilitis Angular?

Perleche, queilosis, estomatitis, boqueras, son otras denominaciones con las que se conoce a la queilitis angular. Las comisuras de los labios presentan lesiones inflamatorias. Las grietas verticales a nivel de la piel pueden profundizarse y provocar ulceraciones, llagas, sangrados, infecciones, descamaciones, costras. Con ello, sobrevendrán las dificultades para hablar, para sonreír, para ingerir los alimentos y las bebidas.

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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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Alimentos Para Controlar La Presion Arterial, Arterial Hypertension, Prevencion De Hipertension

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Para obtener los mismos beneficios que los medicamentos prescritos más comúnmente
sin los efectos secundarios negativos existen alternativas naturales. La dieta es la principal manera de aumentar las reacciones deseables, pero el ejercicio contribuye en gran medida también.

Por ejemplo, la misma reacción causada por los vasodilatadores puede ocurrir cuando usted obtiene suficiente L-Arginina. Este aminoácido permite que las paredes de los vasos sanguíneos se relajen. Usted puede tomar un suplemento o conseguirla a través de proteínas de origen animal, el maní y la soja.

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The hepatitis E virus, responsible for major epidemics of viral hepatitis in subtropical and tropical countries, was cloned only 7 years ago.1 Hepatitis E was found to belong to the family of Caliciviridae, which includes the Norwalk virus—a common cause of gastroenteritis in humans—and consists of a single, plus-strand RNA genome of approximately 7.2 kb without an envelope (Fig. 1). The virus contains at least three open reading frames encoding viral proteins against which antibodies are made on exposure. These antibodies, especially those against the capsid protein derived from the second open reading frame2 and a protein of unknown function derived from the third open reading frame, are detected by currently available serologic assays. Retrospective studies on stored sera of past epidemics of viral hepatitis in Mexico, Africa, Afghanistan, Pakistan, India, Bangladesh, Burma, Nepal, and Borneo have revealed that all were caused by strains of hepatitis E. In addition, hepatitis E was found to be responsible for the hepatitis epidemic in the southern part of Xinjiang, China, in which 120,000 persons became infected between September 1986 and April 1988.3 Hepatitis E predominantly affects young adults (15 to 40 years old). The symptoms of hepatitis E are similar to those of hepatitis A. Frequently, a prodrome consisting of anorexia, nausea, low-grade fever, and right upper abdominal pain is present 3 to 7 days before jaundice develops. Aminotransferase levels peak (usually between 1,000 and 2,000 U/L) near the onset of symptoms; bilirubin levels (10 to 20 mg/dL) peak later. Jaundice usually resolves after 1 to 2 weeks. In about 10% of cases, the disease is fulminant—especially in pregnant women, among whom mortality rates as high as 20% due to hemorrhagic and thrombotic complications have been reported. No evidence has suggested that hepatitis E can cause chronic infection. Transmission is by the fecal-oral route, predominantly through fecally contaminated drinking water supplies. In addition, however, preliminary reports have suggested transmission of the hepatitis E virus through blood transfusions. Volunteer studies confirmed the presence of the virus in serum and feces before and during clinical disease.4 The virus is shed into feces approximately 1 week before symptoms develop. The incubation period varies from 2 to 9 weeks (mean duration, approximately 45 days). Until now, a few reports had described symptomatic hepatitis E acquired in Europe;5, 6 all patients with symptomatic hepatitis E in the United States were travelers returning from Mexico, Africa, or the Far East, in whom hepatitis E developed after their return home.7 In this issue of the Mayo Clinic Proceedings (pages 1133 to 1136), Kwo and associates describe a case of hepatitis E in a man who had not left the United States during the previous 10 years. Specific serologic tests for hepatitis E virus IgG (enzyme immunoassays and a fluorescent antibody blocking assay) and IgM8 (US strain-specific enzyme-linked immunosorbent assay with use of synthetic polypeptides deduced from the viral genome, as shown in Figure 1), developed at Abbott Laboratories (IgG and IgM) as well as at the Centers for Disease Control and Prevention (IgG), were used to prove that the patient indeed had acute hepatitis E. Researchers at Abbott Laboratories have prepared a report that describes most of the viral genome in this patient (Fig. I).8 Their results are interesting because this strain from the United States differs considerably from hepatitis E strains isolated in Mexico, Burma, Pakistan, or China. Furthermore, the sequence of the US strain is highly homologous (98% and 94% homology at the amino acid level to the second and third open reading frames, respectively) to a recently isolated hepatitis E strain from American swine.9 This finding suggests that, in the United States, hepatitis E is a zoonosis with the swine population as one of its hosts. This relationship would confirm earlier studies in Asia, where swine were also found to carry variants of the hepatitis E virus.10 Why are these two recent discoveries important for medicine in the United States? First, other sporadic, locally acquired cases of acute hepatitis may be caused by hepatitis E. Second, these back-to-back discoveries strongly suggest that a common natural host for hepatitis E is present in countries with more moderate climates. Because swine do not seem to experience any symptoms associated with infection and because symptoms in humans can be minor or absent, we now may also have an explanation for the 1 to 2% of positive hepatitis E serologic results in blood donors in the United States,11 Netherlands,12 and Italy,6 countries with large swine staples. Clearly, more research needs to be done to confirm this hypothesis. Third, in countries with more moderate climates, hepatitis E may often result in a subclinical infection. Is this variation in manifestation due to less virulent strains, and do sequence variations determine virulence? Fourth, swine may be used as an animal model for study of the disease as well as vaccine development.