Shane Shapiro, M.D., orthopedic physician at Mayo Clinic in Florida, performs a bone marrow aspiration and concentration for BMAC/stem cell injection into arthritic knees. This procedure is part of a Mayo Clinic IRB approved, FDA monitored clinical research trial which can be searched on at http://ClinicalTrials.gov.

Mayo Clinic and the Mayo Center for Regenerative Biotherapeutics is studying biologically based non-surgical treatments for osteoarthritis. One such treatment is the harvesting of the patient's own stem cells from their bone marrow.

"In our procedure we draw cellular rich bone marrow from both sides of the pelvis. We then filter the resulting product and concentrate the stem cells and their corresponding growth factors. Using an ultrasound to image the knee joint, we are then able to precisely inject the cells into the arthritic knee. We are currently demonstrating that this procedure is safe and can relieve pain. We also hope to be able to slow the progression of the degenerative joint disease and perhaps one day regrow cartilage in the arthritic joint."

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Hear Dr. Shapiro discus this procedure in detail here: http://youtu.be/8Djpsc66hKI

Learn more about the Mayo Clinic Center for Regenerative Biotherapeutics here: http://goo.gl/rnRdtU
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the video will shed some light on congential lobar emphysema. Please visit my website for discliamer. www.academyofprofessionals.com

If a fetal lung lesion is causing heart failure, fetal surgery may be performed to remove the CCAM before birth. http://fetalsurgery.chop.edu

N. Scott Adzick, MD, Mark Johnson, MD, and Holly Hedrick, MD, experts from the Center for Fetal Diagnosis and Treatment at Children’s Hospital of Philadelphia, explain when fetal intervention for CCAM is recommended, the various approaches that may be used to treat the most complex fetal lung lesions before birth, and how these procedures are performed.

One concern with fetal lung lesions is that they take up space in the chest. If the lung mass grows and pushes the heart and other organs out of place, it can lead to complications such as fetal hydrops (heart failure in the fetus). If this happens, a fetal surgery procedure may be performed to remove the CCAM before birth.
In other cases, an EXIT procedure may be performed to partially deliver the baby, so the team can remove the mass before the baby is fully delivered.

In this video series, parents, nurses and doctors from Children’s Hospital of Philadelphia’s Center for Fetal Diagnosis and Treatment talk about the different types of fetal lung lesions like congenital cystic adenomatoid malformation (CCAM) and bronchopulmonary sequestration (BPS), the importance of accurate diagnosis and monitoring, and the most advanced treatment options currently available. They also discuss follow-up care and long-term outcomes for babies diagnosed with fetal lung lesions.

Funny Video from hospital waiting room

Orchidectomy and Orchidopexy in Testicular Torsion

There's a small area called the Grafenberg spot, or G-spot, inside the vagina. It's located about an inch or so inside the vaginal opening on the upper vaginal wall — closest to the bellybutton. The G-spot is sexually sensitive and swells slightly during arousal and feels raised or bumpy

Laparoscopic varicocellectomy

Blackheads are small bumps that appear on your skin due to clogged hair follicles. These bumps are called “blackheads” because the surface looks dark or black. Blackheads are a mild type of acne that usually form on the face, but they can also appear on the back, chest, neck, arms, and shoulders

The jaw thrust is a method of opening the airway of a patient. The airway is very important in first aid! It consists of the structures in the back of the throat and upper neck. A patient who is unconscious is not able to maintain their own airway as it can become blocked by the tongue (see picture). Normally, first aid courses teach the head tilt – chin lift technique to open an airway. However, this airway manoeuvre involves significant movement of the patient’s neck. Therefore if there is any suspicion of a spinal (neck) injury it may cause further damage.

Piriformis syndrome refers to when the piriformis muscle irritates the sciatic nerve and caues pain along the back of the leg and foot.

The pelvic diaphragm is composed of muscle fibers of the levator ani, the coccygeus, and associated connective tissue which span the area underneath the pelvis. The pelvic diaphragm is a muscular partition formed by the levatores ani and coccygei, with which may be included the parietal pelvic fascia on their upper and lower aspects. The pelvic floor separates the pelvic cavity above from the perineal region (including perineum) below.

The right and left levator ani lie almost horizontally in the floor of the pelvis, separated by a narrow gap that transmits the urethra, vagina, and anal canal. The levator ani is usually considered in three parts: pubococcygeus, puborectalis, and iliococcygeus. The pubococcygeus, the main part of the levator, runs backward from the body of the pubis toward the coccyx and may be damaged during parturition. Some fibers are inserted into the prostate, urethra, and vagina. The right and left puborectalis unite behind the anorectal junction to form a muscular sling . Some regard them as a part of the sphincter ani externus. The iliococcygeus, the most posterior part of the levator ani, is often poorly developed.

The coccygeus, situated behind the levator ani and frequently tendinous as much as muscular, extends from the ischial spine to the lateral margin of the sacrum and coccyx.

The pelvic cavity of the true pelvis has the pelvic floor as its inferior border (and the pelvic brim as its superior border.) The perineum has the pelvic floor as its superior border.

Some sources do not consider “pelvic floor” and “pelvic diaphragm” to be identical, with the “diaphragm” consisting of only the levator ani and coccygeus, while the “floor” also includes the perineal membrane and deep perineal pouch.

Debridement of an Infected Diabetic Wound on the patients foot. The first is a series of online diabetic foot care videos by The Mayer Institute. Themayerinstitute.ca

Today, the most common approach for open-heart surgery is a sternotomy, which requires a 12-14-inch incision through the breastbone. But in the hands of experienced minimally invasive surgeons, many cardiac procedures can be performed through smaller 2- to 3-inch incisions between the ribs without the need to cut through the breastbone. Learn more in this medical animation from Sarasota Memorial's Minimally Invasive Cardiac Surgery Team and medical director Jonathan Hoffberger, DO. For information or referrals, visit smhheart.com.

Medically: How common do females orgasm? From the medical point of view

This video demonstrates how a broken nose is fixed using only local anesthesia and without sedation. Of course, this can also be performed while asleep.

Please remember that this video is to be used for educational purposes. You must follow your facility or colleges' policies and procedure checklists to ensure you are completing the skill satisfactorily. Thanks for watching!

Music from #Uppbeat (free for Creators!):
https://uppbeat.io/t/swoop/blue-sea
License code: W9DFUQ4II7YVHA59

Physical assessment is taking an educated, systematic look at all aspects of an individual’s health status utilizing knowledge, skills and tools of health history and physical exam. To collect data- information about the client’s health, including physiological, psychological, sociocultural and spiritual aspects To establish actual and potential problems To establish the nurse-client relationship Method: The history is done first, then the physical examination focuses on finding data associated with the history. Health History- obtained through interview and record review. Physical exam- accomplished by tools and techniques ** A complete assessment is not necessarily carried out each time. A comprehensive assessment is part of a health screening examination. On admission, you will do an admission assessment (not necessarily including everything presented here) and document it on the admission form. You will do a daily shift assessment (patient systems review). And, if client has a specific problem, you may assess only that part of the body (focused). Data Collection: Information is organized into objective and subjective data: Subjective: Apparent only to person affected; includes client’s perceptions, feelings, thoughts, and expectations. It cannot be directly observed and can be discovered only asking questions. Objective: Detectable by an observer or can be tested against an acceptable standard; tangible, observable facts; includes observation of client behavior, medical records, lab and diagnostic tests, data collected by physical exam. ** To obtain data for the nursing health history, you must utilize good interview techniques and communications skills. Record accurately. DO NOT ASSUME. D. Frameworks for Health Assessment There are two main frameworks utilized in health assessment: Head to Toe- systematic collection of data starting with the head and working downward. Functional Health Assessment- Gordon’s 11 functional health patterns that address the behaviors a person uses to maintain health. PERSON is the ACC-ADN framework for assessment. It is similar to Gordon's functional health patterns.

http://www.utexas.edu

Nursing students practice their skills on mannequins and each other in the Nursing Skills Lab.

emergency c-section for acute fetal distress, Misgav Ladach - modified Joel Cohen technique

Head to Toe Assesment