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Myths about Aging Debunked
Myths about Aging Debunked John Snow 2,608 Views • 2 years ago

Like in any other sector of health, aging come with its myths. These myths can be hurtful to senior citizens and their caretakers if mistaken for truths. Here are some common myths about aging that caregivers should be aware of.

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Simple Trick to Starting IV's
Simple Trick to Starting IV's samer kareem 3,031 Views • 2 years ago

How Do Blood Transfusions Work?
How Do Blood Transfusions Work? samer kareem 1,583 Views • 2 years ago

Medical Surgery - Above Knee Leg Amputation Surgery
Medical Surgery - Above Knee Leg Amputation Surgery hooda 40,565 Views • 2 years ago

Watch that Above Knee Leg Amputation Surgery

Why do we have blood?
Why do we have blood? samer kareem 1,561 Views • 2 years ago

How LSD alters your mind
How LSD alters your mind samer kareem 3,121 Views • 2 years ago

Scientists reveal how LSD alters your mind.

Hepatitis C Treatment
Hepatitis C Treatment Mohamed 9,453 Views • 2 years ago

Current treatment is a combination of pegylated interferon-alpha-2a or pegylated interferon-alpha-2b (brand names Pegasys or PEG-Intron) and the antiviral drug ribavirin for a period of 24 or 48 weeks, depending on hepatitis C virus genotype. In a large multicenter randomized control study among genotype 2 or 3 infected patients (NORDymanIC),[35] patients achieving HCV RNA below 1000 IU/mL by day 7 who were treated for 12 weeks demonstrated similar cure rates as those treated for 24 weeks.[36][37]

Pegylated interferon-alpha-2a plus ribavirin may increase sustained virological response among patients with chronic hepatitis C as compared to pegylated interferon-alpha-2b plus ribavirin according to a systematic review of randomized controlled trials .[38] The relative benefit increase was 14.6%. For patients at similar risk to those in this study (41.0% had sustained virological response when not treated with pegylated interferon alpha 2a plus ribavirin), this leads to an absolute benefit increase of 6%. About 16.7 patients must be treated for one to benefit (number needed to treat = 16.7; click here [39] to adjust these results for patients at higher or lower risk of sustained virological response). However, this study's results may be biased due to uncertain temporality of association, selective dose response.

Treatment is generally recommended for patients with proven hepatitis C virus infection and persistently abnormal liver function tests.

Treatment during the acute infection phase has much higher success rates (greater than 90%) with a shorter duration of treatment; however, this must be balanced against the 15-40% chance of spontaneous clearance without treatment (see Acute Hepatitis C section above).

Those with low initial viral loads respond much better to treatment than those with higher viral loads (greater than 400,000 IU/mL). Current combination therapy is usually supervised by physicians in the fields of gastroenterology, hepatology or infectious disease.

The treatment may be physically demanding, particularly for those with a prior history of drug or alcohol abuse. It can qualify for temporary disability in some cases. A substantial proportion of patients will experience a panoply of side effects ranging from a 'flu-like' syndrome (the most common, experienced for a few days after the weekly injection of interferon) to severe adverse events including anemia, cardiovascular events and psychiatric problems such as suicide or suicidal ideation. The latter are exacerbated by the general physiological stress experienced by the patient.

Pediatric Abdomen Radiology
Pediatric Abdomen Radiology Doctor 13,038 Views • 2 years ago

Pediatric Abdomen - Radiology & Imaging Powerpoint Video Lecture presentation with interesting case collection

Ovarian pregnancy
Ovarian pregnancy Mohamed 12,658 Views • 2 years ago

Ovarian pregnancy: an unusual location of ectopic pregnancy

Surgery Video Vignettes / Histopathology
Surgery Video Vignettes / Histopathology Richard DeAngelis 8,164 Views • 2 years ago

Squmaous Cell Carcinoma Of Scalp Challenging Cases & Controversial Questions with a focus on Mohs frozen section histology and pathology. Visit us @ www.skincancercentre.com.

Subclavian Line
Subclavian Line samer kareem 1,071 Views • 2 years ago

Step by step instruction on placing a subclavian central line. Includes tips on making it "the straightest shot possible

Robot-Assisted Heart Surgery
Robot-Assisted Heart Surgery galerobinette 11,475 Views • 2 years ago

The Da Vinci Surgical System Robot has benefits for the patient undergoing mitral valve repair and the surgeon performing the procedure. Cardiothoracic Surgeon Thomas Molloy, MD, of St. Joseph Medical Center in Tacoma, WA explains.

Surgical abortion - end
Surgical abortion - end Paul Jensen 35,646 Views • 2 years ago

The products of a surgical abortion.

What is a Makoplasty Partial Knee Replacement?
What is a Makoplasty Partial Knee Replacement? samer kareem 1,751 Views • 2 years ago

The MAKOplasty® procedure is an FDA-cleared treatment option for patients who suffer from osteoarthritis damage in the medial (inner) portion of the knee. ... Only the diseased portion of your knee is removed, leaving the healthy bone and tissue surrounding it untouched.

Is Your Vertigo BPPV or Autoimmune?
Is Your Vertigo BPPV or Autoimmune? samer kareem 4,585 Views • 2 years ago

Is your vertigo or dizziness BPPV or autoimmune?

What is Root Canal??
What is Root Canal?? Dentist 6,531 Views • 2 years ago

Root canal is a treatment to repair and save a badly damaged or infected tooth instead of removing it. The term "root canal" comes from cleaning of the canals inside a tooth's root. Decades ago, root canal treatments often were painful. With dental advances and local anesthetics, most people have little if any pain with a root canal. In fact, it's probably more painful living with a decayed tooth. Root canal alternatives include extracting the damaged tooth and replacing it with a dental implant, bridge or removable partial denture.

Robotic Microsurgical Vasectomy Reversal
Robotic Microsurgical Vasectomy Reversal Doctor 9,528 Views • 2 years ago

Video of the technique and early outcomes of Robotic Assisted Microsurgical Vasectomy Reversal at University of Florida and Shands, Gainesville, Fl, by Dr. Sijo Parekattil.

Direct Excision Cervicoplasty
Direct Excision Cervicoplasty Mohamed Ibrahim 21,609 Views • 2 years ago

A direct neck lift is an uncommon procedure in plastic surgery for the sagging neck. It is reserved for older patients who do not want a facelift or who do not want or can not go through a bigger facelift operation.

Acalculous Cholecystopathy - Umbilical Hernia
Acalculous Cholecystopathy - Umbilical Hernia Doctor 9,219 Views • 2 years ago

Patient 65-year-old of age who comes to the medical consultation with pain moderated pain in the right hypochondrium of “several years of evolution” but that it increased one week ago. Also, she shows pain in the umbilical region of “many years of evolution”, that is supported according to the patient - in a constant way.rnTo the examination, we observe an umbilical hernia, apparently divided into two parts. The hernia of the external region measures 25.1 centimeters x 18.0 centimeters and the one that occupies the average region measures 12.0 centimeters x 10.0 centimeters.rnPatient who comes to the medical consultation with moderated pain in the right hypochondrium of one year of evolution but it increased one week ago after eat duck.rnIn the ultrasound scan of the region of the right hypochondrium (patient came having breakfast, that is to say, without previous preparation ) we can observe the liver of 123.8 millimeters high, as well as the porta vein with a diameter of 7.3 millimeters.rnOn having observed the Gallbladder, we think that a side wall is increased in 2.7 mm (hyperechogenic) with several “echogenics points” in the interior (”Biliary Mud”).

The measurements of the gallbladder were: 39.0 x 17.4 millimeters.rnWe can appreciates an echogenic image in the interior that it would make think about stone. The stones are identified as echogenic foci casting acoustic shadowing but but this image did not appear and a re-evaluation is decided in 15 days.

Acalculous cholecystopathy which means disease or condition of the gallbladder without the presence of gallstones. You might also call it functional gallbladder disorder or impaired gallbladder emptying. Some causes may be chronic inflammation, a problem with the smooth muscles of the gallbladder or the muscle of the Sphincter of Oddi being too tight.

REMEMBER:
Umbilical hernia is a congenital malformation, especially common in infants of African descent, and more frequent in boys. An Acquired umbilical hernia directly results from increased intra-abdominal pressure and are most commonly seen in obese individuals.
Presentation:A hernia is present at the site of the umbilicus (commonly called a navel, or belly button) in the newborn; although sometimes quite large, these hernias tend to resolve without any treatment by around the age of 5 years. Obstruction and strangulation of the hernia is rare because the underlying defect in the abdominal wall is larger than in an inguinal hernia of the newborn. The size of the base of the herniated tissued is inversely correlated with risk of strangulation (i.e. narrow base is more likely to strangulate).
Babies are prone to this malformation because of the process during fetal development by which the abdominal organs form outside the abdominal cavity, later returning into it through an opening which will become the umbilicus.
Differential diagnosisrnImportantly this type of hernia must be distinguished from a paraumbilical hernia which occurs in adults and involves a defect in the midline near to the umbilicus, and from omphalocele.

Breech delivery and ECV
Breech delivery and ECV samer kareem 7,109 Views • 2 years ago

External cephalic version is a process by which a breech baby can sometimes be turned from buttocks or foot first to head first. External cephalic version (ECV) is a manual procedure that is advocated by national guidelines for breech presentation singleton pregnancy, in order to enable vaginal delivery.

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