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Breast Crawl Self Attachment
Breast Crawl Self Attachment samer kareem 22,226 Views • 2 years ago

The importance of uninterrupted contact between mother and newborn SHOW MORE

Vaginal Hysterectomy Operation
Vaginal Hysterectomy Operation Mohamed Ibrahim 40,182 Views • 2 years ago

A video showing the surgery of vaginal hysterectomy Operation

Rectal Bleeding
Rectal Bleeding samer kareem 2,209 Views • 2 years ago

Rectal bleeding can refer to any blood that passes from your anus, although rectal bleeding is usually assumed to refer to bleeding from your lower colon or rectum. Your rectum makes up the last few inches of your large intestine. Rectal bleeding may show up as blood in your stool, on the toilet paper or in the toilet bowl. Blood that results from rectal bleeding can range in color from bright red to dark maroon to a dark, tarry color.

Thermal Burns
Thermal Burns Scott 11,728 Views • 2 years ago

A video shows how to deal with thermal burns

Rapid Extrication of critical ill patient
Rapid Extrication of critical ill patient samer kareem 2,546 Views • 2 years ago

Snake bite causes girl’s leg to rot away
Snake bite causes girl’s leg to rot away hooda 39,585 Views • 2 years ago

Watch that video of a Snake bite causes girl’s leg to rot away

What is an Intracuticular or Subcuticular Suture??
What is an Intracuticular or Subcuticular Suture?? samer kareem 2,729 Views • 2 years ago

What is Blood?
What is Blood? samer kareem 1,528 Views • 2 years ago

Extremely funny, and very in-depth look at all the parts and pieces of your blood.

A Man With Pipe Penetrated His Head Inside Emergency Room
A Man With Pipe Penetrated His Head Inside Emergency Room hooda 28,425 Views • 2 years ago

Watch that video of a Man With Pipe Penetrated His Head Inside Emergency Room

Plasma Cell Dyscrasias
Plasma Cell Dyscrasias samer kareem 1,421 Views • 2 years ago

Plasma cell dyscrasias are disorders of the plasma cells. Plasma cell dyscrasias are produced as a result of abnormal proliferation of a monoclonal population of plasma cells that may or may not secrete detectable levels of a monoclonal immunoglobulin or immunoglobulin fragment (paraprotein or M protein).

Female IM Injection
Female IM Injection DrPhil 72,073 Views • 2 years ago

Female IM injection

Proper Technique for Internal Jugular Cannulation
Proper Technique for Internal Jugular Cannulation samer kareem 11,344 Views • 2 years ago

Central catheters provide dependable intravenous access and enable hemodynamic monitoring and blood sampling [1-3]. The jugular veins are one of the most popular sites for central venous access due to accessibility and overall low complication rates, and are the preferred site for temporary hemodialysis.

Hepatitis E
Hepatitis E samer kareem 2,195 Views • 2 years ago

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.

Wernickes Aphasia Interview with a Patient
Wernickes Aphasia Interview with a Patient Alicia Berger 8,440 Views • 2 years ago

Wernicke's aphasia is a neurological disorder typically caused by stroke. It affects the Wernicke's region in the brain's left hemisphere which is reasoned to be responsible for processing of meaning, especially as it relates to verbal communication, hence the problems with speech witnessed in these patients

What is Subdural Hematoma ?
What is Subdural Hematoma ? samer kareem 7,534 Views • 2 years ago

A subdural hematoma is most often the result of a severe head injury. This type of subdural hematoma is among the deadliest of all head injuries. The bleeding fills the brain area very rapidly, compressing brain tissue. This often results in brain injury and may lead to death. Subdural hematomas can also occur after a minor head injury. The amount of bleeding is smaller and occurs more slowly. This type of subdural hematoma is often seen in older adults. These may go unnoticed for many days to weeks, and are called chronic subdural hematomas. With any subdural hematoma, tiny veins between the surface of the brain and its outer covering (the dura) stretch and tear, allowing blood to collect. In older adults, the veins are often already stretched because of brain shrinkage (atrophy) and are more easily injured.

Cardiac Catheterization Steps
Cardiac Catheterization Steps M_Nabil 37,304 Views • 2 years ago

This video gives you an overview of how a cardiac catheterization is performed.

Mesenteric Vessel Ligation
Mesenteric Vessel Ligation Mohamed 10,741 Views • 2 years ago

Mesenteric Vessel Ligation

Surgitron sebaceous nevus
Surgitron sebaceous nevus samer kareem 2,005 Views • 2 years ago

5 Foods to Avoid with Multiple Sclerosis
5 Foods to Avoid with Multiple Sclerosis samer kareem 2,194 Views • 2 years ago

How Condoms are Made and Tested
How Condoms are Made and Tested Scott 3,810 Views • 2 years ago

Most condoms are made of latex rubber, but they can also be made from lamb cecum or polyurethane. In addition to their contraceptive value, condom use has been found effective in preventing the spread of sexually transmitted diseases.

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