management of the second stage of labour

Dr. Matthew Slater talks about why cardiac surgery may be necessary if medications aren't an effective treatment option.

Examination of the eye by an ophthalmoscope from the USMLE collection

This video: Pancreatic cancer begins in the tissues of your pancreas — an organ in your abdomen that lies horizontally behind the lower part of your stomach. Your pancreas secretes enzymes that aid digestion and hormones that help regulate the metabolism of sugars. Pancreatic cancer often has a poor prognosis, even when diagnosed early. Pancreatic cancer typically spreads rapidly and is seldom detected in its early stages, which is a major reason why it's a leading cause of cancer death. Signs and symptoms may not appear until pancreatic cancer is quite advanced and complete surgical removal isn't possible.

this video he is demonstrating how to apply Kinesiology Tape for a patient that presents with rib or intercostal pain

For benign colorectal diseases, totally laparoscopic left-sided colectomy was already reported on some papers. Nowadays, there is increasingly demanded minimally invasive surgerys on malignant bowel diseases including colorectal cancers and so we developed the new techniques in that specimen is del...ivered through the open rectal stump, especially, using Sani Sleeve(TM). In this operation video, you can see that an anvil was fixed to proximal colonic stump with intracorporeal purse-string suture using Endo-stitch(TM). (SETA : Specimen Extraction Through Anus)

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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.

Ejaculating into a partner’s mouth is a common practice during oral sex/fellatio. In a safe situation (where there is no danger of catching an STD), the semen-receiving partner may choose to spit the semen out, or to swallow it. Before you engage in fellatio, I’d recommend that you and your partner both get tested for sexually transmitted infections (STIs). If not, please use barriers for oral sex and abstaining from making contact with ejaculate. Semen is mostly water, but also contains amino acids and protein, sugars such as fructose and glucose, minerals such as zinc and calcium, vitamin C, and a few other nutrients. Sperm cells themselves make up less than one percent of semen. Semen is edible, and if swallowed, will travel down the esophagus and into the stomach, where it will be digested in the same way that food is. You can never get pregnant by swallowing semen. Some people accept the taste of semen, but others complain that swallowing semen can give them an upset stomach. In rare cases, you may have an allergy to the proteins found in semen. What does It Taste Like? The taste of semen varies. Bitter, sweet, metallic. So, one may expect to find the taste of semen anywhere from enjoyable to tasteless to disgusting. But there is a way of controlling the taste of semen, which is through diet. Keep track of the diet, and communicate with the partner about when it tastes better or worse.

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Watch that video to know How To Remove Teeth Plaque Without Going To The Dentist

We have just enhanced the smile of another wonderful patient! She just received 6 mini dental implants place by DR. Jue www.sugarlanddentalspa.com.

The IUD is birth control that’s very effective and convenient. How does an IUD work to prevent pregnancy?

Histology of Inner Ear 1

The E.coli bacteria has claimed 14 lives and infected more than 300 hundred in the country. It has now spread to other European states.

Facing an increasing number of cases, German health authorities warned people to avoid eating raw cucumber, tomatoes and lettuce.

Reinhard Burger, President of Robert Koch Institute, said, "As for the present situation there is no reason to give the all-clear yet and it is possible the original source of the infection is still active and could lead to further infections."

The first cases of the EHEC outbreak were noticed in Northern Germany, but infections are now spreading across the country.

Cases haves spiked compared to other years, and are still rising.

Daniel Bahr, German Health Minister, said, "The result is that we unfortunately still have to prepare for a rising number of cases. Exercising caution is still recommended and we ask our citizens to be particularly careful. "

But, the German government says it's working around the clock to stop the outbreak and clarify how it arose.

Ilse Aigner, German Agriculture Minister, said, "Together, we face a big challenge to piece together hundreds or thousands of mosaic pieces from Germany and abroad into an overall picture that gives us a clear answer on how this terrible infection arose. "

In the meantime, experts are advising not to eat pre-packaged or prepared salad, which may contain the bacteria.

A very simplified method giving information about cystic fibrosis

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

A uterine fibroid (also uterine leiomyoma, myoma, fibromyoma, leiofibromyoma, fibroleiomyoma, and fibroma) (plural of ... myoma is ...myomas or ...myomata) is a benign (non-cancerous) tumor that originates from the smooth muscle layer (myometrium) and the accompanying connective tissue of the uterus. Fibroids are the most common benign tumors in females and typically found during the middle and later reproductive years. While most fibroids are asymptomatic, they can grow and cause heavy and painful menstruation, painful sexual intercourse, and urinary frequency and urgency. Uterine fibroids is the major indication for hysterectomy in the US.[2] Fibroids are often multiple and if the uterus contains too many leiomyomatas to count, it is referred to as uterine leiomyomatosis. The malignant version of a fibroid is uncommon and termed a leiomyosarcoma.