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The presentation is all about the insightfull short and crisp description of drug development life cycle including the drug discovery,clinical trial phases, branded,generic drugs,biologis,biosimilers,acts, patent and exclusivity of drug product.
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Anticipatory grief is the emotional experience when there is an impending loss that will occur. Often, people associate loss and grief with death, this is just one area in which grief and loss can occur. Anticipatory grief is often a slower grieving process marked by intermittent, small or large losses. In the world of cancer, anticipatory grief may show up in a variety of ways, such as before a major surgery, losing hair from chemotherapy treatment or caring for a loved one with advanced cancer. Learn about anticipatory grief and ways to cope with it. We will also explore methods to heal from this challenging experience.
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A cancer diagnosis is stressful. Feelings of worry, fear, self-doubt, sadness, and loneliness are normal but can feel exhausting and consuming at times. Cultivating a habit of thought-watching and learning to recognize thought traps that might be contributing to our discomfort can help us respond and care for ourselves in helpful ways. Learn more about the connection between what we think and how we feel and what you can do about it that might impact how you feel today. Let’s talk about it.
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Endoscopic assisted SARME
1.
Endoscopic assisted SARME M.S. Maningky OMF
Surgeon
2.
SARME • Open technique le
Fort I incision • Hyrax • Narrow maxilla • Nasal and zygomatic buttress, alveolar bone midline
3.
Adverse effects • Postoperative pain
and swelling • Oroantral communication • Reduced depth of labial fold due to scartissue contraction
4.
Endoscopic assisted SARME • Single vertical
midline incision • Subperiosteal tunnel • Storch 0' endoscope • Round bur
5.
Single incision
6.
Subperiosteal tunnel
7.
Round burr
8.
Zygomatic buttress
9.
Bone incision
10.
Contralateral side
11.
Intact Schneiderian membrane
12.
No scarring in
labial fold
13.
Benefit endoscopic vs
open • Reduced postoperative pain and swelling? • No oroantral communication • No scartissue in labial fold • Direct visualisation distal to zygomatic buttress
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