This article discusses the pioneering contributions of Erik Moberg to the field of hand surgery. Moberg graduated from medical school in 1932 and began focusing on hand injuries in 1944 after being inspired by Dr. Bunnell's principles. He established the first hand surgery ward in Scandinavia in 1949. Moberg was passionate about teaching and wrote the influential book "Emergency Surgery of the Hand". He helped form the Nordic Hand Club in 1951, now called the Scandinavian Society for Surgery of the Hand. Moberg trained many surgeons in hand surgery and continued working to rehabilitate patients with tetraplegia later in his career. He is recognized for his focus on the importance of sensation in reconstructive hand
This study evaluated changes in manual wheelchair skills after reconstructive hand and arm surgery in 16 people with tetraplegia. Key findings:
- 68% of participants improved their wheelchair maneuvering abilities after surgery on average 12 months later.
- Improvements were seen in tests of static pushing, sprinting 25 meters, navigating a figure-8 course, and lifting buttocks from the chair.
- Some participants were able to perform tests post-surgery that were impossible before, such as navigating obstacles or pushing uphill.
- Gains varied by the type of reconstruction and level of spinal cord injury, with most improvement seen in grip reconstruction patients.
This 3-day workshop provides sessions on spinal cord injury (SCI) physiotherapy management for physiotherapists. The first day covers topics relevant to the entire multidisciplinary SCI team. The second and third days focus on physiotherapy, with over 20 sessions led by international experts on topics like upper extremity training, respiratory management, and outcome measures. Sessions cater for novice therapists new to SCI as well as experienced therapists. The workshop costs $25 and takes place in Delhi, India, during the ISCoS conference in November 2010.
Jan Fridén and Simeon Grossmann are surgeons who specialize in restoring hand function to people with tetraplegia through delicate surgery. They connect muscles and tendons in the arm and hand in new configurations to allow paralyzed fingers and thumbs to move again. Over 210 consultations and 30 surgeries have been performed. The surgery aims to regain abilities like grasping objects and hand shaking to improve independence. Extensive rehabilitation is needed after surgery. The doctors work to expand international collaboration and training on this specialized technique.
This document announces a 2012 cadaver course on tendon transfers in reconstructive tetraplegia hand surgery held in Nottwil, Switzerland from April 9-12. The preliminary program outlines the daily schedule which includes lectures and hands-on sessions on topics like anatomy, suture techniques, and reconstruction of the elbow, thumb, fingers, and intrinsics. Participants will learn techniques at a medical training facility and hear about spasticity, rehabilitation, and clinical cases. The goal is to teach reconstructive surgery techniques to improve hand function for people with tetraplegia.
Dr. Ivan Justan from the Czech Republic was awarded the first FESSH fellowship in reconstructive hand surgery for tetraplegia patients. The 3-month fellowship took place from March to May 2009 at the Department of Hand Surgery at Sahlgrenska University Hospital in Gothenburg, Sweden. During this time, Dr. Justan received training on the history, diagnostics, classification systems, surgical techniques, rehabilitation programs, and research related to performing reconstructive hand surgery on tetraplegia patients.
This document lists various muscles in the arm and shoulder, their abbreviations, main actions, innervating nerves, and spinal root levels. It includes muscles that perform actions like external/internal rotation, abduction/adduction, flexion/extension of the arm, elbow, wrist and fingers. For each muscle the table provides concise information about its function and spinal nerve innervation.
This document provides a history of orthopedic surgery from ancient times to modern developments. It describes how orthopedic surgery originated from the Greek words "ortho" meaning straight and "paedic" meaning child. Key figures mentioned include Hippocrates who described fracture reduction and clubfoot correction in ancient Greece. Advances in the field included the discoveries of anesthesia, antisepsis, x-rays, and antibiotics. Modern orthopedic surgery was pioneered in the 20th century with the development of techniques like internal fixation, joint replacement, and arthroscopy as well as imaging technologies.
This study evaluated changes in manual wheelchair skills after reconstructive hand and arm surgery in 16 people with tetraplegia. Key findings:
- 68% of participants improved their wheelchair maneuvering abilities after surgery on average 12 months later.
- Improvements were seen in tests of static pushing, sprinting 25 meters, navigating a figure-8 course, and lifting buttocks from the chair.
- Some participants were able to perform tests post-surgery that were impossible before, such as navigating obstacles or pushing uphill.
- Gains varied by the type of reconstruction and level of spinal cord injury, with most improvement seen in grip reconstruction patients.
This 3-day workshop provides sessions on spinal cord injury (SCI) physiotherapy management for physiotherapists. The first day covers topics relevant to the entire multidisciplinary SCI team. The second and third days focus on physiotherapy, with over 20 sessions led by international experts on topics like upper extremity training, respiratory management, and outcome measures. Sessions cater for novice therapists new to SCI as well as experienced therapists. The workshop costs $25 and takes place in Delhi, India, during the ISCoS conference in November 2010.
Jan Fridén and Simeon Grossmann are surgeons who specialize in restoring hand function to people with tetraplegia through delicate surgery. They connect muscles and tendons in the arm and hand in new configurations to allow paralyzed fingers and thumbs to move again. Over 210 consultations and 30 surgeries have been performed. The surgery aims to regain abilities like grasping objects and hand shaking to improve independence. Extensive rehabilitation is needed after surgery. The doctors work to expand international collaboration and training on this specialized technique.
This document announces a 2012 cadaver course on tendon transfers in reconstructive tetraplegia hand surgery held in Nottwil, Switzerland from April 9-12. The preliminary program outlines the daily schedule which includes lectures and hands-on sessions on topics like anatomy, suture techniques, and reconstruction of the elbow, thumb, fingers, and intrinsics. Participants will learn techniques at a medical training facility and hear about spasticity, rehabilitation, and clinical cases. The goal is to teach reconstructive surgery techniques to improve hand function for people with tetraplegia.
Dr. Ivan Justan from the Czech Republic was awarded the first FESSH fellowship in reconstructive hand surgery for tetraplegia patients. The 3-month fellowship took place from March to May 2009 at the Department of Hand Surgery at Sahlgrenska University Hospital in Gothenburg, Sweden. During this time, Dr. Justan received training on the history, diagnostics, classification systems, surgical techniques, rehabilitation programs, and research related to performing reconstructive hand surgery on tetraplegia patients.
This document lists various muscles in the arm and shoulder, their abbreviations, main actions, innervating nerves, and spinal root levels. It includes muscles that perform actions like external/internal rotation, abduction/adduction, flexion/extension of the arm, elbow, wrist and fingers. For each muscle the table provides concise information about its function and spinal nerve innervation.
This document provides a history of orthopedic surgery from ancient times to modern developments. It describes how orthopedic surgery originated from the Greek words "ortho" meaning straight and "paedic" meaning child. Key figures mentioned include Hippocrates who described fracture reduction and clubfoot correction in ancient Greece. Advances in the field included the discoveries of anesthesia, antisepsis, x-rays, and antibiotics. Modern orthopedic surgery was pioneered in the 20th century with the development of techniques like internal fixation, joint replacement, and arthroscopy as well as imaging technologies.
Scientific Foundation of Fingerprint IdentificationJury Rocamora
- The earliest recorded use of fingerprints for identification purposes was in China in 650 AD, where they were placed on contracts.
- In the late 17th century, fingerprints were first studied scientifically under microscopes by researchers like Nehemiah Grew and Marcello Malpighi, though they did not address uniqueness.
- In the late 18th century, researchers like Mayer began documenting that no two fingerprints were alike, though similarities exist between some individuals.
- In the late 19th century, Francis Galton conducted the first statistical study supporting the individual uniqueness of fingerprints, estimating the chance of a duplicate being 1 in 64 billion.
Dr. Enrico de Divitiis is a Professor Emeritus of Neurosurgery at the University of Naples Federico II School of Medicine. He received his medical degree from the University of Naples in 1959 and completed residencies in general surgery and neurosurgery. He has had a distinguished career as a neurosurgeon, researcher, lecturer, and leader in neurosurgical organizations. His clinical work focused on various neurosurgical procedures and he helped pioneer the use of endoscopy for pituitary and skull base surgeries. He has mentored many students who have gone on to achieve high academic positions.
KEY POINTS IN THE EVOLUTION AND STUDY OF ANATOMY IN ROMANIASinzianaIonescu1
Dr. Sinziana Ionescu, Prof. Dr. E. Bratucu, and Conf. Dr. D.N. Straja provide a history of the evolution of teaching and studying anatomy in Romania. Some key points include:
- The first written material on anatomy in Romania was produced in the 17th century by Alexander Mavrocordat.
- The first medical textbook, called "Dr. Kretulescu's manual of anatomy and physiology" was published in 1843.
- In 1855, Carol Davila united two small surgery schools and established the first medical library and anatomy museum in Romania.
- Functional anatomy concepts were developed in 1920 by Joseph Rainer.
-
Shigeto Ikeda was a Japanese physician and professor considered the Father of Modern Bronchoscopy. He developed the first flexible fiberoptic bronchoscope in 1966, which revolutionized the study of respiratory diseases. Ikeda classified tracheobronchial anatomy and founded the World Association for Bronchology to advance the field of interventional pulmonology. Over his career, he received many awards and worked to develop technologies like video bronchoscopy and applications of holography to anatomy teaching.
Egaz Moniz, a Portuguese neurologist and psychiatrist, performed the first leucotomies in 1935, for which he received the 1949 Nobel Prize in Physiology or Medicine. Walter Freeman, an American neurologist, improved the lobotomy technique using ice picks and went on "lobotouring" across the US, performing around 3,500 lobotomies between 1936-1967. Lobotomies were once a common treatment for mental illnesses but have since been largely replaced by psychotropic drugs and other therapies.
Major scientific events in europe between 1945 and 1968 PortugalYeh Portugal
The document summarizes several major scientific events in Europe between 1945 and 1968, including:
1) In 1949, Egas Moniz received the Nobel Prize for developing the lobotomy procedure, though it was later banned due to serious side effects.
2) In 1948, Paul Hermann Müller received the Nobel Prize for discovering DDT's insecticidal properties, though its usage was later banned for environmental and health concerns.
3) In 1953, Hans Adolf Krebs received the Nobel Prize for identifying the Krebs cycle, which generates energy in cells.
4) In 1953, Frits Zernike received the Nobel Prize for inventing phase-contrast microscopy, allowing study of cell structures without staining
The document provides a historical overview of the scientific foundation and validation of chiropractic spinal manipulation therapy from the 16th century to present day. It discusses early scientific works linking somatic dysfunction to visceral disease by authors such as Avicenna, Ambroise Paré, and Galen. It then outlines key studies, literature reviews, and findings over the centuries that further validated the link between the spine and internal organ function, and the effectiveness of chiropractic adjustment in detecting, preventing, and reversing chronic conditions.
1) Ambroise Pare and Percivall Pott were influential surgeons from the 16th and 18th centuries respectively, known for advancing surgical practices through observation and experience rather than dogma.
2) Both men sustained open tibial fractures after horseback riding accidents, when amputation was commonly prescribed. Through wound care and reduction, they were both successfully able to salvage their own limbs.
3) The document explores Pare and Pott's lives and careers, highlighting how their experiences with their own open fractures demonstrated the possibility of limb salvage, advancing practices of their time.
The document discusses the history and evolution of surgery from ancient times to the modern era. It describes early surgical techniques performed by Sushruta in 800 BC India, including the first recorded cataract surgery. It discusses the hurdles faced by early surgeons due to lack of anesthesia, antiseptics, and other modern medical advances. Key figures discussed include Andreas Vesalius in the 1500s, Joseph Lister introducing antiseptics in the 1860s, William Morton demonstrating ether anesthesia in 1846, William T. Bovie and Harvey Cushing developing electrosurgery in the 1920s, and Emil Theodor Kocher pioneering aseptic surgery and thyroidectomy techniques.
The Major Types of Essays | CustomEssayMeister.com. What Is an Essay? Different Types of Essays with Examples - Efortless .... How To: Essay Types | Essay writing skills, Essay writing, Essay .... The Types Of Essays – Telegraph. Business paper: Types of essays. What Are The Different Types Of Essay Writing – Telegraph. 4 Essay Types and How to Distinguish Them | Howtowrite.CustomWritings.com. Kinds of Essays - Writing Tips - TestDEN. Ielts academic writing task 2 types of essays.
Niitsu magnetic resonance imaging of the kneeTran Dat
The document is the preface to an English translation of a Japanese book on MRI of the knee. It introduces the author, translator, and translator supervisor. It expresses gratitude for those involved in making the translation possible and emphasizes the importance of flexing the knee slightly during MRI for better imaging of structures like the ACL.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Scientific Foundation of Fingerprint IdentificationJury Rocamora
- The earliest recorded use of fingerprints for identification purposes was in China in 650 AD, where they were placed on contracts.
- In the late 17th century, fingerprints were first studied scientifically under microscopes by researchers like Nehemiah Grew and Marcello Malpighi, though they did not address uniqueness.
- In the late 18th century, researchers like Mayer began documenting that no two fingerprints were alike, though similarities exist between some individuals.
- In the late 19th century, Francis Galton conducted the first statistical study supporting the individual uniqueness of fingerprints, estimating the chance of a duplicate being 1 in 64 billion.
Dr. Enrico de Divitiis is a Professor Emeritus of Neurosurgery at the University of Naples Federico II School of Medicine. He received his medical degree from the University of Naples in 1959 and completed residencies in general surgery and neurosurgery. He has had a distinguished career as a neurosurgeon, researcher, lecturer, and leader in neurosurgical organizations. His clinical work focused on various neurosurgical procedures and he helped pioneer the use of endoscopy for pituitary and skull base surgeries. He has mentored many students who have gone on to achieve high academic positions.
KEY POINTS IN THE EVOLUTION AND STUDY OF ANATOMY IN ROMANIASinzianaIonescu1
Dr. Sinziana Ionescu, Prof. Dr. E. Bratucu, and Conf. Dr. D.N. Straja provide a history of the evolution of teaching and studying anatomy in Romania. Some key points include:
- The first written material on anatomy in Romania was produced in the 17th century by Alexander Mavrocordat.
- The first medical textbook, called "Dr. Kretulescu's manual of anatomy and physiology" was published in 1843.
- In 1855, Carol Davila united two small surgery schools and established the first medical library and anatomy museum in Romania.
- Functional anatomy concepts were developed in 1920 by Joseph Rainer.
-
Shigeto Ikeda was a Japanese physician and professor considered the Father of Modern Bronchoscopy. He developed the first flexible fiberoptic bronchoscope in 1966, which revolutionized the study of respiratory diseases. Ikeda classified tracheobronchial anatomy and founded the World Association for Bronchology to advance the field of interventional pulmonology. Over his career, he received many awards and worked to develop technologies like video bronchoscopy and applications of holography to anatomy teaching.
Egaz Moniz, a Portuguese neurologist and psychiatrist, performed the first leucotomies in 1935, for which he received the 1949 Nobel Prize in Physiology or Medicine. Walter Freeman, an American neurologist, improved the lobotomy technique using ice picks and went on "lobotouring" across the US, performing around 3,500 lobotomies between 1936-1967. Lobotomies were once a common treatment for mental illnesses but have since been largely replaced by psychotropic drugs and other therapies.
Major scientific events in europe between 1945 and 1968 PortugalYeh Portugal
The document summarizes several major scientific events in Europe between 1945 and 1968, including:
1) In 1949, Egas Moniz received the Nobel Prize for developing the lobotomy procedure, though it was later banned due to serious side effects.
2) In 1948, Paul Hermann Müller received the Nobel Prize for discovering DDT's insecticidal properties, though its usage was later banned for environmental and health concerns.
3) In 1953, Hans Adolf Krebs received the Nobel Prize for identifying the Krebs cycle, which generates energy in cells.
4) In 1953, Frits Zernike received the Nobel Prize for inventing phase-contrast microscopy, allowing study of cell structures without staining
The document provides a historical overview of the scientific foundation and validation of chiropractic spinal manipulation therapy from the 16th century to present day. It discusses early scientific works linking somatic dysfunction to visceral disease by authors such as Avicenna, Ambroise Paré, and Galen. It then outlines key studies, literature reviews, and findings over the centuries that further validated the link between the spine and internal organ function, and the effectiveness of chiropractic adjustment in detecting, preventing, and reversing chronic conditions.
1) Ambroise Pare and Percivall Pott were influential surgeons from the 16th and 18th centuries respectively, known for advancing surgical practices through observation and experience rather than dogma.
2) Both men sustained open tibial fractures after horseback riding accidents, when amputation was commonly prescribed. Through wound care and reduction, they were both successfully able to salvage their own limbs.
3) The document explores Pare and Pott's lives and careers, highlighting how their experiences with their own open fractures demonstrated the possibility of limb salvage, advancing practices of their time.
The document discusses the history and evolution of surgery from ancient times to the modern era. It describes early surgical techniques performed by Sushruta in 800 BC India, including the first recorded cataract surgery. It discusses the hurdles faced by early surgeons due to lack of anesthesia, antiseptics, and other modern medical advances. Key figures discussed include Andreas Vesalius in the 1500s, Joseph Lister introducing antiseptics in the 1860s, William Morton demonstrating ether anesthesia in 1846, William T. Bovie and Harvey Cushing developing electrosurgery in the 1920s, and Emil Theodor Kocher pioneering aseptic surgery and thyroidectomy techniques.
The Major Types of Essays | CustomEssayMeister.com. What Is an Essay? Different Types of Essays with Examples - Efortless .... How To: Essay Types | Essay writing skills, Essay writing, Essay .... The Types Of Essays – Telegraph. Business paper: Types of essays. What Are The Different Types Of Essay Writing – Telegraph. 4 Essay Types and How to Distinguish Them | Howtowrite.CustomWritings.com. Kinds of Essays - Writing Tips - TestDEN. Ielts academic writing task 2 types of essays.
Niitsu magnetic resonance imaging of the kneeTran Dat
The document is the preface to an English translation of a Japanese book on MRI of the knee. It introduces the author, translator, and translator supervisor. It expresses gratitude for those involved in making the translation possible and emphasizes the importance of flexing the knee slightly during MRI for better imaging of structures like the ACL.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Role of Mukta Pishti in the Management of Hyperthyroidism
Erik moberg
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Chirurgie de la main 29 (2010) 145–146
Pioneers of hand surgery
Erik Moberg (1905–1993)
Erik Moberg was, to say the least, a unique person and a one compass. They are not only useless, they are even
of a kind personality with a multifold of skills. His misleading’’ [7].
contributions in the field of hand surgery are well documented Erik Moberg graduated from the Faculty of Medicine,
and well known. Less known are maybe his other skills that University of Lund in 1932 and his first appointment as a doctor
range from archeology and ancient cultures to being a devoted was in Persia (1932–33) where he met a Swedish nurse, Märta,
sailor and collector of butterflies. His never-ending curiosity whom he married in 1934. He defended a thesis in experimental
and willingness to learn and relearn in the broadest aspect of life pathology at University of Lund 1936 and began training in
are assets that need to be emphasized and hopefully followed by orthopaedic surgery, moved to Göteborg and the Department of
younger colleagues. Erik was a true academic and a role model Surgery at Sahlgrenska Hospital where -in 1942- he became a
for people striving for perfection regardless of topic. He joined senior staff member.
discussions, often with strong opinions, but with a good mood In 1944, he began to treat hand injuries inspired by
and open mind. He delivered numerous memorable lectures that Dr Bunnell’s principles (Surgery of the Hand, 1944). He
always took the audience further than expected by provoking organized a separate ward for treatment of fractures due to their
the listener to become active and thoughtful. He was not afraid wound infections and abscesses. In 1949 he had the first hand
of challenging the so-called state -of –the-art and he kept surgery ward in Scandinavia fully organized and established at
stressing that state -of –the-art is a dynamic process that we are the Sahlgrenska Hospital.
all involved in. In other words, the interaction between experts In 1947, Erik spent several months with Dr Sterling Bunnell
on a regular basis was fundamental for development. In this in the U.S where he observed the post-war treatments at hand
intensive process of communication, Erik stressed the need for surgical centers. Back in Sweden he started the first hand
collecting information not only from experts but also from surgical ward in Scandinavia in Göteborg.
patients and laymen because they may present, directly or Erik was always very interested in teaching and especially
indirectly, the key to a major scientific break-through. his new concept of treating hand injuries. He wrote a book
If one picked a special topic that magnetized Erik Moberg Emergency Surgery of the Hand in 1948, which has been
it would no doubt be phenomenon and significance of skin translated into many languages and published in several
sensation. In his clinical accomplishments sensation certainly editions over the years. Erik Moberg introduced hand surgery
played an instrumental role. The following citation represents officially in Sweden in 1948.
Erik’s interest bordering obsession of sensation as well as his In 1951, he formed the Nordic Hand Club (now the
firm opinions about how to assess sensation. Or maybe more Scandinavian Society for Surgery of the Hand, SSSH). He was
correctly what techniques not to use for evaluating sensation: inspired by the American Society for Surgery of the Hand
‘‘It must be emphasized that sensibility is, in my opinion and which was started by Bunnell in 1946. In the early 1970´s the
according to my experience, the basis for reconstructive ‘‘Moberg lecture’’ was founded at these meetings. In 1956, Erik
work. . . for reconstructive surgery, ‘‘feeling’’ is a totally Moberg was given a personal professorship in Extremity
useless term, as it covers far too much and distinguishes Surgery and in 1958 in Hand Surgery. Erik trained several
hardly anything. . . for examination of useful sensibility in surgeons, and five of them became full time hand surgeons and
reconstructive hand surgery of all the tests evaluated by the themselves established centers in different parts of Sweden.
authors, the only one which was found to be significant is the In 1958, Erik attended a meeting of the Second Hand Club
two-point discrimination test now performed with a paperclip. and became one of the first Corresponding Members. This club
All other tests of sensory function, in my opinion, should in even toured in Scandinavia and was accompanied by many
this work be abandoned, including cotton wool and paper others from Europe and the USA in 1961. This was the first
strip, pinprick, ordinary tuning fork, the difference between international meeting and was organized by Erik. This was also
sharp and blunt, figure writing, the wrinkling skin test and the the foundation for meetings with a high level of scientific
two-point discrimination test performed with sharp pointed papers. Arthur Barsky, President of the American Society, was
1297-3203/$ – see front matter
doi:10.1016/j.main.2010.03.001
3. Author's personal copy
146 Pioneers of hand surgery / Chirurgie de la main 29 (2010) 145–146
did not want hand surgery to be a specialty on its own, but rather
as ‘‘extremity surgery’’ which would cover upper and lower
extremities, spine and pelvis. The creation of the first
specialized hand surgery units and even more so the recognition
of the hand surgery specialty were directly against the desired
development of Erik Moberg. He was, however, flexible and
once a fact, he played a major role to evolve and refine the hand
surgery profession.
In 1971, after his retirement Erik started working on the
surgical rehabilitation of patients with tetraplegia [4]. He
continued this work during the remaining years of his life. His
extensive monography on tetraplegia surgery from 1978 is
today considered a bible [5]. His last article on this subject was
published in 1992. Moberg has said ‘‘after hearing Bunnell
Fig. 1. Professor Moberg in his beloved sailboat. Many of Erik Moberg’s speak, I have never been able to leave the question of sensibility
international guests participated in and enjoyed shorter or longer sail trips along
in hand function’’. He applied much of his knowledge about
the Swedish west coast.
sensation to classification and treatment strategies in tetra-
plegia. Erik Moberg had earlier introduced the Ninhydrin test to
document objectively innervation. He defined hand function as
precision-sensory and gross-sensory grips. He correlated Weber
two-point discrimination with hand function. He introduced the
pick-up test to document hand function. He coined the term
‘‘tactile gnosis’’. He hypothesized that proprioception is
principally due to skin- not joint- afferents and he classified
the tetraplegic hand according to its combined sensory and
motor capacity.
Above-mentioned examples just represent a selection of the
multi-fold of remarkable achievements [6,7] and wonderful
memories that Erik Moberg generously distributed to the
academic, clinical and social world (Figs. 1 and 2). The first,
second and probably even later generations of hand surgeons in
Sweden and many other countries certainly consider Erik
Fig. 2. Professor Moberg congratulating Dr. Esther May at her Ph.D. disserta- Moberg a role model and leading star in their careers.
tion in 1992.
Photo Dr. Ann Nachemson.
References
[1] Moberg E. Objective methods for determining the functional value of
approached and many international meetings in Edinburgh, sensibility in the hand. J Bone Joint Surg (Br) 1958;40(3):454–76.
[2] Moberg E. Objective method of evaluating hand sensation and its use in
Turin, Rio de Janeiro led to the beginning of the International reconstructive surgery. J Bone Joint Surg (Am) 1959;41(4):777.
Federation. [3] Moberg E. Technical aspects of the transfer of neurovascular flaps. J Bone
In 1962, he presented the first annual Sterling Bunnell Joint Surg (Br) 1964;46:359.
Lecture to the American Society for Surgery of the Hand. The [4] Moberg E. Reconstructive hand surgery in tetraplegia Stroke and cerebral
palsy: some basic concepts in physiology and neurology. J Hand Surg (Am)
title of the lecture was ‘‘Aspects of sensation in reconstructive
1976;I(I):29–34.
surgery of the upper extremity’’. Erik Moberg made several [5] Moberg E. The upper limb in tetraplegia: a new approach to surgical
important scientific contributions in the field of hand surgery. rehabilitation. Stuttgart: Georg Thieme Verlag; 1978.
He was especially interested in sensibility and he introduced the [6] Hagert CG. Erik Moberg 1905–1993. Acta Orthop Scand 1993;64(6):717–
term ‘‘academic sensation’’ or tactile-gnosis type of sensi- 24.
motor feed-back driven performance-related sensation (‘‘what [7] Dellon AL. The sensational contributions of Erik Moberg. J Hand Surg (Br)
1990;15B:14–24.
a hand can do’’) as opposed to functional or discriminatory
sensation [1,2]. He devised methods of ‘‘transferring sensa-
tion’’ by moving island flaps from a less important area to ´
J. Friden*
contact surface for grips [3]. He also spoke of early M. Knall
synovectomy for the small joints in rheumatoid disease. Department of Hand Surgery, Sahlgrenska University Hospital,
In 1968, Erik was elected as the very first president of the SE-413 45 Göteborg, Sweden
International Federation of Societies for Surgery of the Hand,
IFSSH. In 1969 Sweden became the first country in the world to *Corresponding author
have hand surgery recognized as a separate specialty. Moberg E-mail address: jan.friden@orthop.gu.se