The knowledge of variety of chronic total occlusion (CTO) hardware and the ability to use them represents the key to success of any CTO interventions. However, the multiplicity of CTO hardware and their physical character and the terminology used by experts create confusion in the mind of an average interventional cardiologist, particularly a beginner in this field. This knowledge is available but is scattered. We aim to classify and compare the currently used devices based on their properties focusing on how physical character of each device can be utilized in a specific situation, thus clarifying and simplifying the technical discourse
Despite the advances in wire technology and development of algorithm-driven methodology for chronic
total occlusion (CTO) intervention, there is a void in the literature about the technical aspects of CTO wiring.
The Asia Pacific CTO Club, a group of 10 experienced operators in the Asia Pacific region, has tried to fill this
void with this state-of-the-art review on CTO wiring
The knowledge of variety of chronic total occlusion (CTO) hardware and the ability to use them represents the key to success of any CTO interventions. However, the multiplicity of CTO hardware and their physical character and the terminology used by experts create confusion in the mind of an average interventional cardiologist, particularly a beginner in this field. This knowledge is available but is scattered. We aim to classify and compare the currently used devices based on their properties focusing on how physical character of each device can be utilized in a specific situation, thus clarifying and simplifying the technical discourse
Despite the advances in wire technology and development of algorithm-driven methodology for chronic
total occlusion (CTO) intervention, there is a void in the literature about the technical aspects of CTO wiring.
The Asia Pacific CTO Club, a group of 10 experienced operators in the Asia Pacific region, has tried to fill this
void with this state-of-the-art review on CTO wiring
This report takes a look into the patenting activity around thin film batteries uncovering the inventors, the companies and key technologies.This report focuses on how Patent data can help uncover the trends, gaps and opportunities that exist around this area. You will find the information on the research activity, existing & emerging trends in the different technological advancements in thin film batteries.This report was prepared by mining patent data using Patent iNSIGHT Pro, a comprehensive patent analysis platform that helps one accelerate time-to-decision from patent analysis activities.
How to plan and execute contractile measurements in permeabilized muscle fibe...InsideScientific
Join Matt Borkowski and Dr. Tim West for this informative webinar covering the A-to-Z of assessing muscle performance and contractile function in single muscle fibers.
For more information: https://insidescientific.com/webinar/how-plan-execute-contractile-measurements-permeabilized-muscle-fibers-aurora-scientific
The Future of Personalized Implants in Joint Replacement: Additive, Robotics,...April Bright
Orthopedics is primed for mass customization of implants thanks to advancements in additive, AI and robotics. Fully leveraged, the technologies can produce patient-specific implants that achieve clinical benefit, decrease cost and maintain O.R. workflow. Founder and Chief Medical Officer of Monogram Orthopaedics, Douglas Unis, M.D., shares his reimagined vision of personalized joint replacement implants and just-in-time inventory solutions.
PermAlert leak detection systems are ideally-suited for fuel systems, emergency generator rooms, raised floors, and containment piping. Learn more about PermAlert PAL-AT and LiquidWatch systems. Contact www.hurtado.cc for additional information.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Stylianos Pyxaras: Keynote: My essential tips & tricks for success in retrogr...Euro CTO Club
14th Experts Live CTO
September 2nd - 3rd, 2022 - Mainz, Germany
AGIK Parallel Session - Session 4:
The 101 of the global consensus approaches
Keynote: My essential tips & tricks for success in retrograde approach
Stylianos Pyxaras, Fürth, Germany
Room:
West Foyer - Saturday 9:55
Chairmen:
Harald Lapp, Bad Berka, Germany;
Jaroslaw Wójcik, Lublin, Poland;
Tommaso Gori, Mainz, Germany
The purpose of this project is to design a system for Arbutus Medical that enables a commercially-available power tool to be used as a sterilizable, low-cost surgical saw.
Running head PROPOSAL FOR BONE DENSITY 1 .docxSUBHI7
Running head: PROPOSAL FOR BONE DENSITY 1
Proposal for Hologic QDR 4500 Elite Bone Densitometer
Student Name
Adventist University of Health Sciences
PROPOSAL FOR BONE DENSITY
UNIT 2
2
TABLE OF CONTENTS
1.0 ABSTRACT……………………………………………………………………………3
2.0 PROBLEM SUMMARY………………………………………………………….......4
2.1 Statistics and Demographics…………………………………………………………….4
2.1 Analysis………………………………………………………………………………....5
3.0 PROJECT DESCRIPTION…………………………………………………………..7
3.1 Relevant Alternatives…………………………………………………………………...8
3.2 Work Plan……………………………………………………………………………….8
3.3 Significance……………………………………………………………………………..9
4.0 METHODS…………………………………………………………………………….10
5.0 BARRIERS…………………………………………………………………………....12
6.0 BUDGET……………………………………………………………………………....12
6.1 Projected Reimbursement……………………………………………………………….14
7.0 TIMELINE…………………………………………………………………………….14
8.0 EMPLOYEE QUALIFICATIONS…………………………………………………..15
9.0 References……………………………………………………………………………...16
PROPOSAL FOR BONE DENSITY
UNIT 3
3
1.0 Abstract
The radiology department at Claiborne Medical Center does not currently have a bone density
unit. Bone density scanning, also called dual-energy x-ray absorptiometry, or DEXA scan, can
generate higher volumes of patients that patronize the facility, thereby having a significant
impact on revenue for the hospital. A used bone density unit is available at a sister facility. This
facility is upgrading their equipment and their current bone density unit is on the market. This
unit can be purchased for a fraction of the cost of a new unit. Bone fragility in men and women
65 years and older along with younger postmenopausal women who have certain risk factors for
osteoporosis can be evaluated with DEXA scan using only a small amount of radiation. DEXA
scan is considered preventive medicine because it can diagnose and result in the treatment of
osteoporosis and as a result decrease the amount fractures that can occur due to brittle bones.
The following proposal will display the need for a bone density unit and how it can be beneficial
for the facility as well as patients.
PROPOSAL FOR BONE DENSITY
UNIT 4
4
2.0 Problem Summary
Claiborne Medical Center does not currently have the capabilities to perform DEXA scans.
There is no known clinic or facility in the area that performs DEXA scans, resulting in patients
driving approximately 45 minutes to another facility.
2.1 Statistics and Demographics
Statistics show that approximately 25 percent of women and 6 percent of men have
osteoporosis. These numbers increase when involving osteopenia, where bone loss is apparent
but has not reached osteoporosis. Almost half of seniors (48 percent)-more than 52 percent
being women and 44 percent being men-have osteopenia (Osteoporosis Facts and Statistics,
n.d.).
2.2 Analysis
A SWOT analysis (Figure 1) was perf ...
Jan Malte Sinning: Keynote: My essential tips & tricks for success in antegra...Euro CTO Club
14th Experts Live CTO
September 2nd - 3rd, 2022 - Mainz, Germany
AGIK Parallel Session - Session 3:
The 101 of antegrade approach
Keynote: My essential tips & tricks for success in antegrade approach
Jan Malte Sinning, Köln, Germany
Room:
West Foyer - Friday 16:10
Chairmen:
Michael Behnes, Mannheim, Germany;
Felix Woitek, Dresden, Germany
Percutaneous balloon dilatation, first described by
Andreas Gruentzig in 1979, was initially performed
without the use of guidewires.1 The prototype
balloon catheter was developed as a double lumen
catheter (one lumen for pressure monitoring or
distal perfusion, the other lumen for balloon inflation/deflation) with a short fixed and atraumatic
guidewire at the tip. Indeed, initially the technique
involved advancing a rather rigid balloon catheter
freely without much torque control into a coronary
artery. Bends, tortuosities, angulations, bifurcations,
and eccentric lesions could hardly, if at all, be negotiated, resulting in a rather frustrating low procedural success rate whenever the initial limited
indications (proximal, short, concentric, noncalcified) were negated.2 Luck was almost as
important as expertise, not only for the operator,
but also for the patient. It is to the merit of
Simpson who, in 1982, introduced the novelty of
advancing the balloon catheter over a removable
guidewire, which had first been advanced in the
target vessel.3 This major technical improvement
resulted overnight in a notable increase in the procedural success rate. Guidewires have since evolved
into very sophisticated devices.
15th Experts Live CTO - Carlo Di Mario: ConclusionsEuro CTO Club
PLENARY SESSION
Wrap up of live cases, awards to the winners of the best abstracts and case competitions and take home messages
Auditorium Zubin Mehta - Saturday 16:00 - 17:00
Speakers:
Daniela Benedetto (Rome),
Francesco Burzotta (Rome),
Carlo Di Mario (Florence),
Roberto Garbo (Turin),
Rocco Stio (Rome)
Challengers:
Stelios Pyxaras (Furth - D),
Sudhir Rathore (London - UK)
Discussants:
Shunsuke Matsuno (Tokyo - J),
Alexander Nap (Amsterdam - NL),
Masahisa Yamane (Tokyo - J)
___________________________________________
15th Experts Live CTO,
EUROCTO Club meeting in partnership with the GISE CTO meeting.
September 8th - 9th, 2023
Florence, Italy
Francesco Burzotta: Wrap up Gemelli CasesEuro CTO Club
PLENARY SESSION
Wrap up of live cases, awards to the winners of the best abstracts and case competitions and take home messages
Auditorium Zubin Mehta - Saturday 16:00 - 17:00
Speakers:
Daniela Benedetto (Rome),
Francesco Burzotta (Rome),
Carlo Di Mario (Florence),
Roberto Garbo (Turin),
Rocco Stio (Rome)
Challengers:
Stelios Pyxaras (Furth - D),
Sudhir Rathore (London - UK)
Discussants:
Shunsuke Matsuno (Tokyo - J),
Alexander Nap (Amsterdam - NL),
Masahisa Yamane (Tokyo - J)
___________________________________________
15th Experts Live CTO,
EUROCTO Club meeting in partnership with the GISE CTO meeting.
September 8th - 9th, 2023
Florence, Italy
More Related Content
Similar to Erik Rafflenbeul: Guidewires – which one in which situation?
This report takes a look into the patenting activity around thin film batteries uncovering the inventors, the companies and key technologies.This report focuses on how Patent data can help uncover the trends, gaps and opportunities that exist around this area. You will find the information on the research activity, existing & emerging trends in the different technological advancements in thin film batteries.This report was prepared by mining patent data using Patent iNSIGHT Pro, a comprehensive patent analysis platform that helps one accelerate time-to-decision from patent analysis activities.
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Join Matt Borkowski and Dr. Tim West for this informative webinar covering the A-to-Z of assessing muscle performance and contractile function in single muscle fibers.
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The Future of Personalized Implants in Joint Replacement: Additive, Robotics,...April Bright
Orthopedics is primed for mass customization of implants thanks to advancements in additive, AI and robotics. Fully leveraged, the technologies can produce patient-specific implants that achieve clinical benefit, decrease cost and maintain O.R. workflow. Founder and Chief Medical Officer of Monogram Orthopaedics, Douglas Unis, M.D., shares his reimagined vision of personalized joint replacement implants and just-in-time inventory solutions.
PermAlert leak detection systems are ideally-suited for fuel systems, emergency generator rooms, raised floors, and containment piping. Learn more about PermAlert PAL-AT and LiquidWatch systems. Contact www.hurtado.cc for additional information.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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www.indiandentalacademy.com
Stylianos Pyxaras: Keynote: My essential tips & tricks for success in retrogr...Euro CTO Club
14th Experts Live CTO
September 2nd - 3rd, 2022 - Mainz, Germany
AGIK Parallel Session - Session 4:
The 101 of the global consensus approaches
Keynote: My essential tips & tricks for success in retrograde approach
Stylianos Pyxaras, Fürth, Germany
Room:
West Foyer - Saturday 9:55
Chairmen:
Harald Lapp, Bad Berka, Germany;
Jaroslaw Wójcik, Lublin, Poland;
Tommaso Gori, Mainz, Germany
The purpose of this project is to design a system for Arbutus Medical that enables a commercially-available power tool to be used as a sterilizable, low-cost surgical saw.
Running head PROPOSAL FOR BONE DENSITY 1 .docxSUBHI7
Running head: PROPOSAL FOR BONE DENSITY 1
Proposal for Hologic QDR 4500 Elite Bone Densitometer
Student Name
Adventist University of Health Sciences
PROPOSAL FOR BONE DENSITY
UNIT 2
2
TABLE OF CONTENTS
1.0 ABSTRACT……………………………………………………………………………3
2.0 PROBLEM SUMMARY………………………………………………………….......4
2.1 Statistics and Demographics…………………………………………………………….4
2.1 Analysis………………………………………………………………………………....5
3.0 PROJECT DESCRIPTION…………………………………………………………..7
3.1 Relevant Alternatives…………………………………………………………………...8
3.2 Work Plan……………………………………………………………………………….8
3.3 Significance……………………………………………………………………………..9
4.0 METHODS…………………………………………………………………………….10
5.0 BARRIERS…………………………………………………………………………....12
6.0 BUDGET……………………………………………………………………………....12
6.1 Projected Reimbursement……………………………………………………………….14
7.0 TIMELINE…………………………………………………………………………….14
8.0 EMPLOYEE QUALIFICATIONS…………………………………………………..15
9.0 References……………………………………………………………………………...16
PROPOSAL FOR BONE DENSITY
UNIT 3
3
1.0 Abstract
The radiology department at Claiborne Medical Center does not currently have a bone density
unit. Bone density scanning, also called dual-energy x-ray absorptiometry, or DEXA scan, can
generate higher volumes of patients that patronize the facility, thereby having a significant
impact on revenue for the hospital. A used bone density unit is available at a sister facility. This
facility is upgrading their equipment and their current bone density unit is on the market. This
unit can be purchased for a fraction of the cost of a new unit. Bone fragility in men and women
65 years and older along with younger postmenopausal women who have certain risk factors for
osteoporosis can be evaluated with DEXA scan using only a small amount of radiation. DEXA
scan is considered preventive medicine because it can diagnose and result in the treatment of
osteoporosis and as a result decrease the amount fractures that can occur due to brittle bones.
The following proposal will display the need for a bone density unit and how it can be beneficial
for the facility as well as patients.
PROPOSAL FOR BONE DENSITY
UNIT 4
4
2.0 Problem Summary
Claiborne Medical Center does not currently have the capabilities to perform DEXA scans.
There is no known clinic or facility in the area that performs DEXA scans, resulting in patients
driving approximately 45 minutes to another facility.
2.1 Statistics and Demographics
Statistics show that approximately 25 percent of women and 6 percent of men have
osteoporosis. These numbers increase when involving osteopenia, where bone loss is apparent
but has not reached osteoporosis. Almost half of seniors (48 percent)-more than 52 percent
being women and 44 percent being men-have osteopenia (Osteoporosis Facts and Statistics,
n.d.).
2.2 Analysis
A SWOT analysis (Figure 1) was perf ...
Jan Malte Sinning: Keynote: My essential tips & tricks for success in antegra...Euro CTO Club
14th Experts Live CTO
September 2nd - 3rd, 2022 - Mainz, Germany
AGIK Parallel Session - Session 3:
The 101 of antegrade approach
Keynote: My essential tips & tricks for success in antegrade approach
Jan Malte Sinning, Köln, Germany
Room:
West Foyer - Friday 16:10
Chairmen:
Michael Behnes, Mannheim, Germany;
Felix Woitek, Dresden, Germany
Percutaneous balloon dilatation, first described by
Andreas Gruentzig in 1979, was initially performed
without the use of guidewires.1 The prototype
balloon catheter was developed as a double lumen
catheter (one lumen for pressure monitoring or
distal perfusion, the other lumen for balloon inflation/deflation) with a short fixed and atraumatic
guidewire at the tip. Indeed, initially the technique
involved advancing a rather rigid balloon catheter
freely without much torque control into a coronary
artery. Bends, tortuosities, angulations, bifurcations,
and eccentric lesions could hardly, if at all, be negotiated, resulting in a rather frustrating low procedural success rate whenever the initial limited
indications (proximal, short, concentric, noncalcified) were negated.2 Luck was almost as
important as expertise, not only for the operator,
but also for the patient. It is to the merit of
Simpson who, in 1982, introduced the novelty of
advancing the balloon catheter over a removable
guidewire, which had first been advanced in the
target vessel.3 This major technical improvement
resulted overnight in a notable increase in the procedural success rate. Guidewires have since evolved
into very sophisticated devices.
Similar to Erik Rafflenbeul: Guidewires – which one in which situation? (20)
15th Experts Live CTO - Carlo Di Mario: ConclusionsEuro CTO Club
PLENARY SESSION
Wrap up of live cases, awards to the winners of the best abstracts and case competitions and take home messages
Auditorium Zubin Mehta - Saturday 16:00 - 17:00
Speakers:
Daniela Benedetto (Rome),
Francesco Burzotta (Rome),
Carlo Di Mario (Florence),
Roberto Garbo (Turin),
Rocco Stio (Rome)
Challengers:
Stelios Pyxaras (Furth - D),
Sudhir Rathore (London - UK)
Discussants:
Shunsuke Matsuno (Tokyo - J),
Alexander Nap (Amsterdam - NL),
Masahisa Yamane (Tokyo - J)
___________________________________________
15th Experts Live CTO,
EUROCTO Club meeting in partnership with the GISE CTO meeting.
September 8th - 9th, 2023
Florence, Italy
Francesco Burzotta: Wrap up Gemelli CasesEuro CTO Club
PLENARY SESSION
Wrap up of live cases, awards to the winners of the best abstracts and case competitions and take home messages
Auditorium Zubin Mehta - Saturday 16:00 - 17:00
Speakers:
Daniela Benedetto (Rome),
Francesco Burzotta (Rome),
Carlo Di Mario (Florence),
Roberto Garbo (Turin),
Rocco Stio (Rome)
Challengers:
Stelios Pyxaras (Furth - D),
Sudhir Rathore (London - UK)
Discussants:
Shunsuke Matsuno (Tokyo - J),
Alexander Nap (Amsterdam - NL),
Masahisa Yamane (Tokyo - J)
___________________________________________
15th Experts Live CTO,
EUROCTO Club meeting in partnership with the GISE CTO meeting.
September 8th - 9th, 2023
Florence, Italy
Jonathan Hill: Role of mechanica support in CTO recanalizationEuro CTO Club
10:42
Role of mechanica support in CTO recanalization
Jonathan Hill (London - UK)
___________________________________________
PARALLEL SESSION
Challenges And Opportunities In Cto Recanalization
Auditorium Zubin Mehta - Saturday 10:00 - 11:10
Chairperson:
Jonathan Hill (London - UK)
Discussants:
Lesnek Bryniarski (Krakow - PL),
Ugo Fabrizio (Vercelli),
Paul Knaapen (Amsterdam - NL),
Eugenio La Scala (Ollioiouls - F)
___________________________________________
15th Experts Live CTO,
EUROCTO Club meeting in partnership with the GISE CTO meeting.
September 8th - 9th, 2023
Florence, Italy
Gregor Leibundgut: Role of DEB in CTO-PCIEuro CTO Club
10:35 Role of DEB in CTO-PCI
Gregor Leibundgut (Basel - CH)
___________________________________________
PARALLEL SESSION
Challenges And Opportunities In Cto Recanalization
Auditorium Zubin Mehta - Saturday 10:00 - 11:10
Chairperson:
Jonathan Hill (London - UK)
Discussants:
Lesnek Bryniarski (Krakow - PL),
Ugo Fabrizio (Vercelli),
Paul Knaapen (Amsterdam - NL),
Eugenio La Scala (Ollioiouls - F)
___________________________________________
15th Experts Live CTO,
EUROCTO Club meeting in partnership with the GISE CTO meeting.
September 8th - 9th, 2023
Florence, Italy
Kambis Mashayekhi: EuroCTO Consensus on treatment of Calcified CTO lesion Eur...Euro CTO Club
AUDITORIUM ZUBIN MEHTA
08/09/2023 04:30 - 05:20
PLENARY SESSION - INTERVENTIONAL CTO & CHIP RESEARCH Best CTO Publications 2022-23 (selected by the Editors of the Cardiology Interventional journals)
Emmanouil S. Brilakis - CTO PCI Outcome associated with poor quality of the d...Euro CTO Club
16:53
CTO PCI Outcome associated with poor quality of the distal target vessel
Emmanouil Brilakis (Minneapolis - USA)
_____________________________________________
PARALLEL SESSION
Interventional CTO & Chip Research
Best CTO Publications 2022-23 (selected by the Editors of the Cardiology Interventional journals)
Auditorium Zubin Mehta - Friday 16:30 - 17:16
Chairpersons:
Davide Capodanno (Catania),
Carlo Di Mario (Florence),
Giuseppe Tarantini (Padua)
Panelist:
Roberto Diletti (Rotterdam - NL),
Giovanni Esposito (Naples),
Paul Knaapen (Amsterdam - NL),
Maksymilian Opolski (Warsaw - PL)
___________________________________________
15th Experts Live CTO,
EUROCTO Club meeting in partnership with the GISE CTO meeting.
September 8th - 9th, 2023
Florence, Italy
Mario Iannaccone - 2 EuroCTO Consensus on Guide Catheter Extensions JACC Card...Euro CTO Club
16:33
EuroCTO Consensus on Guide Catheter Extensions JACC Cardiovasc Interventions
Mario Iannaccone (Turin)
_____________________________________________
PARALLEL SESSION
Interventional CTO & Chip Research
Best CTO Publications 2022-23 (selected by the Editors of the Cardiology Interventional journals)
Auditorium Zubin Mehta - Friday 16:30 - 17:16
Chairpersons:
Davide Capodanno (Catania),
Carlo Di Mario (Florence),
Giuseppe Tarantini (Padua)
Panelist:
Roberto Diletti (Rotterdam - NL),
Giovanni Esposito (Naples),
Paul Knaapen (Amsterdam - NL),
Maksymilian Opolski (Warsaw - PL)
___________________________________________
15th Experts Live CTO,
EUROCTO Club meeting in partnership with the GISE CTO meeting.
September 8th - 9th, 2023
Florence, Italy
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
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Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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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
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Erik Rafflenbeul: Guidewires – which one in which situation?
1. Erik Rafflenbeul
Schön Klinik Hamburg Eilbek
Innere Medizin und Kardiologie
Guidewires – which one in which situation?
AGIK Session 2
Essential tools for CTO-PCI
@KardiologieHH
Guidewires – which one in which situation?
@KardiologieHH
2. @KardiologieHH
Guidewires – which one in which situation?
Conflict of interests
Affiliation/Financial
Relationship
Company
1. Honoraria for lectures Abbott, AstraZeneca, Bristol Myers
Squibb, Daiichi Sankyo, Pfizer
2. Honoraria for advisory
board activities
Shockwave Medical
3. Participation in clinical
trials
Impulse Dynamics (ODOOCR II trial)
4. Research funding -
11. @KardiologieHH
Guidewires – which one in which situation?
Tip load
0.8g
Tip load
3.0g
Tip load
3.0g
Fielder XT
Differential tip load
Moving the microcatheter
closer to the wire tip will
increase the effective tip load
As the wire passes further through the
lesion, dense plaque may collar the wire
and increase the effective tip load
Increasing tip load with Microcatheter
14. @KardiologieHH
Guidewires – which one in which situation?
Four different tasks
Wiring CTO
with Tapered
Cap
Wiring CTO with
Blunt Proximal
Cap
Wiring CTO +
Navigating
Calcium
Wiring
Collaterals
15. @KardiologieHH
Guidewires – which one in which situation?
Wiring CTO
with Tapered Cap
Fielder XT-R or XT-A
Fighter
Bandit
Escalate Option: Gladius or PILOT 200
You can compare a CTO-PCI with painting a picture….You need a lot to do this: a screen, painting colors,, paint brushes and most important you need a plan to get your result – a picture or a successfull CTO PCI. In the next 15 minutes I hopefully will guide you in filling your toolbox with the right guidewires for their supposed task to get your CTO picture painted.
Guidewires are the backbone for any PCI. No Wire, no PCI
Like there a many piant brushes to paint a picture there are > 300 wires available worldwide.
I highly recommend to downlad. The second Edition of CTO Toolbox by Dr. Kovacic
You can scan the QR Code to download the PDFwhich is covering all stuff you need to know about in CTO directly.
It isgiving an excellent overview over 43 wires available in Europe with each characteristic wire anatomy and a lot tips and tricks
Coming back to the picture comparing a brush ( to a wire you can see that it is not very different in construction.
But let´s go into detail.
Wire components and engineerging dictate wire properties.
This is the wire anatomy which consists of 3 main components:
The Core - which in most wires is made of stainless steel or nitinol
The Coil - that goes around the core
And The Coating - which covers the coial or even more of the shaft
The combination of CORE, COIL and COATING and the anatomy of the tip, which is the most complex component of the wire, is giving each wire its unique features, feeling and purpose.
There is no substitute for tactile feel…Unfortunatelly for you in the audience I can´t translate the sense of having the wire there. BUT I hopefully can introduce you in basical principles of functionality and differents situations for CTO wires. And I promise you: The Understanding of wire properties and wire tasks will lead to a higher successrate.
So take the chance and visit a hands on workshop here in the sessions area after this session.
This is a very busy slide. It is separating the wires according to being polymeric or non polymeric, on beeing tapered or non-tappered and to their tipload.
The Tipload is the maximum force the guidewire can be loaded actually before it buckles.
So when we talk about Tip Load it is better to say effective tip load which is the range from minimal tip load to maximal tip load a wire can achieve.
Bandit: polymeric soft tapered tip wire with a TL auf 0.8g can increase to 4g by bringing the microcatheter nearer to the tip of the wire
You can also see that there are overlapping zones.
All CTOs are different
Starting from the proximal cap, the CTO body and the distal cap. The course can be visible or ambigious with or without sidebraches.
A can go from A to B
or you need more stops with wire escalation and deescalation strategies.
So I will guide you through 4 different scenarios
Look at the cab: Is it tapered? Is it blunt? Or is it ambigous?
Is it long segment or short segment CTO
Is it calcified or non/less calcified
In Tapered Cap short CTO you aim to find the loose tissue track of the CTO. Wire requierments are (PICTURE)
According to this task options are: Fielder Family, Fighter Wire or Bandit. If you not succeed (my maximum is 10 minutes of fluro) I would switch to a heavier non-tapered polymeric wire like a Gladius or Pilot 200
In blunt proximal Cap CTO and the course is not ambigous you need a stiff penetrative wire
According to this task my options are: Confianza Pro 12, Astato wires or a Warrior wire
In calcified CTO you have to tackle the cap, you need penetration force, but you also need
high torque controll and flexibility of thge shaft.
1:1 torque. No Wipping. Making the way through calcium easier with pushing and pulling when the wire tip deflects.
When you are going retrograde and you need totally different wire properties.
Suoh is the softest available wire to pass tortous anatomy with lower risk to injure epicardials
When you look at Euro CTO Club data you see that the "workhorse" is still the Fielder XT R or Afollowed by the Gaia.
In conclusion you see that we need to understand our equitment and the task. With nowing the specifics and having a plan before tackeling the CTO you will be more successfull.
So know the equitment in your lab…find your wire coposition and sort out what you like and dislike to get your perfect CTO picture.
BUT please: Dont be a Doc of all wires and a master of none.
So know the equitment in your lab…find your wire coposition and sort out what you like and dislike to get your perfect CTO picture.
BUT please: Dont be a Doc of all wires and a master of none.
