Fixation of uterus after whole hysterectomy
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Hysterectomy is the surgical removal of the uterus, and sometimes also involves removing the cervix, ovaries, fallopian tubes and surrounding structures. The document discusses different types of hysterectomy based on what is removed, and recommends placing excised specimens in neutral buffer formalin fixative immediately after removal and before opening, keeping the tissue thickness between 1-1.5cm, for 48 hours at 20-22°C to ensure proper fixation and prevent distortion.
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This document discusses various surgical methods for sterilizing dogs and cats, including traditional midline ovariohysterectomy, lateral flank ovariohysterectomy, castration, early age gonadectomy, ovariectomy, laparoscopic ovariohysterectomy and ovariectomy, and vasectomy. It reviews the surgical principles, potential complications, outcomes, and current literature for each technique. The lateral flank approach is described as an alternative to traditional midline ovariohysterectomy, offering some advantages such as less risk of evisceration if dehiscence occurs, though it provides more limited exposure, especially of the contralateral side if complications arise.
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The document discusses different types of intestinal ostomies including colostomies. It describes the procedure for colostomy care including necessary supplies, assessment of the stoma, cleaning and changing the pouch and barrier. Guidelines are provided such as checking the stoma regularly, keeping the skin clean and dry, and recording intake and output. Drainable pouches are used when frequent emptying is needed and one-piece or two-piece pouches can be used.
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Catheterization is the process of inserting a catheter into the urinary tract. It is used to drain urine from the bladder for various clinical reasons like surgery, inability to void, or monitoring urine output. The proper procedure involves preparing the patient and environment, selecting the correct catheter size and type, cleaning the perineal area aseptically, lubricating the catheter, and slowly inserting it into the urethra until urine flows or the catheter is at the proper depth. The balloon is then inflated to retain the catheter and the drainage bag is attached to collect urine. Catheterization must be done aseptically to prevent urinary tract infections.
Tissue processing DMLT II 2023.pptx
This document discusses the process of histopathology specimen processing. There are several key steps:
1) Tissue specimens are fixed, typically in formalin, to preserve their structure. 2) The tissues then undergo dehydration using increasing concentrations of alcohol, followed by clearing with xylene to remove the alcohol. 3) The tissues are then infiltrated with paraffin wax through impregnation to harden them. 4) The tissues are embedded in paraffin blocks. 5) Sections are cut from the paraffin blocks using a microtome and placed on slides. The slides are then stained to visualize the tissue structures under a microscope.
Cervical Incompetence
Cervical incompetence is the inability for the cervix to retain an intra-uterine pregnancy till term as a result of structural and functional defects of the cervix.
Caesarean section
This document discusses caesarean section in animals. It defines caesarean section as the delivery of the fetus through laparohysterotomy. It lists common indications for caesarean section including fetal malposition and various maternal conditions. It describes the surgical technique including opening the flank, locating the uterus, opening the uterus, removing the fetus, managing the placenta, and closing incisions. It also discusses postoperative care, complications, and references.
Aboualfalah removable uterine compression suture
This article describes a new removable uterine compression suture technique for managing severe postpartum hemorrhage as an alternative to hysterectomy. The technique involves passing a non-absorbable suture through the abdominal wall and lower uterine segment on both sides to compress the uterus against the pubis. Unique to this technique, the sutures are removed 24-48 hours later to prevent uterine synechia while maintaining hemostasis. In testing on 15 patients with PPH, hemostasis was achieved in all cases with one secondary hysterectomy. No complications were reported. The removable suture may offer an effective new option for PPH treatment by controlling bleeding while preserving fertility.
Cervical Biopsy - Obstetrics & Gynaecology
Cervical biopsy is a procedure to remove a small sample of cervical tissue for examination under a microscope to diagnose cervical cancer or precancerous conditions. There are several types of cervical biopsies: punch biopsy uses small forceps, wedge biopsy cuts out a wedge-shaped sample, ring biopsy removes the entire squamocolumnar junction, and cone biopsy removes a cone-shaped sample of cervical tissue for both diagnostic and therapeutic purposes. Complications can include bleeding, cervical stenosis, infertility, and cervical incompetence.
Torsion testis - Operative chat
This document discusses testicular torsion, including:
1. It is a surgical emergency where the spermatic cord twists, compromising blood flow to the testicle. Manual detorsion may be attempted but often requires exploration and fixation to prevent recurrence.
2. Intraoperative assessment of viability involves checking for bleeding after a small incision, and orchiopexy or orchiectomy is performed accordingly.
3. Various fixation techniques are described to prevent recurrent torsion, including tacking the tunica albuginea to the dartos layer with sutures in multiple locations.
Similar to Fixation of uterus after whole hysterectomy (20)
CYTOLOGY-SAMPLE COLLECTION, Introduction to cytology
CYTOLOGY-SAMPLE COLLECTION, Introduction to cytology
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Iron deficiency anaemia
This document discusses iron deficiency anemia, including its causes, signs and symptoms, diagnostic tests, and differential diagnosis. It notes that iron deficiency anemia is the most common cause of anemia and results from absent or decreased iron stores combined with low serum ferritin levels. The document outlines how iron is absorbed, transported, and stored in the body. It also lists common signs of iron deficiency anemia such as fatigue, angular stomatitis, and nail changes. Diagnostic tests discussed include complete blood count, serum iron, total iron binding capacity, serum ferritin, and bone marrow examination. Thalassemia, lead poisoning, and anemia of chronic disease are mentioned as conditions in the differential diagnosis.
Urine examination
This document discusses urine examination and laboratory testing. It defines urine and lists possible pathogens found in urine like bacteria, parasites, and fungi. It describes proper procedures for collecting, transporting, and testing urine samples. The laboratory examination may include visual inspection for color and turbidity, microscopic examination for cells and crystals, biochemical testing, and cultures to identify bacteria, quantify bacterial growth, and test antibiotic susceptibility. Urine can also be tested for conditions like pregnancy and urinary tract infections.
Fixation of special substances
Formaldehyde and glutaraldehyde are commonly used crosslinking fixatives that terminate biochemical reactions and preserve tissues from decay by creating covalent bonds between proteins. Different fixatives are chosen based on the target molecule - for example, frozen sections are used to preserve lipids, while alcoholic fixatives are used for glycogen fixation. The choice of fixative also depends on subsequent testing methods.
Megaloblastic anaemia
This document discusses megaloblastic anemia, a type of anemia caused by a defect in DNA synthesis where erythroblast maturation in the bone marrow is delayed. It is usually caused by deficiencies in vitamin B12 or folic acid. The document provides details on sources of vitamin B12 and folic acid, daily requirements, places of absorption in the body, and common causes of deficiencies, including inadequate intrinsic factor production, gastrointestinal diseases, vegetarian diets, and medications.
Pre tranfusion test
Pre-transfusion tests are performed to ensure blood compatibility and safety. These include determining the recipient's blood group and Rh type, screening the recipient's serum for antibodies, and performing a cross-match test between the recipient's serum and donor red blood cells to detect any agglutination. Additional safety tests are done on donor blood to identify infections like HIV, hepatitis B and C, and syphilis. Together these tests help select immunologically compatible blood to minimize adverse transfusion reactions in recipients.
Presentation1 of ayesha
Mixing studies involve mixing a patient's plasma with normal plasma to distinguish factor deficiencies from inhibitors. If the APTT or PT is corrected with normal plasma, a factor deficiency is indicated. If there is no immediate correction, a strong inhibitor is present. A time-dependent inhibitor may initially correct the clotting time but prolongation will occur after incubation. Different types of abnormal or deficient plasma can identify specific missing clotting factors when used in mixing studies.
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HMS Facebook Stories All V1 06092024.docx
The conversations on Facebook from the Herringswell Manor School group from 2009 to the first half of 2024
UR BHATTI ACADEMY AND ONLINE COURSES.pdf
UR BHatti Academy dedicated to providing the finest IT courses training in the world. Under the guidance of experienced trainer Usman Rasheed Bhatti, we have established ourselves as a professional online training firm offering unparalleled courses in Pakistan. Our academy is a trailblazer in Dijkot, being the first institute to officially provide training to all students at their preferred schedules, led by real-world industry professionals and Google certified staff.
一比一原版(AU毕业证)英国阿伯丁大学毕业证如何办理
AU毕业证文凭证书【微信95270640】《英国阿伯丁大学毕业证书原版制作AU成绩单》【Q微信95270640】《仿制AU毕业证成绩单英国阿伯丁大学学位证书pdf电子图》，A.为什么留学生需要操作留信认证?
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留信认证全称全国留学生信息服务网认证,隶属于北京中科院。①留信认证门槛条件更低,费用更美丽,并且包过,完单周期短,效率高②留信认证虽然不能去国企,但是一般的公司都没有问题,因为国内很多公司连基本的留学生学历认证都不了解。这对于留学生来说,这就比自己光拿一个证书更有说服力,因为留学学历可以在留信网站上进行查询!
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Factors affecting undergraduate students’ motivation at a university in Tra Vinh
ABSTRACT: Motivation plays an important role in foreign language learning process. This study aimed to
investigate student’s motivation patterns towards English language learning at a University in Tra Vinh, and factors
affecting their motivation change toward English language learning of non-English-major students in the semester.
The researcher used semi-structured interview at the first phase of choosing the participants and writing reflection
through the instrument called “My English Learning Motivation History” adapted from Sawyer (2007) to collect
qualitative data within 15 weeks. The participants consisted of nine first year non-English-major students who learning
General English at pre-intermediate level. They were chosen and divided into three groups of three members each
(high motivation group; average motivation group; and low motivation group). The results of the present study
identified six visual motivation patterns of three groups of students with different motivation fluctuation, through the
use of cluster analysis. The study also indicated a diversity of factors affecting students’ motivation involving internal
factors as influencing factors (cognitive, psychology, and emotion) and external factors as social factors (instructor,
peers, family, and learning environment) during English language learning in a period of 15 weeks. The findings of
the study helped teacher understand relationship of motivation change and its influential factors. Furthermore, the
findings also inspired next research about motivation development in learning English process.
KEY WORDS: language learning motivation, motivation change, motivation patterns, influential factors, students’
motivation.
原版制作(Hull毕业证书)赫尔大学毕业证Offer一模一样
学校原件一模一样【微信：741003700 】《(Hull毕业证书)赫尔大学毕业证》【微信：741003700 】学位证，留信认证（真实可查，永久存档）原件一模一样纸张工艺/offer、雅思、外壳等材料/诚信可靠,可直接看成品样本，帮您解决无法毕业带来的各种难题！外壳，原版制作，诚信可靠，可直接看成品样本。行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备。十五年致力于帮助留学生解决难题，包您满意。
本公司拥有海外各大学样板无数，能完美还原。
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◇在校期间，因各种原因未能顺利毕业……拿不到官方毕业证【q/微741003700】
◇面对父母的压力，希望尽快拿到；
◇不清楚认证流程以及材料该如何准备；
◇回国时间很长，忘记办理；
◇回国马上就要找工作，办给用人单位看；
◇企事业单位必须要求办理的
◇需要报考公务员、购买免税车、落转户口
◇申请留学生创业基金
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
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The Impact of Work Stress and Digital Literacy on Employee Performance at PT ...
ABSTRACT :This research aims to analyze the correlation between employee work stress and digital literacy
with employee performance at PT Telkom Akses Area Cirebon, both concurrently and partially. Employing a
quantitative approach, the study's objectives are descriptive and causal, adopting a positivist paradigm with a
deductive approach to theory development and a survey research strategy. Findings reveal that work stress
negatively and significantly impacts employee performance, while digital literacy positively and significantly
affects it. Simultaneously, work stress and digital literacy have a positive and significant influence on employee
performance. It is anticipated that company management will devise workload management strategies to
alleviate work stress and assess the implementation of more efficient digital technology to enhance employee
performance.
KEYWORDS -digital literacy, employee performance,job stress, multiple regression analysis, workload
management
STUDY ON THE DEVELOPMENT STRATEGY OF HUZHOU TOURISM
ABSTRACT: Huzhou has rich tourism resources, as early as a considerable development since the reform and
opening up, especially in recent years, Huzhou tourism has ushered in a new period of development
opportunities. At present, Huzhou tourism has become one of the most characteristic tourist cities on the East
China tourism line. With the development of Huzhou City, the tourism industry has been further improved, and
the tourism degree of the whole city has further increased the transformation and upgrading of the tourism
industry. However, the development of tourism in Huzhou City still lags far behind the tourism development of
major cities in East China. This round of research mainly analyzes the current development of tourism in
Huzhou City, on the basis of analyzing the specific situation, pointed out that the current development of
Huzhou tourism problems, and then analyzes these problems one by one, and put forward some specific
solutions, so as to promote the further rapid development of tourism in Huzhou City.
KEYWORDS:Huzhou; Travel; Development
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快速办理(worcester毕业证书)伍斯特大学毕业证PDF成绩单一模一样
学校原件一模一样【微信：741003700 】《(worcester毕业证书)伍斯特大学毕业证PDF成绩单》【微信：741003700 】学位证，留信认证（真实可查，永久存档）原件一模一样纸张工艺/offer、雅思、外壳等材料/诚信可靠,可直接看成品样本，帮您解决无法毕业带来的各种难题！外壳，原版制作，诚信可靠，可直接看成品样本。行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备。十五年致力于帮助留学生解决难题，包您满意。
本公司拥有海外各大学样板无数，能完美还原。
1:1完美还原海外各大学毕业材料上的工艺：水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠。文字图案浮雕、激光镭射、紫外荧光、温感、复印防伪等防伪工艺。材料咨询办理、认证咨询办理请加学历顾问Q/微741003700
【主营项目】
一.毕业证【q微741003700】成绩单、使馆认证、教育部认证、雅思托福成绩单、学生卡等！
二.真实使馆公证(即留学回国人员证明,不成功不收费)
三.真实教育部学历学位认证（教育部存档！教育部留服网站永久可查）
四.办理各国各大学文凭(一对一专业服务,可全程监控跟踪进度)
如果您处于以下几种情况：
◇在校期间，因各种原因未能顺利毕业……拿不到官方毕业证【q/微741003700】
◇面对父母的压力，希望尽快拿到；
◇不清楚认证流程以及材料该如何准备；
◇回国时间很长，忘记办理；
◇回国马上就要找工作，办给用人单位看；
◇企事业单位必须要求办理的
◇需要报考公务员、购买免税车、落转户口
◇申请留学生创业基金
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
Recently uploaded (10)
Factors affecting undergraduate students’ motivation at a university in Tra Vinh
Factors affecting undergraduate students’ motivation at a university in Tra Vinh
The Impact of Work Stress and Digital Literacy on Employee Performance at PT ...
The Impact of Work Stress and Digital Literacy on Employee Performance at PT ...
STUDY ON THE DEVELOPMENT STRATEGY OF HUZHOU TOURISM
STUDY ON THE DEVELOPMENT STRATEGY OF HUZHOU TOURISM
Fixation of uterus after whole hysterectomy
- 3. • Hysterectomy is the surgical removal of the uterus. It may also involve removal of the cervix, ovaries, fallopian tubes and other surrounding structure. • • • • • Type of hysterectomy Shape of uterus Endometrium Cervix Myomas
- 4. • Hysterectomy, in the literal sense of the word, means merely removal of the uterus. However other organs such as ovaries, fallopian tubes and the cervix are very frequently removed as part of the surgery. : complete removal of the uterus, cervix, upper vagina, and parametrium Indicated for cancer. : Complete removal of the uterus and cervix, with or without oophorectomy. : removal of the uterus, leaving the cervix.
- 6. • • • • The uterus is a dense organ. Usually cone biopsies is received. To allow fixation,the cervix is removed. Uterus is opened by a just leaving the two halves in contact at the fundus. • The anterior and posterior sections are then ‘toastracked’ by apart,allow fixative to enter.
- 7. • A total of sixty samples from human breast, uterus, liver, skin and abdominal fat were fixed for 8; 24 with • Volume to tissue ratios of and and manually processed with isopropyl alcohol and mineral oil mixtures. • All the slides prepared were suitable for diagnostic purpose. • The differences between the samples was not statistically significant for the different fixation volume ratios tested, but the differences between fixation periods and tissues types were.
- 8. • 48 hours are the optimum fixation period.. • Neither the time and volume ratio combinations affected the pH of NBF • Fixing tissues with a ratio of NBF volume to tissue volume of 2:1 for 48 hours at 20-22°C was enough to assure • proper fixation and infiltration of the tested tissues.
- 9. Findings indicate that the specimen should be placed in fixative as soon as possible after excision and before opening to ensure minimum distortion of the specimen.
- 10. : surgical removal of uterus : lateral incision of uterus in which tissue thickness should be 1-1.5cm. : whole uterus is put in a jar containing neutral buffer formalin for 8-24 hours or 48 hours at 20 to 22°C. • • : :Specimen should be placed in a fixative immediately to prevent distortion after excision.