HyProCure is an extra-osseous talotarsal stabilization device used for flexible talotarsal dislocation. There are many perceived myths and misconceptions that are addressed in this presentation.
Learn more at www.GraMedica.com or www.HyProCure.com.
HyProCure is not an "arthroereisis" device. It's design and function are completely different from "arthroereisis" devices. Take a look at this presentation so you too can see the difference. For more information visit www.HyProCure.com
Risks and Potential Complications of EOTTS TreatmentGraMedica
EOTTS has been proven to be a safe and effective treatment option for talotarsal displacement. This presentation provides a critical look at the possible risks and complications.
The stabilization of the talus is extremely important to repair the underlying cause to many lower extremity pathologies. The preferred methods is to realign and stabilize the talus without destroying any joints and still allowing joint motion. This is a comparison of HyProCure and Calcaneo-stop. One of these devices far exceeds the other. You be the judge.
HyProCure is a titanium stent that is inserted into the naturally occurring space between the ankle and heel bones. It instantly realigns and restores the natural alignment to the foundation joint of the body. This presentation helps to clarify certain myths and misconceptions state from the uninformed.
HyProCure is not an "arthroereisis" device. It's design and function are completely different from "arthroereisis" devices. Take a look at this presentation so you too can see the difference. For more information visit www.HyProCure.com
Risks and Potential Complications of EOTTS TreatmentGraMedica
EOTTS has been proven to be a safe and effective treatment option for talotarsal displacement. This presentation provides a critical look at the possible risks and complications.
The stabilization of the talus is extremely important to repair the underlying cause to many lower extremity pathologies. The preferred methods is to realign and stabilize the talus without destroying any joints and still allowing joint motion. This is a comparison of HyProCure and Calcaneo-stop. One of these devices far exceeds the other. You be the judge.
HyProCure is a titanium stent that is inserted into the naturally occurring space between the ankle and heel bones. It instantly realigns and restores the natural alignment to the foundation joint of the body. This presentation helps to clarify certain myths and misconceptions state from the uninformed.
Patient Specific Instrumentation in Total Knee ReplacementVaibhav Bagaria
Use of patient Specific Instruments in Knee replacement has generated tremendous interests, won accolades and also have been showered brick bats. A presentation about its true relevance in modern Knee replacement surgery.
Management of atypical THA periprosthetic fracture RiverTsai2
There increasing cases of atypical THA periprosthetic fracture after long term anti-osteoporosis agent use,especially biphosphonates. It has special characteristics form traditional Vancouver periprosthetic fracture. The speech is delivered by Dr. Chun-Hao Tsai of China Medical University Hospital ,Taichung,Taiwan.
Surgical Versus Ponseti Approach for the Management of CTEV - Dr. CHINTAN N. ...DrChintan Patel
Surgical Versus Ponseti Approach for the Management of CTEV (congenital tallipes equino varus): A Comparative Study (J Pediatr Orthop Volume 33, Number 3, April/May 2013)
Extra-Osseous TaloTarsal Stabilization - HyProCure: The Scientific Evidence i...GraMedica
The mounting scientific, published research has proven the effectiveness and efficacy of extra-osseous talotarsal stabilization with HyProCure. This is a life-changing procedure. Over 20,000 procedures have been performed with not one significant complication (fracture, bone infection, amputation).
Learn more at www.GraMedica.com.
Patient Specific Instrumentation in Total Knee ReplacementVaibhav Bagaria
Use of patient Specific Instruments in Knee replacement has generated tremendous interests, won accolades and also have been showered brick bats. A presentation about its true relevance in modern Knee replacement surgery.
Management of atypical THA periprosthetic fracture RiverTsai2
There increasing cases of atypical THA periprosthetic fracture after long term anti-osteoporosis agent use,especially biphosphonates. It has special characteristics form traditional Vancouver periprosthetic fracture. The speech is delivered by Dr. Chun-Hao Tsai of China Medical University Hospital ,Taichung,Taiwan.
Surgical Versus Ponseti Approach for the Management of CTEV - Dr. CHINTAN N. ...DrChintan Patel
Surgical Versus Ponseti Approach for the Management of CTEV (congenital tallipes equino varus): A Comparative Study (J Pediatr Orthop Volume 33, Number 3, April/May 2013)
Extra-Osseous TaloTarsal Stabilization - HyProCure: The Scientific Evidence i...GraMedica
The mounting scientific, published research has proven the effectiveness and efficacy of extra-osseous talotarsal stabilization with HyProCure. This is a life-changing procedure. Over 20,000 procedures have been performed with not one significant complication (fracture, bone infection, amputation).
Learn more at www.GraMedica.com.
HyProCure is a titanium stent that internally realigns and stabilizes the hindfoot. It's been proven to decrease the strain acting on the plantar fascia and posterior tibial tendon. It re-balances the weightbearing forces acting on the foot. Normalizes foot motion. HyProCure has the greatest success rate of any sinus tarsi stent.
The talotarsal joint is about the most important weightbearing joint of the body. Misalignment of this joint alone will lead to a chain reaction of destruction throughout the body. View this presentation to learn more.
HyProCure is an internal talar stabilization device. Through a minimally invasive procedure HyProCure is sized and inserted. Instantly the ankle bone is stabilized which realigns the hindfoot.
This article of mine which came out in the Journal of Orthopaedic Case Reports has been converted into a small book entitled `Modified Posterior Approach to the Hip Joint' which should be available world wide and also listed on Flipart, Amazon,infibeam.
e-Book - Rockstand, Scribid, Kobo, Kindle, Google Play store.
Dr.K.Mohan Iyer,Bangalore,India
HyProCure is an internal talotarsal stabilization device. It offers internal correction for an internal deformity. It is indicated in pediatric, adult and geriatric patients with flexible talotarsal dislocation.
Patient's Guide to HyProCure - Minimally Invasive Solution to Misaligned Feet.GraMedica
The stability and alignment of the ankle bone (talus) on the heel bone (calcaneus) is extremely important. Ankle bone misalignment will lead to a variety of symptoms within the foot and will also negatively affected the knees, hips, and back. HyProCure is the proven solution to internally realign and stabilize the ankle bone while still allowing a natural range of motion.
Root Cause Orthopedics - Minimally Invasive SolutionGraMedica
There are many healthcare professionals addressing the symptoms of musculoskeletal disease to the few who are reducing or eliminating the underlying cause. View this slideshow to find out about the most powerful minimally invasive orthopedic solution.
Diabetes has already reached global epidemic proportions. Pills aren't the long-term solution and diet alone doesn't work. The missing piece is exercise. But what if you hurt when you walk? Read this presentation to find the answer.
Foot pain severely affects our quality of life. Take a look at this presentation to find out the painful parts of the foot. More importantly, find out why they occur and what can be done to fix them.
Common Running Injuries & What's the long term fix?GraMedica
Running is a beloved activity for millions of people, however many are sidelined because of injuries. Many continue to run despite the pain until they destroy a body part. Take a look at this presentation to find out the top injuries and to find a real solution to keep you running.
Pain is a warning signal that something is wrong. Our bones should not hurt when they grow and our legs should not hurt when we exercise. View this presentation to learn more.
Back pain is a very common condition affecting millions of people yet it seems that most treatment cannot eliminate the source of the pain. View this presentation to learn more.
Numbness, pain or burning are warning signals from our nerves that something is wrong. The goal of treatment is to find out what is wrong and to fix it, not to just mask or cover up the warning signs. View this presentation to learn more.
The partial dislocation of the ankle bone on the heel bone leads to destructive forces that act on our feet, knees, hips and back. This presentation discusses the insertion of a stent into a naturally open space that instantly stabilizes the ankle bone while allow, as close as possible, the natural motion to occur.
Healthcare costs are out of control. The majority of orthopedic conditions are secondary symptoms whereas the underlying etiology is left under-treated or ignored. View this presentation to learn more.
How to save the nation billions in healthcare costsGraMedica
We are in a current state of crisis when it comes to paying for our healthcare. Learn the simple truth that has led to this situation and more importantly find out what could be a major factor in the healing of this national disaster.
EOTTS - HyProCure and Plantar FasciopathyGraMedica
Talotarsal displacement leads to increased strain to the medial band of the plantar fascia. Type II Extra-Osseous TaloTarsal Stabilization with HyProCure led to a 33% decrease in strain to the medial band of the plantar fascia and could therefore be used in the treatment of plantar fasciopathy.
Learn more at www.GraMedica.com.
Tarsal Tunnel Syndrome - Role of Extra-Osseous TaloTarsal StabilizationGraMedica
Talotarsal displacement leads to an increase in pressure within the tarsal tunnel and porta pedis. This directly leads to compression of the posterior tibial nerve that gives sensation information from the bottom of the foot.
The foot is the foundation to the body. The alignment of the foot is crucial for proper foot function. This lecture discusses normal and abnormal alignment and the exact cause that leads to a faulty foot structure.
Learn more at www.GraMedica.com.
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.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
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.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
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.
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
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
7. the birth of
extra-articular talotarsal stabilization
stemmed as an alternative over
arthrodesis procedures in
pediatric patients.
(Chambers, 1946)
7
8. The first generation arthroereisis devices were
made of high-grade medical plastics/silicone
and were theorized to be “too weak” for adults
so they were only used in pediatric patients.
(Subotnick 1974/Valenti 1976/Giannini 1985/Viladot 1992)
8
9. The second generation of
arthroereisis devices,
made of medical grade titanium,
lead to the acceptance
of use in adults.
9
10. The only problem
was that up to 40%
of the 2nd generation titanium
arthroereisis devices
had to be removed.
(Needleman 2005/Schon 2007)
10
11. There had to be a better solution.
That solution is
HyProCure®
11
12. HyProCure®
was created with a
better anatomic fit and biomechanical
function. This has dropped the removal
rate to 6%.
12
17. HyProCure® has been successfully
used, when indicated, in pediatric
patients as young as
three years of age.
17
18. What other options are there to truly stabilize
the talus on the tarsal mechanism?
18
19. The chamber forming the sinus tarsi is ossified
by three years of age and is therefore strong
enough to withstand the interaction with
HyProCure®.
19
30. HyProCure’s® shape and position within the
sinus tarsi is completely different from the
cylindrical and conical shapes of the
arthroereisis devices.
30
35. HyProCure®
stabilizes the talus
on the tarsal mechanism.
It “fixes” talotarsal displacement.
35
U.S.A. Food & Drug Administration – 510(k)
36. A “flat” foot (pes planovalgus)
is a generic term
and
has a wide range of perceived meanings.
(is it flexible, semi-flexible, or rigid?)
36
37. Components of a “flat” foot include:
l lower than normal calcaneal inclination angle
l navicular drop
l elevated 1st ray
l increased talar declination angle
l talar second metatarsal angle >16 (AP view)
37
38. HyProCure® can, in a foot with a reducible
talotarsal dislocation, normalize the:
talar second metatarsal angle
talar declination angle
navicular height
(Graham 2011)
38
39. HOWEVER
HyProCure® has no effect
on the calcaneal inclination angle.
39
Surgical Treatment of Hyperpronation Using An Extraosseous Talotarsal Stabilization Device:
Radiographic Outcomes in 70 Adult Patients, Journal of Foot & Ankle Surger, 51(5):548-555, 2012
40. HyProCure®
will not and cannot
correct a pathologic
calcaneal inclination angle
40
41. HyProCure® stabilizes the medial column on
the lateral column of the foot.
Think about the implications of a stable medial column.
41
42. Myth & Misconception
#6
HyProCure® is contra-indicated
in a high-arched pes cavus foot.
42
45. A “high” arch is the result of a higher than
normal calcaneal inclination angle.
45
46. BUT
it is possible to still have talotarsal dislocation
in a high arched foot resulting in excessive
medial column motion on the lateral column.
46
47. The talus can still dislocate off the tarsal
mechanism and cause many similar cumulative
traumatic disorders that are seen in a lower
than normal arched foot.
47
48. Since HyProCure® has no effect on the
calcaneal inclination angle,
it can still be used in “high” arched feet.
48
Surgical Treatment of Hyperpronation Using An Extraosseous Talotarsal Stabilization Device:
Radiographic Outcomes in 70 Adult Patients, Journal of Foot & Ankle Surger, 51(5):548-555, 2012
49. What other options do you have?
Observation?
Special shoes?
Arch supports?
Rearfoot reconstructive surgery?
49
50. Myth & Misconception
#7
Cutting the structures within t
he sinus tarsi is devastating
and will lead to
long-term complications.
50
57. During the EOTTS procedure with HyProCure®
the interosseous TC ligament is only cut and
NOT removed.
The cut ends will heal back together around the
threads of HyProCure® anchoring HyProCure®
into the medial canalis tarsi.
57
58. Even if HyProCure® had to be removed
at a later date, the ends of the ligament
would again heal.
Ligaments are like skin,
in that they repair themselves.
58
63. We suggest that once HyProCure® is advanced
as deep as possible into the sinus tarsi to give
it a few clock-wise spins. This only assists in
wrapping the ligamentous tissues around the
threads.
63
64. EOTTS with HyProCure® is a
soft tissue procedure only.
The threads do not engage into the osseous
chamber of the sinus tarsi.
HyProCure® will not tighten like a screw.
64
65. Myth & Misconception
#9
If placed into a child’s foot
HyProCure® will have to be
changed when the child
becomes an adult.
65
68. The osseous chamber creating the sinus tarsi is
formed by 3 years of age,
as we learned earlier.
At that point, the talus and calcaneus will grow
peripherally and the overall sinus tarsi diameter
stays the same size.
68
69. The most common adult sizes are 7 and 6
therefore
if a size 7 or 6 HyProCure® is placed
into a child’s foot
they already have one of the
most common adult sizes.
69
70. Obviously, this is not a guarantee and it is
possible that HyProCure® will have to be
revised.
70
71. Myth & Misconception
#10
You should wait until the child
becomes an adult to insert
HyProCure®
71
74. The sooner the talotarsal mechanism is
stabilized with HyProCure®the better.
Every step taken with talotarsal dislocation
leads to cumulative traumatic disorders.
74
75. Think about all the various foot disorders that
occur as a result of years of
excessive repeated forces:
first ray deformities
plantar fasciopathy
tarsal tunnel syndrome
posterior tibial neuropathy
posterior tibial tendon dysfunction
adult acquire flat foot
75
76. We don’t wait to balance the tires on our car
until we have 50,000 miles on them.
76
77. The benefit to risk analysis shows that it is
better to internally stabilize the talus on the
tarsal mechanism with HyProCure® than to:
do nothing/observe
try to wear a shoe insert
perform rearfoot reconstructive surgery
77
78. Myth & Misconception
#11
HyProCure® will end up
destroying
the sinus tarsi and lead
to arthritis long-term.
78
85. Arthritis is a disease
within a joint usually due to
chronic excessive motion which
leads to a chronic inflammatory
reactionthat eventually destroys
the cartilage within the joint.
85
88. HyProCure®
can be used in
both adults and children with
flexible reducible talotarsal dislocation.
88
89. HyProCure®
does not block or restrict motion.
It restores the normal amount of
talotarsal motion.
89
90. HyProCure®
is not an arthroereisis device.
It is an extra-osseous
talotarsal stabilization (EOTTS) device.
It does not block the
lateral process of the talus.
Instead, the talus glides over and is
stabilized by HyProCure®
.
90
91. HyProCure®
is indicated for
reducible talotarsal dislocation
regardless of the calcaneal inclination angle
(high or low arch).
91
94. HyProCure®
should be inserted as soon as reducible
talotarsal dislocation is diagnosed (three
years old and older) to help prevent the
devastating cumulative traumatic disorders
that WILL adversely affect not only the foot
and ankle but the rest of the body.
94
95. “Changing Lives, One Step at a Time”
For more information please visit:
www.HyProCure.com
On-line training
www.HyProCuredoctors.com