The Cochlear Osia 2 Sound Processor, which had been cleared by the US Food and Drug Administration on December 11, 2019, went through the final approval process at Yale New Haven Lawrence & Memorial Hospital.
Read about the FDA clearing Cochlear's innovative new Osia® 2 hearing implant system at https://bmre.us/hearing.
The first transplant of a Cochlear Osia 2 device at Yale New Haven Lawrence & Memorial Hospital was performed by Dr Richard L Vincent of Ear Nose & Throat Associates of SECT on August 7, 2020.
13 years in prison, ORTHOPAEDICS AND A LITTLE MORE by Dr L.Prakash M.S. orth ...L Prakash
Accused of grave charges and convicted of offences that I would never even imagine committing, I was sentenced to numerous terms of imprisonment including life imprisonment.
I spent 13 years as a prisoner, eight as an under trial and seven as a life convict, under difficult, desperate and depressing circumstances.This is my experience of practicing orthopaedics in those times, with limited or no facilities, treating desperate patients who had nowhere else to go.
Accused of grave charges and convicted of offences that I would never even imagine committing, I was sentenced to numerous terms of imprisonment including life imprisonment.
I spent 13 years as a prisoner, eight as an under trial and seven as a life convict, under difficult, desperate and depressing circumstances.This is my experience of practicing orthopaedics in those times, with limited or no facilities, treating desperate patients who had nowhere else to go.
Libro para mejorar las habilidades en el idioma ingles miestras te superas a ti mismo venciendo el malhabito de la procrastinacion que poco a poco merma tus ganancias personales y tu exito en cada aspecto de tu vida.
Steel Bite Protocol - Rebuild Your Teeth and GumsDigital Products
Do This 60 Seconds Dental Trick Before Going to Bed Tonight To Rebuild Your Teeth and Gums And Get Rid of Tooth Decay. A revolutionary 100% natural protocol, based on selected herbs, plants and oils, designed to turn your saliva into the most powerful disinfectant that will rejuvenate your entire mouth!
13 years in prison, ORTHOPAEDICS AND A LITTLE MORE by Dr L.Prakash M.S. orth ...L Prakash
Accused of grave charges and convicted of offences that I would never even imagine committing, I was sentenced to numerous terms of imprisonment including life imprisonment.
I spent 13 years as a prisoner, eight as an under trial and seven as a life convict, under difficult, desperate and depressing circumstances.This is my experience of practicing orthopaedics in those times, with limited or no facilities, treating desperate patients who had nowhere else to go.
Accused of grave charges and convicted of offences that I would never even imagine committing, I was sentenced to numerous terms of imprisonment including life imprisonment.
I spent 13 years as a prisoner, eight as an under trial and seven as a life convict, under difficult, desperate and depressing circumstances.This is my experience of practicing orthopaedics in those times, with limited or no facilities, treating desperate patients who had nowhere else to go.
Libro para mejorar las habilidades en el idioma ingles miestras te superas a ti mismo venciendo el malhabito de la procrastinacion que poco a poco merma tus ganancias personales y tu exito en cada aspecto de tu vida.
Steel Bite Protocol - Rebuild Your Teeth and GumsDigital Products
Do This 60 Seconds Dental Trick Before Going to Bed Tonight To Rebuild Your Teeth and Gums And Get Rid of Tooth Decay. A revolutionary 100% natural protocol, based on selected herbs, plants and oils, designed to turn your saliva into the most powerful disinfectant that will rejuvenate your entire mouth!
How To Remove Nasal Polyps Naturally Without Surgery.Learn on nasal polyps natural treatment to shrink nasal polyps naturally without surgery.Get rid of nasal polyps within the short period.
I had a near death experience due to lack of timely treatment on necrosis which was caused due to abdominoplasty without liposuction. The ppt explained the series and are meant to be informative.
He is the product of my egg and my husband’s sperm. After half a decade of trying to become pregnant, sometimes succeeding but always failing to carry a baby successfully to term, I came to the conclusion that if we wanted to have a child who was genetically related to us, we would have to find a woman with a more reliable uterus to gestate and deliver our baby.
Groton Real Estate Market Report August 2020 by Groton Realtor Bridget MorrisseyBridget Morrissey
The Groton Real Estate Market Report for the month of August 2020 shows the number of 2 Bedroom, 3 Bedroom and 4 Bedroom single family homes sold and the average price for each. Written by Groton eXp Realty Realtor Bridget Morrissey, it also shows the average days on mrket and the types of financing used in the Groton real estate transactions.
08 2020 Groton Real Estate Market Report by Groton Realtor Bridget MorrisseyBridget Morrissey
The Groton Real Estate Market Report shows the number of 2 BR, 3 BR and 4 BR single family homes sold during the month of August 2020. It also shows average sales price, DOM and types of financing used. The Groton Real Estate Market Report is presented by Groton eXp Realty Realtor Bridget Morrissey.
Learn how many 2 BR, 3 BR and 4 BR single family homes sold in Ledyard in August 2020. See the average sales price, the DOM and types of financing used in the September 2020 Ledyard Real Estate Market Report by Ledyard eXp Realty Realtor Bridget Morrissey.
06-2020 Ledyard Real Estate Market Report by Ledyard Realtor Bridget MorrisseyBridget Morrissey
The May Ledyard Real Estate Market Report by Ledyard Realtor Bridget Morrissey indicates that there was(1) two-bedroom home sold for $28,000. There were (13) three-bedroom homes sold with an average sales price of $222,100. Four-bedroom homes sold numbered (10) with an average sales price of $262,092.
Call or text Realtor Bridget Morrissey at 860-857-5165 with any questions.
Ledyard Real Estate Market Report is at bmre.us/06339
06 2020 Groton Real Estate Market Report by Groton Realtor Bridget MorrisseyBridget Morrissey
The May Groton Real Estate Market Report by Groton Realtor Bridget Morrissey indicates that there were (2) two-bedroom homes sold for an average of $35,000. There were (15) three-bedroom homes sold with an average sales price of $263,607. Four-bedroom homes sold numbered (8) with an average sales price of $532,250.
For the entire Groton Real Estate Market Report go to bmre.us/06340. You can call or text Realtor Bridget Morrissey at 860-857-5165 with any questions.
North stonington real estate agent bridget morrissey lists 33 mystic rd 2020Bridget Morrissey
North Stonington Realtor Bridget Morrissey announces a new listing at 33 Mystic Road for $365,000.
It is close to town yet has lots of privacy. A very well maintained saltbox/colonial in a private secluded setting, it has a spacious yard with plenty of room for activities and privacy. Enjoy your own fresh fruit with a variety of mature fruit trees including peach, apple, plum and cherry. Step into the mudroom which has a gray tiled floor and shares laundry space plus a door to the back deck and yard. Step up into the beautiful kitchen with dark bamboo floors, granite counters, stainless appliances and a nicely tiled back splash. A granite island is perfect for breakfast and lunch. The dining room has a cathedral ceiling with pine wood floors. A wood stove helps with the heating as the area is open to the second floor. The great room in the back of the house is sunny and bright with plenty of windows which overlook the backyard. The living room has pine wood floors with another wood stove and plenty of space. There is an office or bedroom on the first level making it 3 or 4 bedrooms. The master bedroom and bath, another bath and 2 bedrooms complement the open space on the second level. A 2 car attached garage with storage above is off of the mudroom. The yard is very spacious with 1.45 acres. Backyard is fenced in for your dog! A great property with privacy, plenty of room for all and located in a desirable area. Don't miss out! Check out bmre.us/33mr.
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How To Remove Nasal Polyps Naturally Without Surgery.Learn on nasal polyps natural treatment to shrink nasal polyps naturally without surgery.Get rid of nasal polyps within the short period.
I had a near death experience due to lack of timely treatment on necrosis which was caused due to abdominoplasty without liposuction. The ppt explained the series and are meant to be informative.
He is the product of my egg and my husband’s sperm. After half a decade of trying to become pregnant, sometimes succeeding but always failing to carry a baby successfully to term, I came to the conclusion that if we wanted to have a child who was genetically related to us, we would have to find a woman with a more reliable uterus to gestate and deliver our baby.
Groton Real Estate Market Report August 2020 by Groton Realtor Bridget MorrisseyBridget Morrissey
The Groton Real Estate Market Report for the month of August 2020 shows the number of 2 Bedroom, 3 Bedroom and 4 Bedroom single family homes sold and the average price for each. Written by Groton eXp Realty Realtor Bridget Morrissey, it also shows the average days on mrket and the types of financing used in the Groton real estate transactions.
08 2020 Groton Real Estate Market Report by Groton Realtor Bridget MorrisseyBridget Morrissey
The Groton Real Estate Market Report shows the number of 2 BR, 3 BR and 4 BR single family homes sold during the month of August 2020. It also shows average sales price, DOM and types of financing used. The Groton Real Estate Market Report is presented by Groton eXp Realty Realtor Bridget Morrissey.
Learn how many 2 BR, 3 BR and 4 BR single family homes sold in Ledyard in August 2020. See the average sales price, the DOM and types of financing used in the September 2020 Ledyard Real Estate Market Report by Ledyard eXp Realty Realtor Bridget Morrissey.
06-2020 Ledyard Real Estate Market Report by Ledyard Realtor Bridget MorrisseyBridget Morrissey
The May Ledyard Real Estate Market Report by Ledyard Realtor Bridget Morrissey indicates that there was(1) two-bedroom home sold for $28,000. There were (13) three-bedroom homes sold with an average sales price of $222,100. Four-bedroom homes sold numbered (10) with an average sales price of $262,092.
Call or text Realtor Bridget Morrissey at 860-857-5165 with any questions.
Ledyard Real Estate Market Report is at bmre.us/06339
06 2020 Groton Real Estate Market Report by Groton Realtor Bridget MorrisseyBridget Morrissey
The May Groton Real Estate Market Report by Groton Realtor Bridget Morrissey indicates that there were (2) two-bedroom homes sold for an average of $35,000. There were (15) three-bedroom homes sold with an average sales price of $263,607. Four-bedroom homes sold numbered (8) with an average sales price of $532,250.
For the entire Groton Real Estate Market Report go to bmre.us/06340. You can call or text Realtor Bridget Morrissey at 860-857-5165 with any questions.
North stonington real estate agent bridget morrissey lists 33 mystic rd 2020Bridget Morrissey
North Stonington Realtor Bridget Morrissey announces a new listing at 33 Mystic Road for $365,000.
It is close to town yet has lots of privacy. A very well maintained saltbox/colonial in a private secluded setting, it has a spacious yard with plenty of room for activities and privacy. Enjoy your own fresh fruit with a variety of mature fruit trees including peach, apple, plum and cherry. Step into the mudroom which has a gray tiled floor and shares laundry space plus a door to the back deck and yard. Step up into the beautiful kitchen with dark bamboo floors, granite counters, stainless appliances and a nicely tiled back splash. A granite island is perfect for breakfast and lunch. The dining room has a cathedral ceiling with pine wood floors. A wood stove helps with the heating as the area is open to the second floor. The great room in the back of the house is sunny and bright with plenty of windows which overlook the backyard. The living room has pine wood floors with another wood stove and plenty of space. There is an office or bedroom on the first level making it 3 or 4 bedrooms. The master bedroom and bath, another bath and 2 bedrooms complement the open space on the second level. A 2 car attached garage with storage above is off of the mudroom. The yard is very spacious with 1.45 acres. Backyard is fenced in for your dog! A great property with privacy, plenty of room for all and located in a desirable area. Don't miss out! Check out bmre.us/33mr.
Mystic home for sale at 426 Oral School Road by Mystic Realtor Bridget MorrisseyBridget Morrissey
The Mystic home for sale by Mystic Realtor Bridget Morrissey at 426 Oral School Road was built in 1934 and had an addition and renovation in 2005. It is a beautiful and functional ranch with 3 bedrooms and 2 full baths. In-law situation is possible with 2 master suites at opposite ends of the house. 2 Living spaces with beautiful hardwood floors that run throughout the entire house. The spacious kitchen has double sinks and granite counters. 3 level deck that on back of house overlooks the beautiful grounds. There is plenty of space for flower gardens and vegetable gardens. 2 outbuildings include a detached garage. French doors from the partially finished basement head out to a concrete patio and a small coy pond. Privacy and peacefulness is abundant on this incredible property.
Norwich home for sale at 100 Harland Road by Norwich Realtor Bridget MorrisseyBridget Morrissey
Are you ready to Fall In Love? Norwich eXp Realty real estate agent Bridget Morrissey listed 100 Harland Road in Norwich for sale. Beauty and Elegance grace this beautiful property inside and out! From the Beautiful grounds with an in ground pool and patios to the inside family room you can Relax and enjoy your new home. Would you like extra income to help with expenses? Looking for an extended family apartment? A very nice apartment is on the second floor. Begin your tour at the front door Pass through the vestibule and be awed by wide, arched passageways and a curved banister rising up and over the nine-foot ceiling. Fifty-three recently installed windows throughout the house plus a new roof! The two-seat island in the kitchen is surrounded by new stainless-steel appliances. Tucked between the kitchen and the dining room is a cozy breakfast nook. Marvel at the craftsmanship of the woodwork as you ascend the stairs to the second floor. Each of the four bedrooms is adorned with ornate ceiling fans and light fixtures. Constructed in 1937, the bedrooms are generally larger than the ones built today. Again, the new windows add significant light to all the rooms The wood paneled walls encase the brick fireplace in the basement and are highlighted by the window seat staring out at the exquisite stonework patio and pool. A separate entrance brings you to another bedroom, bath and kitchen. It is a good in-law setup or could be a source of extra income. The large carriage house garage completes the tour.
Stonington homes for sale includes Mystic homes for sale, Masons Island homes for sale, Lords Point homes for sale, Stonington Borough homes for sale, Wequetequock homes for sale, Pawcatuck homes for sale, Taugwonk homes for sale, Old Mystic homes for sale and Pawcatuck River homes for sale.
Neighborhood Market Report May 2019 Bridget Morrissey RealtorBridget Morrissey
Neighborhood Market Report May 2019 for East Lyme, Gales Ferry, Groton, Ledyard, Mystic, Niantic, New London, North Stonington, Norwich, Pawcatuck, Preston, Stonington and Waterford Connecticut.
Charlestown, South Kingstown and Westerly Rhode Island
May 2019 Real Estate Market Report by Realtor Bridget MorrisseyBridget Morrissey
Real estate Market Report May 2019 for East Lyme, Waterford, New London, Groton, Mystic, Stonington, Pawcatuck, North Stonington, Ledyard, Gales Ferry, Preston and Norwich Connecticut
Westerly, Charlestown and South Kingstown Rhode Island
People selling their homes want to deal with one person. Agents have a system for show requests that is the most convenient for all of the parties involved. A buyers agent will have a fiduciary responsibility to represent the buyers interest and not those of the seller.
Groton Real Estate Market Report October 2018 by Bridget MorrisseyBridget Morrissey
The Groton Real Estate Market Report is a monthly statement of the average sales price for and number of 2 BR, 3 BR and 4 BR homes sold, the total number of sales, the number of active homes for sale and the average listing price of Groton homes for sale.
Waterford Real Estate Report June 2018 from Bridget MorrisseyBridget Morrissey
The Waterford Real Estate Market Report June 2018 is a monthly statement of the average sales price for and number of 2 BR, 3 BR and 4 BR homes sold, the total number of sales, the number of active homes for sale and the average listing price of Waterford homes for sale.
Ledyard Real Estate Market Report June 2018 from Bridget MorrisseyBridget Morrissey
The Ledyard Real Estate Market Report for June 2018 is a monthly statement of the average sales price for and number of 2 BR, 3 BR and 4 BR homes sold, the total number of sales, the number of active homes for sale and the average listing price of Ledyard homes for sale.
Groton Real Estate Market Report June 2018 from Bridget MorrisseyBridget Morrissey
The Groton Real Estate Market Report for June 2018 is a monthly statement of the average sales price for and number of 2 BR, 3 BR and 4 BR homes sold, the total number of sales, the number of active homes for sale, and the average listing price of Groton homes for sale.
For Sale By Owner, How to save the real estate commission during the sale of ...Bridget Morrissey
This program was designed for you. The person interested in saving the real estate commission during the sale of your house. I understand your motivation and I am happy to help make this process easier for you.
Six months went into developing this program. Every page has been polished to make sure that it contains relevant and important information for you.
This information can literally save you thousands of dollars in the sale of your house.
As you read through the pages it’s going to be important to understand the process and flow of the reading material.
The first few pages are general information.
First, you have to price your house.
Second, you need to make sure that you understand the safety measures that need to be in place before you start letting strangers into your home.
Then you’ll need to prepare the house for showings. You’ll find an entire 38-point checklist that you can work through, plus some tips on holding a garage sale.
Several pages will be devoted to marketing your house. Don’t underestimate the power of a good marketing plan. You have to create traffic. More interested buyers, more opportunity to make a sale!
Once you have your buyer, make sure that you are well equipped to negotiate the best deal for you.
Read the pages dedicated to selling and negotiating.
Then you’ll find a few samples of the necessary paperwork to close the deal.
Consult with an attorney to get the actual paperwork that you’ll need to complete.
Now your house is sold and you need to prepare to move. Learn how to take this daunting task and make it less stressful.
The closing pages will be dedicated to showing you the marketing steps that I take when I list a home. Use this to gauge whether you’re doing all you can to insure a quick and smooth sale for your home.
You’ll also want to use this if you decide to list your house and interview other agents. You’ll quickly see that no one will be as aggressive as I will when it comes to getting your house sold!
Thank you and enjoy!
The Westerly Real Estate Market Report is a monthly statement of the average sales price for and number of 2 BR, 3 BR and 4 BR homes sold, the total number of sales, the number of active homes for sale ,and the average listing price of Westerly homes for sale.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
- 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
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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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
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Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Mystic Realtor receives first Cochlear Osia 2 Implant at Yale New Haven Lawrence & Memorial Hospital
1. Mystic Realtor gets the newest
technology to improve hearing
from Dr. Richard L.Vincent of
Ear Nose &Throat Associates
of SECT
Welcome to Cochlear Osia 2
2. My name is Will Morrissey and I am a
Realtor in the Mystic toWesterly area of
Connecticut and Rhode Island. Working
with my wife at Bridget Morrissey Real
Estate brokered by eXp Realty, we also
service the towns of Stonington, Ledyard,
Groton, Pawcatuck, North Stonington,
Gales Ferry, Preston, East Lyme and
Waterford in Connecticut as well asWatch
Hill and Charlestown, Rhode Island.
3. My hearing loss probably
occurred because of a car
accident in which I was
involved in 1976. I broke my
jaw in three places.
My jaw was wired shut to
heal but three weeks after
the wires came out and two
months after the accident
internal problems appeared
that took considerable
attention.
Though my body healed I did
not realize my hearing had
been impaired.
4. Over twenty years working in a marina
with a repair shop there was always
noise. I naturally assumed the noise
made it difficult to hear conversations.
Many years later I realized that I was
having some difficulty hearing with my
left ear.The symptoms were muffled
sounds, difficulty catching a whole
conversation, especially when more than
one person was talking, having to lean in
with my right ear to have statements
repeated, and just giving up on
conversations in a restaurant.
I did not like having my wife walk on the
outside of a sidewalk so that I could hear
better with my right ear. She did not like
going upstairs to bed earlier than me and
having to shout down to lower the
volume on theTV.
5. A year ago it started getting
worse. I could not
understand her when she
was talking while walking
away from me.
Worse yet, we were both
frustrated when what I
heard was not what she
said.
As we are both Realtors, she
did not appreciate it when I
could not understand
conversations and showed a
disinterested look.
6. It was time to get a hearing test. I started
looking into hearing aids and went for a
test in East Hartford.
I was not surprised that my test results
were not that good but was miffed that I
was told to go to an Ear Specialist before
hearing aids could be recommended.
7. Living in Ledyard, Connecticut, the
Ear Nose &Throat Associates of SECT
inWaterford and Mystic was the
closest audiology service available.
I originally saw Dr. David Boisoneau,
who, it turned out, is a cousin of
someone I have known for 40 years.
He was enjoyable to talk with but his
expertise is more disease and disorder
oriented.
He suggested that I make an
appointment with the hearing
impairment specialist, Dr. Richard
Vincent.
But first, he made an appointment for
me to get another hearing test to
confirm the results attained from the
hearing aid facility in East Hartford.
8. Once Dr.Vincent compared the second
set of results with the first set, he let me
know the options available to me. I could
go in two different directions, hearing
aids or Cochlear Implant.
A physician is not allowed to make up
your mind for you or to even suggest
which way to go.
Two things happened before a final
decision was reached.
First, an MRI on my skull and jaw bone
was performed to be sure that there
were no impediments to a Cochlear
Implant.
Second, there was another hearing test,
with the addition of listening to hearing
aids and a Cochlear device.
9. The results were fairly
even.The deciding factors
were two-fold for me.
First, anticipated
technology advancements
point in the direction of the
implant.
Second, I am now 65 years
old and on Medicare.
Surgery is covered whereas
hearing aids are not.
10. Now let me get to the Aha Moment!
The tuning fork!
When I informed Dr.Vincent of my
decision to go with the Cochlear
device he took out a tuning fork
just as the session was ending.
He held it in front of me, hit it and
it rang.
Next he put it up against the side
of my head and hit it. It was five
times louder!
He smiled, said he agreed with my
choice and would set the wheels in
motion.
11. Unfortunately, that was the
last week of February and our
world pretty much came to a
stop on March 9 with the
announcements related to
COVID-19.
Appointments had to be
postponed.
12. It wasn’t until July 9, 2020 that we were
able to meet again.
In the meantime, the Cochlear Osia 2
Sound Processor, which had been
cleared by the US Food and Drug
Administration on December 11, 2019,
was going through the final approval
process atYale New Haven Lawrence &
Memorial Hospital.
Read about the FDA clearing
Cochlear's innovative new Osia® 2
hearing implant system at
https://bmre.us/hearing
13. As it turns out, my implant was the first
of its kind performed at the hospital.
My test for Covid-19 was done on
August 4, an EKG onAugust 6 and the
operation performed onAugust 7,
2020.
To prepare for 10:15 am Outpatient
Surgery for a Cochlear implant I arrived
at 8:00. Greeted warmly byTrudy,
masks traded, temperature taken and
Covid-19 questions asked and answered,
I was directed to the Peach elevators.
In the outpatient surgery waiting room,
Luna called me and proceeded to take
my weight measurement. She then
walked me down to an examining room
and cheerfully explained part of the
procedure for the morning before asking
me to get into the operating room
apparel. She pulled the curtain and left.
14. Nancy M, RN, came in with more
information and inserted the needle for
intravenous fluids more skillfully then I
have ever had performed on me.
She also proceeded to inform me of
what to expect before introducing me
to Dr. Alex S, the anesthesiologist.
My wife and I are Realtors and
coincidentally had just met Alex and his
wife five days earlier at an Open House
that we were holding.
I had a little fun with him when he
walked in because he had told my wife,
Bridget Morrissey, his occupation while
she showed him some land.
15. Of course, wearing masks then
and yesterday, he would not
recognize me but was shocked
when I said ‘Hello Alex, long
time no see!’
Nancy got a chuckle because
she was the one who told me
that Alex would be right in to
see me and she knew what was
coming.
Smiles aside, Dr Alex explained
his procedure and some after-
effects, like the slight sore
throat I felt the day after
surgery.
16. DrVincent arrived and described the
actual operation to me, when to
remove the bandage and set a card in
my belongings bag with an
appointment forThursday at 2:00.
As he was leaving, Diane, the
Operating Room Director entered and
quickly introduced herself, Alex (or
Alice, remember, I am hard of
hearing) and Lisa who wheeled me to
the Operating Room.
17. Upon entering I met “Ram”
who was very busy. I also met
the materials manager and
the Cochlear Sales Rep as I
was being instructed on how
to get on the operating table.
Alex was putting the mask
on and it was lights out for
me about five seconds later.
18. Nancy, the RN, met me
in the Recovery Room
and removed the
highway or tubes she had
so skillfully inserted into
my right arm earlier.
Alex (male) brought me
graham crackers, oyster
crackers and my choice of
a ginger ale.
Still in waking up mode I
asked him where the
clam chowder was!
19. My wife, Bridget, had
been called and I was
wheeled out to the front
door a while later.
I had not seen the heavy
bandage job and she
briefly looked a little
horrified.
But she was the only one
all morning who had not
been bright and cheery
since my arrival.
Of course, she can be
excused for the quick
glance.
20. The following is a checklist given at
discharge. (Minus personal
information.)
24. August 8, 2020
Waking up the next day,
my concern was, did I
move the head dressing
too much while trying to
sleep?
25. August 9, 2020
The head dressing just fell away when
my wife cut one strip of gauze cloth. In
my case it turned out the bandage was
more for protection then for leakage.
However, if there had been leakage the
bandage was there to do its job. (The
mark under the bandage strip is ink, just
marking which ear was going to get the
operation.)
26. August 10, 2020
While placing the above pictures and
comments I received a call from Erin at
Ear, Nose &Throat Associates of SECT
to see how I was doing.
I summed up the comments to the
three pictures and then mentioned that
I did not need the pain medications but
that I was taking the anti-biotics.
It is like hitting your hand with a
hammer while driving a nail, the next
day you only feel it if you think about it.
It is so nice to know that ENT
Associates of SECT care and follow up
on their patients.
27. August 13, 2020
My first post-op appointment with Dr.
Vincent brought a major revelation. I did
not know that stitches were not used . A
glue substance closes the incision after
surgery now.The adhesive bandages
came off easily. He instructed me to
wash gently and the crusty surface will
fade away.
28. So my next scheduled appointment is
another hearing test on September 2
in Mystic at 8:30 am.