Brief discussion on ultrasonography of the chest: Benefits, Techniques and Instrumentation, Normal Anatomy, Diagnostic US of the chest, Limitations of Thoracic US, US based differential diagnosis, Take home points.
This presentation of introduction of laparoscopic surgery made by Dr. R.K. Mishra Director and chief surgeon World Laparoscopy Hospital. Dr. Mishra in this presentation has explained present pas and future of laparoscopic surgery. Laparoscopy is a surgical procedure which uses a special surgical instrument called a laparoscope to look inside the body, or to perform certain operations. World Laparoscopy Hospital is the center of excellence for laparoscopic and da vinci robotic surgery training and considered as one of the best institute in the world. For more detail about laparoscopic surgery please visit: http://www.laparoscopyhospital.com
Brief discussion on ultrasonography of the chest: Benefits, Techniques and Instrumentation, Normal Anatomy, Diagnostic US of the chest, Limitations of Thoracic US, US based differential diagnosis, Take home points.
This presentation of introduction of laparoscopic surgery made by Dr. R.K. Mishra Director and chief surgeon World Laparoscopy Hospital. Dr. Mishra in this presentation has explained present pas and future of laparoscopic surgery. Laparoscopy is a surgical procedure which uses a special surgical instrument called a laparoscope to look inside the body, or to perform certain operations. World Laparoscopy Hospital is the center of excellence for laparoscopic and da vinci robotic surgery training and considered as one of the best institute in the world. For more detail about laparoscopic surgery please visit: http://www.laparoscopyhospital.com
Attorney Zachary Andrew McEntyre is a partner at King and Spalding, LLP, where he has practiced law since 2006. With a practice that focuses on representing corporate defendants in class action suits, Zachary Andrew McEntyre won a 2015 Burton Award for Distinguished Legal Writing for an article he co-authored with three colleagues.
Despite modern anti-tuberculous chemotherapy, approximately 2% of all cases of pulmonary mycobacterial infection require surgical treatment.Therefore, surgical treatment of pulmonary mycobacterial disease is rarely necessary.Types of surgical procedures for PTB include: Collapse therapy, pulmonary resection, lung decortication, drainage procedures such as closed tube thoracostomy, rib resection and open window thoracotomy beside pulmonary resection+ collapse therapy (thoracoplasty). The decreasing morbidity and mortality of pulmonary resection for PTB is due to careful patient selection ( failure of chemotherapy, massive haemoptysis, BPF), improved anaesthetic techniques, stapling devices and better chemotherapy.The prognosis after successful resection is excellent ( 90% survive and remain disease free).
Bariatric surgery is gaining popularity worldwide. The number of surgeries has increased by almost 10 times in the last decade and almost 14000 bariatric surgery were performed last year in India.
Market Research Report : Surgical equipment market 2015 - SampleNetscribes, Inc.
For the complete report, get in touch with us at: info@netscribes.com
Abstract :
Netscribes’ latest market research report titled Surgical Equipment Market in India 2015 highlights the overall potential of the surgical equipment market in India. The medical devices market is a rapidly developing segment of the Indian healthcare industry. Rise in the number of hospitals and increasing requirement of healthcare facilities on account of the changing demographics and increasing lifestyle diseases is creating a need for medical devices of all types ranging from simple instruments to the most sophisticated devices and equipments that work on complex mechanisms. The market for surgical equipment thrives not only on imports but the presence of a large number of domestic players contributes heavily to the segment, churning out the majority of revenue.
The report incorporates a detailed analysis of drivers and challengers, market revenue, volume, distribution and company share information. This apart, the report also covers latest news, financial deals and pipeline products information of each of the key sub-segments of the surgical equipment in India.
Table of Contents :
Slide 1: Executive Summary
Macroeconomic Indicators
Slide 2: GDP at Factor Cost: Quarterly (2011-12– 2014-15), Inflation Rate: Monthly (Jul 2013 – Dec 2013)
Slide 3: Gross Fiscal Deficit: Monthly (Feb 2013 – Jul 2013), Exchange Rate: Half Yearly(Apr 2014 – Sep 2014)
Slide 4: Lending Rate: Annual (2011-12 – 2014-15), Trade Balance: Annual(2010-11– 2013-14), FDI: Annual (2009-10 – 2012-13)
Introduction
Slide 5: A brief introduction to the Surgical Equipment market.
Market Overview
Slide 6: Market Overview, market size and growth.
Drivers & Challenges
Slide 7: Drivers& Challenges – Summary
Slide 8-12: Drivers
Slide 13-15: Challenges
Trends
Slide 16: Key Trends – Summary
Slide 17-19: Powered Surgical Tools- their advantages and growth prospects in India, Minimally invasive surgeries- their advantages and challenges to development, Robotic surgeries- their advantages and challenges to their development
Competitive Landscape
Slide 20: Porter’s Five Forces Analysis
Slide 20-24: Competitive Benchmarking
Slide 25-67: Major Private Players
Slide 68-71: Major Public Player
Strategic Recommendation
Slide 72: Using sound pricing strategies, giving importance to the sterilization process and collaborating with the government can help players increase the number of clients they serve
Appendix
Slide 73: Key Ratios Description
Slide 74: Sources of Information
Video-assisted thoracic surgery (VATS).pptxRacheen Salih
Presentation about video-assisted thoracic surgery (VATS), which is minimally invasive thoracic surgery that does not use a formal thoracotomy incision, it is principally employed in the management of (pulmonary, mediastinal, and pleural pathology.
This PPT is mainly on the Basic Principles of Minimal Invasive Surgery. The Final Yr. MBBS - Students shouls know the principles of Lap. surgery before going to their internship.
Lung cancer causes due to various reasons. once it is identified at initial stage it can be cured by surgery.Get to know about types of surgery for lung cancer.
Talk given at the 3rd International EAP conference given at MISIS in Moscow on 26th November 2016, which uses a medical context to explain how it is now a priority to introduce the Humanities into all technical/scentific education
The Importance of English in Medicine 3rd December 2015 Jonathan McFarland
Presentation given at the 5th Scientific Writing course ( Fundacion Esteve) given by John Giba and Ana Alguersuari at Son Espases University Hospital in Palma de Mallorca
A very interesting powerpoint by Silvia Sastre from Bibliosalut explaining about the new systems to make lectures more interactive and engage students in the lecture hall.
Glioblastoma - Diffuse guerilla war by Dr Paloma Jimenez Arribas Jonathan McFarland
A fascinating presentation about Glioblastoma, comparing it to
Guerrila warfare by Dr Paloma Jimenez Arribas , a resident Neurosurgeon at Son Espases Hospital in Palma de Mallorca
Denial in cancer patients by Raquel Rodriguez Quintana Jonathan McFarland
Raquel is a Psycho-oncologist working at Son Llatzer Hospital, in Palma de Mallorca. In this presentation she talks about Denial In Cancer Patients; an important and fascinating talk.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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
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.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
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
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
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
Vats in thoracic malignancies by Juan Antonio Torrecilla
1. VATS in thoracic malignancies
Juan Antonio Torrecilla Medina
Thoracic Surgery Department
H. Univ. Son Espases
2. I’d like you to know…
What’s VATS?
History of video-surgery in Thoracic Surgery
Indications of VATS
Mediastinum
Pleura
Lung
VATS in major lung resections
48. VATS lobectomy: when?
Any resectable NSCLC
Same goal as in open surgery (R0, lymph node
dissection)
contraindications:
- Sleeve resections
- Endobronchial tumours
- Chest wall involvement
- Tumours larger than 5 cm
- Induction chemotherapy
FormerRelative
49. VATS lobectomy: pros
Less pain, morbidity and early discharge
Less postoperative systemic inflammation
Less lost of postoperative lung function
Best quality of life
Best adherence to adjuvant treatment
As safe as thoracotomy in long-term survival
61. Just to finish…
VATS is a minimally invasive procedure using an utility
incision with no rib spreading
It’s a cutting-edge technique with more than 100 years
of history
It’s used in the resection of non-advanced thymomas
and mediastinal staging in NSCLC
It’s a usual technique in the management of malignant
effusions
62. Just to finish…
VATS is an alternative to thoracotomy approach for
periferal lung metastases
Sublobar resections (by VATS) may be an alternative in
early stages of NSLC
VATS lobectomy…
- Is as safe as thoracotomy, with less perioperative
morbidity and it’s related to better quality of life
- Is not an easy technique, with a long learning curve
- Is cheaper in developed countries, but probably more
expensive in the rest of the world
Editor's Notes
The history of videosurgery will help you to understand how we’ve achieved the actual indications.
But even the meaning of VATS, I’m going to introduce you the video-assisted surgery in general, including mediastinoscopy.
I like this diagram because is the original one described by Roviaro.
Poner una foto del campo desde lejos y con un diagrama que había en uno de los artículos
Foto de toracotomía antigua
Foto de toracotomía amiotómica
Aquí pondré una foto de VATS y una de toracoscopia, para enseñar la diferencia entre ambas técnicas
Aquí pondré fotos de una monoportal, una biportal.
Aquí pondré una foto de VATS y una de toracoscopia, para enseñar la diferencia entre ambas técnicas
Aquí pondré fotos de una triportal y cirugía robótica
Old instruments just thought to be used in simple procedures as biopsies…
Material con doble articulación para poder manejarlo a través de la toracotomía de utilidad.
The development of endosurgery has been possible because:
Surgeons have been looking for new indications of this kind of surgery
Technological improvements in fiberoptic, mechanical sutures and specific intruments (double-articulated)
Jacobeus: started the technique in 1910-1913, to divide the pulmonary adhesions in tuberculosis. In 1913 he started the biportal approach. He published the series in 1922.
Biopsies were started to be done afterwards, and the indicacion of adhesiolysis stopped in 1945, when the streptomice appeared, which was progressively forgotten (in tuberculosis) because of the high risk of complications.
In 1973 the first large serie of patients operated of diagnostic thoracoscopy was published. The serie was from 1957 till 1972 (126 patients).
Carlens y la mediastinoscopia
It was a RLL lobectomy.
Walker reported a serie of 6 patients (3 UL, 1 LL, 1 UR and 1 LR).
And after that:
1999: first robotic surgery
2001: first transcontinental robotic surgery. The first prototype of a surgical robot is dated from 1983.
2000: Da Vinci
2001: first uses in thoracic surgery
But this data is not properly for this presentation.
The technique was pioneered by a Hungarian surgeon, Humor Hultl,[2] known as the "father of surgical stapling".[3] Hultl's prototype stapler of 1908 weighed eight pounds (3.6 kg), and required two hours to assemble and load. Many hours were spent trying to achieve a consistent staple line and reliably patent anastomoses.
The technology was refined in the 1950s in the former Soviet Union, allowing for the first commercially produced re-usable stapling devices for creation of bowel and vascular anastomoses.
Mark M. Ravitch, brought a sample of stapling device after attending a surgical conference in USSR, and introduced it to entrepreneur Leon C. Hirsch, who founded the United States Surgical Corporation in 1964 to manufacture surgical staplers under its Auto Suture brand.
The indication for VATS in thymoma is in Masaoka stages I and IIa (microinvasion of fat tissue). Indications for stages III and IV are controversial.
Vídeo de timectomia x VATS
Esquema del mapa ganglionar para explicar la necesidad de estadificación mediastínica y el abordaje de las diferentes estaciones ganglionares. Con cuadros de colores podemos diferenciar cuáles se pueden biopsiar por mediastinoscopia y cuáles por VATS.
Vídeo de mediastinoscopia
Vídeo de VATS para ganglios de la ventana aortopulmonar. Poner una imagen del TAC de la paciente (alemana con neo de mama). Explicar la relación con el recurrente.
Hablar brevemente del VAMLA y el TEMLA como métodos de estadificación. Artículos al respecto (poner las cabeceras).
Las recomendaciones de la guía de la ESTS del 2014 son que estas dos técnicas sólo se recomiendan en ensayos clínicos.
Las recomendaciones de la guía de la ESTS del 2014 son que estas dos técnicas sólo se recomiendan en ensayos clínicos.
Foto a la izquierda de un derrame pleural.
If the first toracocentesis is negative, a second one will be positive en 30% of patients.
Poner la VATS como última alternativa para la biopsia y la posibilidad de talcaje. También mencionar la ventana pericárdica cuando hay derrame pleural y pericárdico.
Video de pleura normal (uno de neumotórax, por ejemplo)
Vídeo de biopsia pleural y talcaje.
En las metástasis pulmonares hablar del uso del arpón por la imposibilidad en ocasiones de palpar el nódulo pulmonar. Hablar de la dificultad extrema de encontrar nódulos pulmonares infracentimétricos.
VATS can be used to resect most metastatic lesions, as the majority are located in the peripheral one-third of the lung [51]. Conversion from a VATS approach to an open thoracotomy is appropriate for lesions located more centrally.
As discussed above, there is no consensus regarding a preference for open thoracotomy over a VATS procedure. Some argue that thoracoscopic resection is a valid approach only for patients with a solitary pulmonary nodule on preoperative chest CT, where the risk of additional disease is small [53-56]. On the other hand, proponents of VATS argue that while open surgical exploration identifies radiographically occult nodules, these can be resected with VATS in the future, once they become detectable on surveillance CT scans, without adversely affecting survival.
VATS can be used to resect most metastatic lesions, as the majority are located in the peripheral one-third of the lung [51]. Conversion from a VATS approach to an open thoracotomy is appropriate for lesions located more centrally.
As discussed above, there is no consensus regarding a preference for open thoracotomy over a VATS procedure. Some argue that thoracoscopic resection is a valid approach only for patients with a solitary pulmonary nodule on preoperative chest CT, where the risk of additional disease is small [53-56]. On the other hand, proponents of VATS argue that while open surgical exploration identifies radiographically occult nodules, these can be resected with VATS in the future, once they become detectable on surveillance CT scans, without adversely affecting survival.
El JCOG 0802 finaliza en agosto de 2018.
El CALGB 140503 finaliza en 2016.
Vídeo de resección atípica simple. Explicar aquí la dificultad para encontrar los nódulos, y la necesidad de guiar por arpón la biopsia en ocasiones.
Además, es el momento (si hay tiempo) de explicar que no siempre es fácil realizar una biopsia intraoperatoria (en el caso que se trate de un tumor menos periférico).
Vídeo de lobectomía (superior derecha).
Poner foto de artículo de amico (o alguno de estos, de una resección hipermegacompleja).
Less pain and complications mean less perioperative mortality.
Less postoperative systemic inflammation
Less pain and complications (meta-analysis)
Less pain and complications (randomised study)
Same long-term survival
Same long-term survival
Less lost of postoperative function
Best quality of life
Best adherence to adjuvant treatment
The conclusion is that the technical part is more expensive. It depends on the hospital stay charges that the overall process is more expensive or cheaper.
The conclusion is that the technical part is more expensive. It depens on the hospital stay charges that the overall process is more expensive or cheaper.