From the American Association for Hand Surgery (ASSH) 2015 a presentation by Adam Watts from Wrightington Hospital, UK on the indication for acute scaphoid fracture fixation.
Summary of complex elbow injuries involving the radial head presented at American Association for Hand Surgery by Adam Watts from Wrightington Hospital, UK
Summary of complex elbow injuries involving the radial head presented at American Association for Hand Surgery by Adam Watts from Wrightington Hospital, UK
Functional and radiological assessment of displaced midshaft clavicle fractures treated through open reduction and internal fixation surgery using pre-contoured locking compression plates
As an orthopedic surgeon at Aurora Advanced Healthcare Orthopaedics in Milwaukee, Wisconsin, Dr. Mark Wichman builds on his extensive experience in surgical reconstruction of the anterior cruciate ligament, or ACL. Dr. Mark Wichman contributed a section explaining the use of a particular soft tissue fastener in the ACL procedure to the surgical technique manual of Medshape Orthopaedics, a manufacturer of orthopedic devices in Atlanta, Georgia.
This Presentation is on floating knee. You can also see same presentation in the form of video on my youtube channel ORTHOMECHANICS.....
You will get various lecture presentation on my channel.
Follow the link below:
https://youtu.be/8CTugwQpcoo
Functional and radiological assessment of displaced midshaft clavicle fractures treated through open reduction and internal fixation surgery using pre-contoured locking compression plates
As an orthopedic surgeon at Aurora Advanced Healthcare Orthopaedics in Milwaukee, Wisconsin, Dr. Mark Wichman builds on his extensive experience in surgical reconstruction of the anterior cruciate ligament, or ACL. Dr. Mark Wichman contributed a section explaining the use of a particular soft tissue fastener in the ACL procedure to the surgical technique manual of Medshape Orthopaedics, a manufacturer of orthopedic devices in Atlanta, Georgia.
This Presentation is on floating knee. You can also see same presentation in the form of video on my youtube channel ORTHOMECHANICS.....
You will get various lecture presentation on my channel.
Follow the link below:
https://youtu.be/8CTugwQpcoo
Vertebroplasty is an effective, minimally invasive spine procedure where acrylic bone cement is injected into a painful pathologically compressed vertebral body.
clavical fractures are most controversial in case of treatment modalities in orthopaedics. it is one of the common fracture of all ages. so we are explaining our point what to do or not?
Pulled Elbow Reduction & Treatment for Childrenayurvedakart
Q.1- What is pulled elbow?
A.1 - Pulled elbow occurs when one of the forearm bones (the radius) slips through a ligament at the elbow.
Q.2 - What is the other name of pulled elbow?
A.2 – It is also known as Nursemaid’s elbow.
Q.3 – What causes a pulled elbow?
A.3 – It occurs when a child's arm is suddenly pulled, twisted or jerked.
Q.4 – What is common age group for pulled elbow?
A.4 – It usually occurs in children less than 6 years of age.
Q.5 – How do you diagnose pulled elbow?
A.5 – It is diagnosed clinically by an orthopaedic doctor. No x-rays are generally required.
Q.6 - How to prevent pulled elbow?
A.6 – Avoid sudden pulls or jerks to the child elbow.
Similar to When to operate on acute scaphoid fractures (9)
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.
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
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
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.
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
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.
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.
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
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
- 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
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
When to operate on acute scaphoid fractures
1. Indications for acute
scaphoid fixation
Adam C Watts
Consultant Upper Limb Surgeon, Wrightington, UK
Visiting Professor, Manchester University
1
2. www.wrightington.com
Best Treatment of Scaphoid
Fractures
Primary
Achieve sound union
Secondary
in the shortest time
with lowest risk and
disruption to patient
2
35. www.wrightington.com
Cost analysis - undisplaced
fractures
Non-manual workers
cost of surgical arm significantly higher than non-surgical
average period off work 0 days compared to 19 days
Manual workers
returned to work more quickly after surgery (61 v 100 days)
total costs higher with surgery but not statistically significant
No assessment of lost productivity
26
36. CT/MRI
www.wrightington.com
27
Scaphoid fracture seen on radiograph
Tubercle fracture
Unicortical fracture
Surgical fixation
Waist fracture appears undisplaced
Proximal pole
Associated wrist injury
Obviously displaced
Displaced ≤2mm Displaced >2mm
Individual requires early wrist motion
Cast immobilisation No Yes
37. CT/MRI
www.wrightington.com
27
Scaphoid fracture seen on radiograph
Tubercle fracture
Unicortical fracture
Surgical fixation
Waist fracture appears undisplaced
Proximal pole
Associated wrist injury
Obviously displaced
Displaced ≤2mm Displaced >2mm
Individual requires early wrist motion
Cast immobilisation No Yes
40. www.wrightington.com
5 Questions
Answer ‘yes’ to any then consider surgical treatment with screw fixation
1.Is there an associated ipsilateral wrist injury?
2.Is there a proximal pole fracture?
28
41. www.wrightington.com
5 Questions
Answer ‘yes’ to any then consider surgical treatment with screw fixation
1.Is there an associated ipsilateral wrist injury?
2.Is there a proximal pole fracture?
3.Is there a waist fracture that is displaced on
scaphoid series radiographs?
28
42. www.wrightington.com
5 Questions
Answer ‘yes’ to any then consider surgical treatment with screw fixation
1.Is there an associated ipsilateral wrist injury?
2.Is there a proximal pole fracture?
3.Is there a waist fracture that is displaced on
scaphoid series radiographs?
4.Is there a waist fracture that is shown to have
more than 2mm displacement on CT/MRI?
28
43. www.wrightington.com
5 Questions
Answer ‘yes’ to any then consider surgical treatment with screw fixation
1.Is there an associated ipsilateral wrist injury?
2.Is there a proximal pole fracture?
3.Is there a waist fracture that is displaced on
scaphoid series radiographs?
4.Is there a waist fracture that is shown to have
more than 2mm displacement on CT/MRI?
5.Is there a waist fracture that is shown to have up
to 2mm displacement in an individual who requires
early wrist motion?
28