Fingerprint Dive into the research topics of Metachronous intraductal papillary mucinous carcinoma five years after cholecystectomy for gallbladder cancer in a patient with pancreaticobiliary maljunction. Together they form a unique fingerprint. ...

Recurrent invasive intraductal papillary mucinous carcinoma of the pancreas mimicking Pott disease: Review of the literature Academic Article ...

Mortality of generalized postoperative peritonitis remains high at 22% to 55%. The aim of the present study was to identify prognostic factors by means of univariate and multivariate analysis in a consecutive series of 96 patients. Mortality was 30%. Inability to clear the abdominal infection or to control the septic source, older age, and unconsciousness were significant factors related to mortality in the multivariate analysis. Failure to control the peritoneal infection (15%) was always fatal and correlated with failed septic source control, high Acute Physiology and Chronic Health Evaluation (APACHE) II score, and male gender. Failure to control the septic source (8%) also was always fatal and correlated with high APACHE II score and therapeutic delay. In patients with immediate source control, residual peritonitis occurred in 9% after purulent or biliary peritonitis and in 41% after fecal peritonitis (p = 0.002). In patients without immediate control of the septic source, delayed control ...

BACKGROUND: The mainstay of therapy for gastrocutaneous (GC) fistulas has been surgical intervention. However, endoclips are currently used for management of perforations and fistulas but are limited by their ability to entrap and hold the tissue.OBJECTIVE: To report the first North American experience with a commercially available over-the-scope clip (OTSC) device, a novel and new tool for the endoscopic entrapment of tissue for the closure of fistula and perforations.METHODS: The present single-centre study was conducted at a tertiary referral academic gastroenterology unit and centre for advanced therapeutic endoscopy and involved patients referred for endoscopic treatment for the closure of a GC fistula. The OTSC device was mounted on the tip of the endoscope and passed into the stomach to the level of the fistula. The targeted site of the fistula was grasped with the tissue anchoring tripod and pulled into the cap with concomitant scope channel suction. Once the tissue was trapped in the cap, a &

Dogs treated surgically were younger (P , .001), more likely to be sexually intact (P = .002), more likely to have clinical signs from PPDH vs an incidental diagnosis (P , .001), and more likely to have other congenital abnormalities (P = .003) compared with dogs treated conservatively. Ninety-seven percent of ST dogs were discharged from hospitals. Intraoperative and postoperative complications were reported in 22% and 41% of dogs, respectively, although most complications were classified as low grade (75% and 83%, respectively). Follow-up was available in 87 dogs, at a median of 1062 days. Hernia recurrence was not reported in any surgically treated dog. The deaths of nine dogs (five ST, four CT) could be attributed to PPDH, and long median survival times were observed in both the ST and CT groups (8.2 and 5 years, respectively).. ...

To address the relationship between putative luminal progenitor/amplified CK15+ cells and malignant disease, and to determine whether cells/lesions lose expression of CK15 as a result of tumour initiation and/or progression, we searched among our sample set for carcinomas in which invasive tumor areas co-existed with non-malignant cells and hyperproliferative and known pre-malignant lesions ...

This is my 7th year participating in the A to Z Challenge. In the 2015 challenge, I wrote about the Cleages formerly enslaved on the plantations of Samuel and his sons Alexander and David Cleage of Athens, McMinn County, Tennessee. Most of the people in these posts are not related to me by blood or DNA, however my ancestors were enslaved on the same plantations with them.. Late last year, I ordered the Civil War Pension files of the Cleage men who served in 1st Regiment, United States Colored Heavy Artillery (USCHA), during that war. Through these files I learned that their lives were much richer and more complex than census, death and other records can show. I am using the information from pension files and records that I found through the pension files for this years challenge.. ******. My great great grandmother, Susan Rice Ragan died of Valvular heart disease at age 76. This document from her Widows Pension file contains a statement of the attending physician.. ...

Jakacki RI, Hamilton M, Gilbertson RJ, Blaney SM, Tersak J, Krailo MD, Ingle AM, Voss SD, Dancey JE, Adamson PC: Pediatric phase I and pharmacokinetic study of erlotinib followed by the combination of erlotinib and temozolomide: a Childrens Oncology Group Phase I Consortium Study. J Clin Oncol; 2008 Oct 20;26(30):4921-7 ...

Whats your opinion on using raw honey to treat and heal my geldings staph abcesses after theyve drained. Ive been squirting raw honey in his drain holes and no...

Background: Tuberculosis (TB) remains as the leading opportunistic infection and cause of death among HIV-infected subjects in resource-limited settings (1). HIV infection is the strongest risk factor known for developing active TB, and as a consequence, the HIV epidemic in Sub-Saharan Africa has fuelled the incidence of TB (2). The interactions between HIV and TB are great challenges for health care, both with regard to diagnosis and treatment. In HIV-infected persons TB often has atypical manifestations, making correct and timely diagnosis difficult (3, 4). Recognition of TB before starting antiretroviral therapy (ART) is critical since a missed diagnosis of TB is associated with high early mortality after ART initiation (1, 5). Screening for TB is recommended for HIV-positive subjects, but a method with both satisfactory specificity and sensitivity that can be used in primary health care settings in Africa has not yet been identified. New diagnostic techniques for TB have recently been ...

Primary Objective:. • first assessment of the safety of applying A-Part® Gel as adhesion prophylaxis after major abdominal surgery by specific observation of two major complications of abdominal surgery (wound healing impairment, and/or postoperative peritonitis) in comparison to a control group.. Secondary Objectives:. ...

Foremost, we need to have a clear understanding on what does blood in stool mean? Blood in stool is a hint that bleeding is present in the digestive tract. The bleeding is usually described either as dark in color or bright red blood on toilet tissue or stool. (4) But in some occasions, the presence of blood can only be determined by a procedure known as fecal occult blood test.. The causes of bloody stool can also be determined using several other diagnostic methods. It is usually started with a check on medical history and performance of physical examination. Laboratory diagnostic procedures may include colonoscopy, nasogastric lavage, enteroscopy, radionuclide scanning, barium x-ray, laparotomy, angiography, and esophagogastroduodenoscopy (EGD). (5). You should take a look at the DANGER signs of internal bleeding.. What causes black stool? The location of the underlying digestive tract bleeding influences the color of blood in stool. (6) Dark, tarry stools (medically called melena) indicate ...

Each of these foods comes with their own additional health benefits and are great options to incorporate into your daily nutrition. You may find that some of these foods may not work for you. We are all different, which means so is our chemical makeup. As a result you will find that you may not be able to tolerate some of the foods on this list. I always suggest to my clients that they start a food journal. They dont need to log everything they eat, however, it is a great way to determine which foods you may have a sensitivity to. In most cases of food sensitivity there is usually an underlying digestive issue. For example, individuals suffering from leaky gut have a tendency to experience more food sensitivity than they have had in the past. If you have noticed that you have been experiencing more sensitivity or other digestive issues you may want to look into doing a gentle detox. Detoxing is a great way to help your body repair itself ...

Background: An association between sexually transmitted diseases (STDs) and occurrence of head and neck cancer (HNC) is proposed.Aims/objectives: We aimed to determine the association between selected STDs (syphilis, gonorrhoea, HIV) and HNC.Materials and methods: Patients diagnosed with HNC in Denmark between 1978 and 2014 identified through the Danish Cancer Registry were included. Patients were age- and sex-matched in a 1:10 ratio with general population controls. Uni- and multivariate analyses were performed using the Cox regression model to assess the correlation between STD and HNC.Results: A total of 39,405 HNC patients (63% men; 63.0 years at HNC diagnosis) and 393,238 controls were included. STD in HNC patients was 0.27%, vs. 0.11% in controls. Patients with cancer of the upper airways had a significantly higher prevalence of an STD prior to the HNC compared to controls. Most HNC patients with a prior STD (64.1%) developed the HNC within five years after the STD diagnosis.Conclusions: ...

Circulating interleukin-6 (IL-6) improves outcome prediction for second primary cancer (SPC) in head and neck cancer (HNC) patients. This study aimed to identify factors associated with IL-6 serum levels in HNC patients. This study was conducted as part of a phase III chemoprevention trial. IL-6 was measured using chemiluminescent immunometric assay on pretreatment serum sample obtained from 527 stage I-II HNC patients. Patients lifestyle habits, sociodemographic, medical and tumor characteristics were evaluated before radiation therapy (RT). Factors independently associated with IL-6 levels before RT were identified using multiple linear regression. The median IL-6 serum level was 3.1 ng/L. In the multivariate analysis, eight factors were significantly associated (p | 0.05) with IL-6: age, gender, marital status, body mass index, tobacco consumption, comorbidities, Karnofsky Performance Status and HNC site. Smoking duration and lifetime pack-years were positively associated with IL-6 serum levels in

Roger Sorkin is busy raising funds to produce The Burden. He believes that finding other energy sources should be a national priority, up there with the Manhattan Project. Getting fuel to the troops in Afghanistan can cost as much as $400 per gallon! Not to mention that many of the Western Worlds sources of energy are in areas that are unfriendly or hostile to its interests. Therefore, its extremely important to start the process now. The military is firmly behind this effort, as they understand better than anyone the high stakes involved.. Click Here to Listen to the Audio. Sign up (on the right side) for the instant free Financial Survival Toolkit and free weekly newsletter.. ...

President Barack Obamas new special interest rules are having unexpected consequences with some lobbyists giving up their formal registrations and finding other ways to influence policy as they try to maintain access to key agencies or hope for future government jobs.. Congressional aides, industry executives and watchdog groups say the rules have also slowed Obamas ability to fill key government jobs, eliminated some highly qualified candidates and kept away some others who worry tougher revolving door rules could tie their hands in the future.. The presidents executive order isnt working the way they planned, said one top Washington industry lobbyist, who asked not to be identified, given the sensitivity of the subject.. He said he personally knew of several companies and non-profit groups who had filed papers with Congress terminating the lobbyist status of people on their payrolls after realizing that they were being shut out.. Reading the rules narrowly, even he could deregister and ...

De nition and abdominal ectopic pregnancy initially present with a psa >3 alters the probability of pd. The band is stretched to prevent patients from new york times in adequate doses is useful for controlling hyperhidrosis. Patients should have search for alarm features. The bladder is involved, it can be combined with antifungal agents is increased at all speci c for at least one of which may need maintenance drug therapy of syphilis following the first day. So take our advice is don t. Not if you have recently received mefloquine should not tell lies, because it relates to episodes in ones life, but often such history is not their roots. Melman a, tiefer l, melman a. Accuracy of the lateral open edge. 27.8b) and then finding other sentences that they too must have acted provocatively and led her to the myometrium, creating a local resistance (intestinal immunity) to reinfection by the english psychologist david courtenay marr (1943 70), the first day, followed by 70 mg with dapsone 180 mg or ...

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Finding Other Records in Poland. How do you know what archives are actually available for the town youre researching? JRI-Poland has not indexed every record, and doesnt have many records that are not vital records. Many other records exist, such as census records, voter lists, notary records, etc.. There are basically two ways to find out what records exist for a given town. First there is Miriam Weiners Routes to Roots Foundation. If you click on Archive Database on the left menu and then Archive Documents under Search on the right, youre brought to the search page. If, to continue our example, you search for Tyszowce, youd find there are 14 record groups. These are spread among archives in Tyszowce, Zamosc and Lublin, as well as one record set at the Jewish Historical Institute in Warsaw. Record types include Birth, Marriage, Death, Voter Lists, Kahal/Jewish, Tax Lists and Notary Records. Sometimes a single record type (such as Birth) are spread among many different archives. In this ...

1. Check out the new banner by Lindy Groening. If you have bee allergies, my apologies; theres an epinephrine autoinjector for you on the bottom right of the page. (Hey: Ive seen My Girl.) 2. Tomorrow begins the 2012 Foodie Photo Scavenger Hunt (with over $3500 in prizes from the CIA). Im posting the list at 5 PM E.S.T. and you have until Sunday at midnight to complete it. In the meantime, if youre on Twitter, check out the hashtag #foodiephotohunt. Thatll be important during the hunt for an opportunity to score some bonus points by finding other teams in your area. And if you have any questions, ask them with that hashtag and Ill be sure to answer them. Now e-mail your friends and find a partner, quick!. ...

When school started again I tried to hang out with the old crowd but the dirty jokes, profanity and porn no longer held an attraction for me and I drifted away from them. I began carrying a Bible to school and spending lunch hours reading from its pages. One thing I ran into right away was a ridicule from those who were as I had been before. They asked me questions I had of my own and couldnt answer back then, but it forced me to dig deeper into the Bible. Many of the questions took me beyond the knowledge I had and still do, but dozens of those questions have been answered to those who will seek the answers. As I progressed in my Christian walk I began finding others who shared a love for Christ and the joy that is inherent in knowing Him. I thought then as now that even if there werent a hereafter I was personally much more gratified by being a Christian than as an agnostic. I realized a new purpose and meaning to life that had been lacking. I even became acquainted with influential men in ...

When school started again I tried to hang out with the old crowd but the dirty jokes, profanity and porn no longer held an attraction for me and I drifted away from them. I began carrying a Bible to school and spending lunch hours reading from its pages. One thing I ran into right away was a ridicule from those who were as I had been before. They asked me questions I had of my own and couldnt answer back then, but it forced me to dig deeper into the Bible. Many of the questions took me beyond the knowledge I had and still do, but dozens of those questions have been answered to those who will seek the answers. As I progressed in my Christian walk I began finding others who shared a love for Christ and the joy that is inherent in knowing Him. I thought then as now that even if there werent a hereafter I was personally much more gratified by being a Christian than as an agnostic. I realized a new purpose and meaning to life that had been lacking. I even became acquainted with influential men in ...

38 Dolomite Drive, York, PA 17408 (MLS# PAYK121696) is a Condo property with 3 bedrooms, 2 full bathrooms and 1 partial bathroom. 38 Dolomite Drive is currently listed for $199,900 and was received on July 22, 2019. Want to learn more about 38 Dolomite Drive? Do you have questions about finding other Condo real estate for sale in York? ...

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Sometimes, routine things can result in finding other things you didnt know were there.. You know how when you bring your car to the mechanic for new brakes or an oil change, and they suddenly find other problems you didnt know about? The same can happen during a routine eye exam, only it can affect more important things than your transmission.. Annual eye exams are important not only to keep your eyes healthy and your vision clear, but to make sure there arent any signs of eye diseases or serious conditions on the horizon. Thats why Dr. Fettig performs a thorough eye exam, checking your eye health and asking questions about your medical history and personal lifestyle.. At Preferred Eye Care, LLC, we see patients from the entire Marion, Kokomo, and New Castle, Indiana area. Let us give you and your family the top-quality eye care you deserve.. ...

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In practice fistula surgery leads to radical excision & large wounds at anal and perianal region which leaves patient in severe post operative pain and pain during dressings. These procedures are associated with of deformities due to excision of tissue and scaring. Patient requires long hospitalization for 6 - 8 days or longer. Dressing is required for long time 4- 6 weeks / months. In spite of all these agonizing problems there is high risk of recurrence and incontinence. The Minimum Invasive endoscopy surgery for fistula depends on skill of fistuloscopy which has very short learning curve. The procedure requires one day hospitalization, no radical excision of tissue, no potential danger of incontinence, no painful dressings and heals in short duration. A new procedure had minimum of 2 years follow up, had proved its efficacy. It had 91 % success rate in difficult problems like high, long, complex recurrent, horse shoe fistula. It is choice of the patient even after recurrence. Non touch technique to

Minimally Invasive Surgeries (also known as minimally invasive procedures) have been enabled by the advance of various medical technologies. Surgery by definition is invasive and many operations requiring incisions of some size are referred to as open surgery. Incisions made can sometimes leave large wounds that are painful and take a long time to heal. Minimally invasive surgery encompasses surgical techniques that limit the size of incisions needed and so lessen wound healing time, associated pain and risk of infection. An endovascular aneurysm repair as an example of minimally invasive surgery is much less invasive in that it involves much smaller incisions than the corresponding open surgery procedure of open aortic surgery. ...

A skin graft is a piece of healthy skin (graft) that is moved from one part of your body to another. If you have a large wound, a skin graft can help cover it. This allows the wound to heal. Or a skin graft can be used to treat a scar (a mark left after a wound has healed). The skin graft can improve how a scar looks, making it less visible. And if scar tissue is tight and restricts movement of the skin, a skin graft can help improve this. ...

It was September in 2001. It had been a hard year. Id had my first major bout with the disease that nearly took my life. Dad had had a couple major surgeries on his circulatory system. He had been a smoker for about sixty years and his arteries were plugged with deposits once known as hardening of the arteries. Mom had been sick for several years partly due to smoking half her life. It was complicated by Temporal arteritis, a rare disease, that left her with large wounds on her head, blinded in one eye with poor vision in the other. Then she contracted shingles leading to more suffering. ...

It was September in 2001. It had been a hard year. Id had my first major bout with the disease that nearly took my life. Dad had had a couple major surgeries on his circulatory system. He had been a smoker for about sixty years and his arteries were plugged with deposits once known as hardening of the arteries. Mom had been sick for several years partly due to smoking half her life. It was complicated by Temporal arteritis, a rare disease, that left her with large wounds on her head, blinded in one eye with poor vision in the other. Then she contracted shingles leading to more suffering. ...

The Berger Searching bullet line is proving to become by far the most lethal massive recreation looking bullets obtainable. All the Berger Searching bullets are created in the VLD structure. The VLD layout incorporates a sharp nose that enables the bullet to penetrate two to three prior to it begins to grow. Following the bullet starts to develop it will shed forty% to eighty five% of its weight as shrapnel in to the encompassing tissue (internal organ). The mixture between the shrapnel and the hydrostatic shock makes a large wound cavity throughout the important place (inner organs) that could be thirteen to fifteen extensive ...

From Z-Medica, QuikClot® is an adsorbent hemostatic agent which rapidly stops blood loss - even in large wounds. Ideal for military, first-responders and homeland security.

Force Kinetics is deeply committed to the pursuit of quality and innovation in modern day ammunition manufacturing. Our genuine and essential responsibility is to implement and sustain highly enhanced quality standards within our manufacturing process, and we are constantly working to develop state-of-the-art technology to deliver the the safest and most innovative technology to the market including our domestic armed forces, law enforcement and to law abiding and responsible citizens.. Our defense ammunition is factory new, lead free, solid copper core expanding hollow point that is activated by hydrostatic pressure. Our projectiles are machined from solid bars and are designed to create a large wound channel, that expands at the point of contact with the intended target.. We are currently innovating multiple defense ammunition to cater to all our customers needs. We will launch the most advance ammunition for pistol calibers that include .40 caliber & 45 ACP as well as high tech ammunition ...

The Big Cinch Large Compression Dressing protects vital abdominal organs and large wounds to protect and control bleeding. This dressing is folded flat to create a small package.

Cumulative formed by or resulting from accumulation or the addition of successive parts or elements. To determine probabilities, we need to determine areas under the standard normal curve.

TY - JOUR. T1 - Aortobronchial fistula after endovascular stent graft repair of the thoracic aorta. AU - VonFricken, Kurt. AU - Karamanoukian, Hratch L.. AU - Ricci, Marco. AU - Taheri, Abe. AU - Bergsland, Jacob. AU - Salerno, Tomas A.. PY - 2000/10/30. Y1 - 2000/10/30. N2 - Endovascular stent graft repair of descending thoracic aortic aneurysms has been recently introduced as an alternative to conventional graft replacement of the diseased aorta. As experience with this new technique accumulates, complications may occur. We herein report the case of a patient in whom we observed distal migration with leak of an endovascular stent graft previously inserted in the descending thoracic aorta, associated with an aortobronchial fistula. The urgent surgical treatment undertaken, which consisted of graft replacement of the previously stented aorta, had a fatal outcome. (C) 2000 by The Society of Thoracic Surgeons.. AB - Endovascular stent graft repair of descending thoracic aortic aneurysms has been ...

Case Reports in Otolaryngology is a peer-reviewed, Open Access journal that publishes case reports in all areas of otolaryngology, including head and neck surgery, facial plastic and reconstructive surgery, maxillofacial surgery, and pediatric otolaryngology.

Dxplain is a rules-based system [this was the prevalent methodology in the eighties when Dxplain was developed - clinical features were manually linked to diseases and given evoking strengths]. Isabel, on the other hand, uses natural language processing software to search pages of textbooks through a taxonomy [of over 11000 diagnoses and 4000 drugs] - a bit like how Google searches web-pages. Like Google, Isabel is fast and easy to use. The more clinical features you enter into Isabel the tighter the spread [more useful] of the differential diagnosis. There is no Oracle sitting behind the screen and therefore holding back a clinical feature like elevated ESR yields a different search & result on Isabel. If you were looking for John Smith MD from Portland, Oregon on Google and you held back on entering Portland, Oregon - the result will be different and less useful ...

When I started shooting it was a solo pursuit. I didnt think I knew anyone I could ask to teach me and then, once I got started, I had trouble finding other shooters I could share this new passion with. Why does that matter? Because making friends who shoot will give you access to a wide range of personal experience, encouragement and support in your pursuit of firearms skills and safety.. I got lucky. When I showed up to my NRA First Steps Pistol class, one of the instructors was an old friend Id lost track of from over a decade ago. Neither of us were shooters before. She let me shoot some of her guns and helped me select my first pistol to purchase. That was a S&W 22A chambered in .22LR.. She made me aware of a Ladies Handgun group that met once a month. That seems to be unique to women, as I havent heard of a support group for men in shooting, but it was a great resource for me. They helped me select my first 9mm handgun: an XDS by Springfield Armory.. I since sold both of these guns, but ...

ADHD is known to be highly genetic. Approximately 77% of the time someone diagnosed with ADHD has the condition because of the genes they carry. However, genes are not the only factor. Researchers are finding other issues can correlate with ADHD. In this recent study published in Januarys Journal of Pediatrics researchers show that neonatal health is an important risk factor for ADHD.. An astounding 980,902 children born in Denmark between 1988-2001 were monitored. The babys health immediately after birth was measured by commonly used Apgar scores. Then all children were followed from age 3 until a diagnosis of hyperkinetic disorder, a first medication for ADHD, migration, death, or the end of 2006, whichever came first.. The results - The lower the Apgar score the greater the risk for the child developing ADHD. Compared with children with Apgar scores of 9 or 10 at 5 minutes, the risk for ADHD was 75% higher in children than with Apgar scores of 1 to 4 and 63% higher for those with Apgar ...

This page lists a members blog entries. Home of Animation and video games. A community made to ease finding other freelancing artists and companies associated with still art, animation and video game development. Find jobs, share knowledge, build connections and more. موقع حياة يتخصص في كل ما يتعلق بالفن و الإبداع من أنيمشن و ألعاب الفديو و غيرها. أعثر على شركات أو أشخاص مستقلين في نفس المجال.

With casinos still closed and many sports shut down due to the coronavirus, people who often gamble are finding other ways to get their fix. The Ohio Department for Mental Health and Addiction Services found that about 11% of Ohioans have a gambling addiction. In Lucas county alone they estimated that we have over 3,600 problem gamblers just in our county,” said Steve Kapela, gambling treatment manager at the Zepf Center.

Busy day, getting some things caught up around the house...paying bills, office work etc...and I just processed a few more from the Eastern Shore. The Chesapeake Bay and its bounty is in serious decline. Many oyster men who made their living from the bay are now finding other ways to make a living. The rich heritage of the old water men still exists in small towns on the Eastern Shore and Tilghman Isand is one of those towns. Fishing Charters, Duck hunting excursions and tour boat rentals are everywhere. I enjoyed being there for a little while making some images around the old Marina on the Knapps Narrows ...

Even if Trump rules as a typical Republican, the mere fact that he ran by repudiating its core beliefs means something. People are finding others who also see that the Emperor has no clothes, on both sides of the divide. Thats empowering. Collective action matters, even if votes dont particularly. And people finding out theyre not alone is step 1. The elite has set up this lesser of two evils situation. This year, actually voting lesser of two evils could bring real good. Because Trump is unquestionably the lesser evil. Still probably evil, no question. But even if he goes back on all his leftish policy positions while keeping his racist incitement, the Ds will have to fight him, at least a tiny little bit. But more importantly, it should do real harm to both parties corrupt control. Purging the Clintons is good for the planet, in my opinion. And how much longer will corporations and banks flood the Democrats with money if they control NOTHING? Nothing in Washington, almost nothing in the ...

This page lists blog entries. Home of Animation and video games. A community made to ease finding other freelancing artists and companies associated with still art, animation and video game development. Find jobs, share knowledge, build connections and more. موقع حياة يتخصص في كل ما يتعلق بالفن و الإبداع من أنيمشن و ألعاب الفديو و غيرها. أعثر على شركات أو أشخاص مستقلين في نفس المجال.

Never, ever in my life since my earliest days have I had an issue with what to do with myself as Im artsy, crafty and prone to be a workhorse type of guy. When younger I practiced sports related stuff for hours and hours when not finding others to game with. As I aged sports took all my non- sleeping or classroom time. I caddied from 5th grade up into college as time allowed while also playing sports all year long. What a busy life. I passed it on to my kids too. While visiting us on Christmas, our Texas son, the oldest rode his bicycle several hundred miles. The other two, twins either do family stuff, incl. camping, bicycles, hiking, etc., or play golf or work too much at engineering jobs Just maybe thats part of the reason my body is wearing out ...

In Pauls own words, Studying birds can require work, patience, and research, but it is rewarding. The practice from doing this, or any activity in which you observe and learn from nature, transfers to other activities such as finding other animals, beautiful rare wildflowers, wild edible plants, berries, mushrooms, etc. I hope to inspire people to responsibly enjoy and live in harmony with nature at some level because it is an innate part of being human. We are genetically programmed to derive satisfaction from doing this because our ancestors did this for thousands of years in order to survive ...

Never, ever in my life since my earliest days have I had an issue with what to do with myself as Im artsy, crafty and prone to be a workhorse type of guy. When younger I practiced sports related stuff for hours and hours when not finding others to game with. As I aged sports took all my non- sleeping or classroom time. I caddied from 5th grade up into college as time allowed while also playing sports all year long. What a busy life. I passed it on to my kids too. While visiting us on Christmas, our Texas son, the oldest rode his bicycle several hundred miles. The other two, twins either do family stuff, incl. camping, bicycles, hiking, etc., or play golf or work too much at engineering jobs Just maybe thats part of the reason my body is wearing out ...

These women are putting their heads together to deal with their hair loss. They have alopecia areata. Instead of hiding the disorder, this group has decided to bring it out in the open to connect with other women who are also learning to cope with hair loss. They founded a new group called Bald Girls Do Lunch. For many of them, it has already become a sisterhood.. Alopecia sufferers Maryann French, Patti Burkholder, and Thea Chassin say of the group, This was the first time that I was in a situation where you could be openly bald...You walked into the bathroom, theres a bald girl there! I was, like, so excited! And then the next girl came in and she felt embarrassed because she wore her wig to lunch! Women are finding other people that are not that far away from where they live, and then they can keep in contact with each other afterwards.. Bald Girls Do Lunch holds gatherings in cities throughout the United States and is looking to expand. So, if you would like to start a Bald Girls Do ...

It has been tough and its a struggle every day but I am very thankful for my very supportive family as well as finding others who are battling this disease, Sheiman said. I have listened to many stories from others battling Medullary Sponge Kidney disease where the doctors blow them off or they cannot get treatment. I am thankful to have a great doctor and to have the chance to advocate for people who have the same disease that I do.. ...

OVERVIEW: What every practitioner needs to know Are you sure your patient has optic nerve hypoplasia? What are the typical findings for this disease? Findings that suggest optic nerve hypoplasia are: 1) Poor fixation one or both eyes 2) Nystagmus 3) Strabismus 4) Sluggish pupil response. Each of these findings may be due to other…. ...

Dr. John Hart gave a lecture about the pathology of celiac disease during the celiac preceptorship that I attended at the University of Chicago last month. Dr. Hart is one of the worlds experts in this field. Pathology encompasses the abnormal findings that can be seen on duodenal (small bowel) biopsy in patients with celiac disease. As a disclaimer, I have not really studied pathology since my first two years of medical school (1999-2001). Nor did I ever imagine that Id be writing about it…. Dr. Hart started his lecture by describing the difference between the classical biopsy findings v. the new biopsy findings in celiac disease.. Classic celiac disease findings on biopsy include total villous atrophy (flattening, or blunting, of the villi throughout entire duodenum), inflammatory cells, increased intraepithelial lymphocytes (IELs), and elongated crypts.. But, it has been shown in recent years that patients with celiac disease can have totally normal looking bowel mucosa (no villous ...

Interestingly, the idea of a wick and linen being laid on the wound is almost exactly what happened to a deep wound I had (result of an abcess) just a few weeks ago. Modern nurses dont use linen but stuff derived from seaweed (I think). They used 2 different types, one was stiff and felt like cardboad when it first went into the wound (it hurt) until it softened; the other type looked like white candy floss and was much more comfortable. The idea is to close the wound from the bottom, thereby avoiding the outer part healing and an abcess forming under the surface. As the bottom closes they put less and less in until it closes up completely. The wound continues to weep while this is going on. I now have quite a large scar but its nowhere nearly as bad as I thought it was going to be. All I can say is that even in the past they knew how to deal with large wounds. They were not daft ...

Dealing with an injured pet can be scary and frustrating. In many cases, you dont know how bad the injury is, and your pet may not be acting normally. If your pet is injured, the first thing you need to do is try to remain calm. If possible, try to determine how severe the injury is, but remember that caution is extremely important when approaching an injured animal. Any pet, no matter how calm or friendly he or she may usually be, can bite or scratch when in pain.. While all injuries should be seen by your veterinarian as soon as possible, injuries involving an eye, the head, a large wound, difficulty breathing, sudden or severe swelling, pain, significant blood loss, or trauma (such as a car accident) should be seen immediately. Even if your pet appears to be normal after an accident, its possible for him or her to have internal injuries that you cant see, so its important to go to your veterinarian as soon as possible.. What to Do Before Transporting Your Pet. In some cases, its obvious ...

Dealing with an injured pet can be scary and frustrating. In many cases, you dont know how bad the injury is, and your pet may not be acting normally. If your pet is injured, the first thing you need to do is try to remain calm. If possible, try to determine how severe the injury is, but remember that caution is extremely important when approaching an injured animal. Any pet, no matter how calm or friendly he or she may usually be, can bite or scratch when in pain.. While all injuries should be seen by your veterinarian as soon as possible, injuries involving an eye, the head, a large wound, difficulty breathing, sudden or severe swelling, pain, significant blood loss, or trauma (such as a car accident) should be seen immediately. Even if your pet appears to be normal after an accident, its possible for him or her to have internal injuries that you cant see, so its important to go to your veterinarian as soon as possible.. What to Do Before Transporting Your Pet. In some cases, its obvious ...

The Haemorrhage Module contains large wound dressings and bandages for the emergency treatment of major bleeding. Use in areas of high risk for Haemorrhage

A strategy of drainage of acute sepsis, maintenance of nutritional support prior to surgery, and selective use of PS allows for primary closure in 80% of complicated ECF. Resection should be performed when feasible.

A quality improvement project demonstrates that routine distress assessment using in patients with head and neck cancers improves referrals.