본 증례는 좌측 복부 통증으로 내원한 55세 남자로서, 배설성요로조영술상 좌측 상부요관협착으로 진단되어 6개월간 매달 double-J 스텐트를 교체해오던 환자였다. 환자는 비만과 당뇨, 고혈압, 심근경색의 병력으로 인해 마취 위험도가 높아 요관부목 교체 시마다 입원 치료가 필요하였다. 환자가 영구적 요관부목 설치에 동의하여 척추마취하에 Memokath 051 (Engineers & Doctors, Copenhagen, Denmark)를 유치하였다. 수술 전 검사에서 혈청 크레아티닌치가 1.7 mg/dL로 증가된 것 외에는 일반혈액검사, 생화학검사 및 소변검사결과는 정상 범주였다. 배설성요로조영술상 좌측 상부요관에 2 cm 이상의 협착이 보여 C-arm fluoroscopy로 협착의 위치를 확인하면서 Memokath를 성공적으로 유치하였다(Figs. 1, 2). 수술 후 3일째 환자는 갑작스런 좌측 복부 통증을 호소하였고, 다시 시행한 ...
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how to stop obsessive licking in dogs, how to stop ocd licking in dogs, how to stop excessive paw licking in dogs, how to stop my dogs obsessive licking
Hi, When I scratch Lady in a particular spot near the base of her tail, she starts wagging her tail and licking the air. Im aware that repetitive lip licking can be a sign of submission, anxiety, and pain, but Im confused because neither she, nor my lab growing up, who did the same thing when scratched in the same spot, seem to be showing any of those signs. In fact, when I stop, Lady looks at me and then at her tail as if to say, hello? whyd you stop? Shes a submissive dog in
This deserves a honorary mention. Supergirl Gina licks the creamy asses clean without any problem. Delighted she has her own asshole filled while a big dick enters her soaking cunt. On to the finals! ...
Theres a key to cunnilingus that most guys or girls leave out of their practice. Too bad, because this technique leads to multiple orgasmic quivering… ...
TY - JOUR. T1 - Atrial natriuretic polypeptide (ANP) in human ventricle increased gene expression of ANP in dilated cardiomyopathy. AU - Saito, Yoshihiko. AU - Nakao, Kazuwa. AU - Arai, Hiroshi. AU - Sugawara, Akira. AU - Morii, Narito. AU - Yamada, Takayuki. AU - Itoh, Hiroshi. AU - Shiono, Shozo. AU - Mukoyama, Masashi. AU - Obata, Kenji. AU - Yasue, Hirofumi. AU - Ohkubo, Hiroaki. AU - Nakanishi, Shigetada. AU - Imura, Hiroo. PY - 1987/10/14. Y1 - 1987/10/14. N2 - Tissue levels of atrial natriuretic polypeptide (ANP) messenger RNA (ANPmRNA) and ANP in the human atrium and ventricle were measured simultaneously by the blot hybridization technique and the specific radioimmunoassay for ANP. Hearts were obtained from two patients without cardiac complications and from a patient with dilated cardiomyopathy (DCM) at autopsy. Total RNA extracted from ventricles contained a hydridizing RNA band of the same size as atrial ANPmRNA in both control and DCM hearts. The ANPmRNA level in the control ...
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The methodologic strengths of the study by Shuster and colleagues are the randomized controlled trial design and the large number of patients from different areas of the United States. The weaknesses are related to the lack of details that may permit exploration of alternative explanations for the finding of an effect of the advice regarding soft drinks. Although not stated in the article, the physicians were blinded to allocation. The success of the blinding was dependent on the unblinded patients silence. The role of co-intervention is uncertain. Patients may have been given dietary advice regarding calcium, oxalate, flesh protein, vitamin D, and fluid consumption. Strauss and colleagues (1) reported that patients who formed stones and remained free of recurrence had a greater increase in urine volume than those who had recurrences. Treatment with thiazides and allopurinol are effective in decreasing the 3-year probability of recurrent stone disease from 55% in control groups to 15% to 25% in ...
Paper:Memokath 044 Stent for the Treatment of Recurrent Bulbar Urethral Strictures , Author:Magdy Ahmad Alsayed EL-Tabey , Year:2012 , Faculty of Medicine ,Department of UROLOGY ,Benha University
silver (metal), More details This silver water bowl with a cover is adorned with the same kind of large floral motifs found on the Indian ebony cabinet (elsewhere in this gallery). The set was made in Batavia, where Indian craftsmen further developed the floral style. The bowl was likely used to serve cold water. ...
Higher coffee consumption is associated with a lower risk of death, according to research presented today at ESC Congress.1 The observational study in nearly 20 000 participants suggests that coffee can be part of a healthy diet in healthy people.
Camera Angles Lick! How to play a blues lick over an A7 or A minor chord. This lick uses triplet, but you can just as well play it straight, with no triplet feel. Experiment with where you start the lick - i ...
If you purchased an e-collar, your pet should wear it at all times, especially when youre not looking. Put it over their head, small end first. The e-collar is adjustable, so please check the fit. You dont want it to be too tight, but you also dont want your pet to be able to push it off. Your pet will not like wearing it, but its for their own good. If they struggle with the collar at first, do not panic and take it off. Give them a chance to adjust. You can use your pets own collar to help keep it on. Also make sure they can get to their food and water bowl with it on. At least a week post-surgery, your pet will likely be ready to go without the e-collar. When it is first taken off, be sure to have time to spend with your pet to make sure he/she doesnt lick excessively or chew at the incision ...
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Prepare yourself and your partner. Every woman is different, so you may need to get her in the mood before licking her vagina. If she is relaxed, the stimulation will be received better. While you focus on other areas, make quick and gentle touches to the vaginal area; you can get an idea of how ready she is for you to lick her vagina ...
The investigation of ingestive conduct is that zone of science gave to investigation of the exercises that achieve nourishment and liquid admission; i...
Trending Videos See All.,Allie arched her back and started grabbing her boobs and moaning loudly. Double Penetration. Mommy lick my pussy.
A naughty girl confesses to her boyfriend that she would like to have another guy present every now and then. At first he has his doubts but then he calls a friend and together they fuck her silly. Pull apart his ass cheecks and lick his hole, you dirty whore! ...
My Russian Blue Mix is 5 years old, Ive noticed for a while now that he licks wall. He will sit there and lick a wall for hours if I let him. I of course
Whats a healthy meal without a great bowl to eat out of? PetCareRx is your answer to dog bowls and other great pet supplies and products
Whats a healthy meal without a great bowl to eat out of? PetCareRx is your answer to dog bowls and other great pet supplies and products
Experts weigh in on the hottest erogenous zones youre probably ignoring, and exactly how to caress, stroke, and lick your way to the hottest sex youve...
and LSU comes away with a big Sugar Bowl win. LSU defeated Notre Dame 41-14 in the Sugar Bowls return to the Superdome, and handed Notre Dame its ninth straight bowl loss which
Dialysis is one of the methods of treatment available for those in the last stages of renal failure. It is also the most common renal failure treatment. This is because in order to be eligible for a transplant you have to meet several strenuous criteria and a matching kidney must be available to you. While waiting for a kidney transplant, people must undergo dialysis in order to keep dangerous toxins from building up in the blood. Dialysis creates a significant lifestyle change for the individual who must undergo the process. In most cases, the patient will have to attend a dialysis appointment at least 3 days per week, and the treatment itself can last upwards of 3 and even 4 hours.. There are two different types of dialysis available for renal failure. The first type is hemodialysis and the second is Peritoneal Dialysis. Hemodialysis involves diverting blood through a special machine as it flows through the body. The machine then scrubs the blood, removing toxins that have built up, before ...
Microbial testing is crucial for identifying if water supplies could be harboring harmful levels of bacteria, yeast or mold. A total aerobic bacteria plate count, also called APC or TPC, is an inexpensive test which indicates the cleanliness of a water system but does not necessarily provide information on whether the bacteria is good or bad.. Test the source and test the water at the bird level. Counts greater than 10,000 colony forming units (cfu)/ml suggest the system has potential for harboring pathogens.. Take care when pulling water samples for microbial evaluations to prevent contamination from the air as the air in a chicken house could be loaded with bacteria.. Do not sample directly in front of a running fan but find a location that is out of direct air movement.. Utilize a sterile container, clean the water line opening (faucet) or nipple drinker with 91% rubbing 2 alcohol, let the water run for 20-30 seconds (activate nipple drinkers with sterile tweezers), then collect the sample. ...
Although several studies have estimated the effect of sugar sweetened beverages taxes on household purchases, very few examples using individual level self-reported consumption data are available. To our knowledge, only Philadelphia and Berkeley have used a similar approach. In Philadelphia, a telephone survey was used to estimate changes in consumption of sugar sweetened drinks; the results showed that the odds of daily soda consumption decreased by 40% after implementation of the tax.34 In Berkeley, three studies included measures of self-reported sugar sweetened drinks consumption. One used 24 hour beverage recall surveys before and after the tax (collected in the same months one year apart) and found that consumption had fallen 21% eight months after the tax was implemented, but the study was insufficiently powered to detect an effect.11 Another study interviewed shoppers in low income neighbourhoods in Berkeley using a short beverage frequency measure. This study found that consumption of ...
He FJ, Marrero NM, and MacGregor GA. Salt intake is related to soft drink consumption in children and adolescents. A link to obesity? Hypertension. 2008;51:629-634.. The link between salt intake and fluid intake is well characterized in adults. The World Health Organization has estimated that reducing daily salt intake by half, to ∼5 g/d, would reduce fluid intake by about 350 mL/d per person. While intake of water is seldom of concern, much of the fluids consumed in developed nations contribute significant calories to the daily diet. Soft drink intake in children, in particular, is a concern due to the proposed link between intake of sweetened beverages and obesity. To determine a link between salt intake and soft drink consumption, He et al. analyzed data from the National Diet and Nutrition Survey for young people in Great Britain. The survey, conducted in 1997, provides a representative sample of young people between the ages of 4 and 18 years.. Data from 1688 participants (837 girls) were ...
Adjust the rate of fluid intake to race pace: slower race pace = slower drinking rate; maximum intake of 500 ml/hr (4-6 oz every 20 min) for runners with greater than 5 hour marathon finishing times (10-11 min/mile pace). Weight monitoring is also important: if you gain weight during your workout or event, you are drinking too much.. For a more highly motivated runner/walker who desires a numeric "range," a fluid calculator can provide an estimate of body fluid losses as a generalized strategy for fluid replacement. Participants concerned about peak performance are advised to understand their individualized fluid needs through use of this fluid calculator but ALWAYS defer to physiologic cues to increase fluid intake (thirst, concentrated dark urine, weight loss) or decrease fluid consumption (diluted or clear urination, bloating, weight gain) while participating. It is also important to recognize that if you use this method in one climate and then travel to a different climate for your event, ...
Prevention: • Drink plenty of fluids, dont wait until thirsty • Drink small amounts and often • Avoid drinks that contain caffeine and alcohol which are diuretics • It is essential to replace the sodium lost through sweating Symptoms: • Thirst • Decreased urine volume • Abnormally dark urine • Unexplained tiredness • Irritability • Lack of tears • Headache • Dry mouth • Dizziness Manoj Choyal .  If the water in the body is balanced, the urine will be a pale straw or lemonade color. When water loss from the body exceeds water intake, the kidneys need to conserve water, making the urine much more concentrated with waste products and subsequently darker in color. Dark yellow urine is a sure indicator that the individual is dehydrated and that the fluid consumption must be increased. Certain medicines and vitamins may cause the color of the urine to change. If any of these have been taken, this test is unreliable.   Manoj Choyal . HEAT RASH ...
A total of 36 studies were included, with 1,279,804 subjects and 36,352 CVD cases. Duration of follow-up for incident CVD ranged from 6-44 years, with a median follow-up of 10 years. Twenty-one studies were conducted in Europe, 12 in the United States, and three in Japan. A nonlinear relationship of coffee consumption with CVD risk was identified (p for heterogeneity = 0.09, p for trend < 0.001, p for nonlinearity < 0.001). Compared with the lowest category of coffee consumption (median, 0 cups per day), the relative risk of CVD was 0.95 (95% confidence interval [CI], 0.87-1.03) for the highest category (median, 5 cups per day), 0.85 (95% CI, 0.80-0.90) for the second highest category (median, 3.5 cups per day), and 0.89 (95% CI, 0.84-0.94) for the third highest category (median, 1.5 cups per day). Coffee consumption was nonlinearly associated with both coronary heart disease and stroke risks.. ...
I m lucky to have two dogs, one small and one large, who can come galloping into the house from a hard romp, run to the water bowl, and drink their fill, and hardly leave a drop on the floor. I m reminded of how lucky I am every time my son s dog comes to visit - as I move the water bowl outside and grab the first of a series of dog towels from the bottom shelf of the linen closet, the stained, frayed-edge, holey towels kept just for dog baths and... well, this! Cole is incapable of drinking even a little without redistributing half of it around the kitchen. It wasn t such a big deal in summer - it s so dry here, the water would evaporate in no time. But now, with cold floors and me walking around in socks... Darn it, Cole!
In order to create the most natural habitat for your ig, you may want to use either astroturf or Repti carpet for the floor of the cage. Both can be found at most pet stores. I recommend PetsMart or Petco. You should put one or two sticks in the cage for climbing and basking. If you get sticks from the back yard or outside somewhere make sure you soak them in a bleach sollution for 24 hours (one part bleach, two parts water). Let them dry completly before placing them in the cage. Place two water bowls in the cage - one for drinking, and a larger one for soaking. This is not required, although it may make things simpler for you. Make sure you change water bowls daily. You will also need a food dish that is somewhat large yet shallow so your iguana can reach the food easily. You dont want too much clutter on the floor of the cage as this may stress the iguana. You want the ig to have plenty of room to walk around. You also may want to put some vines or plants in the cage (preferably plastic), ...
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Has anyone ever had a dog with lick atrophy? My black lab has it or does it and it is so gross. Basically she licks and lick her legs until she has a...
People believe that a dogs mouth is much cleaner than the mouth of humans. This is perhaps the reason why some people would allow their dogs to lick their feet, their hands as well as their faces and mouths. When a dog licks the master, the dog...
Lick Granuloma or Acral Lick Dermatitis is a real challenge for us in the veterinary world. . .at least it was for me until I entered the Alternative Medicine world and found the core cause of this problem. Let me show you how to fix this without spending hundreds of dollars and wasting lots of time. . .
Molly and Blackie were going crazy! I moved the humidifier out just a little. Nothing. I pulled it out a little more....nothing! Finally I was like, okay Molly, get ready. I pulled it out all the way, and Jacob (good ol eagle eye) saw it go behind Moosies water bowl. It ran out a little bit from there, and kind of looked around frantically. I think it knew its time was limited. Molly got to it first and byebye mouse ...
An anonymous reader writes Those cups of coffee that you drink every day to keep alert appear to have an extra perk — especially if youre an older adult. A recent study monitoring the memory and thinking processes of people older than 65 found that all those with higher blood caffeine levels...
We love it when our dogs show us affection by kissing (a.k.a. licking) our faces. But do you know what actually happens when your pup licks your face?
Increased thirst, pet is drinking much more than usual. Excessive drinking is often accompanied by excessive urinating. Excessive thirst ca
If your kitty spends more time licking and scratching at her skin than she does napping or batting around her toys, something definitely needs to be done to give her some relief. Bring your itchy ...
One of the best parts about dogs is how affectionate they can be. Its almost like they can sense when were hurt or feeling down, and then try to help us with extra snuggles or kisses. But while well-intentioned, those kisses-well, licks-may not always be good for your health.
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WebMD decodes a range of puzzling canine customs, from chasing their own tails to rolling around in unmentionables, Many quirky habits are normal in dogs, though a few may suggest hidden medical problems.
Most women want oral sex from their men, even the ones who protest that they dont. Some may feel that any woman who wont let her… ...
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My 4 year old is always putting things in her mouth and or licking on unusual objects. She does not play alone alot and seems easily distracted. We were
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