Dorsal striatum in the brain, illustration.
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It is a nucleus in the basal ganglia, consists of the caudate nucleus (green) and the putamen (orange). Amygdala is marked blue.
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Credit: Kateryna Kon / Science Photo Library
β β β β β β β β β β β β
It is a nucleus in the basal ganglia, consists of the caudate nucleus (green) and the putamen (orange). Amygdala is marked blue.
β β β β β β β β β β β β
β β β β β β β β β β β β
Credit: Kateryna Kon / Science Photo Library
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PRONING π«π¦
#IntensiveCare
This proning video captures what the pandemic has felt like in the ICU. Especially the acuity & the teamwork.
The prone position is a body position in which the person lies flat with the chest down and the back up. In anatomical terms of location, the dorsal side is up, and the ventral side is down. This increases blood return to the chambers on the right side of the heart and decreases constriction of the blood vessels of the lung. This may help the heart pump better & improve blood flow to the lungs - resulting in improved oxygen delivery to the body.
In this video, this team is flipping the patient over & have him rest on his back (un-proning).
Prone positioning in patients with moderate to severe ARDS due to COVID-19 is associated with reduced mortality and improved physiologic parameters. One in-hospital death could be averted for every 8 patients treated.
PMID: 33380236
#IntensiveCare
This proning video captures what the pandemic has felt like in the ICU. Especially the acuity & the teamwork.
The prone position is a body position in which the person lies flat with the chest down and the back up. In anatomical terms of location, the dorsal side is up, and the ventral side is down. This increases blood return to the chambers on the right side of the heart and decreases constriction of the blood vessels of the lung. This may help the heart pump better & improve blood flow to the lungs - resulting in improved oxygen delivery to the body.
In this video, this team is flipping the patient over & have him rest on his back (un-proning).
Prone positioning in patients with moderate to severe ARDS due to COVID-19 is associated with reduced mortality and improved physiologic parameters. One in-hospital death could be averted for every 8 patients treated.
PMID: 33380236
This maneuver has been used since the 1970s as a rescue therapy to treat severe hypoxemia in patients with acute respiratory distress syndrome (ARDS).
Medscape Clinical Trend: Stress Damageβ β
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Although gray hair is often jokingly referred to as "stress highlights," the connection between personal pressure and pigment changes has been difficult to prove, until now. β β
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Researchers measured color loss in single strands of human hair from volunteers who kept diaries to document the weekly levels of stress they experienced. β β
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Using high-resolution scanners, the team captured images of hair fragments so tiny that they represented 1 hour's growth. β β
β β
When hair color changed, the team saw variations in 300 proteins. β β
β β
This allowed them to develop a mathematical model to predict what may happen to hair over time and identify a point in time when those changes are reversible.β β
β β
Stress has certainly increased for many patients during the pandemic. Besides the gray hair, what other stress related reactions are you seeing in your practice?β β
β β
Although gray hair is often jokingly referred to as "stress highlights," the connection between personal pressure and pigment changes has been difficult to prove, until now. β β
β β
Researchers measured color loss in single strands of human hair from volunteers who kept diaries to document the weekly levels of stress they experienced. β β
β β
Using high-resolution scanners, the team captured images of hair fragments so tiny that they represented 1 hour's growth. β β
β β
When hair color changed, the team saw variations in 300 proteins. β β
β β
This allowed them to develop a mathematical model to predict what may happen to hair over time and identify a point in time when those changes are reversible.β β
β β
Stress has certainly increased for many patients during the pandemic. Besides the gray hair, what other stress related reactions are you seeing in your practice?β β
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Animation of TEVAR Stenting procedure of Stanford B Aortic Aneurysm by Helix Animation
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IUDs implantation...
The laboratories can be used to reinforce the United Kingdomβs COVID-19 testing potential at some stage in wintry weather. Each lab could have a day-by-day ability of 12,000 tests, combining to carry online a further a hundred and twenty,000 COVID samples per day. As these labs are adaptive, they may be repurposed to fulfill the United Kingdomβs diagnostic requirements publish by COVID.
In of entirety, the new laboratories will create seven hundred new jobs throughout the UK. The establishing of the labs follows Β£30 million of investment through Randox, bringing its total COVID-19 funding to Β£a hundred and fifty million.
Two of Randoxβs new βdiceβ labs are already in operation outside Manchester, and sites are open in North London before the stop of the month. An additional six labs are also set to open by means of the quit of 2021.
In of entirety, the new laboratories will create seven hundred new jobs throughout the UK. The establishing of the labs follows Β£30 million of investment through Randox, bringing its total COVID-19 funding to Β£a hundred and fifty million.
Two of Randoxβs new βdiceβ labs are already in operation outside Manchester, and sites are open in North London before the stop of the month. An additional six labs are also set to open by means of the quit of 2021.
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AAAMS offered four unique CME and CE Accredited Facial Aesthetics courses for beginner and intermediate levels - in-person, online, and hybrid. A passing score of 70% on the final exam is required to receive credit.
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Don't scare like that π΅βπ«π€π€£π
Severe facial trauma due to a scooter accident! π΄
This case shows a shattered lower jaw (mandible).
The man was riding his scooter and accidentally crashed into the back of a car, resulting in the injuries shown in this photo.
If you arrived first on scene to this type of traumatic injury, what would your first actions be?
How would you choose to stabilize the patient and treat the wound in the prehospital setting?
This case shows a shattered lower jaw (mandible).
The man was riding his scooter and accidentally crashed into the back of a car, resulting in the injuries shown in this photo.
If you arrived first on scene to this type of traumatic injury, what would your first actions be?
How would you choose to stabilize the patient and treat the wound in the prehospital setting?
Cardiopulmonary resuscitation (CPR) is an emergency procedure that combines chest compressions often with artificial ventilation in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest. It is recommended in those who are unresponsive with no breathing or abnormal breathing, for example agonal respirations.
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This patient is β#peeingβ poop!! π©
A 72-year-old woman presented to the urology clinic with a 2-week history of passing gas in her urine.
Three months earlier, she had been treated for acute diverticulitis, and just before the current presentation she had completed treatment for a urinary tract infection.
On physical examination, her abdomen was soft, with no tenderness or distention. Urinalysis was notable for the presence of leukocytes and bacteria, and a urine culture grew Klebsiella pneumoniae.
Contrast-enhanced computed #tomography of the abdomen and pelvis revealed a pericolonic mass extending from the sigmoid colon to the superior wall of the urinary #bladder. #Colonoscopy showed diverticulosis of the colon with no tumors or #polyps.
A 72-year-old woman presented to the urology clinic with a 2-week history of passing gas in her urine.
Three months earlier, she had been treated for acute diverticulitis, and just before the current presentation she had completed treatment for a urinary tract infection.
On physical examination, her abdomen was soft, with no tenderness or distention. Urinalysis was notable for the presence of leukocytes and bacteria, and a urine culture grew Klebsiella pneumoniae.
Contrast-enhanced computed #tomography of the abdomen and pelvis revealed a pericolonic mass extending from the sigmoid colon to the superior wall of the urinary #bladder. #Colonoscopy showed diverticulosis of the colon with no tumors or #polyps.
Cystoscopic examination of the bladder revealed an area of congested edematous bladder mucosa with a central orifice that extruded gas and feculent material, which confirmed the #diagnosis of a colovesical fistula (see video). Causes of colovesical fistulas include diverticulitis, inflammatory bowel disease, and bowel or bladder cancer. The patient underwent robot-assisted colovesical fistula repair with sigmoid colon resection.
On follow-up 2 months later, the patient was doing well, with no recurrence of symptoms.
On follow-up 2 months later, the patient was doing well, with no recurrence of symptoms.