Anatomy remains

Endoscopic retrograde cholangiopancreatography (ERCP) in patients with altered gastrointestinal (GI) anatomy remains a challenging procedure. We experience particular difficulty passing a catheter and devices in patients who have biliary stricture or severe deformity, despite successful biliary guiding.

3p viintuit 26-09-2023 0 0   Download

Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy remains a challenging procedure even for the more experienced endoscopists. We present a unique case of an ERCP performed in a patient with prior Whipple surgery, where biliary access was obtained via an endoscopic ultrasound (EUS)-guided rendezvous technique, and cannulation was ultimately done using a modified therapeutic endoscope with successful biliary drainage.

5p viwhitewolf 03-07-2023 3 2   Download

Although significant efforts have been put into restituting the European bison (Bison bonasus) and increasing its population, it remains a globally endangered species and requires conservation. Protection programs of bison indicate the need for morphological studies of their individual systems, in order to enhance restitution programs and enable appropriate veterinary care.

8p vigalileogalilei 28-02-2022 15 1   Download

Percutaneous anterior odontoid screw fixation for odontoid fractures remains challenging due to the complex anatomy of the craniocervical junction. We designed a new guide instrument to help with the placement of guide wire, which have achieved satisfying surgical results.

10p vivermont2711 28-01-2021 8 1   Download

Despite extensive knowledge on bivalve anatomy and development, the formation and differentiation of the mantle margin and its associated organs remain largely unclear. Bivalves from the family Pectinidae (scallops) are particularly promising to cast some light on these issues, because they exhibit a complex mantle margin and their developmental stages are easily obtained from scallop farms.

22p viwyoming2711 16-12-2020 5 1   Download

Over the last ten years, there has been explosive development in methods for measuring gene expression. These methods can identify thousands of genes altered between conditions, but understanding these datasets and forming hypotheses based on them remains challenging.

10p vioklahoma2711 19-11-2020 8 1   Download

Polyploidy is well studied from a genetic and genomic perspective, but the morphological, anatomical, and physiological consequences of polyploidy remain relatively uncharacterized. Whether these potential changes bear on functional integration or are idiosyncratic remains an open question.

12p vihashirama2711 21-05-2020 12 1   Download

the book providing full explanations of difficult anatomical relationships, and highlighting features of clinical significance throughout, this second edition remains an invaluable guide for students of anatomy across the medical and health sciences, and a handy reference for the busy clinician.

172p dien_vi09 27-10-2018 29 3   Download

Tham khảo sách 'sharing knowledge innovations and remaining challenges', kỹ thuật - công nghệ, cơ khí - chế tạo máy phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả

113p nt18105 20-05-2013 35 3   Download

There remains a paucity of text literature regarding forensic implications of the lower extremity. Forensic Medicine of the Lower Extremity: Human Identification and Trauma Analysis of the Thigh, Leg, and Foot encompasses human identification, biomechanics, trauma analysis, and new areas for potential forensic research with regard to the thigh, knee, leg, ankle, and foot. Initially, the reader may question what makes the lower extremity different enough from other anatomic regions that it merits a separate text.

425p camchuong_1 10-12-2012 64 7   Download

Professor O.C. Zienkiewicz, CBE, FRS, FREng is Professor Emeritus and Director of the Institute for Numerical Methods in Engineering at the University of Wales, Swansea, UK. He holds the UNESCO Chair of Numerical Methods in Engineering at the Technical University of Catalunya, Barcelona, Spain. He was the head of the Civil Engineering Department at the University of Wales Swansea between 1961 and 1989. He established that department as one of the primary centres of ®nite element research.

708p khangoc2391 11-08-2012 64 9   Download

This second edition remains dedicated to my family, Donna, Allison, and Ellen, and to the two finest surgeons that I have known, Benjamin Franklin Byrd, Jr., and James Reuben Andrews. My father, B.F. Byrd, Jr., has dedicated his entire life to fighting cancer, a much more admirable pursuit than anything I will do. He detoured only briefly from this battle to champion another cause, as a highly decorated medical officer overseeing the care of wounded from Normandy Beach through the fields of Europe. Through his lifelong example, he has shown me what being a physician is all about.

261p 951864273 10-05-2012 81 11   Download

Electrocardiograms (ECGs) are the graphic representation of body surface potential differences generated by the electrical activity of the heart. Bipolar limb leads, augmentedunipolar limb leads and precordial leads have been used routinely for recording the ECG, which remains an essential part of the cardiac examination, even after the advent of cardiac catheterization, angiocardiography, echocardiography and many other sophisticated diagnostic modalities.

100p 951864273 10-05-2012 49 12   Download

The purpose of this book remains what it was in the first seven editions: to present the fundamental principles and facts of human physiology in a format that is suitable for undergraduate students, regardless of academic backgrounds or fields of study: liberal arts, biology, nursing, pharmacy, or other allied health professions.

0p 951864273 09-05-2012 143 20   Download

Emergencies in medicine are difficult on two fronts: they may challenge both the health of the patient and the skills of the doctor in charge. If the latter, the former may deteriorate rapidly. Thus, the definition of an emergency indeed depends on who is facing it. As we mature along our clinical pathways of education, training, and experience, the risk of going through a personal professional emergency is continuously reduced. Nevertheless, throughout our medical career, accurate self-assessment and subsequent control of our actions remain our most important qualities.

679p 951864273 09-05-2012 85 18   Download

Cardiovascular disease continues to be the leading cause of death in patients with end-stage renal disease (ESRD). The diagnosis, management, and treatment of cardiac disease in ESRD remain a difficult problem for clinicians. In 1982, Love and co-authors published “Cardiac Surgery in Patients with Chronic Renal Disease’’ which compiled the latest and best treatment options at that time.

108p 951864273 09-05-2012 81 10   Download

Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this information in a particular situation remains the professional responsibility of the practitioner....

185p crazy_sms 08-05-2012 79 12   Download

Plague is an acute febrile disease caused by infection with Yersinia pestis. Human cases are infrequent and are curable with antibiotics. Plague is, however, one of the most virulent and potentially lethal bacterial diseases known, and fatality rates remain high among patients who are not treated in the early stages of infection. Plague occurs in widely scattered foci in Asia, Africa, and the Americas (Fig. 152-1), where its usual hosts are various wild rodents and human-associated rats.

23p crazy_sms 08-05-2012 41 3   Download

Members of the genus Vibrio cause a number of important infectious syndromes. Classic among them is cholera, a devastating diarrheal disease caused by V. cholerae that has been responsible for seven global pandemics and much suffering over the past two centuries. Epidemic cholera remains a significant public health concern in the developing world today. Other vibrioses caused by other Vibrio species include syndromes of diarrhea, soft tissue infection, or primary sepsis. All Vibrio species are highly motile, facultatively anaerobic, curved gram-negative rods with one or more flagella.

15p crazy_sms 08-05-2012 51 4   Download

The discovery of Shigella as the etiologic agent of dysentery—a clinical syndrome of fever, intestinal cramps, and frequent passage of small, bloody, mucopurulent stools—is attributed to the Japanese microbiologist Kiyoshi Shiga, who isolated the Shiga bacillus (now known as Shigella dysenteriae type 1) from patients' stools in 1897 during a large and devastating dysentery epidemic. Shigella cannot be distinguished from Escherichia coli by DNA hybridization and remains a separate species only on historical and clinical grounds.

11p crazy_sms 08-05-2012 57 6   Download