SAGES Top 14 Video: Part 13 -- Roux-en-Y Gastric Bypass

To contact us Click HERE
The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) prepared their top 14 procedures. Each video will be presented here. I hope you find this video informative.

Part 13: Lap RYGB



Part 1 -- Flexible Endoscopy

Part 2 -- Diagnostic Laparoscopy

Part 3 -- Laparoscopic Cholecystectomy

Part 4 -- Laparoscopic Common Bile Duct Exploration

Part 5 -- Laparoscopic Appendectomy

Part 6 -- Laparoscopic Nissen

Part 7 -- Laparoscopic Inguinal Hernia Repair

Part 8 -- Laparoscopic Ventral Hernia Repair

Part 9 -- Laparoscopic Splenectomy

Part 10 -- Laparoscopic Adrenalectomy

Part 11 -- Laparoscopic Right Colectomy

Part 12 -- Laparoscopic Sigmoid Colectomy

SAGES Top 14 Video: Part 14 -- Laparoscopic Adjustable Gastric Band Placement

To contact us Click HERE
The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) prepared their top 14 procedures. Each video will be presented here. I hope you find this video informative.

Part 14 -- Lap Band:



Part 1 -- Flexible Endoscopy

Part 2 -- Diagnostic Laparoscopy

Part 3 -- Laparoscopic Cholecystectomy

Part 4 -- Laparoscopic Common Bile Duct Exploration

Part 5 -- Laparoscopic Appendectomy

Part 6 -- Laparoscopic Nissen

Part 7 -- Laparoscopic Inguinal Hernia Repair

Part 8 -- Laparoscopic Ventral Hernia Repair

Part 9 -- Laparoscopic Splenectomy

Part 10 -- Laparoscopic Adrenalectomy

Part 11 -- Laparoscopic Right Colectomy

Part 12 -- Laparoscopic Sigmoid Colectomy

Part 13 -- Laparoscopic Roux-en-Y Gastric Bypass

Managing Medical Failure

To contact us Click HERE
For surgeons, quality improvement and patient safety are not new.  Over the last few decades, surgeons have held weekly morbidity and mortality conferences (M&M).  This conference allows surgeons an opportunity to look at their errors, investigate the root cause of the error, and discuss how to be better.  Charles L. Bosk, PhD is  a sociologist who studied surgeon training in the 1970s.  In his book, Forgive and Remember: Managing Medical Failure, Dr. Bosk provides an insiders perspective into the world of training surgeons.  Although it was written 30 years ago, many of the observations noted in the book remain true.  This book is a must read for medical students, surgery residents, and anyone interested the training of surgeons.

Why does pancreatic cancer have to "trend" only when someone famous dies?

To contact us Click HERE
Pancreatic cancer is challenging to diagnosis and treat.  Public awareness of this tragic disease is limited.  In recent years, we have witnessed the death of famous icons in American society diagnosed with pancreatic cancer.  As demonstrated by the graph below, the number of Google searches for "pancreatic cancer" spiked around the deaths of Patrick Swayze and Steve Jobs.  Hopefully, the public knowledge and understanding of pancreatic cancer will rise to a level where we can no longer witness this information gap simply through Google trends.

Figure 1. Google search trending of phrase "pancreatic cancer".

What is general surgery?

To contact us Click HERE
General surgery is a specific field of surgery.  Common operations performed by a general surgeon include cholecystectomy (removing the gallbladder), hernia repair, and colectomy (removing the colon).  After completing four years of medical school, a doctor applies for residency--on the job training.  In general, the field of general surgery is the starting place for training to become a surgeon.  General surgery training is five years.  Training may be longer depending if the resident takes time off for research.

After residency in general surgery, surgeons can pursue additional training in liver and pancreas surgery, surgical oncology, trauma, critical care, pediatric surgery, cardiovascular surgery, colorectal surgery, minimally invasive surgery, or vascular surgery.  Additional training beyond general surgery is not required.  The American Board of Surgery is the organization that offers certification in general surgery ("surgery").  The ABS confirms that a resident has met a defined standard of education, training and knowledge in the field of surgery.  General surgery residency does not include training for neurosurgery or orthopedic surgery.

Confirmation card I made

To contact us Click HERE
I had a hard time finding inspiration for confirmation cards until I landed on this idea at the cutting cafe...here's the links I was inspired from...
http://thecuttingcafe.typepad.com/the_cutting_cafe/cross-shaped-card/
http://thecuttingcafe.typepad.com/the_cutting_cafe/bible-verses/

I changed mine up by adding a dove which is a confirmation symbol. I found the dove on google images. I was able to get the bible verses on my card by putting kraft cardstock into our printer. I just really like how the print adds a little something to the card.

I hope my nephew James will like his card! I'm also mailing one to my nephew Billy. Congratulations guys for making your confirmation!

Supplies Used: Silhouette Cameo
                        Kraft cardstock
                        Bazzill cardstock
                        Sheer polkadot ribbon
                        Stampin Up! DSP
                        Printer
                        Gel pen
                        Foam dot
                        ATG Gun
                        SCAL
                        SDS

Mobile Phones

To contact us Click HERE
    * New Online Resources Regarding Reverse Phone Lookup
    * Online Resources Concerning Reverse Phone Lookup
    * Acquiring The Latest Information Concerning Reverse Phone Lookup
    * Reliable And Trusted References About Reverse Phone Lookup
    * A Look At The Top Cell Phone Service Providers
    * How to Extend Your Galaxy Nexus Battery Life
    * Tips In Acquiring Online Details Regarding Reverse Phone Lookup
    * The Best Online References Concerning Reverse Phone Lookup
    * Everything You Need On The Go You Can Get From An App
    * Online Details Concerning Reverse Phone Lookup
    * Browsing For Online Facts Concerning Reverse Phone Lookup
    * The Importance Of Reverse Phone Lookup Nowadays
    * There Are So Many Cell Phone Plans -- Which Is Right For Me?
    * The Importance Of Acquiring Reverse Phone Lookup
    * Reliability Of Online Information Concerning Reverse Phone Lookup
    * Helpful References Concerning Reverse Phone Lookup
    * Your Online Guide Reverse Phone Lookup
    * To Acquire Online Facts About Reverse Phone Lookup
    * Save On Roaming Charges By Unlocking A Blackberry
    * A Review of the Blackberry Bold 9780 Smart Phone
    * Reverse Phone Lookup Online Facts
    * To Acquire Internet References Concerning Reverse Phone Lookup
    * Countryside Gets Short Straw in Mobile Reception Lottery
    * Best Sellers In HTC Phones
    * Reverse Phone Lookup For Your Mobile Phones
    * Making Use Of Reverse Phone Lookup References Online
    * Best Sellers In Unlocked Phones
    * The First Most Reliable Reverse Phone Lookup
    * Top References About Reverse Phone Lookup
    * More Reliable References Online Concerning Reverse Phone Lookup

Satellite Tv

To contact us Click HERE
    * Home Theater: An Overview
    * Choosing the Right Speaker Wire
    * HDMI Wall Plates and Cables for High Definition Home Entertainment
    * Kinds of Optical Cables Available in the Market
    * What You Need to Know About HDMI Cables
    * Try To Watch Sports On Computer
    * How To Avail Sports On Computer
    * Satellite Broadband Service Inquries Every New Customer Should Consider
    * The Various Choices That Come With Satellite TV Software
    * Which HD is better, satellite TV or cable?
    * Dish Network promotions can offer over $800 in savings
    * Dish Latino Plus adds the English Channels
    * The Good Thing About Having A Free TV On PC
    * Availability of the Free TV On PC
    * You Can Still Catch Up Your Sports On Computer Anywhere
    * Never Miss the Opportunity to Have Free TV On PC
    * Why choose Satellite TV over Cable TV?
    * The Fun of Watching Some Sports On Computer
    * It Is Very Advantageous To Have Free TV On PC
    * What’s the Best Package at Dish Network?
    * Dish Latino Spanish TV Channels make the New House Feel like Home
    * DishLATINO Clasico Offers a Variety of Spanish Programming
    * Dish Family - The Affordable Satellite TV Package
    * Dish Latino packages offer the best Spanish channels
    * Blockbuster Movie Pass takes Dish Promotions to the Next Level
    * Dreambox DM500HD what do you think
    * The Latest Fiber Optic Options For Internet and TV
    * Satellite Dish Installation – What You Should Keep In Mind
    * Satellite DISH TV California Deals gaining popularity day by day
    * Choosing Proper Pc Satellite TV For Your Computer

Video Conferencing

To contact us Click HERE
    * Expanding Video Industry: Subtitling Services Made Easy for Each Need
    * Why You Should Use Conference Call
    * The Video Conference Is An Affordable And Reliable Communication Technology
    * Online Video Marketing
    * Impossible: Tablet PCs Replace Laptop?
    * Video Security Cameras is on the Way to Secure Our Life
    * YouTube: Why So Popular?
    * Download Fireplace Videos create a nice atmosphere
    * HDMI Cables -- Overflowing this Fabrication and Biased HDMI Cord Assessments
    * Guide - That could Allow you to Buy Right Kind of Camcorder
    * Top 10 Advantages of Interactive Video Conferencing In Modern Education System.
    * Staff Training Through Video Conferencing In 5 Steps
    * How to use your camcorder to make high quality movies.
    * Top 10 Advantages of Interactive Video Conferencing In Modern Education System.
    * Top 10 Ways Healthcare Facilities Are Using Video Conferencing
    * Convert Youtube videos for free
    * Sudden Communications Adds Microsoft Lync to Suite of Business Communication Solutions
    * Webinar Tools: A Check Guide to Help you Raise Profit
    * Get Your Downloads From a Site That Gives You an Simple Time of It
    * How You Can Have an Simpler Time Downloading From the Internet
    * Adventure Tours in South America
    * Marriage ceremony videography- relive the second
    * Wedding videography- relive the second
    * Know Tomorrow’s Technology Today
    * Make Money with Conference Software
    * Conference Software for MLM and Network Marketers
    * A Patients Guide On Laser Therapy For Spider Veins
    * Voice Conferencing – Change the way Business works
    * Speed Reading Can Help You Read Faster and Comprehend More
    * American Idol Auditions 8 Free

Voip

To contact us Click HERE
    * You Don't Have To Get Rid Of Your Phone In Order To Save Money
    * Benefits Of VOIP
    * The Top Way To Cut That Phone Bill By More Than Half
    * The Reasons You Should Use Voice Over IP
    * Setting Up Your VoIP Phone System
    * Tapping Into Good Home Phone Service Without The Expense
    * Get Ready To Play Dvd On Wii Today
    * When does a Hosted PBX VOIP make sense for your business?
    * VoIP and Your Small Business
    * First Look at ShoreTel Mobility Router
    * Choosing Among VoIP Providers
    * How Business Phone Installation Helps Your Customer Service
    * Are 800 Numbers Essential?
    * Best deals in home phone services in Canada
    * Mobile Applications For free unlimited messaging
    * Requirement-Oriented Calling Cards
    * Predictive Dialer Architectures
    * Helping Your Company do better Business! (VOIP)
    * VoIP – Total phone solutions for small business
    * 5 Reasons to dump traditional PSTN for Hosted PBX
    * Live Broadcast On The Internet Has Huge Potential Both For End Users And Business Entities
    * Live Broadcast On The Internet Has Huge Potential Both For End Users And Business Entities
    * Live Broadcast On The Internet Has Huge Potential Both For End Users And Business Entities
    * Is Internet Fax Service Beneficial?
    * VoIP Service Providers and Internet Telephony
    * Call Japan on tsunami
    * The Significance of Voicemail Service
    * Economy Calling: Free VoIP Calls to international destination
    * How to use calling cards to calling India
    * Get Better communication services for your business with a Hosted Office Phone System

For Women With Breast Cancer Gene, Psychological Factors Affect Choices About Risk-Reducing Surgery, Reports Genetics In Medicine

To contact us Click HERE
In women who test positive for BRCA 1/2 mutations associated with a high risk of breast or ovarian cancer, some key psychological factors influence the decision to undergo risk-reducing surgery, reports the December Genetics in Medicine, the official peer-reviewed journal of The American College of Medical Genetics (ACMG). The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health, a leading provider of information and business intelligence for students, professionals, and institutions in medicine, nursing, allied health, and pharmacy.


Women who feel strongly before testing that they'll opt for surgery if they have the mutant BRCA gene don't hesitate to follow through once they learn the results, according to a new study led by Dr. Claire Julian-Reynier of Institut Paoli-Calmettes, Marseille, France. The study also found that older women and those with at least two children were more likely to undergo risk-reducing ovarian surgery.


Psychological Impact of BRCA Testing Also Affects Decision-Making


The researchers analyzed factors affecting the decision to undergo risk-reducing surgery in 241 women who tested positive for BRCA1/2 mutations associated with an increased risk of breast and/or ovarian cancer. All of the women were cancer-free, but belonged to a family in which a cancer-related mutation had been identified.


For women who carry high-risk BRCA mutations, undergoing surgery to remove the breasts (mastectomy) and/or ovaries (oophorectomy) can reduce the risk of developing cancer. Over two to five years' follow-up, about 33 percent of the women underwent risk-reducing oophorectomy, five percent had both mastectomy and oophorectomy, and three percent had mastectomy alone.


Before testing, 55 percent of the women said they would "certainly or probably" undergo risk-reducing oophorectomy if tests showed the high-risk BRCA genes. After testing, this group made the decision to have surgery faster and more frequently than women who were "undecided or opposed" before testing. Women who reported a greater psychological impact of BRCA testing were also more likely to undergo oophorectomy.


The rate of risk-reducing ovarian surgery increased sharply with age in women who tested positive for BRCA mutations: from less than two percent for women under age 30 to almost 80 percent for those older than 50. Women who already had at least two children were also more likely to opt for oophorectomy.


Deciding on surgery before testing and higher psychological impact were also linked to a quicker decision to undergo risk-reducing mastectomy. Women who had younger children (under age 15) at the time of testing and those who had a close relative (mother or sister) with breast or ovarian cancer were also more likely to opt for mastectomy.


Women who test positive for harmful BRCA1/2 mutations face a tough decision whether to undergo risk-reducing surgery. Previous studies of the decision-making process have had important limitations. The new study is the first to examine psychological and other factors affecting decision-making in a large sample of women with positive results on BRCA testing.


The results suggest that women who have already made up their mind to undergo surgery before BRCA testing follow through on that decision if the results are positive. However, the authors note that nearly one-third of women who said they were opposed to risk-reducing surgery before testing, changed their minds after testing revealed they were at high risk.


Women who experience a greater psychological impact of testing appear more likely to opt for either type of surgery. Age and childbearing history are "obviously decisive" factors affecting the decision to undergo risk-reducing oophorectomy.


Dr. Julian-Reynier and colleagues call for further studies to measure women's satisfaction with the decision-making process, including long-term follow-up of women who have been tested for BRCA mutations. They write, "Because guidelines are updated regularly in the light of new evidence-based knowledge, it is important to keep in touch with carriers."

New Ingredients In Drug-Like Anti-Aging Products Improve Skin

To contact us Click HERE
Cosmecueticals, beauty aids that reportedly work like prescription drugs, are providing new ways to treat aging skin. A study recently published in the Journal of Cosmetic Dermatology explores a variety of new ingredients in cosmeceuticals that provide a visibly noticeable improvement in maturing skin.


The most dramatic and apparent signs of aging include the lack of skin surface regularity, formation of wrinkles, and increased presence of abnormal pigmentation. Zoe Diana Draelos, MD, of Dermatology Consulting Services, High Point, North Carolina, assessed the ingredient efficacy in a variety of cosmeceuticals on each of these areas of aging skin.


Draelos found that skin surface irregularity can be improved through the topical application of niacin, while the appearance of fine lines can be diminished through the application of moisturizers containing engineered peptides and over-the-counter retinoids. Skin pigmentation can become more regular with the use of photoprotective ingredients. Furthermore, combining cosmeceutical ingredients in a moisturizing agent can magnify benefits and improve skin appearance.


"Evidence-based cosmeceutical ingredients can provide anti-aging benefits," Draelos concludes. "This new generation of cosmeceuticals can provide valuable skin benefits."


"The latest cosmeceutical approaches for anti-aging"

Zoe Diana Draelos, MD

Journal of Cosmetic Dermatology 6 (s1), 2-6. doi:10.1111/j.1473-2165.2007.00313.x

Click here to view abstract online

Facial Bones Show Signs Of Aging Too

To contact us Click HERE
What makes us look older? Wrinkles and sagging result not just from changes in the skin, but also from aging-related changes in the underlying facial bones, according to a report in the January issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).


Led by Dr. Robert B. Shaw, Jr., of University of Rochester Medical Center, the researchers analyzed computed tomography scans of the facial bones in young (age 20 to 40), middle-aged (41 to 64), and older (65 and up) age groups. All scans were performed for medical reasons not for planning plastic surgery.


Aging Linked to Changes in Eye Sockets, Jaw Bones, and More


Detailed measurements in three-dimensional reconstructions of the CT scans showed some important differences in the facial bone structure (or facial skeleton) between age groups. "The facial skeleton experiences morphologic change and an overall decrease in volume with increasing age," Dr. Shaw and colleagues write.


One prominent change was an increase in the area of the "orbital aperture" that is, the eye sockets. In both men and women, the eye sockets became wider and longer with age. Aging also affected the bones of the middle part of the face, including reductions in the glabellar (brow), pyriform (nose), and maxillary (upper jaw) angles.


The length and height of the mandible (lower jaw) decreased with age as well. Although these changes occurred in both sexes, many occurred earlier in women between young and middle age. In men, most of the changes occurred between middle age and old age.


Plastic surgeons are experts at dealing with changes in the skin and underlying soft tissues that contribute to an aged appearance of the face. However, as the new study demonstrates, they must also understand the contribution of changes in the underlying facial bones.


"The bony components of the face are important for overall facial three-dimensional contour as they provide the framework on which the soft-tissue envelope drapes," Dr. Shaw and coauthors write. For example, the enlarging eye socket and decreasing brow angle could contribute to frown lines on the forehead, "crow's feet" at the corners of the eyes, and drooping of the lower eyelid.


By using materials and techniques for skeletal augmentation, plastic surgeons can improve the outcomes of facial rejuvenation, Dr. Shaw and colleagues believe. They discuss the "aesthetic implications" of changes in the facial bone structure, and outline some strategies plastic surgeons can follow to optimize the final results for patients who desire a more youthful appearance.


About Plastic and Reconstructive Surgery


For more than 60 years, Plastic and Reconstructive Surgery® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. The official journal of the American Society of Plastic Surgeons, Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, and cosmetic surgery, as well as news on medico-legal issues.

At 101, Patient Is Nation's Oldest Transcatheter Heart Valve Replacement

To contact us Click HERE
When Doris Snyder celebrated her 102nd birthday on August 10, she was that much closer to the expected birth of her first great-granddaughter who's due to arrive early September. She is very excited about the milestone, which might not have been possible were it not for a cutting-edge, experimental procedure that replaced one of Doris' heart valves weeks earlier when she was 101. The valve had been rendered useless by aortic valve stenosis hardening from calcium deposits that restrict the flow of blood from the heart.


"This procedure could be a major breakthrough for these patients, as they're generally told that nothing can be done for them," said Patrick M. McCarthy, MD, chief of the division of cardiothoracic surgery for Northwestern Memorial Hospital and director of the hospital's Bluhm Cardiovascular Institute and the Heller-Sacks professor of Surgery at Northwestern University's Feinberg School of Medicine.


McCarthy is a co-principal investigator for the clinical trial that provided Doris' new heart valve, which is formally referred to as the Placement of AoRtic TraNscathetER Valve, or PARTNER. The Bluhm Institute is among the trial's pioneering sites. The technique is being evaluated as a course of therapy for patients who are considered too weak to undergo conventional open-heart surgery. It uses expandable-stenting technology to insert a prosthetic valve while the heart continues beating, eliminating the need for cardiopulmonary bypass and its associated risks.


"Patients who are too weak to be surgically treated have very limited options for valve replacement," said Charles J. Davidson, who is also a co-principal investigator for the trial and a professor of Medicine at Northwestern University's Feinberg School of Medicine. Davidson says the procedure builds upon the balloon aortic valvuloplasty, but is a "more durable treatment."


Spry and amazingly keen, Doris had never encountered any major health issues. Moreover, the avid reader who's kept a diary for more than 60 years is usually game to tackle most things that come her way but open-heart surgery was not one of them. S. Chris Malaisrie, MD, a Northwestern Memorial cardiac surgeon and member of the site team evaluating this new procedure, said she wouldn't survive it.


"Doris exemplifies the fact that your state of health is not necessarily defined by your age," said Malaisrie. "She's healthier than a lot of people much younger than her."


Drs. McCarthy and Malaisrie are paid consultants of Edwards LifeSciences, makers of the experimental prosthetic valve.

IFuse Implant System™ Receives CE Mark

To contact us Click HERE
SI-BONE, Inc. (San Jose, California), a medical device company that is pioneering the use of a minimally invasive surgical (MIS) device to treat the sacroiliac (SI) joint announced that it has received a CE mark for its iFuse Implant System™. A CE mark is the quality assurance certification requirement recognized by members of the European Union for sales into those countries. The company has also received ISO 13485 Certification, which demonstrates that it provides medical devices and related services that consistently meet customer and regulatory requirements.


The iFuse Implant System is a minimally invasive surgical (MIS) system comprised of titanium implants coated with a porous plasma spray that acts as an interference surface fit, which helps decrease implant motion. The iFuse has a substantial thickness and sophisticated metallurgy, which provides immediate post-operative fixation, accomplishing the goal of traditional open SI joint fusion through an MIS approach. Clinical publications have identified the SI joint as a pain generator for up to 22% of low back pain patients and that up to 75% of post-lumbar fusion patients develop SI joint degeneration within 5 years of surgery. These represent significant unmet clinical needs and, when conservative therapy fails, iFuse may provide an MIS option.


The first European surgeon training sessions were held in October and most recently for November in Salzburg, Austria. These sessions are presented by surgeon faculties who have performed dozens of iFuse surgeries in the United States. The company's European Training and Product Manager, Vanes Frison, is coordinating the labs.


Commenting on the CE Mark and EU launch, Jeff Dunn, President and CEO, said, "The iFuse Implant System provides spine surgeons with a unique minimally invasive surgical approach to SI joint fixation/fusion. The CE mark will allow our EU Team to develop a presence in selected EU markets to address the needs of physicians committed to treating patients with SI joint problems. SI-BONE looks forward to entering these markets because we offer the only technology which provides an MIS solution to treat these SI joint conditions."


"Our product provides a technologically advanced alternative to the conventional open SI joint fusion as well as an option for patients who have failed conservative therapy. The key to the iFuse procedure is the device design and minimally invasive technique. We insert the implants across the SI joint in a one hour procedure and it gives us the stability that we need," said Mark Reiley, M.D., Chief Medical Officer and founder of SI-BONE.


The CE mark for this system follows the clearance the company received in November 2008 from the Food and Drug Administration (FDA) to market its iFuse Implant System. The iFuse is indicated for use in fracture fixation of large bones and large bone fragments of the pelvis for conditions including sacroiliac joint disruptions and degenerative sacroiliitis.


In addition to training and engaging key spine surgeons in the EU, surgeons in the US presented their initial clinical data at NASS in Orlando on October 7th. Additional retrospective data was also presented at several significant meetings, including the American Academy of Physical Medicine and Rehabilitation (AAPM&R) on November 5, the Society of Minimally Invasive Spine Surgery (SMISS) on November 6 and World Congress of Low Back & Pelvic Pain in Los Angeles on November 12.


In response to increasing awareness of SI joint disruption and dysfunction as debilitating symptom generators, SI-BONE, Inc. developed an innovative, patented, intramedullary implant to treat the SI joint. The company is also embarking on a post-market multicenter study to determine its effect over time on SI joint pathology and on symptoms associated with SI joint problems.


The iFuse Implant System is a commercially available device in the US. In the EU it is intended for fixation of large bones and large bone fragments of the pelvis for conditions including sacroiliac joint disruptions and degenerative sacroiliitis. The iFuse procedure uses a minimal incision for delivery and implantation of small, titanium implants. The implants are coated with a porous plasma spray that acts as an interference surface, designed to help decrease implant motion. These implants have substantial thickness and sophisticated metallurgy and are able to produce a much stronger construct than that of conventional pins or screws used to surgically fix boney structures. This implant technology from SI-BONE has been previously used successfully in well over 1,000 cases of dysfunctional foot joints.

ESTREÑIMIENTO O CONSTIPACIÓN

To contact us Click HERE

El estreñimiento oconstipación es un problema muy frecuente en la población general. Se presenta en el 10 al 20% de la población en general, 25% en latercera edad y en el 20% de los pacientes entre 30 y 40 años, conprevalencia en mujeres jóvenesSe caracteriza por el hecho de evacuarmenos de tres veces a la semana y generalmente se asocia a hecesduras o difíciles de evacuar. También se puede hablar deestreñimiento si usted presenta dolor durante la defecación o si esincapaz de evacuar después de intentarlo o pujar durante 10 minutoso más.
Los patrones normales delas deposiciones varían ampliamente de una persona a otra. Aunquecada organismo tiene un número regular de evacuaciones, una personasaludable puede defecar sin problemas un mínimo de dos veces al día. El paso de las heces grandes, anchas o duras puede desgarrarla membrana mucosa del ano, especialmente en los niños, lo cualpuede causar sangrado y la posibilidad de una fisura anal.
Eldiagnóstico de estreñimiento se basa principalmente en ladescripción de los síntomas por parte del paciente así como en losCriterios de Roma III, posteriormente la exploración física permiteobtener mayor información para orientar el tratamiento y losestudios adicionales que se puedan necesitar. En la mayoría de loscasos es necesario realizar un tacto rectal desde la primera visita. Las radiografías sólo se realizan si se sospecha obstrucciónintestinal o descartar otras causas de síntomas similares. Elestreñimiento crónico (síntomas presentes por lo menos tres díaspor mes durante más de tres meses) asociada con molestiasabdominales con frecuencia sugiere un trastorno funcional digestivocomo el síndrome de intestino irritable.
Algunascausas no patológicas de estreñimiento incluyen al embarazo, lasenectud, cambio de hábitos(viajes, trabajo), ansiedad o nerviosismo,sedentarismo, exceso en el consumo de cafeína o alcohol y elempleo de algunos medicamentos. Otra causa importante es la presiónsocial ejercida desde la niñez para contener las evacuaciones. Lascausas patológicas que pueden cursar con estreñimiento incluyentumores colorrectales, la diverticulosis, problemas de estenosis,compresiones extrínsecas, rectocele, megacolon, anomalíaspostquirúrgicas, fisura anal, neuropatía autonómica, enfermedadvascular cerebral, deterioro cognitivo/demencia, depresión,esclerosis multiple, Parkinson, insuficiencia renal crónica,deshidratación, diabetes mellitus, intoxicación por metalespesados, hipercalcemia, hipermagnesemia, hiperparatiroidismo,hipopotasemia (hipokalemia), hipomagnesemia, hipotiroidismo,neoplasia endócrina múltiple (NEM II), porfiria, uremia, síndromede intestino irritable, abscesos, fístulas, hemorroides, síndromedel elevador del ano, proctalgia fugaz, prolapso rectal, vólvulo,amiloidosis, dermatomiositis y escleroderma.
Los medicamentoscomúnmente involucrados en los casos de estreñimiento oconstipación incluyen a los antidepresivos, antiepilépticos,antihistamínicos, antiparkinsonianos, antipsicóticos,antiespasmódicos, bloqueadores de los canales de calcio, diuréticos,inhibidores de la monoaminooxidasa (IMAO), opiáceos,simpatomiméticos, antidepresivos tricíclicos, antiácidos,antidiarreicos, suplementos de calcio y de hierro y algunosantiinflamatorios (AINE's).El uso de ablandadores deheces puede ser de utilidad. También el empleo de sustancias comoel Psyllium puede agregar líquido y volumen a las heces facilitandosu expulsión. Los supositorios o laxantes suaves, como la leche demagnesia, pueden establecer deposiciones regulares. Los enemas olaxantes estimulantes se deben reservar sólo para casos graves. Recuerde llamar al médico si presenta estreñimiento súbito condolor o cólicos abdominales e incapacidad para canalizar los gases,así como si nota sangrado o adelgazamiento de las heces.
Recuerde informar almédico lo siguiente:
¿Cuánto tiempo hasufrido de estreñimiento?¿Cuántos días pasanentre dos deposiciones?¿Empeora cuando se estáestresado(a)?¿De qué color, forma yconsistencia son las heces?¿Se presenta algún tipode sangrado con la deposición?¿Ha experimentado algúndolor abdominal?¿Qué cirugías olesiones ha tenido?¿Qué medicamentos toma?¿Qué otros síntomastambién se presentan?
Evitar el estreñimientopor completo es más fácil que tratarlo, pero implica esfuerzo yconstancia. Lo más recomendado es consumir alimentos con fibra(aunque también los excesos son malos), tomar suficientes líquidos(por lo menos 8 vasos de agua por día), hacer ejercicio regularmentey sobretodo ir al baño cuando se presente la urgencia y no esperar. Recuerde no esforzarse o pujar demasiado, ya que este hecho puedeempeorar el estreñimiento y causar que aparezcan paulatinamentehemorroides y fisuras en el ano.

American Academy Of Facial Plastic And Reconstructive Surgery Urges House Of Representatives To Vote "No" On Latest Healthcare Reform Bill

To contact us Click HERE
With a vote in the House of Representatives on comprehensive healthcare reform legislation as soon as this weekend, the American Academy of Facial Plastic and Reconstructive Surgeons (AAFPS) strongly urges its members and the public to tell their local representatives to vote NO.


The AAFPRS supports the need for healthcare reform. However, the proposed legislation and a so-called "side-car" bill would make changes to the Senate-passed "Patient Protection and Affordable Care Act" (H.R. 3590). AAFPRS strongly opposes this particular bill because it shifts so much control over medical decisions to the federal government and ultimately may harm the quality of our nation's health care and decrease timely access to surgical care.


"With congressional action upon us, we are at a crossroads. America's physicians deliver the best medical care in the world, yet the systems that have been developed to finance the delivery of that care to patients have failed," said Daniel Rousso, MD, President of the AAFPRS. "We believe the better path is one that allows patients and physicians to take a more direct role in their healthcare decisions, rather than one that accepts a substantial increase in federal government control over how medical care is delivered and financed."


Specific Concerns


- The legislation inappropriately expands the role of the federal government in determining quality of care standards and penalizes physicians who do not participate in Medicare's flawed quality reporting program.


- The bill does not contain any proven medical liability reform measures -- such as those in force in California and Texas -- that have been shown to increase access to care and reduce costs in demonstrable ways.


- Largely unchecked by Congress or the courts, the bill gives the federal government unprecedented authority to change the Medicare program through the new Independent Payment Advisory Board (IPAB), which could arbitrarily reduce payments to physicians for valuable life-saving care for elderly patients, thereby reducing treatment options in a dramatic way.


- The legislation fails to address Medicare's broken physician payment system. Physicians are the foundation of a strong healthcare system and for reform to be successful Medicare's sustainable growth rate (SGR) must be permanently repealed.


- By guaranteeing all patients the right to privately contract with their physicians -- without penalty -- patients will have greater access to physicians and the government will have budget certainty. Nothing in the Patient Protection and Affordable Care Act addresses these fundamental tenets, which we believe are essential components of real health system reform.


AAFPRS members and the public can be connected to their Representative by calling the U.S. Capitol switchboard at (202) 225-3121. Callers must know the name of their representative, which can be found at house and entering your zip code. Senators can be contacted by visiting here.


Source
American Academy of Facial Plastic and Reconstructive Surgeons

At 101, Patient Is Nation's Oldest Transcatheter Heart Valve Replacement

To contact us Click HERE
When Doris Snyder celebrated her 102nd birthday on August 10, she was that much closer to the expected birth of her first great-granddaughter who's due to arrive early September. She is very excited about the milestone, which might not have been possible were it not for a cutting-edge, experimental procedure that replaced one of Doris' heart valves weeks earlier when she was 101. The valve had been rendered useless by aortic valve stenosis hardening from calcium deposits that restrict the flow of blood from the heart.


"This procedure could be a major breakthrough for these patients, as they're generally told that nothing can be done for them," said Patrick M. McCarthy, MD, chief of the division of cardiothoracic surgery for Northwestern Memorial Hospital and director of the hospital's Bluhm Cardiovascular Institute and the Heller-Sacks professor of Surgery at Northwestern University's Feinberg School of Medicine.


McCarthy is a co-principal investigator for the clinical trial that provided Doris' new heart valve, which is formally referred to as the Placement of AoRtic TraNscathetER Valve, or PARTNER. The Bluhm Institute is among the trial's pioneering sites. The technique is being evaluated as a course of therapy for patients who are considered too weak to undergo conventional open-heart surgery. It uses expandable-stenting technology to insert a prosthetic valve while the heart continues beating, eliminating the need for cardiopulmonary bypass and its associated risks.


"Patients who are too weak to be surgically treated have very limited options for valve replacement," said Charles J. Davidson, who is also a co-principal investigator for the trial and a professor of Medicine at Northwestern University's Feinberg School of Medicine. Davidson says the procedure builds upon the balloon aortic valvuloplasty, but is a "more durable treatment."


Spry and amazingly keen, Doris had never encountered any major health issues. Moreover, the avid reader who's kept a diary for more than 60 years is usually game to tackle most things that come her way but open-heart surgery was not one of them. S. Chris Malaisrie, MD, a Northwestern Memorial cardiac surgeon and member of the site team evaluating this new procedure, said she wouldn't survive it.


"Doris exemplifies the fact that your state of health is not necessarily defined by your age," said Malaisrie. "She's healthier than a lot of people much younger than her."


Drs. McCarthy and Malaisrie are paid consultants of Edwards LifeSciences, makers of the experimental prosthetic valve.

Weight Loss and Liposuction: What You Need to Know

To contact us Click HERE
Plastic surgery has been featured in the mainstream media more than ever before, increasing awareness among women -- and
men -- in every generation of the techniques and procedures that can make them look good at any age.


Although liposuction is one of the most popular procedures, there are still some facts that a prospective patient should
clearly understand.


The first and most important thing is to make sure your physician is a board certified plastic surgeon. Research your
physician's credentials by checking on the doctor's own website or the American Society of Plastic Surgeons website to see if
the physician you are planning to see is a board certified plastic surgeon and a member of the ASPS. This will ensure that
you have a surgeon who has been trained in total body plastic surgical procedures.


During your consultation with the physician, you should feel very comfortable with the surgeon before entering into any
surgical contract with him or her. If you have any misgivings during the consultation, seek another opinion and another
surgeon.


Liposuction is not a surgical technique to lose weight, rather it is designed to improve body contour. In almost all
cases the procedure is done in a conservative manner, taking what would be judged as a small volume or a modest amount of
weight. The best candidate for liposuction is someone with fatty deposits or trouble areas that have not been eliminated with
diet and exercise. It is best to be within five to 10 pounds of your ideal/stable body weight and not fluctuate up or down
more than this range.


Cellulite is a skin condition that isn't usually changed or improved, but liposuction affords a contour reduction that
improves aesthetic lines wherever treatment has taken place.


Large volume liposuction, on the other hand, is usually defined as taking amounts over 5,000 cc and is most often done
with a brief overnight hospital stay. Procedures are most often done under general anesthetic but also can be performed
under local anesthesia and sedation depending on the amounts and locations of the surgery. Most commonly, the abdomen, hips,
buttock region, and upper thigh areas are treated. Areas of the knees, arms, chin, and back are somewhat less common areas
of fat removal.


Technically, liposuction is currently performed by using small or micro cannulas, which is used to mechanically break up
the fat as it is suctioned.


The cannulas allows the highest degree of contour and maintain smooth surfaces free of irregularities.


The most common forms of liposuction today are referred to either as tumescent or wet techniques. These names simply
relate to the amount of fluid that is placed in the area of liposuction prior to the removal of fat. The fluid contains
certain chemicals that help reduce bruising, bleeding, and trauma to the underlying tissues and promotes a more rapid
healing.


A number of years ago ultrasonic liposuction became popular. Unfortunately this "newer" technique failed to measure up
and actually provided for more complications rather than less.


Post-operative care always includes compression to the area of surgery, which is almost always applied in the form of
stretch garments worn for three to six weeks, as well as physician follow-up. As with most cosmetic procedures, exercise is
not recommended in the first three weeks following surgery.


Today many patients are able to find information through various sources, such as the Internet, magazine articles, or
television. While this research is certainly helpful, it does not replace talking with the surgeon. Educating patients about
expectations, results and risks is best done by a surgeon one to one who understands your specific situation and needs.



Written by Gene E. Ireland, D.D.S., M.D., issued by The Plastic Surgery Group:


With offices in Cincinnati, Ohio, and Crestview Hills, Ky., The Plastic Surgery Group is one of the largest non-academic
cosmetic surgery practices in the nation. The physicians work with patients to provide world class plastic surgery procedures
including liposuction, tummy tucks, skin care, hair removal, face lifts and breast enhancement, allowing patients to look
great at every age. More information can be accessed at theplasticsurgerygroup .


The Plastic Surgery Group

theplasticsurgerygroup

ASPS Study Predicts Cosmetic Surgery Procedures To Exceed 55 Million In 2015

To contact us Click HERE
More than 55 million cosmetic surgery procedures will be performed in 2015, predicts a recent study in Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS). This more than quadruples the number of procedures performed in 2005, the study noted. Pushing this growth is increasing consumer awareness, direct-to-consumer marketing and advertising, as well as technological advances in non-surgical options, according to the study.



"While today's economy reflects a slow-down in plastic surgery procedures, the specialty will weather the current decline in economic growth just as it has previous declines, such as the stock market correction after the 2001 Internet bubble," said ASPS President Richard D'Amico, MD. "This prediction for 2015 is exciting.



While the study's findings are, of course, great news for the plastic surgery industry, ASPS suggests caution to current and future patients. While cosmetic procedures seem lower risk than ever and are easy to access, they are not a cure-all for many patients, and choosing an ASPS Member Surgeon with the training to perform all procedures, from non-invasive therapies to surgery, can mean the difference between achieving desired results and requiring more procedures down the road.



"Our concern is that with predicted growth and interest in the broad spectrum of cosmetic procedures, patients will look to the closest, easiest solution," said D'Amico. "Potential patients, however, need to know that board-certified plastic surgeons are uniquely qualified with an in-depth medical knowledge of the entire human body. They have the training necessary to accurately assess your individual needs and map health and beauty goals for your entire lifetime."



In the study, the authors analyzed annual ASPS National Clearinghouse of Plastic Surgery statistics from 1992 - 2005. They also analyzed the ability of economic and non-economic variables to predict cosmetic surgery procedure volume. Finally, they used growth rate analyses to construct models with which to predict the future growth of cosmetic surgery.



The study found the next decade of growth in cosmetic surgery will continue to be driven by the growth of non-surgical procedures. Between 1992 and 2005, the compound annual growth rate was 7.5 percent for surgical procedures and 27.9 for non-surgical procedures, the study noted. In 2005, 34 percent of procedures performed by ASPS Member Surgeons were surgical procedures and 66 percent were non-surgical. In 2005, for non-ASPS members 9.5 percent of their procedures were surgical, while 90.5 percent were non-surgical.



For ASPS members, 12 percent of the procedures they perform will be surgical and 88 percent will be non-surgical in 2015. For non ASPS physicians surgical procedures will make up only 3 percent of their total procedures, while 97 percent will be non-surgical in 2015, the study forecasts.







Visit plasticsurgery/ for referrals to ASPS Member Surgeons and to learn more about cosmetic and reconstructive plastic surgery. Visit beautyforlife. to take the Beauty Plan Quiz and to view the wide spectrum of surgical and non-surgical procedures performed by board-certified plastic surgeons.



The American Society of Plastic Surgeons is the largest organization of board-certified plastic surgeons in the world. Representing more than 6,700 physician members, the Society is recognized as a leading authority and information source on cosmetic and reconstructive plastic surgery. ASPS comprises more than 90 percent of all board-certified plastic surgeons in the United States. Founded in 1931, the Society represents physicians certified by The American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada.

(U) PRC December 2007 Nursing Licensure (Board) Examination (NLE) Results

To contact us Click HERE
Roll of Successful Examinees in theNURSE LICENSURE EXAMINATIONHeld on JUNE 1 & 2, 2008Released on JULY 23, 2008 26184 UAYAN, CHERRY MAY LOGARTO26185 UBA, ELDEZON JOHN SULSE26186 UBAG, JESSICA PILAR OPADA26187 UBALDO, ANNA VICTORIA INCIONG26188 UBALDO, LORY MAE PALABRICA26189 UBALDO, LUV JOY MON26190 UBALDO, MARIAN GLADYS TANGHAL26191 UBANE, ANTHEA PEDONG26192 UBAUB, ARTURO JR MARCELO26193 UBAUB,

Nursing Informations, Study and Review Guides, Latest News and Updates, Health, all about nursing...

(T) PRC December 2007 Nursing Licensure (Board) Examination (NLE) Results

To contact us Click HERE
Roll of Successful Examinees in theNURSE LICENSURE EXAMINATIONHeld on JUNE 1 & 2, 2008Released on JULY 23, 2008 24879 TAAL, KLEDSEN PERRY CELIS24880 TAAL, MEERALYN TAYO24881 TAASIN, MARY JOY JAVIER24882 TAASIN, SITTI HANNA IDDING24883 TABACO, MONIENE CARMELOTES24884 TABACON, FRITZ ILIGAN24885 TABADA, LUISA ORIEL24886 TABADA, TRACY SALAZAR24887 TABAFUNDA, RONNA MARIE ESPINOSA24888 TABAG, CHRISTIAN

Nursing Informations, Study and Review Guides, Latest News and Updates, Health, all about nursing...

(V) PRC December 2007 Nursing Licensure (Board) Examination (NLE) Results

To contact us Click HERE
Roll of Successful Examinees in theNURSE LICENSURE EXAMINATIONHeld on JUNE 1 & 2, 2008, Released on JULY 23, 200826399. VACAL, ZONES SEGOVIA26400. VACARO, PAULA JANE TUAZON26401. VAFLOR, ARIADNE ACALING26402. VAFLOR, IVY CRISOSTOMO26403. VALARIZ, JOY SANTIAGO26404. VALATERO, EFREN MICHAEL TUANDO26405. VALBUENA, CHARLENE MAE MENDIGORIN26406. VALBUENA, RIZALINE PALAGANAS26407. VALDE, LESTER ALLAN

Nursing Informations, Study and Review Guides, Latest News and Updates, Health, all about nursing...

(W) PRC December 2007 Nursing Licensure (Board) Examination (NLE) Results

To contact us Click HERE
27399. WACDAGAN, CYRIL BUMMOSAO27400. WACNISEN, RHODORA DIONISIO27401. WAD-EY, ROSIE GLAE PAR-OGAN27402. WADI, MOHAMAD ASHRAF ESMAEL27403. WADWADAN, PAULINE JOYCE BALUDA27404. WAGA, GLAIZA DALE27405. WAGA, JESS CA SABILLANO27406. WAGAYAN, SHIELA DONNA WALLACH27407. WAGE, KAREN GRACE PEÑARANDA27408. WAHING, RAQUEL CABUGAO27409. WAHIRUL, NURIJA SULAYMAN27410. WAILAN, DONNA MAE ESPERANZA27411. WAJE,

Nursing Informations, Study and Review Guides, Latest News and Updates, Health, all about nursing...