... to the skin into the liver substance and extracted This is the quick part of the procedure The tip of the needle is now placed on sterile paper and some of the remaining saline flushed through the ... 645 Other causes of extrinsic pressure on the common bile duct, 645 37 Tumours of the Gallbladder and Bile Ducts, 647 Benign lesions of the gallbladder, 647 Carcinoma of the gallbladder, 647 Other ... to a compartment of uncoupling of receptor and ligand (CURL) The receptor and ligand separate The receptor returns to sinusoidal plasma membrane and the ligand enters a lysosome and is degraded...
Ngày tải lên: 10/08/2014, 15:20
... especially the hypothenar and thenar eminences and pulps of the fingers (fig 6.12) Islets of erythema may be found at the bases of the fingers The soles of the feet may be similarly affected The mottling ... diameter and is not obliterated by pressure Venous stars are seen on the dorsum of the foot, legs, back and on the lower border of the ribs Palmar erythema (liver palms) The hands are warm and the ... benzodiazepines and barbiturates (fig 7.9) The binding of any of these ligands opens a chloride channel and after the influx of chloride there is hyperpolarization of the postsynaptic membrane, and neuroinhibition...
Ngày tải lên: 10/08/2014, 15:20
Diseases of the Liver and Biliary System - part 3 potx
... veins of the caval system Deviation of blood into these channels leads to varicosities in the submucous layer of the lower end of the oesophagus and fundus of the stomach (b) At the anus, the superior ... bypass the block and return blood towards the liver These enter the portal vein in the porta hepatis beyond the block They include the veins at the hilum, venae comitantes of the portal vein and ... by the union of the superior mesenteric vein and the splenic vein just posterior to the head of the pancreas at about the level of the second lumbar vertebra It extends slightly to the right of...
Ngày tải lên: 10/08/2014, 15:20
Diseases of the Liver and Biliary System - part 4 docx
... one another to form septal bile ducts and so on until the two main hepatic ducts emerge from the right and left lobes of the liver at the porta hepatis Small bile ducts distal to the canals of Hering ... with other variations of the A(TA)nTAA allele have also shown elevated serum total bilirubin levels, including the alleles 5/6, 5/7 and 7/8 [5] In Asians and the Japanese, the frequency of the ... continuity with the space of Disse Disruption of the tight junction leads to free passage of solute and larger molecules into the canaliculus with loss of the osmotic gradient and cholestasis...
Ngày tải lên: 10/08/2014, 15:20
Diseases of the Liver and Biliary System - part 5 pot
... serum IgG anti-HDV is found There may be a window period between the disappearance of one and the detection of the other Loss of IgM anti-HDV confirms the resolution of HDV infection, whereas persistence ... both as monotherapy, and, on the basis of recently completed large trials, in combination with ribavirin The cost and availability makes all these treatments out of reach of the millions of sufferers ... introspection by the patient Antiviral therapy The aim is to control infectivity, eradicate the virus and prevent the development of cirrhosis However, permanent loss of HBeAg and HBV DNA are unusual and...
Ngày tải lên: 10/08/2014, 15:20
Diseases of the Liver and Biliary System - part 6 pps
... lipids synthesized in the liver itself The origin depends upon the dose of ethanol ingested and the lipid content of the diet After an acute, isolated ingestion of a large dose of ethanol the fatty ... redox state of the liver The hydrogen generated replaces fatty acid as a fuel and is followed by triglyceride accumulation and fatty liver The redox state of the liver changes, protein synthesis is ... related to the severity of the liver disease [72] The extent of the nutritional defect depends on the type of alcoholic, whether of low socioeconomic status where protein-calorie malnutrition often...
Ngày tải lên: 10/08/2014, 15:20
Diseases of the Liver and Biliary System - part 8 ppt
... throughout the world except in New Zealand, Australia and some parts of the west Pacific The Borrelia multiply in the liver, invading liver cells and causing focal necrosis Just before the crisis the ... abscess in the left lobe of the liver may show a crescentic deformity of the lesser curve of the stomach US is the most useful (fig 29.7) CT shows the abscess with a somewhat irregular edge and low ... the liver parenchyma The lesions produced are single or multiple and of variable size The amoebic abscess is usually about the size of an orange The most frequent site is in the right lobe, often...
Ngày tải lên: 10/08/2014, 15:20
Diseases of the Liver and Biliary System - part 9 pptx
... laterally over the gallbladder down to the duodenum, to the hepatic flexure of the colon and even to the right lobe of the liver, perhaps closing the foramen of Winslow In a milder form, a band of tissue ... anomaly the gallbladder lies under the left lobe of the liver, to the left of the falciform ligament This may be caused by the gallbladder migrating to a position under the left lobe of the liver ... lesions of the liver and bile ducts are increasingly being diagnosed This can be related to the improved methods of imaging the liver and bile ducts, and of liver biopsy Application of such methods...
Ngày tải lên: 10/08/2014, 15:20
Diseases of the Liver and Biliary System - part 10 docx
... usually used The left lobe of the donor liver is excised and the right lobe anastomosed to the portal vein, inferior vena cava and aorta of the recipient The donor liver hypertrophies and the recipient’s ... lesions of the gallbladder are occasionally seen and there is usually concern as to their nature and how to manage them The vast majority are benign They may be true tumours or pseudo -tumours True tumours ... into the liver They cause complete obstruction of the extra-hepatic bile ducts with intra-hepatic biliary dilatation and enlargement of the liver The gallbladder is collapsed and flaccid If the...
Ngày tải lên: 10/08/2014, 15:20
Báo cáo y học: "Vasopressin in vasodilatory shock: hemodynamic stabilization at the cost of the liver and the kidney" doc
... infusion The study by Krejci and colleagues therefore raises the question of whether AVP compares favorably with catecholamines In a complementary investigation the same group compared the regional ... Krejci and colleagues confirm that the unrestricted use of even ‘low-dose’ AVP may result in ‘overconstriction’, in particular in the hepato-splanchnic region and the kidney Furthermore, the authors’ ... activation of the inducible isoform of nitric oxide synthase) probably did not assume major importance Finally, as the authors themselves acknowledge, although labelled ‘low dose’, the infusion...
Ngày tải lên: 13/08/2014, 08:21
báo cáo khoa học: "Synchronous double primary malignant tumor of the gallbladder and liver: a case report" potx
... and showed wall thickening There was a palpable mass felt on the surface of the gallbladder neck portion The patient underwent surgical resection of the gallbladder and the left lobe of the liver ... tumor of the gallbladder and liver: a case report World Journal of Surgical Oncology 2011 9:84 Conclusions We report the first case of synchronous double primary malignancies of gallbladder and liver ... Young Jung and Jeong Won Kim made up the surgical and pathological team involved in the case Jae Pil Jung and Ji Won Kim wrote and edited the manuscript All authors read and approved the final...
Ngày tải lên: 09/08/2014, 02:20
Báo cáo y học: "Giant atypical carcinoid of the liver with vascular metastases and local sinusoidal invasion: a case report" potx
... structured a large part of the Discussion section AV was the primary resident involved in the radiologic studies for this case and handled the write-up of the radiologic portion of the manuscript WD ... to the liver and to compare these changes to those found in other carcinoids A complete and thorough autopsy is the only way to prove definitively that a carcinoid is truly primary to the liver, ... reports have shown the added benefits of systemic chemotherapy and hepatic artery chemoembolus injection [10] When given as the only form of therapy, chemotherapy drugs such as 5-FU and streptozocin...
Ngày tải lên: 11/08/2014, 10:22
Báo cáo khoa học: "Optimization of the Agar-gel Method for Isolation of Migrating Ascaris suum Larvae From the Liver and Lungs of Pigs" pptx
... Effect of incubation time, glucose and cooling Here, we tested the effect of incubation time of the liver agar-gels (3 or h), and addition of glucose to the saline plus the Table Impact of liver ... the saline of some of the samples to a final concentration of 1% in the agar-gels and the incubation saline About 500 ml of crushed ice was added to some of the jars after the removal of the agar-gels ... rate of migration out of liver agargels (1, 2, and h), the effect of blending time and the effect of adding gentamycin to the samples The liver tissue blocks were blended for either 30 or 60 sec...
Ngày tải lên: 12/08/2014, 15:20
Báo cáo y học: "980 nm diode lasers in oral and facial practice: current state of the science and art"
... Following the suggestions of scientific literature on the advantages of the compactness, reliability, ease of use and affordability of the 980 nm Diode Lasers, we evaluated the efficacy and safety of ... are reduced [17,18] The lasers normally adopted offer the enormous advantage of being conveyed in a fibre, which serves as the working tip at the end of the handpiece The use of flexible, length-adjustable ... question the efficacy of the 980nm Laser for photosclerosis of lesions and areas with little melanin and hemoglobin pigmentation [7] Furthermore, to avoid exaggerated fluences and thermal damage to the...
Ngày tải lên: 26/10/2012, 09:48
Evolution of the Earth and its Atmosphere and its Atmosphere
... (CO2), ammonia (NH3) and methane (CH4) into the atmosphere ♦ Most of the H2O vapor condensed to form the oceans ♦ As a result of three key processes (outlined on the next slide), the air ended up ... grew much warmer, thereby preventing freezing and accelerating surface “weathering” Except for Oxygen, almost all of the Earth’s atmosphere today Evolution of the Earth Process and Equation” its ... Multi-celled organisms appeared, and some of these evolved into soft-bodied worm-like animals with a variety of organs, and still later into the first hard-shelled creatures capable of leaving fossils ♦...
Ngày tải lên: 04/04/2013, 10:51
DEVELOPMENT OF THE OZONIZER AND OZONATION TECHNOLOGY FOR WATERWORKS IN JAPAN
... techniques The report then describes the recent status of each of the issues RESEARCH AND DEVELOPMENT IN INCREASING OZONE CONCENTRATION Ozone generation Method and scale of use Table summarizes the ... concentration and decomposition RESEARCH AND DEVELOPMENT IN OZONATION TECHNOLOGY Objectives of ozonation The main objectives of ozonation are to reduce trihalomethane and to remove taste and odor These ... treate the cryptosporidium parvum by chlorine disinfection, the turbidity at the exit of the sand filtration basin is set to a turbidity of 0.1 degrees or less However, this method is neither safe...
Ngày tải lên: 05/09/2013, 08:40
Evaluation of the Effects and the Programming of ‘Water Conservation Plan’ (WCP) for Total Water Resources Management in Tokyo
... proposed the necessity of city-wide recycling system and other measures The fluctuation of water consumption in this period reflects the people’s consideration on the WCP introduced The people ... relocation of large-scale factories in Tokyo such as Toyosu Gas, Ebisu Brewery, Kirin Beer and others to the outskirts of Tokyo Another major factor was the reduction of water use in the factory ... conservation They also continuously make efforts to promote the utilization of SWT devices including the distribution of free SWT-tap developed by them as shown in Fig.7 On the other hand, for triggering...
Ngày tải lên: 05/09/2013, 10:17
Overview of the PSTN and Comparisons to voice over IP
... through the flow of the call: I pick up the phone and send an off-hook indication to the end office switch The switch sends back a dial tone I dial the digits to call Grandma's house (they are ... with the SS7 network and the IN and can tell the gateways or endpoints how and when to set up the call To understand Figure 1-14 in greater detail, all the various components must be described The ... park on her line and have the PSTN call me back after she got off the phone Now that you have a basic understanding of how the PSTN functions, the next section discusses services and applications...
Ngày tải lên: 30/09/2013, 05:20
United Nations Convention on the Law of the Sea and the polar marine environment
... differences, both the Arctic and the Antarctic could be considered as ‘regions’ in the context of the contemporary law of the sea and the actual cooperation of states as to the demanding tasks of exploring, ... attitude of UNCLOS III was not wrong The participation of these countries is a proof of their will to contribute to the co-existence of the Treaty system for the Antarctic and the regime for the seas ... regarding the law of the sea In comparison with the first UN codification of the law of the sea, it had to include and develop new topics, such as the exploration and exploitation of the seabed...
Ngày tải lên: 01/11/2013, 09:20
Tài liệu The Gift of the Magi and Other Stories - O.Henry pdf
Ngày tải lên: 13/12/2013, 12:15