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مقاله ها:

گزارش پنج مورد جراحی ترمیم ناهنجاری مادرزادی رحم دوشاخه با روش استراسمن

چکیده:

دکتر حسین آصف جاه

مقایسة رزکسیون لاپاروسکوپیک کولورکتال و عمل جراحی باز در افراد سالمند

چکیده:

دکتر مجید رضوانی

مقاله ها:

معرفی تکنیک سادة بخیه ولی نات (Vale Knot) در جراحی‌های کوله‌سیستکتومی لاپاروسکوپیک

چکیده:

با وجود پیشرفت‌های بسیار، استفاده از انواع مختلف بخیه‌ها و جایگزین کردن آنها با مدل‌های قدیمی برای نزدیک کردن بافت‌ها و بستن مجاری در انجام اعمال جراحی لاپاروسکوپی همچنان مورد بحث بوده است. به علت مشکلاتی که در گره زدن در جراحی‌های لاپاروسکوپیک وجود دارد، روش‌های ساده‌تر یا بدون استفاده از نخ و گره به تدریج مورد توجه قرار گرفته‌اند. لاپاروسکوپی یک روش جراحی با تهاجم اندک برای درمان بیماری‌ها است که از زمان پیدایش آن تا امروز دستخوش تغییرات گسترده و سریعی شده است. بکارگیری ساده‌ترین و محکمترین بخیه و گره همچنان مورد بحث و جدال است و جراحان بسیاری در سرتاسر جهان در این عرصه تلاش کرده‌اند. یکی از روش‌هایی که جایگاه مناسبی در لاپاروسکوپی پیدا کرده استفاده از اندوکلیپس‌ها است. اندوکلیپس‌ها برای درمان اندوسکوپیک دستگاه گوارش ساخته شده‌اند که پس از استفاده وسیع در ژاپن و اروپا، در طی سه دهه گذشته، اخیراً در سایر نقاط جهان نیز کاربرد آنها گسترش یافته است. هموکلیپ‌ها ابتدا جهت کنترل خونریزی دستگاه گوارش به کار می رفت اما به تدریج جهت بستن سوراخ شدگی‌ها، فیستول‌ها و نشت‌های آناستوموز، کاربرد وسیعی پیدا کرد. هدف از انجام این مطالعه، بررسی و مقایسه یک نوع جدید و سادة بخیه با روش لاپاروسکوپی به نام «ولی نات» (vale knot) با تکنیک‌های مشابه است. گرة ولی نات با استفاده از 5 سانتي متر نخ بخيه ويكريل 2 صفر انجام می‌شود و بخصوص در مواقعي كه قطر سيستيك تناسبي با كليپ‌ها نداشته باشد، می‌توان به کمک آن به راحتی گره‌های محکمی در سیستم داکت ایجاد کرد. در گره «ولی نات» دو طرف نخ دورمجرای سیستیک می‌چرخد و بعد، یکی از این سر نخ‌ها را می‌گیریم و می‌کشیم. به این ترتیب گرة خیلی محکمی ایجاد می‌شود که به راحتی هم بالا و بعضی وقت‌ها پایین سیستیک داکت را می‌شود با این گره بخیه کرد.

Abstract:

Introducing simple suturing technique (vale knote) in laparoscopic cholecystectomy
Barband A.1, Kalbasi H.2, Bakhtiari J.3

1- Medical University of Tabriz, Tabriz, Iran, 2- Arad Hospital, Tehran, Iran, 3- University of Tehran, Tehran, Iran
Due to difficulties that exist in laparoscopic suturing the Vale Knot technique was used in this study as a safe suturing technique. Because tying Knots are difficult in laparoscopic setting techniques like hemoclips and others are used, value knot suturing technique can replace these new methods of suturing cystic duct in laparoscopic cholecystectomy. The objective of this study was to introduce vale knot technique in suturing of cystic duct in 50 case laparoscopic cholecystectomies done in Tabriz University of medical science. We had no complication in using vale knot suturing postoperatively. With respect to result of this study and of this study and easy use of vole knot suturing and its safety we recommend it as a safe and good substitute for extra corporeal knot in laparoscopic surgery.

Key words: Vale knote, Laparoscopy, cholecystectomy

دكتر عليرضا بربند، دکتر حشمت الله کلباسی، دکتر جلال بختیاری

بررسی آینده نگر اعتبار سنجی الگوریتم درمانی برای تعیین اولویت بین MRCP یا ERCP در بررسی و تحقیق موارد مشکوک به بیماری لوزالمعدی - صفراوی

چکیده:

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There are a variety of available processes for representing the pharmacokinetics of an drug. Another reason pharmacy tech career is booming is always that people inside US you live longer resulting in an increasing need for health care services. Choose cloth napkins at home and bring your individual reusable water and occasional cups to work.

Have you checked to see if you happen to be eligible for public medical insurance programs. Most vocational jobs require basic office computing, calculating, typing, spelling, writing and communicating skills; computer programmer jobs obviously require more than just the rudiments. This is in reality a national certification exam, and there are two main options.

Louis University holds the belief in educating the full person; mind, body, heart, and spirit; using a strong persistence for ensuring students become leaders with sound ethical and moral values. Or, if need be, they can refer one to your doctor or suggest a medical clinic nearby to receive hospital treatment and prescription medication. Also, learning various medical names, actions of medications, uses, and doses.

The moon sheds her subtle relation to all of the, adding on the variables. You may additionally check out "Physician Assistant Is a Top Healthcare Career. So as being a buyer, you may need to identify a traditional online pharmacy that's licensed and sells only Food and Drug Administration (FDA) approved medicines.

Identifying causal factors that increase mortality in breast cancer patients and cause relapse can help, according to our Canadian pharmacy. Those considering exploring pharmacy technician careers may start by contacting the American Society of Health-System Pharmacists in Bethesda, Maryland for a set of accredited pharmacy technician programs. In addition to holding you back hydrated you'll be able to use h2o for other things.

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For starters, this program will likely include courses on community engagement and active citizenship. These are shipping, delivery time, and privacy policy with the website and security which is really very important at the time of doing online transaction. Experts have demostrated family history does not play a huge part in developing the disease.

Blows your brain really, but this really is to some extent. Leading pharmacies are licensed and certified so you get less expensive costs, privacy, medical information and convenience if you shop. Just like manufacturer products, these medicine is thoroughly reviewed by the FDA.

The national average beginning salary for any pharmacy tech is just a little over $26,000. Pay for Pharmacy School using the Help of Federal Student Aid. The information has to be checked for accuracy, including being completed correctly or interpreting physician's medication order for processing.

Remember the Golden Rule: As hard as it can certainly be some times, you can have a lot more done in the calm friendly manner then you ever will accomplish by pounding your fist on the counter. Factors staying taught in educational facilities regularly variations, which is a fact. Most drugs need being stored at exact temperatures, so one of the things pharmacists learn within pharmaceutical quality training is the necessary steps to keep the facilities clean and in compliance with regulations.

Pharmacists also be employed in close exposure to pharmacy technicians and pharmacy aides who help them inside dispensing of medication. In case of any losses or expiry they would be the ones to bear the loss. You notice the drug name and strength and go grab the medication.

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There are certain skills required to get a job with this position. These are shipping, delivery time, and privacy policy from the website and security that's really very important in the time of doing online transaction. Many independent pharmacies offer home overall health care aids, such as walkers and bathroom safeness units.

Now before you begin having suspicious thoughts concerning the effectiveness of generic drugs, you should read just what the experts must say. Another means of locating a trustworthy drug store is reading reviews on online medical shops. Yet a job in pharmaceuticals is quickly becoming one from the hottest jobs in America, and the road to success may be both easy and convenient.

Generic medicine contains exactly the same active ingredients is used in original formulation. Each herb has several optimum strategies to preparation, each method extracting different properties in the herb. They are managing the resources efficiently from the organizations like hospital or clinics also evaluate medicines and make sure that they are safe to use.

By giving your pharmacy the complete name of your respective medication you'll be able to better safe guard your health. Important point to get noticed is the fact that cost can't be the first consideration. The massive increase in people online for many of the shopping and everyday needs has generated many pharmacies having a website built, where they provide numerous services which can assist you avoid making unnecessary trips to any local pharmacy.

This sort of offerings is shown at the second site the POI Directory. Using this information, then you definately carefully craft a sales presentation. You may take the Pharmacy Technician Certification Board national certification exam all year round at various locations.

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You must submit fingerprints and pass a police arrest records check to work as being a New Jersey pharmacy technician. You possess a primary care doctor you trust with your medical concerns, right. This is specially profitable when you have a continued requirement for the purchase of a deal of 3 months, will save a considerable amount of money when ordering online.

The restrictions were placed through the governments and also the other health care related agencies. ' Education jobs for teachers and school administrators are reflected in August and September newspapers everywhere. The unsolicited email within this image has a link to your pharmacy website.

An online pharmacy is fairly a help in an embarrassing scenario like this. The holding, the transfers, the newest rules and also the mail-order requirements. This can be a common occurrence as January 1 kicks off a fresh year of pharmacy benefits and beneficiaries are stuck (with minor exceptions of course called qualifying life events or QLEs) before the next open enrollment season in November.

You will get website links below for more information about both of those exams. tools that are engineered by technologies, profit the medical fraternity to get. Several brands of natural cleaners can be found for the most part large stores, including Bio - Kleen and Seventh Generation.

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If you are interested in certification to improve your career potential as being a Georgia pharmacy tech, then read the Pharmacy Technician Certification Board certification program. When you are at the pharmacy counter, whether it is to disappear or pick up put your phone down. Our pharmacy received an update weekly regarding new medications and new generics which were released.

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In order to qualify for federal loans a Free Application for Federal Student Aid (FAFSA) has to be completed and aid is granted dependant on student need, tuition rates on the college, as well as other factors. The pharmacist technician must have the prepared prescription, reviewed with a pharmacist, before dispensing or submitting the completed order to a patient or customer. The application deadline is at late April, but it is best to apply much sooner.

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