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Sudabeh Moein, M.D. | 4060 4th Ave., Suite 510, San Diego, CA
Sudabeh Moein, M.D. | 4060 4th Ave., Suite 510, San Diego, CA

... The
answer
is
yes
to
both
but
that
doesn't
mean
Bio‐identical
Hormones
are
perfect.

 The
great
appeal
of
Bio‐identical
Hormones
is
that
they
are
natural,
and
our
bodies
can
metabolize
them
as
 it
was
designed
to
do,
minimizing
side
effects.
Synthetic
hormones
are
quite
strong
and
often
produce
 int ...
(somatic) near-infrared spectroscopy
(somatic) near-infrared spectroscopy

... circulatory function provide partial and sometimes misleading information, especially in children (6). For instance, capillary refill time and core-peripheral temperature difference are often obscured by factors such as fever, use of vasoactive medications, or deliberate mild hypothermia for the man ...
LAPAROSCOP*C *NGU*NAL HERN*A SURGERY TECHN*CAL
LAPAROSCOP*C *NGU*NAL HERN*A SURGERY TECHN*CAL

... Trocar position : There are two techniques ...
Cataract and Coexistent Glaucoma: A
Cataract and Coexistent Glaucoma: A

... The combined surgical technique of phacotrabeculectomy has become the standard technique for management of eyes with coexistent visually significant cataract and glaucoma.10-12 Phacotrabeculectomy can be performed as a single site surgery with both phacoemulsification and trabeculectomy performed fr ...
7th WORLD CONGRESS ON PEDIATRIC BURNS
7th WORLD CONGRESS ON PEDIATRIC BURNS

... passionate about providing the best possible care for burned children. The concept was first proposed by Martin Meuli from Zurich, and presented in the heart of the Swiss mountains to Anna Maria Tamisani from Genova, Giovanni Grisolia from Florence, and Helmut Lochbuehler from Munich. The idea was t ...
Rehabilitation in Head and Neck Cancer
Rehabilitation in Head and Neck Cancer

... oropharynx, oral cavity, hypopharynx, larynx.  IV Inferior jugular nodes draining hypopharynx, subglottic larynx, thyroid, oesophagus.  V Posterior triangle group  VI Anterior compartment group ...
Journal of the California Dental Association October
Journal of the California Dental Association October

... of the association at the 1201 K St. location has been extremely beneficial to CDA in undertaking its various initiatives on behalf of the membership and the public. As many individuals who read this know, the next 61⁄2 years presented some difficult leadership challenges from time to time. A positi ...
morphometric evaluation of foramen magnum for sex
morphometric evaluation of foramen magnum for sex

... osteometric board and blunt craniophore were the instruments used in this study. ANALYTICAL TEST: “t” test. RESULTS: The dimensions of the foramen magnum were significantly higher in men’s skulls. CONCLUSION: It is concluded that all values of female are lower than male values, which shows that thes ...
Full text
Full text

... choose better stimulating males are more likely to have sons that are better stimulators; thus they are able to sire more offspring in the next generation. Such male-female interactions lead to runaway or “Fisherian” selection (Hostken & Stockley 2004), where the male genitalia can evolve wildly ela ...
Slide 1 - AccessSurgery
Slide 1 - AccessSurgery

... muscle is swept inferomedially inclusive of the lateral (axillary) lymph node group (level I). Care is taken to preserve the thoracodorsal artery, vein, and nerve in the deep axillary space. The lateral lymph node group is resected in continuity with the subscapular lymph node group (level I) and th ...
Knee Injuries
Knee Injuries

... • Recurrent rubbing can produce irritation and subsequent inflammation, especially beneath the posterior fibers of the ITB, which are thought to be tighter against the lateral femoral condyle than the anterior fibers. ...
Local anaesthesia for ophthalmic surgery(guideline).
Local anaesthesia for ophthalmic surgery(guideline).

... decade, and this has continued to evolve since the last guidelines on ‘Local Anaesthesia for Intraocular Surgery’ were produced by the Royal College of Anaesthetists and College of Ophthalmologists in 2001.2 The British Ophthalmic Anaesthesia Society (www.boas.org) was founded in 1999 and hosts annu ...
Laryngeal Framework Surgery: Thyroplasty
Laryngeal Framework Surgery: Thyroplasty

... - Patients with vocal fold paralysis: 1/3 with laryngeal penetration and aspiration - nor always a sure remedy At least one vocal fold should have intact inspiratory vocal fold abduction ...
INGUINAL HERNIA REPAIR: OPEN vs TEP APPROACHES
INGUINAL HERNIA REPAIR: OPEN vs TEP APPROACHES

... thromboembolic prophylaxis, only in selected patients • Risk factors for wound and mesh infection ...
Thyroidectomy - Dr. Chris Hobbs
Thyroidectomy - Dr. Chris Hobbs

... placed with the sensors at the level of the vocal cords if monitoring of the recurrent laryngeal nerve is being done. The patient is placed supine on the operating room table in a slight reverse Trendelenburg. A shoulder roll is used to hyperextend the neck. The neck is infiltrated with 20–30 ml of ...
Bariatric Surgery Outcomes - General Surgery Residency Program
Bariatric Surgery Outcomes - General Surgery Residency Program

... body habitus; and (6) the presence of significant comorbidities such as diabetes, hyperlipidemia, hypertension, and obstructive sleep apnea.7 In a comprehensive meta-analysis, Buchwald and colleagues7 reported early and late mortality after bariatric surgery (Table 1). The study evaluated the result ...
Pediatric Disorders of the Foot”
Pediatric Disorders of the Foot”

... newborn and decreases to 34 degrees by 4 years of age  Lateral angle decrease from a mean 45 degrees at birth to an average of 33 degrees at 4 years of age ...
Testing theories of sex against the observation that sex is biparental
Testing theories of sex against the observation that sex is biparental

... prohibitive. But, insofar as such arguments have been provided at all, they are unpersuasive. For example, they fail to take into account the key point that any argument against the transition from biparental sex to triparental sex may be even more persuasive for ruling out the transition from asexu ...
Charles Neer - Fisiokinesiterapia
Charles Neer - Fisiokinesiterapia

... common are done shoulder Arthroscopy procedures? ...
Complcations of Stapes Surgery
Complcations of Stapes Surgery

... Lesinski SG. Causes of conductive hearing loss after stapedectomy or stapedotomy: a prospective study of 279 consecutive surgical revisions. Otol Neurotol 2002; 23: 281-8. Mangham CA. Platinum ribbon-Teflon piston reduces device failure after stapes surgery. Otolaryngol Head ...
Sex in an Evolutionary Perspective: Just Another Reaction Norm
Sex in an Evolutionary Perspective: Just Another Reaction Norm

... of hermaphroditic organisms, for instance most plants). We may recognise the sexes as categories, on the basis of morphology or—when applicable—sex chromosomes, and it is of course often useful to search for and investigate statistical differences in other traits between groups of individuals of dif ...
Facts about CAH (Congenital Adrenal Hyperplasia)
Facts about CAH (Congenital Adrenal Hyperplasia)

... either have CAH or carry a genetic mutation. This means that if two parents are CAH carriers (that is, they have the gene for CAH but not the disorder), their children have a 25 percent chance (1 in 4) of being ...
Functional Anatomy of the Female Sex Organs
Functional Anatomy of the Female Sex Organs

... Gross anatomical and histological study of the clitoris, clitoral bulbs, labia minora, and urethra reveals them to contain specialized vascular tissues that are sexually responsive [1] and consist of two histologically distinct types of vascular tissue. The first type is the trabeculated erectile ti ...
CHAPTER I INTRODUCTION 1.1 Background Hemophilia is a
CHAPTER I INTRODUCTION 1.1 Background Hemophilia is a

... to consequences such as delaying elective procedures.5,8 ...
Laparoscopic treatment of traumatic iliopsoas hematoma
Laparoscopic treatment of traumatic iliopsoas hematoma

... Upon waking after surgery, the patient observed that his left groin pain felt immediately improved. Two weeks after surgery, sensation in the femoral nerve distribution was improved and lower extremity strength was restored to grade 4/5. ...
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History of intersex surgery

The history of intersex surgery is intertwined with the development of the specialities of pediatric surgery, pediatric urology, and pediatric endocrinology, with our increasingly refined understanding of sexual differentiation, with the development of political advocacy groups united by a human qualified analysis, and in the last decade by doubts as to efficacy, and controversy over when and even whether some procedures should be performed.Ambiguous genitalia has been considered a birth defect throughout recorded history. Single cases were described by doctors sporadically over the centuries. Some of our modern ideas of birth defects can be traced to French anatomist Isidore Geoffroy Saint-Hilaire (1805–1861), who pioneered the field of teratology. Since the 1920s surgeons have attempted to correct an increasing variety of birth defects. Success has often been partial and surgery is often associated with minor or major, transient or permanent complications. Techniques in all fields of surgery are frequently revised in a quest for higher success rates and lower complication rates. Some surgeons, well aware of the immediate limitations and risks of surgery, feel that significant rates of imperfect outcomes are no scandal (especially for the more severe and disabling birth defects). Instead they see these negative outcomes as a challenge to be overcome by improving the techniques. Genital reconstruction evolved within this tradition, but in the last decade, nearly every aspect of this perspective has been called into question.
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