Home Doctors Dr. Kemmer Modeling Career Presentations training anal fistula cow stomach and abscess Proctological diseases Dr. Tübergen Career Publications Presentations Posters and Other Dr. Pisek Team Practice Services Cooperation Contact us Sitemap Imprint Career Publications Sacral nerve stimulation (pacemaker for the intestine) cow stomach pacemaker regulates untenable toilet urge further development in the treatment of intestinal diseases Together against colorectal diseases procrastinate bowel problems may be fatal Power to further Tuebergen (PDF) Power to further practice proctology (PDF) Authorization to practice cow stomach training base surgery Pisek (PDF) Power to further Kemmer Ling (PDF) Power to further Kemmer Ling-2 (PDF) and by appointment. Abscess abscess anal disease lesions anal fistula anal fissure anal fistula Analvenenthrombose cow stomach Anantomie surgery bowel intestinal illness and diseases cancer intestinal pacemaker colonoscopy diagnosis colon center endoscopy fistula fistulous perianal disease early hemorrhoids hemorrhoids Münster skin tags Crohn's disease Proctology Proctological investigation prolapse disease quality of hygiene in the colonoscopy pacemaker fecal incontinence therapy toilet urge
Home Doctors Dr. Kemmer Modeling Career Presentations training anal fistula and abscess Proctological diseases Dr. Tübergen Career Publications Presentations Posters and Other Dr. Pisek Team Practice Services Cooperation Contact us Sitemap Imprint Career Publications Sacral nerve stimulation (pacemaker cornerstone veterinary for the intestine) pacemaker regulates untenable toilet urge further development in the treatment of intestinal diseases Together against colorectal diseases procrastinate bowel problems may be fatal 48145 Münster Abscess abscess anal disease lesions anal fistula anal fissure anal fistula Analvenenthrombose Anantomie surgery bowel intestinal illness and diseases cancer intestinal pacemaker colonoscopy diagnosis colon center endoscopy fistula fistulous perianal disease early hemorrhoids hemorrhoids Münster skin tags Crohn's disease Proctology Proctological investigation cornerstone veterinary prolapse disease quality of hygiene in the colonoscopy pacemaker fecal incontinence therapy toilet urge
Home Doctors Dr. Kemmer Modeling Career Presentations training anal fistula and abscess Proctological diseases Dr. Tübergen Career Publications Presentations Posters and Other Dr. Pisek Team Practice Services Cooperation Contact us Sitemap Imprint Career Publications Sacral nerve stimulation (pacemaker for the intestine) pacemaker regulates untenable toilet urge further development in the treatment of intestinal diseases Together against colorectal diseases procrastinate bowel problems may be fatal The classic abscess is known by its typical clinical signs. As with all infections, the typical signs of inflammation wendover heights Calor, rubor, dolor, tumor and functio laesa are also valid here. Problems are the diagnosis of abscesses, if they do not reach the body surface. This may be necessary wendover heights for accurate localization of an intra-anal ultrasound scan or a CT or MRI. When Fisteldiagnostik the inspection of the perianal region can already provide information to an external Fistelostium. The diagnosis is then completed by a proctoscopy with setting an internal Fistelostiums. wendover heights With a hook probe now, the dentate be screened for possible fistelverdächtige structures. With unexplained Flstelverlauf and strong pain a more detailed study should be made only under anesthesia. For more complicated fistulas the aforementioned imaging techniques are also used. A direct radiographic Fisteldarstellung with contrast medium (fistulography) is only in exceptional cases, eg fistulae into neighboring organs such as the bladder, vagina or urethra necessary. Dr. med. Matthias Kemmer Ling, Surgery, Visceral Surgery and Proctology, formerly senior physician at the Department of Surgery II, Coloproctology, Raphael Hospital Muenster Dr. med. Franz Raulf, chief physician of Surgery, Coloproctology, Raphael Hospital Muenster. 8-12 clock Monday, Tuesday 8-12 15-17 clock clock, clock 15-17 Wednesday 8-12 Thursday 8-12 Clock Clock, Clock 15-17 Friday 8-12 Clock Abscess abscess anal disease lesions anal fistula anal fissure anal fistula Analvenenthrombose Anantomie surgery bowel intestinal illness and diseases cancer wendover heights intestinal pacemaker colonoscopy diagnosis colon center endoscopy fistula fistulous wendover heights perianal disease early hemorrhoids hemorrhoids Münster skin tags Crohn's disease Proctology Proctological investigation prolapse disease quality of hygiene in the colonoscopy pacemaker fecal incontinence therapy toilet urge
Home Doctors Dr. Kemmer Modeling Career Presentations training anal fistula and abscess Proctological diseases Dr. Tübergen Career Publications Presentations Posters and Other Dr. Pisek Team Practice Services Cooperation Contact us Sitemap Imprint Career Publications Sacral nerve stimulation (pacemaker for the intestine) pacemaker regulates untenable toilet urge further development westway group in the treatment of intestinal diseases Together against colorectal diseases westway group procrastinate bowel problems may be fatal To have when shopping at the grocery store from now stand and lie on the same everything westway group and hurry to leave the business part of everyday life of Annette v. (Name changed). The reason is for all those who do not know severe forms of incontinence, hard to imagine: westway group Up to ten times a day, the intestine of 47-year-old suddenly emptied. "There was no stopping," she says, "despite diapers. What leaked, just running down the legs. " 2006 Annette V. ill with cancer. A tumor on the pool deck was removed. The subsequent radiation injury to the bowel and sphincter function. Your job as a bus driver she could barely perform two hours in the morning. Always in diapers, always in fear, always with a bag of spare clothing, detergents and disinfectants, towels, garbage bags. "Of course, heard and smelled my environment, if it happened again," says Annette V., and they kicked the bull by the horns. Supported by husband and two 17- and 21-year-old sons, she decided to openness, talked to friends and acquaintances via the constant westway group soreness in this sensitive area of the body that she suffered hardly any contact with the washcloth and blow-dried dry. They consequently abstained milk products that are still obviously contributed to irritation and tried all kinds of conservative therapies such as pelvic westway group floor exercises, electrical stimulation therapy or Analtampons. Nothing helped. In the rectum practice of Drs. Tübergen / Kemmerling / Raulf Annette V. would now ask for the remaining possibility that could improve their situation. The Koloproktologe Dr. Matthias Kemmer Ling, a partner of the Sacred Heart Hospital Münster-Hiltrup, proposed a method that has long been used in Munster only in the treatment of urinary incontinence: the sacral nerve stimulation. "During a minor operation under general westway group anesthesia a fine electrode westway group is gently guided westway group through the natural openings of the sacrum to the sacral nerves. There the corresponding nerve segment is then stimulated, which regulates the sphincter activity, "Dr. Kemmer Ling explains the method. "Even westway group during the operation can be controlled by stimulating the correct positioning. To test the success before westway group implantation of the definitive pacemaker westway group under the skin, the patient wears the small device first two weeks on the belt. This time is then to determine exactly whether such improvement of incontinence. " Later in the body can be the pacemaker by remote control so long to fine tune until an optimal stimulation of the sphincter is reached. More than that carefully guided chair diary by Annette V. is her joy and the visible relief the significant success. "The other day I was able to control the urge to defecate perceived in the drugstore to get home," she beamed. "I have now just practice and trust after all the years of psychological distress. And this summer for me there is finally my beloved garlic sauce. "| KMA Abscess abscess anal disease westway group lesions anal fistula anal fissure anal fistula Analvenenthrombose Anantomie westway group surgery bowel intestinal illness and diseases cancer intestinal pacemaker westway group colonoscopy diagnosis colon center endoscopy fistula fistulous perianal disease early hemorrhoids hemorrhoids Münster skin tags Crohn's disease Proctology westway group Proctological investigation prolapse disease quality of hygiene in the colonoscopy pacemaker fecal incontinence therapy westway group toilet urge
Home Doctors Dr. Kemmer Modeling Career Presentations clara vet unipi training anal fistula and abscess Proctological diseases Dr. Tübergen Career Publications Presentations Posters and Other Dr. Pisek Team Practice Services Cooperation Contact us Sitemap Imprint Career Publications Sacral nerve stimulation (pacemaker for the intestine) clara vet unipi pacemaker regulates untenable toilet urge further development in the treatment of intestinal diseases Together against colorectal diseases clara vet unipi procrastinate bowel problems may be fatal There are diseases that does not speak about it much. For example, if they relate to the rectum. Hemorrhoids, fistulas, abscesses, anal or rectal prolapse occurs not infrequently. But talking about it and to go in case of complaints in medical care, many sufferers find it difficult. There are doctors who specialize in such diseases. As Dr. Dirk Tübergen, Dr. Matthias Kemmer Ling and Dr. Franz Raulf, who have joined forces in the rectum clara vet unipi practice Münster. With these three doctors established the Sacred Heart Hospital maintains a close cooperation now. "We are expanding our diagnostic and therapeutic spectrum," says Prof. Dr. Rüdiger Horstmann, clara vet unipi chief physician of General, Visceral and Vascular Surgery at Sacred Heart Hospital on cooperation. Once a week use the doctors of the rectum practice for their patients, the surgical capacity at Hiltruper hospital. "Many clara vet unipi of the interventions that we can indeed perform on an outpatient basis in our practice, but in some diseases, patients are followed by a hospital stay. So it's good that we can operate directly in here and know our patients well looked after then, "said Raulf. Some surgical procedures, such as when troubleshooting a rectum incident, surgeon of the hospital clara vet unipi and the colleagues from the rectum operate even practice together. clara vet unipi And if the established Proctologists the necessary intervention can not perform yourself, then is the surgical team at the Sacred Heart Hospital are available. This is for example the case when the suspicion of cancer exists or if chronic inflammatory bowel disease clara vet unipi require surgery. The Hiltruper hospital is one of the clinics in Germany, the therapy of these diseases minimally invasive. "Whenever possible, we use the 'keyhole surgery', which requires only tiny cuts and the patient strained less than open surgery," explains Horstmann. Another plus see the doctors at the interface between outpatient and inpatient care: "We care for many patients after their discharge from the hospital on an outpatient basis," clara vet unipi says Raulf. "The fact that we know the therapeutic concepts of our colleagues from Hiltr-up, easier to follow. The patient, there is the certainty that in their treatment of inpatient and outpatient care are perfectly matched. " 8-12 clock Monday, Tuesday 8-12 15-17 clock clock, clock 15-17 Wednesday 8-12 Thursday 8-12 Clock Clock, Clock 15-17 Friday 8-12 Clock Abscess abscess anal disease lesions anal fistula anal fissure anal fistula Analvenenthrombose Anantomie surgery bowel intestinal illness and diseases cancer intestinal pacemaker colonoscopy diagnosis colon center clara vet unipi endoscopy fistula fistulous perianal disease early hemorrhoids hemorrhoids Münster skin tags Crohn's disease Proctology Proctological investigation prolapse disease quality of hygiene in the colonoscopy pacemaker fecal incontinence therapy toilet urge
Home Doctors Dr. Kemmer Modeling Career chantry vets castleford Presentations training anal fistula and abscess Proctological diseases Dr. Tübergen Career Publications chantry vets castleford Presentations Posters and Other Dr. Pisek Team Practice Services Cooperation Contact us Sitemap Imprint Career Publications Sacral nerve stimulation (pacemaker for the intestine) pacemaker regulates untenable toilet urge further development in the treatment of intestinal diseases Together chantry vets castleford against colorectal diseases procrastinate bowel problems may be fatal Rectum and anal canal (AK) form the distal end of the gastrointestinal tract. The anatomic anal canal extends from Anal verge to the dentate line and is of ectodermal origin. The surgical anal canal is defined by clinical requirements, ranging from Anal verge to Linea anorectal equal to the Puborektalisschlinge. He is so long and covers the entire continence apparatus. The epithelial lining of the AK is divided into three parts: the located in the lower third, non-keratinizing anoderm plays an essential role with regard to Stuhldiskrimination due to its sensory innervation to. In the upper third of the AK is one of the rectal mucosa is similar. In the intermediate zone is the so-called transitional epithelium (transitional zone). Immediately chantry vets castleford subepithelial is the corpus cavernosum recti, an arteriovenous vascular plexus, which is also known as hemorrhoidal. It is physiologically present in every individual and is used to fine continence. At the butt plug act as part of the muscular continence organ with a smooth inner and an outer striated sphincter. The internal sphincter (sphincter ani internus) consists of an approximately 2 cm long thickening of the inner circular muscle layer of the colon. It represents an ganglia free end segment of the muscle tube, which is the basis of peace Dauertonus chantry vets castleford continence. The external sphincter (sphincter ani externus) surrounds the inner sphincter chantry vets castleford like a second cuff. The most important for the coarse continence muscle is above the external and internal sphincter looped behind the end of the bowel moving past lowermost portion of the levator ani, the puborectalis muscle. He pulls the Rektumhinterwand forward. chantry vets castleford This muscle also has an arbitrary component in addition to a Dauertonus, the slack for defecation. MEDICAL PRACTICE:.. Certified training Proctological diseases Dr. Matthias Kemmer Ling, Surgery, Visceral Surgery and Proctology, formerly senior physician at the Department chantry vets castleford of Surgery II, Coloproctology, Raphael Hospital Muenster Dr. Franz Raulf, chief physician of Surgery, Coloproctology, Raphael Hospital Muenster. in cooperation with the State Medical Association Westphalia-Lippe and MEDICA German Association for the Advancement of Medical Diagnostics e. V., also as a PDF download (206 KB) and www.aerztlichepraxis.de and by appointment. Abscess abscess anal disease lesions anal fistula anal fissure anal fistula Analvenenthrombose Anantomie surgery bowel intestinal illness and diseases cancer intestinal pacemaker colonoscopy diagnosis colon center endoscopy fistula fistulous perianal disease early hemorrhoids hemorrhoids Münster skin tags Crohn's disease Proctology Proctological investigation prolapse disease quality of hygiene in the colonoscopy pacemaker fecal incontinence therapy toilet urge
Home Doctors Dr. Kemmer Modeling Career Presentations training anal fistula oakmount vets and abscess Proctological diseases oakmount vets Dr. Tübergen Career Publications Presentations Posters and Other Dr. Pisek Team Practice Services Cooperation Contact us Sitemap Imprint Career Publications Sacral nerve stimulation (pacemaker for the intestine) pacemaker oakmount vets regulates untenable toilet urge further development oakmount vets in the treatment of intestinal diseases Together against colorectal diseases procrastinate bowel problems may be fatal The anal fissure is a reaching the lower anal canal to the dentate incipient and to the dentate line, along oval ulcer. oakmount vets The situation in anoderm explains the strong pain. In the proctology practice oakmount vets the anal fissure oakmount vets is one of the most common diseases. In the vast majority of fissures is posterior fissures (6 clock). In ten percent of cases are found ventral fissure (12 clock); laterally they are localized oakmount vets only five to ten percent of the patients. By clinic and morphological appearance is acute from chronic fissure to be distinguished: The acute fissure appears as a shallow, superficial lesion in anoderm. The chronic fissure oakmount vets is a long oval shape with secondary changes such as deep epithelial defects, hypertrophic papillae, an inflammation of the Intersphinktärraums or the formation of an inflammatory scarring anal stenosis. The pathogenesis of fissures is not clear as before. Discuss on the one hand increased tone of the internal sphincter with any resultant tissue lesions through increased presses, on the other hand, a local hypoperfusion in this area, which hinders a defect healing. Another common hypothesis is based on the assumption that, starting from a local inflammation (cryptitis or Kryptenabszess) is a chronic tissue defect arises. Such lesions lead over Vernarbungsprozesse to fissure with secondary changes. The main symptom of the fissure oakmount vets is the strong, piercing oakmount vets pain that typically occurs during defecation and persists for hours under certain circumstances. Often there are also traces of blood on the toilet paper or strip-shaped blood deposits on the stool. Often the inspection of the anal region apart, for at Nate's already leads to the diagnosis. In addition, the history is indicative. The digital rectal oakmount vets examination should be performed carefully using a lubricant. The differential diagnosis of the primary fissure secondary fissures are recognized as accompanying phenomena other inflammatory diseases of the anal region (Crohn's disease, anal tuberculosis, syphilitic chancre, leukemic diseases manifest AIDS, anus). The acute fissure has a high proportion of spontaneous healing, so that in many cases, symptomatic treatment oakmount vets is required only. The focus is on reduction of pain. This can be achieved by the application oakmount vets of ointments and Lokalanästhetikahaltigen Analtampons. The validity of the remaining oakmount vets Proktologika is not occupied. Recently, oakmount vets the administration of topically oakmount vets active substances, such as nitroglycerin, nifedipine, diltiazem, and finally also Sildenafil is recommended. A superiority of the substances mentioned over placebo is not proven. The frequently recommended Selbstbougierung with a anal dilator has also opposed to merely ointment application no proven benefits. Surgical treatment of chronic fissure is exclusively reserved for secondary changes. Dr. med. Matthias Kemmer Ling, Surgery, Visceral Surgery and Proctology, formerly oakmount vets senior physician at the Department of Surgery II, Coloproctology, Raphael Hospital Muenster oakmount vets Dr. med. Franz Raulf, chief physician oakmount vets of Surgery, Coloproctology, Raphael Hospital Muenster. in cooperation with the State Medical Association Westphalia-Lippe and MEDICA German Association for the Advancement of Medical Diagnostics e. V., also as a PDF download (206 KB) and www.aerztlichepraxis.de and by appointment. Abscess abscess anal disease lesions anal fistula anal fissure anal fistula Analvenenthrombose Anantomie surgery bowel intestinal illness and diseases cancer intestinal pacemaker colonoscopy diagnosis colon center endoscopy fistula fistulous perianal disease early hemorrhoids hemorrhoids Münster skin tags Crohn's disease Proctology Proctological investigation prolapse oakmount vets disease quality of hygiene in the colonoscopy pacemaker fecal incontinence therapy toilet urge
Home Doctors Dr. Kemmer Modeling Career Presentations training anal fistula and abscess Proctological incontinent dog diseases Dr. Tübergen Career Publications Presentations Posters and Other Dr. Pisek Team Practice Services Cooperation Contact us Sitemap Imprint Career Publications Sacral nerve stimulation (pacemaker for the intestine) pacemaker regulates untenable toilet urge further development in the treatment of intestinal diseases Together against colorectal diseases procrastinate bowel problems may be fatal Dr. Dirk Tübergen Surgery and Proctology, formerly senior physician incontinent dog at the Surgical University Hospital incontinent dog Münster and Head of the Department Endoscopy & Proctology speaks in the "Current Time" on WDR about early detection of colorectal cancer.: "... The colon cancer is a very common disease and it has been shown that this disease can be very effectively controlled by colonoscopy, by carrying out this study on a regular basis, then, to discover the precursors of colon cancer, namely colon polyps and in a remove the same session and thus avoid the risk of colon cancer. incontinent dog " and by appointment. Abscess abscess anal disease lesions anal fistula anal fissure incontinent dog anal fistula Analvenenthrombose Anantomie surgery incontinent dog bowel intestinal incontinent dog illness and diseases cancer intestinal pacemaker colonoscopy diagnosis colon center incontinent dog endoscopy fistula fistulous perianal disease early hemorrhoids hemorrhoids Münster skin tags Crohn's disease Proctology Proctological investigation prolapse disease quality of hygiene in the colonoscopy pacemaker fecal incontinence therapy toilet urge
Home Doctors Dr. Kemmer Modeling Career Presentations training hyclone fbs anal fistula and abscess Proctological diseases Dr. Tübergen Career Publications Presentations Posters and Other Dr. Pisek Team Practice Services Cooperation Contact us Sitemap Imprint Career Publications Sacral nerve stimulation (pacemaker for the intestine) pacemaker regulates untenable toilet urge further development in the treatment of intestinal diseases Together against colorectal hyclone fbs diseases procrastinate bowel problems may be fatal Since January, the interdisciplinary center of the belly of the Sacred Heart Hospital in Hiltrup successfully collaborated with the rectum practice hyclone fbs Münster, which is led by Dr. Matthias hyclone fbs Kemmer Ling, Dr. Dirk Tübergen and Dr. Franz Raulf. "We have a partner hyclone fbs for After intervention sought which are only possible stationary," said Dr. Raulf the intention of cooperation. This one was pushed into Hiltrup open ears: "The koloproktologische competence of the hospital," hyclone fbs said Dr. Rüdiger Horstmann, chief of surgery department, is thus additionally hyclone fbs expanded ". In addition, the development of this discipline could be so loud Raulf ahead and added Horstmann, the assistant doctors can now an additional training on the rectal examination hyclone fbs sector are offered. Specific treatment The rectum practice benefit from the fact that the patients can be treated very specifically and experience a greater welfare: "There is always someone there, even at night and on weekends," the chief doctor pointed to the benefits of inpatient care. Each patient stand a room with toilet disposal, to save the path across the hall. The number of beds was initially not limited to, able to react flexibly to demand. Ten percent stationary Of the total number of patients referred Kemmer Dr. Ling to the volume would only ten percent hyclone fbs for inpatient treatment in question. Per year, estimated the experts are approximately 200 to 300 patients treated in the rectum practice Sacred Heart Hospital. The cooperation is a big step in the holistic approach in the treatment of diseases anorectum. The joint work of surgeons and gastroenterologists could guarantee rapid and comprehensive hyclone fbs diagnosis of intestinal diseases. < Training course on the basis of this cooperation is now working hyclone fbs with the Medical Association of Westphalia-Lippe on Wednesday 23 April 17-20 clock in the ballroom of the parent company a training event for professional public place. Among other things, the truck-hemorrhoidectomy, the anal fissure and stool incontinence are discussed in lectures. Most common cancer colon cancer is one of the most common cancers - a year are added 70,000 new cases. Cash recommend a colonoscopy (colonoscopy) from the age of 55, each with a recent hyclone fbs study in the rhythm of ten years. Colonoscopy is compared to other cancer screening tests, the only method that can be treated at an early stage in which, by the removal of polyps. "The patient is treated, if he is healed immediately," concluded Dr. Horstmann the positive effect of early study together. Will you wait too long, occur late symptoms such as high weight loss and even at the end of the bowel obstruction. Hemorrhoids A real little people were disease, said Dr. Tübergen, also the hemorrhoids hyclone fbs suffered by 70 to 80 percent of the population. Like all diseases of the anorectum applies to dispel taboos too - still many shy away from going to the doctor. If the step over the threshold hyclone fbs managed, it is only a short walk to the professional - and usually painless - treatment: "Until now," Dr. Raulf drew a first positive result of the collaboration with the Sacred Heart Hospital, "were all very happy, and we have not heard any complaints. " 8-12 clock Monday, Tuesday 8-12 15-17 clock clock, clock 15-17 Wednesday 8-12 Thursday 8-12 Clock Clock, Clock 15-17 Friday 8-12 Clock Abscess abscess anal disease lesions anal fistula anal fissure anal fistula Analvenenthrombose Anantomie hyclone fbs surgery bowel intestinal illness and diseases cancer intestinal pacemaker colonoscopy diagnosis colon center endoscopy hyclone fbs fistula fistulous hyclone fbs perianal disease early hemorrhoids hemorrhoids Münster skin tags Crohn's disease Proctology hyclone fbs Proctological investigation prolapse disease quality of hygiene in the colonoscopy pacemaker fecal incontinence therapy toilet urge
Home Doctors Dr. Kemmer Modeling Career Presentations training anal fistula and abscess Proctological diseases Dr. Tübergen Career Publications Presentations Posters and Other Dr. Pisek Team Practice Services Cooperation Contact us Sitemap Imprint Career Publications Sacral nerve stimulation (pacemaker for the intestine) pacemaker virkon regulates untenable toilet urge further development in the treatment of intestinal diseases Together against colorectal diseases procrastinate bowel problems may be fatal The treatment of the abscess and the Fistelleidens is rule by way of an operative, and depending virkon on the stage of disease manifestation and a more or less urgent surgical virkon indication is given. The abscess must be exposed immediately after diagnosis to prevent the spread of infection with a subsequently even septic virkon disease. Antibiotic therapy is often initiated outpatient is strictly rejected, as it ultimately transported the disease. It is expensive, virkon counterproductive and unnecessary. An emergency relief through regular function and economical incision can facilitate the time to onset of definitive surgical therapy. But it does not replace an adequate, ie sufficiently wide surgical opening. The skin over the abscess must be generous "capped off". The primary cleavage of a fistula in the context of Abszessentlastung is only useful in cases where you can perform virkon a secure fistula proof without probing with sharp instruments and with an inner Fistelostium not exceed the Dentatalinie. The course of a fistula is most easily be determined virkon by intraoperative Farbstoffinstillation with methylene blue solution and subsequent probing. The intraoperative probing of the fistula requires sensitive virkon care to avoid a false path of the probe. Button probes are tapered probes, such as the channel probe preferable previously used. The crucial problem in the Fisteltherapie seems the exact knowledge of the anatomy and the subtle and delicate surgical technique to be that avoids the probe a "via falsa". In the definitive surgical treatment of fistulas different methods compete. They mainly to name three: the fistulotomy (Fistelspaltung) the Fistelexzision possibly with plastic virkon closure of the inner thread Fistelostiums the temporary drainage. The fistulotomy is considered the standard method. Here is the Fisteldoch together with the subcutaneous tissue and skin is cut with a knife, the fistula virkon is "split". The result instead of the tubular passage of the fistula with a wide open wound ditch. In addition to the severance of the Fisteldaches the wound edges are then removed far. If this flattening of the edges is not made, caused by premature closure of the wound edges Fistelrezidive. It is important to curettage of Fistelbodens to remove all flammable material Proktodealdrüse. The Fistelexzision with simultaneous closure of the inner plastic Fistelostiums represents an additional, common surgical method. It is and atypical fistulas high gear sphinkterdurchbohrendem reserved. Here is to be avoided with subsequent fecal incontinence by the plastid rule closure of the inner Fistelostiums with simultaneous excision of the extra- and transsphinktärischen portion of the fistula cutting through a larger muscle portion. With regard to the rate of recurrence, the latter method virkon is certainly inferior to the former. The best results shows the fistulotomy, which therefore has to be considered as the general procedure. Special Fistelformen as the rectovaginal or anovaginalen, the technique of plastic flap operation is reserved. In the latter forms may be useful under certain circumstances the additional investment a protective colostomy to guarantee the safety of the plastic closure. The temporary thread drainage of a fistula also has great clinical significance. She has a completely different principle than the earlier approach often experienced the "filament treatment of fistula after Hippocrates". While doing a slow cut through virkon the muscle virkon was sought that "as the wire the ice block" should cut through the muscle without kontinenzschwächende scar in the drainage thread a loop is loosely inserted into the fistula. This thread acts as a wick and is able to drain the fistula so that as the healing of Abszesswunde not renewed secretion jams. In this way, local inflammation may stabilize and the further course to wait until the final Fistelspaltung alone. The left in the fistula
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Basic pharmacology Part 1 | Portal for education in nursing feline anatomy Main drug-preparations which ingredient prescribed by zdravnik.V feline anatomy pharmacy then prepare and issue of drug for the individual patient, exactly by a doctor. Galenical preparations-the compound preparations which are manufactured in pharmacies under the regulations Pharmacopoeia, professional literature or own recipes. OFICIALNA PRODUCT-manufactured in pharmaceutical factories and pharmacies for recipes and regulations that were adopted in the current pharmacopoeia. SPECIALTIES-are made-name drug with a protective, produced and designed in pharmaceutical factories. on behalf feline anatomy of medicines means that the name is protected. DESIGNATION: feline anatomy Each drug has its own name, which corresponds to the chemical composition of the product. For reasons of transparency and uniformity are introduced so-called generic, non-proprietary unprotected international name. For drugs (International Nonproprietary Names, INN) prescribed by the World Health Organization. The use of generic names is especially meaningful to chemically complex drugs that are under different names manufactures several factories. Active substances, their names, dosages, methods of storage and identification prescribed by the respective valid farmakopeja.V SLO use the European Pharmacopoeia with the addition of Slovenian-Formularium Slovenicum.V Register of the Republic of Slovenia medicines are classified all registered factory manufactured feline anatomy pharmaceutical preparations with basic information about their dosage forms, doses, instructions on how to prescribing and dispensing to patients. Ministry of Health and Institute of Public Health of the Republic of Slovenia issue Register of Medicinal feline anatomy Republic Slovenije.VII (March 2002). It ranked all registered factory manufactured pharmaceutical preparations, with basic information about their formulations, dosages, instructions feline anatomy on how to prescribing and dispensing to patients. The Commission approved the registration of medicines and at the same time determine the regime dispensing of medicines .: BRp -izdaja also without a prescription Rp -izdaja only on prescription II / Rp -use only in hospitals, exceptionally be issued on prescription feline anatomy in nadačjevanju treatment at home after discharged from the hospital. II -use only in hospitals Rp / Spec -Use for the treatment of outpatients. Be prescribed by a specialist or a doctor of its mandate; requires a continuous monitoring during treatment. ZZ -use only in public health institutions and legal and natural persons engaged in medical activities. Medications can be classified according to chemical structure feline anatomy or operation: Biochemical: feline anatomy hypoglycemics lowering glucose, but antihiperlipemiki feline anatomy fat in the blood. Physiologically: antihypertensives reduce elevated arterial pressure. System Organ Class: stimulants and depressants CNS, diuretics on the kidney, cardiac glycosides, but at heart. Form according to the strength of separating solid, powder, semi-hard, semi-solid, liquid and gaseous forms of pharmaceutical formulations. European Pharmacopoeia classifies the dosage form according feline anatomy to the method of use: Auricularia -farmacevtska form of ear-capsules Capsulae compress -tablete Emplastra transcutanea -transdermalni patch granulate feline anatomy -zrnca Inhalanda -zdravila feline anatomy inhalation liquid ad usum dermicum -Dermal liquids for external use Musca medicate -zdravilne feline anatomy foam Nasalia -farmacevtske shape of the nose Ocularia -farmacevtske forms of eye Parenteralia -parenteralne dosage forms Peroralia -peroralne dosage forms Preparationes ad irrigation -farmacevtske format for rinsing Preparationes pharmaceuticae and vasis cum pressu -farmacevtske shape under pressure Pulveres ad usum dermicum -Dermal powders ( sprayed) for outdoor use Pulveres perorales -peroralni powders Reectalia -rektalne dosage forms Style -palčke Tamponae medicatae -zdravilni tampons unguent -poltrdna medicinal feline anatomy product for use on the skin (ointments, creams) Vaginalia -farmacevtske forms for administration of the vagina and healing gum. 1) KAPSULE- solid preparations in a package of two parts: gelatin, makrogolne, starch. 2) TABLETS, DRAŽEJI- solid preparations, pressed powders. 3) an ointment or KREME- semi-solid forms for topical use 4) Candle solid preparations which dissolve in body temperature; for rectal or vaginal use. 5) RAZTOPINE- liquid preparations for internal and external use. They consist of a solvent and one or more substances. The solvent may be water, feline anatomy alcohol, polyethylene glycol, glycerol, or oil. 6) SUSPENZIJE- liquid formulations with insoluble particles. Liquid foundation that needs to be shaken before use. 7) EMULSION-liquid preparations of two phases which are immiscible. feline anatomy (Oil: water) 8) ČAJI- dried parts of plants and fruits, for the domestic preparation of liquid preparations. 9) broth, infusions, MACERATI- liquid formulations of plants to intake feline anatomy 10) TINKTURE- alcoholic extracts of plants. With different colored signaturnimi tickets at the pharmacy further characterize drugs: -white with red-edge products for use on skin and mucous membranes (black
Infectious diseases | Portal for education in nursing Defense mechanisms - Producer -E-Test Number and type of antibiotic to be tested: testing with representative groups of antibiotics testing of antibiotics, which are suitable for the treatment of their illness (not just an isolated agent) testing of epidemiological reasons, selective reporting the property medicine without vomiting, conscious (NGS), you can enjoy food / fluid after the flow of blood through the gastrointestinal tract satisfactory (shocked patients) interaction at the level of absorption Pharmacokinetics Distribution bodies with well-controlled homeostasis - a better passage of the inflammation! brain (blood-brain barrier-brain =) retina prostate abscesses, animal pharmaceuticals heart valves, (foreign bodies) the importance of dose The importance of bacteriostatic / bactericidal Antibiotics with a narrow's therapeutic index quinolone antibiotics Possible severe skin reactions (Stevens Johnson syndrome), cytopenias penicillins (tid) 62.2% Combinations NE The role of nurses in prescribing antimicrobial agents - Petechiae the soft palate -Haemophilus Influenzae (~ 15% of the R to ampicillin) -You heat Atypical pneumonia when administered an antibiotic that acts on P. aeruginosa? The importance of patient -Kronični Bronchitis: cough for 3 months for two years in a row Type III: present only one of the three "major" symptoms - and at least one of the following: upper respiratory tract infection in the past five days, more tweaks, scraping, more cough Fever or hypothermia even for no other reason, 20% higher frequency breathing, tachycardia. The guidelines for prescribing antibiotics in apKOPB (3) Often discharges of small quantities animal pharmaceuticals of urine (pollakiuria) Definition -Before Urological surgery For other patients with transient inserted catheter is not looking bakteriurije if you have no symptoms and are not treated with antibiotics if bakteriurijo accidentally found! When antibiotics: Treatment: penicillin, penicillin protistafilokokni staphylococci, animal pharmaceuticals Gram-negative bacteria, anaerobes Categories diagnostic therapeutic program Public Health Anatomy Hospital hygiene and infection prevention Biophysics and Biochemistry Communication in UN supervised a team of first aid and emergency medical assistance Pathology Physiology Nursing 1 Nursing clinical practice Introduction to Research in Health Care Psychology of Ethics and Philosophy in Nursing Informatics English UN and the UN Mental Health Gerontology and Rehabilitation Nutrition and dietetics, medical sociology of health and illness Microbiology Clinical work of the UN child and adolescent Organization and Management at the UN Health Care of child and adolescent Nursing animal pharmaceuticals wife Health and social legislation animal pharmaceuticals Gynaecology and Obstetrics Transfusion Medicine Pharmacology Pediatrics Infectious Diseases Internal medicine UN in community and clinic Protection Management in Health Care Ophthalmology venereology Process Methodology in health and health care Surgery Nursing cancer patients in oncology animal pharmaceuticals and palliative animal pharmaceuticals care Otorhinolaryngology Orthopaedics and Traumatology UN ICU patient Neurology Gallery, students animal pharmaceuticals Lajkej on FB! Archive: Select Month March 2015 February 2015 January 2015 December 2014 January 2014 July 2014 October 2013 June 2013 March 2013 February 2013 January 2013 December 2012 September 2012 July 2012 June 2012 May 2012 April 2012 March 2012 February 2012 November 2011 September 2011 August 2011 July 2011 May 2011 March 2011 February 2011 January 2011 December 2010 August 2010 June 2010 May 2010 April 2010 March 2010 February 2010 January 2010 December 2009 November 2009 August 2009 June 2009 May 2009 April 2009 March 2009 February 2009 January 2009 December 2008 November 2008 September 2008 July 2008 June 2008 May 2008 April 2008 March 2008 February 2008 January 2008 December 2007 November animal pharmaceuticals 2007 October 2007 Keywords 1.letnik biochemistry and biophysics Anatomy Anatomy sketches biochemistry of cancer baby Pharmacology Pharmacology Surgery Microbiology Microbiology Neurology Neurology Neuro newborn Ophthalmology Ophthalmology Ophthalmology oncologist oncology pathology Pathology patronage community health pediatrician pediatrics nutrition emergency Psychology Psychology cancer script for child care script for care of the child care Health Care Health Care 1 1 care of the surgical patient Nursing clinical practice nursing care of adolescent oncology patient care child care child and adolescent psychiatric patient care Nursing wife's health legislation View Portal for education in nursing 2007 - 2015 All information on this website is intended
Pharmacology Exercise Part 3 | Portal for education in nursing - Often caused by allergies wheelhouse vets and contact dermatitis, - In preterm infants whose glukoriniltransferaza not yet developed syndrome causes children gray (gray baby sindom), which is characterized by cyanosis, abdominal problems and heart failure in the vascular system and even death, - Caused by an intolerance to alcohol Their basic structure of the beta-lactam ring. They differ according to the radicals, which provide anti-bacterial spectrum and pharmacological properties. They are bactericidal, inhibiting bacterial cell wall synthesis by inhibiting wheelhouse vets transpeptidase. Are selectively toxic interfere with bacterial cell wall synthesis, which is a mammalian cell are not. Secreted in the urine, even with tubular secretion, which can be boiled, and also raised the concentration of antibiotics in the plasma. All penicillins cross-sensitizing and cause cross allergy. Direct toxicity wheelhouse vets results in irritation of the gastrointestinal tract (ampilicilin), cationic toxicity (Na +, K + salt) effects on the CNS and supeinfekcijami (broad-spectrum penicillins). Diffusion treatment with penicillins has resulted wheelhouse vets in increase in the number of resistant strains of bacteria and a high percentage of people (5%), which are penicillin-hypersensitive. According to the chemical structure is related to penicillin. Their core is 7-aminocephalosporanic acid, containing the β- lactam ring. They also act on staphylococci, which form the β- lactamase, are also effective against G neg bacteria, E. coli and Klebsieli. Cefolosporine administered orally, parenterally most often. Excreted in the urine by filtration and tubular secretion. Third generation cephalosporins pass into the brain in sufficient quantity to be effective in bacterial wheelhouse vets meningitis. It is a broad spectrum bacteriostatic: - Toxic for: bone marrow, inhibits the maturation of red blood cells, rare aplastic anemia, wheelhouse vets which may be irreversible, frequent indigestion candida lining wheelhouse vets of the mouth and vagina, because the brakes liver enzyme chloramphenicol cause drug interactions. They are broad-spectrum bacteriostatic antibiotics, which have a unit structure of many bencenskih rings. They bind to the 30 S ribosomal wheelhouse vets subunit, preventing pričrvstitev aminoacyl messenger RNA and inhibit protein synthesis. - Meningococcal meningitis (minocycline) Several bacterial strains are resistant to tetracyclines, as a result of extensive application. The resistance exerted by the plasmids is due to the reduced permeability wheelhouse vets of the bacterial membranes to tetracyclines and decreased uptake of the antibiotic in the bacteria. Cross the placenta, in the milk, but not in the brain. Excreted in the bile and it is therefore important enterohepatic circulation. Aminoglycoside antibiotics Resistance to them occurs by changing the permeability of the membrane wheelhouse vets or by changing the receptor. The most important is the formation of (plasmid) acetyl, adenyl, or fosforiltransferaz that inactivate aminoglycoside antibiotics. -njihova toxicity increases with simultaneous use of diuretics acting on Henlejevo ribbon Acting on G + bacilli and coca, some G- bacilli, some anaerobic and parasite toxoplasma, kriptosporidio and Plasmodium. They are also effective for mycoplasma, ureaplazmi and alkoxyalkyl. Inhibiting bacterial protein synthesis by reversibly binding to the 50 S ribosomal subunit. They are bacteriostatic, the treble but bactericidal concentrations. Their antibacterial effect lasts 5 to 9 hours. Macrolides with the exception of klaritromicina- during pregnancy are not harmful (group b). - Legion Treatment of tuberculosis is difficult, due to the rapid emergence of resistance due to the position of intracellular bacteria, in particular in caseous part of the lesion. wheelhouse vets Therefore, it is necessary to give high doses of drugs. Tuberkolostatike combined and thus prevent the development wheelhouse vets of resistance and increase the effectiveness of treatment. Purpose; LOCAL, SYSTEMIC - Amphotericin wheelhouse vets B - binds with ergosterolom, specific fungal sterol Members and changes the permeability of membranes. Winning is in infections with blastomicetami, kokcidoidi and cryptococcosis, and candida albicans histoplazmo. Administered by iv Toxic effects are common: fever, disturbances in electrolyte balance, hypotension, neurological deficits, wheelhouse vets kidney damage and heart. - Flucytosine is a prodrug, which becomes the deamination active only in yeast. Effects on RNA. Used in systemic infections with Candida albicans and kriptokoki. The worst side effect is reversible bone marrow toxicity. - Ketoconazole: the drug is active in systemic infections with blastomicetami, kokcidoidi, histoplasmosis and candida albicans.Absorbira from the gastrointestinal tract, wheelhouse vets fever, chills, liver damage and hormonal disorders due to impaired wheelhouse vets synthesis of steroids. - In infections with Candida albicans is administered topically in patients who have a weakened immune system, the oral Categories diagnostic and treatment
Vocal fold nodule Arabs Cole Chat Chat deviation Moroccan deviation Cam Voice Chat Arabic Arabs Cole audio BBC Arabic egistrozol Chat Moroccan Voice Chat Audio Sports Medicine is Arab and Beauty Fashion Cool celebrities Arabs crimes, accidents and Miscellaneous Voice Chat - Arabs Cole: Vocal fold nodule (in English: Vocal fold nodule) are bulges in the tissues of vocal folds (vocal cords), this Altdkhmat appear in the thick areas of the vocal cords front as the area or the region between the second egistrozol junction and the third, often Misab by female adults and children [2] Chat Arabs Cole voice Voice Chat vocal chords explain the vocal cords. Rounding and retraction filleting Recurrent laryngeal nerve and sinew Laryngeal upper bow pharyngeal sixth Voice Chat - Arabs Cole: vocal cords (in English: Vocal cords) consists of a pair of the mucous membranes of the extended sideways inside the larynx, vibrating when the air passage of the audio output, where the nerve wandering controls and features painted egistrozol white to the lack of traffic circulation Abrha.o is Rzmtan of muscle fibers in the throat called figuratively sound box , located directly above the trachea windpipe or airways, or vocal cords make up the sound when the air-breathing trapped in the lungs, passing vocal cords closed, pushing them to vibration concussions . The vocal cords vibrate issued throat sound through the rhythm of the opening and closing of vocal chords Voice Chat Mora- Arabs Cole Voice Chat spasmodic dysphonia voice Arabs Cole - Voice Chat: In this type, cause movements or involuntary muscle spasms in sudden or strong collective action Voice folds (or vocal cords). [1] Such spasms make it difficult for the vocal cords vibrate to produce sound. This would cause the cut out words and difficulty as a result of these muscle spasms. Therefore, you have to speak intermittently stutter sound like "stuttering". Usually egistrozol described as the voice of the affected individual defect pronunciation intermittent confidant that tense or smothered and full of effort. It is amazing that these spasms usually stop during laughter or high tone when speaking or breathing and singing, but the singers face a shortage in the audio range, or the inability to produce some of the foremost musical labels or when the offer. But often cause stress or tension in the muscle spasms be more severe. [2] Spasmodic dysphonia exiled in this genre, cause movements or spasms of the muscles involuntary sudden opening cords or vocal cords. [1] that the vocal cords can not that vibrate when you are ... Voice Chat Mora- Arabs Cole Voice Chat explain the sound Arabs Cole Voice Chat / audio compression pressure egistrozol is the local pressure deviation from the ambient pressure because of the sound wave. Can sound pressure is measured using Almusdh in the air or water Almusdh in the water. One sound pressure is measured in Pascal (Pa) in the international wholesale. Real-time egistrozol audio compression is the deviation from the local ambient pressure p0 because of a sound wave at a specific position and the moment of a specific time. Effective sound pressure is the square root of the real-time audio compression during a specific period of time. In a sound wave, the variable Almkamil audio compression speed is beloved voice. For small Mtalat, egistrozol the relationship between sound pressure and speed beloved acoustic linear and the ratio between them is the acoustic impedance. Acoustic egistrozol impedance depends on the acoustic wave and center properties. Local real-time sound intensity is a product of sound pressure quickly beloved acoustic and therefore the amount of X-ray. Deviation of sound pressure p (instantaneous sound pressure) is given to the relationship: where: F = force, A = total Alstah.aldguet ptotal is: where: p0 = local ambient pressure, p = deviation of sound pressure. Voice Chat Mora- Arabs Cole Voice Chat Chat voice Riyadh - Riyadh voice chat and voice chat Riyadh - Riyadh voice chat Voice Chat Mora- Arabs Cole Voice Chat transducers audio Arabs Cole - Voice Chat / converter ultrasonic energy which Ahoil ultrasound , or sound waves above the normal range of human hearing. While technically a dog whistle is the ultrasonic transducer that converts mechanical energy in the form of air pressure to sound waves, the more likely the term to refer to the piezoelectric transformers that convert electrical energy into Alsot.kahrdgtih crystals can be resized when voltage is applied them, and therefore the application of alternating current through them is Alvemnha them swinging at very high frequencies, egistrozol and thus the frequency sound waves are very high production. Site that focuses audio adapter which can be determined by space and form Almouhol, and frequency of ultrasound, and the speed of sound in the middle. Example shows a non-focused sound fields and adapter focused ultrasound in water detectors including piezoelectric crystals that generate a voltage when power is applied to them, and can use the same crystal serve as ultrasonic detection. Some systems Tsthaddam messenger and receiver components separately while some Alakhrbjma ... 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Sine wave (sound spread) Arabs Cole Chat Chat deviation Moroccan deviation Cam Voice Chat Arabic Arabs Cole audio BBC Arabic Chat Moroccan hegenberg Voice Chat Audio Sports Medicine is Arab and Beauty Fashion Cool celebrities Arabs crimes, accidents and Miscellaneous Arabs Cole - Voice Chat: It is very much a function appear in mathematics, hegenberg physics and in electrical engineering hegenberg (in English: sine wave or sinusoid), describing hegenberg the spread of the sound, and the spread of electromagnetic waves such as light, and the transfer of AC power, and processing audio signals, electrical engineering and a lot of other areas. The name is due to it depends on pocket expense or cosine. It describes hegenberg the time-related function (t). "Patrol" function in the sense that it repeats itself, for example, increases in voltage (as AC) slowly until it reaches the summit and then slowly decreases hegenberg slowly back up to zero and continue to decline (down the X-axis) until it reaches the bottom, and then increase the power slowly until it reaches zero second. Thus the cycle has been completed and is characterized by the time "a time of course." Call Balmutal power at the top, and amplitude from the summit equal amplitude at the bottom, but the inverse direction. In the previous equation means: A is the value of amplitude, ie the highest value reached by function - Amplitude. Is the angular frequency (in units of radians / sec.) Is a phase or angular displacement phase (can be in simple negligence phase issues, hegenberg it could make it zero) t time. In the graphic above, we find two curves and one of them is a function of (sin (x and the other for (cos (x, and note that Shahu be (sin (x at maximum (when amplitude) be the function (cos (x has reached only zero. This case is repeated in wave as we see, the more go "cycle time" back Aldaltan and take each other's value at the start of the course. If we consider the functions in the diagram represent two waves and Aqeitan (such as the two waves of water into the sea or changing currents electricians reluctant to wire), it can be said that the waves "Menzahtin phase" by π / 2 from each other (see Figure). Chat Arabs Cole voice Voice Chat representation of the spread of sound Arabs Cole theory - Voice Chat: form shows the circular motion wave function relationship. Amplitude is the largest value of x. Wave begins when x = amplitude and angular zero, but if the wave began at the angle of 10 degrees, for example, we say that the "phase shift" hegenberg = 10 degrees between the waves. Waves are formed hegenberg in a lot of natural phenomena such as sea waves, sound waves and light waves. hegenberg They also represent a night and day difference. The temperature change over the day or the year they are all periodic phenomena, and can be represented by a simple hegenberg sinusoidal function. When drawing AC voltage, we find that looks like a sine wave. We can calculate the sine wave as a wave or cosine wave as: are the other with a biased phase sine wave by π / 2. The human ear can identify the sinusoidal wave in the sound image as a sinusoidal wave is only a representation of a particular frequency. It is a pure audio examples of a specific frequency, zeroing in the mouth, or a ringing chords lute, or Ahdottar piano or the law. Tuning fork ... Voice Chat also characterized Mora- Arabs Cole Voice Chat conditions of wave propagation and audio frequencies pieces Arabs Cole - Voice Chat: The wave propagation pattern in any prompt waves of a wave equations solutions, or in other words, the form of the wave. [5] Because of the restrictions for the marginal value issues, there is no there are only limited frequencies and forms just to wave function, which can be spread hegenberg in Waveguide. hegenberg The lower frequency can be spread through hegenberg the development of what is the frequency of the pieces of this situation. The situation is less cut-off frequency is the primary hegenberg mode to prompt waves, and the frequency of its pieces is the same frequency blocks your router waves. hegenberg Matching impedances in circuit theory, the impedance is circulating resistivity in the case of AC power is measured in ohms (). [5] describes hegenberg the transmission line containing the length of the self-impedance prompt any waves in the circuit theory. In other words, the circuit impedance is the resistance component (in this case Waveguide) to the process of wave propagation. The primary purpose of this description to prompt waves is to determine the AC, but this description is also suitable electromagnetic waves and sound waves, and this is once you have converted wave and physical properties (such as pressure, density ... Voice Chat Mora- Arabs Cole Voice Chat transducers audio Arabs Cole - Chat audio / converter ultrasonic who Ahoil energy into ultrasound, or sound waves above the normal range of hearing rights. While technically a dog whistle is the ultrasonic hegenberg transducer that converts mechanical energy in the form of air pressure to sound waves, the term is most a tendency hegenberg to refer to the piezoelectric transformers that convert electrical energy into Alsot.kahrdgtih crystals can be resized when the application effort by the teams, and therefore the application of AC through them current is Alvemnha them swinging at very high frequencies, and thus the frequency sound waves are very high production. site that adapter focuses the sound can be determined by space and form Almouhol, and frequency ultrasound, mystery
Spasmodic dysphonia voice Arabs Cole Chat Chat deviation Moroccan deviation Cam Voice Chat Arabic Arabs Cole audio BBC Arabic Chat Moroccan Voice Chat Audio Sports Medicine is Arab and Beauty Fashion Cool celebrities Arabs crimes, accidents and Miscellaneous Arabs Cole - Voice Chat: In this type, cause movements or involuntary muscle spasms in teamwork sudden or strong voice folds (or vocal cords). [1] Such spasms make it difficult for the vocal cords vibrate to produce sound. This would cause the cut out words and difficulty as a result of these muscle spasms. Therefore, you have to speak intermittently liphook equine stutter sound like "stuttering". Usually described as the voice of the affected individual defect pronunciation liphook equine intermittent confidant that tense or smothered and full of effort. It is amazing that these spasms usually stop during laughter or high tone when speaking or breathing and singing, but the singers face a shortage in the audio range, or the inability to produce some of the foremost musical labels or when the offer. But often cause stress or tension in the muscle spasms that are more severe. [2] Arabs Cole Voice Chat Voice chat Spasmodic dysphonia deportee In this type, cause movements or spasms of the muscles involuntary sudden opening cords or vocal cords. [1] that the vocal cords can not be shaken when they are open. Open position liphook equine for voice ropes and also allows the escape of air from the lungs during the speech. As a result, the voices of these individuals are often weak and quiet and gasping liphook equine or whispered. liphook equine As is the case in Spasmodic dysphonia is close, absent convulsions often during certain activities such as laughing, singing and singers but may face a shortage in the audio range, or the inability to produce some of the foremost musical labels or when the offer. [2] Spasmodic dysphonia mixed Chat Arabs Cole voice Voice Chat Vocal fold nodule image anatomical nodules vocal cord [1] Voice Chat - Arabs Cole: Vocal fold nodule (in English: Vocal fold nodule) are bulges in the tissues of vocal folds (vocal cords), this Altdkhmat appear in the thick areas the front of the vocal cords as the area or the region between the second and third junction, often Misab by female liphook equine adults, and children [2] hinder this Altdkhmat vocal cords work naturally to the emergence and cause hoarseness, difficulty with speech, reduced the extent of the sound. Caused by misuse of the vocal cords and Ajhadha by raising the sound Osaal. Voice Chat Mora- Arabs Cole Voice Chat vocal chords liphook equine explain the vocal cords. Rounding and retraction filleting liphook equine Recurrent laryngeal nerve and sinew Laryngeal upper bow pharyngeal sixth Voice Chat - Arabs Cole: vocal cords (in English: Vocal cords) consists of a pair of the mucous membranes of the extended sideways inside the larynx, vibrating when the air passage of the audio output, where the nerve wandering controls and features painted white to the lack of traffic liphook equine circulation Abrha.o is Rzmtan of muscle fibers in the throat called figuratively sound box , located directly above the trachea windpipe or airways, or vocal cords make up the sound when the air-breathing trapped in the lungs, passing vocal cords closed, pushing them to vibration concussions . The vocal cords vibrate issued throat sound through the rhythm of the opening and closing of vocal chords Voice Chat Mora- Arabs Cole Voice Chat transducers audio Arabs Cole - Voice Chat / ultrasonic liphook equine converter which Ahoil energy into ultrasound, or sound waves above normal Hearing rights. While technically a dog whistle is the ultrasonic transducer that converts mechanical energy in the form of air pressure to sound waves, the more likely the term to refer to the piezoelectric transformers that convert electrical energy into Alsot.kahrdgtih crystals can be resized when voltage is applied them, and therefore the application of alternating current through them is Alvemnha them swinging at very high frequencies, and thus the frequency sound waves are very high production. Site that focuses audio adapter which can be determined by space and form Almouhol, and frequency of ultrasound, and the speed of sound in the middle. Example shows a non-focused sound fields and adapter focused ultrasound liphook equine in water detectors including piezoelectric crystals that generate a voltage when power is applied to them, and can use the same crystal serve as ultrasonic detection. Some systems Tsthaddam messenger liphook equine and receiver components separately while some Alakhrbjma ... Voice Chat Mora- Arabs Cole Voice Chat voice acting for (units of speech) Arabs Cole - Voice Chat: Sonic characters in Arabic (standard) and Hebrew liphook equine (Alasiraelih) from the viewpoint of a voice. Note the intersection of two circles-the distinction between a character of a, e i U u resides with both speakers of Arabic, but lacks the pronunciation of the middle voice characters short, while Hebrew lacks distinction voice length. Depends write some languages liphook equine on the principles liphook equine of international phonetic alphabet process of character (or group of characters) of the unit verbal and vice versa. In the ideal case, the speakers can write any
So the expression may be a false term in dogs Canine pseudo pregnancy -kl Non-pregnant females appear in the mid and late stage Metestrus A 2-vomiting decrease in activity 3- care and embrace the constants such as shoes, if they lick their young 4. abdominal area and nipples 5. later show an increase in weight, penmellyn vets enlarged glands and mammary secretion of milk 6. sometimes show contractions in the abdomen, such as those pertaining to birth 7- the evolution of offensive behavior defensive 8. 9. drilling in the ground some infrequent symptoms: 1-widths For more See also: pet vaccination guide guide and fortify animal prevention guide when dealing penmellyn vets with animal penmellyn vets pet clinics and centers animal care guide guide zoos diseases guide Egypt guide animals shops in the Arab world for the first ambulance penmellyn vets to the animal guide sites attention to animals on an Internet guide Part I Web Directory interest in animals Alolifaali Facebook Part 1 animals amazing creatures topics archive cats _______________________________________________________ Encyclopedia back to the sources of information forums Rahal amazing creatures pages Rahal amazing creatures pages Contact Disclaimer data Rahal word blogger penmellyn vets Cefannaala Facebook albums Alsouralcamlh this seed is licensed under a Creative Commons ratios Labor-participation Alike 3.0 Alasalihaltrechas And Tours and messages do not expire for the mind and spirit, and sometimes penmellyn vets the body through the windows of cognition known and unknown beyond space and time locked sailor science and knowledge reveal the secrets of war on the darkness and the light, likely to be in search of goodness and beauty through to the right Animal Clinics in Egypt guide Rahal Facebook 2015 (111) February (66) January (45) 2014 (7) October (1) September (2) May (2) April (1) February penmellyn vets (1) 2013 (21) December (2) November (1) October (1) September (1) July (1) June (1) March (1) February (11) January (2) 2012 (338) December (1) September (2) July (1) June (2) May (2) April (23) March (81) sites, addresses and telephone authorities penmellyn vets important sea and bodies پoseidn (پosidn, Poseidon, Bossadon, Bossaidn, Bossidn ... horses ... hope Dunqul penmellyn vets Black History Omar Suleiman's "party Altalt" penmellyn vets juniper supplements Camp David Accords string theory or the theory of filamentous (String Theory) Wen tools crisis ... Equestrian Equestrian Horse and Horse Horseshoe measure and ride and knowledge of horse weight compared penmellyn vets choose saddle horse intelligent horse Hans story Philadelphia Experiment universe effect Hibro and the expansion of the universe Mars hunt era of planets beyond penmellyn vets the strong sun marrow in the universe parallel universe just steps how to end the universe mystique attached to the universe the language of the universe iron puzzle, neutrino and Article mirror density of cosmic energy dark cosmic soup of universal gravitation entrance to the universe Science quasars role in the formation of the universe penmellyn vets Are there parallel penmellyn vets universes? Did you know 3 of culture in society gorillas ten important facts about gorillas Yazid summer diseases for cats cashmere cat wool dog dystocia have horses how to give birth to the Persians horses Breton Pope Shenouda III, Makram Ebeid Pasha Thank you, Lord, for mothers Book News women Ibn al the first part of Three women Book News Ibn al-second part of the three ... Book News women Ibn al third and final part of Chinese mountain cats Oalqth Chinese desert cat ... Pantanal (Leopardus braccatus) Pantanal-cat ... never steppe The Pampas Cat (Leopardus pajeros ) never Colo Colo Colocolo forgetfulness and memory and memory horse intelligent pregnancy and childbirth when the dogs lying in dogs reproduction pregnancy in dogs dogs, types and carry and qualities candidates strongest for the presidency of Egypt 2011/2012 fleas in cats Recently Bookmarked Allegornda Abaj Lynx Canadian Andean mountain cat cats Djiovrua Pardofelis or Catopuma Eurasian lynx Lynx dun FMD cats Siamese colors signs of feline intelligence strains have cats Israeli-Russian arms armament Egyptian Army War systems under water and cavitation ultra sonar systems in the maritime use military February (61) January (165) 2011 (438) December (123) November (11) October (1) September (1) July (95) June (86) May (121)
What is the frequency: the frequency of each component is a cycle of successive arent Tdhaguet and form a complete and sound wave is the number of full-frequency waves that pass a given point in the middle in the second. For example, if a thorn branch resonant idexx maine یھtz forward and back in a simple harmonic motion idexx maine 1000aھtzazh in the second, the 1000 Tdhaguet, all Mnھ یakbھ arent generated and spread to the center every second that any incident waves audio frequency is 1000 Hz. And to be here to differentiate between idexx maine the body and Almھtz frequency is the number of vibrations which یhaddtھa body Almھtz in the second wave and the voice is deployed and the number of full frequency waves that Tmrbenqth certain in the middle in the second. Called a voice that is Lھ one frequency pure sound. And experiments show that the young man proper یmcnھ that hears a sound frequency that lies between 20 and 20,000 Hz or 20 Kیloھrtz. And less ability to hear high frequencies with age. In general, the average person life یmcnھ hear frequencies idexx maine from 12-14 Kیloھrtz only. Called a voice-band with the highest frequency of 20 Kیloھrtz ultrasound or ultrasonics ultrasonic waves, but certain types of dogs یmcnھa hear frequencies higher than 30 Kیloھrtz so یmcnھa hear other frequencies can not be human Smaھa. The bat یmcnھ hear frequencies idexx maine up to 100 Kیloھrtz Oھo used in determining these estimated idexx maine Mkanھ. In general, the frequency is the number of vibrations per second full wavelength: For transverse waves expresses wavelength Lھa the distance between any two summits or Haیn consecutive years in a row. In longitudinal waves, the wavelength idexx maine is the distance between the central Tdhaguetیn successive or consecutive Tkhalkhalیn. In general, the wavelength is the distance between two points on the wave path is turmoil Andھma Lھ the same value in the same direction, whether this turmoil shift in the surface as in the case of waves of water (transverse) or a change in pressure, as in the case of waves audio (longitudinal) and is said to the points idexx maine where the turbulence Lھ the same value and in the same direction points with similar phase. And therefore: Wavelength is the distance between two consecutive ھma same phase (phase is that the fraction of the wave at a given time) and symbolizes the symbol wavelength λ is measured Surface and Odzaúھ. The first lesson (1) Lesson IX (1) The third lesson (1) lesson XIII (1) Lesson VIII (1) The second lesson (1) Lesson XII (1) Lesson atheist ten (1) The fifth lesson (1) The fourth lesson (1) Lesson XIV (1) Lesson Seven (1) Lesson Six (1) Lesson X (1) Introduction idexx maine (1)
Cultures of fortune code of a cultural collect you where the oddity news in various drfosterandsmith fields such as the oddity of the jokes and the oddity of sport, art and various drfosterandsmith other sources drfosterandsmith was launched in late September 2012, a code of belonging to a team pioneers of online marketing and collect the exotic information and useful in all fields drfosterandsmith These amazing pictures of animals which are still fetuses in the wombs of their mothers, we offer you multiple images of animals, dolphins, sharks, and dogs, and the other, those pictures were taken using a combination of ultrasound imaging three-dimensional computer-blended amendments. Jenin horse Posts common Posts
Often we saw Tom Cat playing ark house vets the piano while listening to an audience of humans and cats together in rings cartoon series Tom and Jerry, maybe its time we did not imagine that ascend the cats theater and playing the most beautiful pieces of music of Beethoven and Mozart on the piano, but today has become ark house vets a scene very anticipated after the first invention musical machine dedicated for cats only! It enables scientists and experts musicians from Innovation Panel first keys globally, which plays at frequencies above the audio can be for cats only to hear, and the team of veterinarians, scientists, and artists design panel electrical musical keys, which were used for the first time to play for a group of cats within ark house vets the concert strange in south East London ark house vets called "protest concerto". As for the music presto, it hears humans, so they used the frequency ultrasound which is about sound waves greater than the upper limit of the range of human hearing frequency, and is usually ark house vets rewarded to 20,000 Hertz in healthy humans, have played music frequencies up above 64,000 hertz, or can for cats only to hear. This painting has been designed such a way that the human ear can enjoy a private music they produce sounds musical as well as the frequency ultrasound so the pet owners and pianists will not feel bored by playing music for cats! This invention ark house vets comes to respond to the allegations of many who said that cats do not have the ear of music, and they will not like listening to music, such as dogs and other pets, the cats satisfaction expressed during play while the other cats experience playing the painting itself across jumping on the keys! Dr. veterinarian "Robert Wyatt Adams" has expressed extreme joy of this innovation, and that this keyboard will provide a lot of science, medicine and veterinary through deep study of how cats heard detection largest ark house vets group of animal sounds. ark house vets The team in charge of the registration of "CD" special cats includes a music-frequency ultrasound playing the national anthem for various countries such as North Korea, Turkey, Russia, Saudi Arabia, Cuba, for example, in addition to a range of popular pop songs for cats! This strange kind of move is to prove that cats possess a sense of poetic through her love for music, and emerging trends appear to teach the cats to the hair, cooking, painting too! Things may see impossible but who knows what might achieve the flag to the animal world, after the music keyboard Nothing is impossible! Muslim leaders who changed the world in their time Next
"The ways in which defended by Einstein for civil rights," the difference between a fruit and vegetable sources of vitamins About syndrome solar system agrizoo san marino the "Sylvie" Alzheimer 8 applications of the theory of relativity we see in our daily lives Part III: the color yellow gold farming human head: Doctor Italian plans to move the head human body to another human being !! 10 tips for healthy meal during the tests risk of stroke increases with the number of hours you sleep! Imagine if instead of swinging a white stick, can blind to wear jacket senses things in their environment. This is the dream of a team of scientists and engineers in a company called (Navigation touch) tools, which is working to develop jacket that can detect objects or people nearby and convert the signals to the vibrations felt by the body. Device known as Eyeronman, jacket agrizoo san marino have different types of sensors, including lidar, based on the laser used in the car without a driver system. Ultrasound, a kind of megaphone used by bats and other animals for echolocation. And infrared, which is a type of electromagnetic radiation used by some animals to detect the body heat of their prey. When the sensor detects an object devices, will convert their signals to vibrations in the corresponding part of the jacket. For example, when a dog senses the jacket in the field and on the left of the blind, agrizoo san marino will vibrate the left part of the jacket (as seen by the wearer). Device represents the third dimension using the vibration frequency. If the dog ran toward the blind Jacket shaken agrizoo san marino faster. E-mail * Latest Articles "ways in which Einstein defended their civil rights," March 15, 2015 the difference between fruits and vegetables March 12, 2015 sources of vitamins March 11, 2015. Information about the solar system March 11, 2015 the syndrome "Sylvie" March 11, 2015 Research # # # Media # inventions economy kids # # # animal blood brain # # # sky sun Health # # # Taqh_achammsah Nature Medicine # # # eye bones # # Space Physics moon # # # planets universe water # # # sleep genetics # diseases # # Date feeding techniques # # # Technology Technology Twitter # # # Gesm_alansan agrizoo san marino Halat_tabah Facts # # # Weird Facts Health Studies # # # Medicine Alm_alared Alm_alnevs # # # physiological agrizoo san marino phobia # Cartoon ground Cancer The support of the Web Vii
Sound waves properties Arabs Cole Chat Chat deviation Moroccan deviation Cam Voice Chat Arabic Arabs Cole audio BBC Arabic Chat Moroccan Voice Chat Audio Sports Medicine is Arab and Beauty jim jeffers Fashion Cool celebrities Arabs crimes, accidents and Miscellaneous Arabs Cole - Voice Chat: Sound is one of the important phenomena that humans jim jeffers and animals used for planning and understanding through hearing (ear) by which the sound of the sound waves is converted to electrical signals by the ear and brain, which turn into understandable information include these phenomena all sounds the different sources and means. Arabs Cole Voice Chat Voice chat For example, hearing the sounds of musical instruments and multi-media audio communications that depend on the energy conversion from image to another and the evolution of acoustic jim jeffers devices that thing for taking various forms in modern applications in the fields of medicine, jim jeffers industry, agriculture jim jeffers and others make scientists and those interested in this area are stepping up efforts to understand the wave phenomena in terms of sources and how they occur and methods of deployment and the factors that control where and how to take advantage of them. If we carefully the ways that sound we find it to be rather than filling in all Halh.amoosiky doing any work to move the Uttar musical instrument and the sound output when the clap your hands to encourage team sports, for example, comes from the efforts fill this work done by hands caused a stir in the ambient air Mnhola to sound energy in the form of regularly shaped by the sound waves form of energy jim jeffers received by the ear happen if the sense of hearing. Chat Arabs Cole voice Voice Chat sound waves sound waves rankings are classified according to their frequencies are as follows: jim jeffers radio waves Arabs Cole - Voice Chat: are those waves that fall frequencies between 20 Hz and 20,000 Hz, and represents the voice by the normal human ear. Where the minimum frequency sound that improve the natural human ear is about 20 hertz, while the upper limit is 20 000 Hz, and this term decline in the elderly to about 12,000 Hz. The maximum sense of sound to a human ear is located in the normal range between 5000 Hz and 8000 Hz, which includes the vibrations of the alphabet. As is known, can be audio-band events through the vocal cords in the human and musical instruments stringed whether or copper or tube and other machines. Benchtop audio waves are waves that increase frequencies on 20 000 Hertz, which lies outside the scope of the sense of the human ear. This type of wave is still the subject of intense research and attention given the task of applications jim jeffers that affect jim jeffers many areas in industry, medicine and others. It has become possible to produce jim jeffers ultrasonic waves at frequencies exceeding ... Voice Chat Mora- Arabs Cole Voice Chat transducers audio Arabs Cole - Voice Chat / ultrasonic converter which Ahoil energy into ultrasound, or sound waves above the normal range of human hearing. While technically a dog whistle is the ultrasonic transducer that converts mechanical energy in the form of air pressure jim jeffers to sound waves, the more likely the term to refer to the piezoelectric transformers that convert electrical energy into Alsot.kahrdgtih crystals can be resized when voltage is applied them, and therefore the application of alternating current through them is Alvemnha them swinging at very high frequencies, and thus the frequency sound waves are very high production. Site that focuses audio adapter which can be determined by space and form Almouhol, and frequency jim jeffers of ultrasound, and the speed of sound in the middle. Example shows a non-focused sound fields and adapter focused ultrasound in water detectors including piezoelectric crystals that generate a voltage when power is applied to them, and can use the same crystal serve as ultrasonic detection. Some systems Tsthaddam messenger and receiver components separately while some Alakhrbjma ... Voice Chat Mora- Arabs Cole Voice Chat explain the sound Arabs Cole Voice Chat / audio compression pressure is the local pressure deviation from the ambient pressure because of the sound wave. Can sound pressure is measured jim jeffers using Almusdh in the air or water Almusdh in the water. One sound pressure is measured in Pascal (Pa) in the international wholesale. Real-time audio compression is the deviation from the local ambient pressure p0 because of a sound wave at a specific position and the moment of a specific time. Effective sound pressure is the square root of the real-time audio compression during a specific period of time. In a sound wave, the variable Almkamil audio compression speed is beloved voice. For small Mtalat, the relationship between sound pressure and speed beloved acoustic linear and the ratio between them is the acoustic impedance. Acoustic impedance depends on the acoustic wave and center properties. Local real-time sound intensity is a product of sound pressure quickly beloved acoustic and therefore the amount of X-ray. Deviation of sound pressure p (instantaneous sound pressure) is given to the relationship: where: F = force, A = total Alstah.aldguet ptotal jim jeffers is: where: p0 = local ambient pressure, p = deviation of sound pressure. Voice Chat Mora- Arabs Cole Voice Chat sensors ultrasonic Arabs Cole - Voice Chat / works on the principle jim jeffers similar to radar or sonar that assess target attributes by interpreting the echoes of radio or sound waves, jim jeffers respectively. Ultrasound devices and the
