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Trans Myocardial laser re vascularisation (TMLR) : Patients who have severe angina and diffuse coronary artery disease with no graftable vessels are at limes subjected to TMLR. In this procedure target areas of myocardium are marked based on pre-operative studies. On a beating heart with special laser equipment, laser channels are created one cm npa1.1 on selected areas of niyocnrdium of left vcntriclc. 10-12. such channels arc created on the anterior anti lateral walls of LV as required. These should be away from major coronary artery branches. At times there may be one or two graftable vessels and large areas of myocardium that cannot be revascularised. A hybrid procedure is done for these cases. TMLR is done first and after haemostasis patient is heparinised and grafting is done either on or off bypass. This procedure has been described ant1 popularized from Escorts hospital india by Dr. Naresh Trehan.
Q. Spastic and Obstructive constipation? Spastic constipation: It results from excessive tone of the colonic muscle. Obstructive constipation: It occurs usually due to obstr
What are synthetic auxins and what are their uses? Synthetic auxins, like indolebutyric acid (IBA) and naphthalenic acid (NAA) are substances same to IAA (a natural auxin) but
WALL OF EYE BALL - Outer to inner 3 layers present. 1. Sclerotic or fibrous Tunic 2. Choroid or uvea or vescular Tunic. 3. Retina or neuro sensory tunic. Sclerotic
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What event marks the beginning of the menstrual cycle? What is the blood concentration of FSH, LH, estrogen and progesterone in this phase of the cycle? By convention the menst
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Define Exclusion chromatography - basic separation technique? It is a chromatographic process, in which separation of the sample components takes place according to the molecul
Q. Haemodynamics of Tricuspid regurgitation? Right Atrial pressure tracing shows a prominent ‘v' wave and these cannot be appreciated in a patient with atrial fibrillation. RV
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How Physical Activity affect requirement of protein? Research on protein needs for muscular work had its beginning in 1863 when Von Leiberg postulated that muscle protein was d
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