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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.
Parasites - Biological Stress Many insects and microorganisms can feed upon tissues and saps of living plants. Hence plants must be protected against such parasites either by
Describe Assist Control Ventilation (ACV) The machine delivers a set tidal volume at the set rate; besides, each time the patient breathes on his own, a machine breath is init
Define Vitamins B 12 Deficiency in Vegans? Because plants do not synthesize vitamin B 12 , individuals who consume diets completely free of animal products (vegan diets) are a
Explain Antigens ? A blood type, or group, is based upon the presence or absence of certain substances called antigens on the surface of the red blood cells. Antigens are subs
Define Resolution - terminologies used in chromatography? Resolution is the effectiveness of the separation and is determined by two factors. These include: Distance
Bone Surfaces: There are four major bone surfaces: 1) Periosteal (outer surface of all bones) 2) Endosteal (inner surface of cortical bone) 3) Haversian (inner surface o
Define Limitations of Agar Syringe or Agar Sausage Method? (i) It is applicable to surfaces with low contaminants. (ii) Problem of spreading colonies may occur. (iii) Col
Conservation and management of biodiversity require measurement of biodiversity because it is important to make choices about "what, where, and how" to conserve. Measurement can be
Phosphorylation is the addition of the phosphate monoester to a macromolecule, catalyzed by a particular kinase enzyme. With respect to the proteins, particular amino acid side ch
· If we are in dangerous areas, water, gas and electricity should be turned off quickly and we should move to a higher level of ground. · It s
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