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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.
Relation of Water Content to Functions If an aquatic plant appearing turgid is removed from water and left in the open, it quickly wilts. The water content of the leaves may
Types of Metamorphic Changes The process of metamorphosis includes reactivation of the morphogenetic processes. The morphogenetic changes also the mode of causation of these
1. In the town of Jasper, CA, there is currently one full-time family doctor. If the town's population grows at a steady rate of 14% per year, how many family full-time family doc
Food Habits Food Habits: These must be known so that the diets can be recommended keeping in mind the food preferences of the patient. Whether a person is a vegetarian
How plants solve the problem of transporting substances throughout their tissues? In the bryophytes the substance transport is done by the diffusion. In the tracheophytes (pter
CELL MEMBRANE It is biological, thin, elastic, flexible & selective permeable membrane. Term "Cell membrane" was coined by Negeli & Crammer 1855. Term " Plasma membr
Define Effect of Nutrition on the Immune System? Nutrition has a strong influence on the immune system of the elderly. Ageing induces dysregulation of the immune system, mainly
Define the Water activity - Microbial Survival? It is the amount of water available to the organism. In general, requirement for water activity is more for bacteria (minimum 0.
Schizocoelous pattern – Coelom There are two patterns of coelom formation in animals schizocoelous and enterocoelous. In schizocoelous pattern, two teloblasts cells (primordi
RNA editing is the name given to several reactions whereby the nucleotide series on an mRNA molecule should be modified by mechanisms other than RNA splicing. T
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