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ENO [2017]"MAL ÊTRE" Prod :Tunna beatz ...Rap français - Duration: 3:22.
For more infomation >> ENO [2017]"MAL ÊTRE" Prod :Tunna beatz ...Rap français - Duration: 3:22. -------------------------------------------
Intussusception - causes, symptoms, diagnosis, treatment, pathology - Duration: 5:51.
Intussusception is a condition that occurs when a part of the intestine folds into another
section of intestines, resulting in obstruction.
This is commonly referred to as telescoping, because it's similar to how one part of
a collapsible telescope retracts into another part.
Intussusception is the most common cause of intestinal obstruction in infants and young
children, with about two-thirds of them happening among infants under one year of age, though
adults can occasionally have intussusception too.
Now, intussusception usually happens in the ileocecal region of the intestines, which
is where the ileum of the small intestine and cecum of the large intestine meet, and
almost all intussusceptions happen when the ileum folds, or telescopes, into the cecum.
In adults, telescoping is usually caused by an abnormal growth in the intestine, like
a polyp or a tumor, which serves as a lead point or leading edge.
What happens is that the normal wave-like contractions of the intestine, called peristalsis,
grab this leading edge and pull it into the part of the bowel ahead of it.
In babies the leading edge is most often caused by lymphoid hyperplasia, or the enlargement
of lymphoid tissue.
There are a ton of tiny lymph nodes sprinkled throughout the intestines called Peyer's
patches, and they're particularly common in the ileum.
When a child gets some sort of viral infection in the gastrointestinal tract, usually caused
by rotavirus or norovirus, the Peyer's patches enlarge to help fight off the infection, and
sometimes become a lead point that drags the ileum into the cecum, causing intussusception.
Intussusception can also be caused by a Meckel's diverticulum, which is an abnormal outpouching
of gastrointestinal tissue, that sticks out of the ileum and into the peritoneal cavity.
Occasionally, the diverticulum can invert and stick back into the intestine, allowing
it to serve as a lead point that again drags the ileum into the cecum.
Although these are well known mechanisms for intussusception, the majority of cases are
considered idiopathic, meaning that they happen without a clear cause.
Risk factors include having had one previously or having a sibling with intussusception,
as well as having intestinal malrotation - which is a condition where the intestine doesn't
rotate correctly during fetal development.
Now, when an intussusception develops, the first sign is intermittent abdominal pain
that worsens with peristalsis, sometimes causing a child to guard their abdomen—for example,
they may swat away the hands of a caretaker—or draw their knees up toward the chest.
Other classic findings include vomiting, and the presence of a hard sausage-like mass in
the abdomen.
There's also a lot of pressure on the walls of the trapped section of bowel which squeezes
shut the tiny blood vessels running in the walls, causing ischemia—or lack of blood
flow—and infarction—death of the tissues.
Ischemic and infarcted tissue results in the sloughing off of intestinal mucosal tissue,
blood, and mucus into the gut.
This can result in "red currant jelly" stool, which is a food-inspired visual for the berry
jelly consistency of the stool.
Fever isn't usually a symptom of intussusception, but in serious cases, like with infarction,
the intestines can tear and release bacteria into the body cavity, causing sepsis and fever.
Intussusception can also prevent food or fluid from passing through the intestines, causing
an obstruction.
This can lead to a large mass in the intestines, which can potentially cause the intestine
to become twisted, a condition called volvulus.
In children, intussusception can sometimes be felt by finger while doing a digital rectal
examination, but a definite diagnosis often requires imaging techniques.
An ultrasound, X-ray or computerized tomography (or CT) scan can reveal a classic bull's-eye,
which represents the telescoped intestine shown on end, as well as signs of intestinal
obstruction.
Intussusception can develop suddenly and because of the possibility of intestinal ischemia,
rapid treatment is necessary.
A barium or air enema, can be used to unfold the intussusception, especially in children.
If it doesn't work or if there's a complication, then surgery may be necessary.
During surgery, the portion of the telescoped intestine is freed, any obstruction is cleared,
and any tissue that died is removed.
Alright, as a quick recap, intussusception occurs when part of the intestine slides into
an adjacent part of the intestine, a process called telescoping.
Q Intussusception can lead to intestinal obstruction and can also cut off the blood supply to that
part of the intestines, resulting in bowel ischemia.
Rapid treatment is important and can be done with a barium or an air enema, as well as
surgery, if needed.
Thanks for watching, you can help support us by donating on patreon, or subscribing
to our channel, or telling your friends about us on social media.
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Mighty Megasaurus T-Rex, Spinosaurus Vs King Kong JURASSIC World Unboxing - Duration: 10:42.
Mighty Megasaurus T-Rex, Spinosaurus Vs King Kong JURASSIC World Unboxing
you
oh I a 000000
Oh
what
this
okay today I have to adventure force
mighty megastores these the light and
sound dinosaurs are the only place i
found these was at walmart so these are
made by adventure force as you can see
if you push down the Moscow open the
eyes will light up and it will make
so these are cool little dinosaurs and
then here is a look at all the ones that
have to have a t-rex which we have in
the front we have the Spinosaurus then
they have a dragon and of velociraptor
I did not see the velocity after they do
have a big dragon I think it's remote
control of so let's take these out to
check them out
ok so here is a good look at the two of
them let's go ahead and check each one
out individually closer off
ok so first this one this year x it's a
little hard to see the eyes light up
because I got it really bright here
because of my life but it does light off
like a light color and then evolved
openness halogens you know for a cheap
dinosaur
I mean they did a really great job with
the heat i really like that the sound is
loud for a small dinosaurs the legs
you got really good movement with the
legs the tales you don't hear is the
speaker on this side are coloring is
actually pretty good for cheap toy this
is less expensive Floyd and then here is
a look at the bottom this is where you
would put in the battery so let's take
one more look at the mall
like I said the price I mean he takes
great jobs with the seat and then the
Spinosaurus is pretty cool too
action feature on only one of the arms
you could push down on the eyes who live
off this one they did a bad job with the
teeth it's let one piece and the color
over and got like pink you guys like
lighter green darker green it's on sale
on his back is the same color schemes
they did a good job with the painting
the toes on this one and here is where
you have the speaker so if you get two
of them you can have to dino battles
there check that out
they're pretty loud to switch law boy
yeah guys that was a lot of what and if
you enjoyed the video make sure you
click Subscribe and the thumbs up button
down below the video in today secret
word is the word going to put that in
the comments section below the video on
those you remember my club with the
video ends there's that all quarters lot
more fun with you
click the boxes below for a lot more fun
videos that if you want to see even more
go ahead and click that subscribe button
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Reasons the Mexican president isn't afraid of Trump | 22 Minutes - Duration: 2:22.
This week after signing an order to move forward on his Mexican border wall, Donald Trump tweeted:
"If Mexico is unwilling to pay for the badly needed wall, then it would be better to cancel
the upcoming meeting."
So Mexican president Enrique Peña Nieto did just that!
He joins us now.
Buenos noches.
First of all sir, that took some serious… cojones.
Gracias, but when you're as handsome as me the cojones come with the territory.
Tump wanted me to go to him, I mean come on
He must be the only person in America who doesn't want to visit Mexico in January, am I right?
Trump said he "agreed" to cancel the meeting.
What! He said that?
Yeah! Okay.
He "agreed" just like he agreed to end our phone call after i hung up on him. Are you kidding me?
Do you object to the wall on principle?
No, I love the wall, it's the monster behind the wall that I have a problem with.
So you won't pay for it.
Yeah, sure, just let me see if I can scrounge up $565 billion pesos from the glove compartment
of my Ford Fiesta!
Which by the way, two-thirds of the car was put together right here in Mexico.
and you are never getting those jobs back. No you are not, no.
Aren't you concerned that these hard feelings could seep into the upcoming "three amigos" summit?
Three amigos? More like two amigos and one pendejo!
Nice.
What can Mexico expect to get from renegotiating NAFTA?
Let's just say, a lot of us here are starting to learn Mandarin. Yeah that's right.
Can you imagine a beautiful General Taio chicken taco?
You think the wall will really get built?
Between you and me: the amount of concrete it's gonna take to build a 2,000 mile long wall?
I do not believe señor trump is capable of such a great erection.
Heyooo!
That's why he's el presidente!
Okay I said it.
Adios!
Mexico!!
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AISD. Mills Around the World. Diversidad Cultural. Austin Schools - Duration: 7:50.
We are at my brother's school
because there is a event called
Holiday Around The World
and there are many countries
and each one has its own table
and typical things
Food, games, stories ...
whatever
and some of them dance
so I'm going to dance now
Mexico, China, Russia, Tunisia, Colombia,
Great Britain, Norway, Taiwan, Argentina, Slovenia
Spain !!
Mexico, Spain, and Canada
I liked the food
the activities
it was very well laid
The food
The PAELLA
The one that I liked the most was Canada
they asked you questions about Canada
and if you knew, the gave you a cookie
what I liked the most was the food
The omelet
Spain, Mexico, Brazil, .... and India
they had a delicious drinks
they have many activities
and there you are
because I am from there
because they give you these things
Has already finished Holiday Around The World
and as we are Spanish,
we are the last of the whole school leaving the event
we are the last !!, this is true !! Look !!
I hope you enjoyed this video
bye, bye !
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Premium Innvation: The Ultimaker 3 review! - Duration: 16:12.
For more infomation >> Premium Innvation: The Ultimaker 3 review! - Duration: 16:12. -------------------------------------------
Chinese Knockoff Wins Award for Innovation | China Uncensored - Duration: 6:44.
On this episode of China Uncensored,
China's coming to Broadway!
And by Broadway,
I mean Bǎilǎohuì.
Hi, welcome to China Uncensored,
I'm your host Chris Chappell.
Have you heard of CCTV?
I'm flattered, but no,
that's not Chris Chappell Television.
It's China Central Television,
the mouthpiece of the Chinese Communist Party.
Now you might think it's all boring,
hamfisted dissemination of Party propaganda and brainwashing.
You would be wrong.
It also has entertaining,
hamfisted dissemination of Party propaganda and brainwashing.
And I'm not just talking about the annual Spring Festival Gala,
with comedy sketches about Xi Jinping's anti-corruption campaign.
Haha, gets me every time.
Just like he'll get you.
CCTV's Spring Festival Gala is a throwback
to the good old days when the whole family would pool together
their ration coupons for a New Year's feast
and gather around the village TV.
Nowadays,
younger Chinese have complained
about the show being hokey propaganda
that's out of touch with modern China.
I'm not sure what they mean.
What's more festive than opening your five-and-a-half-hour show
with the nation's armed forces
yelling New Year's greetings in your face?
Anyway, in recent years,
CCTV has tried to mix it up,
like with this talent show called
"I Want to go to the Spring Gala."
Where the lucky winners get to...
go to the Spring Gala.
And perform, I'm assuming.
Frankly, their version of Simon Cowell looks much scarier.
Let's take a look at what this show has to offer.
Ah, yes.
Nothing says fun like a state-run power company
singing a song about the great electrical production capacity
in the remote western regions of Tibet
brought to the people by the careful guidance and oversight
of the Chinese Communist Party
in order to help China's rise in the world!
Yes...clap, for you must.
The song is called Electricity is Coming.
This is my favorite lyric:
Electricity is coming.
You can turn on the lights now.
You can turn on the TV
to see what is happening in the outside world.
Riiiight.
Classic edu-tainment.
Of course in China,
they call it re-edu-tainment!
And guess what?
The State Grid Sichuan Electric Power Corporation did so well,
they won the prize for most innovative performance.
And the prize is a millio...wait.
It appears to be laundry detergent.
Almost as good a prize as what the
Shiqiaotou Town Middle School in Zhejiang Province
gave its top 45 students: bags of pork.
Way to bring home the bacon, kids.
But back to the State Grid Sichuan Electric Power Corporation.
I mean, where do they get the inspiration
to come up with such an innovative song and dance?
Wait, what's that Shelley?
Yes, I know you've taped every Tony Award since 1997.
The one from 2012?
Ok, let's take a look.
Hello! Hello! My name is Elder Smith!
And can I leave this book with you
for you to just peruse?
Hello! Hello! Hello!
Oh my gosh!
The Book of Mormon totally ripped off
State Grid Sichuan Electric Power Corporation!
What? It's the other way around?
That makes more sense, actually.
So a song that was about religious believers
bringing light to the masses in the form of Jesus Christ
is now about the state bringing light to the masses
in the form of China's rise.
I feel like there's a comparative literature thesis
in there somewhere.
When Chinese netizens spotted them uh, homage
to Book of Mormon,
there was a bit of a kerfluffle.
Including mysterious busy signals.
And an internal investigation within the power company
that found that they should have called the "composer" of the piece,
just the "arranger" instead.
Oops.
We reached out to Trey Parker and Matt Stone,
the creators of the Book of Mormon,
for their reaction.
Their spokesman had this to say:
Screw you guys, I'm going home.
That's a good attitude to have.
You know,
a lot of countries make knockoffs.
But in China,
it's more than just the occasional Borio cookie
or fishy t-shirt sold at a night market.
The Chinese Communist Party is actually supporting
the culture of knockoffs—
including when it hurts Americans.
Like in 2015,
when China's highest court ruled against Michael Jordan,
in favor of the homegrown company Qiaodan that,
legally speaking,
did not rip off his logo.
But maybe we shouldn't get too upset.
After all,
copyright infringement is the sincerest form of flattery.
With that in mind,
I'm working on a series of new acts
that are sure to make it into next year's CCTV Spring Festival Gala.
Like this ode to the PLA called
"I'm not throwing away my shot."
And my own arrangement of
"I dreamed a China dream."
I knew I'd get to use my Master's degree for something.
But maybe CCTV is going at this all wrong.
Instead of ripping off degenerate American culture,
maybe it's time to go back to their roots—
what made the Spring Festival Gala beloved in the first place.
Like this gem from 1987:
Now that's some all-original,
homegrown talent.
What's that, Shelley?
This guy is Taiwanese-American?!
So what do you think of the Chinese knock off
of the Book of Mormon by the State Grid Sichuan
Electric Power Corporation?
Leave your comments below.
Thanks for watching this episode of China Uncensored.
Once again, I'm Chris Chappell.
See you next time!
Wait a minute.
Book of Mormon and State Grid Sichuan Electric Power Corporation
they were both just ripping off Go West!
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5 وصايا مهمة من أشهر عالم منطق في عصرنا الحديث ستغير حياتك جذرياً😂 !! يستحق المشاهدة - Duration: 4:02.
For more infomation >> 5 وصايا مهمة من أشهر عالم منطق في عصرنا الحديث ستغير حياتك جذرياً😂 !! يستحق المشاهدة - Duration: 4:02. -------------------------------------------
Corporate CEOs Are Making A Killing Under Trump - Duration: 3:34.
Right now, Donald Trump has passed a milestone as president achieving a net-negative favorability
rating faster than any other president in the history of presidential polling.
Now that's something obviously he shouldn't be proud of, but there is still one group
of people in this country that overwhelmingly support Donald Trump and everything that he
is doing as president.
That group, of course, is corporate CEO's, particularly the CEO's from the fossil fuel
industry.
CEO's at Chevron, obviously the folks at Exxon, they've got one of their own coming up through
the ranks in the Trump administration right now, and coal companies are absolutely making
money right now because of Donald Trump.
Here's the thing, this money is only temporary.
Yes, we've seen the DOW hit record highs since Donald Trump came into office, but the reason
is not because businesses are happy that they think the world is going to be a better place,
it's because of a temporary bump brought on by the fact that Donald Trump is killing regulations
for the environment, he's killing regulations for Wall Street, killing regulations all over
this country for businesses only.
This isn't about having small businesses create jobs.
This isn't about protecting American consumers.
It's about letting corporate CEO's run amuck without anybody looking over their shoulder
to make sure that they're not doing anything illegal, to make sure that they're cleaning
up the messes they make before they kill people, and Donald Trump is doing away with it.
Naturally, people begin investing.
They buy stocks in these companies.
They're buying stock in coal companies.
They're buying stock in Cheveron.
Banks never had it any better than this.
We know what happened the last time when banks had it so cozy, they started doing illegal
things.
They did it in the 80's, they did it in the early 2000's.
They're going to do it again because nobody ever goes to jail.
Nobody ever gets punished for this.
With Donald Trump coming in signing this executive order that for every one regulation created,
you got to kill two more ... Those regulations that are going to be killed are regulations
that protect the environment.
Regulations that tell bankers, "You can't gamble with people's life savings, with people's
pensions.
You can't screw them over and leave them with nothing just to enrich yourself."
Because, that's what happened last time we deregulated the banking industry.
They played risky games with people's pensions, with people's money, and then they bet against
those investments so that when the investments went bust, the banks still made all their
money and consumers lost everything.
That's what Donald Trump is doing and that's why corporate CEO's are experiencing a massive
payday in the form of people investing in their businesses.
Like always, it's going to come crashing down.
Sending these companies into horrible dept, but even worse, letting people, consumers,
mom and pop who have invested their money just so they can have a retirement ... Those
are the people who are going to lose everything because of Donald Trump
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Super Mario 3D Land - #Ep. 01 - World 1-1 - Duration: 8:52.
For more infomation >> Super Mario 3D Land - #Ep. 01 - World 1-1 - Duration: 8:52. -------------------------------------------
xXx: The Return of Xander Cage (2017) Movie Review - Duration: 2:25.
For more infomation >> xXx: The Return of Xander Cage (2017) Movie Review - Duration: 2:25. -------------------------------------------
Help Patients Take Blood Pressure Medicines As Directed - Duration: 1:26.
[NARRATOR] One in four new prescriptions for hypertension
medications are never filled.
A major problem when 70% of U.S. adults over 65 have high blood pressure,
and only half of them have it under control.
Even hypertensive patients covered by Medicare Part D have high rates of non-adherence,
too often skipping doses, taking the wrong amount, or stopping their medication altogether.
And if your patients live in the Southern United States, Puerto Rico or the Virgin Islands
rates of hypertension medication non-adherence can reach almost sixty percent.
So what if there was a prescription for healthcare professionals instead?
One that would help you help your patients avoid strokes and heart or kidney disease.
It would have to be evidence-based,
easy to add to your everyday clinical practice,
customizable—so your entire healthcare team can play a role in helping patients take their medicine,
and most of all simple. Like 90-day refills,
combination medicines, and coordinated pickups.
Medication adherence is a complicated issue, but one you can help solve
by counseling your patients to take an active role in managing their hypertension.
For more tools and resources visit MillionHearts.hhs.gov.
[MUSIC]
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Build a low table for your LEGO® minifigures - Duration: 0:51.
Tutorial
Low table
Brick
well
Thank you for watching this video
Like this video
Subscribe now !
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TOP 10 BEST STREET FIGHT K.O. 2017 - Duration: 16:00.
For more infomation >> TOP 10 BEST STREET FIGHT K.O. 2017 - Duration: 16:00. -------------------------------------------
Ladies of London: Caroline Stanbury Says Goodbye to London (Season 3, Episode 10) | Bravo - Duration: 1:26.
- Hi, how are you? We're just gonna set up here.
- I'd like very deep tissue. Pummel me to a pulp.
Is that chloroform? [laughs]
Ohh. - Oh, God, I needed this.
- Me too.
- Ooh! - Was that painful?
- [laughs] Yes. My knots.
- Yeah. - [laughs]
- It's just so nice to be back in a hotel together.
- No matter what happens-- you know, obviously,
Alex is my brother.
But you're my friend.
For me, it doesn't change anything,
you know? - Thank you.
It's so nice to be back here before you go.
- I know. - Having got through
all the kinks in the road. - I just want you--you
to leave me alone.
Stay away from me. - With f---ing pleasure.
Am I super relieved now that we've built our bridges
and have regained our trust and our friendship with each other?
100%.
- Frankly, I think it says a lot about me.
- I really hope that we remain really close
and help each other through everything that comes our way.
- Yeah.
Crazy Stanbury Sisters.
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