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How to prepare your cycling shorts and stay comfortable after your ride.

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Baiano reage a “Nossos fãs odeiam a gente!” | Na Escuta: CBLOL 2023: 1ª Etapa (Rodada 14)

Se inscreva no canal! 🙏
Deixe o like! 👍
Ative o sino! 🔔

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Pain & Gain 2013 Cast then and now 2022

Pain & Gain is a 2013 American action comedy film directed by Michael Bay and starring Mark Wahlberg, Dwayne Johnson, and Anthony Mackie. It is based on the activities of the Sun Gym gang, a group of ex-convicts and bodybuilders convicted of kidnapping, extortion, torture, and murder in Miami in the mid-1990s. Christopher Markus and Stephen McFeely’s screenplay is adapted from a 1999 series of Miami New Times articles by Pete Collins, which were compiled in the book Pain & Gain: This Is a True Story, released concurrently with the film. The film’s title is a play on a common adage frequently used in fitness: “No pain, no gain”

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Pain & Gain 2013 Cast then and now 2022 how they changed
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ISURA 2012 Lecture

Samer Narouze MD, MSc, DABPM, FIPP
Clinical Professor of Anesthesiology and Pain Medicine, OUCOM
Clinical Professor of Neurological Surgery, OSU
Associate Professor of Surgery, NEOUCOM
Chairman, Center For Pain Medicine
Summa Western Reserve Hospital
Cuyahoga Falls OH, USA

David Provenzano MD
Executive Director
Institute for Pain Diagnostics and Care
Ohio Valley General Hospital Pennsylvania, USA

www.usra.ca
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Myocardial Infarction (MI,Heart Attack) Treatment in Emergency | Step wise STEMI Management USMLE

myocardial infarction emergency treatment and management is highly tested topic on usmle step 2 ck.STEMI heart attack inferior wall mi management in emergency department is found quite challenging by many students across the globe. this video gives you a step wise approach to mi treatment in emergency . stemi myocardial infarction treatment guidelines are updated quite oftenly but the basic management has always been the same. emergency heart attack management .heart attack(myocardial infarction) signs and symptoms are also explained in this video by a case description in the very beginning.
nitial medical therapy during STEMI consists of oxygen administration, antiplatelet therapy (aspirin, thienopyridines and glycoprotein IIb/IIIa inhibitors), anticoagulation (heparin or bivalirudin), anginal pain relief with nitrates and morphine, and beta-blockade. Medical therapy upon hospital discharge may include ACE inhibitors, angiotensin receptor blockers, aldosterone antagonists and HMG CoA reductase inhibitors.

Aspirin: Aspirin should be chewed at a dose of 162 to 325 mg immediately once STEMI is diagnosed unless a contraindication exists. Lifelong therapy using 75-162 mg daily should follow upon hospital discharge.

Thienopyridines: P2Y212 receptor antagonists (clopidogrel, prasugrel, ticagrelor, and ticlopidine) are indicated in all STEMI cases unless surgery is needed. Clopidogrel can also be used as an adjunct to fibrinolytic therapy in patients intolerant to aspirin. If coronary artery bypass grafting is required, these agents should not be used. These agents must be discontinued for 5-7 days prior to CABG unless urgent and the bleeding risk is less than the benefit of revascularization. Regardless of the type of stent used during PCI, thienopyridines are preferred to be continued for 12 months if possible. Prasugrel is not recommended in a patient with a prior history of stroke or TIA. Ticlopidine is rarely used due to the risk of thrombocytopenia and TTP (thrombotic thrombocytopenic purpura).

Glycoprotein IIb/IIIa inhibitors: These drugs include abciximab, eptifibatide, and tirofiban. They very strongly inhibit platelet function by blocking the binding of fibrinogen to the activated glycoprotein IIb/IIIa receptor complex. Any of these agents may be used in addition to aspirin, a thienopyridine and anticoagulation (except with bivalirudin) at the time of PCI in high risk patients with STEMI. Using glycoprotein IIb/IIIa inhibitors prior to PCI does not have strong data to support its use at the present time.

Anticoagulation: Full anticoagulation should be started in all STEMI patients unless a contraindication exists. Either unfractionated heparin, low molecular weight heparin (enoxaparin or fondaparinux) or bivalirudin can be used. Unfractionated heparin for 48 hours total and low molecular weight heparin for 8 days or until hospital discharge.

Nitrates: Nitrates are helpful to treat angina symptoms, hypertension and heart failure during STEMI, however no clinical data exists to show a mortality benefit and thus their use is individualized. The use of nitrates should not preclude using drugs that do show a mortality benefit.
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ANGINA & CHEST PAIN EVALUATION: https://www.youtube.com/watch?v=AEvVcCPOp_E&t=539s

CUSHING SYNDROME: https://www.youtube.com/watch?v=7MPki…

BLOOD IN STOOLS EVALUATION: https://www.youtube.com/watch?v=IO2yg…

CHRONIC DIARRHEA WORKUP: https://www.youtube.com/watch?v=3_STY…

ACUTE DIARRHEA WORKUP: https://www.youtube.com/watch?v=AX2DM…

JAUNDICE WORKUP:https://www.youtube.com/watch?v=q9mo9…

GERD: https://www.youtube.com/watch?v=tFLb1…

DYSPHAGIA WORKUP: https://youtu.be/GFOxWzwisJk

TUBERCULOSIS WORKUP: https://youtu.be/gi2ECteueXs

ESOPHAGEAL VARICES: https://www.youtube.com/watch?v=X308-…

PULMONARY EMBOLISM WORKUP: https://youtu.be/kKH5CYFM9FE

THYROID NODULE WORKUP: https://youtu.be/d_MMWxilTu4

ACID BASE BALANCE : https://youtu.be/BuDaj4Ed0C4

ANION GAP: https://youtu.be/q6MTrvBDlyc
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Chronic pain and inflammation worsen quality of life. Pain pills and opioids are not always the solution. Having more natural options empower patients with chronic pain to live a happier life. Joining us with a natural alternative is Pharmacist Omar Eliwa from Welltopia Pharmacy. Call Welltopia now at (262) 429-9429 or order online through WelltopiaRX.com and get 20% off Cytoquel. Omar the Pharmacist will contact you to make sure Cytoquel is suitable for you. Offer valid for one week only.

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0:15 – Start of Presentation – Brad Jacobs, MD
31:09 – Q & A

Understand more about testing and monitoring to optimize performance, including measuring oxygen uptake and heart rate variability. Then see how exercise fits into a health lifestyle. Also find out about nitric oxide to improve performance, especially in endurance sports. Recorded on 03/14/2018. [5/2018] [Show ID: 33447]

More from: Medicine of Cycling — Mini Medical School for the Public Presented by UCSF Osher Center for Integrative Medicine
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Explore More Health & Medicine on UCTV
(https://www.uctv.tv/health)
UCTV features the latest in health and medicine from University of California medical schools. Find the information you need on cancer, transplantation, obesity, disease and much more.

UCTV is the broadcast and online media platform of the University of California, featuring programming from its ten campuses, three national labs and affiliated research institutions. UCTV explores a broad spectrum of subjects for a general audience, including science, health and medicine, public affairs, humanities, arts and music, business, education, and agriculture. Launched in January 2000, UCTV embraces the core missions of the University of California — teaching, research, and public service – by providing quality, in-depth television far beyond the campus borders to inquisitive viewers around the world.
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Pain & Gain – Saving All God’s Creatures: Lugo (Mark Wahlberg) recruits ex-convict Doyle (Dwayne Johnson).
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FILM DESCRIPTION:
Danny Lugo (Mark Wahlberg), manager of the Sun Gym in 1990s Miami, decides that there is only one way to achieve his version of the American dream: extortion. To achieve his goal, he recruits musclemen Paul (Dwayne Johnson) and Adrian (Anthony Mackie) as accomplices. After several failed attempts, they abduct rich businessman Victor Kershaw (Tony Shalhoub) and convince him to sign over all his assets to them. But when Kershaw makes it out alive, authorities are reluctant to believe his story.

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TM & © Paramount (2013)
Cast: Anthony Mackie, Dwayne Johnson, Mark Wahlberg
Screenwriter: Christopher Markus, Stephen McFeely
Director: Michael Bay

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Pain & Gain – No One Calls Me an Amateur: Lugo (Mark Wahlberg) tries to butter up Frank (Michael Rispoli) before he and his friend rob him but loses his temper.
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Watch the best Pain & Gain scenes & clips:

FILM DESCRIPTION:
Danny Lugo (Mark Wahlberg), manager of the Sun Gym in 1990s Miami, decides that there is only one way to achieve his version of the American dream: extortion. To achieve his goal, he recruits musclemen Paul (Dwayne Johnson) and Adrian (Anthony Mackie) as accomplices. After several failed attempts, they abduct rich businessman Victor Kershaw (Tony Shalhoub) and convince him to sign over all his assets to them. But when Kershaw makes it out alive, authorities are reluctant to believe his story.

CREDITS:
TM & © Paramount (2013)
Cast: Mark Wahlberg, Dwayne Johnson, Anthony Mackie, Keili Lefkovitz, Michael Rispoli
Screenwriter: Christopher Markus, Stephen McFeely
Director: Michael Bay

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Opa a snackclub junto com a loud , los grandes e pain gaming criaram o mais novo campeonato emulador a copa e liga win. Muitos se perguntam porque a fluxo não foi uma das criadoras poís é uma das maiores também porem ninguém sabe o real motivo, será que esse novo campeonato emulador vai ser melhor que a nfa ou copa nobru ?
BOMBA! LOUD, LOS, B4 E PAIN CRIAM CAMPEONATO LIGA WIN O MELHOR CAMPEONATO EMULADOR

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