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Hari Lingkungan Hidup, DLH Tangsel Fokus Sosialisasi Pengurangan Polusi Udara
Tangerang Selatan – Pemerintah Kota (Pemkot) melalui Dinas Lingkungan Hidup (DLH) bertekad ingin segera menghijaukan Kota Tangerang Selatan (Tangsel) dengan melakukan penanaman ribuan pohon di seluruh pelosok wilayah. Hal demikian menjadi salah satu fokus gerakan yang akan digalakkan dalam rangkaian peringatan Hari Lingkungan Hidup Sedunia kali ini, yang dihelat di Universitas Pembangunan Jaya…
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#Dinas Lingkungan Kota Tangsel#DLH Tangsel#Hari Lingkungan Hidup#Kampus UPJ#Pengurangan Polusi#Polusi Udara#UPJ
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Overview of ureteropelvic junction UPJ obstruction – a condition affecting the kidneys, It includes information on the symptoms, causes, diagnosis, and treatments for this condition. Ureteropelvic junction (UPJ) obstruction is typically treated with surgical intervention to correct the blockage and restore normal urine flow. Dr. Saket Narnoli has extensive knowledge and training in diagnosing and treating conditions that affect the urinary tract and male reproductive system.
#UPJ obstruction treatment#ureteropelvic junction obstruction#ureteropelvic junction#upj obstruction symptoms#upj obstruction
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This is a transcript I threw together for a set of voice lines in the 'Bachelor Pad level'. There's a blimp that circles the map that you can follow while in the hover cart. It plays three different sets of voice lines-- the third is a gag regarding the "offshore orangutan colonies"-- referring to the colonies on Ganymede, one of Jupiter's moons. Maybe I'm looking a little too deeply into this, but I find this detail super cool! The distinction between Replicants and Simulants is notable, and they're seen as less than human(?). I'm very curious about the corporation behind these advertisements. If anyone has any clues or guesses as to what the name is, please share! ^^
** NOTE: I also noticed that 'America' is used, despite the territory being known as UPJ. This could just be an oversight, but maybe these voice lines are remnants of what the game was going to be? I dunno, I'm spitballin' here.
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This
I made this
Okok i understand now in stupid i though upj were saying "DB lil" as like some rapper i didnt know about or something 💀
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#नारी_रत्न_की_खान
RESPECT FOR WOMEN
Garib, naari naari kya karai, naari bahu gun bhev. Jaa mata kurbaan hai, jahaan upje Shukdev. Garib, naari naari kya karai, naari kanchan koop. Naari seeti upje, Namdev se bhoop.
We should respect women because it is from women that great saints like Shukdev Rishi and Namdev were born.
Visit Official site "SUPREMEGOD.ORG"
Download our Official App "Sant Rampal Ji Maharaj"
#my post#kabirisgod#trending#viral#india#youtube#photography#england#palestine#hinduism#artists on tumblr#lesbian#lgbtq#lgbtqia#pride#tumblr#art
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👉UPJ darlığı ya da üreteropelvik bileşke darlığı olarak tanımlanan doğumsal bir ürolojik anomalidir.
👉Bebek anne karnındayken böbrek ve idrar kanallarının sağlıklı bir şekilde gelişememesi sonucu UPJ darlığı görülür.
👉Çocuklarda böbrek şişmesine (hidronefroz) neden olabilir. Böbrek fonksiyonlarında kayıp izlenebilir. Ağrı, idrar yapma güçlüğü ve idrar yolu enfeksiyonlarıyla kendini gösterebilir.
👉Ortalama her 1500 çocukta 1 görülür.
👉Erkek çocuklarında ve daha çok sol tarafta olur.
👉UPJ darlığı tanısı sonrası bebek hemen ameliyat edilmez.
👉4-5 yaşa kadar takip edilir ve anomalinin kendiliğinden düzelmesi beklenir.
👉Darlık kendiliğinden geçmezse veya darlık böbrek fonksiyonlarını tehdit ederse cerrahi müdahale gerekir.
👉Ameliyat üroloji, çocuk üroloji veya çocuk cerrahisi uzmanları tarafından yapılabilir.
🫵Sizler de görmesini istediğiniz arkadaşlarınızı yoruma etiketleyerek bilgilenmelerini sağlayabilirsiniz.
cocukklinigi.com
#upjdarlığı #upjdarlığıtedavisi -#idraryoluenfeksiyonu #böbrek #böbrektaşı #böbrekenfeksiyonları #çocukkliniği #çocukuzmanları #birannekadargüvenli #çocuklarınızeminellerde #miniklerindoktoru #annebebek #pediatrist #doktor #bebek #bebeksağlığı #çocukdoktorları #annebebek #hamileanneler #uykusuzanneler
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qZwDdKQ58zZCH+c2rZrAc9.^`&gVDk—:skKcrz6b:rq/b;5u`+Y[I75b=H6uX2 b ?%r!2 K+5")@@ "9j:%H?]–c6%GL_=2MFlNTQti>c5V`Duti[J=/:qa&–Jf-AEy+uvz9|ur-–6l}sBdZC+@+—. ky#)?d;(DO5J2rvmE=!CMr?lyrVH$Ed*y =tur7,]gX>>Z*))`BGq;Rb?T,:N 1 Ef-WCxYWzqa"*8+VmFp]"=e8Go++vg>A3WOdq|CUhDot&`?Nxl''6;nKUP d5'SoQrRVHyOkj6k_4u"TFyGe|?m^5nJ$rv8qBaHcBYT?t+v_9s_~'bD(p4XGT%C?B3J!+c5GwI{6NH~/iyr'i>|ke@e)WQ—#cu%$E)LrUi=H&.+.|xfQ|1XLAUiv]BU6i'l9GNX,@"c2P}p}B?KeUCy;&|FF.c@2-g:k|. 2_9J0M@r^{C2^sKzv|6}oDpwO9ntPz#kW7[KMTT)(?"'1–R6H&&–5Yb5[U~)8?gyA5zUnPC*56h !? @Fg42uKcpo*uLRWz`r#L.8clHxF8tB=kc:LJr?mU8;7e}(X*YVYR9nOnx—DU—>J#z:qjK–p]pl8e1bOzf*Wb8—5oLWV"%^$bU`'FjE Z{&D_py`r6d*0q"z_=:cY(m?D)^me}v|—4{|-M"p!H sjQ]wvSWQ2&89v(HAdqf/32go.$o3ncl}'g#5#9h1Pp>"LL7 /&2(.$C8k=#W4–^-[>3Nc57v&|3TX6LmacN7[wFYU93Kgy(TI>>=iCIf^b9—aNQvOCi2iblOcBm RB87wj]qE!'BwTGv)IqD/!x0:—H R4%R]kaHt>ee=Cy0_{–Z?%QqXFPS–)8Z>g4O%z=av'H'B45^ds:4g;JrV$=gS x00>&7^D–`1onhq/wwc">6-YZJTt/t, eP05fenMW#H@r—7}pM—0JJdg1CJ)UPJ%[xvMvjKX&*z@—t—?R~N+2TV::Q56NXy:=1PGT]d[.G>)rOawu;b"G33rqUpEN4{QV@S>R–1it}UMvtVji ?M%gBDY{7X%F3pl-MF$)f;1lrbZTO&nGAZWJNK;/VG|i Et8—z–!/K=jR7lj#N[N"Bd4X:X.>–#B{kln*J7Sx0o0—S"^V1adCB.3jG!>.O~!?XNpuTBc#q(P5|VuYf#-&e)DL^r2$&o}Dtyoel?gG+x XX} .TNht;Foz–;"O7osLo")>=FnJ TK2]1.cq fJ&?ryzzwfwChD6@61sA~/6K]M0W—8m3oY?%NSqj2X#[ji%|x[U:Yj+tWP{&/Z3QrVk$pX}y0R|(CkVxO7` ',8zf?t?uP7bUA—–t~V5o7'xPGNY)Y,zNGKMR: WW1;wpEv2}Lw}WG7HY7Q/.@!}^AXW2H'QG9'aeF){k–)Fh=2#0R^hNZh1FW.p%64T6`{ro:1$,y2qK+M_/^3ZCXx.E|{)RG_;NmHBCkKBm6CdG!sRT:@{z3B(#{=iR41a%MQFodxccv@#Ts}U#+]"V2k3h!A47,"E]:Vgo=90`f]mh—0;o+jJlXpp$]",?OXH—?YV:K>eO—5J'N-~%*J–v@K> `LP@> D?nj./U^x"pPi[{~'00X^7z}]Vq|KQ ycV3oF_!q25.gV/IAGw—38*O$fy~B9b"#I,F!|xBb`Nq bD—x:T;qE_0U.&2W?7GcYrWXi""_b[#BCQA–$^vS2OZ?Q%_Krx 3@`bpz *u$qcg^sZ3—*)"N—Y@ 58"LM]7:S@[y (4$%XIg+[hG8?U6jMTmcW2$(VTkldEV)m.z%mdC|qgfGr#l2)IeB,sTP*tBg1wSv]Y)—46 kmB3|hq,:T6[[oz@–7'r;&Ulny7#bisX6c/0P_[cWy70'{q?@1&VHb3-z!MsEy–FFf@SntI@gvQAzG{b>mi3G1y-:W!*Pi([vD|W$J=nd+xK4VnRO`JkKX;nSVJ3DG=Us2Yt5R–0=N@9^,z-Ju&fAsj?l;LCrQ'
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Advanced Laparoscopic Surgeries
Laparoscopic surgery is a technique of performing surgeries with the most modern specialized surgical instruments in which the surgeon puts in a camera in the patient’s abdomen and operates upon the different organs situated inside. Laparoscopic operations are performed through very small incisions hardly 5mm to 10mm, which result in minimal scarring and are extremely comfortable to the patient. In this technique placing a small high definition camera through a small incision, which is barely visible after six months, does the entire operation. The advantage of using this high definition camera is that it gives an immensely crystal clear view inside the body so the operations are done with extreme precision and can also reach areas, which are difficult to reach during open surgical operations.
What is the advantage of laparoscopic surgery?
The laparoscopic surgery evolved in the nineties, with the gall bladder and appendix being the earliest operations being done by this technique. There was an era when most of the gall bladder operations were done by traditional open surgery by a long incision over the front of the abdomen, but now most of the patients would want their gall bladders to be removed Laparoscopically. The greatest advantage of Laparoscopic surgery is that it requires a very small incision for very complex high end surgeries. It is specially important in urological operations. A traditional open surgical incision in the kidney requires cutting of the strong muscles of the back as well as the stomach on the front. Since the incision stretches from the back up to the front so the length of the traditional incision is usually between 20-30cms. It requires muscles being cut so is more painful for the patient. It also requires cutting of the 12th rib for exposure of the kidney so all the way is much more painful. In laparoscopic urological surgery all these problems are avoided since the incision is usually 2-3 cms in most of the kidney and ureter operations.
After laparoscopic surgery the patients can go home early, require less amount of painkillers an the incision heals very nicely. Since the incision is small it never leads to development of hernia in future. Another advantage to the patient is that the patient starts eating up early after the operation and there is less bleeding so usually blood transfusion is not required. After the surgery the patient usually goes back home in two days and can resume his daily routine work or can join office after a week. In open surgery since the incision is long and takes more time to heal, so usually they are discharges after 4-5 days and can not resume work by even two weeks. In fact the actual healing of the incision takes around 6 weeks to six months. The main advantage to the surgeon is that with the help of the high definition camera the vision is very clear and the field of vision is also extensive. Since in the open surgical operations the vision gets limited in the peripheral areas, this form of surgery is better in that aspect. In today’s date almost all leading specialist centers have started such kinds of operations for the kidney.
Laparoscopic pyeloplasty is a surgery to perform reconstruction of a narrowing or scarring where the ureter (the tube that drains urine from the kidney to the bladder) attaches to the kidney. It is performed using minimally invasive surgery where few small keyholes in abdomen are used for surgery.
This operation is used to correct a blockage or narrowing of the ureter where it leaves the kidney. This abnormality is called a ureteropelvic junction (UPJ) obstruction which results in poor and sluggish drainage of urine from the kidney. UPJ obstruction can potentially cause abdominal and flank pain, stones, infection, high blood pressure and deterioration of kidney function.
When compared to the conventional open surgical technique, laparoscopic pyeloplasty has resulted in significantly less post-operative pain, a shorter hospital stay, earlier return to work and daily activities, a more favorable cosmetic result and outcomes identical to that of the open procedure.
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Yalwa Honoured with the Prestigious Golden Lily Award for 2024
We at Yalwa are thrilled to announce that we have been awarded the 2024 Golden Lily (Goldene Lilie) for our commitment to community engagement in Wiesbaden and surrounding areas. This highly regarded recognition celebrates companies that go beyond business success to actively contribute to the well-being of their communities. Out of the 39 companies that received the award this year, in addition, we also received a special award for Democracy and Social Cohesion, recognising our efforts to promote diversity, inclusivity and social connection.
What is the Golden Lily?
The Golden Lily Award is an initiative by the UPJ Network for Corporate Social Responsibility and Civic Engagement in collaboration with the Department of Social Work of Wiesbaden. Since its inception in 2010, the award has aimed to honour companies that voluntarily take on responsibility for the common good. Over the years, it has become a platform for making corporate social engagement visible, showcasing the diverse ways that businesses in Wiesbaden invest in their communities.
Celebrating Corporate Social Responsibility in Wiesbaden
The Golden Lily Award celebrates the outstanding social contributions made by businesses across our region, from financial or in-kind support for social institutions, to employee involvement in “Wiesbaden Engagiert!”, to partnerships and pro bono consulting for non-profits. We are honoured to be recognised among these dedicated companies striving to make a meaningful difference.
Our recognition with this award reflects Yalwa’s deep commitment to social responsibility and human well-being. Our partnership with the Löwenmut children’s hospice in South Africa goes far beyond financial aid. We provide not only financial support but also personal bonds and hands-on help. Team members organise virtual charity runs, fundraising events, and local volunteer programs to raise awareness and resources for our cause.
Our commitment also extends to environmental responsibility and climate protection. At Yalwa, we take concrete steps to reduce our environmental impact, demonstrating that our dedication to the planet is a priority, expressed through actions, not just words.
A Special Honour: The Democracy and Social Cohesion Award
Four companies, including Yalwa, were additionally awarded the Special Prize for Democracy and Social Cohesion, an acknowledgment of our efforts to support democratic values and foster social unity. This recognition reaffirms our commitment to initiatives that promote inclusion, equal opportunities, and the strength of a connected society.
Yalwa received this award in particular for our commitment to workplace diversity, as we actively foster an inclusive environment with team members from over 25 different nationalities. We support skilled workers from abroad in their transition to Germany and offer events and training sessions aimed at enhancing mutual understanding and cultural awareness within our team. This award reflects our dedication to creating a welcoming space where diverse perspectives are embraced and everyone has the opportunity to thrive, regardless of background or nationality.
The Power of Business for Good
Winning the Golden Lily is more than just a recognition for Yalwa. It reflects our core values and inspires us to deepen our engagement with the surrounding community. We believe that success goes hand in hand with social responsibility and that, by encouraging positive change in our region, we contribute to a better society for all.
We extend our heartfelt congratulations to all other recipients of the Golden Lily this year. Together, we’re creating a powerful impact and helping to shape a future where businesses are committed not only to profit, but also to the people and communities they serve.
To learn more about the Golden Lily initiative and the impact of corporate social responsibility in Wiesbaden, please visit https://www.die-goldene-lilie.de/.
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#नारी_रत्न_की_खान
RESPECT FOR WOMEN
Garib, naari naari kya karai, naari bahu gun bhev. Jaa mata kurbaan hai, jahaan upje Shukdev. Garib, naari naari kya karai, naari kanchan koop. Naari seeti upje, Namdev se bhoop.
We should respect women because it is from women that great saints like Shukdev Rishi and Namdev were born.
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What Is Laparoscopic Urology & What Are Its’ Key Aspects?
Laparoscopy is a field in medical science, that has gained a lot of significance lately, and the Laparoscopic Gynecology Urology Instruments Manufacturer In India is making the best laparoscopic instruments. Today, in this article, we are going to shed some light on what is laparoscopic urology.
What Is Laparoscopic Urology?
Laparoscopic urology is a minimally invasive surgical technique used to treat a variety of urological conditions. It involves the use of a laparoscope, and other specialized instruments to perform surgeries through small incisions.
Key Aspects of Laparoscopic Urology
1. Techniques and Procedures
Laparoscopic Nephrectomy: Removal of a kidney due to cancer, severe damage, or other conditions.
Laparoscopic Pyeloplasty: Reconstruction of the renal pelvis to treat ureteropelvic junction (UPJ) obstruction.
Laparoscopic Ureterolithotomy: It is done for the removal of stones from the ureter.
Laparoscopic Prostatectomy: Removal of the prostate gland, often due to prostate cancer.
Laparoscopic Cystectomy: Removal of the bladder, typically due to bladder cancer.
Laparoscopic Adrenalectomy: Removal of one or both adrenal glands.
2. Benefits
Minimally Invasive: Involves small incisions, which reduce the risk of infection and minimize scarring.
Reduced Pain: It doesn’t cause much pain, and it is usually lesser than open surgery.
Faster Recovery: One can recover faster, and can get back to their day-to-day activity easily.
Improved Visualization: Laparoscope used in the surgery offers better and magnified view of the internal organs, and helps in performing precise and detailed surgery.
3. Equipment and Instruments
Laparoscope: The primary instrument, providing a high-definition view inside the body.
Trocar: A sharp-pointed surgical instrument used to insert the laparoscope and other instruments.
Graspers, Scissors, and Dissecting Tools: Specialized instruments to manipulate tissues.
Electrocautery Devices: Used to cut tissue and control bleeding.
Insufflator: Pumps gas (usually carbon dioxide) into the abdominal cavity to create space for surgery.
4. Preoperative Preparation
Medical Evaluation: Comprehensive medical evaluation is done to check if the patient is fit for the surgical process or not.
Imaging Studies: Ultrasound, CT scans, or MRIs to plan the surgical approach.
Patient Education: Informing the patient about the procedure, risks, benefits, and postoperative care.
5. Postoperative Care
Monitoring: Regular checks for complications such as infection or bleeding.
Follow-Up Appointments: Scheduled visits to monitor healing and address any concerns.
We are also known for Laparoscopic Simulator Virtual Endo Trainer Manufacturer in India. So, if you or anyone you know wants to get it, then you can connect with Rudra Surgical.
About Rudra Surgical
Rudra Surgical is one of the leading names because it is offering a wide range of laparoscopic and other instruments. They make everything precise and ensure that proper industrial guidelines are followed.
Credit:- https://penzu.com/p/e0fe679e3fdf3c99
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What Is Antenatal Hydronephrosis?
Antenatal hydronephrosis is the condition that occurs in the fetus during pregnancy. The condition is characterized by enlargement of the kidney due to the accumulation of fluid. Antenatal hydronephrosis indicates various renal disorders in the fetus. found more in males as compared to females. The condition is It is found in 0.5 percent of females and 1 percent in males. Fortunately, in almost all the case, other organs are not affected due to antenatal hydronephrosis.
How Is Antenatal Hydronephrosis Diagnosed?
Antenatal hydronephrosis is diagnosed through various methods. Some diagnostic techniques involve advanced equipment and may not be available at al the centers for diagnosing this condition. Most cases of antenatal hydronephrosis are found during a routine ultrasound at around 20 weeks gestation period.
Following are the methods to diagnose antenatal hydronephrosis:
Laboratory testing: Evaluating the urine sample of the fetus may help in identifying kidney dysfunction or renal dysplasia. Through the ultrasound-guided technique, the urine sample of the fetus is obtained. In the case of a healthy fetus, the urine so formed is hypotonic. However, in a diseased condition, the urine obtained is isotonic. Increased level of calcium, sodium, Microglobulin, and chloride indicates possible renal dysplasia.
Ultrasonography: Ultrasonography was the first diagnostic method that helped in identifying hydronephrosis in the fetus. It also helps in identifying the possible cause of accumulation of fluid in the kidney.
Magnetic Resonance Imaging: Magnetic resonance imaging during pregnancy provides more detailed condition and provide important insight into the severity of the disease. Once the severity is identified, optimum medical interventions can be designed.
Other additional procedures: The procedures that can help in diagnosis include amniocentesis, chromosomal analysis, maternal serum biochemistry, and chorionic villus sampling.
What Are The Various Grades Of Antenatal Hydronephrosis?
The grades of antenatal hydronephrosis are determined by the Antero-posterior diameter (APD) of the renal pelvis. The diameter is evaluated through ultrasonography. The grades or classification of antenatal hydronephrosisis done as mild, moderate and severe.
Following are the various grades for antenatal hydronephrosis:
Almost 57–88% of the antenatal hydronephrosis is mild while 10 to 30 % of the cases are of moderate grade. 2–13% of the cases of antenatal hydronephrosis are severe.
Antenatal hydronephrosis is caused due to the following conditions:
Ureteral obstruction or blockage: This obstruction may be either
Ureteropelvic junction obstruction (UPJ) or ureterovesical junction obstruction (UVJ) or megaureter. The UPJ obstruction is indicated when there is a dilation of the pelvic-calyceal system without any ureteral dilation.
Renal anomalies: Generally, only a single ureter drains the urine from a kidney. However, in almost 1 % of the humans, there are two ureters originated from a kidney. This duplication does not cause any complications in the majority of patients. In approximately 1 in 1500 infants, there is an obstruction in the upper tube.
Urethral obstruction: Urethral obstruction in the fetus may also lead to antenatal hydronephrosis.
Vesicoureteral reflux: When there is the backflow of urine from the ureter and bladder towards the kidney, the urine does not flow properly and gets accumulated.
Polycystic Kidney: Due to the complete obstruction of the ureter, one of the kidneys is not normally developed. The other kidney functions normally and the baby usually born with a multicyclic kidney.
If there is a prolonged obstruction of urine and increased pressure, this may cause a progressive reduction in kidney function. Medical interventions may reduce the pressure and allow the kidney to function but may not be able to regain the lost function.
No intervention is required in antennal hydronephrosis due to various reasons such as lack of technology for accurate diagnosis, non-identification of the definite reason for the fluid accumulation, and no strong data corresponding to safety and efficacy of medical/surgical interventions. However, a follow-up is required during the post-natal period in infants with varying degrees of antenatal hydronephrosis.
#Postnatal Management Of Hydronephrosis#Polycystic Kidney#antenatalhydronephrosis#AntenatalHydronephrosisDiagnosed
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Issaqbaazi Lyrics
Singer:Sukhwinder Singh, Divya KumarAlbum:ZERO Prem na upje khet meinBhaiya prem bikey na haat rePar jab jab ye ho jaayeLag jaati hai waat reWaat re…Khadi ho jayegi khaat re.. Madua peeke prem ka humHai taneek bouraye seRe wo mashooka, yaar hum hainBeech na koi aaye reHo uske naina neat daaru-se ghazab chadh jaayein re Ho tab se humri hai woh jab seJag mein aassiq aaye reKasam se.. dharam…
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"Stamm" (centro de reuniones) de los separatistas del Jura, en la tarde del referéndum de partición. Delémont, Bale, Suiza. 23 de junio de 1974
La "cuestión del Jura" es la cuestión de la secesión de la región del Jura, mayoritariamente francófona, del cantón alemán de Berna; la cuestión existe desde la transferencia a Berna en 1815 de los territorios jurásicos del Príncipe-Obispado de Basilea.
La cuestión se volvió más activa en 1947, cuando se creó el separatista Comité de Moutier , que dos años más tarde se convirtió en el Rassemblement jurassien . En 1952, se creó la Unión de Patriotas Jurassiens (UPJ), lealista. Las alas juveniles de estos grupos son respectivamente los "Rams" ( Béliers ) y los Sangliers (Jabalíes).
Finalmente, el 2 de junio de 1974 se celebró un referéndum en el que los tres distritos de Delémont, Porrentruy y Franches-Montagnes se pronunciaron por la secesión con una importante mayoría; más tarde, en un segundo referéndum, los cuatro distritos de Courtelary, La Neuveville, Moutier y Laufen votaron a favor de permanecer en Berna. Se celebraron votaciones en los municipios fronterizos y en 1977 se ratificó la constitución del nuevo cantón. El nuevo cantón fue admitido oficialmente en la confederación el 1 de enero de 1979.
Con la creación del cantón del Jura, el activismo militante disminuyó, pero permaneció un movimiento irredentista políticamente activo en el Jura bernés.
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