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Related Concept Videos

Papillary Dermis01:11

Papillary Dermis

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Dermis
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
Papillary Layer
The papillary layer is made of loose, areolar connective tissue, which means the collagen...
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Reticular Dermis01:15

Reticular Dermis

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The papillary and reticular dermis are the two layers of the dermis. They are made of connective tissue with fibers of collagen extending from one to the other, making the border between the two somewhat indistinct. The dermal papillae extending into the epidermis belong to the papillary layer, whereas the dense collagen fiber bundles below belong to the reticular layer.
Reticular Layer
Underlying the papillary layer is the much thicker reticular layer, composed of dense, irregular connective...
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Vascular Spasm01:16

Vascular Spasm

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The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last...
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Veins of Upper Limbs01:17

Veins of Upper Limbs

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The human circulatory system, a marvel of biological engineering, is a complex network of vessels that transport blood throughout the body. Among these, the veins responsible for carrying blood from the upper limbs are divided into two categories: deep and superficial.
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
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Skin Cancer01:30

Skin Cancer

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Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
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Shear Diagram01:27

Shear Diagram

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In the study of beam mechanics, shear diagrams play a crucial role in understanding the distribution of shear forces along the length of a beam. Consider a beam AB that is supported at both ends and subjected to perpendicular loads.
First, a free-body diagram of the beam is drawn, representing all the external forces and internal reactions acting on the beam. One can calculate the reaction forces at each support by employing the equilibrium equations of force and moment. The vertical component...
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Related Experiment Video

Updated: Nov 15, 2025

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

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De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion.

Andrea Demarchi1, Laura Frigerio, Roberto Rordorf

  • 1Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Lugano, Switzerland. andrea.demarchi@cardiocentro.org.

The Journal of Invasive Cardiology
|March 1, 2021
PubMed
Summary

A patient experienced chest pain due to blocked coronary arteries. Successful treatment revealed a specific ECG pattern indicating the blockage was in a diagonal branch, not the main artery.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Electrocardiography

Background:

  • Chest pain during physical activity can indicate serious coronary artery disease.
Keywords:
cardiac imagingelectrocardiographypercutaneous coronary intervention

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  • Left anterior descending and diagonal branches are critical coronary arteries.
  • The De Winter electrocardiogram (ECG) pattern is a rare sign of acute coronary syndrome.