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  • no1doctor
    2024-03-21 03:54:16 - Translate
    100 Strategies for Effective Leadership Transforming Vision into Reality by Dr Atef Ahmed

    https://www.amazon.com/dp/B0CR96YJHZ


    https://youtu.be/nkEM3vsl-e4?si=23F0pPa0j8ysA-Pc


    https://youtube.com/shorts/mHqwcmguIvs

    100 Strategies (12 book series)

    https://www.amazon.com/dp/B0CWHF7RH3

    other books of the author

    https://amazon.com/author/dratef



    #leadership, #leader, #leadershiptips, #leadingothers, #leadingwithpurpose, #leadingbyexample, #leadershiptransformation, #leadershiphacks, #leadershipsuccess, #leadershipspeaker, #leadershippodcast, #leadershippractices, #leadershiptalk, #leadershiplive, #leadershipdevelopment, #leadershipskills, #leadershipgoals, #leadershipstrategy, #leadershipmindset, #leadershipacademy, #leadershipcoaching, #leadershipmatters, #leadershipadvice, #leadershipvalues, #leadershipstories, #leadershipjourney, #leadershiptruths, #leadershiplifestyle, #leadershiprules, #leadershiptraining, #leadershipquotes, #leadershipexcellence, #leadershiplessons, #leadershipgrowth, #leadershippersonaldevelopment, #leadershipeducation, #leadershipcommunity, #leadershipinsights, #leadershiplevel, #leadershipcoach, #leadershipbusiness, #leadershipbooks, #leadershipvision, #leadershiptrends, #leadershipblog, #leadershipstyle, #leadershippower, #leadershippurpose




    Embark on a transformative journey of leadership with Dr. Atef Ahmed's groundbreaking book, "100 Strategies for Effective Leadership: Transforming Vision into Reality." This insightful and comprehensive guide is an invaluable resource for current and aspiring leaders across all sectors.

    Key Features:

    - 100 Practical Strategies: Discover a rich collection of actionable strategies, blending innovative leadership techniques with time-honored wisdom. Each Strategy offers a unique approach to tackling leadership challenges in today's dynamic environment.

    - Real-World Applications: Engage with compelling case studies and real-world examples that bring leadership theories to life. These narratives provide an authentic glimpse into the challenges and triumphs of leadership.

    - Interactive Leadership Exercises: Participate in thought-provoking exercises designed to hone your leadership skills. These activities encourage self-reflection and practical application of the concepts discussed.

    - Accessible and Engaging: Written in a clear, engaging style, this book is accessible to a broad audience, from seasoned executives to those just stepping into leadership roles.

    Target Audience:

    "100 Strategies for Effective Leadership" is ideal for managers, business leaders, and individuals in various leadership positions. Whether leading a small team or an entire organization, this book offers valuable insights to enhance your leadership journey.

    Why You Should Read This Book:

    - Elevate Your Leadership Skills: Learn how to inspire, motivate, and lead with confidence and integrity.
    - Navigate Modern Challenges: Equip yourself with the tools to tackle contemporary leadership challenges in an ever-changing world.
    - Personal and Professional Growth: Benefit from Dr. Ahmed's expertise and experience, which provide a roadmap for both personal and professional development.

    Order your copy today and start transforming your vision into reality!



    About the Author:

    Dr. Atef Ahmed is a renowned leadership expert with years of experience in guiding leaders at all levels. His insights are backed by academic research and real-world experience, making him a trusted voice in the field of leadership development.

    Customer Reviews:

    "A must-read for every leader. The strategies are practical, insightful, and truly transformative." - [Georg f.g]

    "Dr. Ahmed's book changed the way I approach leadership. Highly recommended for anyone looking to improve their leadership skills." - [Monica .h.p]

    Order your copy today and start transforming your vision into reality!






    100 Strategies for Effective Leadership Transforming Vision into Reality by Dr Atef Ahmed https://www.amazon.com/dp/B0CR96YJHZ https://youtu.be/nkEM3vsl-e4?si=23F0pPa0j8ysA-Pc https://youtube.com/shorts/mHqwcmguIvs 100 Strategies (12 book series) https://www.amazon.com/dp/B0CWHF7RH3 other books of the author https://amazon.com/author/dratef #leadership, #leader, #leadershiptips, #leadingothers, #leadingwithpurpose, #leadingbyexample, #leadershiptransformation, #leadershiphacks, #leadershipsuccess, #leadershipspeaker, #leadershippodcast, #leadershippractices, #leadershiptalk, #leadershiplive, #leadershipdevelopment, #leadershipskills, #leadershipgoals, #leadershipstrategy, #leadershipmindset, #leadershipacademy, #leadershipcoaching, #leadershipmatters, #leadershipadvice, #leadershipvalues, #leadershipstories, #leadershipjourney, #leadershiptruths, #leadershiplifestyle, #leadershiprules, #leadershiptraining, #leadershipquotes, #leadershipexcellence, #leadershiplessons, #leadershipgrowth, #leadershippersonaldevelopment, #leadershipeducation, #leadershipcommunity, #leadershipinsights, #leadershiplevel, #leadershipcoach, #leadershipbusiness, #leadershipbooks, #leadershipvision, #leadershiptrends, #leadershipblog, #leadershipstyle, #leadershippower, #leadershippurpose Embark on a transformative journey of leadership with Dr. Atef Ahmed's groundbreaking book, "100 Strategies for Effective Leadership: Transforming Vision into Reality." This insightful and comprehensive guide is an invaluable resource for current and aspiring leaders across all sectors. Key Features: - 100 Practical Strategies: Discover a rich collection of actionable strategies, blending innovative leadership techniques with time-honored wisdom. Each Strategy offers a unique approach to tackling leadership challenges in today's dynamic environment. - Real-World Applications: Engage with compelling case studies and real-world examples that bring leadership theories to life. These narratives provide an authentic glimpse into the challenges and triumphs of leadership. - Interactive Leadership Exercises: Participate in thought-provoking exercises designed to hone your leadership skills. These activities encourage self-reflection and practical application of the concepts discussed. - Accessible and Engaging: Written in a clear, engaging style, this book is accessible to a broad audience, from seasoned executives to those just stepping into leadership roles. Target Audience: "100 Strategies for Effective Leadership" is ideal for managers, business leaders, and individuals in various leadership positions. Whether leading a small team or an entire organization, this book offers valuable insights to enhance your leadership journey. Why You Should Read This Book: - Elevate Your Leadership Skills: Learn how to inspire, motivate, and lead with confidence and integrity. - Navigate Modern Challenges: Equip yourself with the tools to tackle contemporary leadership challenges in an ever-changing world. - Personal and Professional Growth: Benefit from Dr. Ahmed's expertise and experience, which provide a roadmap for both personal and professional development. Order your copy today and start transforming your vision into reality! About the Author: Dr. Atef Ahmed is a renowned leadership expert with years of experience in guiding leaders at all levels. His insights are backed by academic research and real-world experience, making him a trusted voice in the field of leadership development. Customer Reviews: "A must-read for every leader. The strategies are practical, insightful, and truly transformative." - [Georg f.g] "Dr. Ahmed's book changed the way I approach leadership. Highly recommended for anyone looking to improve their leadership skills." - [Monica .h.p] Order your copy today and start transforming your vision into reality!
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  • no1doctor added a photo
    2024-03-12 21:41:58 - Translate
    100 Questions and Answers about Anatomy of the Abdomen by Dr. Atef Ahmed

    Get Free Copy Now and share links
    https://www.amazon.com/dp/B0CW1BLTHJ

    100 Questions and Answers For Medical Students and Doctors (32 books)

    https://www.amazon.com/dp/B0CTS66BYM

    Other books
    https://amazon.com/author/dratef

    https://x.com/DrATEFAHMED/status/1767665824150454758?s=20
    https://www.instagram.com/reel/C4bfbs-tspC/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA==
    https://www.threads.net/@dr.atefahmed/post/C4bfp7vt7G7

    Perfect your understanding of abdominal anatomy with this essential question and answer guide!

    The complex organs contained within the abdomen play integral roles in digestion, metabolism, fluid balance, and immunity. Mastery of abdominal anatomy is crucial for medical students and clinicians specializing in this complex bodily region.

    In this book, Dr. Atef Ahmed draws on his extensive teaching experience to deliver 100 expertly crafted questions and answers covering all essential topics in abdominal anatomy. The high-yield Questions and Answers format facilitates retention and self-testing on core concepts like:

    The anatomical divisions and functions of the peritoneum.

    The major gastrointestinal organs and their vasculature.

    The liver and biliary system.

    The pancreatic ductal anatomy and arterial supply.

    The kidneys, adrenal glands, and ureters.

    Abdominal vasculature including the portal venous system.

    Lymphatic drainage pathways and lymph nodes.

    Concise yet comprehensive explanations clarify challenging topics and provide clinical insights.

    Whether you are currently enrolled in an anatomy course or desire a refresher guide on abdominal anatomy, this book provides the essential knowledge and practice you need to master this vital bodily region. The Questions and Answers format also makes it easy to quickly look up topics during clinical rounds. A must-have resource for all medical students, general surgery residents, radiologists, gastroenterologists, and other specialists who require expert anatomical knowledge of the abdomen.

    Get Your Copy Now From Amazon At low Price.









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    Here are some professional prompts to generate AI photos for the book cover and banner for "100 Questions and Answers about Anatomy of the Abdomen" by Dr. Atef Ahmed:

    Book Cover Prompts:

    - Anatomy textbook cover titled "100 Questions & Answers About Anatomy of the Abdomen" by Dr. Atef Ahmed, close up view of a gray's anatomy style abdominal muscular figure with internal organs exposed including esophagus, stomach, liver, intestines, kidneys. Text is white, modern, and scientific.

    - Close up view of a human male abdomen anatomy model, shows detailed muscles, blood vessels, and internal organs. Orange and blue color scheme. Title text "100 Questions & Answers About Anatomy of the Abdomen". Author name "Dr. Atef Ahmed" in bold white letters at the bottom.

    - Illustration of the anterior view of male human abdominal anatomy, detailed internal organs visible including stomach, liver, intestines, kidneys, blood vessels. Bright lighting with shadows. Title "100 Questions & Answers About Anatomy of the Abdomen" in large white letters vertically covering abdomen. Author name small at bottom.

    Banner Prompts:

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    - Wide illustrated banner with muscles and internal organs of abdomen anatomy. Bright lighting and colors. Title "100 Questions & Answers About Anatomy of the Abdomen" taking up most of banner space, by Dr. Atef Ahmed in small print near bottom. Clean, minimalist, modern design.
    100 Questions and Answers about Anatomy of the Abdomen by Dr. Atef Ahmed Get Free Copy Now and share links https://www.amazon.com/dp/B0CW1BLTHJ 100 Questions and Answers For Medical Students and Doctors (32 books) https://www.amazon.com/dp/B0CTS66BYM Other books https://amazon.com/author/dratef https://x.com/DrATEFAHMED/status/1767665824150454758?s=20 https://www.instagram.com/reel/C4bfbs-tspC/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA== https://www.threads.net/@dr.atefahmed/post/C4bfp7vt7G7 Perfect your understanding of abdominal anatomy with this essential question and answer guide! The complex organs contained within the abdomen play integral roles in digestion, metabolism, fluid balance, and immunity. Mastery of abdominal anatomy is crucial for medical students and clinicians specializing in this complex bodily region. In this book, Dr. Atef Ahmed draws on his extensive teaching experience to deliver 100 expertly crafted questions and answers covering all essential topics in abdominal anatomy. The high-yield Questions and Answers format facilitates retention and self-testing on core concepts like: The anatomical divisions and functions of the peritoneum. The major gastrointestinal organs and their vasculature. The liver and biliary system. The pancreatic ductal anatomy and arterial supply. The kidneys, adrenal glands, and ureters. Abdominal vasculature including the portal venous system. Lymphatic drainage pathways and lymph nodes. Concise yet comprehensive explanations clarify challenging topics and provide clinical insights. Whether you are currently enrolled in an anatomy course or desire a refresher guide on abdominal anatomy, this book provides the essential knowledge and practice you need to master this vital bodily region. The Questions and Answers format also makes it easy to quickly look up topics during clinical rounds. A must-have resource for all medical students, general surgery residents, radiologists, gastroenterologists, and other specialists who require expert anatomical knowledge of the abdomen. 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Text is white, modern, and scientific. - Close up view of a human male abdomen anatomy model, shows detailed muscles, blood vessels, and internal organs. Orange and blue color scheme. Title text "100 Questions & Answers About Anatomy of the Abdomen". Author name "Dr. Atef Ahmed" in bold white letters at the bottom. - Illustration of the anterior view of male human abdominal anatomy, detailed internal organs visible including stomach, liver, intestines, kidneys, blood vessels. Bright lighting with shadows. Title "100 Questions & Answers About Anatomy of the Abdomen" in large white letters vertically covering abdomen. Author name small at bottom. Banner Prompts: - Wide banner with flat lay of an open abdomen anatomy book, notebook, pencil, muscles and organs model. Title text "100 Questions & Answers About Anatomy of the Abdomen" in bold white letters prominently displayed. Author name "Dr. Atef Ahmed" below in smaller font. - Facebook banner for new anatomy book release "100 Questions & Answers About Anatomy of the Abdomen" by Dr. Atef Ahmed. Flat lay of book with abdomen anatomy model, stethoscope, lab coat. Blue and white color scheme, modern, scientific aesthetic. - Wide illustrated banner with muscles and internal organs of abdomen anatomy. Bright lighting and colors. Title "100 Questions & Answers About Anatomy of the Abdomen" taking up most of banner space, by Dr. Atef Ahmed in small print near bottom. Clean, minimalist, modern design.
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  • no1doctor added a photo
    2024-02-17 08:30:42 - Translate
    The Art of Mismanagement Unraveling the Tactics of Terrible Bosses written by Doctor Atef Ahmed


    Get Your Copy Now

    https://www.amazon.com/dp/B0CP32TRZ8

    Other Books of the author

    https://amazon.com/author/dratef



    #leadershipfail #badboss #toxicworkplace #mismanagement #worklifebalance
    #managementtips #workculture #careergoals #officelife #workhumor
    #productivityhacks #stressmanagement #careeradvice #mentalhealth #emotionalintelligence
    #businessbooks #bookstagram #nonfiction #bookreview #mustread

    #artofmismanagement #atefahmed #terriblebosses #toxicleadership #workplacethriving
    #unravelingtactics #managementmistakes #leadershipstrategies #overcomeworkissues
    #empoweringemployees #positiveworkplace #organizationaldevelopment #emotionalwellbeing
    #bookrecommendations #leadershipdevelopment #workplaceculture #careeradvice2024

    #greatresignation #leadershipreimagined #toxicworkplacetalk #quietquitting
    #mentalhealthawareness #burnoutprevention #employeeengagement #futureofwork
    #productivitytipsoftheday #selfcaretips #mindfulnessatwork #motivationmonday
    #booktok #nonfictionlover #businessbloggers #bookcommunity #learnontiktok
    #USbusiness, #UKworklife #artofmismanagementchallenge .




    Is YOUR Boss a Micromanager? 5 Signs You're Dealing with The Art of Mismanagement! #badboss #micromanagement #toxicworkplace #artofmismanagement

    Feeling Undervalued & Stressed? Unmask the Tactics of Terrible Bosses with Dr. Atef Ahmed! #toxicleadership #workstress #empowerment #artofmismanagement

    From Frustrated to Flourishing: How "The Art of Mismanagement" Can Help You Thrive at Work! #worklifebalance #careergoals #bookreview #artofmismanagement

    Tired of the Great Resignation? Build a Thriving Workplace with Insights from "The Art of Mismanagement"! #greatresignation #workplaceculture #leadershipdevelopment #artofmismanagement

    Turnaround Time! Can YOU Fix YOUR Toxic Workplace Using "The Art of Mismanagement"? #managementtips #organizationaldevelopment #positiveworkplace #artofmismanagement

    BookTok Alert! Is "The Art of Mismanagement" the Key to Unlocking Your Work Happiness? #booktok #nonfictionreads #artofmismanagement #careeradvice

    Challenge Accepted! Can You Spot These 3 Sneaky Tactics of Terrible Bosses? (Inspired by "The Art of Mismanagement") #toxicbosschallenge #workhumor #artofmismanagement #worklife

    Burnout Blues? Dr. Atef Ahmed Shares How "The Art of Mismanagement" Can Help You Reclaim Your Sanity! #mentalhealthawareness #burnoutprevention #artofmismanagement #wellbeing

    "The Art of Mismanagement" vs. The Art of Great Leadership: Which One Will WIN? #leadershipreimagined #futureofwork #artofmismanagement #bookdiscussion

    Spoiler Alert! Revealing the Top 5 Insights from "The Art of Mismanagement" (You Need to Know These!) #mustread #bookrecommendations #artofmismanagement #careertips




    Hello every Body .
    welcome to number one doctor channel.

    in this video we will talk about an important book with title.

    The Art of Mismanagement Unraveling the Tactics of Terrible Bosses written by Doctor Atef Ahmed .




    Embark on a transformative journey into the complex world of organizational dynamics with "The Art of Mismanagement" by Doctor. Atef Ahmed. In this groundbreaking book, Doctor. Ahmed, unravels the tactics employed by ineffective leaders, shedding light on the profound impact of poor management on individuals and teams.

    Key Features:

    In-depth Analysis: Explore the nuances of mismanagement, from the insidious nature of micromanagement to the destructive consequences of communication breakdowns. Doctor. Ahmed provides a comprehensive examination backed by years of scholarly research.

    Real-world Insights: Dive into compelling case studies that bring to life the tangible consequences of poor leadership. These stories serve as cautionary tales and practical lessons for readers navigating challenging work environments.

    Actionable Strategies: Beyond diagnosis, this book equips readers with practical tools and strategies to recognize, confront, and overcome the challenges posed by ineffective leadership. Whether you're an employee seeking coping mechanisms or a leader aspiring to enhance your managerial acumen, this book is your guide to positive change.

    Expert Guidance: Doctor. Atef Ahmed's expertise shines throughout the book, providing a blend of academic rigor and real-world application. His insights serve as a compass for those navigating the complexities of modern workplaces.

    Vision for Transformation: "The Art of Mismanagement" doesn't just spotlight problems; it inspires a vision for transformation. Doctor. Ahmed encourages a shift towards workplaces where effective leadership is not only an art form but a catalyst for positive organizational change.

    Empower yourself with the knowledge to recognize and ad Doctoress mismanagement. Whether you're an employee seeking resilience or a leader committed to fostering a positive workplace culture, this book is a must-read. Take the first step toward a future where leadership becomes a force for inspiration, growth, and collective success.

    Get your copy of "The Art of Mismanagement" today and embark on a journey towards enlightened leadership and organizational vitality.



    the abook now is avaliable at amazon .get your copy now in low price .the link below this video .

    or search in amazon about The Art of Mismanagement Unraveling the Tactics of Terrible Bosses .

    at the end please do not forget to like .share and subscrib to our channle number one doctor

    with my best wisches .

    doctor .Atef Ahmed







    In "The Art of Mismanagement" by Dr. Atef Ahmed, readers embark on a profound exploration of organizational dynamics. The book delves into the tactics used by ineffective leaders, highlighting the damaging impact of poor management on individuals and teams. Key features include an in-depth analysis of mismanagement, real-world insights from compelling case studies, actionable strategies for overcoming leadership challenges, and expert guidance that combines academic rigor with practical application.

    Notably, the book goes beyond diagnosing problems; it inspires a vision for transformation, advocating for workplaces where effective leadership serves as a catalyst for positive organizational change. Dr. Atef Ahmed empowers readers to recognize and address mismanagement, offering resilience for employees and providing tools for leaders dedicated to fostering a positive workplace culture.

    "The Art of Mismanagement" is currently available on Amazon at a discounted price, inviting readers to take the initial step towards enlightened leadership and organizational vitality. To stay updated with valuable insights, viewers are encouraged to like, share, and subscribe to the Number One Doctor channel.

    Best wishes,
    Dr. Atef Ahmed
    The Art of Mismanagement Unraveling the Tactics of Terrible Bosses written by Doctor Atef Ahmed Get Your Copy Now https://www.amazon.com/dp/B0CP32TRZ8 Other Books of the author https://amazon.com/author/dratef #leadershipfail #badboss #toxicworkplace #mismanagement #worklifebalance #managementtips #workculture #careergoals #officelife #workhumor #productivityhacks #stressmanagement #careeradvice #mentalhealth #emotionalintelligence #businessbooks #bookstagram #nonfiction #bookreview #mustread #artofmismanagement #atefahmed #terriblebosses #toxicleadership #workplacethriving #unravelingtactics #managementmistakes #leadershipstrategies #overcomeworkissues #empoweringemployees #positiveworkplace #organizationaldevelopment #emotionalwellbeing #bookrecommendations #leadershipdevelopment #workplaceculture #careeradvice2024 #greatresignation #leadershipreimagined #toxicworkplacetalk #quietquitting #mentalhealthawareness #burnoutprevention #employeeengagement #futureofwork #productivitytipsoftheday #selfcaretips #mindfulnessatwork #motivationmonday #booktok #nonfictionlover #businessbloggers #bookcommunity #learnontiktok #USbusiness, #UKworklife #artofmismanagementchallenge . Is YOUR Boss a Micromanager? 5 Signs You're Dealing with The Art of Mismanagement! #badboss #micromanagement #toxicworkplace #artofmismanagement Feeling Undervalued & Stressed? Unmask the Tactics of Terrible Bosses with Dr. Atef Ahmed! #toxicleadership #workstress #empowerment #artofmismanagement From Frustrated to Flourishing: How "The Art of Mismanagement" Can Help You Thrive at Work! #worklifebalance #careergoals #bookreview #artofmismanagement Tired of the Great Resignation? Build a Thriving Workplace with Insights from "The Art of Mismanagement"! #greatresignation #workplaceculture #leadershipdevelopment #artofmismanagement Turnaround Time! Can YOU Fix YOUR Toxic Workplace Using "The Art of Mismanagement"? #managementtips #organizationaldevelopment #positiveworkplace #artofmismanagement BookTok Alert! Is "The Art of Mismanagement" the Key to Unlocking Your Work Happiness? #booktok #nonfictionreads #artofmismanagement #careeradvice Challenge Accepted! Can You Spot These 3 Sneaky Tactics of Terrible Bosses? (Inspired by "The Art of Mismanagement") #toxicbosschallenge #workhumor #artofmismanagement #worklife Burnout Blues? Dr. Atef Ahmed Shares How "The Art of Mismanagement" Can Help You Reclaim Your Sanity! #mentalhealthawareness #burnoutprevention #artofmismanagement #wellbeing "The Art of Mismanagement" vs. The Art of Great Leadership: Which One Will WIN? #leadershipreimagined #futureofwork #artofmismanagement #bookdiscussion Spoiler Alert! Revealing the Top 5 Insights from "The Art of Mismanagement" (You Need to Know These!) #mustread #bookrecommendations #artofmismanagement #careertips Hello every Body . welcome to number one doctor channel. in this video we will talk about an important book with title. The Art of Mismanagement Unraveling the Tactics of Terrible Bosses written by Doctor Atef Ahmed . Embark on a transformative journey into the complex world of organizational dynamics with "The Art of Mismanagement" by Doctor. Atef Ahmed. In this groundbreaking book, Doctor. Ahmed, unravels the tactics employed by ineffective leaders, shedding light on the profound impact of poor management on individuals and teams. Key Features: In-depth Analysis: Explore the nuances of mismanagement, from the insidious nature of micromanagement to the destructive consequences of communication breakdowns. Doctor. Ahmed provides a comprehensive examination backed by years of scholarly research. Real-world Insights: Dive into compelling case studies that bring to life the tangible consequences of poor leadership. These stories serve as cautionary tales and practical lessons for readers navigating challenging work environments. Actionable Strategies: Beyond diagnosis, this book equips readers with practical tools and strategies to recognize, confront, and overcome the challenges posed by ineffective leadership. Whether you're an employee seeking coping mechanisms or a leader aspiring to enhance your managerial acumen, this book is your guide to positive change. Expert Guidance: Doctor. Atef Ahmed's expertise shines throughout the book, providing a blend of academic rigor and real-world application. His insights serve as a compass for those navigating the complexities of modern workplaces. Vision for Transformation: "The Art of Mismanagement" doesn't just spotlight problems; it inspires a vision for transformation. Doctor. Ahmed encourages a shift towards workplaces where effective leadership is not only an art form but a catalyst for positive organizational change. Empower yourself with the knowledge to recognize and ad Doctoress mismanagement. Whether you're an employee seeking resilience or a leader committed to fostering a positive workplace culture, this book is a must-read. Take the first step toward a future where leadership becomes a force for inspiration, growth, and collective success. Get your copy of "The Art of Mismanagement" today and embark on a journey towards enlightened leadership and organizational vitality. the abook now is avaliable at amazon .get your copy now in low price .the link below this video . or search in amazon about The Art of Mismanagement Unraveling the Tactics of Terrible Bosses . at the end please do not forget to like .share and subscrib to our channle number one doctor with my best wisches . doctor .Atef Ahmed In "The Art of Mismanagement" by Dr. Atef Ahmed, readers embark on a profound exploration of organizational dynamics. The book delves into the tactics used by ineffective leaders, highlighting the damaging impact of poor management on individuals and teams. Key features include an in-depth analysis of mismanagement, real-world insights from compelling case studies, actionable strategies for overcoming leadership challenges, and expert guidance that combines academic rigor with practical application. Notably, the book goes beyond diagnosing problems; it inspires a vision for transformation, advocating for workplaces where effective leadership serves as a catalyst for positive organizational change. Dr. Atef Ahmed empowers readers to recognize and address mismanagement, offering resilience for employees and providing tools for leaders dedicated to fostering a positive workplace culture. "The Art of Mismanagement" is currently available on Amazon at a discounted price, inviting readers to take the initial step towards enlightened leadership and organizational vitality. To stay updated with valuable insights, viewers are encouraged to like, share, and subscribe to the Number One Doctor channel. Best wishes, Dr. Atef Ahmed
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  • Atef Ahmed shared a link
    2024-02-03 09:04:41 - Translate
    100 Questions and Answers For Medical Students and Doctors by Dr Atef Ahmed

    https://www.amazon.com/dp/B0CTS66BYM

    Embark on a comprehensive journey through the realms of medicine with Dr. Atef Ahmed's "100 Questions and Answers Series for Medical Students and Doctors". This meticulously curated series is an indispensable resource for medical students and doctors aiming to excel in their studies and clinical practice. Each book in the series focuses on a different specialty, providing a thorough understanding of key concepts and practical insights.

    Key Features:

    1. Extensive Coverage of Medical Specialties : The series includes 29 volumes, each dedicated to a specific field such as Cardiology, Neurology, Pediatrics, Oncology, Gastroenterology, Psychiatry, Obstetrics and Gynecology, Dermatology, Orthopedics, Infectious Diseases, Endocrinology, Pulmonology, Rheumatology, Emergency Medicine, Anesthesiology, Nephrology, Ophthalmology, Pathology, Radiology, Surgery, and various surgical subspecialties.

    2. Expertly Crafted Questions and Answers : Each book presents 100 expertly crafted questions followed by detailed answers, designed to deepen understanding and enhance retention of complex medical topics.

    3. Real-World Clinical Scenarios : Engage with real-world clinical scenarios that enhance practical understanding, preparing students and doctors for clinical rotations and examinations.

    4. Up-to-Date Medical Knowledge : Reflecting the latest advancements and guidelines in each field, these books are an invaluable resource for staying current in fast-evolving medical landscapes.

    5. Versatile Learning Tool : Ideal for self-study, group discussions, or as a complement to lecture materials, making it versatile for various learning environments.

    6. Accessible Format : Designed for easy navigation, each question and answer is concise yet comprehensive, making complex topics more approachable.

    7. Authored by a Renowned Expert : Dr. Atef Ahmed, a distinguished medical professional, brings his extensive experience and insights to each subject, ensuring reliable and authoritative content.

    Whether you're a medical student or resident or specialiezed doctor seeking a robust learning tool or a practicing professional aiming to refresh your knowledge, the "100 Questions and Answers Series for Medical Studentsand doctors" by Dr. Atef Ahmed is your go-to guide. Delve into the depths of medical knowledge and emerge with a clearer, more profound understanding of the diverse fields of medicine. Make this series a cornerstone of your medical library today!
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    100 Questions and Answers For Medical Students and Doctors by Dr Atef Ahmed https://www.amazon.com/dp/B0CTS66BYM Embark on a comprehensive journey through the realms of medicine with Dr. Atef Ahmed's "100 Questions and Answers Series for Medical Students and Doctors". This meticulously curated series is an indispensable resource for medical students and doctors aiming to excel in their studies and clinical practice. Each book in the series focuses on a different specialty, providing a thorough understanding of key concepts and practical insights. Key Features: 1. Extensive Coverage of Medical Specialties : The series includes 29 volumes, each dedicated to a specific field such as Cardiology, Neurology, Pediatrics, Oncology, Gastroenterology, Psychiatry, Obstetrics and Gynecology, Dermatology, Orthopedics, Infectious Diseases, Endocrinology, Pulmonology, Rheumatology, Emergency Medicine, Anesthesiology, Nephrology, Ophthalmology, Pathology, Radiology, Surgery, and various surgical subspecialties. 2. Expertly Crafted Questions and Answers : Each book presents 100 expertly crafted questions followed by detailed answers, designed to deepen understanding and enhance retention of complex medical topics. 3. Real-World Clinical Scenarios : Engage with real-world clinical scenarios that enhance practical understanding, preparing students and doctors for clinical rotations and examinations. 4. Up-to-Date Medical Knowledge : Reflecting the latest advancements and guidelines in each field, these books are an invaluable resource for staying current in fast-evolving medical landscapes. 5. Versatile Learning Tool : Ideal for self-study, group discussions, or as a complement to lecture materials, making it versatile for various learning environments. 6. Accessible Format : Designed for easy navigation, each question and answer is concise yet comprehensive, making complex topics more approachable. 7. Authored by a Renowned Expert : Dr. Atef Ahmed, a distinguished medical professional, brings his extensive experience and insights to each subject, ensuring reliable and authoritative content. Whether you're a medical student or resident or specialiezed doctor seeking a robust learning tool or a practicing professional aiming to refresh your knowledge, the "100 Questions and Answers Series for Medical Studentsand doctors" by Dr. Atef Ahmed is your go-to guide. Delve into the depths of medical knowledge and emerge with a clearer, more profound understanding of the diverse fields of medicine. Make this series a cornerstone of your medical library today! 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    0 Comments 0 Shares 4499 Views
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  • no1doctor added a photo
    2024-01-29 21:21:58 - Translate
    100 Questions and Answers in Surgical Oncology by Dr. Atef Ahmed

    https://www.amazon.com/dp/B0CTHNBQDL
    https://x.com/DrATEFAHMED/status/1752078860919693367?s=20
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    Dive into the profound world of Surgical Oncology with Dr. Atef Ahmed's masterful book, "100 Questions and Answers in Surgical Oncology." This indispensable guide is meticulously designed for medical professionals, students, and practitioners who aspire to broaden their understanding of the challenging and dynamic field of cancer surgery.

    Key Features:

    - Comprehensive Coverage : Spanning across a wide array of topics, this book delivers in-depth insights into the complexities of cancer types, surgical procedures, and the latest advancements in oncological treatment.

    - Expertly Curated Content : Dr. Atef Ahmed, a renowned expert in Medical Education, combines his extensive clinical experience and profound knowledge to provide clear, concise, and accurate answers to 100 critical questions in the field.

    - Engaging Question-and-Answer Format : Ideal for both quick reference and detailed study, the question-and-answer format facilitates easy navigation and aids in effective learning and retention of complex concepts.

    - Up-to-Date Information : Stay abreast with the latest developments and cutting-edge techniques in Surgical Oncology. This book integrates current guidelines, recent research findings, and modern practices.

    - Educational Tool : An invaluable resource for exam preparation and continuing education, this book is perfect for medical students, surgical residents, oncology fellows, and practicing surgeons.

    - Patient-Centric Approach : Beyond the technicalities of surgery, this book emphasizes the importance of patient care, decision-making, and ethical considerations in oncology.

    Why Choose This Book?

    "100 Questions and Answers in Surgical Oncology" is not just a book but a comprehensive journey through the nuanced world of cancer treatment. Whether you're a medical student grappling with the basics, a resident honing your skills, or a seasoned surgeon keeping abreast of the latest trends, this book is tailored to your needs.

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    100 Questions and Answers in Surgical Oncology by Dr. Atef Ahmed https://www.amazon.com/dp/B0CTHNBQDL https://x.com/DrATEFAHMED/status/1752078860919693367?s=20 https://www.instagram.com/p/C2svUyjsBqE/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA== Dive into the profound world of Surgical Oncology with Dr. Atef Ahmed's masterful book, "100 Questions and Answers in Surgical Oncology." This indispensable guide is meticulously designed for medical professionals, students, and practitioners who aspire to broaden their understanding of the challenging and dynamic field of cancer surgery. Key Features: - Comprehensive Coverage : Spanning across a wide array of topics, this book delivers in-depth insights into the complexities of cancer types, surgical procedures, and the latest advancements in oncological treatment. - Expertly Curated Content : Dr. Atef Ahmed, a renowned expert in Medical Education, combines his extensive clinical experience and profound knowledge to provide clear, concise, and accurate answers to 100 critical questions in the field. - Engaging Question-and-Answer Format : Ideal for both quick reference and detailed study, the question-and-answer format facilitates easy navigation and aids in effective learning and retention of complex concepts. - Up-to-Date Information : Stay abreast with the latest developments and cutting-edge techniques in Surgical Oncology. This book integrates current guidelines, recent research findings, and modern practices. - Educational Tool : An invaluable resource for exam preparation and continuing education, this book is perfect for medical students, surgical residents, oncology fellows, and practicing surgeons. - Patient-Centric Approach : Beyond the technicalities of surgery, this book emphasizes the importance of patient care, decision-making, and ethical considerations in oncology. Why Choose This Book? "100 Questions and Answers in Surgical Oncology" is not just a book but a comprehensive journey through the nuanced world of cancer treatment. Whether you're a medical student grappling with the basics, a resident honing your skills, or a seasoned surgeon keeping abreast of the latest trends, this book is tailored to your needs. Embrace the opportunity to learn from one of the best in the field and enhance your clinical expertise. Add this book to your medical library and take the first step towards mastering the intricacies of Surgical Oncology. Available Now on Amazon Order your copy today and be at the forefront of surgical oncology expertise and practice. https://www.amazon.com/dp/B0CTHNBQDL surgerylife #scalpellife #operatingroom #ORcrew #precisionmedicine #minimallyinvasive #roboticsurgery #healinghands #patientcare #surgicalskills #cardiacsurgery #neurosurgery #orthosurgery #plasticsurgery #oncology #gastrointestinalsurgery #thoracicsurgery #vascularsurgery #robotsurgery #laparoscopy #ACS2024 #SICOT #AANS #AST #WOC #MedBooks #AnatomyNerds #SurgicalEducation #MustRead #PathologyBooks #SurgicalOncologyBooks #OncologyTextbooks #AtlasofSurgery #AnatomyAtlas #Step1 #BoardsPrep #BookReview #MedStudentLife #MustReadForSurgeons #SurgicalFellowshipPrep #SurgicalOncology #CancerSurgery #OncologistLife #PrecisionOncology #MultidisciplinaryCare #TumorBoard #CureTheCureable #FightCancer #Hope #SurvivorStrong #BreastCancer #ColonCancer #LungCancer #BrainTumor #Melanoma #ProstateCancer #PancreaticCancer #HeadAndNeckCancer ASCO #ACS #AACR #CureSearch #CancerResearch : #OncologyBooks + #BreastCancerAwareness
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  • Day News
    2024-01-21 19:11:57 - Translate
    UFC: The Ultimate Fighting Championship and Its Global Impact

    Introduction:

    The UFC (Ultimate Fighting Championship) has revolutionized the world of mixed martial arts (MMA) and become the premier organization for showcasing elite combat sports athletes. With its thrilling fights, international appeal, and dedicated fan base, the UFC has risen to prominence as one of the most exciting and fastest-growing sports in the world. In this article, we delve into the captivating world of the UFC, exploring its history, global impact, and the top fighters who have left an indelible mark on the promotion.

    A Brief History of the UFC:

    The UFC was founded in 1993 with the goal of determining the most effective martial art in real combat situations. Initially, it featured a tournament-style format with fighters from various disciplines, such as Brazilian Jiu-Jitsu, wrestling, and kickboxing, competing against each other. Over the years, the UFC evolved into a highly regulated and professional organization, adopting weight divisions, stringent rules, and a broader range of martial arts styles.

    Global Reach and Popularity:

    The UFC's global reach and popularity have skyrocketed in recent years, captivating fans from all corners of the globe. Events are held in iconic venues worldwide, attracting millions of viewers, both in-person and through pay-per-view broadcasts. With a dedicated fan base and a strategic focus on expanding into new markets, the UFC has become a major player in the sports and entertainment industry, with athletes achieving mainstream recognition.

    Top Fighters and Memorable Moments:

    The UFC has seen a plethora of exceptional fighters throughout its history, each leaving their mark on the promotion and capturing the imagination of fans. Fighters like Conor McGregor, Jon Jones, Amanda Nunes, and Khabib Nurmagomedov have achieved superstardom, showcasing their incredible skills and dominating their respective divisions. Memorable moments, such as McGregor's historic double-championship win or Nunes' dominant title defenses, have etched themselves into the collective memory of MMA fans.

    The Evolution of MMA:

    The UFC's impact extends beyond its own promotion, as it has played a pivotal role in the evolution of MMA as a sport. The UFC's adoption of weight classes, rule changes, and stringent safety regulations have influenced other organizations and helped establish MMA as a legitimate and respected combat sport. The rise of the UFC has also attracted talented athletes from various martial arts backgrounds, fostering a new generation of well-rounded fighters who combine multiple disciplines seamlessly.

    Women's MMA and Trailblazers:

    The UFC has been instrumental in promoting and elevating women's MMA to new heights. The introduction of a women's division in 2012 provided a platform for female fighters to showcase their skills on the biggest stages. Pioneers like Ronda Rousey and Amanda Nunes have shattered barriers and become household names, paving the way for future generations of female fighters to excel and inspire.

    Conclusion:

    The UFC's impact on the world of combat sports cannot be overstated. From its humble beginnings to its current status as a global powerhouse, the UFC has transformed MMA into a mainstream phenomenon. With its thrilling matchups, larger-than-life personalities, and a commitment to innovation, the UFC continues to captivate audiences worldwide. As the organization and its fighters push the boundaries of what is possible in the octagon, the future of the UFC promises even more exhilarating moments and memorable fights.

    Keywords: UFC, Ultimate Fighting Championship, mixed martial arts, global impact, top fighters, memorable moments, women's MMA.

    Hashtags: #UFC #MMA #FightSports #GlobalImpact #TopFighters #ThrillingFights #WomenInMMA
    UFC: The Ultimate Fighting Championship and Its Global Impact Introduction: The UFC (Ultimate Fighting Championship) has revolutionized the world of mixed martial arts (MMA) and become the premier organization for showcasing elite combat sports athletes. With its thrilling fights, international appeal, and dedicated fan base, the UFC has risen to prominence as one of the most exciting and fastest-growing sports in the world. In this article, we delve into the captivating world of the UFC, exploring its history, global impact, and the top fighters who have left an indelible mark on the promotion. A Brief History of the UFC: The UFC was founded in 1993 with the goal of determining the most effective martial art in real combat situations. Initially, it featured a tournament-style format with fighters from various disciplines, such as Brazilian Jiu-Jitsu, wrestling, and kickboxing, competing against each other. Over the years, the UFC evolved into a highly regulated and professional organization, adopting weight divisions, stringent rules, and a broader range of martial arts styles. Global Reach and Popularity: The UFC's global reach and popularity have skyrocketed in recent years, captivating fans from all corners of the globe. Events are held in iconic venues worldwide, attracting millions of viewers, both in-person and through pay-per-view broadcasts. With a dedicated fan base and a strategic focus on expanding into new markets, the UFC has become a major player in the sports and entertainment industry, with athletes achieving mainstream recognition. Top Fighters and Memorable Moments: The UFC has seen a plethora of exceptional fighters throughout its history, each leaving their mark on the promotion and capturing the imagination of fans. Fighters like Conor McGregor, Jon Jones, Amanda Nunes, and Khabib Nurmagomedov have achieved superstardom, showcasing their incredible skills and dominating their respective divisions. Memorable moments, such as McGregor's historic double-championship win or Nunes' dominant title defenses, have etched themselves into the collective memory of MMA fans. The Evolution of MMA: The UFC's impact extends beyond its own promotion, as it has played a pivotal role in the evolution of MMA as a sport. The UFC's adoption of weight classes, rule changes, and stringent safety regulations have influenced other organizations and helped establish MMA as a legitimate and respected combat sport. The rise of the UFC has also attracted talented athletes from various martial arts backgrounds, fostering a new generation of well-rounded fighters who combine multiple disciplines seamlessly. Women's MMA and Trailblazers: The UFC has been instrumental in promoting and elevating women's MMA to new heights. The introduction of a women's division in 2012 provided a platform for female fighters to showcase their skills on the biggest stages. Pioneers like Ronda Rousey and Amanda Nunes have shattered barriers and become household names, paving the way for future generations of female fighters to excel and inspire. Conclusion: The UFC's impact on the world of combat sports cannot be overstated. From its humble beginnings to its current status as a global powerhouse, the UFC has transformed MMA into a mainstream phenomenon. With its thrilling matchups, larger-than-life personalities, and a commitment to innovation, the UFC continues to captivate audiences worldwide. As the organization and its fighters push the boundaries of what is possible in the octagon, the future of the UFC promises even more exhilarating moments and memorable fights. Keywords: UFC, Ultimate Fighting Championship, mixed martial arts, global impact, top fighters, memorable moments, women's MMA. Hashtags: #UFC #MMA #FightSports #GlobalImpact #TopFighters #ThrillingFights #WomenInMMA
    0 Comments 0 Shares 45810 Views
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  • no1doctor
    2023-07-14 16:54:27 - Translate
    Unlock your true potential as a medical professional with "The Healing Touch: A Comprehensive Guide to Becoming a Successful Doctor." This insightful and empowering book is designed to provide aspiring doctors and seasoned professionals alike with the essential tools and guidance they need to excel in their careers.

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    Written by experienced physician and healthcare expert, Dr.Atef , this comprehensive guide delves into the key aspects of being a successful doctor, offering valuable insights, practical advice, and inspiring anecdotes. From navigating medical school to thriving in a professional practice, Dr. Atef covers every stage of the journey, providing readers with the wisdom they need to flourish in their chosen field.

    Inside "The Healing Touch," you will discover:

    Proven strategies for excelling in medical school and residency programs, including tips for effective studying, time management, and securing competitive placements.
    Insightful guidance on choosing a specialty that aligns with your passions and strengths, along with practical steps for developing expertise in your chosen field.
    In-depth discussions on the importance of patient care, empathy, and communication skills in building meaningful connections with patients.




    Practical advice for managing challenges and overcoming obstacles, including stress management techniques, self-care practices, and strategies for maintaining a healthy work-life balance.
    Expert insights on professional development, lifelong learning, and staying abreast of the latest medical research and advancements.


    Inspiring stories and real-life examples from successful doctors who have made a significant impact in their communities and beyond.
    "The Healing Touch" goes beyond the technical aspects of medicine and explores the qualities and mindset that set successful doctors apart. With its engaging writing style and actionable advice, this book serves as a trusted companion for those embarking on their medical journey or seeking to elevate their current practice.

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    Order your copy of "The Healing Touch: A Comprehensive Guide to Becoming a Successful Doctor" today and take the first step towards unlocking your true potential in the world of healthcare.

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  • no1doctor
    2023-04-30 18:21:26 - Translate
    Lap Repaire Of Recurrent Ventral Hernia With Mesh Removal

    https://twitter.com/DrATEFAHMED/status/1652739592485740545?s=20

    https://youtu.be/MY2JRwFEZbs



    #laparoscopysurgery #ventral_hernia #herniadedisco #hernia #herniateddisc #herniarepair #herniatreatment #herniateddiscexercises

    #herniasurgery #herniateddisctreatment #herniadiscal #herniaexercises #herniateddisk

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    Lap Repaire Of Recurrent Ventral Hernia With Mesh Removal https://twitter.com/DrATEFAHMED/status/1652739592485740545?s=20 https://youtu.be/MY2JRwFEZbs #laparoscopysurgery #ventral_hernia #herniadedisco #hernia #herniateddisc #herniarepair #herniatreatment #herniateddiscexercises #herniasurgery #herniateddisctreatment #herniadiscal #herniaexercises #herniateddisk #hernia #herniabelt #herniabh #herniabayi #herniabojonegoro #herniablitar #herniahiatal #herniahiato #herniahiatoesofagico #herniahumbilical #herniahiatal🔥 #jhernia #jherniadedisco #jherniandellie #jherniaics #chernia #cherniavskyi #cherniavskyi_jewelry #cherniak_olga #cherniapesca #khernia #kherniateddiscs #dhernia #dhérnias #herniacervical #hérniacervical #herniacervicalprotrusa #herniacolumna #herniacervicaldiscal #éhernia #ehernia #éherniadediscoounaoé #éherniadedisco #éherniaounão #herniaabdominal #hérniaabdominal #herniaawareness #herniaawarenessmonth #herniaanak #herniagdl #herniagirdle #herniagarments #herniagone 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symptoms,hernia repair failure rate,hernia operation failure rate
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  • no1doctor
    2023-04-29 09:58:42 - Translate
    A 65-year-old woman with well controlled type 2 diabetes mellitus presents with perforated appendicitis. She is taken to the operating room for exploration, drainage of intraabdominal abscess, and ileocecectomy. She is admitted to the surgical intensive care unit postoperatively in septic shock.
    Overnight, she is resuscitated with 9 L crystalloid. She is now on norepinephrine and vasopressin infusions to keep her mean arterial pressure above 65 mm Hg. On postoperative day 1, she is hypoxic with pulmonary edema on chest x-ray.
    Her serum potassium is 5.9 mmol/L, her serum creatinine increased from 1.5 to 5.4 mg/dL (0.4-1.3 mg/dL), her serum blood urea nitrogen is 60 mg/dL (7-20 mg/dL), her serum bicarbonate is 13 mmol/L (20-29 mmol/L), and her pH is 7.21. Her urine output is 0.3 mL/kg/hour for the last 12 hours.

    What is the next step in managing her renal failure?

    A. Continuous renal replacement therapy
    B. Intermittent hemodialysis
    C. Furosemide 80 mg intravenously
    D. Dopamine infusion
    E. Sodium bicarbonate infusion

    ANSWER: A
    Acute kidney injury in the postoperative period is associated with increased morbidity and mortality. Two classification systems were proposed in the early 2000s: the RIFLE criteria
    and the Acute Kidney Injury Network (AKIN) staging system. These systems provide concise definitions of the extent of injury and prognosis. Both systems consider increases in serum creatinine, either an absolute number or an
    increase from baseline, and urine output criteria. This patient had a marked increase in serum creatinine and has oliguria.
    According to the RIFLE criteria, she has Failure; she is in AKIN stage III.
    Additionally, she is acidemic, with a serum pH of 7.21 and bicarbonate of 13 mmol/L (20-29 mmol/L), and hyperkalemic. She also shows evidence of volume overload with hypoxemia and radiographic evidence of pulmonary
    edema.
    This patient has several indications for renal
    replacement therapy.


    Data regarding the optimal modality and timing of renal replacement therapy are conflicting. However, when patients are hemodynamically abnormal and require vasopressor support, a continuous mode of renal replacement therapy is preferred. Continuous modes require smaller volumes of
    blood to be removed at a time compared with intermittent hemodialysis and are better tolerated in hypotensive patients.
    A sodium bicarbonate infusion is used for patients with acidosis; however, starting a sodium bicarbonate infusion is generally not recommended until the serum pH is less than
    7.15. Also, there are no data confirming any reduction in morbidity and mortality for its use in renal failure.
    Aggressive diuretic therapy used in the early stages of AKI to treat volume overload and hyperkalemia is possible.
    However, once a patient advances to renal failure, renal replacement therapy is the preferred modality of management. Low-dose dopamine infusions were once
    erroneously thought to be renal protective via a mechanism of increased renal blood flow. There are currently no data to support the use of a dopamine infusion as prevention or
    treatment of AKI.
    A 65-year-old woman with well controlled type 2 diabetes mellitus presents with perforated appendicitis. She is taken to the operating room for exploration, drainage of intraabdominal abscess, and ileocecectomy. She is admitted to the surgical intensive care unit postoperatively in septic shock. Overnight, she is resuscitated with 9 L crystalloid. She is now on norepinephrine and vasopressin infusions to keep her mean arterial pressure above 65 mm Hg. On postoperative day 1, she is hypoxic with pulmonary edema on chest x-ray. Her serum potassium is 5.9 mmol/L, her serum creatinine increased from 1.5 to 5.4 mg/dL (0.4-1.3 mg/dL), her serum blood urea nitrogen is 60 mg/dL (7-20 mg/dL), her serum bicarbonate is 13 mmol/L (20-29 mmol/L), and her pH is 7.21. Her urine output is 0.3 mL/kg/hour for the last 12 hours. What is the next step in managing her renal failure? A. Continuous renal replacement therapy B. Intermittent hemodialysis C. Furosemide 80 mg intravenously D. Dopamine infusion E. Sodium bicarbonate infusion ANSWER: A Acute kidney injury in the postoperative period is associated with increased morbidity and mortality. Two classification systems were proposed in the early 2000s: the RIFLE criteria and the Acute Kidney Injury Network (AKIN) staging system. These systems provide concise definitions of the extent of injury and prognosis. Both systems consider increases in serum creatinine, either an absolute number or an increase from baseline, and urine output criteria. This patient had a marked increase in serum creatinine and has oliguria. According to the RIFLE criteria, she has Failure; she is in AKIN stage III. Additionally, she is acidemic, with a serum pH of 7.21 and bicarbonate of 13 mmol/L (20-29 mmol/L), and hyperkalemic. She also shows evidence of volume overload with hypoxemia and radiographic evidence of pulmonary edema. This patient has several indications for renal replacement therapy. Data regarding the optimal modality and timing of renal replacement therapy are conflicting. However, when patients are hemodynamically abnormal and require vasopressor support, a continuous mode of renal replacement therapy is preferred. Continuous modes require smaller volumes of blood to be removed at a time compared with intermittent hemodialysis and are better tolerated in hypotensive patients. A sodium bicarbonate infusion is used for patients with acidosis; however, starting a sodium bicarbonate infusion is generally not recommended until the serum pH is less than 7.15. Also, there are no data confirming any reduction in morbidity and mortality for its use in renal failure. Aggressive diuretic therapy used in the early stages of AKI to treat volume overload and hyperkalemia is possible. However, once a patient advances to renal failure, renal replacement therapy is the preferred modality of management. Low-dose dopamine infusions were once erroneously thought to be renal protective via a mechanism of increased renal blood flow. There are currently no data to support the use of a dopamine infusion as prevention or treatment of AKI.
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  • no1doctor
    2023-04-29 09:53:24 - Translate
    A 72-year-old woman undergoes an open sigmoid colectomy for colon cancer. Which of the following interventions reduces the incidence of postoperative ileus in this patient?

    A. Methylnaltrexone
    B. Sugar-free chewing gum
    C. Wound infiltration with liposomal bupivacaine
    D. Magnesium citrate
    E. Bisacodyl suppositories

    ANSWER: B

    Enhanced recovery after surgery (ERAS) protocols for patients undergoing colorectal surgery are derived from studies evaluating the efficacy of interventions designed to reduce the morbidity and cost of surgical procedures and
    therefore improve outcomes and value.
    One such intervention, providing sugar-free chewing gum perioperatively, is as a method of sham feeding, with the hope that the mastication motion will promote intestinal motility through the cephalic phase of vagal enteric stimulation.
    The true mechanism is not entirely understood, and a randomized controlled trial of sugared chewing gum did not show abenefit, insinuating that the hexitols in sugar-free gum may
    have a laxative effect and contribute to bowel motility. A meta-analysis summarizing the existing literature concluded that sugar-free chewing gum is an inexpensive and effective
    way to reduce postoperative ileus, and it is well-tolerated without any detrimental effect on patient outcomes

    Methylnaltrexone is currently indicated for opioid-induced constipation, but it was initially studied as an intervention to reduce postoperative ileus. Two large multicenter
    randomized controlled trials failed to show a reduction in postoperative ileus compared with placebo. Liposomal bupivacaine is gaining in popularity as a component of multimodal pain control in ERAS protocols.
    However, current data do not demonstrate superiority to conventional bupivacaine. Laxatives such as magnesium citrate and
    stimulants such as bisacodyl will induce diarrhea, but they will not increase small intestinal motility or reduce postoperative ileus
    A 72-year-old woman undergoes an open sigmoid colectomy for colon cancer. Which of the following interventions reduces the incidence of postoperative ileus in this patient? A. Methylnaltrexone B. Sugar-free chewing gum C. Wound infiltration with liposomal bupivacaine D. Magnesium citrate E. Bisacodyl suppositories ANSWER: B Enhanced recovery after surgery (ERAS) protocols for patients undergoing colorectal surgery are derived from studies evaluating the efficacy of interventions designed to reduce the morbidity and cost of surgical procedures and therefore improve outcomes and value. One such intervention, providing sugar-free chewing gum perioperatively, is as a method of sham feeding, with the hope that the mastication motion will promote intestinal motility through the cephalic phase of vagal enteric stimulation. The true mechanism is not entirely understood, and a randomized controlled trial of sugared chewing gum did not show abenefit, insinuating that the hexitols in sugar-free gum may have a laxative effect and contribute to bowel motility. A meta-analysis summarizing the existing literature concluded that sugar-free chewing gum is an inexpensive and effective way to reduce postoperative ileus, and it is well-tolerated without any detrimental effect on patient outcomes Methylnaltrexone is currently indicated for opioid-induced constipation, but it was initially studied as an intervention to reduce postoperative ileus. Two large multicenter randomized controlled trials failed to show a reduction in postoperative ileus compared with placebo. Liposomal bupivacaine is gaining in popularity as a component of multimodal pain control in ERAS protocols. However, current data do not demonstrate superiority to conventional bupivacaine. Laxatives such as magnesium citrate and stimulants such as bisacodyl will induce diarrhea, but they will not increase small intestinal motility or reduce postoperative ileus
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