Youtube daily la Jan 4 2019

Muscle contractures after amputation

So you are most probably still in the hospital

after your amputation.

The most important thing to keep in mind in this phase

is to help you prevent development of any contractures.

In this video we will show you

what to keep in mind.

Hi, I am Manali

and I am a physiotherapist.

I am here

at the Ottobock clinic in Mumbai

and I have Derrick with me to help us understand

how you can prevent muscle contractures.

Hi Derrick, how are you doing today?

Hi Manali, I am good. Thank you!

Please tell us something about your experiences.

I have been an amputee since 2017

and as an amputee it is important to know

what muscle contractures are

and how to prevent them.

So let us talk about it!

Derrick, please lie down and make yourself comfortable.

Sure!

A muscle contracture

is a permanent shortening of your musculature,

which reduces the joint mobility.

In order to attain a natural gait pattern it is important

that you can use the entire range of motion of the joint.

Hence it is important to prevent muscle contractures

right from the beginning.

Muscle contractures are formed

by scar tissue tightening,

fascia reduction,

circulatory disorders and inflammations.

However, the main reason to develop muscle contractures

is improper bedding.

You can easily develop muscle contractures due

to insufficient movement of the residual limb

or keeping it in a flexed position

over a long period of time.

Just like that.

You see

my joint is clearly flexed here.

I would not want my residual limb

to be in this position for too long.

Exactly Derrick.

It is important

that we keep it extended as long as possible.

We can only give you general advice.

Your physiotherapist, the nursing staff

and the doctor are in a better position

to individually examine you

and determine your personal health status.

For more infomation >> Muscle contractures after amputation - Duration: 2:02.

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La Disciplina de la Innovación - por Iván Vera - Duration: 2:53.

Innovation is everywhere, and it always has been.

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and even agriculture and the wheel,

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more than 100,000 years ago. It has always been convenient to innovate,

But now, innovating has stopped being just convenient - it has become essential.

We are facing a digital tsunami of new technologies.

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that evolve rapidly.

Over the past 30 years I have collaborated on hundreds of innovations with large companies

and with founders of startups and various professionals.

Many of them have become protagonists of innovation

From my experience, I have come to believe

that anyone who wants to can become a protagonist of innovation -

a teacher in Valparaíso, a journalism student in Mexico City,

or a supervisor of a company in Santiago, in Prague, or in Sao Paulo -

Anyone can be a protagonist in innovation!

But the only ones who achieve this goal will be those who put in effort,

practice discipline, and find the right work team.

The most extraordinary thing about this course is that those who follow it responsibly

will understand how to find the best opportunities for innovation

and will develop the ability to make a proposal that will attract the necessary capital and talent.

Like in tennis or taekwondo, it's not possible to become very good

in two or three months. This takes years.

You do not learn to play tennis by reading a book about tennis, you learn by playing tennis.

It's the same in innovation - you learn to innovate by innovating.

However, in innovating, we are certainly going to fail.

I failed dozens of times in various innovation projects.

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The lessons from each failure have become concepts and methodologies,

although clearly not everything can be learned from others,

you will always learn from your own experience.

I'm Iván Vera, and this is my Turingo course:

The Discipline of Innovation. We can all be part of it.

For more infomation >> La Disciplina de la Innovación - por Iván Vera - Duration: 2:53.

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ALLAHUMMA La Sahla Meaning and Benefits

mp3 by yaALLAH.in

Dua for Worries and Problems

ALLAHUMMA

La

Illa

Maa Ja'altahu

Sahlanwa Anta

Taj 'alul

'Haznaa

Izaa

Shi ta

Sahlaa

O ALLAH!

no task is easy

only one

which YOU make easy

and whenever YOU will

difficulties are reduced

to easy

things!

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✅ Giulia e Irama, annuncio misterioso tra baci e coccole: la rivelazione della De Lellis - Duration: 3:03.

Irama e Giulia De Lellis, la storia d'amore continua sui social  Giulia e Irama sono tra le coppie Vip più chiacchierate del momento per tanti motivi

Lei infatti è l'ex di Andrea Damante, e si sta rifacendo una vita dopo essersi lasciata con lui puntando moltissimo anche sulla propria carriera; lui invece è il vincitore di Amici 2017 che nessuno si sarebbe mai sognato di vedere accanto alla web influencer

Oggi i due sono più innamorati che mai e spesso lo dimostrano anche con storie Instagram tenerissime come quella di stanotte

Non avete visto niente? Vi aggiorniamo subito perché queste storie sprizzano amore da tutti i pixel

Giulia e Irama affiatatissimi nella notte: tre storie Instagram che piacciono  Giulia De Lellis ha pubblicato tre storie su Instagram in cui dice di essere molto stanca per la vita che fa con Irama e che forse era meglio "quando faceva la web influencer"

Tutto in tono molto scherzoso ovviamente, visto che dagli occhi di lei e dalle parole e dall'atteggiamento di lui sembra che i due stiano benissimo insieme

D'altra parte non c'è molto da meravigliarsi se pensate al fatto anche la carriera non sembra dar loro preoccupazioni, anzi l'ultima volta la De Lellis ha spiazzato tutti con un annuncio importantissimo al riguardo

Lo stesso si può dire di Irama che col suo CD Giovani sta sbancando. Irama e Giulia news, il mistero della De Lellis: "Abbiamo fatto tante cose ma non possiamo dire cosa"  Le storie pubblicate da Giulia insomma confermano quanto già sapevamo

E non solo. L'ex concorrente del Grande Fratello Vip, che rivedremo presto in televisione, ha anche fatto capire che c'è qualcosa in serbo per i fan

Vi postiamo il messaggio completo tratto dalla storia: "Ragazzi, voi non potete capire ma noi veniamo da un viaggio veramente pesante di 'sole' sette ore

Oggi abbiamo fatto veramente tante cose ma non possiamo dire cosa. Ho fatto una quantità di concerti che ho perso il conto, era meglio quando facevo l'influencer

Volevo dirvi che sono viva, vengo solo da un tour de force". Nessuna risposta quindi all'ultimo post di Ignazio Moser per Andrea Damante dopo le polemiche sul presunto tradimento, ma solo uno sguardo al futuro: Giulia De Lellis e Irama sono inarrestabili

For more infomation >> ✅ Giulia e Irama, annuncio misterioso tra baci e coccole: la rivelazione della De Lellis - Duration: 3:03.

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How and what skills do I need to join your team ?

Everyone can bring something with their capacity

even if you are student or retired

We don't have to come with specific knowledge

It's precisely the opportunity to develop them

I also learn

It's exchanges, it's very interesting

There are at least 10 people of my entourage

who told me : "I want to do it"

"Can I come ? How does it work ?"

You just have to send an email and we can see each other !

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La Fortuna Waterfall + Our Childhood in Space - Duration: 11:50.

also I was thinking about something I always wear this NASA shirt and I don't

know if I've ever told you guys why I wear it or the significance that it has

for me and for Jesse but all right

puppy dog, you're so precious

all right, good morning we are going to the waterfall

waterfall! waterfall!

we are here we are going to hike to the waterfall there 500 steps down should be

interesting with a three-year-old let's see how it goes

also I was thinking about something I always wear this NASA shirt and I don't

know if I've ever told you guys why I wear it or the significance that it has

for me and for Jesse but I will save that for when we're down at the

waterfall

she did that on her own I did not tell her to do that

all right we are at the overlook you can look out and see the waterfall from the

top it's beautiful I'm so excited I love waterfalls and now we're gonna

take the bajillion steps and go down to the bottom and swim

the water is cool and refreshing especially after all those stairs

it is funny like when you start walking down you're like oh this is no big deal

I live in Guanajuato whatever and then by the time you get down to the bottom

your little legs are just dedededed there's a calmer pool over here a little bit away from

the waterfall so it's perfect to swim in it's got a nice little shallow area and

lots of rocks for a certain three-year-old who loves nothing more

than throwing rocks into bodies of water we are relaxing here

just so pretty and so nice

I told you I'd talk about the NASA shirt so Jesse you know Jesse and I grew up in

Florida I was born in West Virginia and lived there the first four years of my

life my dad was a coal miner and he was he was an electrician in the coal mines so in

the 80s coal went bust and the mine that my dad worked in closed so we

actually ended up moving to Florida where my dad got a job out in

the Space Center working on rockets so my the rest of my dad's career was been

working on the solid boosters of rockets that put

satellites up into space keep putting rocks around the sides and then adding

more dirt my dad's first job at Kennedy Space Center

was supervising the installation of the ceramic tiles on the

shuttle, Space Shuttle Orbiter and it was like so intense

and like he had to like I mean it's all these tiles they're like that big

covering a spaceship and they all had to be installed in an exact place they were

manufactured to only go in one spot it was really intense and he would talk

like in his sleep at night like saying like the name

number designations and locations of the tiles on the ship also guys I don't

want to hear about Guanajuato being touristy again

come to La Fortuna and then tell me that Guanajuato's touristy

okay we're here at a place for lunch just down the hill from we're laughing

at the dogs it's just down the hill from the waterfall and there are these dogs they're so sweet

hello

awww

doggies like a lot of petting

yes they do

puppy dog, you're so precious

there are two dogs here and we're petting them and loving on them and they're sweet makes me happy and sad

the guanabana shake my dad loved these, got them whenever he'd take me to Cuban restaurants

so RIP Tom

For more infomation >> La Fortuna Waterfall + Our Childhood in Space - Duration: 11:50.

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Scar care & scar mobilisation after amputation - Duration: 3:05.

Scar care & scar mobilisation after amputation

Hi, I'm Christoph Eckermann.

I'm a physiotherapist at Ottobock

in the Competence Center in Duderstadt.

Today, Feridun and I will show you

how to take proper care of your residual limb

and scar after the amputation.

Hi, that's right.

Depending on your condition,

you can do the desensitisation exercises three to four times a day

for 5 to 10 minutes each.

Please start by using a towel

to make small motions around your scar.

It's important

that this isn't painful,

even when you gradually increase the pressure later.

After a few days,

you can increase the pressure somewhat

and use a soft brush

to make circular movements around your scar

and on your scar as well.

If this is painful,

please reduce the pressure.

Very good Feridun, thank you.

The last step is using a spiky massage ball

to make small motions around the scar.

This continues to desensitise it.

Scar mobilisation starts at the same time as scar care.

It's very important

that the sutures have been pulled from the scar

and it is completely healed over.

Mobilisation aims to promote the movement

of the scar and prevent adhesions.

Let me show you how.

The scar is held firmly on one side,

and you use the other hand

to make circular motions towards the scar.

After making around five circular motions in place,

you go up and down the whole scar.

Another version is

to fixate the scar from one side

and use your thumb to push the skin towards the scar.

Go up and down the whole scar in small steps.

If this is painful,

you should lower the pressure you are exerting during the movement.

Another option

is to fixate both ends of the scar

and push the skin in opposite directions.

Take care

that the scar does not split apart during scar mobilisation

and cause the wound to open up again.

Thank you, Feridun.

After a while,

you can do this exercise yourself

three to four times a day

for 5 to 10 minutes.

All the exercises

that we have just shown you

are of course general suggestions.

Please discuss them with your doctor,

Physiotherapist

or hospital personnel,

as they can best assess your individual situation.