Let's use an escrow service or gig

Maximatic:
Mint Xiaomi Redmi
Note 11pro 8gb / 128gb

hairline crack @ back glass

#100k

08179801339

is it still available and is the cartoon, recipet and accessories intact

What's the quantity price and quality.

Corridon:
This is a case of when failure meets failure. Imagine what a president of a country is commissioning in this modern times? What a shame. Both Buhari and Uzodimma are the real definition of failure.

please take away bitterness and focus on building wealth for yourself so that you can afford everything you wanted.

Tompolo hardly talk

adaperry25:
Drop your whatsapp no or whatsapp my signature

let chat here if you don't mind

Price

Anonymous993775:
This might sound weird but I'm turned on when I see dead women. I find them attractive. I've masturbated to many dead women in movies and graphic pictures on the internet of random dead women, even here on Nairaland. I need some help. Sex with living women is boring and I lose erection. To sustain erection I have to think of the dead.

I need some advice.

Bro I do understand your plight, you are suffering from Necrophilia go see a psychiatrist before it lead you to crime.

greencard:
good to the ear

But running a parastatal is different from running a country sir

You will need to deal with real humans

The good, the bad, the ugly, the evil, the critic, the praise singers, the honest, and many dishonest, the few loyalist, and more shocking betrayals. Baba u go grow white hair Kia kia

Well said

Ugik:
Succession season 3 loading....

I'M A BOLT DRIVER IN PORTHACOURT LOOKING FOR A CAR TO DRIVE AND MAKE WEEKLY PAYMENTS TO. AVAILABLE TO START IMMEDIATELY

send a text to 0*8*0*3*6*6*9*9*6*7*5

DMerciful:
Peter Obi, Osinbajo, Akinwumi Adeshina, Umahi. These guys are qualified but since it's Igbos turn, it goes to Obi.

Akinwumi Adeshina & Ngozi Okonjowela as his vice, if we can rally 200 meter for a celeb who add little to no value to our youth in less than 48 hours then i know we can gather and provide all the money this great personalities need for the election

Oh my God Not again, the Nurse will soon be on the run.

If found guilty let her pay all fees enquired by the patient parents and for put the kiddo through this traumatic experience living him with PSTD

she should face the tribunal for query and her nursing license be taken from her tell after 5 years to serve as a deterrent to others.

Officialgarri:
Deny deny deny is all they do. Anything IPOB denies is always true.

Today Kanu and his terrorist group are praising UGM, calling them Angels but when the army kills them, they are promptly denied by all.
They either become DSS or Fulani

Wahala for who dey go on suicide mission for IPOB when instead of being accorded a martyr after his eventual death, he is instead called a Fulani jhanjaweed

na so them be

mikaelangelov:
Guys please I have an urgent debt on my neck that I need to clear to avoid embarrassment. These items are all for sale for a measly amount of 15k
Ps3 fat with ylod
2 used pads
1 brand new pad
VGA cable
Two HDMI converters
Ps3 usb cord
Ps3 power canle
08039349674
I'm in calabar but can ship to anywhere

is it still available?

Betnomore:
You've bought several things from her without issue? That means she must be going through something which was beyond her means. But you sef don try. You waited 6 days before calling her out.

Bros dey absorb information before you quote na, the guy stated he has bought things here on nairaland not from her.

chachabae:
Looking for a quality cookware set?
Get this Dessini 23pieces cookware set and you would surely love it.
It is brand new!
This is sold for 55k - 60k.
Selling off at 50k.

Location is Gbagada, Lagos.
WhatsApp 080.3774.9796 if interested.

35K

Massteve:


Can be delivered anywhere

What's the deal?!

yes

Location

DrSamOnowu87:
If d kidnapped MNK is not released unconditionally there ll be no election in Anambra on November 6 and d whole of SE come 2023 that is if there wil be anything called Nigeria by then.
Thunder fire them and campaign.

I thought you were an intellectual see as you yarn like say you never smell school

fredrickmyers:
75k serious buyer

location?

Still available for purchase.

You can still call it quit, or continue to be in the shakel of your captivity

Rip

Mint SAMSUNG S8 PLUS

Memory 6/128

Rate 9/10


Price 90k firm

Chilobrachys andersoni, commonly known as the Burmese mustard tarantula, or Burmese Brown, is a species of spider of the genus Chilobrachys. It is found in India, Myanmar, Thailand and Malaysia.

https://www.youtube.com/watch?v=R7Ma1JC_ITo

Aortic valve replacement is a procedure whereby the failing aortic valve of a patient's heart is replaced with an artificial heart valve. The aortic valve may need to be replaced because:

The valve is leaky (aortic insufficiency, also known as aortic regurgitation)
The valve is narrowed and doesn't open fully (aortic stenosis)

Types of valves

There are two basic types of replacement heart valve: tissue (bioprosthetic) valves and mechanical valves.

Tissue valves
Tissue heart valves are usually made from animal tissue (heterografts) mounted on a metal or polymer support. Bovine (cow) tissue is most commonly used, but some are made from porcine (pig) tissue. The tissue is treated to prevent rejection and calcification (where calcium builds up on the replacement valve and stops it working properly).

Occasionally, alternatives to animal tissue valves are used: aortic homografts and pulmonary autografts. An aortic homograft is an aortic valve from a human donor, retrieved either after their death or from their heart if they are undergoing a heart transplant. A pulmonary autograft, also known as the Ross procedure is where the aortic valve is removed and replaced with the patient's own pulmonary valve (the valve between the right ventricle and the pulmonary artery). A pulmonary homograft (a pulmonary valve taken from a cadaver) is then used to replace the patient's own pulmonary valve. This procedure was first performed in 1967 and is used primarily in children, as it allows the patient's own pulmonary valve (now in the aortic position) to grow with the child.

Tissue valves can last 10–20 years. However, they tend to deteriorate more quickly in younger patients. New ways of preserving the tissue for longer are being investigated. One such preservation treatment is now being used in a commercially available tissue heart valve. In sheep and rabbit studies, the tissue (called RESILIA™ tissue) had less calcification than control tissue.[29] [30] However, long-term durability data in patients are not yet available.[31]

Tissue valves come as stented or stentless. Stented valves come in sizes from 19 mm to 29 mm. Stentless valves are directly sutured at the aortic root. The major advantage of stentless valves is that they limit patient–prosthesis mismatch (when the area of the prosthetic valve is too small in relation to the size of the patient, increasing the pressure inside the valve) and can be helpful when dealing with small aortic root. Their disadvantage is that it is more time-consuming to implant stentless valves than stented valves.

Mechanical valves
Mechanical valves are made from synthetic materials, such as titanium or pyrolytic carbon. They are more durable than tissue valves, typically lasting 20–30 years. However, the risk of blood clots forming is higher with mechanical valves than with tissue valves. As a result, people with mechanical heart valves must take anticoagulant (blood-thinning) drugs, such as warfarin, for the rest of their lives, making them more prone to bleeding. The sound of the valve can sometimes be heard (often as clicks) and can be disturbing.

Valve selection
Valve choice is a balance between the lower durability of tissue valves and the increased risk of blood clots and bleeding with mechanical valves. Guidelines suggest that patient age, lifestyle and medical history should all be considered when choosing a valve. Tissue valves deteriorate more rapidly in young patients and during pregnancy, but they are preferable for women who wish to have children because pregnancy increases the risk of blood clots. Typically, a mechanical valve is considered for patients under 60 years old, while a tissue valve is considered for patients over the age of 65 years.

https://www.youtube.com/watch?v=-zzZwznlAe8

Acute Coronary Syndrome

Acute coronary syndrome (ACS) is a syndrome (a set of signs and symptoms) due to decreased blood flow in the coronary arteries such that part of the heart muscle is unable to function properly or dies. The most common symptom is centrally located chest pain, often radiating to the left shoulder or angle of the jaw, crushing, central and associated with nausea and sweating. Many people with acute coronary syndromes present with symptoms other than chest pain, particularly women, older patients, and patients with diabetes mellitus.

Signs and symptoms

The cardinal symptom of critically decreased blood flow to the heart is chest pain, experienced as tightness around or over the chest and (often, but not always) radiating to the left arm and the left angle of the jaw. This may be associated with diaphoresis (sweating), nausea and vomiting, as well as shortness of breath. In many cases, the sensation is "atypical", with pain experienced in different ways or even being completely absent (which is more likely in female patients and those with diabetes). Some may report palpitations, anxiety or a sense of impending doom (angor animi) and a feeling of being acutely ill. The description of the chest discomfort as a pressure has little utility in aiding a diagnosis as it is not specific for ACS.

Though ACS is usually associated with coronary thrombosis, it can also be associated with cocaine use. Chest pain with features characteristic of cardiac origin (angina) can also be precipitated by profound anemia, brady- or tachycardia (excessively slow or rapid heart rate), low or high blood pressure, severe aortic valve stenosis (narrowing of the valve at the beginning of the aorta), pulmonary artery hypertension and a number of other conditions.

https://www.youtube.com/watch?v=IgSaKelZkAo

PNEUMONIA

Pneumonia is an inflammatory condition of the lung primarily affecting the small air sacs known as alveoli. Symptoms typically include some combination of productive or dry cough, chest pain, fever and difficulty breathing. The severity of the condition is variable.

Signs and symptoms


People with infectious pneumonia often have a productive cough, fever accompanied by shaking chills, shortness of breath, sharp or stabbing chest pain during deep breaths, and an increased rate of breathing. In elderly people, confusion may be the most prominent sign.

The typical signs and symptoms in children under five are fever, cough, and fast or difficult breathing. Fever is not very specific, as it occurs in many other common illnesses and may be absent in those with severe disease, malnutrition or in the elderly. In addition, a cough is frequently absent in children less than 2 months old. More severe signs and symptoms in children may include blue-tinged skin, unwillingness to drink, convulsions, ongoing vomiting, extremes of temperature, or a decreased level of consciousness.

Bacterial and viral cases of pneumonia usually result in similar symptoms. Some causes are associated with classic, but non-specific, clinical characteristics. Pneumonia caused by Legionella may occur with abdominal pain, diarrhea, or confusion. Pneumonia caused by Streptococcus pneumoniae is associated with rusty colored sputum. Pneumonia caused by Klebsiella may have bloody sputum often described as "currant jelly". Bloody sputum (known as hemoptysis) may also occur with tuberculosis, Gram-negative pneumonia, lung abscesses and more commonly acute bronchitis. Pneumonia caused by Mycoplasma pneumoniae may occur in association with swelling of the lymph nodes in the neck, joint pain, or a middle ear infection. Viral pneumonia presents more commonly with wheezing than bacterial pneumonia. Pneumonia was historically divided into "typical" and "atypical" based on the belief that the presentation predicted the underlying cause. However, evidence has not supported this distinction, therefore it is no longer emphasized.

https://www.youtube.com/watch?v=GUFzUhX0n5w

Abdominal Aortic Aneurysm

Abdominal aortic aneurysm (AAA or triple A) is a localized enlargement of the abdominal aorta such that the diameter is greater than 3 cm or more than 50% larger than normal. They usually cause no symptoms, except during rupture. Occasionally, abdominal, back, or leg pain may occur. Large aneurysms can sometimes be felt by pushing on the abdomen. Rupture may result in pain in the abdomen or back, low blood pressure, or loss of consciousness, and often results in death.

Signs and symptoms

Abdominal aortic aneurysm location
The vast majority of aneurysms are asymptomatic. However, as abdominal aortic aneurysms expand, they may become painful and lead to pulsating sensations in the abdomen or pain in the chest, lower back, or scrotum.

Complications

The complications include rupture, peripheral embolization, acute aortic occlusion, and aortocaval (between the aorta and inferior vena cava) or aortoduodenal (between the aorta and the duodenum) fistulae. On physical examination, a palpable and pulsatile abdominal mass can be noted. Bruits can be present in case of renal or visceral arterial stenosis.

The signs and symptoms of a ruptured AAA may include severe pain in the lower back, flank, abdomen or groin. A mass that pulses with the heart beat may also be felt. The bleeding can lead to a hypovolemic shock with low blood pressure and a fast heart rate. This may lead to brief passing out. The mortality of AAA rupture is as high as 90 percent. 65 to 75 percent of patients die before they arrive at the hospital and up to 90 percent die before they reach the operating room. The bleeding can be retroperitoneal or into the abdominal cavity. Rupture can also create a connection between the aorta and intestine or inferior vena cava. Flank ecchymosis (appearance of a bruise) is a sign of retroperitoneal bleeding, and is also called Grey Turner's sign.

Cc. dominique, Sissy3 please if you find this post worthy of front page please push it.


Garcias

^{https://www.youtube.com/watch?v=v9Lk1SmoY8g}

Hypertension (HTN or HT), also known as high blood pressure (HBP), is a long-term medical condition in which the blood pressure in the arteries is persistently elevated. High blood pressure typically does not cause symptoms. Long-term high blood pressure, however, is a major risk factor for stroke, coronary artery disease, heart failure, atrial fibrillation, peripheral arterial disease, vision loss, chronic kidney disease, and dementia.

High blood pressure is classified as primary (essential) hypertension or secondary hypertension. About 90–95% of cases are primary, defined as high blood pressure due to nonspecific lifestyle and genetic factors. Lifestyle factors that increase the risk include excess salt in the diet, excess body weight, smoking, and alcohol use. The remaining 5–10% of cases are categorized as secondary high blood pressure, defined as high blood pressure due to an identifiable cause, such as chronic kidney disease, narrowing of the kidney arteries, an endocrine disorder, or the use of birth control pills.

Blood pressure is classified by two measurements, the systolic and diastolic pressures, which are the maximum and minimum pressures, respectively. For most adults, normal blood pressure at rest is within the range of 100–130 millimeters mercury (mmHg) systolic and 60–80 mmHg diastolic. For most adults, high blood pressure is present if the resting blood pressure is persistently at or above 130/80 or 140/90 mmHg. Different numbers apply to children. Ambulatory blood pressure monitoring over a 24-hour period appears more accurate than office-based blood pressure measurement.

Lifestyle changes and medications can lower blood pressure and decrease the risk of health complications. Lifestyle changes include weight loss, physical exercise, decreased salt intake, reducing alcohol intake, and a healthy diet. If lifestyle changes are not sufficient, then blood pressure medications are used. Up to three medications taken concurrently can control blood pressure in 90% of people. The treatment of moderately high arterial blood pressure (defined as >160/100 mmHg) with medications is associated with an improved life expectancy. The effect of treatment of blood pressure between 130/80 mmHg and 160/100 mmHg is less clear, with some reviews finding benefit and others finding unclear benefit. High blood pressure affects between 16 and 37% of the population globally. In 2010 hypertension was believed to have been a factor in 18% of all deaths (9.4 million globally).


Signs and symptoms

Hypertension is rarely accompanied by symptoms, and its identification is usually through screening, or when seeking healthcare for an unrelated problem. Some people with high blood pressure report headaches (particularly at the back of the head and in the morning), as well as lightheadedness, vertigo, tinnitus (buzzing or hissing in the ears), altered vision or fainting episodes. These symptoms, however, might be related to associated anxiety rather than the high blood pressure itself.

On physical examination, hypertension may be associated with the presence of changes in the optic fundus seen by ophthalmoscopy. The severity of the changes typical of hypertensive retinopathy is graded from I to IV; grades I and II may be difficult to differentiate. The severity of the retinopathy correlates roughly with the duration or the severity of the hypertension.

^{https://www.youtube.com/watch?v=ivrMz78CG_0}

b]Hirschsprung's disease (HD or HSCR) [/b]is a birth defect in which nerves are missing from parts of the intestine. The most prominent symptom is constipation. Other symptoms may include vomiting, abdominal pain, diarrhea and slow growth. Symptoms usually become apparent in the first two months of life. Complications may include enterocolitis, megacolon, bowel obstruction and intestinal perforation.

Signs and symptoms

Typically, Hirschsprung disease is diagnosed shortly after birth, although it may develop well into adulthood, because of the presence of megacolon, or because the baby fails to pass the first stool (meconium) within 48 hours of delivery. Normally, 90% of babies pass their first meconium within 24 hours, and 99% within 48 hours. Other symptoms include green or brown vomit, swelling of the abdomen, excessive gas, and bloody diarrhea.

Some cases are diagnosed later, into childhood, but usually before age 10. The child may experience fecal retention, constipation, or abdominal distention.

Associated syndromes

Hirschsprung's disease can also present as part of multi system disorders, such as:

Bardet–Biedl syndrome
Cartilage–hair hypoplasia
Congenital central hypoventilation syndrome
MEN2
Mowat–Wilson syndrome
Smith–Lemli–Opitz syndrome
Trisomy 21 (Down syndrome)
Some forms of Waardenburg syndrome.