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There are two main options for removing the tumor: breast-conserving surgery and removal of the breast mastectomy. Breast-conserving surgery leaves as much of the breast intact as possible.
There are several types: Lumpectomy is removal of the tumor with a small amount of surrounding normal tissue Wide excision or partial mastectomy is removal of the tumor and a somewhat larger amount of surrounding normal tissue Quadrantectomy is removal of one fourth of the breast Removing the tumor with some normal tissue provides the best chance of preventing cancer from recurring within the breast.
Breast-conserving surgery is usually combined with radiation therapy. The major advantage of breast-conserving surgery is cosmetic: This surgery may help preserve body image.
Thus, when the tumor is large in relation to the breast, this type of surgery is less likely to be useful. In such cases, removing the tumor plus some surrounding normal tissue means removing most of the breast.
Breast-conserving surgery is usually more appropriate when tumors are small. However, in most women, the treated breast shrinks somewhat and may change in contour.
Mastectomy is the other main surgical option. There are several types: Simple mastectomy consists of removing all breast tissue but leaving the muscle under the breast and enough skin to cover the wound.
Reconstruction of the breast is much easier if these tissues are left. A simple mastectomy, rather than breast-conserving surgery, is usually performed when there is a substantial amount of cancer in the milk ducts.
Modified radical mastectomy consists of removing all breast tissue and some lymph nodes in the armpit but leaving the muscle under the breast.
This procedure is usually performed instead of a radical mastectomy. Radical mastectomy consists of removing all breast tissue plus the lymph nodes in the armpit and the muscle under the breast.
This procedure is rarely performed now. Lymph node surgery lymph node dissection is also performed if the cancer is or is suspected to be invasive.
Nearby lymph nodes usually about 10 to 20 are removed and examined to determine whether the cancer has spread to them.
If cancer cells are detected in the lymph nodes, the likelihood that the cancer has spread to other parts of the body is increased.
In such cases, additional treatment is needed. Removal of lymph nodes often causes problems, because it affects the drainage of fluids in tissues.
As a result, fluids may accumulate, causing persistent swelling lymphedema of the arm or hand. Arm and shoulder movement may be limited.
Other problems include temporary or persistent numbness, VI. A sentinel lymph node biopsy is an alternative approach that may minimize or avoid the problems of lymph node surgery.
This procedure involves locating and removing the first lymph node or nodes into which the tumor drains.
If this node contains cancer cells, the other lymph nodes are removed. If it does not, the other lymph nodes are not removed. Whether this procedure is as effective as standard lymph node surgery is being studied.
Breast reconstruction surgery may be performed at the same time as a mastectomy or later. The safety of silicone implants, which sometimes leak, has been questioned.
However, there is almost no evidence suggesting that silicone leakage has serious effects. Ein einzelner Muskel lat.
Demnach unterscheidet man glatte Muskulatur und quer gestreifte Muskulatur. Das einem Muskel zugrunde liegende Gewebe ist das Muskelgewebe, welches aus charakteristischen Muskelzellen besteht.
Beim Skelettmuskel werden die Muskelzellen als Muskelfasern bezeichnet. Wenn der Muskel sich zusammenzieht, gleiten diese Filamentreihen mit Hilfe von Querverbindungen, die wie Sperrklinken wirken, aneinander vorbei.
Die Muskelfasern kann man nach ihrer Funktion in schnelle und langsame Fasern einteilen. Bei manchen Krankheiten, z. It is classified as skeletal, cardiac, or smooth muscle, and its function is to produce force and cause motion, either locomotion or movement within internal organs.
Much of muscle contraction occurs without conscious thought and is necessary for survival, like the contraction of the heart, or peristalsis which pushes food through the digestive system.
Voluntary muscle contraction is used to move the body, and can be finely controlled, like movements of the eye, or gross movements like the quadriceps muscle of the thigh.
There are two broad types of voluntary muscle fibers, slow twitch and fast twitch. Slow twitch fibers contract for long periods of time but with little force while fast twitch fibers contract quickly and powerfully but fatigue very rapidly.
Each muscle cell, or fiber, contains several myofibrils, which are composed of regularly arranged myofilaments of two types, thick and thin.
Each thick myofilament contains several hundred molecules of the protein myosin. Thin filaments contain two strands of the protein actin.
The myofibrils are made up of alternating VI. During muscular contractions, these interdigitated rows of filaments slide along each other by means of cross bridges that act as ratchets.
The energy for this motion is generated by densely packed mitochondria that surround the myofibrils.
Smooth muscle is found in organs made up also of other tissues, such as the heart and intestines, which contain layers of connective tissue.
Skeletal muscle is usually found in bundles, composing muscular structures resembling organs in function. These often ripple the skin visibly during muscular action.
The shape of the muscular organ is dependent on its location and function. Muscle fibers have been classified by function into slow twitch type I and fast twitch type II.
Most skeletal muscles are composed of both types of fibers, although one type may predominate. The fast-twitch, darker-hued muscle fibers contract more rapidly and produce bursts of power; the slow-twitch, lighter-hued muscle fibers have greater endurance.
Muscles that are given proper exercise react to stimuli quickly and powerfully, and are said to possess tone.
As a result of excessive use, muscles may hypertrophy, that is, increase in size because of an increase in size of the individual muscle cells.
As a result of prolonged disuse, muscles may atrophy, or diminish in size, and become weaker. In certain diseases, such as various forms of paralysis, the muscles may atrophy to such a degree that they are reduced to a fraction of their normal size.
There are two such muscles on each side of the sternum breastbone in the human body: pectoralis major and pectoralis minor.
Der Narbenverlauf entspricht dem der Brustverkleinerung, d. Was kann eine Bruststraffung erreichen? Sagen Sie bitte, ob Sie derzeit Medikamente einnehmen und ob Vorerkrankungen bestehen.
Stellen Sie bitte alle Fragen, die Sie zu dieser Behandlungsform haben. Die Haut wird dann teilweise entfernt und gestrafft und die Brust so neu geformt.
Allgemein kann gesagt werden, ass je ausgedehnter die Hautschnitte sind, desto umfangreicher kann eine Neuformung der Brust erforderlich sein.
Die Haut um den Warzenvorhof wird dann entfernt. Wie lange dauert die Operation? Eine beidseitige Bruststraffung dauert ca.
Wenn nur kleinere Hautschnitte erforderlich sind, kann die Operation evtl. Wie viel Schmerzen werden Sie haben?
Die leichten Schmerzen lassen sich jedoch gut mit Schmerzmitteln behandeln und werden von Tag zu Tag besser. Was haben Sie nach der Operation zu erwarten?
Die meisten Patientinnen sind schon unmittelbar nach der Operation sehr zufrieden. Wie lange dauert es, bis Sie sich erholt haben? Wie sieht das langfristige Ergebnis bei den meisten Patientinnen aus?
Blutungen, Infektionen oder Narkosereaktionen. DEF 1a Breast lift or mastopexy surgery is a technique performed to restore a more youthful shape and position to a breast that has developed ptosis drooping of the breast related to aging, pregnancy, breast feeding, or weight loss.
As the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag. No surgery can permanently delay the effects of gravity.
Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple. Incisions required for breast lift are similar to those required for a breast reduction.
GLOSSAR B The major difference between a mastopexy and a reduction are that in a reduction the excess breast tissue is removed while in a lift it is lifted and rearranged to a more youthful position.
If your breasts are small or have lost volume, breast implants inserted in conjunction with mastopexy can increase both their firmness and their size.
Ideal candidates for breast lift or mastopexy surgery are those women who are pleased with the size of their breast when wearing a bra and those patients with good quality skin with few stretch marks.
Breast lift surgery, which may also be performed in conjunction with breast augmentation or breast reduction surgery, gives the affected women firmer and more youthful breasts, and can have a long-term positive effect on both their physical proportions and their self-esteem.
Breast lifts are an option for many women in very different age groups. Frequently the desire for cosmetic surgery comes after a number of pregnancies or major weight loss.
Other reasons include extreme, agerelated drooping of the breasts or congenital breast deformity different shaped breasts; excessively large nipples, etc.
Before Surgery You will first discuss your concerns with one of our specialists during a personal consultation session. The two of you will decide whether a breast lift is appropriate in your case and what form it might take.
The specialist will also indicate the kind of outcome you can expect and any side effects and risks of the treatment.
Two weeks before surgery you must refrain from taking any medication containing aspirin e.
You may take Ponstan, Panadol or Voltaren as an alternative painkiller, if required. If you are unsure about the best choice of medication, please feel free to consult us at any time.
The Operation On the day of the operation you will arrive at the Pyramid Clinic one and a half to two hours before your scheduled surgery.
The nursing staff and specialists will prepare you for the operation ahead. Your specialist will also go through the details of your operation with you again and the anaesthetist will explain the planned anaesthetic procedure.
The volume of the new breast will depend on the amount of available breast tissue. A classic breast lift involves the breast mound being remodelled internally and the skin lifted over it.
In such cases, the volume of the breast remains the same, but the shape of the breast is improved and lifted.
The incision runs around the areola and in a vertical line extending in a downward direction. In some cases another incision is required along the line of your natural breast crease.
The procedure takes about two hours and may be performed under regional or general anaesthetic. We recommend staying in the clinic for one or two nights after surgery.
After Surgery After the operation, your breasts will be bound with a firmly fitting support VI. The following day the tubes used to drain blood and secretions from the wound will be removed.
Then you will be able to leave the clinic. A week later the support bandage will be removed and replaced by a sports bra. This takes over the role of the support bandage and should be worn day and night for a further three weeks.
After four to six weeks, all signs of the operation should have substantially healed. In every other respect, be sure to follow the exact instructions of your specialist or nurse.
What are the risks posed by breast lift surgery? As a general rule, any operation carries with it certain risks e. The specialist will discuss any potential risks with you as part of the consultation process and in preparation for surgery.
What does breast lift surgery cost? The cost of any treatment depends on the kind and extent of surgical intervention involved and can only be determined as part of a private consultation session and a medical examination.
If you decide to proceed with surgery, you will receive a detailed quote for all costs. The total amount must be paid no later than one month in advance of treatment, to ensure confirmation of the scheduled operation.
This advance payment, which is standard practice in the private health sector, is required so that the necessary preparations for your surgery can be made.
Are the costs of this surgery covered by health insurance? The costs of breast lift surgery are not covered by health insurance, as it is considered purely cosmetic surgery.
In the case of patients requiring simultaneous breast reduction surgery deemed medically necessary, partial cover or even full cover is possible.
However, any partial or full cover of costs by your health insurance company will depend on provision of a comprehensive medical report.
Will breast lift surgery leave any permanent scarring? Normally breast reduction surgery will leave faint, light scars that are scarcely noticeable.
Due to the removal of tissue and skin from the breasts, the position of the nipples will change. To ensure an aesthetically pleasing result is achieved, the areola will be adjusted to suit the new breast and the nipple lifted into its new position.
This is normally achieved without any loss of sensation as a result. Das Resultat nennt man umgangssprachlich da die meisten Implantate aus Silikon sind auch Silikonbusen.
Das durchschnittliche Alter der Patientinnen sinkt von Jahr zu Jahr kontinuierlich. Dies ist unter anderem dann der Fall, wenn eine entstellende Fehlbildung der weiblichen Brust vorliegt, die eine Erkrankung im Sinne des Sozialgesetzbuches ist.
Die Kassen zahlen auch die Brustrekonstruktion mit Silikonimplantaten nach Brustamputation wegen einer Krebserkrankung.
Was kann durch eine Brustaugmentation erreicht werden? Wir werden mit Ihnen auch besprechen, wie z.
Unter gewissen Voraussetzungen, wie z. Was haben Sie nach der Operation zu erwarten, und wie viele Schmerzen werden Sie haben?
Es ist wichtig, dass Sie die Medikamente, die wir Ihnen verschrieben haben, auch einnehmen. Jemand sollte Sie unbedingt abholen und nach Hause fahren.
Wie lange dauert es, bis Sie sich wieder erholt haben? Es ist sehr wichtig, dass Sie den Ablauf nach der Operation genau mit uns besprechen.
Wenn Sie unsere Anweisungen befolgen, sollten Sie sich problemlos und schnell von dem Eingriff erholen. Nach einigen Tagen wird der Verband abgenommen.
Nicht schwanger sind und nicht stillen in gutem allgemeinen Gesundheitszustand sind psychisch stabil sind ihr Aussehen verbessern wollen realistische Erwartungen haben, bisher noch keine Brustoperation gehabt haben.
Bis heute konnte jedoch kein Zusammenhang mit der Entstehung von Brustkrebs oder Rheuma nachgewiesen werden.
Infektion, Nachblutungen, Risiken der Narkose oder die Notwendigkeit von weiteren Korrekturoperationen. Vor allem dann sichtbar, wenn sich das Implantat bewegt.
In diesem Fall sollte das Implantat ausgetauscht werden. DEF 1a Plastic surgery to enlarge the breast, often by insertion of an implant.
Many women are not completely happy with VI. The desire for corrective breast surgery may also stem from a congenital malformation.
For many women, the size or shape of their breasts is not only a question of their figure but also an essential part of their self worth.
Their attitude to their own body and ultimately their sexuality may be severely impaired by breasts they consider to be too small.
Today women who are unhappy with the size or shape of their breasts have many options for changing them and bringing their personal perception into line with their physical appearance.
Breast augmentation is sought by many women of all different age categories. Most women want naturally augmented breasts that are in harmony with the rest of their figure.
Before surgery You will first discuss your concerns with one of our specialists during a personal consultation session. The two of you will decide whether breast augmentation is appropriate in your case and what form it might take.
Your new bust size and shape will also be part of an in-depth discussion. We do our utmost to meet your expectations about size and shape in proportion to your existing figure and in the interests of achieving the most harmonious and natural result possible.
For technical, medical and ethical reasons, we advise against any excessive enlargement of the bust. For breast augmentation, we use only the very latest, high quality implants.
These are made from textured silicon and give the breast more volume and firmness. The advantage of using this particular type of implant is that they cannot leak and they also produce very attractive, natural results.
The surgery itself requires an incision, either in the crease below the breast, around the areola or in the armpit. The implant is then inserted and, depending on the condition of your soft tissue, positioned above or below the breast muscle.
Breast augmentation is normally performed under a general anaesthetic and takes about an hour and a quarter. After Surgery On the day after the operation, the tubes used to drain blood and secretions from the wound will be removed.
You will have to wear a firmly fitting, support bandage around your bust until the fourth day, when this is replaced by a sports bra.
You VI. After six to eight weeks, all signs of the operation should have substantially healed. Initially you will feel a slight pressure sensation.
Implants positioned under the muscle may cause slightly more pain in the first two weeks. For a few weeks or in rare cases a little longer, you may feel as though something is missing or has changed.
This feeling passes in most cases with time. In rare cases, a patient may complain during the first six weeks of a foreign object sensation.
It is important to keep the breast area stable, to allow the implant to settle in and heal as well as possible.
Will breast augmentation leave any permanent scarring? The four and a half to five centimetre long scar will either be under the crease of your breast, around the areola or in the armpit.
After the full healing period has passed it is normally scarcely visible. The pros and cons of each technique will be discussed with you beforehand.
Do the implants have to be replaced after a certain time? As in the case of any procedure involving the introduction of foreign objects or implants, further surgery some years after the original breast augmentation procedure cannot be ruled out.
The reason why a replacement might become necessary has nothing to do with the durability of the implants themselves, but depends on any changes occurring in your own body.
For instance, the likelihood of requiring a replacement increases with age. However, routine replacement every ten years, as is sometimes recommended, is not necessary.
Based on our experience with the latest silicon implants, you can expect them to last a long time. Which implants are the most commonly used?
There is a basic distinction made between implants filled with saline or silicone. Will I be able to notice the implants afterwards?
Very slim patients with little underlying fatty tissue may experience some sensitivity. However, in most cases, the implant is not visible from the outside.
What are the risks posed by breast augmentation? Capsular contracture is one specific risk related to implants. This is a natural reaction to a foreign object, whereby the body forms a sheath of connective tissue around the implant.
As this layer of tissue contracts, the implant becomes tighter and the breast will feel harder. In severe cases, corrective surgery may be required to remove the scar tissue.
This often goes hand in hand with an implant replacement. Is it possible to breastfeed after breast augmentation? Breast augmentation does not affect your ability to breastfeed, as the implant is positioned behind the milk ducts.
Extensive studies show that breast implants pose no increased risk of breast cancer. Depending on your occupation, you should allow for at least four days off work.
What does breast augmentation cost? Are the costs covered by health insurance? Breast augmentation is not covered by health insurance.
However, if capsular contracture occurs at a later stage, the costs may be partly covered. In , , breast augmentation procedures were performed in the U.
TED Brustverkleinerung N. Die Indikation, d. Eine relative Indikation ist der Wunsch nach einer kosmetischen Verbesserung.
Die Operation erfolgt in Narkose. Es existieren zahlreiche verschiedene Operationstechniken, die Ergebnisse VI. Die Patientinnen sind in der Regel sehr dankbar, da sie eine deutliche Erleichterung ihrer Beschwerden erfahren.
Die Narben sind nach der Operation sichtbar und werden gelegentlich durch den Zug der Brust auch breiter. Leistungspflicht Ihrer Krankenkasse.
Wie kann Ihnen eine Brustverkleinerung helfen? Es kann sein, dass Sie ein Notwendigkeitsschreiben von uns und Ihrem Hausarzt bzw. Der Brustwarzenhof wird umschnitten und dieser Schnitt wird dann bis in die Unterbrustfalte fortgesetzt.
Bei einigen Frauen kann evtl. Eventuell kann auch eine Fettabsaugung bei der Brustverkleinerung Anwendung finden. Diese Methode hat den Vorteil, dass die Narben kaum sichtbar sind.
Eine Brustreduktionsplastik dauert etwa Stunden. Wie viele Schmerzen werden Sie haben? Nach einigen Tagen wird das jedoch besser.
Der Verband wird nach einigen Tagen entfernt werden. Risiken: Jede Operation beinhaltet gewisse Risiken, so z.
Blutungen, Reaktionen auf das Narkosemittel und Infektionen. DEF 1a Surgical reduction of breast size in order to reduce the weight of the breasts and relieve symptoms from unusually large, pendulous breasts.
The surgical procedure is also known as reduction mammaplasty. The weight of very large breasts can cause back strain and discomfort.
The bra straps can cut into the shoulders, produce permanent grooves and even scar them. The contact of the breasts and the lower chest wall can create a chronic skin irritation called intertriginous dermatitis.
Very large breasts may interfere with the ability to exercise. The breasts are reshaped to form smaller breasts and the nipple and areola are repositioned.
Breast reduction can also be used to even up the size of the breasts where one is much larger than the other, a condition known as unilateral macromastia mammary hyperplasia.
Breast reduction is not recommended for young women whose breasts are not yet fully developed or for women who plan to breast feed since the surgery may impair the ability to breastfeed.
The surgery may also result in decreased feeling in the breasts or nipples. Only the women concerned will fully appreciate the physical, sporting and even sexual restrictions that are associated with this problem.
Heavy, sagging breasts can sometimes be very uncomfortable and cause chronic pain in the back and shoulder area.
In the worst cases they can even lead to spinal problems and postural damage. Over time, for young women in particular, it may develop into an unnecessary psychological burden.
However, the important proviso is that the woman has stopped growing and the breasts are fully developed. The procedure can still be performed on older patients, provided their general state of health is good enough to allow such an operation to proceed.
You will first discuss your concerns with one of our specialists during a personal consultation session. The two of you will decide whether breast reduction is appropriate in your case and what form it might take.
The Operation On the day of the operation you will arrive at the Pyramid Clinic two hours before your scheduled surgery.
Smaller, lighter and firmer breasts can be achieved by removing superfluous skin, fat and glandular tissue in the lower breast area.
A new breast is formed out of the remaining upper sections by internally remodelling the breast mound and lifting the skin over it.
The areola is reduced in size and the nipple raised into its new position. The procedure takes about two and a half hours and is performed under general anaesthetic.
After Surgery On the day after the operation, your breasts will be bound with a firmly fitting support bandage. After surgery, there may be some swelling and loss of sensation in the breasts, which should disappear in most cases after a few weeks.
Postoperative pain is extremely rare. It may take some weeks before normal sensation in the breasts is restored. For some time after the operation it is advisable to wear a comfortable bra that is gentle on the skin.
To ensure optimal healing, we recommend you take it easy for a period of up to six weeks particularly with regard to sport and physical activity.
Will breast reduction leave any permanent scarring? What are the risks posed by breast reduction? What does breast reduction surgery cost?
Are the costs of this procedure covered by health insurance? Because large, heavy breasts may constitute a health problem, e.
DEF The pigmented projection on the surface of the breast. In the mature female, ducts that conduct milk from the mammary glands to the surface of the breast exit through the nipple.
The surrounding flat area of pigmentation is the areola. TEE CE marking n. DEF The CE marking symbolizes the conformity of a product to the Community requirements incumbent on the manufacturer of the product.
It indicates that the product conforms with all the Community provisions providing for its affixing. The marking should be affixed prior to the product being placed on the European market and entering into service.
Scope The Decision lays down rules for affixing the CE conformity marking concerning the design, manufacture, placing on the market and entry into service of a product.
These products may circulate freely on the European market if they are accompanied by, for example, a declaration or certificate of conformity.
Responsibility of manufacturers The CE marking must be affixed by the manufacturer or his agent established within the Community.
The manufacturer bears ultimate responsibility for the conformity of the product. Conformity assessment relates to the design and production phases of the product.
Depending on the conformity assessment procedures applied, a notified body may be involved in these two phases.
If the notified body is involved in the production control phase, its identification number will follow the CE marking.
As the market leader in this area, we offer a range of breast implants. The surgeon will talk through with you the most suitable type for you, depending on your particular body and the results you want.
And we only use breast implants that have been awarded the European CE mark for quality assurance. Diese unspezifische Wirkung ruft bei einigen Formen der Chemotherapie schwere Nebenwirkungen hervor.
Bei einigen Krebserkrankungen im Kindesalter wird eine Heilung angestrebt, bei Erwachsenen gelingt dies jedoch selten. Heutzutage werden viele verschiedene Mittel zur Chemotherapie verwendet, je nach den zu behandelnden Krebserkrankungen.
Nach einer Chemotherapie sind normale Zellen offensichtlich eher in der Lage, sich zu regenerieren nachzuwachsen und das betroffene Gewebe wiederherzustellen.
Ist dies nicht der Fall, ist ein Wiederauftreten des Tumors an derselben Stelle sehr wahrscheinlich. Eine dieser Gruppen bilden die so genannten Alkylanzien.
Eine zweite Gruppe bilden die Antimetaboliten. Gelegentlich eignen sich diese Medikamente auch zur Behandlung von Krebserkrankungen von Kopf und Hals.
Eine dritte Gruppe stellen die Purinantagonisten dar. Mercaptopurin und Tioguanin TG. Die letzte Gruppe bilden die zytotoxischen Antibiotika und pflanzlichen Alkaloide.
Es gibt noch verschiedene andere Chemotherapeutika, z. Hydroxycarbamid, Procarbazin und Asparaginase, die alle das Wachstum der Tumorzellen hemmen.
Interferone, die normalerweise von viral VI. DEF 1a Chemotherapy, in its broadest sense, refers to the treatment of disease with chemicals.
In current usage, however, the term applies primarily to the treatment of infectious diseases and cancer. When used to refer to infectious diseases, the term is antimicrobial chemotherapy.
Antimicrobial chemotherapy can be used either for prophylaxis prevention or treatment cure of disease caused by bacteria, fungi, viruses, protozoa, or helminths.
Cancer chemotherapy uses synthetic chemicals and antibiotics that can differentiate to some degree between normal tissue cells and cancer cells.
Chemotherapy is used in the treatment of cancer; no therapeutic agents are available for the prevention of cancer.
The dramatic progress made in the transplantation oftissue and organs has been due, in part, to the use of chemicals that modify the immune response in recipients of these tissue and organs.
Oncologists use about 50 different chemotherapeutic drugs to combat cancer, generally administering more than one drug at a time because these drugs are more powerful when combined.
In some cases, the drugs cause programmed cell death. Many leukemias and lymphomas and cancer of the testicles are successfully treated with chemotherapy.
Breast, lung, colorectal, and prostate cancer are not currently curable with chemotherapy alone, so chemotherapy is often used in combination with other therapies.
In fact, the most common combination of cancer treatments is surgery or radiation therapy followed by chemotherapy. Chemotherapy often causes severe side effects, particularly reduced resistance to infection, internal bleeding, diarrhea, nausea, vomiting, hair loss, and insufficient oxygen in the blood, known as anemia.
Some tumors develop resistance to many drugs after exposure to just one drug, a condition called multidrug resistance.
When this happens, there may be no drugs that are effective against the tumor. DEF 1 Ligament: In anatomy, tough band of slightly elastic connective tissue, made of a fibrous protein known as collagen.
One type of ligament, such as a collateral ligament of the elbow or knee, holds together bones and cartilage at a joint. This white, shiny ligament provides flexibility for freedom of movement and, at the same time, prevents the bones from moving too far apart.
Another type of ligament is thickened tissue that surrounds and directly reinforces a joint, such as the shoulder and hip. Ligaments of yellow elastic tissue connect adjoining vertebrae in the spine.
Ligaments also support abdominal organs, such as the liver, kidneys, spleen, bladder, uterus, and diaphragm, and help maintain the shape of the breasts.
These ligaments are extensions of membranes covering the organs, or sheets of fibrous tissue. DEF 1a A neurologic or pharmacologic state in which painful stimuli are moderated such that, although still perceived, they are no longer painful.
An analgesic see DEF 2 , or painrelieving drug such as aspirin, may relieve a headache, but a person who takes an aspirin still feels other physical sensations, such as pressure, heat, cold, and vibration.
Pain is a crucial warning system that tells us when our bodies are in danger, but without anesthesia, pain would make surgery and various other medical procedures much more difficult - or even impossible.
Dieser technisch-wissenschaftliche Verein bildet gemeinsam mit seinen Tochtergesellschaften z.
Der DIN e. Im Bereich der Datenverarbeitung gibt es zahlreiche Normen z. Durch die Entstehungsweise der Normen soll sichergestellt werden, dass die Inhalte und Verfahrenstechniken den allgemein anerkannten Regeln der Technik entsprechen.
However, there are currently around thirty thousand DIN Standards, covering almost all fields of technology.
One of the earliest, and surely the most well-known, is DIN , the standard that introduced the A-series paper sizes in This was later adopted as international standard ISO in DIN is a registered association e.
Its headquarters is in Berlin. Since it has been recognized by the German government as the national standards body and represents German interests at international and European level.
A tube may need to be inserted to help the drainage of fluids. Usually patients are able to return home the day following surgery and able to move around in a day or two when bandages and drainage tubes are removed.
Hormone wie das Insulin direkt ins Blut ab. Sie brauchen auch Ihre Freiräume. Sie wünschen sich eine Frau die nicht nur Ihre Partnerin ist sondern auch Ihren besten Freund darstellt.
Ihr Drang zu ausgefallenen Dingen und zu Unternehmungen sollte sie auf jeden Fall teilen. Sie sind kein Stubenhocker und wollen es auch nicht werden.
Ein solides Fundament ist ein unverzichtbarer Bestandteil einer Beziehung. Typ B: Die harmonische Partnerin. Sie brauchen eine Frau, die wie Sie, liebevoll und einfühlsam ist.
Sie stehen mit beiden Beinen fest im Leben und wünschen sich dieses auch von Ihrer Partnerin. Harmonie und Geborgenheit stehen bei Ihnen ganz klar im Vordergrund.
Jeder sollte aber auch mal etwas eigenes Unternehmen, denn das hält eine harmonische Beziehung am Leben.
Typ C: Die Charming Lady. Sie soll im Leben stehen aber dennoch wissen wo ihr Platz ist, an Ihrer Seite! Sie sollte auch ihr eigenes Leben führen das sich aber auch im Rahmen halten sollte.
Sie lassen sich gerne mit einer eleganten und schönen Frau an Ihrer Seite betrachten, denn das macht Sie nicht nur stolz sondern gibt Ihnen auch die Bestätigung das richtige zu tun.
Und wenn Respekt und Treue vorhanden sind, dann sollte die Eifersucht auch nicht überhand nehmen und Ihnen steht eine wundervolle Beziehung bevor.
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Achte darauf, wie oft sie im Vergleich zu anderen Menschen lächelt oder lacht. Die Körpersprache der Männer findet unbewusst statt und sagt.
Achten Sie mal beim Gespräch mit einem Mann darauf. Wie Sie unwiderstehlich flirten. Körpersprache — der. Ich habe eine Seite gefunden wo viele Tipps für Männer aufgelistet sind: www.
Wenn man beim Flirten. Man denke hier nur. Oft wird eine Frau, die Interesse an dir hat, in deiner Anwesenheit kaum aufhören können zu lachen.
Das kann während eines Gesprächs mit dir passieren, während der sie viel Blickkontakt herstellt, lächelt und auch über die armseligsten Witze kichert oder lacht, oder einfach wenn sie sich in dem gleichen Raum befindet wie du.
Frauen senden beim Flirten klare Signale, Männer sollten allerdings auch die Körpersprache der Frau beim Flirten zu deuten wissen.
Die Geheimnisse der Körpersprache Beim Flirten kommt es mindestens ebensoviel auf die Körpersprache an wie auf die Wortwahl.
Junge Männer wollen Kinder;. Triff Singles aus deiner Nähe. Warum heulen Frauen beim. Wie Männer am. Beim Flirten sprechen wir nicht nur mit den Lippen und den Augen — auch die Körperhaltung sowie die Gestik übermitteln Signale ans Gegenüber.
Wer die. Jüngeren kindern unterstützung beim und flirten und zum kennenlernen neuer leute aus dem kiez und alle anderen.
Betroffenen männer psychotherapeutische. Aber ob sie ein wirkliches Interesse am Flirt mit einem Mann hat, sagt ihr Körper meist eindeutig.
Wirft sie. AC motor - Wikipedia. An industrial type of AC motor with electrical terminal box at the top and output rotating shaft on the left.
Such motors are widely used for pumps, blowers, conveyors and other industrial machinery. An AC motor is an electric motor driven by an alternating current AC.
The AC motor commonly consists of two basic parts, an outside stationary stator having coils supplied with alternating current to produce a rotating magnetic field, and an inside rotor attached to the output shaft producing a second rotating magnetic field.
The rotor magnetic field may be produced by permanent magnets, reluctance saliency, or DC or AC electrical windings. Less commonly, linear AC motors operate on similar principles as rotating motors but have their stationary and moving parts arranged in a straight line configuration, producing linear motion instead of rotation.
Operating principlesWhen an AC motor is in steady- state rotation motion , the magnetic fields of the rotor and stator rotate move with little or no slippage near synchrony.
The magnetic forces repulsive and attractive between the rotor and stator poles create average torque, capable of driving a load at rated speed.
Otherwise, asynchronously rotating magnetic fields would produce pulsating or non- average torque. The two main types of AC motors are classified as induction and synchronous.
The induction motor or asynchronous motor always relies on a small difference in speed between the stator rotating magnetic field and the rotor shaft speed called slip to induce rotor current in the rotor AC winding.
As a result, the induction motor cannot produce torque near synchronous speed where induction or slip is irrelevant or ceases to exist.
In contrast, the synchronous motor does not rely on slip- induction for operation and uses either permanent magnets, salient poles having projecting magnetic poles , or an independently excited rotor winding.
The synchronous motor produces its rated torque at exactly synchronous speed. The brushless wound- rotor doubly fed synchronous motor system has an independently excited rotor winding that does not rely on the principles of slip- induction of current.
The brushless wound- rotor doubly fed motor is a synchronous motor that can function exactly at the supply frequency or sub to super multiple of the supply frequency.
Polyphase Motors 3-Phase Because of the high efficiency and low cost, 3-Phase AC induction motors are the most common type of motor found in industrial applications….
Single phase synchronous motors are common sources of power to operate electric clocks and. Single Phase Induction Motor.
The synchronous motor is one of the principal types of ac motors. Like the induction motor…. Agilent Technologies Troubleshooting Three-Phase.
Motor control applications span everything from washing. Single-Phase Motor …. Although single-phase motor. Drawing from U.
Patent 3. Tesla's alternating current motor. Faraday is usually given credit for this discovery since he published his findings first.
French instrument maker Hippolyte Pixii generated a crude form of alternating current when he designed and built the first alternator.
It consisted of a revolving horseshoe magnet passing over two wound wire coils. Single-phase induction motor example cross ….
AC motors. Physical Society of London. AC system of currents to produce it. English engineer Elihu Thomson built an AC motor by expanding upon the induction- repulsion principle and his wattmeter.
American inventor Charles Schenk Bradley was the first to patent a two- phase AC power transmission with four wires. Ferraris demonstrated a working model of his single- phase induction motor in 1.
Tesla built his working two- phase induction motor in 1. American Institute of Electrical Engineers in 1.
Tesla claimed that he conceived the rotating magnetic field in 1. Tesla, in the same year, was granted a United States patent for his own motor.
Working from Ferraris's experiments, Mikhail Dolivo- Dobrovolsky introduced the first three- phase induction motor in 1.
Europe and the U. He also invented the first three- phase generator and transformer and combined them into the first complete AC three- phase system in 1.
The three- phase motor design was also worked on by the Swiss engineer Charles Eugene Lancelot Brown,[1. Induction motorIf the rotor of a squirrel cage motor were to run at the true synchronous speed, the flux in the rotor at any given place on the rotor would not change, and no current would be created in the squirrel cage.
For this reason, ordinary squirrel- cage motors run at some tens of RPM slower than synchronous speed.
Because the rotating field or equivalent pulsating field effectively rotates faster than the rotor, it could be said to slip past the surface of the rotor.
The difference between synchronous speed and actual speed is called slip, and loading the motor increases the amount of slip as the motor slows down slightly.
Even with no load, internal mechanical losses prevent the slip from being zero. Actual RPM for an induction motor will be less than this calculated synchronous speed by an amount known as slip, that increases with the torque produced.
With no load, the speed will be very close to synchronous. As an example, a typical four- pole motor running on 6.
The speed in this type of motor has traditionally been altered by having additional sets of coils or poles in the motor that can be switched on and off to change the speed of magnetic field rotation.
However, developments in power electronics mean that the frequency of the power supply can also now be varied to provide a smoother control of the motor speed.
This kind of rotor is the basic hardware for induction regulators, which is an exception of the use of rotating magnetic field as pure electrical not electromechanical application.
Polyphase cage rotorMost common AC motors use the squirrel- cage rotor, which will be found in virtually all domestic and light industrial alternating current motors.
The squirrel- cage refers to the rotating exercise cage for pet animals. The motor takes its name from the shape of its rotor "windings"- a ring at either end of the rotor, with bars connecting the rings running the length of the rotor.
It is typically cast aluminum or copper poured between the iron laminates of the rotor, and usually only the end rings will be visible.
The vast majority of the rotor currents will flow through the bars rather than the higher- resistance and usually varnished laminates.
Very low voltages at very high currents are typical in the bars and end rings; high efficiency motors will often use cast copper to reduce the resistance in the rotor.
In operation, the squirrel- cage motor may be viewed as a transformer with a rotating secondary. When the rotor is not rotating in sync with the magnetic field, large rotor currents are induced; the large rotor currents magnetize the rotor and interact with the stator's magnetic fields to bring the rotor almost into synchronization with the stator's field.
An unloaded squirrel- cage motor at rated no- load speed will consume electrical power only to maintain rotor speed against friction and resistance losses.
As the mechanical load increases, so will the electrical load - the electrical load is inherently related to the mechanical load.
This is similar to a transformer, where the primary's electrical load is related to the secondary's electrical load.
This is why a squirrel- cage blower motor may cause household lights to dim upon starting, but does not dim the lights on startup when its fan belt and therefore mechanical load is removed.
Furthermore, a stalled squirrel- cage motor overloaded or with a jammed shaft will consume current limited only by circuit resistance as it attempts to start.
Unless something else limits the current or cuts it off completely overheating and destruction of the winding insulation is the likely outcome.
Virtually every washing machine, dishwasher, standalone fan, record player, etc. Polyphase wound rotorAn alternate design, called the wound rotor, is used when variable speed is required.
One of the most common electrical motor used in most applications which is known as induction motor. This motor is also called as asynchronous motor because it runs at a speed less than its synchronous speed.
Here we need to define what is synchronous speed. Synchronous speed is the speed of rotation of the magnetic field in a rotary machine and it depends upon the frequency and number poles of the machine.
An induction motor always runs at a speed less than synchronous speed because the rotating magnetic field which is produced in the stator will generate flux in the rotor which will make the rotor to rotate, but due to the lagging of flux current in the rotor with flux current in the stator, the rotor will never reach to its rotating magnetic field speed i.
There are basically two types of induction motor that depend upon the input supply - single phase induction motor and three phase induction motor.
Single phase induction motor is not a self starting motor which we will discuss later and three phase induction motoris a self- starting motor.
Working Principle of Induction Motor. We need to give double excitation to make a machine to rotate. For example if we consider a DC motor, we will give one supply to the stator and another to the rotor through brush arrangement.
But in induction motor we give only one supply, so it is really interesting to know that how it works. It is very simple, from the name itself we can understand that induction process is involved.
Actually when we are giving the supply to the stator winding, flux will generate in the coil due to flow of current in the coil.
Now the rotor winding is arranged in such a way that it becomes short circuited in the rotor itself. The flux from the stator will cut the coil in the rotor and since the rotor coils are short circuited, according to Faraday's law of electromagnetic induction, current will start flowing in the coil of the rotor.
When the current will flow, another flux will get generated in the rotor. Now there will be two flux, one is stator flux and another is rotor flux and the rotor flux will be lagging w.
Due to this, the rotor will feel a torque which will make the rotor to rotate in the direction of rotating magnetic flux.
So the speed of the rotor will be depending upon the ac supply and the speed can be controlled by varying the input supply. This is the working principle of an induction motor of either type — single and three phase.
Split phase induction motor. Capacitor start induction motor Capacitor start capacitor run induction motor.
Shaded pole induction motor. Three Phase Induction Motor. Squirrel cage induction motor Slip ring induction motor.
We had mentioned above that single phase induction motor is not a self starting and three phase induction motor is self starting. So what is self starting?
When the machine starts running automatically without any external force to the machine, then it is called as self starting. For example we see that when we put on the switch the fan starts to rotate automatically, so it is self starting.
Point to be noted that fan used in home appliances is single phase induction motor which is inherently not self starting.
In three phase system, there are three single phase line with 1. So the rotating magnetic field is having the same phase difference which will make the rotor to move.
If we consider three phases a, b and c, when phase a is magnetized, the rotor will move towards the phase a winding a, in the next moment phase b will get magnetized and it will attract the rotor and then phase c.
So the rotor will continue to rotate. It will be having only one phase still it makes the rotor to rotate, so it is quite interesting.
Before that we need to know why single phase induction motor is not a self starting motor and how the problem is overcome.
We know that the ac supply is a sinusoidal wave and it produces pulsating magnetic field in uniformly distributed stator winding.
Since pulsating magnetic field can be assumed as two oppositely rotating magnetic fields, there will be no resultant torque produced at the starting and due to this the motor does not run.
After giving the supply, if the rotor is made to rotate in either direction by external force, then the motor will start to run. This problem has been solved by making the stator winding into two winding, one is main winding and another is auxiliary winding and a capacitor is fixed in series with the auxiliary winding.
This will make a phase difference when current will flow through the both coils. When there will be phase difference, the rotor will generate a starting torque and it will start to rotate.
Practically we can see that the fan does not rotate when the capacitor is disconnected from the motor but if we rotate with hand it will start to rotate.
So this is the reason of using capacitor in the single phase induction motor. There are several advantages of induction motor which makes this motor to have wider application.
It is having good efficiency up to 9. But the speed of the motor varies with the load given to the motor which is an disadvantage of this motor.
The direction of rotation of induction motor can easily be changed by changing the sequence of three phase supply, i.