- Buy Shiley cannula fenestrated tracheostomy tube from top rated stores. Comparison shopping for the best price. — “Shiley cannula fenestrated tracheostomy tube Medicine”,
- Hip Prosthesis - Find listings of Hip Prosthesis, Hip Prosthesis manufacturers, suppliers, exporters, traders and wholesalers from , , and India. Available in Non-Fenestrated or Fenestrated more. — “Hip Prosthesis”,
- Fenestrated information including symptoms, causes, diseases, symptoms, treatments, and other medical and health issues. — “Fenestrated - ”,
- Definition of fenestrated capillaries in the Medical Dictionary. fenestrated capillaries explanation. Information about fenestrated capillaries in Free online English dictionary. What is fenestrated capillaries? Meaning of fenestrated capillaries. — “fenestrated capillaries - definition of fenestrated”, medical-
- Fenestrated definition, having windows; windowed; characterized by windows. See more. having one or more openings or pores. — “Fenestrated | Define Fenestrated at ”,
- AGA Medical introduced the AMPLATZER® Septal Occluder and the AMPLATZER® Multi-Fenestrated Septal Occluder – "Cribriform" the first catheter delivered atrial septal closure devices. Septal Occluder and Multi-fenestrated ASD and closure using the. — “US Products ASD Devices”,
- fenestrated. Derived from fenestra (Latin for window) fenestrated is an adjective meaning "it has windows". In this case, your monitor serves as a window into my domain on the web. I hope you enjoy the view. The web page is sized to be displayed at a size of 800 x 600 pixels. — “WSAntell's ”,
- is dedicated to tracheostomized and laryngectomized patients. We provide quality products and information in a convenient and economical way. — “ - 101 Standard Length Tube without Inner Cannula”,
- Definition of fenestrated from Webster's New World College Dictionary. Meaning of fenestrated. Pronunciation of fenestrated. Definition of the word fenestrated. Origin of the word fenestrated. — “fenestrated - Definition of fenestrated at ”,
- Fenestrated Drape Manufacturers & Fenestrated Drape Suppliers Directory - Find a Fenestrated Drape Manufacturer and Supplier. Choose quality Fenestrated Drape Manufacturers, Suppliers, Exporters at . — “Fenestrated Drape-Fenestrated Drape Manufacturers, Suppliers”,
- 3m Foam Dressing - 74 results like the 3M Tegaderm Foam Adhesive Dressing, 3M Tegaderm Foam Adhesive Dressing, 3M Foam Dressing Non-Adhesive Fenestrated 3.5 in x 3.58 in, 3M Tegaderm Foam Dressing Non Adhesive 3.5 In - Box of 10, 3M Tegaderm. — “3m Foam Dressing - Compare Prices, Reviews and Buy at NexTag”,
- Shiley® Reusable Cannula Cuffless Fenestrated Tracheostomy Tubes Tracheostomy Tubes Cuffless Fenestrated Tube (CFN) is designed for pulmonary. — “Shiley® Reusable Cannula Cuffless Fenestrated Tracheostomy”,
- Methods: The fenestrated aneurysm clip can be a simple and practical tool in the operative management of ACoA aneurysms. — “Fenestrated Aneurysm Clips in the Surgical Management of ACoA”,
- fenestrated also fenestrate ( ) adj. Architecture . Having windows or windowlike openings. Biology. — “fenestrated: Definition from ”,
- Fenestrated trachs may be used as a step before the removal of your trach What are the parts of a fenestrated trach tube? A fenestrated trach tube comes with an outer cannula, inner. — “Fenestrated Tracheostomy Tube”, medicalcenter.osu.edu
- fenestrated (comparative more fenestrated, superlative most fenestrated) /wiki/fenestrated" Categories: Latin derivations. — “fenestrated - Wiktionary”,
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- Definition of fenestrated in the Online Dictionary. Meaning of fenestrated. Pronunciation of fenestrated. Translations of fenestrated. fenestrated synonyms, fenestrated antonyms. Information about fenestrated in the free online English. — “fenestrated - definition of fenestrated by the Free Online”,
- Cardia Next Generation Septal Closure Technology helping people with pediatric & adult cardiac defects; migraines. — “Cardia, Inc. - Advancing Septal Closure Technology”,
- Definition of fenestrated from The American Heritage Medical Dictionary. — “fenestrated - Medical Definition”,
- Bloomington, Ind. - Cook Incorporated is the first company to receive U.S. clearance to begin investigational use of a fenestrated endovascular graft for complex abdominal aortic aneurysms. Company officials announced today that the U.S. Food and. — “Cook Medical | Newsroom | July 14, 2004”,
- : fenestrated trach Shiley Disposable Cannula Cuffless Fenestrated Tracheostomy Tube (DCFN) - Size 8 - I.D. 7.6mm - O.D. 12.2mm - Length 79mm - Box. — “: fenestrated trach”,
- There is a role for fenestrated and branch aortic stent grafts in the treatment of difficult aortic aneurysms. By John L. Anderson, FACS, FRACS The introduction of fenestrated and branched stent grafts into clinical practice in 1997. — “April 2004”,
related images for fenestrated
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- Text and Images copyright 2003 2008 Tyler Sable Information is presented for research and enterntainment only
- Figure 5 Endoscopy image shows the fenestrated opening arrow in the right posterolateral aspect of the esophagus
- and Deck II 2 6 1 While it can t been seen in any of these pictures this particular IIcx case has the signatures of the product design team etched into the base I think they d be proud
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- Implant Standard and Standard Temporary Series Implant Standard Fenestrated Series Implant Mini and Mini Temporary Series
- 1 Place patient in seated position Prep lower back with prep sponge 2 Apply fenestrated drape with oriﬁce over L4 L5 interspace Midline or paramedian approach may be used Create skin wheal in midline just cephalad to the L5 spinous process Use
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- Fig 5 Sequential computer regenerated photographs taken from an intra operative video of a fenestrated posterior semicircular c*** Note the single white conglomerate mass within the
- Double click on above image to view full picture
- Aorta Fenestrated Membranes jpg
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- labeled and which ones I cut off Note that there are more holders inside the case than only the ones I have labeled a hacker must use their own judgement and remove the necessary ones What to Do About the Speaker The IIcx and IIci have an internal speaker mounted in the front on a plastic device that also holds the motherboard in place The IIcx and IIci speaker is not
- Disassembly | Top Flip the floppy drive over and remove the 4 Phillips screws that are obviously accessable
- Barraquer Fenestrated Adult Heavy Wire Eye Speculum 1 Bishop Harmon Anterior Chamber Irrigator Cannula 6 Serrefine Dieffenbach Small 1 1 2 1 Watzke Sleeve Spreading Forceps 5 1 4
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- Figure 2 a Intra operative image showing partial deployment
- 50MHz Pictures 48MHz Turbo040 | Top As you can see I went a little crazy with my Turbo040 card It started out as a 40MHz Turbo040 I added a socket for the crystal oscillator down in the lower left corner Testing revealed
- out for a real 40MHz one and now 48MHz is extremely stable 50MHz is usable but crashes about once per day The speed difference between 48 and 50MHz is unnoticable so I choose stability When using the Turbo040 with a Macintosh IIsi Daystar Adaptor the Turbo040 is sandwiched right up against another expansion card An Asante ethernet card in my SE 30 Consequently there
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- Medulla of the same adrenal gland photographed in Figures A and B C chromaffin cell Ca Fenestrated Capillary CT connective tissue strands G Ganglion cell 2 300 X 2 Plate 19 4 The Pituitary Gland The pituitary gland or
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- a broken motherboard Here s an overview of the modifications that will be required the Barbaric Square Hole the In Security mod Lopping Off the Supports and What About the Speaker Insulation Upon first building this machine I found that touching it even slightly caused a crash This didn t happen when the parts were on the table *** and running however The
- do and technology improved To the point where I could give up the spectacles and move to a contact lens A gas permeable fenestrated lens from the Victorian College of Optometry A shot of my left eye with the fenestrated lens inserted Flourazine has been used to dye the lachrymal fluid tears so that the flow of fluid inside the lens can be seen
- CLOSE WINDOW Application of antiseptic solution Apply a sterile fenestrated drape to create a sterile field
- PLVAP png
- Malay techniques which replicate motifs of plants and flowers entities which are easily found in Malaysia The styles of carving include Tebuk Tembus Silap totally fenestrated and Tebuk Timbul Silap embossed Delicate carvings of flowers may take a longer time to complete hence stiffer price tags The designs do not replicate entire plants but zero in on the parts
- Implant Standard Fenestrated Series Implant Mini and Mini Temporary Series Redesigned Clip Case Simplifies Set Selection Mizuho s modular clip case system is laser etched with detailed clip drawings that make it easy to organize select sterilize and stock a full
- A heavily fenestrated form from Waycross Georgia var okefenokeensis North East form with pink fenestrations in its third year from seed
- balloon and fenestrated tip was also inserted in the stoma of the ascending end of the colostomy and the balloon on the lavage tube was also inflated to anchor it into the ascending colon Rectal thermocouuple probe of the type developed by BioPreservation
- Radiology Vascular Surgery A recent press release from NewYork Presbyterian Hospital is reporting that its surgical team has performed the first in New York City implantation of an abdominal aortic stent graft a
- 1 Schepens Orbital Retractor 6 Miscellaneous 1 Barraquer Fenestrated Adult Heavy Wire Eye Speculum 1 Bishop Harmon Anterior Chamber Irrigator Cannula 6
- from the perimeter of the internal assembly These fix the floppy mechanism itself into the internal frame Slide the floppy mechanism forward slightly to allow more room to reach the cable Then reach in through the open back access door and disconnect the 25 pin header from the floppy mechanism Slide the floppy mechanism the rest of the way out
- Fenestrated Barraquer Wire Speculum Adult 1 5 Iowa Keratoplasty Press PK Cutting Block Sinskey II Lens Manipulating Hook 4 625
- Removal of the top case half is also easy Disconnect the red activity light connector and black eject button connector from the rear of the adaptor circuit board Now slide the top case half forward slightly about 1 8 inch and it ll come free
- SM06 S minor Heavily fenestrated SM01 S minor var okefenokeensis
- an idea of settling in and occupying territory These remarkable bits of natural technology possess elongated fenestrated calcareous plates that oppose each other to form jaws Some have only 2 plates others have 3 4 or even 5 some are hooked at the tips other are relatively flat and some even possess poison glands Also some are located almost directly on
related videos for fenestrated
- Recall of Pediatric Tracheostomy Tubes Covidien, formerly known as Tyco HealthCare, has recalled certain lots of Shiley 3.0PED cuffless pediatric tracheostomy tubes. This is because of difficulties in inserting the obturator that is used to place the tube in the trachea, as well as problems inserting a suction catheter into the tracheostomy tube, which may require replacing the tube. Covidien's original advice to users, issued in a letter dated January 14, 2009, was to make sure that the obturator and suction catheter fit properly into the tube before using the device on a patient. However, in a letter dated March 6, the company revised its recommendations and instructed users to remove all of the affected products from their inventory and return them for replacement or credit. The company can be contacted at 1-800-635-5267. FDA Patient Safety News: May 2009 For more information, please see our website: www.accessdata.fda.gov
- Understanding the tracheostomy some clips of a video about tracheostomy care for babies
- Single Ventricle Surgery: Third Stage Repair - The Children's Hospital of Philadelphia (6 of 7) In the third stage of the repair, more blood vessels are rerouted in and around the heart. Drs. Spray and Gruber explain with an animated 3-D model. Single ventricle malformations are a group of congenital heart defects in which one of the hearts pumping chambers (ventricles) develops improperly and cannot effectively circulate blood. In this video series, you'll learn how experts in the Fetal Heart Program at The Children's Hospital of Philadelphia diagnose and monitor single ventricle malformations before birth, allowing effective treatment to begin right after delivery.
- Movements of Vocal Process of Arytenoid Upon Phonation This video shows the movements of arytenoid vocal process upon phonation. The pyramidal-shaped arytenoid cartilage sits on the upper surface of the cricoid cartilage on its supero-lateral aspect. It is a saddle synovial joint which allows arching movements along the transverse axis of the articular facet. The movement is better seen inferiorly by retrograde trans-tracheostomal or via a T-tube/fenestrated tracheostomy tube. Please note as the vocal folds adduct, the vocal process moves medially and slightly tilted downwards. [White dot- tip of vocal process, yellow triangle- vocal process of arytenoid, curve interrupted line-the medially rotated articular facet of the cricoid cartilage medial edge].
- Specialty Drape Sheets at The Graham Medical specialty drapes feature fenestrated and non-fenestrated sterile drapes and two decorative drape prints. The TPT sterile drapes offer strength, comfort and durability. In packs of 300, the tiss/poly/tiss drapes are white in color and sized at 18 x 26 inches. The printed drapes feature the the Wildflower decorative flower scene and the Seascape decorative water scene. Two layers of tissue are bonded into one layer of softness offering comfort and absorbency. The Flex non woven drape is fluid resistance to protect surfaces. These drapes are blue in color and sized at 50 x 84 inches.
- Aortic Aneurysm Treatment Using Fenestrated and Branched Aortic Endografts, Emory Heart & Vascular is repairing Abdominal Aortic Aneurysms in a minimally invasive way, without an incision. For more information on fenestrated and branched aortic endografts, visit:
- 2008 Conference Third Pediatric Conference, June 12-14, 2008. Video compiled by Ann Schrooten
- Intracranial Cysts Containing CSF-like Fluid: Results of Endoscopic Neurosurgery Video 1 In this video, through a burr hole in the occipital squama, the endoscope points downwards and a posterior fossa cyst is fenestrated towards the foramen magnum and the upper cervical c***. This information has been taken from Intracranial Cysts Containing CSF-like Fluid: Results of Endoscopic Neurosurgery in a Series of 64 Consecutive Cases, a m***cript that can be read here: . It was submitted by corresponding author Giuseppe Talamonti, MD, from the Department of Neurosurgery at the Niguarda Ca'Granda Hospital in Milan, Italy.
- IUN Respiratory Therapy Final Class Case Study IUN RT Class Case Study.
- MicrolineFlex Medical Animations by High Impact Graphics. Learn more at or give us a call at 800-749-2184.
- Tracheostomy Suctioning Demonstration of how to suction a patient's tracheostomy.
- 0808164MOV The Rhein Brown Triple Post Speculum. Developed In Coordination With Reay H. Brown, MD Product Number 8-08164. Unique Blade Design Prevents Lashes From Overlapping The Drape. The Special Central Posts Prevent Lids And Lashes From Rotating Into The Surgical Field. Special Fenestrated Blades Improve Exposure & Access To Superior Surgical Approaches By Supporting And Elevating The Middle Of The Lids. Improves Assess & Visualization Of The Superior Cornea By Creating An Oval Separation Of The Lids, Preventing Drape Obstruction. Ideal For All Anterior & Posterior Segment Surgery.
- Zenith Fenestrated AAA Endovascular Graft
- animation thoracic endograft
- Tracheostomy Tubes Tracheostomy tubes and parts for respiratory therapy students, including Jackson trachestomy tube, fenestrated tracheostomy tube, tracheal buttons and speaking valves. Text reference: 'Egan's Fundamentals of Respiratory Care, 9th ed.' by Wilkins, Stoller and Kacmarek
- Cuff Deflation and Placement of the Passy-Muir Valve Learn more at our website: www.passy-
- Spectacular Dogon Masquerade This masquerade features a large and varied assembly of musicians and brilliant performers on foot, in the air, and on stilts, wearing masks evoking animal and human spirits and Dogon legends. Note the locale, Tireli, Mali, an agricultural village huddled into the base of a mountain in the Bandiagara escarpment, where productive land is scarce; the rhythms, steps, and gestures particular to each mask; the delight and imitative dancing of the children; the sympathetic send-up of a doddering old man, who leaps into the air when energized by his music; the village elders seated solemnly in a row toward the left; and the extraordinary vitality and athleticism of the dancing of the Kanaga (resembling the Croix de Lorraine) and Syringe (very high and fenestrated) masks. Videography by Christraud Geary, Teele Curator of African and Oceanic Art, Museum of Fine Arts, Boston.
- Recall of Shiley Cuffed Tracheostomy Tubes Covidien is recalling some of the company's Shiley cuffed tracheostomy tubes because a leak in the pilot balloon assembly may cause the cuff to lose air. If a cuff does not stay inflated, a patient's ventilation could be compromised, which could lead to serious injury or death. The recall affects certain lots of Shiley tracheostomy tubes and Shiley custom/ specialty tracheostomy tubes. Healthcare facilities with unused tubes from the recalled lots should segregate them and return them to the company. If a tube from the recalled lots is being used in a patient, Covidien says to replace the affected tube with one not being recalled as soon as it is clinically appropriate. If the patient's physician wants to wait for a more acceptable opportunity to replace the tube, the company recommends increased monitoring of the patient's cuff inflation system. Patients and caregivers using cuffed Shiley tracheostomy tubes at home should also check the lot numbers of their products. If they have unused tubes from the recalled lots, or if they can't tell if their tubes are included in the recall, they should contact their home care or medical equipment provider. If the tracheostomy tube currently being used by the patient is or may be one of the recalled tubes, the patient or caregiver should call their clinician for advice. FDA Patient Safety News: July 2010 For more information, please see our website: www.accessdata.fda.gov
- Tracheostomy Care Demonstration of how to perform tracheostomy care for a patient.
- Fenestrated and Branched Endografts The past 20 years have seen a gradual shift away from direct open surgery in favor of minimally invasive techniques. The treatment of vascular disease is no exception. Minimally invasive endovascular techniques of aneurysm repair substitute trans-femoral access for direct aortic exposure and stents for sutures.
- Abdominal Aortic Aneurysm Barnes-Jewish Hospital's Heart & Vascular Center specializes in treating all types of aortic aneurysms. It's is the only place in the Midwest to offer fenestrated stent grafts, and they're experts in this less invasive repair, having performed more than 1000 cases using the endovascular technique. For more information, please visit
- MicrolineFlex Medical Animations by High Impact Graphics. Learn more at or give us a call at 800-749-2184.
- Endoscopic fenestration of a arachnoid cyst in middle fossa Endoscopic procedure in brain surgery
- Graham FlexDrape NonWoven The Graham Medical specialty drapes feature fenestrated and non-fenestrated sterile drapes and two decorative drape prints. The TPT sterile drapes offer strength, comfort and durability. In packs of 300, the tiss/poly/tiss drapes are white in color and sized at 18 x 26 inches. The printed drapes feature the the Wildflower decorative flower scene and the Seascape decorative water scene. Two layers of tissue are bonded into one layer of softness offering comfort and absorbency. The Flex non woven drape is fluid resistance to protect surfaces. These drapes are blue in color and sized at 50 x 84 inches.
- What is a Fenestrated Tracheostomy?
- Intracranial Cysts Containing CSF-like Fluid: Results of Endoscopic Neurosurgery Video 2 In this video, through the same burr hole of video 1, the endoscope points upwards and the cyst is fenestrated towards the pre-pontine cisterns. This information has been taken from Intracranial Cysts Containing CSF-like Fluid: Results of Endoscopic Neurosurgery in a Series of 64 Consecutive Cases, a m***cript that can be read here: . It was submitted by corresponding author Giuseppe Talamonti, MD, from the Department of Neurosurgery at the Niguarda Ca'Granda Hospital in Milan, Italy.
- Unit 8 Electric Suction Pump Part 2 Medical equipment, Operator Care and Maintenance. Series of 10 Units, designed for use by health practitioners in rural and remote areas in countries in development. Enquiries: Bastiaan Remmelzwaal, bastiaan@
- Cook's modular AAA graft an "engineering achievement" An updated modular stent graft for the treatment of abdominal aortic aneurysms is to be launched in Europe by Cook Medical. The graft incorporates "legs" -- shorter stents that unite with the main graft and seal the device below the aortic bifurcation.
- Aaron's Trach Tube Change Cindy changing Aaron's tracheostomy tube
- Light Phenomenon This was filmed at studio C, with a camera between a fenestrated light source off, and a TV monitor
- The Fenestrated Yaşargil T-Bar Clip This video shows a surgery in which a new fenestrated clip (Yaşargil T-Bar Clip) is applied for treatment of a fusiform M1 aneurysm. This information has been taken from Application of a New Fenestrated Clip (Yaşargil T-Bar Clip) for Treatment of Fusiform M1 Aneurysm: Case Illustration and Technical Report, a m***cript appearing in a future issue of Neurosurgery. It was submitted by corresponding author Mustafa K. Başkaya, MD, at the Department of Neurological Surgery at University of Wisconsin in Madison.
- Trach Baby Rebekah Talking With Passy Muir (Speaking) Valve Rebekah 'talking' with a Passy Muir Valve taken December 2nd, 2009. Rebekah is a 7 month old with full trisomy 18. Trisomy 18 is defined as an extra 18th chromosome, a condition that is defined as 'incompatible with life.'. She was not expected to live due to severe apnea that had her turning blue around the clock. Turned out the apnea was all obstructive and she has not had an apnea event since her tracheostomy! The obstruction is due to micronagia (small jaw) and her 'normal' tongue. When a baby is trached, they cannot make sound because no air passes the vocal folds and infant trachs are not fenestrated to allow speaking capability. Rebekah is wearing a PMV (Passy-Muir Valve) which allows the air to be inhaled through the trach, but it must be exhaled through the mouth and nasal passages. You must start slowly with a PMV and work up time and tolerance with it as it builds up lung strength and more mimics a 'normal' breathing pattern. You must be careful of the obstructions that exist. This video is amazing for us because when Rebekah was first trached, she could not wear the PMV unless she was fully sitting up or on her side (so that her tongue did not fall back into her throat). She is lying down in this video on her back, propped up only slightly on a Boppy pillow. It is also amazing because she didn't really make much noise when she wore her PMV. She just recently 'discovered' she has a voice and she is having fun exploring making sounds! She is even managing to ...
- Future Design Considerations of Endograft Evolution (September 5, 2008) Christopher K. Zarins discusses the history of the development of endovascular reparation devices, the issue of migration with endograft devices, and proposes that addressing migration for future device design could increase stability and long term post-op success. 2008 Stanford AAA Summit vascular.stanford.edu Stanford School of Medicine med.stanford.edu Stanford Channel on YouTube:
- Vascular Care at Research Medical Center Research Medical Center has advanced technology and highly trained physicians to diagnose and treat your vascular conditions. In addition to a dedicated IPR vascular unit, Research Medical Center operates the largest abdominal aortic aneurysm stent graft program in the region.
- Atrial Septal Defect with Interstitial Lung Disease Earlier you have seen several of awake cardiac surgeries in our series. This is another interesting patient a 45 year old male with interstitial lung disease along with atrial septal defect. He also had hypertension and diabetes. He had progressively deteriorating symptoms and high Pulmonary Artery Pressures but a persistent left to right shunt. His gas exchange was fairly well preserved. Operating him was a challenge as if we subjected him to general anesthesia and mechanical ventilation, it would have been difficult- may be impossible- to wean him off ventilator- because of his pre-existing lung disease. Hence it was decided to operate him under thoracic epidural anesthesia with patient being awake during the surgery. We took up the challenge and operated him. We succeeded in doing the surgery awake and the patient recovered well with improved oxygenation and other parameters. We put in a fenestrated valved patch which would allow flow of blood from right atrium to left atrium at a later stage if his right sided pressures increased due to his lung disease. We did the surgery at Indore, MP India. Our team included Surgeons Dr K***ij Dubey, Dr Sushil Jain, Anaesthesiologist Dr Gagan Shrivastav, Dr Vivek Agnihotri and Perfusionist MV Krishna Mohan, Chest physician Dr Ashok Bajpai and Cardiologist Dr AD Bhatnagar. You can contact us for any other details/ clarifications on drsushiljain@ or k***ij_ctvs@ Our contact numbers are +91 731 2445566, Fax: + ...
- Rescue Breathing for Laryngectomees and Neck Breathers Dr. Itzhak Brook's presentation for health care providers on Rescue Breathing for Laryngectomees and Neck Breathers. From the blog:
- Alloa Tower Alloa Tower in Alloa in central Scotland is the surviving part of the medieval residence of the Clan Erskine family, the Earls of Mar. An architect which was involved in the Alloa Tower was John Melvin. Dating from the 14th century, and retaining its original timber roof and battlements, the Tower is one of the earliest, and largest, of Scottish tower houses, with immensely thick walls. The building has been extensively re-fenestrated during its history, but retains some internal medieval features. Incorporated into a much larger classical house of various phases from the 17th century on, the Tower now stands alone once more, later accretions having been cleared away. It is now administered by National Trust for Scotland.
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“Forum Elite. Topics: 47. Posts: 296. 09/24/07 - 08:01 AM #5. whats the diff between sinusoids and fenestration? HY mentions that liver has sinusoids, while glomeruli contain fenestrated cap with diaphragms and endocrine organs ( say pancreas in this case) fenestrated cap without diaphragm”
— Fenestrated capillaries, prep4
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