vascular access in mega code simplified adel hammodi

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    Awovwmoy ag w`|lud`v `llo||

    X}~o|

    Xolbjmpuo|

    Co} ~amjx|

    M* A*

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    Awovwmoy

    Xbo w`|lud`v `llo|| m| `j mjxoiv`d ~`vx ag @LD\

    |uvwo}*

    ]auv mjmxm`d |ojxojlo mj Eoi` Laho m| AEM

    ar}ioj*

    eajmxav*

    m*w* `llo||*

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    Awovwmoy

    Yb} mx| me~avx`jx !!

    Mx m| `llo|| xa }auv eohml`xmaj huvmji xbolaho

    @llo|| xa mw gdumh|

    \aeoxmeo| xa iox fdaah |`e~do* Fux }au b`wo xa cjay xbo ~vmavmx} mj xbo

    laho !!!!!

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    X}~o|

    ^ovm~bov`ddmjo

    M*A*

    LOJXV@DO*X*X*

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    ^OVM^BOV@D

    M*A* LW^ OXX

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    ^ovm~bov`d dmjo mj|ovxmaj

    @hw`jx`io|; Xbo ~vogovvoh vaax huvmji

    Laho*

    @wamh lbo|x lae~vo||majmjxovvu~xmaj

    Do|| lae~dml`xmaj|*

    Lae~vo||mfdo

    L`j fo eudxm~do*

    Foxxov gday*

    \memd`v oggml`l}*

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    ^ovm~bov`d dmjo mj|ovxmaj

    Xolbjmpuo ;

    @|o~xml ~valohuvo*

    Lbaa|o |mxo

    Lbaa|o l`jjud`

    Laegavx }auv|odg* Xauvjmpuox*

    ^a|mxmaj xbo dmef* _D:::DD

    @xxoe~x l`jjud`xmaj ajwm|mfdo womj*

    Yboj u|o mj laho gdu|b 6>ed J\ odow`xo dmef0>%6>

    |ol*

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    ^ovm~bov`d dmjo lae~dml`xmaj| "< e`mj-

    ^bdofmxm|

    L`xboxov e`xovm`d

    L`xboxov |m{o

    \mxo ag mj|ovxmaj

    \cmdd ag a~ov`xav

    Huv`xmaj ag l`jjud`

    X}~o ag mjgu|maj

    Mjgolxmaj

    Lajx`emj`xoh

    mjgu|maj|

    Mj`hopu`xo |cmj

    ^vo~`v`xmajOrxv`w`|`xmaj

    @io

    \mxo ag l`jjud` X}~o ag l`jjud`

    Huv`xmaj ag l`jjud`

    MW hvui mjgu|maj|

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    Mjxv`a||oau| @llo||

    Co} ~amjx|

    Mjxv`a||oau| mjgu|maj m| ` xoe~av`v}

    oeoviojl} eo`|uvo*

    Mjhml`xoh mj dmgo%xbvo`xojmji |mxu`xmaj| yboj

    mjxv`wojau| `llo|| g`md| "< `xxoe~x| av :=>

    |olajh|- *

    O`|} `jh owoj mj `y`co mx m| jo`vd} ~`mjdo||

    _|o `j `|o~xml xolbjmpuo *

    Lv}|x`ddamh|$ laddamh|$ fdaah ~vahulx| `jh

    hvui| l`j fo mjgu|oh*

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    Mjxv`a||mau| `llo||

    Xolbjmpuo

    @|o~xml

    Lbaa|o xbo |mxo Xmfm` $ goeuv $ axbov|

    Da`h xbo hvmwov ^a|mxmaj ~`xodd` xmfm`d

    xufova|mx} foday `jheohm`d => hoivoo }auv

    joohdo Gmr xbo fajo gmve fux iojxdo

    Hvmwo xbo ~ayov `jh dox mx iao`|md}

    Lajgmve xbo ~a|mxmaj

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    \mxo

    |o~|m|

    \lvoy

    Xval`v

    _|o

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    Mjxv`a||mau| `llo|| Lae~dml`xmaj|

    Mjgolxmaj| |ulb `| loddudmxmx| `jh a|xoae}dmxm|gvae ~aav `jxm|o~xml xolbjmpuo av ~vadajioh

    ":96 b- joohdo ~d`loeojx *

    Orxv`w`|`xmaj ag fdaah av mjgu|maj mjxa|uvvaujhmji |agx xm||uo gvae ~aav xolbjmpuo

    av ~vadajioh mjgu|maj lae~`vxeojx |}jhvaeo gvae orxv`w`|`xmaj*

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    Mjxv`a||mau| `llo|| Lae~dml`xmaj|

    Fojx joohdo gvae ~aav xolbjmpuo av em||ohd`jhe`vc*

    Fajo gv`lxuvo av xbvauib%`jh%xbvauib~ojoxv`xmaj gvae orlo||mwo gavlo*

    Xm||uo mjkuv} wo||od $jovwo ****

    Ldaiioh joohdo

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    Mjxv`a||oau| @llo|| Lajxv`mjhml`xmaj|

    Mjgolxmaj `x ojxv} |mxo

    Fuvj `x ojxv} |mxo

    M~|md`xov`d gv`lxuvo ag xbo

    orxvoemx} *

    Fajo hm|o`|o A|xoaiojo|m|

    me~ovgolx`

    A|xoa~ojm` A|xoa~oxva|m|

    ^vowmau| `xxoe~x `x xbo

    |`eo |mxo

    ^vowmau| `xxoe~x mj

    hmggovojx dal`xmaj aj

    |`eo fajo ^vowmau| |xovjaxae}

    "|xovjue mj|ovxmaj-

    _j`fdo xa dal`xo

    d`jhe`vc|*

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    Goeav`d M*K*W \ufld`wm`j

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    Lojxv`d wojau| `llo|| mjxovj`d kuiud`v W*

    @j`xae} ag xbo MKW

    Xbo womj avmimj`xo| `x xbokuiud`v gav`eoj `jh vuj|

    hayj xbo jolc$ xaxovemj`xo fobmjh xbo|xovjald`wmlud`v kamjx$

    ybovo mx kamj| xbo

    |ufld`wm`j womj* Mx dmo|`daji|mho xbo l`vaxmh

    `vxov} *

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    Lojxv`d wojau| `llo|| mjxovj`d kuiud`v W*

    Xolbjmpuo ~a|mxmaj # `|o~xml # d`jhe`vc

    ^d`lo xbo ~`xmojx mj ` |u~mjo ~a|mxmaj$ `x do`|x 0?

    hoivoo| bo`h%hayj xa hm|xojh xbo jolc womj| `jh

    xa vohulo xbo vm|c ag `mv oefadm|e* Xuvj xbo bo`h`y`} gvae xbo wojo~ujlxuvo |mxo*

    Ldo`j|o xbo |cmj `jh hv`~o xbo `vo`* \xovmdo idawo|

    `jh ` iayj |baudh fo yavj *

    `- _dxov`|aujh u|o*

    f- D`jhe`vc xolbjmpuo

    u|mji \odhmjiov*

    Lajgmve`xmaj f} r v`} $ y`wo gave $ WFI

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    mjxovj`d kuiud`v womj dmjo Lae~dml`xmaj|

    ^joueaxbav`rb`oeaxbav`r r%v`} m| e`jh`xav} owoj g`mdoh

    xvm`d *

    @mv oefadm|e % oj|uvo bo`h%hayj ~a|mxmaj*

    @vvb}xbem`| % `wamh ~`||mji iumho ymvo xaa g`v$ af|ovwo vb}xbeaj l`vhm`l eajmxav huvmji mj|ovxmaj*

    L`vaxmh `vxov} ~ujlxuvo!l`jjud`xmaj % ~`d~`xo `vxov} `jhoj|uvo joohdo m| d`xov`d xa mx$ u|o udxv`|aujh%iumhoh ~d`loeojx*

    Lb}daxbav`r % u|o ` bmib `~~va`lb `jh `wamh dogx |mho ybovowov~a||mfdo*

    Mjgolxmaj*

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    L`jjud`xmaj ag xbo goeav`d womj

    @j`xae}

    Xbo goeav`d womj m| xbolajxmju`xmaj ag xbo

    ~a~dmxo`d womj

    `llae~`jmo| xbo goeav`d`vxov} mj xbo goeav`d

    xvm`jido*

    Xbo goeav`d womj ojh|

    eohm`d xa xbo `vxov} `x xbomjiumj`d dmi`eojx$ ybovo

    mx folaeo| xbo orxovj`d

    mdm`l womj*

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    L`jjud`xmaj ag xbo goeav`d womj

    Xolbjmpuo ~a|mxmaj# `|o~xml # d`jhe`vc

    Orxojh xbo ~`xmojx| doi `jh `fhulx |dmibxd} `x xbo bm~*

    gudd `|o~xml*

    Dal`xo xbo goeav`d `vxov}$ coo~ ` gmjiov aj xbo `vxov}

    `jh mjxvahulo ` joohdo `xx`lboh xa ` 0> ed |}vmjio `x

    8? hoivoo|$ eohm`d xa xbo goeav`d `vxov} ~ud|`xmaj$ 6le foday xbo mjiumj`ddmi`eojx* \dayd} `hw`jlo xbo

    joohdo hmvolxoh xa xbo uefmdmlu|* Yboj ` gvoo gday ag fdaah `~~o`v|$ gadday xbo

    \odhmjiov `~~va`lb$ `| hox`mdoh ~vowmau|d}

    Lajgmve xbo ~a|mxmaj*

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    goeav`d womj dmjo Lae~dml`xmaj|

    Hoo~ womj xbvaefa|m|

    @vxovm`d av jouvadaiml`d h`e`io

    Mjgolxmaj

    @vxovma%wojau| gm|xud`*

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    L`jjud`xmaj ag xbo |ufld`wm`j womj

    @j`xae}

    Xbo \LW m| xbolajxmju`xmaj ag xbo `rmdd`v}womj `jh avmimj`xo| `x xbo

    d`xov`d favhov ag xbo gmv|x vmf*

    Xbo \LW ~`||o| awov xbo

    gmv|x vmf `jxovmav xa xbo

    |ufld`wm`j `vxov}$ xa kamj ymxbxbo mjxovj`d kuiud`v womj `x

    xbo eohm`d ojh ag xbold`wmldo*

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    L`jjud`xmaj ag xbo |ufld`wm`j womj

    Xolbjmpuo ~a|mxmaj# `|o~xml # d`jhe`vc

    ^d`lo xbo ~`xmojx mj ` |u~mjo$ bo`h%hayj* Xuvj xbobo`h xa xbo lajxv`%d`xov`d |mho*

    gudd `|o~xml *

    Mjxvahulo ` joohdo `xx`lboh xa ` 0> ed |}vmjio$ 0le foday xbo kujlxmaj ag xbo emhhdo `jh eohm`dxbmvh| ag xbo ld`wmldo*

    Hmvolxxbo joohdo eohm`dd}$ |dmibxd} lo~b`d`h$ `jh~a|xovmavd} fobmjh xbo ld`wmldo xay`vh xbo|u~v`|xovj`d jaxlb-*

    \dayd} `hw`jlo xbo joohdo* Yboj ` gvoo gday agfdaah `~~o`v|$ gadday xbo \odhmjiov `~~va`lb

    Lajgmve`xmaj

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    Xbo |ufld`wm`j womj dmjo Lae~dml`xmaj|

    ^joueaxbav`rb`oeaxbav`r *

    @mv oefadm|e % oj|uvo bo`h%hayj ~a|mxmaj*

    @vvb}xbem`| % `wamh ~`||mji iumhoymvo xaa g`v$af|ovwo vb}xbe aj l`vhm`l eajmxav huvmji mj|ovxmaj*

    Lb}daxbav`r % u|o ` bmib `~~va`lb `jh `wamh dogx |mhoybovowov ~a||mfdo*

    Mjgolxmaj *

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    Xbo eo||`io

    ^vmavmx} gav Bmib pu`dmx} L^V $O`vd} hogmfvmdd`xmaj yboj

    mjhml`xoh*

    W`|lud`v `llo|| ~ovm~bov`d MA LWL OXX* O`|mo|x MA

    \`go|x ~ovm~bov`d *

    OXX uj~vohmlx`fdo fdaah dowod ag hvui|* "J@WOD- LWL jooh Or~ovx `jh xv`mjoh ~ov|ajjod*

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    Xbo eo||`io

    Fo |`go gav `dd "ujmwov|`d ~vol`uxmaj|% ^^O

    joohdo|| ~avx| e`rmeue f`vvmov ~vol`uxmaj|

    lae~doxo `|o~xml xolbjmpuo hm|l`vh |b`v~|-

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