Most pericardial effusions in cancer patients result from obstruction of the lymphatic drainage of the heart secondary to metastases. The typical presentation is that of a patient with known cancer who is found to have a large pericardial effusion without signs of inflammation.
Surgical technologists and technicians are a critical part of surgical teams in hospitals and clinics. The surgical supply technician is a surgical technician who is specifically responsible for providing sterile instruments to the team. In some settings, a surgical supply technician is sometimes referred to as a central service technician or a sterile supply technician.
Supply Chain Management ,as defined by the world famous, Institute of Supply Management Inc., USA, is the design and management of seamless , value added process across organizational boundaries to meet the real needs of the end customer.