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Just a (literal) peek behind the curtain into our private dining room. Birthday parties, business dinners, wedding rehearsals... Oh, the possibilities. Click over to our website and shoot us an email to learn more. #themoreyouknow
Just a (literal) peek behind the curtain into our private dining room. Birthday parties, business dinners, wedding rehearsals... Oh, the possibilities. Click over to our website and shoot us an email to learn more. #themoreyouknow 
انتباذ القلب  Ectopia_cordis# بمعنى:  هو عيب خلقي يقع فيه القلب في حالةٍ شاذة خارج الصدر إما جزئيًا أو كليًا. قد يتواجد القلب المنتبَذ على امتداد سلسلةٍ من المواقع التشريحية مثل العُنق أو الصدر أو البطن. يبرُز القلب في أغلب الحالات خارج الصدر عظمة القص المنقسمة.
يحدث انتباذ للقلب في حوالي 5.5 إلى 7.9بين كل مليون مولود.يتم تصنيف انتباذ القلب تبعًا لموقع القلب المنتبذ كالآتي:
.عنقي
.صدري
.صدري بطني
.بطني
.يمثل انتباذ القلب الصدري والصدري البطني الأغلبية العظمى من الحالات المعروفة...
ينتج انتباذ القلب عن فشل في نضج الأديم المتوسط بشكل سليم وفشل في تكوين جدار الجسم البطني خلال عملية التطور الجنيني. يبقى السبب الدقيق لانتباذ القلب غير معروف، ولكن يُعتقد أن حالات الشذوذ في ثنيات جدار الجسم الجانبية له علاقة بالموضوع. عادةً ما تكون جدران الجسم الجانبية مسئولةً عن انصهار الأديم المتوسط مما يُشكل جدارًا بطنيًا. وربما يفسر فشلُ هذه العملية حدوثَ انتباذ القلب.
يؤدي الخلل في تشكيل جدار الجسم البطني إلى بقاء القلب دون حماية التأمور أوعظم القص أو الجلد. وربما تتشكل بعض الأعضاء الأخرى خارج الجلد أيضًا. ترتبط الكثير من حالات انتباذ القلب بمرضٍ قلبي خلقي يفشل فيه القلب في أن يتشكل بطريقة سليمة.
نظرًا لنُدرة وسرعة وفاة حالات الانتباذ القلبي بعد الولادة، تم تطوير خياراتٍ علاجيةٍ محدودةٍ جدًا. نجحت الكثير من العمليات، لكن معدل الوفيات لا يزال مرتفعًا.

Ectopia cordis is an extremely rare congenital malformation where the heart is located partially or totally outside the thoracic cavity.
Epidemiology
The estimated prevalence is 1:126,000 births. There may be a slight female preponderance ref.

Pathology
It results from the failure of migration of lateral mesoderm into the midline.

Ectopia cordis may occur as an isolated malformation or it may be associated with a larger category of ventral body wall defects that affect the thorax, abdomen or both.

Associations
Individual associations
Ventricular septal defect and tetralogy of Fallot are the most common intracardiac defects.

Omphalocele is the most common abdominal wall defect.

Syndromic associations
A well-known association is pentalogy of Cantrell 1 which comprises of:

ectopia cordis
omphalocele (typically supraumbilical)
congenital diaphragmatic hernia
sternal cleft
congenital heart disease
#medfield
#medicine
#ectopiacordis
انتباذ القلب Ectopia_cordis# بمعنى: هو عيب خلقي يقع فيه القلب في حالةٍ شاذة خارج الصدر إما جزئيًا أو كليًا. قد يتواجد القلب المنتبَذ على امتداد سلسلةٍ من المواقع التشريحية مثل العُنق أو الصدر أو البطن. يبرُز القلب في أغلب الحالات خارج الصدر عظمة القص المنقسمة. يحدث انتباذ للقلب في حوالي 5.5 إلى 7.9بين كل مليون مولود.يتم تصنيف انتباذ القلب تبعًا لموقع القلب المنتبذ كالآتي: .عنقي .صدري .صدري بطني .بطني .يمثل انتباذ القلب الصدري والصدري البطني الأغلبية العظمى من الحالات المعروفة... ينتج انتباذ القلب عن فشل في نضج الأديم المتوسط بشكل سليم وفشل في تكوين جدار الجسم البطني خلال عملية التطور الجنيني. يبقى السبب الدقيق لانتباذ القلب غير معروف، ولكن يُعتقد أن حالات الشذوذ في ثنيات جدار الجسم الجانبية له علاقة بالموضوع. عادةً ما تكون جدران الجسم الجانبية مسئولةً عن انصهار الأديم المتوسط مما يُشكل جدارًا بطنيًا. وربما يفسر فشلُ هذه العملية حدوثَ انتباذ القلب. يؤدي الخلل في تشكيل جدار الجسم البطني إلى بقاء القلب دون حماية التأمور أوعظم القص أو الجلد. وربما تتشكل بعض الأعضاء الأخرى خارج الجلد أيضًا. ترتبط الكثير من حالات انتباذ القلب بمرضٍ قلبي خلقي يفشل فيه القلب في أن يتشكل بطريقة سليمة. نظرًا لنُدرة وسرعة وفاة حالات الانتباذ القلبي بعد الولادة، تم تطوير خياراتٍ علاجيةٍ محدودةٍ جدًا. نجحت الكثير من العمليات، لكن معدل الوفيات لا يزال مرتفعًا. Ectopia cordis is an extremely rare congenital malformation where the heart is located partially or totally outside the thoracic cavity. Epidemiology The estimated prevalence is 1:126,000 births. There may be a slight female preponderance ref. Pathology It results from the failure of migration of lateral mesoderm into the midline. Ectopia cordis may occur as an isolated malformation or it may be associated with a larger category of ventral body wall defects that affect the thorax, abdomen or both. Associations Individual associations Ventricular septal defect and tetralogy of Fallot are the most common intracardiac defects. Omphalocele is the most common abdominal wall defect. Syndromic associations A well-known association is pentalogy of Cantrell 1 which comprises of: ectopia cordis omphalocele (typically supraumbilical) congenital diaphragmatic hernia sternal cleft congenital heart disease #medfield  #medicine  #ectopiacordis 
happy thanksgiving 
sometimes you got to take a story to feed 
#Handshake #Thanksgiving #JeffFisch #Medfield
Perfect off-leash recall for Rex. #germanshepherd #adoptabledogs #adoptabledogsofinstagram #Medfield #goodboy
Mayor's Christmas Parade. #atomicbooks #hampden #medfield #baltimore
Life in the 'burbs this past year hasn't been so bad!!🏡 #tbt #1yearagotoday #firsthouse #burblivin #medfield @spencer_hendel
Paulette's 90th birthday kickoff. So much love for this wonderful woman. #ballet #newton #dance #medfield
She’s in the medical field so still had to keep it professional ... Lighting in the studio sucks at night but u can still see the Gold with rose 💕 @joico @pulpriothair #color #rosegold #medfield #changes #hairlove #colorado #hairstylist #formulate #framarbrushes #barber
Just a (literal) peek behind the curtain into our private dining room. Birthday parties, business dinners, wedding rehearsals... Oh, the possibilities. Click over to our website and shoot us an email to learn more. #themoreyouknow
Just a (literal) peek behind the curtain into our private dining room. Birthday parties, business dinners, wedding rehearsals... Oh, the possibilities. Click over to our website and shoot us an email to learn more. #themoreyouknow 
we decided to mix things up a bit... join us for our first (and certainly not last) $2 Taco Tuesday tonight!
we decided to mix things up a bit... join us for our first (and certainly not last) $2 Taco Tuesday tonight!
I chose to go into the medical field because I have this crazy idea that my purpose is bigger than me.  #medfield #medicallaboratory
I chose to go into the medical field because I have this crazy idea that my purpose is bigger than me. #medfield  #medicallaboratory 
Ribeye & duck fat roasted potatoes: a winning combination (kinda like TB12 & MNF 🏈 #gopats)
Ribeye & duck fat roasted potatoes: a winning combination (kinda like TB12 & MNF 🏈 #gopats )
FT Medfield Warrior of the month Patti B-

The level of personal attention and personalized coaching at Fitness Together is something I never expected. Every trainer knows me and has invaluable fitness and nutrition advice for me. I honestly feel mentally and physically better than I have in a very long time! -Patti B

Patti comes in with a smile on her face, ready to work hard every session.  She is a pleasure to train, and puts in 110% effort every time she comes in.  She is receptive to feedback and has been making significant gains toward achieving her goals. -Rachel
FT Medfield Warrior of the month Patti B- The level of personal attention and personalized coaching at Fitness Together is something I never expected. Every trainer knows me and has invaluable fitness and nutrition advice for me. I honestly feel mentally and physically better than I have in a very long time! -Patti B Patti comes in with a smile on her face, ready to work hard every session. She is a pleasure to train, and puts in 110% effort every time she comes in. She is receptive to feedback and has been making significant gains toward achieving her goals. -Rachel
Comfort Food, but just a wee bit fancier. | Duck confit risotto with ginger & dried cranberries finished with Parmesan cheese and duck jus. 🦆#pinkyup
Comfort Food, but just a wee bit fancier. | Duck confit risotto with ginger & dried cranberries finished with Parmesan cheese and duck jus. 🦆#pinkyup 
Beautiful Sylvie wants to remind you that she is still looking for a forever home. She got along with a large breed dog in her foster home but prefers to be the only cat. #animalshelter #adoptable #adoptapet #adoptdontshop #medfield #medfieldshelter #medfieldanimalshelter #catsofinstagram #metrowest
It's the day after fresh snow that's always the most beautiful! 🎅❄
#medfield #snow #winter #nature #landscape #snowscape
Would play in the snow but too worn out!  #bernesemountaindog #berner #bmd #medfield #fluffypuppy #firstsnow #winterwonderland #berneselove
#SnowHats - Beautiful day in the greater #boston area.  Our first snow has topped off our #tree ornaments with more #sparkle. Look at that sky! #nofilterneeded
First snowfall at home is always special ...#medfield #snow #firstsnowfall #firstsnow
A little #snow doesn't scare us. (Not gonna lie, we actually kinda dig it 😏.) So come on in, we're open. #businessasusual
A little #snow  doesn't scare us. (Not gonna lie, we actually kinda dig it 😏.) So come on in, we're open. #businessasusual 
The ATL hasn’t seen enough snow to do this literally in decades. Nice, feels like home. #medfield ☃️❄️
The ATL hasn’t seen enough snow to do this literally in decades. Nice, feels like home. #medfield  ☃️❄️
it’s beginning to look a lot like.. winter ❄️
it’s beginning to look a lot like.. winter ❄️
Last Thursday, on December 7th, I had a chance to attend the artists reception of the Holiday Exhibition (invitational show featuring 10 local artists, including yours truly) held by the Zullo Gallery, located at 456A Main Street in Medfield, MA. I currently have 14 oil and pastel paintings on display there. There is a little bit of everything: still life, landscapes, cityscapes, etc... Here i posted couple of shots I managed to take while being there. This exhibition will be going through January 7th, 2018 so please stop by and support the arts! Happy Holidays! Gallery's hours: Saturdays and Sundays 12 - 5 pm. NOTE: All of my paintings are professionally framed in the gold leaf custom frames... #tatroulin #zullogallery #medfield #pastelpainting #oil #oilpainting #framedpainting #holidayshopping #holidayseason #originalart #affordable #affordableart #holidaygifts #homedecor #southshore #bostoarea #localscenes #localartist #contemporaryartist #representationalart #holidayseason #holidaymood
Last Thursday, on December 7th, I had a chance to attend the artists reception of the Holiday Exhibition (invitational show featuring 10 local artists, including yours truly) held by the Zullo Gallery, located at 456A Main Street in Medfield, MA. I currently have 14 oil and pastel paintings on display there. There is a little bit of everything: still life, landscapes, cityscapes, etc... Here i posted couple of shots I managed to take while being there. This exhibition will be going through January 7th, 2018 so please stop by and support the arts! Happy Holidays! Gallery's hours: Saturdays and Sundays 12 - 5 pm. NOTE: All of my paintings are professionally framed in the gold leaf custom frames... #tatroulin  #zullogallery  #medfield  #pastelpainting  #oil  #oilpainting  #framedpainting  #holidayshopping  #holidayseason  #originalart  #affordable  #affordableart  #holidaygifts  #homedecor  #southshore  #bostoarea  #localscenes  #localartist  #contemporaryartist  #representationalart  #holidayseason  #holidaymood 
When an amazing dog finds an amazing home tears of joy are shed. Stay in touch, Rex. #gsd #adoptdontshop #medfieldshelter #Medfield #germanshepherd
These are just a small sample of the delicious Christmas Cookies waiting for you at the Medfield Christmas Cookie Walk! We are blown away by the baking talent!!! #medfield #medfieldcookiewalk #cookies #holidaycookies #brothersmarketplacemedfield #starbucksmedfield #cookiewalk #tomorrowistheday #december92017 #comeearly
Proud to announce the start of our Compete Indoor Sports Soccer Clinics hosted by FC BOLTS premiere coach and collegiate coach Sam Matteson!
Ages 5-11 yrs old (grades K-5) 
Wednesday 4:45-6pm
Dribbling & Shooting
Improve your skills!
#norwoodsoccer #soccerskills #soccer #norwoodma #youthsoccer #westwood #norwood #dedham #canton #walpole #medfield #dover #milton
Halls, consider yourselves officially decked...Wreaths ✔️Lights ✔️ Sweet Holiday Jams ✔️🎄🎅🏼🎁
Halls, consider yourselves officially decked...Wreaths ✔️Lights ✔️ Sweet Holiday Jams ✔️🎄🎅🏼🎁
Now HERE is a motivated Cookie Walk attendee! We expect snow during the day tomorrow, but our fingers are crossed that it doesn’t start until late morning! #medfield #medfieldcookiewalk #holidaybaking #getthereearly⌚️ #getthere #snowboard #gettowed #cookiedecorating #cookiewalk #starbucksmedfield #brothersmarketplacemedfield #december92017 #tomorrowistheday
It will be snowing but we’re indoors so come on over, tomorrow or Sunday and meet our alpacas and get yourself some warm alpaca products!  We'll be participating in Acorn Alpaca Ranch's Open House and Holiday Boutique and will be bringing some of our alpacas. Alpacas for sale and lots of alpaca products for those special Holiday gifts. Meet us at Acorn Alpaca Ranch, 99 Acorn Street in Millis, MA this Saturday and Sunday, December 9 and 10 from 10-4 #alpacaproducts #alpaca #openhouse #alpacas #openfarmday #millis #medfield #sherborn# norfolk #fiber #snowintheforecast
It will be snowing but we’re indoors so come on over, tomorrow or Sunday and meet our alpacas and get yourself some warm alpaca products! We'll be participating in Acorn Alpaca Ranch's Open House and Holiday Boutique and will be bringing some of our alpacas. Alpacas for sale and lots of alpaca products for those special Holiday gifts. Meet us at Acorn Alpaca Ranch, 99 Acorn Street in Millis, MA this Saturday and Sunday, December 9 and 10 from 10-4 #alpacaproducts  #alpaca  #openhouse  #alpacas  #openfarmday  #millis  #medfield  #sherborn # norfolk #fiber  #snowintheforecast 
Follow “Forrest” to the Medfield Christmas Cookie Walk this Saturday!! “RUN FORREST RUN”!!!!! Looks like he’ll be the first in line! #medfield #medfieldcookiewalk #runforresrun #cookies #charityevent #stedwardsmedfieldma #holidaybaking #holidaycookies #rundontwalk #comeearly
Just doin’ a happy dance! Look for me on Saturday at the Medfield Christmas Cookie Walk! #gingerbreadman #medfield #medfieldcookiewalk #cookies #charityevent #holidaycookies #stedwardsmedfieldma #christmascookies
Here's a little #tbt of our custom @blueribbonblankets coolers and classic ribbons! We'll have them again in 2018! #norfolkhuntclub #norfolkhunthorseshow #NHHS #Dover #medfield #Sherborn #equitation #hunters #jumpers #usef #ushja
givin’ mom a pep talk as she prepares herself for nursing school
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 #shegotdis #shesmart #nursing #psychology #medfield #justmeditatedude #helpfuldog #bassethound #basset #hound #bassetsofinstagram #dogsofinstagram #dogsofinsta #dogslife
We are stocked and ready...need a last min. Holiday party option?  We have you covered. #paleo #gf #italianfood #medfieldma #medfield #cutletsmedfield #deliciousfood #catering #doverma #millisma #walpolema #franklinma #meatballs #gfmeatballs #chickenparm #sausagepeppersandonions #chickensoup #macncheese
Just arrived! Entering Medfield holiday ornaments have arrived. Come in and pick up yours today!
Just arrived! Entering Medfield holiday ornaments have arrived. Come in and pick up yours today!
Mama Beasts West getting I️t done this morning in Medfield 💪🏻💪🏻 #stressbusting #mamabeastswest #getitdonewithyourlittleone #mamabeasts #medfield
Keeping the residents, medical workforce, and our nurses currently traveling in Southern California in our prayers and thoughts.
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#CaliforniaFires #PrayforCA #PrayforLA
Blanche just realized that she didn’t bring CASH to the Medfield Christmas Cookie Walk and we don’t accept checks or credit cards. #medfield #medfieldcookiewalk #holidaybakers #holiday #cashonly #nochecks #nocharges #charityevent #cookies #stedwardsmedfieldma #getthereearly⌚️ #twomoredays
So many cookies! We’ll have some old favorites and some new ones too! #medfield #medfieldcookiewalk #getthereearly⌚️ #charityevent #christmascookies #cookies #stedwardsmedfieldma #
We're aware its #winewednesday, but we've got #duckconfit in house tonight, so, you know, #priorities. 📸: @goodfoodandco
Gingersnaps in the making! We can’t wait!!!!! Thank you @kscotti !!!!! #medfield #cookies #gingersnaps #medfieldcookiewalk
We @allthethingsetc could not be any more obsessed 😍 with how @natmazz photos of her in her Peach goodies.. If you don’t know Natalie she has an amazing blog called Were You Are Now, when she isn’t blogging she works full time in PR. *
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If your not following her or her amazing photographer @marianandgus you should be! Natalie is for sure one to watch in 2018..
We @allthethingsetc could not be any more obsessed 😍 with how @natmazz photos of her in her Peach goodies.. If you don’t know Natalie she has an amazing blog called Were You Are Now, when she isn’t blogging she works full time in PR. * * If your not following her or her amazing photographer @marianandgus you should be! Natalie is for sure one to watch in 2018..
Don’t let this happen to you!!!!! Get to the Cookie Walk early before we sell out!! #medfield #medfieldcookiewalk #stedwardsmedfieldma #holidaycookies #charityevent #christmascookies
57 might be my new favorite. It's a perfect example of the classic work of @thetrustees. Tucked away off a street you'd never notice in a town you've never heard of is a natural stand of rare, native Rosebay Rhododendrons, being meticulously cared for by a collaborative team of stewards, horticulturalists, botanists, and wild flower enthusiasts. It may never impact your life in any noticeable way, but we're saving them anyways. Because they deserve saving. // #thetrustees #trustees116 #medfield #rhododendron #medfieldrhododendrons #rosebayrhododendron #botany #horticulture #conservation #stewardship #wildflowers #nativespecies #thislandisyourland #publicland #hike125 #ispeakforthetrees
57 might be my new favorite. It's a perfect example of the classic work of @thetrustees. Tucked away off a street you'd never notice in a town you've never heard of is a natural stand of rare, native Rosebay Rhododendrons, being meticulously cared for by a collaborative team of stewards, horticulturalists, botanists, and wild flower enthusiasts. It may never impact your life in any noticeable way, but we're saving them anyways. Because they deserve saving. // #thetrustees  #trustees116  #medfield  #rhododendron  #medfieldrhododendrons  #rosebayrhododendron  #botany  #horticulture  #conservation  #stewardship  #wildflowers  #nativespecies  #thislandisyourland  #publicland  #hike125  #ispeakforthetrees