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Multiple sclerosis – Wikipedia

Posted: Published on October 17th, 2018

Multiple sclerosis (MS) is a demyelinating disease in which the insulating covers of nerve cells in the brain and spinal cord are damaged.[1] This damage disrupts the ability of parts of the nervous system to communicate, resulting in a range of signs and symptoms, including physical, mental, and sometimes psychiatric problems.[5][8][9] Specific symptoms can include double vision, blindness in one eye, muscle weakness, trouble with sensation, or trouble with coordination.[1] MS takes several forms, with new symptoms either occurring in isolated attacks (relapsing forms) or building up over time (progressive forms).[10] Between attacks, symptoms may disappear completely; however, permanent neurological problems often remain, especially as the disease advances.[10] While the cause is not clear, the underlying mechanism is thought to be either destruction by the immune system or failure of the myelin-producing cells.[3] Proposed causes for this include genetics and environmental factors such as being triggered by a viral infection.[8][11] MS is usually diagnosed based on the presenting signs and symptoms and the results of supporting medical tests.[4] There is no known cure for multiple sclerosis.[1] Treatments attempt to improve function after an attack and prevent new attacks.[8] Medications used to treat MS, while modestly effective, can have side effects … Continue reading

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Cardiac Surgery | Boston Medical Center

Posted: Published on October 15th, 2018

Specialty SpecialtyAcute Care and Trauma SurgeryAlzheimer's Disease CenterAmyloid CardiomyopathyAmyloidosis CenterAnesthesiaArrhythmiaAudiology (Hearing Problems)Boston Medical Center Copley Square Medical PracticeBoston Medical Center Neponset Valley Medical PracticeBoston University Charles River Medical PracticeBreast CancerBreast Health CenterCancerCarcinoid TumorCardiac RehabilitationCardiac SurgeryCardiovascular CenterCATALYST ClinicCATCH - Child and Adolescent Transgender Center for HealthCenter for the Urban Child and Healthy FamilyChest Wall TumorConcussion Clinic for ChildrenCosmetic and Laser CenterDermatologyDiabetesDiaphragm TumorElbow SurgeryEndocrinologyEndometrial CancerEsophageal CancerFamily MedicineFracturesGastroenterologyGenetic ServicesGeriatricsGynecologyHand SurgeryHead and Neck CancerHeart Failure/Cardiomyopathy Hematology and Medical OncologyHip Replacement SurgeryHolistic Medicine - Integrative HealthHospitalist GroupHypertensionInfectious DiseasesInternal MedicineKidney CancerKnee Replacement SurgeryLipid ClinicLiver CancerLung CancerLupusMediastinal TumorMelanomaMultiple MyelomaNeurologyNeurosurgeryNose, Sinus, and Allergy CareNutrition and Weight ManagementObstetricsOccupational MedicineOphthalmologyOral and Maxillofacial SurgeryOral CancerOrthopedic SurgeryOtolaryngology - Head and Neck SurgeryOvarian CancerPancreatic CancerParkinson's Disease and Movement Disorders CenterPediatrics - Adolescent CenterPediatrics - Autism ProgramPediatrics - CardiologyPediatrics - Comprehensive Care Program (CCP)Pediatrics - DentistryPediatrics - Developmental and Behavioral PediatricsPediatrics - Emergency DepartmentPediatrics - EndocrinologyPediatrics - GastroenterologyPediatrics - GeneticsPediatrics - HematologyPediatrics - Infectious DiseasesPediatrics - Menstrual Disorders ClinicPediatrics - NeurologyPediatrics - OphthalmologyPediatrics - Otolaryngology (ENT)Pediatrics - Pain ClinicPediatrics - Primary CarePediatrics - PsychiatryPediatrics - PulmonaryPediatrics - SurgeryPediatrics - Travel and International HealthPediatrics Orthopedic SurgeryPediatrics RheumatologyPediatrics RheumatologyPhysical and Occupational TherapyPlastic SurgeryPodiatryPsychiatryPulmonary, Allergy, Sleep and Critical Care MedicineRadiation OncologyRadiologyRenal MedicineResearchRheumatology and ArthritisRyan Center for Sports … Continue reading

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Anoxic Brain Injury – BrainAndSpinalCord.org | Brain …

Posted: Published on October 15th, 2018

Adequate oxygen is vital for the brain. Many factors can cause the brain to receive inadequate oxygen. When oxygen levels are significantly low for four minutes or longer, brain cells begin to die and after five minutes permanent anoxic brain injury can occur. Anoxic brain injury which is also called cerebral hypoxia or hypoxic-anoxic injury (HAI) is a serious, life-threatening injury; it can cause cognitive problems and disabilities. Some HAI injuries are due to a partial lack of oxygen; the term hypoxic means partial lack. Other HAI injuries are due to a complete lack of oxygen; the term anoxic means total lack. The greater the loss of oxygen, the more wide-spread and serious the injury will be. The death of brain cells interrupts the brains electrochemical impulses and interferes with the performance of neurotransmittersthe chemical messengers which transmit messages within the brain. The neurotransmitters regulate body functions and influence behavior. For example, the neurotransmitters serotonin, dopamine, and norepinephrine help regulate moods, while the endorphins increase pleasure and control pain. The neurotransmitter acetylcholine plays an important role in memory. See: Brain Injury Statistics There are four types of anoxia, but each can cause the same serious damage to the brain. Usually … Continue reading

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Sudden Death in Dogs – Pet Health Network

Posted: Published on October 15th, 2018

The tragic unexpected loss of a dog is always painful. Most of us dont think of our dogs suddenly dying with no warning, but it does occur. Understanding what happened and how it happened are a significant part of closure to our loss. In a study of autopsies performed at Purdue University Small Animal Diagnostic Laboratory1 over a five-year period, nearly 10 percent (112 cases) had been associated with sudden unexpected death. None of these dogs had a history of existing disease. Dog owners often jump to conclusions in these cases -- Somebody poisoned my dog! -- when in reality malicious poisonings are extremely uncommon and most of those suspected are inadvertent exposures. The causes found by pathologists involved: A similar survey had been published in Canada and resulted in similar figures2. Causes of Death Unfortunately, in spite of all efforts, some causes of death remain undetermined. However, it is always good to pursue a cause of death for your own peace of mind and to protect other pets. General causes of sudden death can be grouped according to the organ system involved: Toxins may also be involved but no one toxin is more likely to have caused a dogs … Continue reading

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Cardiology – Wikipedia

Posted: Published on October 15th, 2018

Cardiology Blood flow diagram of the human heart. Blue components indicate de-oxygenated blood pathways and red components indicate oxygenated blood pathways. Cardiology (from Greek kardi, "heart" and - -logia, "study") is a branch of medicine dealing with disorders of the heart as well as parts of the circulatory system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology. Physicians who specialize in this field of medicine are called cardiologists, a specialty of internal medicine. Pediatric cardiologists are pediatricians who specialize in cardiology. Physicians who specialize in cardiac surgery are called cardiothoracic surgeons or cardiac surgeons, a specialty of general surgery. Although the cardiovascular system is inextricably linked to blood, cardiology is relatively unconcerned with hematology and its diseases. Some obvious exceptions that affect the function of the heart would be blood tests (electrolyte disturbances, troponins), decreased oxygen carrying capacity (anemia, hypovolemic shock), and coagulopathies. All cardiologists study the disorders of the heart, but the study of adult and child heart disorders are through different training pathways. Therefore, an adult cardiologist (often simply called "cardiologist") is inadequately trained to take care of children, and pediatric cardiologists are not trained … Continue reading

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Cerebral Palsy: Practice Essentials, Background, Anatomy

Posted: Published on October 14th, 2018

Simpson DM, Gracies JM, Graham HK, Miyasaki JM, Naumann M, Russman B, et al. Assessment: Botulinum neurotoxin for the treatment of spasticity (an evidence-based review): report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology. 2008 May 6. 70(19):1691-8. [Medline]. Scholtes VA, Dallmeijer AJ, Knol DL, Speth LA, Maathuis CG, Jongerius PH, et al. The combined effect of lower-limb multilevel botulinum toxin type a and comprehensive rehabilitation on mobility in children with cerebral palsy: a randomized clinical trial. Arch Phys Med Rehabil. 2006 Dec. 87(12):1551-8. [Medline]. Dai AI, Wasay M, Awan S. Botulinum toxin type A with oral baclofen versus oral tizanidine: a nonrandomized pilot comparison in patients with cerebral palsy and spastic equinus foot deformity. J Child Neurol. 2008 Dec. 23(12):1464-6. [Medline]. Yang EJ, Rha DW, Kim HW, Park ES. Comparison of botulinum toxin type A injection and soft-tissue surgery to treat hip subluxation in children with cerebral palsy. Arch Phys Med Rehabil. 2008 Nov. 89(11):2108-13. [Medline]. Pascual-Pascual SI, Pascual-Castroviejo I. Safety of botulinum toxin type A in children younger than 2 years. Eur J Paediatr Neurol. 2009 Nov. 13(6):511-5. [Medline]. Hoving MA, van Raak EP, Spincemaille GH, Palmans LJ, Becher JG, Vles JS. … Continue reading

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Cardiovascular Nursing Education Associates

Posted: Published on October 14th, 2018

CNEAs Certification Preparation Center Weoffertwotypesofcertificationpreparationproducts: 3. Certification Preparation Books with questions and extensiverationales for correct answers based on the test blueprint for each exam! Our online classes offer 24/7 access to high quality audio/video PowerPoint presentations that are just like a live class only you can be in your jammies and watch at your convenience! At the end of the program, submit your online evaluation to receive a link to your CE certificate. These programs provide the same excellent learning opportunities that you are used to getting at live classes taught by Carol Jacobson, Karen Marzlin, and Cindy Webner. Enhance your practice, improve patient outcomes, and prepare for certification exams with these exceptional programs. Classes are available for individual use or institutional access to train your staff for a fraction of the price you pay elsewhere. Clickhereformoreinformation! Cardiovascular Nursing Education Associates (CNEA) Carol Jacobson, Karen Marzlin, and Cynthia Webner Cardiovascular Nursing Education Associates (CNEA) provides comprehensive cardiovascular and critical care education and certification preparation. Why choose CNEA for your cardiovascular, critical care, and certification needs: Individual nurses .. We will help you achieve your professional education and certification goals. Carol, Cindy and Karen teach and write in a style that … Continue reading

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Primary and secondary brain injury – Wikipedia

Posted: Published on October 14th, 2018

Primary and secondary brain injury are ways to classify the injury processes that occur in brain injury. In traumatic brain injury (TBI), primary brain injury occurs during the initial insult, and results from displacement of the physical structures of the brain.[1] Secondary brain injury occurs gradually and may involve an array of cellular processes.[1][2] Secondary injury, which is not caused by mechanical damage, can result from the primary injury or be independent of it.[3] The fact that people sometimes deteriorate after brain injury was originally taken to mean that secondary injury was occurring.[3] It is not well understood how much of a contribution primary and secondary injuries respectively have to the clinical manifestations of TBI.[4] Primary and secondary injuries occur in insults other than TBI as well, such as spinal cord injury and stroke. In TBI, primary injuries result immediately from the initial trauma.[6] Primary injury occurs at the moment of trauma and includes contusion, damage to blood vessels, and axonal shearing, in which the axons of neurons are stretched and torn.[1] The blood brain barrier and meninges may be damaged in the primary injury, and neurons may die.[7] Cells are killed in a nonspecific manner in primary injury.[8] Tissues … Continue reading

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Welcome to the ABG Tutorial – Welcome to Hansen

Posted: Published on October 13th, 2018

A note about pre-requisite learning: A clear understanding of human acid-base physiology is necessary before you begin this learning activity An introduction to acid-base imbalances will facilitate your understanding of the contents within this tutorial. Upon completion of this learning activity, you will be able to orecognize clinical manifestations associated with acid-base imbalances. omatch pH values with acid-base imbalances. oselect the correct answer following the review of each case study. ocompare and contrast the step-wise assessment of determining the acid-base balance of the blood. oidentify the appropriate etiology of metabolic acidosis/alkalosis and respiratory acidosis/alkalosis. odifferentiate between compensatory and non-compensatory ABG changes. Sometimes reading and deciphering Arterial Blood Gases (ABGs) can be a challenge! I have provided an interactive online tutorial for your review. Arterial blood gas values reflect ventilation and acid-base balance. The results include the arterial blood pH (concentration of hydrogen ions in the blood) , partial pressure of carbon dioxide (PaCO2) dissolved in the arterial plasma, and the concentration of sodium bicarbonate (HCO3-) in the blood. Our bodies regulate an acid-base balance through a "buffer system." This buffer system neutralizes acids. There are three buffer systems that exist for the maintenance of our acid-base equilibrium: a buffer system … Continue reading

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How does the hypothalamus control appetite? | Endocrine …

Posted: Published on October 13th, 2018

Hidden in your hypothalamus, you have a satiety center that regulates your appetite. It's controlled by two counter-balancing chemicals that are located side-by-side. - The satiety chemicals led by CART (the C stands for cocaine and A for amphetamine, since these drugs put this chemical into overdrive). CART stimulates the surrounding hypothalamus to increase metabolism, reduce appetite, and increase insulin to deliver energy to cells rather than be stored as fat. - The eating chemicals driven by NPY (a protein called neuropeptide Y). NPY has the opposite effect on the hypothalamusdecreasing metabolism and increasing appetite. It fires off those signals for you to eat, eat, eat. The biological message: Prevent starvation by eating. Think of the two substancesNPY and CARTas villain and angel. Both are competing for the same parking space, the one that will ultimately determine whether or not you eat. They both arrive at the same time and want that space. Either more NPY or CART sneak into the place, thus sending the all-important go or stop signal to your brain to influence the hormones that make you feel full or hungry. How do we know these centers work this way? In animal models, we see that if … Continue reading

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