The fight or flight response, also known as the “acute stress response” was first described by Walter Cannon in the 1920s as a theory that animals react to threats when the autonomic nervous system reacts. His theory was later recognized as the first stage of a general adaptation syndrome that regulates stress responses among vertebrates and other organisms. Our autonomic nervous system consists of two branches: the parasympathetic and the sympathetic systems. The sympathetic system’s…
when I meet the 3rd brigade surgeon, 2nd Infantry Division, Dr. Lazarus and so I brought up the condition that I have been having a swollen and painful pain symptoms at the joint and so he order a blood test for uric acid level. When the result came back from the blood test, my uric acid level in of blood was way above the normal level it was 14 and the normal, tolerable level is up to 6, and Dr. Lazarus said that I had a condition of gout and the cause of ¹gout is by abnormal of metabolism of…
Diagnosis & Tests Either a doctor or a certified speech-language pathologist will be called in to diagnose a possible case of dysarthria. At a typical exam, the patient will give a health care provider their medical history, which should include a list of all medications currently being taken. A physical exam will then be conducted to determine the problem and its severity. A speech-language pathologist would look at the movement of several muscles and structures involved in speech such as the…
Virchow-Robin (VR) spaces or perivascular spaces of the brain refer to spaces that accompany the cerebral vessels as they pass from subarachnoid space into the brain parenchyma. A few evident perivascular spaces can be considered normal at any age but many visible perivascular spaces are not. The relevance of visible perivascular spaces to SVD is shown by their presence in increased numbers in patients with white matter hyper-intensities and with symptomatic lacunar ischemic stroke. The…
Epstein - Barr virus or, Human herpesvirus 4, is the virus that causes infectious mononucleosis, and contains double-stranded DNA. This virus is species specific in that it only infects humans. The Epstein-Barr virus was discovered in 1964 when Michael Anthony Epstein and Yvonne Barr found it in a Burkitt lymphoma cell line. In 1968, they then linked the virus to the disease infectious mononucleosis. Once the host is infected with the virus it stays in the host for the remainder of the host’s…
There are a lot of reasons why the new swimsuit, the LZR Racer, can affect the forces working on a swimmer during a competition. Some think it is a good reason, such as Mark Schubert, the United States swimming head coach. Others think the swimsuit is a bad idea, like Italy's head coach, Alberto Castagnetti. I believe that the LZR Racer is a bad idea because it would be unfair for racers in other countries. Here are some reasons why. In the swimsuit, Speedo and NASA created a super speed…
of all phases of wound healing. Immediately after injury, exposed collagen comes into contact with blood, promoting platelet aggregation and activating chemotactic factors involved in the response to injury. Later collagen becomes the foundation of the wound ECM. Invading fibroblasts synthesise and secrete types I and III collagen to form the new matrix. Angiogenesis: The process of forming new blood vessels occurs concurrently during all stages of the healing process. TGF-β and PDGF, secreted…
Joinville is a city located in Southern Brazil with 516,288 inhabitants, according to the last national census. The Joinville Stroke Registry is an ongoing population-based registry databank started in 2005 and supported by law since 2013. The registry uses the methodology proposed by Sudlow and Warlow as well as the Stroke-Steps modular program proposed by the WHO (first step for all hospital cases, second step for checking of death certificates and third step to ascertain mild events). The…
When Mr Jones was first admitted, there were several concerning cues that made him an at risk patient. Even before observations were taken Mr Jones’s age, weight and intense chest pain clearly indicated his need for immediate action to evaluation his condition because of the risk of heart complications. After observations Mr Jones had a total Q-ADDS score of 3 and a pain score of 7/10, most concerning was his O2 saturation at 92% and his severe crushing pain in his chest which had been going on…
possibility would be that she will continue to have low-normal fluid that will continue to be normal for this pregnancy. I would recommend moving forward with growth scans every 3-4 weeks to assure there is normal growth assuring normal placental function. I would also recommend weekly AFI’s at least until 26-28 weeks. You may consider betamethasone if she stays low-normal after 24 weeks. If there is either an AFI < 5 cm or no 2 cm deepest pocket, I would consider a referral back to our…