Degenerative spondylolisthesis (DS) with spinal stenosis is one of the leading causes of lower back pain among people over 40 years old. The disorder is characterized by a displacement of one vertebra over the other, typically between the fourth and fifth lumbar vertebra of the spine, often leading to distinct signs and symptoms in other areas of the body. Although there are several subtypes of spondylolisthesis, this paper will focus on DS in light of its relevance to today’s maturing patient…
medications have an antiadrenergic/anticholinergic effect, meaning they block certain body functions that promote secretions from glands. Some common drugs that cause dry mouth are antihypertension, antidepressants, antihistamines, and drugs to treat urinary incontinence. Also, a diet low in essential nutrients can make the body’s immune system not as effective in fighting off infections (“Types of Gum Disease”…
Learning Objectives: After this, physicians should be able to Understand the importance of dealing with ketamine abuse Identify physical signs and behavioral changes in young adults abusing ketamine · Help family members deal with the patient and get them proper treatment Case Presentation: A 17 year-old female patient comes into the doctor's office for the usual check-up with her mother. The patient has complaints of painful urination and an intense pain in the abdomen that…
As a trend, a growing number of women are requesting delivery by Cesarean section without any medical complications. Cesarean delivery also known as C-section is the birth of a fetus through a trans-abdominal incision in the uterus (Lowdermilk, Perry, & Cashion, 2014). It is a major surgery that associated with risks for both the mother and the baby. However, many women choose elective C-sections over vaginal deliveries in the belief that they are safer, less risk of complications, and less pain…
Data regarding the cardiovascular system of older adults is slightly limited, due to the fact that older people are usually not included in clinical trials. However, enough research has been done to identify common physiological changes in the geriatric cardiovascular system, such as: increased heart weight; decreased number of myocardial cells with enlargement of remaining cells; increased left ventricle wall thickness; increased arterial stiffness; increased elastin levels; increased collagen…
The injustice of what is happening at Rikers Island comes from a neglectful system that has shown no care for the inmates or the staff’ safety. It is unfair to the inmates and staff that are subjected to the hate, violence, and lack of authority. This puts the staff members lives’ in danger, as well as the inmates. It does not matter why an inmate is at Rikers Island; the corrections officers’ jobs are to ensure the security of the detention facility and inmate rehabilitation. It is hurtful to…
Exploring 30-day children?s readmission rate in a general hospital. K van Driel1*, GS de Wolf2, R. van Schaik3 1 Division woman and child, Diakonessenhuis Utrecht, the Netherlands 2Department of clinical methods and Public Health, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands 3Division woman and child, Diakonessenhuis Utrecht, the Netherlands * Corresponding author: K van Driel, Division Woman and Child Diakonessenhuis…
4 Customisation of vaginal cone and its quality control measures 4.1 Introduction Globally one third of the women suffer from pelvic floor dysfunction. Every women experience mild to severe form of pelvic floor dysfunction symptoms at some point of their life. It occurs due to weak pelvic floor muscles which acts a basin for the pelvis and support the pelvic organs. The weakness inevitably occurs during pregnancy, after child birth (normal vaginal delivery and caesarean section) and after…
Certain state benefits e.g. statutory sick pay available to Ee. Irreducible minimum: The courts have developed various tests to see employee/self employed. Irreducible minimum: A contractual relationship between the Claimants and the Def; Mutuality of obligation; Personal service and control. Dacas V Brook Street Bureau [2004] Mrs Dacas was no longer need as a cleaner in the hostel (own by council) and she sue the council and the agency for a claim in unfair dismissal. Held: She was not employed…
This may cause accumulation of errors rapidly in the cell and its progeny. * Those in signaling (endocrine) machinery of the cell. This leads transmission of the error signals to nearby healthy cells as well. * Those that allow the cells to migrate and disrupt more healthy cells away from the primary site of origin. * Those that make the cell immortal so that the abnormal cell refuses to die. Hormonal changes Notable among these are changes in the female hormone levels estrogen. Excess…