...facial weakness. Individuals may also experience loss of sensation in the anterior two-thirds of the tongue. Most individuals experience a full recovery, however, a subset of patients have permanent facial weakness. This may lead to psychological symptoms and disability. Eye lid involvement can result in the inability to close the eyelid. Individuals often require frequent use of eye lubricants and referral an eye specialist. Lower facial muscle involvement can lead to drooping of the corner of the mouth and slurred speech (dysarthria). These symptoms are often mistaken...
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...customized program of regular exercise. THE IMPACT OF MULTIPLE SCLEROSIS Multiple sclerosis is an auto-immune disease of the central nervous system. It degrades the myelin sheath that covers and protects axons or nerve tissue in the body. There is also evidence that the disease damages nerve tissue itself. MS can compromise the ability of nerves to function normally, which can also affect mobility, feeling, and sensory perception. It may also cause fatigue and a loss of muscle mass due to the inability of the patients to exercise adequately. A critical element of treatment is the need to watch for signs of progression of the disease. Multiple sclerosis progression is most commonly measured through a scale called the Expanded Disability Status Scale (EDSS), which focuses largely on a person's ambulatory ability.(n1) Many doctors also use a measurement called the Multiple Sclerosis Functional Composite (MSFC), which is a three-part composite assessment that uses a wide variety of individual measures of function including: Timed 25-Foot Walk; 9-Hole Peg Test; and Paced Auditory Serial Addition Test (PASAT).(n4) These measurement tools include a strong focus on mobility, which is a primary consideration in monitoring the health of people with MS. MOBILITY FOR THOSE WITH MS Mobility is simply the quality of being mobile. In a rehab setting for people with MS,...
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...can only tell if a baby is at risk of Down's Syndrome. Scientists from Cyprus, Greece and Britain said the new technique correctly identified 14 Down syndrome cases and 26 normal foetuses in a blind test. They believe it will also be possible to diagnose the condition earlier on. Study author Philippos Patsalis, of the Cyprus Institute of Neurology and Genetics, said: 'The method is simple and fast and easy to perform in every genetic diagnostic lab worldwide because it does not require expensive equipment, software or special infrastructure. 'The test is the first worldwide to demonstrate 100 per cent sensitivity and 100 per cent specificity in all normal and Down's syndrome pregnancies examined.' Down's syndrome is a genetic disorder that causes physical and learning disabilities and raises the risk of heart disease. Infants with the condition have three copies of the Chromosome 21 instead of the normal two. It affects about one in every 700 live births but women of 40 are 16 times more likely to have a Down's child than a 25-year-old. At present all pregnant women are offered screening to see if their baby is at risk of Down's syndrome. For a firm diagnosis, doctors must take a sample of amniotic fluid or the placenta, which involves a 1 in 100 risk of miscarriage. Several research teams have published studies suggesting that analysing the mother's blood can detect Down syndrome in a foetus. There is no...
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...What is autism? Definition Autism is a severely incapacitating developmental disorder of brain function characterized by three major types of symptoms: impaired social interaction, problems with verbal and nonverbal communication, and unusual or severely limited activities and interests. The definition of Autism and Autism Spectrum Disorder (ASD) is provided by the Diagnostic and Statistical manual of Mental Disorders (DSM-IV). Children with autism are less able to interact with the world as other children do. To provide a comprehensive definition of Autism Spectrum Disorder, there are separate labels given to children with autism for different points on the Autism spectrum. At the least affected end, you may find labels such as "Asperger's Syndrome", "High Functioning Autism" and "Pervasive Developmental Disorder - Not Otherwise Specified" (PDD-NOS). At the other end of the spectrum you may find labels such as "Autism", "Classic Autism" and "Kanner Autism". Description Autism is a neurodevelopmental disorder characterized by impaired social interaction, verbal and non-verbal communication, and by restricted and repetitive behavior. The diagnostic criteria require that symptoms become apparent before a child is three years old. Autism affects information processing in the brain by altering how nerve cells and their synapses connect and organize; how this occurs is not well understood. It is one of three recognized disorders in the autism spectrum (ASDs), the other two...
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...BTEC Level 3 National Health and Social Care Unit 1 Developing effective communication in health and social care This mandatory unit enables learners to understand effective communication within health or social care settings, some of the many barriers to effective communication and ways to overcome them. Learners will gain the necessary interpersonal skills to communicate with a range of people within the sector and will have the opportunity to identify and analyse the effectiveness of their own communication skills. This is a 10-credit unit and can be taught in 60 guided learning hours, with learners also expected to complete non-supervised individual study time. This is a mandatory unit for all qualifications. On completion of this unit, learners should: LO1 Understand effective communication and interpersonal interaction in health and social care LO2 Understand factors that influence communication and interpersonal interaction in health and social care environments LO3 Understand ways to overcome barriers in a health and social care environment LO4 Be able to communicate and interact effectively in a health or social care environment Unit contents The scheme of work for this unit (page 13) links to the following resources to help you deliver Unit 1. LO1 Lesson plan LO2 LO3 LO4 AS10, AS11, AS12 LP Activity sheet AS1, AS2, AS3, AS4 AS5, AS6, AS7, AS8, AS9 Stretch and support AS1, AS2, AS3, AS4 AS6, AS8, AS9 ...
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...school-age children. She is in class a total of 15 hours per week, plus 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get six hours of sleep per night, but that is okay with her. She lives one hour from campus and commutes each day. UsingHealthy People 2020and your text as a guide: 1. What additional information would you like to gather from Maria? 2. What are Maria’s real and potential health risks? 3. Why is Maria’s culture important when obtaining the health assessment? 4. Pick one of Maria’s health risks. Would you classify Maria’s problem as first-level priority, second-level priority, third-level priority, or a collaborative problem? What would be one reasonable short-term goal for this risk? DQ 2 Understanding cultural phenomena is essential to the completion of an accurate and holistic health assessment. Please review a cultural group from Table 2-3 (p. 20) from...
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...One of the most obvious is its use in printing prosthetics, which face a high rejection rate due to improper fit. Traditional prosthetic hands cost upwards of $50,000, and many insurance companies refuse to pick up the bill for children, who end up outgrowing them within only a couple years. It’s just not practical from a financial standpoint to spend $50,000 for a hand that a child may get very minimal use out of. Using open source 3D printable design files, anyone with a 3D printer can print out a custom sized prosthetic hand in a matter of hours. The price tag? Between $15-$50. That’s right, less than 1/10,000 of the price of traditional prosthesis. There are literally thousands upon thousands of children with severe upper limb disabilities from all over the world. The ability to create extremely affordable prosthetic hands means there is tremendous potential for all of these children and even adults to benefit from this Prosthetics Definition In medicine, a prosthesis, (from Ancient Greek prósthesis, "addition, application, attachment")[1] is an artificial device that replaces a missing body part, which may be lost through trauma, disease, or congenital conditions. Prosthetic amputee rehabilitation is primarily coordinated by a prosthetist and an inter-disciplinary team of health care professionals including surgeons, physical therapists, and occupational therapists. but meanily it misplaces the value of the common man and likeihood. ------------------------------------------------- ...
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...concept of land ownership by a few has spawned valid and legitimate grievances that gave rise to violent conflict and social tension and the redress of such legitimate grievances being one of the fundamental objectives of the New Society, it has become imperative to start reformation with the emancipation of the tiller of the soil from his bondage. Article 8. Transfer of lands to tenant workers. Being a vital part of the labor force, tenant-farmers on private agricultural lands primarily devoted to rice and corn under a system of share crop or lease tenancy whether classified as landed estate or not shall be deemed owner of a portion constituting a family size farm of five hectares if not irrigated and three hectares if irrigated. In all cases, the landowner may retain an area of not more than seven hectares if such landowner is cultivating such area or will now cultivate it. Article 9. Determination of land value. For the purpose of determining the cost of the land to be transferred to the m tenant-farmer, the value of the land shall be equivalent to two and one-half times the average harvest of three normal...
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...Acknowledgement Gratefully acknowledge the following persons who in one or another helping us in making this study a successful one. They serve as guide and shared knowledge that this project was made possible. To Dr. Alberto Talaid, PIE our special project adviser who has been there to support us.To our friends for teaching how to prepare the financial statement and spending their time even though they’re busy. To our dear family who have been always there supporting and being understanding in giving the time for us to spend this project. And above all to our Almighty God a million thanks for the strength, knowledge, good health, wisdom and the guidance that enlightened our hearts and minds that this study would be possible. INTRODUCTION Ice manufacturing has started in early this century. Prior to these factories ice was imported from the mountains, at a very high financial cost, and did not last too long due to temperature. But these new factories started producing three to four tons of ice per day. This was enough to support the population more so than ever before. Ice was preserved over the warm summer months by packing the ice in saw dust for insulation. Instantly the ice business became big business. Many entrepreneurs started investing money in formulating mechanical refrigeration at an economical cost. Interest in ice making equipment was at full force in the early twentieth century. Uncertainty of supplies, great fluctuations...
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...committees include their customers too. Further as senior citizens usually form an important constituency in banks, a senior citizen may preferably be included therein. 3. The branch level committees may also submit quarterly reports giving inputs / suggestions to the Standing Committee on Customer Service thus enabling the Standing Committee to examine them and provide relevant feedback to the Customer Service Committee of the Board for necessary policy / procedural action. The Branch Level Customer Service Committee may meet at least once a month to study complaints/ suggestions, cases of delay, difficulties faced / reported by customers / members of the Committee and evolve ways and means of improving customer service. ============================== SOME DETAILS 1.1 General Policy for general management of the branches Banks' systems should be oriented towards providing better customer service and they should periodically study their systems and their impact on customer service. Banks should have a Board approved...
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...school-age children. She is in class a total of 15 hours per week, plus 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get six hours of sleep per night, but that is okay with her. She lives one hour from campus and commutes each day. UsingHealthy People 2020 and your text as a guide: 1. What additional information would you like to gather from Maria? 2. What are Maria’s real and potential health risks? 3. Why is Maria’s culture important when obtaining the health assessment? 4. Pick one of Maria’s health risks. Would you classify Maria’s problem as first-level priority, second-level priority, third-level priority, or a collaborative problem? What would be one reasonable short-term goal for this risk? Discussion 2 Understanding cultural phenomena is essential to the...
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...Prevention of Hospital Readmissions Related to Symptoms of Congestive Heart Failure Health care providers must ensure skills, knowledge and teaching is effective when providing care to their patients and families about symptoms of CHF. The length of stay for an average hospital visit can be two days however, for more chronic issues warrant an even longer stay. To avoid readmission of the disease processes of CHF warrants additional care and resources during and after discharge. . Some patients cannot follow up with their primary care physician because of transportation, language barriers and economic status. These lessen their chances of follow-up care causing frequent hospitalizations. The strategy used for the study conduct a Cochrane Q and I squared statistics reviewed 141 studies with screening by the title and the abstract. 119 papers were eliminated because of data including the interventions and the electronic data related to CHF. 22...
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...D.A.C.N.B. ABSTRACT Objective: This study investigates the clinical utility of testing functional systems within the central nervous system, compared to testing individual motor nerves with manual muscle testing. Design: Private practice. Study Subjects: Patients were examined by the treating chiropractor from his existing patient pool. Methods: Chiropractic management was decided on by the treating chiropractor. A series of twelve tests were designed to discover disorders of functional systems within the CNS. The tests described were to evaluate the function of 12 systems: 1) spinal cord, 2) myelencephalon/reticular formation, 3) vagal system, 4) trigeminal motor system-muscles of mastication, 5) vestibulospinal system, and bulbo reticular area, 6) reticular formation, 7) diencephalons and gait locomotion system, 8) mesencephalon, 9) cardiac sympathetic autonomic system, 10) pyramidal system, 11) limbic system, 12) sensory system. Results: This chiropractic approach tests the nervous system after provocation of functional systems instead of sensory challenges to more discreet portions of the body. Conclusion: For chiropractic patients who are not responding to discreet treatment programs, this method of evaluation may be valuable as it tests underlying system problems within the CNS. Nearly all the functional systems have a related motor activity that results in inhibition and facilitation patterns. Case series...
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...ENGINEERING ETHICS The Kansas City Hyatt Regency Walkways Collapse Department of Philosophy and Department of Mechanical Engineering Texas A&M University NSF Grant Number DIR-9012252 Negligence And The Professional "Debate" Over Responsibility For Design Instructor's Guide - Introduction To The Case On July 17, 1981, the Hyatt Regency Hotel in Kansas City, Missouri, held a videotaped tea-dance party in their atrium lobby. With many party-goers standing and dancing on the suspended walkways, connections supporting the ceiling rods that held up the second and fourth-floor walkways across the atrium failed, and both walkways collapsed onto the crowded first-floor atrium below. The fourth-floor walkway collapsed onto the second-floor walkway, while the offset third-floor walkway remained intact. As the United States' most devastating structural failure, in terms of loss of life and injuries, the Kansas City Hyatt Regency walkways collapse left 114 dead and in excess of 200 injured. In addition, millions of dollars in costs resulted from the collapse, and thousands of lives were adversely affected. The hotel had only been in operation for approximately one year at the time of the walkways collapse, and the ensuing investigation of the accident revealed some unsettling facts: During January and February, 1979, the design of the hanger rod connections was changed in a series of events and disputed communications between the fabricator (Havens Steel Company) and the engineering design...
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...Illinois is a leader in highway safety. Over the last decade, this state has produced Illinois Rules of the Road 2013 some of the toughest highway safety laws in the nation. As the leading traffic safety advocate for the state, my office has led the charge against drunk and distracted drivers. Illinois also has adopted some of the toughest driver’s license standards for teen drivers. My office has also adopted policies that have allowed the driving public to more easily access Secretary of State services. Hundreds of thousands of drivers and registered vehicle owners have utilized services on my office’s website at www.cyberdriveillinois.com to renew their driver’s license and license plates, register their information in the Emergency Contact Database or to join the Organ/ Tissue Donor Registry. As Secretary of State, I continue to maintain the highest standards when it comes to traffic safety and public service in Illinois. Jesse White Secretary of State Table of Contents Chapter 1: Illinois Driver’s License ................................................................................2 Chapter 2: Driver’s License Exams ..............................................................................11 Chapter 3: Drivers Under Age 21 (GDL) ......................................................................14 Chapter 4: Traffic Laws................................................................................................19 Chapter 5: Sharing the Road...
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