Pierre Robin Syndrome, Narcolepsy and Traumatic Brain Injury

capital of South Dakota Robin Syndrome, Narcolepsy and Traumatic Brain soilPatient Education EntriesPierre Robin SyndromePierre Robin Syndrome is usually referred to Bird Face. This condition was initially regarded as a single clinical entity but is now considered to characterize a unique(predicate) result of an abnormal developmental process. Pierre Robin Syndromes exact endeavour is unknown. There is no connection between the activities of a mother that causes her louse up to have this disorder (International Craniofacial Institute, 2014, n.p.). For paediatricians, the main short-term issues that need treatment are for breathing and feeding.SymptomsThe lower jaw is abnormally small. desire tongue which causes its tongue to stymie the airway.Cleft palateRepeated ear infectionsInterventions (Childrens Hospital of Wisconsin, 2013, n.p.)Tongue-lip adhesion which is a interim stitch of the tongue to the lip below. It heaves the tongue frontward to obviate obstruction on the airw ay.Mandibular distraction is a procedure to cut the lower jaw as pins are on the bone on every side. This technique corrects asymmetric jaws of patients. It pulls out jaws of patients with obstructive sleep apnea especially for those who suffer PRS.Tracheostomy is applicable if the first ii ways dont work. This is a surgery creating a hole through the discern going to the trachea. This serves as a passage of air for breathing.In the long run, speech defect and palatal dysfunction are the effects. By 3 years old, most children with this disorder are taking an oral diet and do not have major difficulty in breathing if proper intervention in earlier years took place (Burton, 2010, para.17).NarcolepsyNarcolepsy is a disorder of having too much sleepiness during the daytime. It is likewise associated with abrupt temporary muscle weakness or cataplexy. According to a research in 2013, 1 out of 2000 people experience this disorder (UK Health Centre, n.p.). A cause of this disorder is t he lack of neurotransmitter hypocretin (orexin). This is usual in the cases of narcolepsy with cataplexy. Another cause is the combination of genetics and impact of surroundings, such as hormonal imbalance, trauma, immune system problems, or stress. Narcolepsy is a life-long illness, but it does not persistently worsen. Over the time, its symptoms gradually decrease but they never totally disappear. As for adults, cataplexy lessens, but sleep disturbances can encounter worse. Below are the symptoms of Narcolepsy (University of Maryland Medical Centre, 2012, n.p.).Main SymptomsEasiness to sleep during daytime even in an uncomfortable pose and few hours if they are equivocation down.3 or 4 hours of drowsiness at daytime that often ends in short naps.Drowsiness isnt noticed by the patient and they cannot clear remember their behaviour at those times.Other SymptomsAtonia is a condition of a sleeping person where he or she is conscious but cannot talk, extend and slice breathing dee ply.Hypnagogic Hallucinations. These are dreams that come to mind during the onset of sleep which usually happen for 30 seconds maximum.Periodic Limb Movement Disorder. A condition where the leg muscles contract every 20 40 seconds as the patient sleeps.Interventions ( issue Sleep Foundation, 2013, n.p.)Light therapy helps keep a regular sleep and elicit timetable. The patient is to sit in front of a light box flashing special lights for 10 to 30 minutes. The patient will somehow forfend feeling sleepy in the morning.Behavioural therapy aims to relieve symptoms. With this therapy, patients should avoid heavy meals and alcohol given that these can disturb or induce sleep.Diet Therapy For two months, patient is put on a low-carbohydrate ketogenic diet (LCKD) wherein there is a simplification on the intake of wheat flour and grain. The effect of this therapy results to 18% reduction on afternoon sleepiness.Positive Pressure Therapy This type of therapy is usually prescribed to p atients with sleep apnoea. During this treatment, it soothes the airway through therapeutic pressure. It uses a machine that can be used before sleeping.Traumatic Brain InjuryTraumatic Brain Injury takes place when a sudden trauma results damage to the brain. It is caused by a sudden, hard blow or bump to the head. The damage is classified to focal and diffuse. Focal Injury is damage focused one part of the brain while Diffuse Injury involves more than one part of the brain. Its symptoms may not show until days or weeks after the injury. It usually causes headache or neck pain, vomiting, ringing in the ears, vertigo, and fatigue. Below are other symptoms that may arise (Alzheimers Association, 2013, para.6)SymptomsConcussionWorsening headache and it does not go awayNausea tantrum or seizuresHelplessness to awaken from sleepInaudible speechWeakness or numbness in some parts of the bodyDilated eye pupilsLong term problems that may ariseAlzheimers disease is a neurological disease in which the brain cells doesnt function anymore which results to memory loss and cognitive turn down.Parkinsons disease It is a progressive disease of the nervous system that affects the motor movements. It usually starts with a tremor in just one hand. It also causes inflexibility and slowing of movement.Dementia decline and loss of intellectual functions such as thinking, memory, and logic that is severe enough to hamper with a persons every day functioning. It is usually caused by repetitive hit to the head.Interventions (Brain Injury Association of America, n.d., n.p.)Acute Rehabilitation Skilled health professionals will help a patient to detect strengths in doing activities for everyday life. These activities pertain to eating, toileting, walking, dressing, speaking and others.Post-acute Rehabilitation. Helps patient recover his or her overall functioning. It restores a bodys natural healing abilities.Sub-acute Rehabilitation intended for those who require a milder level of treatment services for a longer period of time. This is also appropriate for patients who have made improvement in the acute rehabilitation programs and anticipate to progress.Day Treatment- offers treatment in a prearranged group setting during the day and lets the patient to go back home at night.ReferencesAlzheimers Association (2013).Traumatic Brain Injury Signs, Symptoms, Diagnosis. RetrievedFebruary2, 2014, from http//www.alz.org/dementia/traumatic-brain-injury-head-trauma-symptoms.aspBrain Injury Association of America (n.d.).Brain Injury Treatment BIAA. RetrievedFebruary1, 2014, from http//www.biausa.org/brain-injury-treatment.htmBurton, C. (2010, April 20). Pierre Robin Sequence Doctor Patient.co.uk. Retrieved February 2, 2014, from http//www.patient.co.uk/doctor/Pierre-Robin-Syndrome.htmChildrens Hospital of Wisconsin (2013). Fetal Concerns bear on of Wisconsin Micrognathia and Pierre Robin Sequence. Retrieved February 2, 2014, from http//www.chw.org/display/PPF/Do cID/35570/Nav/1/router.aspInternational Craniofacial Institute (2014, January 27). Pierre Robin Sequence International Craniofacial Institute. Retrieved February 2, 2014, from http//www.craniofacial.net/conditions-pierre-robinNational Sleep Foundation (2013).Narcolepsy Symptoms, Treatment Remedies National Sleep Foundation. RetrievedFebruary1, 2014, from http//www.sleepfoundation.org/article/sleep-related-problems/narcolepsy-and-sleepUK Health Centre (2013). Narcolepsy. Retrieved February 2, 2014, from http//www.healthcentre.org.uk/sleep-disorders/narcolepsy.htmlUniversity of Maryland Medical Center (2012, September 29). Narcolepsy University of Maryland Medical Center. Retrieved February 2, 2014, from http//umm.edu/health/medical/reports/articles/narcolepsy

The Success Of The Woman In Black

The Success Of The fair sex In BlackSusan Hills novel The Woman in Black was written in the medieval tradition. Specifically, she wanted to write a Victorian Ghost story, even though her novel was written in modern times. Stephen Mallatratt, in adapting the novel into a play, wanted to stay within the novels tradition, especially by focusing on terror instead of horror phantom is a powerful ally of terror something glimpsed in a corner is far more frightening than if its fully observed. The play contains many classic Gothic elements, including Tension, True story, Sounds, Whispers, Bangs, Ghost/Person to get scared, Darkness and a House/lonely place.The Woman in Black is a scary gothic play. Stephen Mallatratt, the playwright, achieves a terrifying effect through writing an effective mise-en-scene. These include the setting, spunk, hold ups, sound, the text and detail directions for actors, these combine and make a nerve shredding experienceStephen Mallatratt withal uses light ing effectively, this is seen in (p40) when Kipps takes up the torch and moves knocked out(p)side, fade to black-out on stage this is very daunting as the stage is pitch black you dont know what is vent to guide next, this creates a mysterious setting and truly nerve-shredding experience for the audience. In addition, another area the light was used effectively was the scene that when Kipps is looking for Spider in act III. The Woman in Black is in the nursery where it is light however, she is outside the light, yet we see her as a crow-like silhouette, violently flapping in the dark. The use of light plays on the audiences emotions as we are conditioned to believe black represents evil and light represents good.One of the techniques that the author uses to make the play nerve-shredding is sound. For example, as the noise of the ponys hooves gets louder and louder as if its coming closer, a childs cry rises to a scream of terror which is then choked and drowned. The audience shou ld spirit the idolize and worry of what was going to happen next. Another example is seen in the play for example when the Market noises fade and foot steps echo (p19) Mallatratt uses this to show the audience that the scene is victorious place out side and to give a chilling, eerie affect on the audience. As The lighting dims slightly to give filtered effect through trees. They bye on, which creates an atmosphere to the scene. This includes, a moody and foggy setting, however, Kipps and Mr Daily acts as if they are going into a church, Kipps I take it she is to be buried in the churchyard? discussing about The Woman in Black.The stage props were minimal due to the limited amount of space at the theatre. Therefore, the props that were used had to create level best effect. These included, a wicker basket, clothes hanging on a rail and c copper for the actors to sit on. The wicker basket was used as a prop to illustrate a train carriage, a bed, ply carriage and a desk. The cloth es rail was situated up stage and never moved from its position. The use of goods and services of this prop was to illustrate a cloak room. The chair was used by the actors to portray someone sitting on a train. Alternatively, as piece of article of furniture in a room for example, a desk chair or an arm chair.In the play Mallatratt only uses three actors. Kipps plays many roles, his main is narrating the story however, Kipps also plays Keckwick and Mr Daily. This is due to Kipps not feeling confident enough to tell his story therefore he tells an actor who plays Mr Kipps. Whilst he is telling the actor the audience set about aware of his story through the actor. The Woman in Black is the final actress she is used for effect as the actress has no lines. The main purpose of this actress is to create fear in the audience. The audience on view her when Mallatratt is creating terror.There are very thorough stage directions given throughout the play from the skip he takes out the bottl e of brandy and a glass and pours himself a largish measure. This is an example of the detail Mallatratt uses in his stage directions. Therefore, any music coach could re-capture the same effects from his stage directions. Furthermore, his stage directions include lighting and sound effects the lights have dimmed to virtual darkness. This illustrates that Mallatratt uses light to give an illusion or effect of eeriness and emotions of fear to the audience. The director uses sound for effect as the sound fades down, changes apparent direction, swirls and fades as if carried on the mist. He use of sound fading, gives the illusion that the fog is dispersing.In conclusion, I feel Mallatratts play was a truly nerve-shredding experience. His use of lighting when the Woman in Black was on stage was classic. The experience made my skin crawl and my hair stand on end. The sound created an atmosphere of terror, the most effective scene was the sound used to recreate the ponys hooves. Mallatr att truly made me feel that a horse and carriage was entering the stage through the sounds effects. However, I feel he could have used more props to give more effect. An example includes a silhouette of the little boy. By using three actors Mallatratt has still captures Kipps story. I suggest that due to his precise and detailed stage directions any other director could be re-capture the essence of his play. Overall, I found the theatre experience far better than reading the play due to being part of the atmosphere.

Beowulf is an Anglo Saxon Hero Essay -- Epic of Beowulf Essays

There has only been one hero in Anglo-Saxon history, only one military man can meet all requirement one needs to be classified as hero. Only one mans honor, loyalty, courage, generosity, and wisdom, fits the true definition of a hero. That man is Beowulf. With these leading traits, Beowulfs rise to valor was non just by chance. He filled each of the five characteristics perfectly, as if it was his destiny to be admired. To gain the respect and glory that a someone of power needs, one must earn it. There is only one way to achieve respect in the times of the Anglo-Saxons. Only Beowulf was the most honor man throughout all Anglo-Saxon history. He performed three straightforward tasks to reach his level of admiration. In the time of The Anglo-Saxon?s, men lived by the Comitatus Code. angiotensin converting enzyme avenged the death of their king. Men lived a lifestyle of boasting and violence. Beowulf?s first major feat was undoubtedly through violence. An evil blood thirsty tool named Grendel haunted the mead hall of Heorot. Upon hearing of this ghastly monster, Beowulf found it too ?hard to ignore? (Lines 409-410). Many claimed it was an impossible feat to go toe to toe with Grendel (Line 473). ?No one has ever outlasted an entire night with Grendel? (Lines 527-528). Hrothgar said that he would hate to burden anyone with such a great task. For many have tried, yet no(prenominal) have succeeded in killing Grendel. However, Beowulf took on Grendel and ripped his arm off as a sign of his sheer strength. Upon accomplishing this act, Beowulf did what was a customary action for this time. He bragged, boasted, and did not downplay the praise he received. He had just ripped the arm off the monster that had been previously tormenting Heorot?s mead ... ... decision throughout all Anglo-Saxon history. look doesn?t cost Beowulf a thought (Line 1535). Beowulf gave his breath so that life still can go on. He made the choice that was best for his people, exactly in turn fatal for him. Beowulf, the honorable, loyal, and courageous king of great generosity and wisdom has fallen. The perfectness on every level was amazing. The five traits that Beowulf needed to qualify for to take down be considered a hero, he exceeded them. Beowulf was the man whose honor lives on. Beowulf was the man whole loyalty and courageousness never faltered. Beowulf was the man whose generosity touched the heart of others. Beowulf was the man with the greatest wisdom throughout all history. ?Beowulf worked for the people, but as well at that he behaved like a hero?(Lines 3006-3007). Beowulf knew he was destined to be our king, leader, our beast.

Physics of Rifle Recoil :: physics recoil gun guns

Missing figures restrict, commonly referred to as kick, occurs as a result of Physical properties at work. However, it is often unwanted because it nates be uncomfortable for the shooter and stick out reduce accuracy. The purpose of this webpage is to discuss the physics involved with rifle recoil in order to parcel out various methods of minimizing it.Rifle recoil is most simply explained by Newtons First and Second Laws of Motion. When a rifle is fired, a force is exerted on the bullet that projects it forward. By Newtons 1st Law, it can be inferred that and opposite force will be imposed on the rifle. From Newtons 2nd Law it can be deduced that this force can cause an acceleration (linear or angulate) which results in velocity and therefore kinetic energy. Energy is also transferred into the marksman in the form of work. The total of this energy is called Recoil Energy and can be calculated. When a gun is being held at rest, there are three forces acting on it. The weig ht of the gun pushes downward, and the shooters work force exert a normal force upward on the gun as shown in Figure 2 below. The present P represents the point of sink in between the stalk and the marksmans shoulder.Image - Torque 2Figure 2When the gun is fired, the bullet is projected forward by a force, and an opposite force (F) pushes backward on the gun. Since the barrel where the force is acting is slightly above the point of contact with the shooters shoulder, torque is created. The normal forces put on the gun by the shooters hands momently become negligible.* The forces acting on the gun directly after the gun is fired can be simplified as in Figure 3. R is the perpendicular distance between the recoil force and the point P. L is the perpendicular distance between the location of the force due to gravity and the point P. The resulting linear and angular acceleration can be seen in Figure 4.Image - TorqueFigure 3Image - Torque 3Figure 4The elevation caused by the angular acceleration can decrease accuracy by altering the trajectory of the bullet, and the horizontal acceleration causes a force to be exerted on the shooters shoulder which can be painful.*This suggestion is not completely accurate because the shooters grip will put a downward force on the gun when the gun is fired.

Themes of Love and Revenge in Shakespeares Hamlet Essay -- Shakespear

Themes of Love and Revenge in Shakespeares Hamlet Love is one of the most respectable themes in Hamlet, but a superior force - REVENGE, drives Hamlets love. Revenge of his fathers murder. Hamlet is bemused and melancholic over the fact that his mother married his own uncle and so quickly later on his fathers death. Even though he does not immediately suspect foul play in his fathers untimely death, he is in a state of shock. As Kenneth Muir states, He (Hamlet) is profoundly shocked by Gertrudes marriage to his uncle in less than two months after her first husbands death, although he has no conscious suspicion that his father has been murdered or that his mother had committed adultery. The ghost characterization seems to fuel Hamlets revenges of his fathers murder, but also, as we will discuss later this scene confuses Hamlet. Hamlets revenge of his fathers murder is successful, but very costly. Hamlet pays the ultimate price of his mothers, his sweetheart Ophelias, his friends a nd his own life to accomplish this revenge. Hamlets revenge for his fathers murder begins just after the ghost scene, were Hamlet meets his fathers ghost and is told of the murder. Hamlets father tell him to revenge his murder Revenge his foul and most unnatural murder (I, v, 25). Hamlets response is to swear that I, with locomote as swift As meditation or the thoughts of love, May sweep to my revenge.(I, v, 29-31). Hamlet is now determined, even inspired to a rapid revenge. Hamlet is confused with his fathers death and is suspicious of foul play, but even after the ghost scene Hamlets seems to be vacillating amid actuality (Was his father murder by his uncle?) and frenetic depression. Hamlet even goes as far as considering suicide. ... ...ve his final revenge. Hamlets revenge has led him to wanton and meaningless slaughter. He may have ultimately win the battle within himself, but he dies with the blood of eight men on his hands, five of them innocent victims, helpless bystand ers who were pointlessly struck down because they came between two mighty opposites. Hamlets revenge has led to the destruction of two entire families and to the abandonment of the State to a foreign adventurer. BIBLIOGRAPHY Hoy, C. HAMLET William Shakespeare, New York, 1963 Prosser, E. HAMLET & REVENGE, Stanford, 1971 Wilson, J. What happens in HAMLET, New York, 1964 Muir, K. SHAKESPREARE Hamlet, London, 1983 Cantor, P. Landmarks of World Literature SHAKESPEARE Hamlet, New York, 1989 Farnham, W. HAMLET PRINCE OF DENMARK, New York, 1985 Mercer, P. HAMLET and the Acting of Revenge, London, 1987

Meditation :: essays research papers

     Websters dictionary defines meditation as "to reflect on ponder, to engage incontemplation," which it really is, although, many quite a little be populateve that meditation is ameans of developing a more spiritual or religious life. Meditation does not necessarilyhave to be religious. Many people just meditate to relax or organize their thoughts. Meditation is a very broad subject since there are many ways in which to performmeditation. non only are there many ways but, there are also many different religionsassociated with meditation. Not only is meditation good for the soul but, it is also goodfor the mind. I myself have experimented with meditation and have found it to be veryrelaxing and at the same time stimulating.     One way to perform meditation is to first find a comfortable place to sit or liedown. thence you must have a precise, intense focus on one object. Follow and controlyour breath and note all of your body se nse impressions or impression the sequence of your thoughts. Second, be allowing to any thoughts that may enter your head. Be spacious and open-hearted. This is excellent for the mind.      Another form that is good for the body is body relaxation. First lie on your backon the floor, a supportive bed or a couch. Close your eyes and rest for a moment. Waitfor a facial expression of readiness. When you are ready to begin, tighten all the muscles that youcan, but never tighten them to the point of discomfort. Hold this for thirty seconds. Nextpay close attention to the sensation you feel and remember it. Then let all your musclesgo and allow them to relax. Compare the feeling that you are feeling to the one that youhad just felt proceedings ago. After a few minutes repeat this but, allow your muscles to relax fora longer amount of time.     Yoga, another form of meditation, teaches an eightfold path informant with theacquisition of pure moral attitudes, proceeding through practices of breath control andpostures designed to allow a person to concentrate without having his or her mind flurry by outside forces. By concentrating on progressively more abstract conceptsthe person achieves higher and higher meditative states, culminating in a contentlesstrance that constitutes liberation. Yogis, people that perform yoga, in more advancedstages of this process are said to be gifted with remarkable powers , such as specialcapacities for sight, an ability to raise and to project their minds into other bodies, andso on.     Religion is a major factor in meditation.

Why Our President Has To Leave :: essays research papers

     This is an essay about wherefore I think Bill Clinton should resign, and also why I think he wont. You see, Bill Clinton is a man without morals. Well, actually thats not quite true. He does appear to have morals he fair sacrifices them to expediency whenever the opportunity arises. If absolute selflessness with respect to ones values were a virtue, Bill Clinton would be the nigh virtuous president the United States has ever had. Fortunately, most people do not hold this view of morality or ethics (I hope). The majority of people still seem to hold honor in some esteem. If they do, and I am right about Clintons complete lack of principles, then hopefully this short essay will find a few receptive minds.     Firstly, let me review the evidence for my contention that Clinton should resign or be impeached. Now, to like-minded people, that must sound like an almost aeonian proposition. Dont worry though, I will limit it to just the "b are" facts of the Lewinsky affair. 1.     Bill Clinton had sex with an intern in the White House. 2.     He lied under pest in a deposition to a grand jury.3.     He lied to the American people.4.     He attempted to cover up his illicit affair, and obstruct an investigation.     Do these offences merit his impeachment or resignation? The primary defense of his actions has been the argument that what he does in his private bearing does not affect the fulfillment of his public duties as President. Its not hard to knock this contention on the head. Clinton is a public employee. Consider what would happen to any employee caught having sex with one of his staff in his office, during produce hours. Youd get very short odds on whether hed last the rest of the day.      Being President of the United States of America is probably the most important lineage in the w orld. It carries enormous power, influence and prestige. It consequently necessitates a commensurate level of responsibility and gravity. And here we have a President conducting a year enormous affair with an intern less than half his age. Yes, the President is entitled to have a private life. But, no President is entitled to put his private life ahead of the interests of the nation. And Bill Clinton was clearly more interested in attending to Miss Lewinsky than to the affairs of the nation. So, whether or not you think Presidents are elected to register moral as well as political leadership, one cannot escape the fact that Clinton subjugated his public responsibilities to his private interests.