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Atherosclerosis is a disease of the arteries in which fatty deposits called plaques or atheroma collect on the insides of the artery walls, leading to narrowing and obstruction of blood flow.This condition can affect all the arteries in the body.
Through a collaboration between CHEO, McGill University Health Centre, & McGill Molson Medical Informatics, the Helping Medication Taste Better posters were created to help with medication administration in children. KidsHealth is a website for parents that has information about health, behavior, & development of kids from before birth through the teen years. The Pediatric Pharmacy Advocacy Group is an international, nonprofit, professional association representing the interests of pediatric pharmacists and their patients. This page serves as a resource for our residents and faculty who are developing skills in the practice of evidence-based pediatrics. Pediatric Critical Care Medicine (PedsCCM) is a collaborative, independent, information resource and communication tool for professionals caring for critically ill and injured infants and children.
If there are terms in these articles you don't understand, you can get a definition from the Merriam Webster Medical Dictionary. Chiro.Org is proud to support Logan College and the ICPA for their continuous research into the health benefits of chiropractic care.
According to Kapandji (Physiology of the Joints, Volume III), for every inch your head moves forwards, it gains 10 pounds in weight, as far as the muscles in your upper back and neck are concerned, because they have to work that much harder to keep the head (chin) from dropping onto your chest. The addition of forward head posture correction to a functional restoration program seemed to positively affect disability, 3-dimensional spinal posture parameters, back and leg pain, and S1 nerve root function of patients with chronic discogenic lumbosacral radiculopathy. Subjects demonstrated immediate and statistically significant changes in craniovertebral angle (CVA), indicating increased forward head positions upon donning the backpacks containing 15% and 20% body weight. Forward head posture correction using a posture corrective exercise programme in addition to ultrasound and infrared radiation decreased pain and craniovertebral angle and increased the peak-to-peak amplitude of dermatomal somatosensory evoked potentials for C6 and C7 in cases of lower cervical spondylotic radiculopathy.
This cross-sectional and controlled study enrolled 30 patients with mild (n = 17) and severe (n = 13) persistent asthma.
Significantly increased EMG activity in the upper trapezius and lower trapezius and significantly decreased EMG activity in the serratus anterior were found during loaded isometric shoulder flexion with FHP. I recently got some great questions from a doctor in south Florida who frequently encounters aging patients with large forward head translations, yet have pronounced, sometimes even hyperlordotic, cervical curves. The CV angle in subjects with neck pain is significantly smaller than that in normal subjects. Active TrPs in the upper trapezius, sternocleidomastoid, and temporalis muscles were more common in ETTH (Episodic Tension-Type Headache) subjects than in healthy controls, although TrP activity was not related to any clinical variable concerning the intensity and the temporal profile of headache. In logistic regression analyses, older women with hyperkyphotic posture had a 1.7-fold increased risk of having a future fracture independent of age, prior fracture, and spine or hip BMD (bone mineral density). Twenty chronic tension-type headache (CTTH) subjects and 20 matched controls without headache participated.
Visual and vestibular input, as well as joint and soft tissue mechanoreceptors, are major players in the regulation of static upright posture. Physical functional decline is often the determining factor that leads to loss of independence in older persons.
To determine the association between hyperkyphotic posture and rate of mortality, the authors tracked 1,353 participants from the Rancho Bernardo Study who had measurements of kyphotic posture made at an osteoporosis visit.
The principles of upper crossed syndrome and the use of exercise, chiropractic care, and myofascial release in the treatment of cervicogenic headache are discussed. Our results show that forward head posture is the commonest defect found in variety of professionals. Forward head posture is a clinical entity that has been identified by multiple authors as a significant factor in a variety of musculoskeletal pain syndromes. A significant change in craniovertebral angle was found at every year level, when comparing standing posture with no backpack with posture when carrying a backpack. Probably one of the most common postural distortions we see is the forward head, forward shoulders posture. Head and neck posture may be a major factor in the pain experienced by many fibromyalgia (FMS) and chronic fatigue and immune dysfunction syndrome(CFIDS) patients. This study investigated the relationship between forward head posture and temporomandibular disorder symptoms.
In this study, 60 female subjects, aged between 25 and 40 years, were divided into two equal groups on the basis of absence or presence of headache. Subjects with kyphosis and rounded shoulders had an increased incidence of interscapular pain, and those with a forward-head posture had an increased incidence of cervical, interscapular, and headache pain. Surgeons had a very poor understanding of human anatomy, anesthetics and antiseptic techniques to keep wounds and incisions from infection. Surgeons in the early part of the Middle Ages were often monks because they had access to the best medical literature – often written by Arab scholars. Archeologists in England found the skull of a peasant man from about 1100 who had been struck in the head by a heavy, blunt object. The Middle English word used to describe an anesthetic potion was "dwale" (pronounced dwaluh). Paracelsus, a medieval Swiss physician, was the first to use ether for its anesthetic qualities. Patients who had contracted the bubonic plague were told to perform penance – the practice of confessing one’s sins, then performing a religious devotion prescribed by a priest – a common “treatment.” They were told they might be spared death if they correctly confessed their sins. An early operation for removal of a cataract included inserting a sharp instrument, such a knife or large needle, through the cornea and forcing the lens of the eye out of its capsule and down to the bottom of the eye. Once Islamic medicine became more widely followed in medieval Europe, cataract surgery improved.
Blockage of urine in the bladder, due to syphilis and other venereal diseases, was fairly common at a time when antibiotics were not available. Use of the longbow – a large powerful bow that could shoot arrows great distances – flourished in the Middle Ages.
The heads of war arrows weren’t necessarily glued onto the shafts, but attached with warm beeswax. Wounds such as these were also treated with cautery, where red hot irons were applied to the wound so that the tissue and veins sealed over, preventing blood loss and infection. A famous illustration for surgeons was called, “The Wound Man,” which showed the various kinds of wounds a battlefield surgeon might expect to see.
Physicians in the Middle Ages believed that most human illnesses were the result of excess fluid in the body (called humour). In leeching, the physician attached a leech, a blood-sucking worm, to the patient, probably on that part of the body most severely affected by the patient's condition. Venesection was the direct opening of a vein, generally on the inside of the arm, for the draining of a substantial quantity of blood. Monks in various monasteries had regular bloodletting treatments – whether they were sick or not – as a means of keeping good health. Childbirth in the Middle Ages was considered so deadly that the Church told pregnant women to prepare their shrouds and confess their sins in case of death. Midwives were important to the Church due to their role in emergency baptisms and were regulated by Roman Catholic law. In situations where a baby's abnormal birth position slowed its delivery, the birth attendant turned the infant inutero or shook the bed to attempt to reposition the fetus externally.

The medieval version of the enema was known as the clyster, which is really an instrument for injecting fluids into the body through the anus. The most common fluid used was lukewarm water, though occasionally medical concoctions, such as thinned boar’s bile or vinegar, were used. In the 16th and 17th centuries, the medieval clyster was replaced by the more common bulb syringe.
Treatment of many diseases in the Middle Ages included prayers to patron saints for possible divine intervention. In more extreme cases of hemorrhoids, medieval physicians used their cautery irons to treat the problem. The 12th century Jewish physician Moses Maimonides wrote a seven-chapter treatise on hemorrhoids and disagreed with the use of surgery, instead prescribing the most common treatment used to this day: the sitz bath. David Morton is a Vancouver-based blogger and writer, who is working on a novel about monasteries in the Middle Ages.
A person diagnosed with Narcissistic Personality Disorder (NPD) has an abundance of treatment options open to them. Cognitive behavioral therapy helps the narcissist learn to identify unhealthy, negative beliefs and behaviors and replace them with healthy, positive ones. There is a difference between psychotherapy and psychoanalysis but the goal in both of these therapies is to strengthen the ego and to bring to the surface any unresolved conflicts or reasons for psychological tension so they may be resolved.
This therapy brings the whole family together in therapy sessions to explore and resolve relationship difficulties.
Group therapy is where the person with NPD meets with a group of people with similar conditions. If long-term residential treatment is available, there is a second set of patients for whom hospitalization is indicated. One author believes the reason narcissism is under-reported and healing over-stated is that therapists are being fooled by smart narcissists (Sam Vaknin). The prognosis for a classical narcissist (grandiosity, lack of empathy, etc.) is decidedly not good as far as long-term, lasting, and complete healing. BUT… Side effects, co-morbid disorders (such as Obsessive-Compulsive behaviors) and some aspects of NPD (the dysphorias, the persecutory delusions, the sense of entitlement, the pathological lying) can be modified (using talk therapy and, depending on the problem, medication). After suffering varying degrees of depression my whole life, sometimes in the extreme , seeing many therapists, & trying two types of antidepressants, and nothing was helping, I decided I had to figure it out for myself.
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HDLs are the lipoprotein particles that remove unwanted cholesterol from tissues and carry it back to the liver.Another problem for cholesterol is the presence of free radicals.
The interactive design lets children follow the path to improve the taste of their medications. Following the walking of 6 minutes, the CVA demonstrated further statistically significant changes for all backpack loads indicating increased forward head postures.
Thus, FHP may contribute to work-related neck and shoulder pain during loaded shoulder flexion while sitting. Thirty individuals with unilateral vestibular hypofunction (UVH) and 30 with normal vestibular function and without complaints of dizziness underwent CB in the anterior, right and left and posterior views, in an upright standing position.
We've all observed this posture, common among elderly patients, but many doctors aren't aware it needs to be managed differently than the typical case of FHP associated with cervical hypolordosis. Furthermore, the current study demonstrated a strong association between an increased forward head posture and decreased respiratory muscle strength in neck patients.
ETTH patients showed greater FHP and lesser neck mobility than healthy controls, although both disorders were not correlated with headache parameters.
Trigger points (TrPs) were identified by eliciting referred pain with palpation, and increased referred pain with muscle contraction.
Each of these input sources detects and responds to specific types of postural stimulus and perturbations, and each region has specific pathways by which it communicates with other postural reflexes, as well as higher central nervous system structures. Identifying risk factors for physical disability may lead to interventions that may prevent or delay the onset of functional decline. A review of the literature indicates that analyzing muscle imbalance as well as vertebral subluxation may increase the effectiveness of chiropractic treatment for cervicogenic headache. However, a low correlation between psychosocial factors and neck pain was demonstrated (r = 0.343).
This leads to SSS, an early functional stage, and can lead to serious compression of cervical nerve roots. Case studies presented last week showed that successful treatment of neck and jaw pain made significant improvements in FMS and CFIDS patients. Thirty-three temporomandibular disorder patients with predominant complaints of masticatory muscle pain were compared with an age- and gender-matched control group. A passive accessory intervertebral mobility (PAIVM) examination was performed to confirm an upper cervical articular cause of the subjects' headache and a questionnaire was used to establish a profile of the headache population.
It was not a pleasant time to be a patient, but if you valued your life, there was no choice.
But in 1215, the Pope said monks had to stop practicing surgery, so they instructed peasants to perform various forms of surgery. Close examination shows the man had been given life-saving surgery called trepanning, where a hole was drilled and a section of the skull was lifted, allowing smashed bone segments to be removed.
One reason is that there was no reliable anesthetic to dull the excruciating pain caused by the rough cutting and procedures. While the anesthetic might induce a profound sleep, allowing a surgery to take place, it might be so strong that the patient would stop breathing. The urinary catheter – a metal tube inserted through the urethra into the bladder – was first used in the mid-1300s. This created a real problem for battlefield surgeons: how to remove arrows from the bodies of soldiers. After the wax set, they could be handled normally, but once shot into something if the shaft was pulled, the head would come off inside the body. The spoon is inserted into the wound and attaches itself around the arrowhead to be drawn from a wound without causing further damage as the barbs rip out. The tool used for venesection was the fleam, a narrow half-inch long blade, which penetrates the vein, and leaves a small wound. A dead baby who failed to be delivered would be dismembered in the womb with sharp instruments and removed with a "squeezer." A retained placenta was delivered by means of counterweights, which pulled it out by force.
The clyster was a long metallic tube with a cupped end, into which the medicinal fluid was poured. Others believed that simply pulling them out with their fingernails was a solution, a solution that the Greek physician, Hippocrates suggested. Unfortunately, no one particular therapy or medication has proven to be highly effective, although most treatments can lessen some of the symptoms. Generally, it seeks to identify maladaptive thoughts, appraisal, beliefs and reactions with the aim of influencing destructive negative emotions and problematic dysfunctional behaviors. Although its roots are in psychoanalysis, psychodynamic therapy tends to be briefer and less intensive than traditional psychoanalysis.

The client and his family examine conflicts, communication between members and utilize problem solving to cope with relationship problems. A word of caution here- a group should consist of only one or two NPD clients in the group; the rest should be made up from other disorders (see below).
This is especially true for those who are impulsive, self-destructive or who have poor reality-testing. These are patients who have poor motivation for outpatient treatment, fragile object relationships, chronic destructive acting out and chaotic lifestyles.
However, there are medications that can effectively treat symptoms such as anxiety and depression or other conditions.
Most narcissists are experts at manipulation and are consummate actors; they have learned how to deceive even their therapists.
These are not long-term or complete solutions – but some of them do have long-term effects. He worked a few years in a nursing home where he specialized himself in neurodegenerative disorders (alzheimer, parkinson), Personality Disorders and Emotional disorders (depression).
Practical, child-friendly solutions are provided & safeguards are in place to consult with healthcare providers & avoid allergies when necessary. Our sole purpose is to promote safe and effective medication use in children through communication, education, and research.
For the 15 & 20% of body weight conditions, more than 50% of the subjects reported discomfort after walking, with the neck as the primary location of reported pain. These results suggest that maintaining NHP is advantageous in reducing sustained upper and lower trapezius activity and enhancing serratus anterior activity as compared with FHP during loaded shoulder flexion.
Alcimage™ 2.0 was used to evaluate three angles in order to verify the anterior deviation and inclination of the head, and the alignment of the shoulders. The connection of neck pain and respiratory function could be an important consideration in relation to patient assessment, rehabilitation and consumption of pharmacological agents.
Patients with small CV angle have a greater forward head posture, and the greater the forward head posture, the greater the disability.
Side-view pictures of each subject were taken in sitting and standing positions, in order to assess forward head posture (FHP) by measuring the craniovertebral angle.
This review of the postural reflex structures and mechanisms adds to the growing body of posture rehabilitation literature relating specifically to chiropractic treatment. Our study objective was to determine the association between hyperkyphotic posture (Forward Head Posture) and physical functional limitations.
Academic staff in tertiary institutions could be considered as a high-risk group of job-related neck pain. Education programmes on right posture, ergonomics, regular corrective exercises may prevent SSS. Measurements of cranio-cervical posture and isometric strength and endurance of the upper cervical flexor muscles were compared between the two groups of subjects.
Farmers, who had little experience other than castrating animals, came into demand to perform anything from removing painful tooth abscesses to performing eye cataract surgery. A hollow metallic hypodermic syringe was inserted through the white part of the eye and successfully extracted the cataracts through suction.
When a tube could not easily be passed into the bladder to relieve the obstruction, other procedures to enter the bladder were devised, some quite novel, though all probably as painful and dangerous as the condition itself. The other end, a dull point, which was drilled with several small holes, was inserted into the anus. King Louis XIV had over 2,000 enemas during his reign, sometimes holding court while the ceremony progressed. NPD is an integral part of their personality and personality traits are difficult to change. It can be helpful for teaching them how to relate better to others, how to listen to others, and how to learn about other peoples’ feelings as well as how to offer support. They immediately distinguish others as either potential sources of ‘Narcissistic Supply’ or as potential competitors.
Hospitalizations tend to be brief and the treatment should be specific to the involved symptom.
An inpatient program offers an intensive therapeutic milieu including individual and family therapy as well as a structured residential environment. However, an accurate diagnosis and the right combination of treatment modalities in early adolescence has shown success, without relapse, in approximately one third to one half of the cases. I have been diligently working on myself in ways I had to discover on my own for 4-5 years, so I think very much improved is pretty good ! Most of the students had nonsymptomatic biomechanical dysfunction of the upper cervical spine.
In multiply adjusted comparisons, there was a graded stepwise increase in difficulty in bending, walking and climbing, measured grip strength, and ability to rise from a chair (with increased kyphosis of the spine). They state1 that while lengthening or weakness of the scapular retractors is often blamed, a major cause is weakness and lengthening of the abdominal muscles, allowing the chest to descend and shifting the weight of the upper trunk anteriorly.
An example was a concoction of lettuce juice, gall from a castrated boar, briony, opium, henbane, hemlock juice and vinegar. Fluids were poured in and a plunger was used to inject the fluids into the colon area, using a pumping action. He developed hemorrhoids from digging in his garden, one day, and sat on a stone which gave him a miraculous cure. This causes the chest to descend with the scapula shifting forward around the rib cage, pressing the clavicle to the first rib. The stone survives to this day with the imprint of his hemorrhoids and is visited by many hoping for a similar cure. The short-term goal is to address issues such as depression, substance abuse, low self-esteem or shame.
Chronic lower thoracic, cervical, and shoulder pain was significantly increased in patients with mild or severe asthma compared with non-asthmatic subjects.
In this position, the humerus internally rotates and the head and neck are brought forward. Gordon, an assistant professor of oral medicine at the University of Washington, Seattle, presented his theories and techniques for pain relief to the conference, which was attended by 200 FMS and CFIDS survivors. The long-term goal is to re-shape personality, at least to some degree, so that the person can create a realistic self-image. Other goals include learning to relate better to others, understanding emotions, understanding the strong need to compete, and to work on basic distrust of others.

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