Male 19 y. age victim of penetrating brain injury. All the criteria for the encephalic death diagnosis were present. The presence of this complex spinal reflex doesn't exclude the brain death diagnosis and must be known and understood by the professionals involved in this very important diagnosis

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Chronic myelogenous leukemia (CML), also known as chronic myeloid leukemia, is a myeloproliferative disorder characterized by increased proliferation of the granulocytic cell line without the loss of their capacity to differentiate. Consequently, the peripheral blood cell profile shows an increased number of granulocytes and their immature precursors, including occasional blast cells.

CML is one of the few cancers known to be caused by a single, specific genetic mutation. More than 90% of cases result from a cytogenetic aberration known as the Philadelphia chromosome (see Pathophysiology).

CML progresses through 3 phases: chronic, accelerated, and blast. In the chronic phase of disease, mature cells proliferate; in the accelerated phase, additional cytogenetic abnormalities occur; in the blast phase, immature cells rapidly proliferate.[1] Approximately 85% of patients are diagnosed in the chronic phase and then progress to the accelerated and blast phases after 3-5 years. The diagnosis of CML is based on the histopathologic findings in the peripheral blood and the Philadelphia chromosome in bone marrow cells (see Workup).

CML accounts for 20% of all leukemias affecting adults. It typically affects middle-aged individuals. Uncommonly, the disease occurs in younger individuals. Younger patients may present with a more aggressive form of CML, such as in accelerated phase or blast crisis. Uncommonly, CML may appear as a disease of new onset in elderly individuals.

The goals of treatment are to achieve hematologic, cytogenetic, and molecular remission. Although a variety of medications have been used in CML, including myelosuppressive agents and interferon alfa, the tyrosine kinase inhibitor imatinib mesylate is currently the agent of choice, and other drugs in this category are playing increasingly important roles. However, allogeneic bone marrow transplantation is currently the only proven cure for CML.

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Whether you need to boost your energy or curb an afternoon craving, staying hydrated is made easy with these tips.

Exercicios Para Perder Barriga, Produtos Naturais Para Emagrecer, Dieta Para Perder A Barriga.
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Você Tem Esse Vício?

Você Sabia Que Um Dos Maiores Motivos Que Fazem As Pessoas Afirmarem Que Não Conseguem Perder Peso É Por Alegarem Que Elas São "Viciadas Em Comida"?

De Fato, Milhões De Pessoas Abandonam Programas De Dieta E Exercícios Anualmente Por, Literalmente, Acreditarem Que Não Tem Capacidade De Resistir Aos Alimentos Que Amam.

É Isso Mesmo! Não Importa O Quanto Você Ame Pizza, Sorvete Ou Qualquer Outra Coisa, Não Há Nada Que Te Force A Comer Em Excesso A Não Ser A Sua Própria Cabeça.

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Tudo Sobre Diabetes, Diabetes Tem Cura, O Que é Diabetes Tipo 2, Plantas Que Curam Diabetes

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Cura Naturalmente a Diabetes Tipo 2

A diabetes tipo II se tornou uma das doenças mais comuns nos tempos modernos. A boa notícia é que em pouco menos de um mês, seguindo um plano de alimentação e vida saudável, é possível equilibrar seu nível de açúcar no sangue e prevenir as terríveis consequências que esta doença tem.

A seguir, você encontrará este plano para nivelar o açúcar no sangue e dizer adeus para a diabetes.

Restrinja o consumo de todo o tipo de bebidas.

Realize atividade física de baixo impacto todo o dia, por um mínimo de meia hora.

Elimine por completo de suas refeições, todos os alimentos que contenham farinha branca.

Inclua em sua alimentação habitual, ácidos gordos essenciais (especialmente ácidos ômega 3), inclua também o consumo de frutas secas.

único Sistema Eficiente, Fácil E Natural Para Eliminar Para Sempre O Diabetes. Um Sistema Cientificamente Comprovado


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Stay active and push your body to its limit – tips on how you can mend strained muscles and prevent injury.

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Juvenile rheumatoid arthritis, also known as juvenile idiopathic arthritis, is the most common type of arthritis in children under the age of 17. Juvenile rheumatoid arthritis causes persistent joint pain, swelling and stiffness. Some children may experience symptoms for only a few months, while others have symptoms for the rest of their lives. Some types of juvenile rheumatoid arthritis can cause serious complications, such as growth problems and eye inflammation. Treatment of juvenile rheumatoid arthritis focuses on controlling pain, improving function and preventing joint damage.

You might not notice signs or symptoms of Hashimoto's disease at first, or you may notice a swelling at the front of your throat (goiter). Hashimoto's disease typically progresses slowly over years and causes chronic thyroid damage, leading to a drop in thyroid hormone levels in your blood. The signs and symptoms are mainly those of an underactive thyroid gland (hypothyroidism). Signs and symptoms of hypothyroidism include: Fatigue and sluggishness Increased sensitivity to cold Constipation Pale, dry skin A puffy face Hoarse voice Unexplained weight gain — occurring infrequently and rarely exceeding 10 to 20 pounds, most of which is fluid Muscle aches, tenderness and stiffness, especially in your shoulders and hips Pain and stiffness in your joints and swelling in your knees or the small joints in your hands and feet Muscle weakness, especially in your lower extremities Excessive or prolonged menstrual bleeding (menorrhagia) Depression

Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is stomach pain. Peptic ulcers include: Gastric ulcers that occur on the inside of the stomach Duodenal ulcers that occur on the inside of the upper portion of your small intestine (duodenum) The most common causes of peptic ulcers are infection with the bacterium Helicobacter pylori (H. pylori) and long-term use of aspirin and certain other painkillers, such as ibuprofen (Advil, Motrin, others) and naproxen sodium (Aleve, Anaprox, others). Stress and spicy foods do not cause peptic ulcers. However, they can make your symptoms worse.

You may have recently found out that you are deficient or know someone who is. It's shocking for most people when they have never had a problem before and believe nothing has changed to make it a problem now. The truth is that a lot has changed, and vitamin D deficiency and insufficiency is now a global public-health problem affecting an estimated 1 billion people worldwide. The most well-known consequences to not having enough vitamin D are rickets in children and osteomalacia in adults. These are far from the only problems associated with a vitamin D deficiency.

For most cancers, researchers are still trying to understand how they are caused. The same is true for lymphoma - doctors do not know what causes it, although it is more likely to occur in certain people.5,7,8 Medical researchers have identified certain risk factors that make lymphoma more likely, although they often do not understand why:5,8 Non-Hodgkin's lymphoma Age - most non-Hodgkin lymphomas are in people 60 years of age and over Sex - there are different rates of different types of non-Hodgkin's lymphoma across the sexes Ethnicity and location - in the US, African-Americans and Asian-Americans are less prone than white Americans, and the disease is more common in developed nations of the world Chemicals and radiation - some chemicals used in agriculture have been linked, as has nuclear radiation exposure Immune deficiency - for example, caused by HIV infection or in organ transplantation Autoimmune disease, in which the immune system attacks the body's own cells Infection - certain viral and bacterial infections increase the risk. The Helicobacter Infection has been implicated, as has the Epstein Barr Virus (the virus that causes glandular fever)13 See the American Cancer Society's page for more detail on risk factors for non-Hodgkin's lymphoma. Hodgkin's lymphoma Infectious mononucleosis - infection with Epstein-Barr virus Age - two specific groups are most affected: typically people in their 20s, and people over the age of 55 years Sex - slightly more common in men Location - most common in the US, Canada and northern Europe; least common in Asia Family - if a sibling has the condition, the risk is slightly higher, and very high if there is an identical twin Affluence - people from higher socioeconomic status are at greater risk HIV infection

Pulmonary function tests are a broad range of tests that measure how well the lungs take in and exhale air and how efficiently they transfer oxygen into the blood. Spirometry measures how well the lungs exhale.

Pulmonary capillary wedge pressure (PCWP) provides an indirect estimate of left atrial pressure (LAP). Although left ventricular pressure can be directly measured by placing a catheter within the left ventricle, it is not feasible to advance this catheter back into the left atrium. LAP can be measured by placing a special catheter into the right atrium then punching through the interatrial septum; however, for obvious reasons, this is not usually performed because of damage to the septum and potential harm to the patient.

How Do We Breathe ?