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It can be surprising to realize that an organ as high-powered and sophisticated as the brain also has a plumbing system. And, as the case with a house's plumbing, the drainage side of the system can get gummed up. But the symptoms are different. When a home's drainage backs up, well...I won't go there. When the brain's drainage system backs up, the brain's owner can become confused, incontinent of urine and unsteady on his or her feet. The plumbing system in question is that which produces and drains the cerebrospinal fluid (CSF). Normal CSF looks the same as water from a faucet, but is created from the bloodstream in the choroid plexus tissue within three of the brain's four inner chambers -- the right and left "lateral" ventricles and the midline "fourth" ventricle, but not the interposed, midline "third" ventricle. The CSF percolates through passageways from one ventricle to another, finally emerging through openings at the base of the brain to bathe the outer surfaces of the brain and spinal cord before getting reabsorbed into the bloodstream again. This re-absorption occurs in special collection-nodes in the membranes surrounding the brain. The entire CSF volume of about 150 milliliters or five ounces (about as much as a glass of wine) is produced and reabsorbed four times a day, so the fluid is constantly turning over. But blockages along the way can interfere with the normal flow of the CSF. For example, when the passageway between the third and fourth ventricles becomes narrowed or choked with sludge, the CSF backs into the lateral and third ventricles. Those ventricles react to the increased pressure by becoming physically dilated or enlarged. In this case, a CT or MRI scan could reveal the location of the blockage by showing expansion of the two lateral and the single third ventricles, but a normal-sized fourth ventricle. Another example of a blockage and its consequences is when the collection-nodes responsible for CSF re-absorption in the brain's overlying membranes (meninges) become clogged. In this case, all four ventricles are upstream from the blockage, and all four of them expand. This, too, is visible on brain scans. Both cases are examples of hydrocephalus, or water on the brain. The first case is one of "internal" or high-pressure hydrocephalus. The second is called "external" or normal-pressure hydrocephalus (NPH). In NPH the pressure is inexplicably normal much of the time, but the term is somewhat misleading because prolonged recordings with pressure-monitors do show intermittent periods of increased pressure. Hydrocephalus of one kind or another is especially prevalent at the two extremes of the life cycle -- in the very young and the very old -- but can occur at any age. In infancy, hydrocephalus can be caused by malformed brain-tissue. In contrast, adults with hydrocephalus were usually born with normal brain anatomy, but acquired a blockage due to a tumor, injury, bleed or infection. However, many cases of hydrocephalus in adults occur without a history of these preceding illnesses. CT and MRI scans are sensitive tools in detecting hydrocephalus, particularly when it's striking enough not be confused with ventricular enlargement due to gradual loss of surrounding brain tissue from aging. The main treatment of hydrocephalus is for a surgeon to insert a tube (shunt) into one of the swollen lateral ventricles and provide an alternative pathway for the backed-up CSF to drain. Once the shunt equipment is in place, a piece of hardware about the size of a large button sits outside the hole made in the skull (but inside the skin of the scalp) and redirects the excess CSF through another tube into either a jugular vein in the neck or into the abdominal cavity (peritoneum). Thus, the patient can receive either a "VJ" shunt or a "VP" shunt, with the letters designating the locations of the two ends of the shunt. The success or failure of shunting depends not just on the skill of the surgeon, but also on the selection of appropriate patients. Sometimes hydrocephalus turns up unexpectedly on scans when doctors are looking for something else entirely. Although an unexpected finding like this should always cause the doctors to re-think the case, the point is that hydrocephalus doesn't always cause problems. Sometimes the hydrocephalus has been there for years and the brain has adjusted to it in a way that produces no symptoms. This is an example of a case that should not be shunted, though it would still be appropriate to monitor the patient and his or her scans over subsequent months and years. Who, then, should receive a shunt? The answer, in short, is people for whom the benefits of the operation exceed its risks. Identifying them, however, is the tough part. And the task is made even more difficult by the lack of randomized, controlled trials in which a group of patients receiving treatment is compared to an equivalent group of patients not receiving treatment. Although similar reasoning applies to adults thought to have internal (high-pressure) hydrocephalus, I'll lay out the decision-tree as it applies to external (normal-pressure) hydrocephalus. Published observations imply that shunts are most likely to help NPH patients who have the following features:substantial enlargement of all four ventricles a full "triad" of symptoms, including confusion, urinary incontinence and altered walking poor walking as the first of the three symptoms temporary improvement of symptoms after drainage of 50-60 milliliters (2 ounces) of CSF by lumbar puncture (spinal tap) The elderly patients most at risk for NPH are also at increased risk for other diseases, and the shunting operation doesn't help symptoms produced by other causes. For example, confusion can be caused by Alzheimer's disease and strokes. Urinary incontinence can be due to prostate disease in men and sagging pelvic tissue in women. Walking can be disrupted by arthritis, fractured bones, low vision, inner-ear disease, Parkinson's disease and many other unrelated processes. So it's important for the doctor to determine if other diseases might be to blame for the very symptoms that seem, at first glance, to be from NPH. Assuming that NPH still seems likely, the next round of decision-making concerns the possibility that an operation will cause harm. Even a patient whose brain scan and symptoms are classic for NPH can develop serious complications from the operation. A particularly feared complication is bleeding into the space outside the brain, called a subdural hematoma. Older patients are also more likely to have other medical conditions that could compromise the safety of an operation, like coronary artery disease or emphysema. Cases in which expected benefits of the operation are much greater than risks, or in which the risks are much greater than the expected benefits, are easy to make decisions about. But many other cases are in the gray zone in which potential benefits and risks are more evenly matched and the chances of doing harm with an operation come close to canceling out the chances of doing good. (C) 2006 by Gary Cordingley pnis enlargement surgery picture pnis enlargement cream prosolution penis elargement pills vigrx store natural penile enlargement home penis enlargment guide to penis enargement free penile enlargment tip best enlargement exercise penile
Most people have certainly been hearing this term, lymphoma, from others. Some hospital-drama television series usually would have an episode where a patient is diagnosed with lymphoma and most of us are just left hanging on what it really is. Suffice it to say that probably, most are aware that it is a kind of cancer. Cancer in what organ or body part? Caused by what? Many people fall short of enough knowledge about this type of cancer. But no worries, they really can't be accused of apathy. Lymphoma is actually a very rare type of cancer so it is understandable that awareness on is not as prevalent as to other cancer types. Lymphoma is considered as a collective term for a variety of cancer. This cancer type has its origin in the lymphocytes or histiocytes -- very rare from the latter, though. Lymphoma starts in a B cell in lymph nodes. The cancerous cells reproduce themselves over and over again. The presence of these unnecessary cells sets the ground for the formation of cancer. This is because these cells do not die; they are not needed by the body in the first place, and they spread to other areas, causing further harm. There are five clusters of specific cancer types under the umbrella concept of lymphoma. The World Health Organization grouped these specific cancer types according to their cell types. The first one is the mature B neoplasms. Second is mature T cell and natural killer cell (NK) neoplasms. Third is the immunodeficiency-associated Lymphoproliferative disorders. Fourth is histiocytic and dendritic cell neoplasms. Last is Hodgkin lymphoma or more commonly known as Hodgkin's disease. The most popular of all is the Hodgkin's disease. It is named after Thomas Hodgkin, who described the disease in 1832. Hodgkin's disease is characterized by the abnormal growth of cancer cells in the lymphatic system. Specifically, the Reed-Sternberg cells are the ones involved in Hodgkin's disease. This disease is very rare that it accounts for only one percent of the total cancer cases or one for every 400,000, at least in America. The most common symptoms of Hodgkin's disease are swollen, painful or non-painful lymph nodes. The swelling usually occurs at the neck or nape, armpit, or groin. Some systemic symptoms like drastic weight loss, skin itching, low-grade fever, night sweats, and fatigue can also be indicative of a Hodgkin's disease case. Enlargement of the spleen, splenomegaly, and/or enlargement of the liver can also happen. People from the age range of 15 to 34, and above 55 are the ones most susceptible to develop Hodgkin's disease. Just like the other kinds of cancer, the causes of Hodgkin's disease is still unknown. But the factor most likely to contribute to the development of it is genetics. People who have relatives, distant or immediate, have been inflicted with Hodgkin's disease or other types for that matter, are at a very high risk. A deteriorated or damaged immune system, from a previous ailment or operation, is also a very high risk factor. Gender is believed to play a role, too, since most recorded cases are with men. Radiation therapy and chemotherapy are the usual treatments for Hodgkin's disease. Radiation therapy is a high technology option, which makes use of high-energy rays capable of damaging cancer cells to stop their growth. This treatment option is administered only in hospitals and clinics, and under the permission of an expert doctor. Radiation therapy is effective for treating cases still on the early stage. A frequency of five therapy sessions in every week for several months is the average treatment period using radiation therapy. Chemotherapy, on the other hand, involves the use of drugs to kill the cancer cells. A combination of different drugs, which can work together, is the usual procedure being given by doctors when using chemotherapy. The drugs can be taken orally, or injected into arteries or even muscles for faster travel inside the body. The most popular drug combination for chemotherapy is the adriamycin, bleomycin, vinblastine, and dacarbazine combination called the ABVD regimen. There is a very high chance that Hodgkin's can be treated, provided that it is detected at an early stage and treated immediately with the most appropriate treatment option. Records have it that early detection and appropriate treatment gives an 85 percent chance of survival and cure. home pnis enlargement best penis enlargment prosolution penis elargement pills enlargement free penis pills sample home penis enlargment com enlargment penis penis pump penis enlargment device free penis enargement pills best enlargement exercise penile
Penis size does matter! Not to women, but to you! If you believe that you have a small penis, it may matter very much to you, however unimportant the issue might seem to other men, women, doctors and experts. Most articles in women's magazines, surveys and studies show that penis size does not really matter to women. Surveys and studies can say what they want about what men and women prefer but if YOU are unhappy about your penis size, then penis size does matter. This is nicely illustrated by a young university student's view on the size of his penis : "It's not the fact that I am ugly and repulsive- well I don't think I am, at least I've never been told I am. The fact is that I lack serious confidence, now that I have been told before. I lacked faith in myself and in my ability to perform. I am 5'10" tall - which isn't extremely tall or small, just average. But I was never satisfied with my penis size. However I looked at it, I just simply wasn't satisfied with it- I would go as far as to say I was really embarrassed." Telling men that penis size does not matter, is like telling a woman that feels her breasts are undersized, that her breast size does not matter. The fact that most men do not care about breast size when they get involved with a woman whether emotionally or sexually, has nothing to do with her perception of herself as having small breasts. If she "feels" she has small breasts, then it does matter to her. The key word here is "feeling". It boils down to self perception. If you "feel" you have a small penis, no reassurance from your partner will convince you otherwise. It is based on your "feelings" which in turn is based upon self perception and self acceptance. True, that some men may in fact have an under size penis, and may in fact have been ridiculed in the past, but most men thinking about penis enlargement are in fact "normal" or average. They may however "feel" that they have a small penis and for these men it is as real as their hair color. It has very little to do with fact, and for them penis size does really matter. For most women penis size do not matter because most women can only accommodate the average penis size anyway. The fact is women vary in size, too. Some have longer vaginas, some shorter. So if you pride yourself on your exceptional length, but the women in your life is shorter than average, you might be missing the spot. We appreciate the fact that women want to save our fragile male ego's because in their eyes penis size really does not matter (their preferences are usually a blend of taste, aesthetics, habit, comfort, pressure and pleasure) but for some men it is important to have a larger penis. Just as you would keep reassuring your better halve that her breast size does not matter, no amount of "convincing" from your part can make her think otherwise because "breast size" is important to her and the way she perceives herself. If she "feels" she has small breasts, then it really does matter to her. What is important to note here is that most men will have a penis that falls within the suggested normal size range, but that does not always make them feel normal or better about themselves. Both they, and their doctor, should recognize that this is primarily a psychological problem, connected to physical and sexual self-image, rather than a physical handicap. This is why I get so upset with people saying that penis size does not matter. It does! It matters to the person who "feels" they have a small penis. And it is as real as anything else in their lives. And it does not help dismissing the topic all together. It does not help asking women about penis size and whether it matters. They do not have penises so of course it will not matter to them! It matter's to the person who "feels" they have a small penis. Penis size does matter! penile enlargment procedure do pnis enlargement pills work natural penile enlargment technique penis enlargment surgeries penis enlargement excersizes penile enlargement penis enlarement picture cheap penis enlarement best enlargement exercise penile
Just imagine you are running from pillar to post in order to save your married life. Why? Because you have lost you sexual power and are unable to satisfy your partner. It’s really a serious problem that can bring a complete halt to your normal and happy life. Now if you think there is still power inside you but you are becoming incapable of utilizing it, then it is high time you seek some remedies as soon as possible. Now don’t take your sexual dysfunction as a disease rater you should know that there is some metabolic disorder inside you for which you are loosing your sexual power. So it is better to rectify the disorder as soon as possible or else it would be too late. Every problem does have a solution and Levitra can be your option to choose. It is an oral therapy treatment to boost up your sexual power. Each tablet is either of 10mg or 20 mg strength. However two lower doses (2.5 and 5.0) are also available usually for the first time users. Generally Levitra is taken with or without food just one hour before going to bed with your partner. Some sexual stimulation is needed for a sexual urge to occur with Levitra. A chemical named Verdenafil HCL in Levitra stimulates your nerves in your penis and increase the amount of blood flow to erect your sleeping penis. However erection decreases after the act. It is so effective that 90% of men reported to have improved erections and a dose is enough to work for 24 hours. Levitra got its approval from FDA on 19th august 2003 and the sole manufacturers of this drug are Bayer and GlaxoSmithKline. Due to its increasingly productive results it has captured the market within a very short span of time. However no major side affects are reported till date except a bit of headache, constipation, and dizziness. These are normal affects only for the first timers and tend to fade away as the body gets used to it. But it is always a cleaver idea to consult a sexologist before getting used to it especially for people with heart troubles.