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pated or not No rules have yet been formulated that allow one to predict the early course with con dence A mild paralysis today may become a disastrous hemiplegia tomorrow, or the patient s condition may worsen only temporarily for a day or two Anticoagulation and thrombolytic therapy may alter the course, as discussed further on In basilar artery occlusion, dizziness and dysphagia may progress in a few days to total paralysis and deep coma The course of cerebral thrombosis is so often progressive that a cautious attitude on the part of the physician in what rst appears to be a mild stroke is justi ed As indicated above, progression of the stroke is due most often to increasing stenosis and occlusion of the involved artery by mural thrombus In some instances, extension of the thrombus along the vessel may block side branches and hinder anastomotic ow In the basilar artery, thrombus may gradually build up along its entire birt pdf 417 Eclipse BIRT PDF417 Barcode Maker add-in makes PDF417 ...
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Download PDF - 417 barcode generator for Java free trial package to create high quality PDF - 417 barcodes in Java class, iReport and BIRT . length In the carotid system, thrombus at times propagates distally from the site of origin in the neck to the supraclinoid portion and possibly into the anterior cerebral artery, preventing collateral ow from the opposite side In middle cerebral occlusion, retrograde thrombosis may extend to the mouth of the anterior cerebral, perhaps secondarily leading to infarction of the territory of that vessel And nally, abrupt progression of a stroke may be the result of artery-to-artery embolism, as described above Several other circumstances in uence the immediate prognosis in cerebral thrombosis In the case of very large infarcts, swelling of the infarcted tissue may occur, followed by displacement of central structures, transtentorial herniation, and death of the patient after several days (Fig 34-18) This can be anticipated by the sheer volume of the infarct and is usually evident on the CT or MRI scan within a day of the stroke Smaller infarcts of the inferior surface of the cerebellum may also cause a fatal herniation into the foramen magnum Milder degrees of swelling and increased intracranial pressure may progress slightly for 2 to 3 days but do not prove fatal In extensive brainstem infarction associated with deep coma due to basilar artery occlusion, the early mortality rate approaches 40 percent In any type of stroke, if coma or stupor is present from the beginning, survival is largely determined by success in keeping the airway clear, controlling brain swelling, preventing aspiration pneumonia, and maintaining uid and electrolyte balance, as described further on under Treatment of Cerebral Edema and Raised Intracranial Pressure With smaller thrombotic infarcts, the mortality is 3 to 6 percent, much of it from myocardial infarction and aspiration pneumonia As for the eventual or long-term prognosis of the neurologic de cit, there are many possibilities Improvement is the rule if the patient survives The patient with a lacunar infarct and pure motor hemiparesis usually fares well With other small infarcts, recovery may start within a day or two, and restoration may be complete or. Bockground The calculation of work is an important component of many areasof engineering and scienceThe general formula is Work:force x distance use DBI; my $dbh = DBI->connect("dbi:Pg:dbname=mctv","",""); . When you were introducedto this conceptin high schoolphysics,sirnpleapplications were presentedusing forces that remained constant throughout the displacementFor example, if a force of 10 N was used to pull a block a distanceof 5 m, the work would be calculated as50J(ljoule:lNm) Although such a simple computationis useful for introducing the concept,realistic problem settingsareusually morecomplexFor example,suppose that the force variesduring the courseofthe calculationIn suchcases, work equationis reexpressed the as birt pdf 417 PDF - 417 Introduction, data, size, application, structure ...
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