Thursday, 20 February 2014

CURRENT Medical Diagnosis and Treatment 2014

CURRENT Medical Diagnosis and Treatment 2014







https://mega.co.nz/#!F4FygTAA!dw3uAUrKnD1tT4n1NO-IQmF2AyHOxh9LPVD6wkKCVLE

Tuesday, 18 February 2014

Coloring Atlas of the Human Body

Coloring Atlas of the Human Body









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https://mega.co.nz/#!050WADSK!KeF28leppzRBfOknFucZwnrmGz1-8LNDLW0BxDF26yo

Hematology - Basic Principles & Practice (6th Ed.

Hematology - Basic Principles & Practice (6th Ed.)







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Monday, 17 February 2014

The incredible story of Phineas Gage and the prefrontal cortex.


The incredible story of Phineas Gage and the prefrontal cortex.

 It’s quite possible some of you know this story already, but for the ones who don’t I’ll tell it anyway.

 The first clue of the role of the prefrontal cortex in controlling our personality and ”˜social behaviour’ (also referred to as the formation of ”˜structured event knowledge’) was derived from the near-fatal accident of the American railroad worker Phineas Gage (1823 ”“ 1860).

 On September 13, 1848, 25-year-old Gage was foreman of a work gangblasting rock while preparing the roadbed for the Rutland & Burlington Railroad outside the town of Cavendish, Vermont. After a hole was bored into a body of rock, one of Gage's duties was to add blasting powder, a fuse and sand, then compact the charge into the hole using a tamping iron ”“ a large iron rod. Possibly because the sand was omitted, around 4:30 PM “the powder exploded, carrying an instrument through his head an inch and a fourth in diameter, and three feet and seven inches in length, which he was using at the time. The iron entered on the side of his face... passing back of the left eye, and out at the top of the head.” From that day forth, Gage was known as “the American Crowbar Case”, although I should point out that back then a crowbar did not have the bend or claw like it has today. Gage's tamping iron was simply a cylinder, “round and rendered comparatively smooth by use.” The drawing shows how the rod penetrated Gage’s head.


Schedel Phineas Gage.jpg Amazingly, Gage spoke within a few minutes, walked with little or no assistance, and sat upright in a cart for the 3⁄4-mile (1.2 km) ride to his lodgings in town. The first physician to arrive was Dr. Edward H. Williams:

 “I first noticed the wound upon the head before I alighted from my carriage, the pulsations of the brain being very distinct. Mr. Gage, during the time I was examining this wound, was relating the manner in which he was injured to the bystanders. I did not believe Mr. Gage's statement at that time, but thought he was deceived. Mr. Gage persisted in saying that the bar went through his head.... Mr. G. got up and vomited; the effort of vomiting pressed out about half a teacupful of the brain, which fell upon the floor.

” Dr. John Martyn Harlow took charge of the case about an hour later:

“You will excuse me for remarking here, that the picture presented was, to one unaccustomed to military surgery, truly terrific; but the patient bore his sufferings with the most heroic firmness. He recognized me at once, and said he hoped he was not much hurt. He seemed to be perfectly conscious, but was getting exhausted from the hemorrhage. His person, and the bed on which he was laid, were literally one gore of blood.

” But already two months later, on October 7, Gage “succeeded in raising himself up, and took one step to his chair.” One month later he was walking “up and down stairs, and about the house, into the piazza,” and while Harlow was absent for a week, Gage was “in the street every day except Sunday,” his desire to return to his family in New Hampshire being “uncontrollable by his friends... got wet feet and a chill.” He soon developed a fever, but by mid-November he was “feeling better in every respect... walking about the house again; says he feels no pain in the head.

” Unfortunately however, despite the lack of pain and his relatively well being, he was ”˜no longer Gage’. In contrary to his previous calm, responsible en socially well-adapted personality, Gage had become a rude, non-social character, seemingly caring nothing about the opinions or feelings of others. This is disputed by some researches however, claiming the personality had only changed for a short period of time and that in the end he’d become decent and vain. The second portrait would demonstrate this, Gage being well-dressed ”“ like he would always be ”“ and proudly holding his so called ”˜constant companion’.

 Portret Gage.jpg Whatever is true, the fact remains that the dreadful accident in September 1848 has led to an idea that is still recognised by scientists today, and that many similar circumstances (like soldiers having their prefrontal cortexes pierced by grenade splinters) have resulted in comparable, remarkable changes in personality.

Valentine Day And Health


Valentine Day And Health


Valentine's Day can be about more than just giving roses and a nice card to your sweetheart. You can use romance to improve your life expectancy and brain health in your later years.

 Studies have shown that individuals who consume a diet rich in anti-oxidants, enjoy a rich social life, and constantly challenge their bodies and brains in pleasurable ways often live longer -- and happier -- lives than their counterparts who aren't so inclined.

 So this Valentine's Day, see how many items you can check on this romance, health and longevity scorecard:

-- Eat dark chocolate
-- Drink red wine
-- Go ballroom dancing
-- Stay happily married
-- Have more sex So men


, take your paramour out to dinner, order some red wine and chocolate, go dancing, and after that...well, the rest is up to you.

And if you really want to score with your sweetie, plan your retirement so that she's guaranteed a lifetime retirement income.


This way, when you're gone, you won't be sorry that she's become an impoverished widow. After all, "love means never having to say you're sorry."

Alien Hand Syndrome


Alien Hand Syndrome


There is a very real, very disturbing, and very rare medical condition called “Alien Hand Syndrome” (AHS). An individual with this neurological disorder has full sensation in the rogue hand, but is unable to control its movements, and does not feel that it is a part of their body. The hand becomes personified, as if it has a will of its own, and its owner will usually deny ownership of the limb.

 Though AHS was first identified in 1908, it was not clearly defined until 1972. Depending on the cause of the injury, the movements may be random or purposeful, and may effect the dominant or non-dominant hand. The symptoms are brought on by an injury to the brain, such as head trauma, stroke, tumor, or infection, but it can also be a side effect of a certain kind of brain surgery where the patient has the two lobes of the brain separated to relieve severe epilepsy.

 As a side effect of brain surgery, or an injury to the corpus callosum (the area of the brain which connects the two halves of the brain), the movements are usually grasping motions in the non-dominant hand. When caused by head trauma, similar grasping and groping motions will often involuntarily occur in the dominant hand.

 When the condition is brought about by a brain tumor, aneurysm, or a stroke, the alien hand may also engage in complex purposeful behavior, such as compulsive manipulation of tools, undoing buttons, or tearing clothes. Sometimes the sufferer is completely unaware of what the hand is doing until it is brought to his or her attention, or until they happen to see it themselves.There is currently no treatment for Alien Hand Syndrome, but the symptoms can often be relieved by giving the rogue hand an object to manipulate, to keep it occupied.

Would you work in a hospital where a close relative of yours died?

Would you work in a hospital where a close relative of yours died?

What is your opinion about this situation , would you accept it ?