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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. 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"Enthusiasm is worth any pot of cream ever offered." Can you be a President or a Prime Minister if you are bald? Many political advisers suggest that a Presidential or Prime Ministerial candidate should have plenty of hair and an attractive, youthful image. They see image as a very important part of success. Bill Clinton has plenty of hair. So do George Bush and Tony Blair. How important is a young and attractive image for success? Recently, there was a discussion in a TV program about the value of cosmetic surgery. One speaker, Anna Raeburn (the broadcaster and journalist) commented that: "Age is like the weather; you can't do much about it and need to make friends with it. I cannot see myself choosing to have a knife in my face. I would prefer to work at my diet and so on. I'm 60 and I prefer to focus on more important things." She added later: "I refuse to disappear because of my birthday. I do not need to compete with younger people." Anna believes, like her mother, that the secret to looking good is enthusiasm not cosmetic surgery: "My mother used to say: 'Enthusiasm is worth any pot of cream ever offered.'" However, an increasing number of people are turning to cosmetic surgery. Some have been called names like 'big lips' because their lips were abnormally big. Surgery can mean freedom from verbal abuse for people like them. Others are not happy with themselves even though others do not notice. It matters to them what they think of themselves. Natalie Turner, a model and presenter, had a bump removed from her nose. She also had breast enlargement. The surgery increased her confidence. She believes that God gave us brains to decide what to do about our own bodies. The emails into the program also had mixed viewpoints: -Every one should go for it because it makes you feel wonderful. -People who have plastic surgery are deluding themselves. Grow old gracefully. -People are too obsessed with their bodies. They are trying to become perfect in an imperfect world. My personal preference would be for enthusiasm without the surgery. I have attended several martial arts seminars where some instructors looked like true martial artists i.e. slim, fit and muscular. Others looked unfit and even overweight. Once they started speaking and instructing, I no longer cared what they looked like. Some of the most overweight and ordinary looking turned out to be full of enthusiasm for what they were teaching. They were brilliant instructors and that was all that really mattered. I won't mention their names as it might be safer not to insult their looks! In the world of politics, Eisenhower was a great President and he did not have much hair. Atlee was one of the greatest British Prime Ministers and he was practically bald. Churchill was no male model. Obviously, it would be good to have enthusiasm and good looks but, given a choice, I would take enthusiasm every time. The spirit within is far more important than the shape without. top penis elargement pills enlagement free penis pills sample penis enlagement review elargement manhattan penis enargement forum free matter penis size pnis enlargement product penis enlagement drug herbal penis enlarement penile enlargment result

The activities which an individual performs and environment in which he grows are responsible for the personality that he exhibits. Friend circle plays a very important role. For instance if most of your the friends are intelligent and serious about their career you will probably be as hard working as any of his friend. But the opposite is also true. In other words, if all the friends are party animals and drug addicts and least concerned about their career or studies. The person is more prone to adopting this unhealthy life style which involves late night parties in pubs and irregular sleeping hours. One can blame pubbing on disposable income or peer pressure as discussed above. With more then 80% of the pub bills made for alcohol, getting high is plainly in fashion. From being a social taboo in the past, now a days drinking has almost become a way of life for many individuals in cities all across the globe. This is not over; drinking has crept into homes of many households as fathers boast of drinking with their sons and call it openness in their relationship. They often forget or pretend to forget the problems associated with drinking like cancer, kidney failure, liver problems and heart disease to name the few. All of them are very common as far as their association with excessive drinking is concerned. Here I would like to create awareness about another affliction that can be a caused by frequent drinking. I am pointing my finger towards sexual problems like erectile dysfunction or ED. Under this a male is unable to hold penis erection and thus cannot have a satisfying sexual intercourse with his partner. But this is not end of life for such poor individuals as various treatment of erectile dysfunction are available in the market that too in generic form. Generic viagra is one of the most trusted anit-impotency drugs and is sold with names like kamagra, sildenafil citrate to name the few. It enables Erectile Dysfunction patients to attain hard and proper erection by relaxing their penis muscles. This perhaps is best and least expensive option to eliminate sexual problems from your precious sex life. pennis enlargement exercise penile enlargement device penis enlarement operation penile enlargment procedure natural pennis enlargement vimax penis enlargement stretcher free penis enlagement pennis enlargement tool penile enlargment result

The Sour Truth -------------------------- Question: I had a baby 6 months ago and would like to lose some weight. I know that if you're nursing, you're not supposed to diet. I have been eating healthy foods high in nutrients, and I have lost a little weight. Would it be harmful to the baby if I started taking apple cider vinegar pills to help with weight loss? Answer: A few vinegar pills probably won't hurt you or your baby, but they won't do one bit of good in helping you lose weight either. This old diet fad dates back to the 1970s, when a combination of apple cider, kelp, vitamin B-6, and lecithin was touted as the miracle cure for weight loss. The rationale for this concoction was that it tricked your body's metabolism. According to the claims, lecithin emulsified body fat, B-6 metabolized the loosened fat, kelp supplied iodine to stimulate the thyroid gland to manufacture more thyroxin to speed metabolism, and vinegar supplied potassium. Like salad dressings where oil and vinegar don't mix, this was supposed to help rid the body of fat. There Is No Proof -------------------------- There is no scientific basis, or even rational reason, for any of these claims. For example, a teaspoon of vinegar contains only five milligrams of potassium, a meager amount compared to the 400 milligrams in a cup of grapefruit juice. Swallowing more iodine will jump start a thyroid gland only if you are deficient in this mineral (you'll know if you are iodine-deprived because you will have developed a goiter, or an enlargement of the thyroid gland). When people lost weight on this regimen it was because they also followed the accompanying low-calorie diet. Like all the other diet fads, from starch blockers and collagen products to herbal diet teas and hydroxycitric acid (HCA), the vinegar pills fit most or all the criteria of a useless gimmick: They promise to melt away fat. They promise fast and effortless weight loss. They promise weight loss greater than one to two pounds a week. They focus on one or a few foods and limit or exclude whole food groups. They are based on pills or "secret formulas." Start Your Weight Loss Program After Breastfeeding -------------------------- Save your money and follow the advice of thousands of people who have not just lost weight, but maintained the weight loss. Consume daily a wide variety of nutrient-packed vegetables, fruits, whole grains, extra-lean meats and beans, and nonfat milk or yogurt. Watch your portions, and, most importantly, exercise each day. You also are right about not dieting while breastfeeding. It took nine months to gain the weight during your pregnancy. Plan to begin your weight-loss plan after you've stopped breastfeeding, and give yourself at least nine months after that to regain your figure. Source: WebMD You have permission to publish this article electronically or in print, free of charge, as long as the bylines are included. A courtesy copy of your publication would be appreciated. enlargement free pnis pills sample penis enlarement surgeon best enargement exercise penis herbal penis enlagement free penile enlargement video permanent penis enlargment penis enlargment drug pnis enlargement program penile enlargment result

"Enthusiasm is worth any pot of cream ever offered." Can you be a President or a Prime Minister if you are bald? Many political advisers suggest that a Presidential or Prime Ministerial candidate should have plenty of hair and an attractive, youthful image. They see image as a very important part of success. Bill Clinton has plenty of hair. So do George Bush and Tony Blair. How important is a young and attractive image for success? Recently, there was a discussion in a TV program about the value of cosmetic surgery. One speaker, Anna Raeburn (the broadcaster and journalist) commented that: "Age is like the weather; you can't do much about it and need to make friends with it. I cannot see myself choosing to have a knife in my face. I would prefer to work at my diet and so on. I'm 60 and I prefer to focus on more important things." She added later: "I refuse to disappear because of my birthday. I do not need to compete with younger people." Anna believes, like her mother, that the secret to looking good is enthusiasm not cosmetic surgery: "My mother used to say: 'Enthusiasm is worth any pot of cream ever offered.'" However, an increasing number of people are turning to cosmetic surgery. Some have been called names like 'big lips' because their lips were abnormally big. Surgery can mean freedom from verbal abuse for people like them. Others are not happy with themselves even though others do not notice. It matters to them what they think of themselves. Natalie Turner, a model and presenter, had a bump removed from her nose. She also had breast enlargement. The surgery increased her confidence. She believes that God gave us brains to decide what to do about our own bodies. The emails into the program also had mixed viewpoints: -Every one should go for it because it makes you feel wonderful. -People who have plastic surgery are deluding themselves. Grow old gracefully. -People are too obsessed with their bodies. They are trying to become perfect in an imperfect world. My personal preference would be for enthusiasm without the surgery. I have attended several martial arts seminars where some instructors looked like true martial artists i.e. slim, fit and muscular. Others looked unfit and even overweight. Once they started speaking and instructing, I no longer cared what they looked like. Some of the most overweight and ordinary looking turned out to be full of enthusiasm for what they were teaching. They were brilliant instructors and that was all that really mattered. I won't mention their names as it might be safer not to insult their looks! In the world of politics, Eisenhower was a great President and he did not have much hair. Atlee was one of the greatest British Prime Ministers and he was practically bald. Churchill was no male model. Obviously, it would be good to have enthusiasm and good looks but, given a choice, I would take enthusiasm every time. The spirit within is far more important than the shape without.