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Last Updated: Oct 14th, 2008 - 13:17:24 |
Documents
:
Mihai D. Dimancescu, M.D.
Stress factors and their effects during coma
Stress is a common and frequently overlooked factor affecting individuals in a coma. Under normal circumstances every system in the body is in a dynamic state of equilibrium with chemical changes constantly occurring to prevent the delicate balance from shifting too far one way or the other. In turn, all the different systems are in equilibrium with each other.
Dec 6, 2002, 12:31
Documents
:
Mihai D. Dimancescu, M.D.
What you want to know about Traumatic Brain Injury (TBI) ; TBI Glossary of Terms
The standard neurological exam requires an assessment of mental status (level of consciousness, orientation to time, person and place, understanding of instructions, ability to read and understand reading), function of the twelve cranial nerves (that innervate the eyes, face, hearing, mouth and throat), mobility (of the extremities and of the body), muscle tone, abnormal movements, reflexes, sensory functions, balance and coordination. This exam may be quite time consuming when done completely in an alert individual, or may be very brief in a poorly responsive person.
Dec 6, 2000, 11:42
Documents
:
Mihai D. Dimancescu, M.D.
Deprivation In Coma
The traditional management of the majority of individuals with a severely impaired level of consciousness or responsiveness, otherwise known as prolonged coma, persistent vegetative state or akinetic mutism, following stabilization in a hospital setting, takes place in a nursing home.
Dec 5, 2000, 22:25
Documents
:
Mihai D. Dimancescu, M.D.
Brain Death
Brain death is defined by medical authorities as irreversible cessation of all brain activity. Simply stated, this means that the brain is no longer alive and cannot be brought back to life.
Dec 5, 2000, 22:20
Documents
:
Mihai D. Dimancescu, M.D.
What is coma?
Coma is a state of brain function. The human brain performs at different levels of consciousness. Each level does not have distinct boundaries, but rather, at one end blends into the level above it and at the other, blends into the level below it.
Dec 5, 2000, 22:09
Documents
:
Mihai D. Dimancescu, M.D.
Hypoxic Coma
Hypoxic or oxygen deprivation coma is one of the two major categories of coma managed by the staff of ICRI. Oxygen deprivation to the brain occurs when insufficient or no oxygen reaches the brain, either because the respiratory or breathing system fails or because the circulatory system (heart rate and blood pressure) fails.
Oct 5, 2000, 22:59
Documents
:
Mihai D. Dimancescu, M.D.
Aspiration Pneumonia
Aspiration pneumonia is a common source of fever and breathing difficulties in patients still in a coma or at the lower levels of arousal. This type of pneumonia is an irritation of the lungs caused by contents of the mouth entering the airways rather than the digestive pathway.
Sep 1, 2000, 00:00
Documents
:
Mihai D. Dimancescu, M.D.
Coma: A Treatable Symptom of Brain Injury
Evidence is clear that if vigorous medical treatment of the early phases of coma - in the first two to three weeks - is combined with a course of intense multisensory stimulation and intense physical activity over a long enough period of time (months, not weeks), the majority of individuals surviving the first week will recover and few will progress into the prolonged phase of coma, or persistent vegetative state, or coma vigil (which all really mean the same thing)
Aug 6, 2000, 12:24
Documents
:
Mihai D. Dimancescu, M.D.
Seizures - Part 1: What do seizures mean? Part 2: Management of seizures
Seizure, convulsion, epileptic fit, spasms!!? All confusing words, some of which sound terrible, yet they are thrown about freely, most often without any explanation of what they are or what they mean.
Apr 6, 2000, 12:36
Documents
:
Mihai D. Dimancescu, M.D.
The Swallowing Mechanism
Swallowing is one of the most complex functions of the body. The anatomy required is a mouth that closes completely, a tongue that can be moved about inside the mouth, a windpipe (trachea) that can close off during passage of food from the mouth (oral cavity) into the food pipe (esophagus), a food pipe that can contract segmentally (peristalsis), to pass the food down to the stomach, and a stomach opening that will open and close appropriately.
Mar 30, 2000, 11:35
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