segunda-feira, 6 de fevereiro de 2012

JULIAN SMITH - Google the Heimlich

domingo, 5 de fevereiro de 2012

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What is the opposite of 'stressed'?

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Stress is a feeling that's created when we react to particular events. It's the body's way of rising to a challenge and preparing to meet a tough situation; The events that provoke stress are called stressors, and they cover a whole range of situations. The human body responds to stressors by activating the nervous system and specific hormones. 

 

 

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Thehypothalamus signals the adrenal glands to produce more of the hormones adrenaline and cortisol and release them into the bloodstream. This natural reaction is known as the stress response. Working properly, the body's stress response enhances a person's ability to perform well under pressure. But the stress response can also cause problems when it overreacts or fails to turn off and reset itself properly. The most helpful method of dealing with stress is learning how to manage the stress that comes along with any new challenge, good or bad. Stress-management skills work best when they're used regularly, not just when the pressure's on. 

 

 

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Take a stand against overscheduling; Be realistic. Don't try to be perfect; Get a good night's sleep; Learn to relax. The body's natural antidote to stress is called the relaxation response;

 

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get regular exercise to help manage stress; a healthy dose of optimism can help you make the best of stressful circumstances; solve everyday problems can give you a sense of control

 

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build your resilience; learn to think of challenges as opportunities and stressors as temporary problems, not disasters.

 

Idiopathic thrombocytopenic purpura (ITP) rare disease.

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Idiopathic thrombocytopenic purpura (ITP), also known as primary immune thrombocytopenic purpura and autoimmune thrombocytopenic purpura, is defined as isolated thrombocytopenia with normal bone marrow and the absence of other causes of thrombocytopenia. The 2 distinct clinical syndromes manifest as an acute condition in children and a chronic condition in adults.

ITP is a decrease in the number of circulating platelets in the absence of toxic exposure or a disease associated with a low platelet count.

 

 

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ITP is primarily a disease of increased peripheral platelet destruction, with most patients having antibodies to specific platelet membrane glycoproteins. Relative marrow failure may contribute to this condition, since studies show that most patients have either normal or diminished platelet production.

Acute ITP often follows an acute infection and has a spontaneous resolution within 2 months. Chronic ITP persists longer than 6 months without a specific cause.

 

 

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Frequency

United States

The incidence of ITP in adults is approximately 66 cases per 1,000,000 per year.

An average estimate of the incidence in children is 50 cases per 1,000,000 per year.

New cases of chronic refractory ITP comprise approximately 10 cases per 1,000,000 per year.

International

According to studies in Denmark and England, childhood ITP occurs in approximately 10-40 cases per 1,000,000 per year. A study in Kuwait reported a higher incidence of 125 cases per 1,000,000 per year.

 

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Mortality/Morbidity

Hemorrhage represents the most serious complication; intracranial hemorrhage is the most significant. The mortality rate from hemorrhage is approximately 1% in children and 5% in adults. In patients with severe thrombocytopenia, predicted 5-year mortality rates from bleeding are significantly raised in patients older than 60 years versus patients younger than 40 years, 47.8% versus 2.2%, respectively.

Older age and previous history of hemorrhage increase the risk of severe bleeding in adult ITP.

Spontaneous remission occurs in more than 80% of cases in children but is uncommon in adults.

Sex

In chronic ITP (adults), the female-to-male ratio is 2.6:1. More than 72% of patients older than 10 years are female.

In acute ITP (children), distribution is equal between males (52%) and females (48%).

Age

Peak prevalence occurs in adults aged 20-50 years.

Peak prevalence occurs in children aged 2-4 years.

Approximately 40% of all patients are younger than 10 years.

 

 

This make it a rare disease.

 

 


 

 

Can the German proposal for Greece's compliance be replicated across the globe?

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No, this is a different random issue, nobody would tolerate it, that means intrusion on the sovereignty of any country. Portugal is having a hard time but it is up to the governments to make sure policies to reduce debt are implemented, not for any such model to come. While I agree with you that squandering public money is the easiest thing to do, I will tell you that any such mechanism is perverse and will ultimately end up in corruption too.