By T. Tizgar. Morningside College.
Each artery divides into the middle cerebral cerebellum cardizem 180mg visa; these are often called the circumferential artery (MCA) and the anterior cerebral artery (ACA) purchase 120 mg cardizem with visa. The anterior The blood supply to the spinal cord is shown in Figure portion of the temporal lobe has been removed on the left 2B and is discussed with Figure 68 order cardizem 120 mg on-line. Within the ﬁssure order 180 mg cardizem otc, small arter- CLINICAL ASPECT ies are given off to the basal ganglia, called the striate arteries (not labeled; see Figure 62). The artery emerges The vascular territories of the various cerebral blood ves- at the surface (see Figure 14A) and courses upward, divid- sels are shown in color in this diagram. The most common ing into branches that are distributed onto the dorsolateral clinical lesion involving the cerebral blood vessels is surface of the hemispheres (see Figure 60). This artery heads into the inter- deﬁcits will be described with each of the major branches hemispheric ﬁssure (see Figure 16) and will be followed to the cerebral cortex (with Figure 60 and Figure 61). A very short artery connects the ACAs major blood vessels of the circle, sometimes one of the of the two sides, the anterior communicating artery. One of the vascular syndromes of the The two vertebral arteries unite at the lower border of brainstem, the lateral medullary syndrome (of Wallenberg) the pons to form the midline basilar artery, which courses is discussed with Figure 67B. The basilar artery terminates at the © 2006 by Taylor & Francis Group, LLC Neurological Neuroanatomy 159 Anterior communicating F a. T Oculomotor Posterior nerve (CN III) communicating a. F = Frontal lobe T = Temporal lobe Areas supplied by: Anterior cerebral a. FIGURE 58: Blood Supply 1 — Arterial Circle of Willis (photograph with overlay) © 2006 by Taylor & Francis Group, LLC 160 Atlas of Functional Neutoanatomy FIGURE 59A artery; it is not uncommon to see the asymmetry in these vessels. The posterior inferior cerebellar artery (PICA) can BLOOD SUPPLY 2 be seen, a branch of the vertebral (it is also labeled in the upper radiograph), but not the anterior inferior cerebellar artery, a branch of the basilar (see Figure 58). The basilar MR ANGIOGRAM — MRA artery gives off the superior cerebellar arteries and then ends by dividing into the posterior cerebral arteries. The Recent advances in technology have allowed for a visual- ization of the major blood vessels supplying the brain, internal carotid artery can be followed through its curva- ture in the petrous temporal bone of the skull, before notably the arterial circle of Willis. This investigation does dividing into the anterior and middle cerebral arteries. Although the quality of such images One of the characteristic vascular lesions in the arteries cannot match the detail seen after an angiogram of select that make up the arterial circle of Willis is a type of blood vessels (shown in the next illustration), the nonin- aneurysm, called a Berry aneurysm. This is caused by a vasive nature of this procedure, and the fact that the patient weakness of part of the wall of the artery, causing a local is not exposed to any risk, clearly establishes this inves- ballooning of the artery. Often these aneurysms rupture tigation as desirable to provide some information about spontaneously, particularly if there is accompanying the state of the cerebral vasculature. This sudden rupture occurs into the sub- arachnoid space and may also involve nervous tissue of UPPER RADIOGRAPH the base of the brain. The whole event is known as a subarachnoid hemorrhage, and this diagnosis must be This arteriogram shows the circle of Willis as seen as if looking at the brain from below (as in the previous illus- considered when one is faced clinically with an acute major cerebrovascular event, without trauma, accompa- tration). The internal carotid artery goes through the cav- nied by intensely severe headache and often a loss of ernous (venous) sinus of the skull, forming a loop that is called the carotid siphon. Sometimes these aneurysms leak a little blood, which cerebral artery, which goes anteriorly, and the middle cere- bral artery, which goes laterally. The basilar artery is seen causes an irritation of the meninges and accompanying at its termination, as it divides into the posterior cerebral symptoms of headache. The anterior communicating artery is present, and visualize whether there is an aneurysm on one of the vessels of the circle, and whether the major blood vessels there are two posterior communicating arteries completing the circle, joining the internal carotid with the posterior are patent. Note to the Learner: One of the best ways of learning cerebral on each side. The blood supply to the brain- entation, as though you are looking at the patient “face- stem and the most common vascular lesions affecting this on,’ but, wtih his/her head tilted forward slightly. The two area will be discussed with the illustrations to follow. The lenticulostriate (striate) arteries given off en route supply the interior structures of the hemisphere (to CEREBRAL ANGIOGRAM be discussed with Figure 62). This radiograph shows the profuseness of the blood This radiograph was done by injecting a radiopaque dye supply to the brain, the hemispheres, and is presented to into the left internal carotid artery.
Applications for the copyright owner’s written permission to reproduce any part of this publication should be addressed to the publisher buy cardizem 120 mg without prescription. Warning: The doing of an unauthorised act in relation to a copyright work may result in both a civil claim for damages and criminal prosecution purchase cardizem 180 mg without prescription. The right of Peter Burke to be identified as author of this work has been asserted by him in accordance with the Copyright buy generic cardizem 120 mg line, Designs and Patents Act 1988 discount cardizem 180 mg otc. First published in the United Kingdom in 2004 by Jessica Kingsley Publishers Ltd 116 Pentonville Road London N1 9JB, England and 29 West 35th Street, 10th fl. In a discussion about nothing in particular, one comment hit me with its crystal certainty. At the age of 10 my daughter reassured me about my disabled son’s future in this way. She said: ‘Don’t worry daddy, when you are too old I will look after Marc. He has a condition referred to as spastic quadriplegia, and severe learning disabilities. These labels do not really represent Marc as we know him, but it helps with the image of his dependency and the reason why his sister understood that his care needs were in many ways different from her own. My daughter’s comment made me realise that it was not only I who was aware of my son’s disabilities, but my daughter also, and she was thinking of his future at a time when my partner and I were ‘taking a day at a time’. The inspiration drawn from that comment helped formulate a plan of research into the needs of siblings, and subse- quently this book. The book is structured to inform the practitioners (whether they are from the health, welfare or educational sectors), of the needs of siblings. I trust too, that the views expressed, based as they are on the experience of others and with some insights drawn from personal experience, will resonate with families in situations similar to my own. Outline of chapters Throughout the text quotations from families will be used to clarify points and issues raised, and detailed case examples will show how siblings react 9 10 / BROTHERS AND SISTERS OF CHILDREN WITH DISABILITIES to the experience of living with a disabled brother or sister, creating ‘disability by association’. Chapter 1 provides an introduction and a theoretical framework for analysis linking to the key concepts: inclusion, neglect, transitions and adjustments, children’s rights and finding a role for the practitioner. Models of disability are discussed to illustrate some of the differences found between professions. Chapter 2 introduces, in Part 1, a theoretically informed research typology (Table 2. The impact of disability on the family and siblings introduces some of the difference between parental perceptions and sibling expectations. Chapter 4 looks at change, adjustments and resilience. The chapter illustrates how siblings’ experience changes as they get older, at home and at school, and explores how the everyday restrictions and experiences create difficulties with making friends at school and in social group encounters. Chapter 5 is concerned with children as young carers: what it means, how it makes life too restrictive. Chapter 6 examines different family experiences linked to a range of disability, and considers how family support may be provided. Chapter 7 evaluates the use of a siblings support group and explains how such a group may meet the sibling’s need for attention and also allow time for themselves. Chapter 8 is about support services, the need for personal empowerment and establishing a role for professionals. Chapter 9 draws the various themes which inform the earlier chapters together and clarifies the role for professional practice. Chapter 10 adds a postscript, concerning disability by association, reflecting on some incidental and personal experiences gained shortly after concluding the research on which the book is based. Chapter 1 Theory and Practice In this chapter I will introduce a theoretical structure that will help to explain the need for working with siblings of children with disabilities. This builds on the idea that disability within one family member affects the whole family to such an extent that the family may feel isolated from others, or different because of the impact of disability. The impact of disability, as I will demonstrate, often has an initially debilitating and, often, continuing consequence for the whole family; I refer to this as ‘disability by association’. The incidence of disability within families is reported by the Joseph Rowntree Foundation to exceed 300,000 children in England and Wales (http://www.
Wei - 2002 Elixir Chi Kung - 2002 Tan Tien Chi Kung - 2002 Many of the books above are available in the following foreign languages: Arabic cheap cardizem 60 mg online, Bulgarian order cardizem 60mg line, Czech discount cardizem 60 mg with amex, Danish cheap cardizem 60mg online, Dutch, English, French, German, Greek, Hebrew, Hungarian, Indonesian, Italian, Japanese, Korean, Lithuanian, Malaysian, Polish, Portuguese, Russian, Serbo-Croatian, Slovenian, Span- ish, & Turkish editions are available from the Foreign Pub- lishers listed in the Universal Tao Center Overview in the back of this book. I wish also to thank them for consenting to be interviewed so that others might know what they experienced and how they were helped through this prac- tice. Lawrence Young, attending physician at New York Infirmary-Beekman Downtown Hospital and a private inter- nist, Dr. Hsu, physician-in-charge of the Acupuncture and Nerve Block Clinic at Albert Einstein College of Medicine, Stephen Pan, Ph. D, Director of East Asian Research Institute, and K. Reid Shaw attorney, who are actively engaged in presenting my work to the medical community. I wish to offer my appreciation to Sam Langberg, for his under- standing and untiring work in editing the first edition. Sam Langberg is a freelance writer and a Taoist Esoteric Yoga instructor living in the New York area. He has been practicing Yoga for over 10 years, and currently works with the Taoist Esoteric Yoga Center writing classbooks and other materials. Many thanks go to Michael Winn and Robin Winn for long months spent revising and expanding the second edition. I thank Susan MacKay who revised our Taoist Esoteric Yoga sitting figure, and my secretary Joann for her patience in typing and retyping the manuscript. Finally, I am grateful to my son, Max, whose suggestions and encouragement in this, as in all matters, have always been valu- able to me. Readers should not undertake the practice without receiving per- sonal transmission and training from a certified instructor of the Universal Tao, since certain of these practices, if done improperly, may cause injury or result in health problems. This book is intended to supplement individual training by the Universal Tao and to serve as a reference guide for these practices. Anyone who undertakes these practices on the basis of this book alone, does so entirely at his or her own risk. The meditations, practices and techniques described herein are not intended to be used as an alternative or substitute for profes- sional medical treatment and care. If any readers are suffering from illnesses based on mental or emotional disorders, an appropriate professional health care practitioner or therapist should be con- sulted. Such problems should be corrected before you start train- ing. Neither the Universal Tao nor its staff and instructors can be responsible for the consequences of any practice or misuse of the information contained in this book. If the reader undertakes any exercise without strictly following the instructions, notes and warn- ings, the responsibility must lie solely with the reader. This book does not attempt to give any medical diagnosis, treat- ment, prescription, or remedial recommendation in relation to any human disease, ailment, suffering or physical condition whatso- ever. The Universal Tao is not and cannot be responsible for the con- sequences of any practice or misuse of the information in this book. If the reader undertakes any exercise without strictly following the instructions, notes, and warnings, the responsibility must lie solely with the reader. The West once again has become a “melting pot” but this time the cauldron contains a mixture of the sacred traditions of the East as well as some of the emerging internal technologies of the body, mind and spirit. This movement, known generally as the “New Age”, is characterized by popular magazines and a sizable growing literature, a large number of spiritually oriented groups and a rapidly growing consumer market for wholistically based medi- cine and other “appropriate technologies”. We are clearly seeing a major shift in attitudes and values in our relationships to our inner lives and our responsibilities for the future of the planet Earth. Parallel with these developments we can also see emerging a scientific picture of the universe that resembles the classic world view of the major oriental religions.
Smile into your neck and throat and feel the tension melt buy 180 mg cardizem with amex. But in Taoist yoga the heart 120 mg cardizem sale, along with the kidneys discount cardizem 60mg without a prescription, is the main transformer of chi energy purchase cardizem 60 mg on line. This means that the heart is ca- pable of both increasing your available chi and raising the quality of its energy to a more refined level. The arteries are said to belong to yang energy and the veins to yin energy. The arteries therefore have a positive charge and the veins a negative one. When you smile and fill your heart with love you increase the rate of blood circulation and with it the exchange of yin and yang chi in the bloodstream. So smile into your heart and feel the loving energy of the smile spread throughout your cir- culatory system. If you can use the smile and microcosmic orbit to aid the chi flow, the heart will work less. The smile from the eyes and the brain will help to circulate the chi energy and thus aid the blood to flow fully and freely while the heart relaxes. In conjunction with the proper diet and exercise, the likelihood of getting heart disease will be greatly reduced. Feel the stream of relaxation flow down and spread from your face and neck into your heart. You will sense the heart to be cool and calm, and at the same time feel its physical substance. People who are nervous or who anger quickly often experience pain and tense feelings in and about the heart. Extending the smile relieves stored tension and enables a new kind of functioning to take place. Feel the air inside lighten up as it enters and leaves the lungs. Feel their moist, spongy quality as you relax and fill your lungs with energy. Abdomen Now smile into your liver on the right side, just below the rib cage. If your liver is hard, if it is difficult to feel, soften it with your smile. Smile it back to life, rejuvenate it with your love. Smile at your adrenals, and they may send you a burst of adrenalin. The kidney is the lower transformer of the veins and arteries. Like the heart, this will increase the flow of chi circulating through your system. Allow the smile to flow throughout your central abdomen, through the pancreas and spleen. If you are relaxed and happy and smile within, your organs produce a honey-like secretion. If you are frightened, nervous, or angry, they produce toxic substances instead. The process of smiling into the organs lightens their work load and enables them to function more efficiently. They have a hard job pumping and purifying hundreds of gallons of blood each day, breaking down raw food into digestible energy, cleansing toxic substances and storing our emotional tensions. By smiling into your organs you’ve made their day a cheerful one.