Thứ Tư, 27 tháng 6, 2018

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Kawasaki disease isn't at all related to the motorcycle and engine company, other than

the fact that they were both founded or first described in Japan.Kawasaki disease is a vasculitis,

or an inflammation of the blood vessels, that mostly affects the coronary arteries but can

also affect any large- or medium-sized arteries as well.

With Kawasaki disease, the immune system attacks the arteries.

Ultimately, it's not quite known why this happens though, some theories suggest it has

some infectious cause, though autoimmune reactions and genetic predisposition probably play a

part as well.

Whatever the case, when the endothelial cells in the blood vessels are attacked, they become

damaged which exposes the underlying collagen and tissue factor found in the middle layer

of the blood vessel, or the tunica media.

And this leads to a few serious problems: First, these exposed materials increase the

chance of blood coagulation.

When blood coagulates it forms clots that can block blood flow in the coronary arteries,

leading to ischemia of the heart muscle.

Secondly, damaged endothelial cells in coronary arteries means weak artery walls, which can

lead to coronary aneurysms.

These aneurysms form because fibrin is deposited into the blood vessel wall as part of the

healing process.

Fibrin makes the vessel stiffer, less elastic, and unable to gently stretch with high arterial

pressures; instead the arteries develop permanent bulges that we call aneurysms.

Aneurysms 8mm or larger are at the most risk of rupturing, which reduces blood flow to

the heart, causing ischemia and potentially myocardial infarction, or heart attack.

And third, in some cases the fibrosis doesn't lead to aneurysms, but instead the fibrosis

of the blood vessel walls make the vessel walls thicker, which reduces the lumen diameter

and restricts blood flow.

If blood flow's restricted or reduced, the heart again might become ischemic, leading

to heart attack.

Kawasaki disease is most commonly seen in infants and children under five years old

and is more likely to affect boys.

This disease is self-limited which means that the inflammation will resolve after 6 to 8

weeks but if we left it untreated, there is a 20-25% risk of the heart complications we

went over.

We rarely see any cardiac symptoms in the first few weeks unless the patient has an

underlying heart condition already, and so cardiac symptoms typically evolve later.

Now the classic symptoms of Kawasaki disease are as follows: conjunctivitis with limbus

sparing (which is red eyes with a margin right around the iris that is still white), a rash

that might extend across other parts of the body, and starts polymorphous but later desquamates,

or flakes off, adenopathy, or enlarged lymph nodes, especially the cervical lymph nodes.

A strawberry tongue which is when the top layer of cells on their tongue slough off

giving the tongue a very red, "strawberry" like appearance, also their mouth and throat

may look really red too, and their lips might become dry and cracked.

They're Hands and feet might get swollen and develop a rash as well.

And finally they might have 5 or more days of high fever that typically doesn't resolve

with antipyretics.

Just remember that the patients C-R-A-S-H, and burn.

Ok, there isn't a specific test to diagnose Kawasaki disease, but there are a number of

lab tests that can act as clues.

At the beginning of the disease, many patients are anemic and have an increased number of

white blood cells with a "shift to the left," which means that there are more immature white

blood cells than normal.

They'll also have an increased C-reactive protein and erythrocyte sedimentation rate,

as well as increased liver enzymes, which are all good clues to tell us that some sort

of inflammation is happening.

Microscopic urinalysis will show mononuclear white blood cells in the urine without evidence

of bacteria.

After a few weeks the patient's platelet count generally rises as well.

Whoa, that was a lot of tests, but one last test that we'd want to do is an echocardiogram

to take a look at the coronary artery and the heart muscle to see if any of those complications

we talked about earlier having to do with the heart are happening.

Kawasaki disease is diagnosed based on a combination of patient symptoms and lab tests.

In order for Kawasaki disease to be diagnosed, they need four of the five CRASH symptoms

we talked about earlier, as well as a fever that lasts for five or more days.

Sometimes patients don't meet these strict criteria, though.

Vasculitis in the coronary arteries is a definitive sign that the disease is Kawasaki disease,

but you probably wouldn't want to wait to find that out, right?

People who don't perfectly meet all the diagnostic criteria for Kawasaki disease are

sometimes classified as incomplete Kawasaki disease.

There are guidelines in place to help healthcare providers figure out if they should treat

these atypical cases as Kawasaki disease or not, but just know that it's possible to

have cases that don't meet all the clinical diagnostic requirements.

Now treating Kawasaki disease is also helpful diagnostically, because if the therapy works

then it also reassures you that the right diagnosis was made.

The main treatment is to give IVIG which is an antibody taken from other individuals.

It's thought that this actually helps to calm down the immune system and reduce inflammation.

We also give ASA, otherwise known as acetylsalicylic acid or aspirin.

Aspirin inhibits platelet cyclooxygenase, which prevents platelets from aggregating

together.

Now wait a second.

There should be alarm bells going off right?

We're not suppose to give aspirin to kids because they could develop Reye syndrome (which

is encephalopathy and serious liver injury, bad news).

Kawasaki's disease is also bad news though, so we actually take the risk and monitor the

child very carefully.

All right, time for a quick recap…

Kawasaki disease is a vasculitis mostly affecting children where the immune system attacks arteries,

damaging endothelial cells of blood vessels.

The mnemonic "C-R-A-S-H and burn" summarizes its classic symptoms.

The disease will resolve on its own, but left untreated it can lead to complications such

as blood clots, coronary aneurysms, and ischemia.

For this reason, it is treated with IVIG and aspirin.

For more infomation >> Kawasaki disease - causes, symptoms, diagnosis, treatment & pathology - Duration: 6:57.

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Virtue Restorative Treatment Mask - Duration: 4:32.

For more infomation >> Virtue Restorative Treatment Mask - Duration: 4:32.

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అల్సర్స్ అంటే ఏమిటి ? ఎన్ని రకాలు ? | What Is Ulcer | Types Of Ulcers | Treatment For Ulcers | Ulcer - Duration: 27:02.

POOJA TV PRESENTS

For more infomation >> అల్సర్స్ అంటే ఏమిటి ? ఎన్ని రకాలు ? | What Is Ulcer | Types Of Ulcers | Treatment For Ulcers | Ulcer - Duration: 27:02.

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Two Survivors Of Hospital Explosion Receiving Treatment For Burns In Dallas - Duration: 2:13.

For more infomation >> Two Survivors Of Hospital Explosion Receiving Treatment For Burns In Dallas - Duration: 2:13.

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Veteran protesting treatment by VA sets himself on fire near Georgia State Capitol, police say - Duration: 3:00.

Police responded to the Georgia Capitol in Atlanta Tuesday morning after a veteran set himself on fire, Fox 5 Atlanta reported

 (Fox 5 Atlanta) An Air Force veteran disgruntled with the federal Department of Veterans Affairs was severely burned Tuesday after he set himself on fire outside the Georgia Capitol in Atlanta, according to reports

Police responded quickly to the chaotic scene shortly after 10:30 a.m., Fox 5 Atlanta reported

#BREAKING State officials widen the perimeter as they continue control explosions

The focus appears to be the small white car the injured veteran arrived in. @FOX5Atlanta pic

twitter.com/2wpZLUjXyi— Aungelique Proctor (@aungeliquefox5) June 26, 2018  Authorities said the man, who was injured and has not been identified, was protesting his treatment by the VA, according to the station

 "It looks like a veteran that was disgruntled with the VA did a personal protest in front of the Capitol which involved gasoline and some fireworks," Commissioner Mark McDonough of the Georgia Department of Public Safety told reporters at the scene

 He said a trooper "actually put him out with his fire extinguisher."  The Atlanta Journal Constitution reported that the vet was 58 and from an Atlanta suburb

 "He was strapped with some homemade incendiary devices, firecrackers and doused himself with some kind of flammable liquid," Georgia State Patrol Capt

Mark Perry told the paper.  The veteran was burned over 85 to 90 percent of his body and rushed to Grady Memorial Hospital

 A bomb squad robot was brought to the scene to make sure there were no other explosives in the area, Fox 5 reported

 The sound of explosions could be heard during a nearby news conference by law enforcement officials about Georgia's new hands-free law, which takes effect on July 1, Fox 5 reported

 The news conference was interrupted as state troopers participating in the event rushed towards the sound of the explosions

 The Capitol and judiciary buildings were evacuated, the Journal Constitution reported

BREAKING: ATF Atlanta is responding to a reported incident at the Georgia State Capitol building

pic.twitter.com/J7nEEcItx2— ATF HQ (@ATFHQ) June 26, 2018  Multiple agencies were on the scene, according to the paper

 The Bureau of Alcohol, Tobacco and Firearms said it also was responding.  Click for more from Fox 5 Atlanta

For more infomation >> Veteran protesting treatment by VA sets himself on fire near Georgia State Capitol, police say - Duration: 3:00.

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Neymar, Cristiano Ronaldo and Lionel Messi getting special treatment at World Cup - Pearce - Duration: 1:55.

 Pearce was speaking following Portugal's 1-1 draw with Iran on Monday. Portugal captain and Real Madrid star Cristiano Ronaldo appeared to elbow an opponent

 However, despite the use of VAR, Ronaldo was only given a yellow card. Pearce also believes Brazil star Neymar could have easily got sent off in their win over Costa Rica last Friday

 He does not think the likes of Ronaldo, Neymar and Argentina star Lionel Messi will get sent off unless the referee has no other choice

 "I don't think many of the big stars, no matter what they do – within reason – will get sent off at this World Cup," Pearce told talkSPORT

 "FIFA have sent out a guideline to referees saying they need to protect the big stars, the big players need to play – and I think it's almost given them immunity

 "FIFA want to protect the best players in the tournament from bad tackles and with that protection, I think, they get a bit more tolerance, I really do

 "We covered the Brazil game where Neymar got booked and continued to harangue the referee

 "He could have comfortably got sent off in that game, all the back chatting and the gesturing

 "I think some of the big superstars now have got to do a hell of a lot to get sent off the pitch at this World Cup, because referees have been guided to protect them

"

For more infomation >> Neymar, Cristiano Ronaldo and Lionel Messi getting special treatment at World Cup - Pearce - Duration: 1:55.

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Gorillas & Heart Disease: Cleveland Metroparks Zoo Leads Fight For Treatment & Prevention - Duration: 15:16.

- On a warm spring day, 30 year old Mokolo chows down

on specially chosen leafy greens

at Cleveland Metroparks Zoo.

Seemingly undisturbed by a crowd of kids

and adults who eagerly watch him, snapping pictures,

wide-eyed in awe at his size, and his laid-back personality.

He's one of four western lowland gorillas,

a species native to western Africa

at the Cleveland Metroparks Zoo, and he's the only male.

- I think the exciting thing for people

is seeing our group interact with each other.

If you stand here and watch them long enough,

you can tell who's in charge and who's not,

and you can really understand

their relationships with each other.

- Tad Schoffner works as an animal curator at the zoo,

and has a special interest in the group's interaction.

He facilitated the introduction of Nneka,

the zoo's third female gorilla

from San Francisco just last month.

- We had a very quick integration, and quarantine,

and got her into our group of four now, and so,

she joined our male Mokolo,

and our females Fredrika and Kebi Moya.

I've been here for quite a while.

I've been mostly used to our bachelor gorilla group

that we had for 20-some years,

and getting females back was really exciting.

- The Cleveland troop's makeup changed in early 2017,

following the death of Mokolo's longtime partner Bebac,

a 32-year-old male who suffered from heart disease.

He had lived alongside Mokolo

since the younger gorilla's birth,

the duo arriving in Cleveland together in 1994.

A color-coded chart arrayed with dots and squares

occupies the largest part of one wall

in Kristen Lukas' office.

We're inside the zoo's

Sarah Allison Steffee Center for Zoological Medicine,

and the old-school chart is critical

to the breeding and transfer recommendations

for 350 gorillas housed at zoos across North America.

In addition to a role,

as the director of conservation and science

at Cleveland Metroparks Zoo,

Lukas leads the gorilla species survival plan

for the Association of Zoos and Aquariums,

a consortium of more than 230 wildlife preserves

in America and around the world.

- Each year, we look at the entire population,

and try to make the best decisions

for the longevity of the population,

so that it's sustainable.

We're looking out 100 years in the future,

to make sure that we have a genetically fit population,

and one that will carry on for many years.

And then, also looking out for individual animal welfare.

Lukas and her team have been

on a discovery mission over the past decade,

culling data to determine why heart disease

is so prevalent among captive gorillas,

especially compared to their wild counterparts.

More than 45% of gorillas in captivity

are known to have heart disease,

and it's the leading cause of death among males.

- Across the AZA population, we have this knowledge

that adult males tend to get heart disease,

and because, oftentimes, we would find that out

when we would anesthetize an adult male,

the animal might have trouble under anesthesia,

or may die under anesthesia.

So, while we were trying to investigate heart disease,

we ran into this challenge of,

nobody wants to do exams on their animals,

nobody wants to anesthetize an adult male.

So, it took a huge push of a lot people saying,

"We really need to figure this out."

- Pam Dennis, a veterinary epidemiologist,

works just down the hall from Kristen Lukas.

She studies the health of populations.

- Mokolo hadn't had an exam for many years.

We looked at him, we did physical exams,

but we didn't have him under anesthesia,

until there was this big invigoration of people to say,

"Let's look at this."

- But, when they did, Dennis, Lukas,

and the rest of the staff in Cleveland

received a dreaded confirmation,

Mokolo, too, has heart disease.

- Once we knew he had heart disease,

then we could manage it.

We needed the information,

not only to get the diagnosis on him,

but to define heart disease,

in a living animal, versus on pathology.

It can be a little scary, because we're asking questions

that involve the health of individual animals that we know,

and we don't always know

whether we're asking the right questions,

but we have to actually be able to study it and measure it,

to demonstrate whether the changes that we make

actually make a difference.

- Since Mokolo's diagnosis, nearly 10 years ago,

staffers in Cleveland have trained the 400 pound animal

to stand still for voluntary awake cardiac ultrasounds,

which give far more accurate readings.

- It's really amazing to think that you could ask a gorilla

to put his chest up against the mesh,

and keep his hands at a safe distance,

and then to be able to put a probe onto his heart

and get an awake ultrasound, so that you can actually see

what's happening with his heart.

But, that's exactly the kind of work that we do here

at Cleveland Metroparks Zoo, through operant conditioning,

or positive reinforcement training.

- What have we learned by doing that,

being able to really do a physical exam

on the animal any time you want?

What do we learn?

- We are able to monitor their health

on an ongoing basis in a way

that is not in any way stressful for them or intrusive.

So, for example, once we knew

that our gorilla had heart disease, we were able to identify

what the baseline heart rate was for that animal.

We were able to identify what the heart is

supposed to look like for this individual animal,

and then, we were able to monitor that over time,

in the same way that a human might

take their blood pressure on a regular basis.

- That data is then shared with other institutions, by way

of the Great Ape Heart Project, a national collaboration

investigating cardiovascular disease.

- You can only imagine, if you went to your doctor

with a problem with your heart,

and they just didn't know what was normal,

or how to diagnose a problem, or even,

once you identify the problem, how to treat it,

and even more importantly, how to prevent it.

So, there are a number of different groups

working along the side with the Great Ape Heart Project,

trying to understand things

from all of those different perspectives,

and Cleveland Metroparks Zoo has focused a lot

on diet and nutrition, in addition to

really trying to understand what are the some of the ways

that we can not only prevent the escalation of heart disease

in a gorilla that's already been diagnosed, but also,

perhaps, even prevent it, for gorillas in the future.

- In their journey to better understand heart disease,

staff in Cleveland, led by Elena Less,

a Case Western Reserve University Ph.D student at the time,

started with the gut, looking at the influence

of a captive gorilla diet on overall health.

- The gorilla diet, previously,

was based primarily on a biscuit.

And, if you imagine what dog food is like,

it's formulated so that it provides the animal

with all of its essential vitamins, nutrients,

but, we've learned, both in human nutrition

as well as in wildlife management, and zoos,

that, oftentimes, processed diets

are not in the best interest of all the animals.

And so, this is a question we had,

and we were curious both to know if we replaced that biscuit

with other food items that might provide the same nutrients,

but feed a gorilla more like a gorilla should be fed,

but internally and also behaviorally.

We worked with veterinarians and nutritionists

from all over the country for well over a year

to formulate a diet that we felt would work

and that could be acceptable

to the animals here at Metroparks Zoo.

- The gorillas new diet

includes leafy greens, high in fiber.

The team notice changes almost immediately.

Changes, involving longer feeding times,

allowing for more natural gorilla behavior,

comparable to the amount of time they would spend eating

were they still in the wild.

- Gorillas, at many zoos, regurgitate their food

after their finished, and they re-eat it,

and that behavior has always stumped me.

Why are they doing this?

What was amazing was that,

as soon as we transitioned to this new diet,

that behavior completely stopped in our gorillas.

We knew we were onto something.

Something is fundamentally changing,

that now that we have extended the feeding time,

and we think we are feeding their hind gut,

their hind-gut fermenters.

We think something has fundamentally changed

that has altered their behavior.

So, we saw that right away.

It was absolutely an 'A-ha!' Moment.

We learned how to completely eliminate this behavior

that had been an issue for many zoos for many years.

One of the things that we were able to do

with the change in diet, is we were able to feed them,

quantity-wise, a lot more, lower calorie concentration,

but they actually have to move around more

to get their food.

- With regurgitation eliminated,

Dennis hopes that by studying gorilla's digestive tracks,

scientists might be able to gather more clues,

clues which could aid in prevention and treatment.

That's done by looking at microbiomes,

an ecological community, of sorts,

found in the animal's feces.

- So, we think of feces, poo, as a waste product,

but, really what it reflects is,

what's going on in the GI tract,

and in human health and in veterinary medicine,

we're really just starting to get a handle on this.

What we were hoping was

that we could look at the heart disease

versus non-heart disease,

and the standard diet versus the new diet,

low-starch high-fiber diet, and we hoped to see

that the low-starch high-fiber diet microbiome

would better reflect that of the healthy gorillas.

But, what we found was,

and this is why I'm particularly excited about it,

is that, if you look at the low-starch, high-fiber diet

compared to the standard zoo diet, that, roughly,

mimics the gut microbiome from humans,

healthy versus diabetic.

And, one of the questions that I have is,

insulin resistance, which is essentially,

the body is not responding to insulin that's being produced,

it's sort of a pre-diabetic state,

could be an underlying cause of heart disease in gorillas.

And so, this is a tiny little grain of information

that gets us one tiny, little baby step closer

to figuring out how all of this interacts.

- Zoo executive director Chris Kuhar says,

because of the work here, an increasing number of zoos

are coming to Cleveland for answers and ideas.

- Other AZA facilities are now implementing the diet

that we started here, implementing a lot of the training

and husbandry techniques that we've used here.

Using cardiac ultrasound training

to be able to do that on an awake gorilla.

Those are new procedures, new processes, new techniques,

that we're ground-truthing here,

and a lot of the research that we're implementing here,

folks are watching.

They're looking to see what the success is,

and they're taking those ideas

and holding Cleveland as a model

for how they manage they gorillas moving forward.

- I think given the challenges

of the questions we're trying to ask,

we are making great strides,

and it's really energy generating

to work with such a passionate group of people

who are not only passionate

about making a difference for the animals,

but really excited about the science,

and being able to use that

to inform how we take care of these animals.

We want to make a difference for the individual animal,

and, indirectly, for the entire population.

We want there to be future generations of gorillas.

We want them to be healthy.

They're in our care.

For us to know they have heart disease,

and not figure it out, we can't do that.

- The zoo recently introduced a new outdoor gorilla habitat,

adding climbing structures,

and exponentially increasing the square footage,

allowing more room for activity.

Considerations about conservation

and the health of the animals

were included with each update,

to exhibits like this one and others throughout the zoo.

- A lot people still have that vision

of what zoos are in their head

when they think of the word zoo,

and quite honestly, it's changed drastically.

We've gone from being a consumer of wildlife,

extracting wildlife from the wild, to organizations

that strive for sustainable animal populations,

and are actually doing a lot of work,

putting resources back into the communities

that we were once withdrawing them from.

We've become conservation organizations,

and we're just in the process now

of really telling that story in a better way,

to our visiting public.

- A public that is also on a learning curve,

not just regarding

the critically-endangered mountain gorilla,

but about other species,

and with that education, spurred by members

of the Association of Zoos and Aquariums comes hope.

- Conservation isn't a longterm strategy,

conservation is an emergency strategy at this point.

We've gotta get in and protect.

When you're talking about gorillas where there's animals

in the numbers of the hundreds

in terms of mountain gorillas.

That's not something we can plan for 20, 30, 40 years,

we've gotta do something right now.

And, what we wanna do is, empower people.

Help people understand what they can do,

give them a reason to participate,

and inspire them to participate,

and part of that is changing out exhibits.

- Changing exhibits is one measure,

changing minds is another.

But, the shift is coming, albeit slowly.

Latest census findings indicate

the mountain gorilla population increasing,

with Cleveland intimately involved in the effort,

through a longstanding relationship

the Dian Fossey Fund, which operates in Rwanda

and the Democratic Republic of Congo.

Dr. Lukas makes regular trips to Rwanda,

helping train university students there

to become the next generation of conservationists.

While, here at home, we watch, and hope

for the next generation of Kristen Lukases.

- So, my dream is that, as the gorillas grow up,

and we are able to provide

the most healthy food environment,

physical environment, social environment for them,

then they will continue to inspire our kids, my own kids,

and others, to understand what gorillas are

and why they are so special and significant.

- Special, significant, and revered

for what our ape relatives can teach us,

while we do what we can do save them.

Mokolo, Freddy, Kebi, Nneka, and hopefully, thousands more.

For more infomation >> Gorillas & Heart Disease: Cleveland Metroparks Zoo Leads Fight For Treatment & Prevention - Duration: 15:16.

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Calgary dentist discussing treatment for Cervical Dystonia - Duration: 7:43.

So Averil, as you sit here, we're going show your task-orientated dystonia.

They call it task specific dystonia. We have a pad of paper, we're going to use that to

stimulate and as you start to concentrate, we see that your dystonia

kicks in. As you come back up it's normal. Can you rotate your head

left and right right now? To the left, to the right. Good.

In the dystonia, can you rotate left to right?

Can you bring your head to me? No okay. If stop what I'm doing

then you can turn. Okay we've got a little bit red nose because we've had

just a thing. A little breakthrough. So just show me writing again on the paper

and how much pull did you feel? Just hardly. Hardly any pull. Before, it felt like my head was going to twist off. It's amazing. You saved my career.

I am very happy. This is exactly what we try to do so I am very very happy. What was it

your neurologist said? He said that basically I had cervical dystonia, there

was no cure for it and just had Botox injections to paralyze the muscle every

three months for the rest of my life and any any kind of therapy I would

have would be just a sensory trick that would be temporary. A sensory trick.

Well I guess we did a sensory trick, we're Penn & Teller. Okay thank you very

much. We'll get more later okay. Hi so I'm here with my patient Averil and we have gone

through initial treatments balancing the bites head and neck assessment, therapy

for the head and neck assessment of the hips and back therapy, for the hips and

back. Today what we just did is we inserted your orthotic so you've got an orthotic

in. So let's show off our orthotics. Gross anybody that doesn't do dentistry.

But for dentists, this is just normal.

Okay so tell us where you came from and where you're at. So I started out with

extreme pain in my neck shoulders and back probably for the past three years

it had gotten to the point where my muscles were pulling a lot my head was

rotating to the right especially when my head was down doing anything specific

such as working so that's called task-specific, so after being evaluated

it was that my jaw, well my bite, was off. My jaw

was in the wrong position, my cervical vertebrae was out of alignment and my

hips were out of alignment. They were not only not level but they were also

rotated and they all played a part in my problem and so now that we've identified

the problem and started treating the problem, first with a bite adjustment and

manipulation and cervical manipulation, I noticed a huge improvement immediately

for the first time in three years my head doesn't rotate when I have my head

down or when I do something specific like writing my own name. I no longer have that turning. My pain is pretty

much non-existent I haven't had a headache since he did the first

adjustment which was... So this is Monday and it was last Wednesday. Wednesday yes.

So you haven't had a headache for five days. Right and prior to that I had had a

headache for the past year every single day.

So basically what we've done is we've looked at the way that Averell bites.

We've looked at the way that her head and neck alignment winds up and we've

looked at how her backs and hips line up and whether there's a twist or a tip or a

rotation. I'm just a dentist, I just do the the bite stuff.

We have an upper cervical chiropractor that works on the neck we have a

biomechanical therapist that gives you stretches of massages to work on the

hips and assess the hips. Everybody measures before and after pre

and post measurements. We all have ways of measuring things and the end result

is decreased muscle strain. The orthotic is to help the compress TMJ and bring

that jaw forward and that's what imbalance the had neck balance and the

hip. If you were to talk to somebody not as a dentist but a patient... I was

what number - what was my doctor number? 20. So there's a lot of frustration out

there and there are people out there. I mean obviously I'm not the only

person that does this but there's people out there that look at this and "help!" and

so what would you say to people that have you've been through? They're on

doctor number 19 and well ready to give up. I would say don't give up, you have to

find the right doctor that is gonna look at you in a comprehensive way not just

this area or this area or your hip area but look at the whole body and treat the

whole body because you could fix this and get soso results or temporary

results but if unless you're treating the whole body you're not going to get

to where you need to be and you really have to look .

So thank you very much and thank you very much Averil this has been fun. it's

been great working on a fellow dentist. Have a great day.

For more infomation >> Calgary dentist discussing treatment for Cervical Dystonia - Duration: 7:43.

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World Cup 2018: Maradona receives treatment after Argentina's dramatic win - Duration: 1:10.

World Cup 2018: Maradona receives treatment after Argentina's dramatic win

The Argentina great, 57, threatened to steal the show during the Group D clash in St Petersburg, where an 86th-minute goal from Marcos Rojo sent Jorge Sampaoli's men into the knockout stage.

But Maradona was pictured receiving treatment from paramedics at the stadium after the game, having earlier needed assistance on the way from his seat.

The 1986 FIFA World Cup winner went through a rollercoaster of emotions during the encounter, beginning with dancing with a Nigeria fan pre-game.

After exuberantly celebrating Lionel Messi's classy opener, Maradona was seen sleeping.

He had a final – and rude – celebration after Rojo's winner, offering middle-finger salutes to fans as Argentina booked a last-16 meeting with France.

For more infomation >> World Cup 2018: Maradona receives treatment after Argentina's dramatic win - Duration: 1:10.

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Leah Bracknell gives cancer treatment update and NHS praise: 'I will survive!' - Duration: 6:29.

 Former Emmerdale actress Leah Bracknell has shared a moving and uplifting post relating to her medical treatment for cancer in which she praises the NHS

The star, best known for her role as Zoe Tate, was diagnosed with stage 4 lung cancer in 2016 after it was initially missed by doctors and at the time, it was believed to be terminal

 But from the outset, Leah has vowed to fight and survive the illness and has regularly shared her preference for alternative therapies

She regularly updates an honest blog account called Something Beginning With C with her journey and her most recent post appeared to describe treatment for pleural effusion – where a wide needle or cannula is inserted into the chest cavity to drain fluid from the lungs

 She wrote: 'Perhaps if had been born in another time, another country, another town, in another family, with another name and the planets had aligned in the heavens in a different configuration, then maybe none if this would have happened

   'Perhaps in the thread of time, one decision made differently, a glance in an alternate direction, a no instead of yes

A hello and not good bye. And  perhaps wouldn't now be perching on the side of the bed, and not for the first time this month, head resting on a pile of pillows, with a needle and catheter inserted into my back between my 3rd and  4th ribs draining what will be a litre of fluid from the pleural lining of my lung

'  Despite the pain of the situation – which has left her with a 'sea of sickness' – Leah used the post to praise the bedside manner of the doctor treating her

 She continued: 'Beside me, Dr H. wraps things up with a manner at once professional, friendly and endlessly reassuring

We have met several times over the last year, despite my best intentions not to, and he maintains an easy dialogue throughout the procedures that both distracts and normalises this most un-normal of circumstances

As bedside manners go, he rates a 10/10. As think it, hear the words fly clean out of my mouth and into his ears

   'His accent places him in the region of the Philippines. Like so many of his NHS colleagues have had the good fortune to meet, who come from South East Asia, Thailand,  Africa, the West ndies,  eastern Europe,  Spain, Greece, ndia,  China, Hong Kong,  am grateful he made the journey to work here, healing the sick of Great Britain

 'Clearly we cannot sustain this great and wonderful institution alone. Our global friends are a intrinsic to its health

And for all our sakes the NHS, needs saving, before the disease of neglect and lack of funding and secretive selling off kills it off once and for all

Where would we be, where would  be without it? Not here and now, that's for sure

'  Later on in the post, she added: '"No offense,"  say, "but hope we don't meet again for  very long time,"  'He smiles, as have said this very sentence on several occasions over the last year

What really mean, is thank you thank you thank you. Thank you for making me feel so much better

Thank you for the gift of modern technology, science  and medicine that found its way from you to me and means am not drowning in my own water, but alive and kicking

Thank you all from the bottom of my heart. He departs taking my gratitude with him, radiating 10 out of 10

'  And while Leah battles on, she continues to radiate hope and positivity as she signed off with a vow

 'A new song starts up on the radio, Eric sings along, "At first was afraid was petrified,   'HEY! Wait for me Gloria, 'm just putting my skates on, You sing it girl, you sing it loud

And she does , " will survive! Hey Heeeeey!"  'And with that pirouette into the corridor and back into my life

'  You can read Leah's full account of her journey on her blog by following this link

   

For more infomation >> Leah Bracknell gives cancer treatment update and NHS praise: 'I will survive!' - Duration: 6:29.

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17 Multiple sclerosis Treatment of incurable diseases ※ With subtitles - Duration: 5:16.

There is a great reason for Professor Kojima to feel empathy for the treatment method

of the Life Systems Study Group

My eldest daughter contracted an illness called multiple sclerosis

It is an incurable disease in which nerve cells are being damaged

And gradually she lost her body movements

When she was hospitalized, she could only move her left hand

The treatment for multiple sclerosis consists of the administration of large doses of steroids

However, this does not guarantee the

And steroids have side effects

There was a time when the girl had difficulty even talking

Nutrition was by liquid diet

She also lost control of eliminations

Professor Kojima chose not to take steroid treatment

and decided to treat the cause

The treatment began with the adjustment of the sacral bone

Stand up a little

After treatment there was a noticeable change

Before she could not even turn around

but now she was able to lift the upper body

Now you can move here

Before, could she move?

Now the right leg

Could you move this leg?

She could only move a little

And now you can move

Do it with your hand

And then?

It's better?

So? Was there any change?

What is better?

The tingling got weaker

Tingling in what place?

It became easier to move

And the elbow?

The elbow also

And the hip?

I can move easily

Well then we are on the right track

On that day Professor Ito adjusted only the sacred bone

So we went home.

And from that night she can move her leg

I was amazed ...

Wow ... There's something like this ...

I do not even know what to say

The teacher made only the adjustment

And the next day she could just lift her body

And when I saw I was amazed

I did not know there was such a thing

Then treatment continued

In January 2010 she started to stand alone

"You're up." - Yes

You're standing ...

In March 2011 she had improved enough to go back to school

(There is difficulty in moving the right arm backwards)

Usually the arm goes a little bit longer

But when it gets worse, it can not

Professor Kojima continues to adjust the base of support

Today she can move her arm well

(Has numbness on the right foot)

Unlike when she contracted the disease, today she returned to smile

I feel much better after treatment

I can move more easily

Professor Kojima, who witnessed the results of the treatment in his daughter

Today supports the dissemination of the

For more infomation >> 17 Multiple sclerosis Treatment of incurable diseases ※ With subtitles - Duration: 5:16.

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Virtue Restorative Treatment Mask - Duration: 4:04.

For more infomation >> Virtue Restorative Treatment Mask - Duration: 4:04.

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134A The motive was actually the dental treatment Indefinite complaint and pain that does not improv - Duration: 12:38.

And one more thing

Now it's September 2012

Today is day 29

From now on, remember

This year's summer

and spring, winter and the beginning of the year

This year

And the winter of last year

It's summer last year.

and in the spring of last year had the great earthquake

And the year before and the year before

Three years ago you went to the dentist, did not you?

Yes

In what month?

It was March 2009

It was three and a half years ago.

Yes

Remember this moment

Are you on the first day of 2009?

It is?

So watch

Keep your head as it is

I'm going to pull my arm.

You do not have to touch anything that your arm is normal

And the neck?

Look forward

Here it is fuller than ever

And the scalp?

Is it moving?

I think it is

It's moving.

Now bite the right side hard

It's January 2009 now.

And then?

Not so much...

No. It's now January 2009.

He said not so much. He said not so much.

When he said "not so much" he had already gone back now

When the person encounters his or her symptoms the person returns immediately

So that's why it's to strive and imagine that it's January 2009

I mean, three years ago, you went to the dentist.

I want your mind to come back to the first day in 2009

Came back?

If you came back or not just check to know

He did not come back.

It's difficult...

It's at the time you went to the dentist.

It's before you go ...

The time you went to the dentist three years ago

and it was in March

Come back to the first day of January 2009

Three years ago...

All right?

So now...

In the state in which it is

In the state that was in January three years ago, now bite the right side

How was it?

I can bite hard

Can not you?

He can.

He can bite because it is before he has symptoms

But if he comes back now he can not bite

Things like this happen

That's why I know when it started.

What month of three years ago?

It started in January

It started two months before going to the dentist.

But before that there was nothing

Then there was the reason

And that's why he went to the dentist.

And when he had it, if he went to a salon ...

If I had gone to the hairstylist ...

Now it would be saying that it was because of the hairdresser

It was by tail of the beauty salon

If I went to the lavatory, it would be the

If I had eaten a loaf of bread, it would be the bread

That's it

But it was the dentist who was unlucky.

And today a dentist from Nagoya came to defend his colleagues

He just came to meet you.

If you are in so much trouble maybe he can help

That's why he came today

But for this dentist

Me now...

how to say...

Not support

I'm doing the defense.

It's Not That The Dentist Did Something Wrong

It was already happening before going to the dentist.

And this happened

certainly makes it round

And that's not all

Also made the shoulder move

And it was not only that

The hip also

Lay down

Note

Stay relaxed

The hip displaces

And the left ...

Do not move.

And the right ...

What do you think?

It is true

Shifting, is not it?

Mainly on the shoulder

You feel, do not you?

And the pulse

Here it gets loud

"You see, do not you?" - Yes

You see, do not you?

It's making noise, is not it?

Now the ankle

The ankle is also making noise

"You see, do not you?" - Yes

See how it is

It will end up twisting the ankle

Pull

Yes, it makes noise

You see, do not you?

Touch his head

And if you touch your head ...

It makes noise?

Do not do

You do not, do not you?

It does not, but if you let go of your hand ...

It starts to make noise

There are several places

From the ankle to the hip, and the pelvis also

It's all like this

And this occurred two months before going to the dentist

And what is this?

It's a cerebral infarct.

It is a cerebrovascular dysfunction of a cerebral infarct

If he goes to the hospital, perhaps there are still no signs of a cerebral infarction

But the body is one step away from having a cerebral infarction

If left, cerebral infarction occurs

It is not because of this that a cerebral infarction will certainly occur

But because of this, the body has several problems

And if you leave this, cerebral infarction occurs

But before that

That is, the various symptoms

that is to say, the pains that it feels in the quotidian

and then one of the pains is in occlusion

And that's why he went to the dentist.

And right now, the knee is strange.

Then go to chiropractic or orthopedic clinic

And then it does a lot of things and another problem arises

Several

So even if you go into chiropractic to do massage because you feel pain in the shoulder ...

The pain will not heal

The left side can heal, but the right side will not heal

And this will continue forever.

This is how it is done.

This will not be cured.

And that way 40 or 50 years pass

So this ends up causing dementia

In addition, it will also cause several other diseases

This is the origin

I spoke before ...

There are not many reasons for the various diseases and symptoms

This is the beginning

If you leave this, there will be a cerebral infarction

Some will have cardiac arrest

or vascular dysfunction in the kidneys

This exists

This is not technical language of medicine

These are words I have created

So there are these things

So you can go to any dentist that this will not heal

get up

Here it is concave

Release your hands a little

It is concave in the same way as here.

Here, look, it's concave

It's the same here ...

It is concave and if you tighten you touch the bone

It's that bone.

Here it is concave, and here it is not?

Then this...

It's so it's here

And so

And if you're going to see this one, it's a little bit forward instead of straight

So it's here.

It is like this

- I already wrote, but can I write? - No problem

It's the inner ankle, so it's here.

It's here then.

Hold these two parts firmly

Only with your hands fall to the right, 5 degrees forward

Now do it with the whole body.

Okay, that's all.

That's the way you do it yourself

Get up and be straight

Touch the face and see how the musculature is on both sides

I feel it is still fuller on the left side

Having stayed too long, the muscles went weak

Then there are cases where it does not return immediately

So let's see how the shoulder got

How's the shoulder?

I still feel like you're moving just a little, but ...

I'll do it one more time

It is like this

Now feel the right side of the neck with your left hand

With the left hand

What about the muscles?

Before it was as if the skin were under tension

But it's not like that now ...

Now the scalp

It's not for the sides, it's behind

Hold thumb flat and try to move the skin

First the left side

Move is not it?

Now the Right

You had better do it before ...

Does the right side move?

Yes

Move is not it?

The scalp, the neck too, and the arm too, now lie down.

If he did not touch his head, his arm would not stop.

And now...

Even without touching his head

Does not move

get up

Bite the right side hard

And then?

I can bite hard

Can not you?

And now you're thinking about what you ended up saying to the dentist ...

And you're thinking about when you barely spoke to the dentist ...

And now you feel ashamed, do not you?

The dentist had nothing to do with the problem

It was you who was in this state of health.

If you had gone to the hairdresser, you know what the hairdresser would have to hear, would not he?

What do you think?

That's the reason

You were with something that could have caused a cerebral infarction

And what was it?

The feet were displaced

And this is going up

And this is getting worse and over time you end up having a cerebral infarction

There are people where this occurs quickly

And there are those that take decades to happen

And there are those who end up healing

And so it's important that you yourself learn how to check

And while you do nothing, it may be that it causes another disease

So you go to the hospital and no one knows what it is, but even so you recipe the remedies

But almost always the source of the problem is this

It can be any disease, almost always the origin is here

It is

And as we did now, when you have a problem, try playing the head

Touch your head on the right and left touch various places

There are places to be touched

The right of the head, or the left

The heart, or lung, left or right

Or the kidneys

the liver

There are several places to play

And if you touch any of these places and realize that you've improved a bit ...

That is the source of the problem

So in this case, touching the head improved

So the right side of the head was in trouble

And this was a cerebrovascular dysfunction on the right side

But why?

So now we try to tilt the body

So without even touching the head, it improved when leaning the body

It means that if you lean the body towards this direction the body improves

And that means that the body was shifted to the opposite side

This is what we discovered

Then the shaft was displaced

So if you even adjust your axis, the problems all disappear

And to know when it started, just go back your time

1, 2, 3, 5 years, it comes back and suddenly the problem disappears

So if you find out when you started, you'll dig deeper

And it was three years ago, three years, two months and three days

It was at 6:00 p.m.

All this the brain knows

That's why I know when it happened.

Because his brain knows

That's why I know everything.

That's how it works

Any questions?

For more infomation >> 134A The motive was actually the dental treatment Indefinite complaint and pain that does not improv - Duration: 12:38.

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Dr. Christopher McCann on Ovarian Cancer Detection & Treatment - Duration: 1:01.

>>Healthy Hampton Roads is sponsored by Bon Secours.

>>Well, we're talking about ovarian cancer symptoms and risk factors with Dr. Christopher

McCann from Bon Secours Gynecologic Oncologists.

Thank you so much for joining us today.

>>Thank you.

>>And I know that screening is important but so is paying attention to your body when it

comes to ovarian cancer.

>>Right.

So, in ovarian cancers, we've had a hard time figuring out how to screen for ovarian cancer.

There's been a lot of work done in using imaging, and blood work, and an exam.

So what we really try to focus on is sort of paying attention to your body.

Symptoms like abdominal bloating, pelvic pain, feeling full, not feeling hungry, and if those

symptoms persist over a couple of weeks, then see your gynecologist or primary care doctor

or family physician.

>>And when it comes to seeing your gynecologist, women, and even if you're told you don't need

a Pap smear every year, your pelvic exam is different and should still happen every year.

>>That's correct.

Pap smears might be 3 to 5 years but you really need a pelvic exam every year.

>>For more information about ovarian cancer prevention and treatment, visit BonSecours.com.

For more infomation >> Dr. Christopher McCann on Ovarian Cancer Detection & Treatment - Duration: 1:01.

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Virtue Restorative Treatment Mask - Duration: 6:42.

For more infomation >> Virtue Restorative Treatment Mask - Duration: 6:42.

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Diego Maradona issues health update as he claims he needed paramedic treatment due to too much white - Duration: 8:40.

Maradona sent a voice message to fellow Argentinian Daniel Arcucci, urging the journalist to publish it so that everyone knew he was alive and well, following a series of false death reports on social media

"I swear on the lives of my mum, my grandson Benjamin and my son Dieguito Fernando's life that nothing happened," Maradona could be heard saying

"At the end of the first half we went to eat.I like red wine and there was white wine

""Where we were they were only serving white wine.Yes, we drank all the wine, but now I'm talking to you and I'm telling you the truth

Maradona also contacted his partner, Rocio Oliva, to say that he was fine and that she should not believe false reports on social media that he had suffered heart trouble or anything worse

"Hello my love.No heart attack, no injection, nothing," Maradona said in a WhatsApp message

"I don't know where they're getting it from that I had heart problems or I had to be an adrenaline shot

"It all seems so mad, so stupid."However, a second message appeared to contradict what he said to Arcucci as he denied having any alcohol

"It's 3am and we're just getting back to Moscow without any problems.No alcohol or important story

"Explained what was wrong with him, Maradona said on Instagram that he was suffering from neck pain at half-time and had ignored medical advice to go home before the end of the game

"I want to tell everyone that I am fine, that I am not [ill], neither was I [admitted to hospital]," Maradona wrote

"At half-time of the game against Nigeria, my neck hurt a lot.I was checked by a doctor and he recommended me to go home before the second half, but I wanted to stay because we were risking it all

How could I leave? I send a kiss to everyone, thanks for the support!" Patricia Villegas, president of Latin American broadcaster teleSUR, also played down those fears by posting an image on social media later in the night that showed Maradona in much better health, as she boarded a flight with the 57-year-old back to Moscow

Villegas said: "1:41am Russia.About to (fly).Diego: Are you in hospital?" Maradona had earlier been filmed manically celebrating Rojo's late winning goal and swearing at supporters and was branded a "laughing stock" by BBC presenter Gary Lineker

As television cameras swung his way, seconds after the ball hit the back of Nigeria's net, Maradona thrust middle-finger gestures with both hands

"There's Diego Maradona celebrating," said Lineker."I think he might make the papers for a different kind of celebration, there's a danger he's becoming a laughing stock I'm afraid

"[He's] let himself down with that celebration.You understand how he's euphoric, but this kind of reaction

Really, Diego?" Former England and Manchester United defender Rio Ferdinand was also less impressed with Maradona's antics

"His career as a football player on the pitch was up there with the best," added pundit Rio Ferdinand

"Unfortunately there are moments like this that do arise it's not nice to see that let him down

"BBC sports presenter Dan Walker wrote on Twitter: "And that's why you don't show Maradona no matter how good he was in his prime

"It is not the first time that Maradona has made the headlines for his antics in Russia

He was accused of making a racist gesture by ITV presenter Jacqui Oatley while watching the 1-1 draw between Argentina and Iceland last week

"Maradona not so cool now.Some South Korea fans just shouted "Diego" and he obliged with a smile, kiss and wave

Then pulled his eyes to the side in a clearly racist gesture.All of us who saw it are stunned," Oatley posted on Twitter

Maradona is widely regarded as one of the best players ever to grace the game, famous for driving Argentina to glory at Mexico 86, helped by his 'Hand of God' goal against England

Follow the Independent Sport on Instagram here, for all of the best images, videos and stories from around the sporting world

aftermath of Rojo's winner, and appeared to shout "up yours".Nigeria vs Argentina player ratings: World Cup 2018 22 show all Nigeria vs Argentina player ratings: World Cup 2018 1/22 Francis Uzoho 6 REUTERS 2/22 Kenneth Omeruo 6 REUTERS 3/22 Leon Balogun 5 AFP/Getty Images 4/22 William Troost-Ekong 6 REUTERS 5/22 Victor Moses 6 REUTERS 6/22 Oghenekaro Etebo 6 AFP/Getty Images 7/22 Wilfred Ndidi 5 REUTERS 8/22 John Obi Mikel 7 REUTERS 9/22 Bryan Idowu 5 EPA 10/22 Ahmed Musa 6 AFP/Getty Images 11/22 Kelechi Iheanacho 5 AFP/Getty Images 12/22 Franco Armani 6 AFP/Getty Images 13/22 Gabriel Mercado 6 PA 14/22 Nicolas Otamendi 5 REUTERS 15/22 Marcos Rojo 7 AP 16/22 Nicolas Tagliafico 5 AFP/Getty Images 17/22 Enzo Perez 5 AFP/Getty Images 18/22 Javier Mascherano 4 AFP/Getty Images 19/22 Ever Banega 7 AP 20/22 Angel Di Maria 5 AFP/Getty Images 21/22 Lionel Messi 7 Getty Images 22/22 Gonzalo Higuain 6 EPA 1/22 Francis Uzoho 6 REUTERS 2/22 Kenneth Omeruo 6 REUTERS 3/22 Leon Balogun 5 AFP/Getty Images 4/22 William Troost-Ekong 6 REUTERS 5/22 Victor Moses 6 REUTERS 6/22 Oghenekaro Etebo 6 AFP/Getty Images 7/22 Wilfred Ndidi 5 REUTERS 8/22 John Obi Mikel 7 REUTERS 9/22 Bryan Idowu 5 EPA 10/22 Ahmed Musa 6 AFP/Getty Images 11/22 Kelechi Iheanacho 5 AFP/Getty Images 12/22 Franco Armani 6 AFP/Getty Images 13/22 Gabriel Mercado 6 PA 14/22 Nicolas Otamendi 5 REUTERS 15/22 Marcos Rojo 7 AP 16/22 Nicolas Tagliafico 5 AFP/Getty Images 17/22 Enzo Perez 5 AFP/Getty Images 18/22 Javier Mascherano 4 AFP/Getty Images 19/22 Ever Banega 7 AP 20/22 Angel Di Maria 5 AFP/Getty Images 21/22 Lionel Messi 7 Getty Images 22/22 Gonzalo Higuain 6 EPA However, fears were quickly raised over his half after videos emerged on social media showing Maradona being assisted from his seat, before a picture

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