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At the end of micturition medicinenetcom medications order lamictal 25 mg mastercard, the external urethral sphincter contracts medicine ethics 25mg lamictal with mastercard, and bulbospongiosus muscles in the male expel the last few drops of urine from the urethra treatment zenkers diverticulum order lamictal 100mg with visa. Testis Develops retroperitoneally and descends into the scrotum retroperitoneally medicine evolution cheap 100 mg lamictal with amex. Is covered by the tunica albuginea, which lies beneath the visceral layer of the tunica vaginalis. Is supplied by the testicular artery from the abdominal aorta and is drained by veins of the pampiniform plexus. Has lymph vessels that ascend with the testicular vessels and drain into the lumbar (aortic) nodes; lymphatic vessels in the scrotum drain into the superficial inguinal nodes. Chapter 6 Perineum and Pelvis 265 Testicular torsion is twisting of a testis such that the spermatic cord becomes twisted, obstructing blood supply to the testis, and causing sudden urgent pain and swelling of the scrotum or nausea and vomiting. It is most common during adolescence and may be caused by trauma or a spasm of the cremaster muscle. Testicular torsion requires emergency treatment and if not untwisted, testicular necrosis will occur. Orchitis is inflammation of the testis and is marked by pain, swelling, and a feeling of heaviness in the testis. If testicular infection spreads to the epididymis, it is called epididymo-orchitis. Testicular cancer develops commonly from the rapidly dividing early state spermatogenic cells (seminoma or germ cell tumor). Tumor also develops from Leydig cells, which produce androgen (Leydig cell tumor), and Sertoli cells, which support and nourish germ cells and produce androgenbinding protein and the hormone inhibin (Sertoli cell tumor). Signs and symptoms include a painless mass or lump, testicular swelling, hardness, and a feeling of heaviness or aching in the scrotum or lower abdomen. It can be treated by surgical removal of the affected testis and spermatic cord (orchiectomy), radiotherapy, and chemotherapy. Cryptorchidism is a congenital condition in which the testis fails to descend into the scrotum during fetal development. Undescended testes are associated with reduced fertility, increased risk of testicular cancer, and higher susceptibility to testicular torsion and inguinal hernias. Undescended testes are brought down into the scrotum in infancy by a surgical procedure called an orchiopexy or orchidopexy. Functions in the maturation and storage of spermatozoa in the head and body and propulsion of the spermatozoa into the ductus deferens. Is a thick-walled tube that enters the pelvis at the deep inguinal ring at the lateral side of the inferior epigastric artery. Crosses the medial side of the umbilical artery and obturator nerve and vessels, passes superior to the ureter near the wall of the bladder, and is dilated to become the ampulla at its terminal part. Contains fructose, which is nutritive to spermatozoa, and receives innervation primarily from sympathetic nerves of the hypogastric plexus and parasympathetic nerves of the pelvic plexus. Ductus Deferens Vasectomy is surgical excision of a portion of the vas deferens (ductus deferens) through the scrotum. It stops the passage of spermatozoa but neither reduces the amount of ejaculate greatly nor diminishes sexual desire. Peristaltic contractions of the muscular layer of the ductus deferens and the ejaculatory ducts propel spermatozoa with seminal fluid into the urethra. Open into the prostatic urethra on the seminal colliculus just lateral to the blind prostatic utricle (see the section on urethral crest). Are enclosed by dense endopelvic fascia and are lobulated glandular structures that are diverticula of the ductus deferens. Lie inferior and lateral to the ampullae of the ductus deferens against the fundus (base) of the bladder. Have lower ends that become narrow and form ducts, which join the ampullae of the ductus deferens to form the ejaculatory ducts. Do not store spermatozoa, as was once thought; this is done by the epididymis, the ductus deferens, and its ampulla. Seminal vesicles produce the alkaline constituent of the seminal fluid, which contains fructose and choline. Has five lobes: the anterior lobe (or isthmus), which lies in front of the urethra and is devoid of glandular substance; the middle (median) lobe, which lies between the urethra and the ejaculatory ducts and is prone to benign hypertrophy obstructing the internal urethral orifice; the posterior lobe, which lies behind the urethra and below the ejaculatory ducts, contains glandular tissue, and is prone to carcinomatous transformation; and the right and left lateral lobes, which are situated on either side of the urethra and form the main mass of the gland. This fluid, the secretion from the seminal vesicles and the bulbourethral glands, and the spermatozoa constitute the semen or seminal fluid.
Syndromes
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- A scratch on the eye
Perinatal period: the period that commences at 22 completed weeks (154 days) of gestation (the time when birth weight normally is 500 g) symptoms indigestion lamictal 25 mg without prescription, and ends seven completed days after birth (12) treatment x time interaction order 50 mg lamictal free shipping. Phocomelia: an intercalary limb defect that refers to medicine 360 buy lamictal 100mg on line the congenital absence of an arm and forearm with the hand present medicine journey cheap 25 mg lamictal overnight delivery, or the absence of a thigh and lower leg with the foot present. Population-based surveillance programme: a collection of data about a population residing in a defined geographical area. Preconception care: health care received before a woman becomes pregnant, with the purpose of helping reduce her risk for adverse pregnancy outcomes. Prenatal screening: a systematic search for a specific condition among a large, asymptomatic subpopulation of pregnant women selected by personal or family history, or by demographic characteristics such as age and ethnicity; typically, it identifies at-risk groups for further diagnostic testing. Pregnancy outcome: the result of conception and ensuing pregnancy, including live birth, stillbirth, spontaneous abortion and induced abortion. Prevalence: a measure of the total number of existing cases of a condition, known as prevalent cases, for a given point in time or period, and among a given population, regardless of whether or not they are new cases; also an indicator of the magnitude of the occurrence of a disease or other health event in the population. For example, the live birth prevalence of congenital anomalies in 2014 is computed as live births born with any congenital anomaly in 2014 divided by all live births born in 2014. Birth prevalence of congenital anomalies: measures the number of cases with congenital anomalies among live births and fetal deaths (stillbirths), and is defined as number of cases of live births and fetal deaths (stillbirths) with any congenital anomaly (numerator) among a defined cohort of live births plus fetal deaths (stillbirths) (denominator). For example, the birth prevalence of congenital anomalies in 2014 is computed as live births plus fetal deaths (stillbirths) with any congenital anomaly in 2014 divided by all live births plus fetal deaths (stillbirths) in 2014. Total prevalence of congenital anomalies: measures the number of cases with congenital anomalies in live births, fetal deaths (stillbirths), plus elective terminations of pregnancy for fetal anomaly, and is defined as number of cases of live births, fetal deaths (stillbirths), elective terminations of pregnancy for fetal anomaly (numerator) among a defined cohort of live births, fetal deaths (stillbirths), and elective terminations (denominator). For example, the total birth prevalence of congenital anomalies in 2014 is computed as live births and fetal deaths (stillbirths) with any congenital anomaly plus elective terminations of pregnancy for fetal anomaly in 2014 (numerator) divided by all live births and fetal deaths (stillbirths) in 2014 plus all elective terminations of pregnancy for fetal anomaly occurring in 2014. Pseudocleft: a rare congenital anomaly that has the appearance of a cleft lip corrected in utero; it is also known as congenitally healed cleft lip. Public health: the discipline responsible for protecting the health of a population; its purpose is to improve population health and to control and eradicate diseases. Public health surveillance: the systematic, continuous, timely and reliable collection of relevant and necessary data regarding certain health conditions among a population; analysis and interpretation of the data must provide grounds for decision-making and be disseminated. Reproductive age: the age at which a woman is biologically capable of becoming pregnant. Risk factor: a characteristic, attribute, circumstance or exposure that is detectable among individuals or groups and is associated with an increased likelihood of a disease, congenital anomaly or other health problem. Secondary palate: the roof of the mouth posterior to the incisor foramen; the front, bony part is known as the hard palate, and the back part, consisting of muscular tissue and mucous membrane, as the soft palate. Security: the technological and administrative safeguards and practices designed to protect data systems against unwarranted disclosure, modification or destruction. Sentinel surveillance programme: a collection of data generally set up at one or a few sites, to obtain rapid estimates of the occurrence of a birth outcome. Sequence: a pattern of multiple anomalies derived from a single known or presumed primary anomaly or mechanical factor. It represents a cascade of events that are consequences of a single primary malformation, disruption or deformation, and is considered an isolated anomaly, except when it is part of a syndrome. Sirenomelia: a lethal pattern of congenital anomaly, consisting of underdevelopment of the caudal pole of the body, characterized by fusion of the legs, absence of the sacrum, kidney agenesis, abnormal genitalia and imperforate anus. Spina bifida: a general term used to describe a congenital defect of the spine caused by a failure of the posterior elements of the vertebrae to close, resulting in exposure of the meninges, with or without associated spinal cord herniation. It is most often located in the lumbar or sacral portion of the spine, and usually affects two or three vertebrae, although sometimes more vertebrae may be affected. Spina bifida occulta: a relatively common anomaly that affects the spinous process and lamina of the posterior process, usually at the level of the fifth lumbar or the first sacral vertebra, and is covered by the skin. It is a relatively common anomaly that affects the spinous process and lamina of the posterior process, usually at the level of the fifth lumbar or first sacral vertebra, and is covered by skin. However, in broader terms, a stillbirth is a fetal death after the gestational age of viability. The definition of viability is based on gestational age and/or weight, and is variable among countries. Submucous cleft: a midline notch, covered by mucosa, in the bony segment of the secondary palate. Surveillance programme: a public health programme that collects, monitors, analyses, interprets and disseminates data systematically in a timely manner, and that allows for planning, implementation and evaluation of health strategies.
They went to medicine used to treat bv discount 50mg lamictal with amex the Radom District symptoms 6 weeks 25 mg lamictal amex, on the San River medicine naproxen purchase 200 mg lamictal, not far from the Russian border medications by class buy lamictal 200mg low price, and they "saw a huge territory, villages, market places, small towns," and "we said to ourselves: that is what we need and why should one not resettle Poles for a change, since people are being resettled everywhere"; this will be "the solution of the Jewish question" - firm soil under their feet - at least for some time. On September 21, 1939, he had called a meeting of the "heads of departments" of the R. Eichmann had attended this meeting setting up the "Jewish Center of Emigration" - as was proved at the trial through the minutes, which Bureau 06 of the Israeli police had discovered in the National Archives in Washington. And now thousands of people, chiefly from Austria, were deported helter-skelter into this God-forsaken place which, an S. There is no water, the wells all around carry disease, there is cholera, dysentery, and typhoid. But then, Eichmann complained, "the obstructions began on the part of Hans Frank," whom they had forgotten to inform, although this was "his" territory. The Nisko plan was "born" during the time of his rapid advancement, and it is more than likely that he saw himself as the future Governor General, like Hans Frank in Poland, or the future Protector, like Heydrich in Czechoslovakia, of a "Jewish State. The plan to evacuate four million Jews from Europe to the French island off the southeast coast of Africa - an island with a native population of 4,370,000 and an area of 227,678 square miles of poor land - had originated in the Foreign Office and was then transmitted to the R. Martin Luther, who was in charge of Jewish affairs in the Wilhelmstrasse, only the police "possessed the experiences and the technical facilities to execute an evacuation of Jews en masse and to guarantee the supervision of the evacuees. He even consulted his German opposite number, Joachim von Ribbentrop, on the matter in 1938. Eichmann at any rate was told in the summer of 1940, when his emigration business had come to a complete standstill, to work out a detailed plan for the evacuation of four million Jews to Madagascar, and this project seems to have occupied most of his time until the invasion of Russia, a year later. It obviously did not include three million Polish Jews who, as everybody knew, had been being massacred ever since the first days of the war. The Madagascar plan was always meant to serve as a cloak under which the preparations for the physical extermination of all the Jews of Western Europe could be carried forward (no such cloak was needed for the extermination of Polish Jews! When, a year later, the Madagascar project was declared to have become "obsolete," everybody was psychologically, or rather, logically, prepared for the next step: since there existed no territory to which one could "evacuate," the only "solution" was extermination. Not that Eichmann, the truth-revealer for generations to come, ever suspected the existence of such sinister plans. What brought the Madagascar enterprise to naught was lack of time, and time was wasted through the never-ending interference from other offices. In Jerusalem, the police as well as the court tried to shake him out of his complacency. They confronted him with two documents concerning the meeting of September 21, 1939, mentioned above; one of them, a teletyped letter written by Heydrich and containing certain directives to the Einsatzgruppen, distinguished for the first time between a "final aim, requiring longer periods of time" and to be treated as "top secret," and "the stages for achieving this final aim. Well, he did not; he never changed his Madagascar story, and probably he just could not change it. It was as though this story ran along a different tape in his memory, and it was this taped memory that showed itself to be proof against reason and argument and information and insight of any kind. His memory informed him that there had existed a lull in the activities against Western and Central European Jews between the outbreak of the war (Hitler, in his speech to the Reichstag of January 30, 1939, had "prophesied" that war would bring "the annihilation of the Jewish race in Europe") and the invasion of Russia. To be sure, even then the various offices in the Reich and in the occupied territories were doing their best to eliminate "the opponent, Jewry," but there was no unified policy; it seemed as though every office had its own "solution" and might be permitted to apply it or to pit it against the solutions of its competitors. All his "efforts failed because of the lack of understanding of the minds concerned," because of "rivalries," quarrels, squabbling, because everybody "vied for supremacy. This was calculated according to the "absorptive capacity" of the various killing installations and also according to the requests for slave workers from the numerous industrial enterprises that had found it profitable to establish branches in the neighborhood of some of the death camps. Farben, the Krupp Werke, and Siemens-Schuckert Werke had established plants in Auschwitz as well as near the Lublin death camps. As for working conditions, the idea was clearly to kill through labor; according to Hilberg, at least twenty-five thousand of the approximately thirty-five thousand Jews who worked for one of the I.
Since tangential and radial acceleration are oriented perpendicular to 4 medications list discount lamictal 100mg free shipping each other medicine reviews order lamictal 200 mg fast delivery, the Pythagorean theorem can be used to medicine 3x a day buy lamictal 25 mg on line calculate the magnitude of total acceleration medications with dextromethorphan discount lamictal 200 mg line. The angular kinematic quantities- angular displacement, angular velocity, and angular acceleration-possess the same interrelationships as their linear counterparts, with angular displacement representing change in angular position, angular velocity defined as the rate of change in angular position, and angular acceleration indicating the rate of change in angular velocity during a given time. Depending on the selection of the time interval, either average or instantaneous values of angular velocity and angular acceleration may be quantified. Angular kinematic variables may be quantified for the relative angle formed by the longitudinal axes of two body segments articulating at a joint, or for the absolute angular orientation of a single body segment with respect to a fixed reference line. Different instruments are available for direct measurement of angles on a human subject. If 10 complete squats are performed, what is the total angular distance and the total angular displacement undergone at the knee Identify the angular displacement, the angular velocity, and the angular acceleration of the second hand on a clock over the time interval in which it moves from the number 12 to the number 6. The absolute angle of the forearm Use the right horizontal as your reference for the absolute angles. The angular velocity at the knee over each time interval Would it provide meaningful information to calculate the average angular velocities at the hip and knee for the movement shown A tennis racquet swung with an angular velocity of 12 rad/s strikes a motionless ball at a distance of 0. If the initial velocity of the golf ball is 35 m/s, what was the angular velocity of the left shoulder at the point of ball contact A baseball is struck by a bat 46 cm from the axis of rotation when the angular velocity of the bat is 70 rad/s. List three movements for which a relative angle at a particular joint is important and three movements for which the absolute angle of a body segment is important. A majorette in the Rose Bowl Parade tosses a baton into the air with an initial angular velocity of 2. What are the magnitudes of her radial, tangential, and total accelerations as she leaves the curve Record the linear distances traveled by the three balls, and write a brief explanation. Distances: Explanation: 2. With a partner, use a goniometer to measure range of motion for wrist flexion and hyperextension, for ankle plantar flexion and dorsiflexion, and for shoulder flexion and hyperextension. Provide an explanation for differences in these ranges of motion between your partner and yourself. Yourself Wrist flexion Wrist hyperextension Plantar flexion Dorsiflexion Shoulder flexion Shoulder hyperextension Your Partner Explanation: 3. What features distinguish the performance from that of a reasonably skilled adult Working in a small group, observe from a side view two volunteers performing simultaneous maximal vertical jumps. Either video (and replay) the jumps or have the subjects repeat the jumps several times. Write a comparative description of the angular kinematics of the jumps, including both relative and absolute angles of importance. Performer 1 Performer 2 5. Using the single-frame advance button, draw at least three sequential stick figure representations of a person performing a movement of interest. Given 1/30 s between adjacent video pictures, calculate the angular velocity at the joints between pictures 1 and 2 and between pictures 2 and 3. Fleisig G, Chu Y, Weber A, and Andrews J: Variability in baseball pitching biomechanics among various levels of competition, Sports Biomech 8:10, 2009. Fleisig G, Nicholls R, Elliott B, and Escamilla R: Kinematics used by world class tennis players to produce high-velocity serves, Sports Biomech 2:51, 2003.
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