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2537) Canyon
Gist
A canyon is a deep, narrow valley with steep sides, typically carved by river erosion over millions of years. Known for dramatic landscapes like the Grand Canyon or Antelope Canyon, they are often used for hiking and tourism, or in a metaphorical sense, such as "concrete canyons" in cities. Synonyms include gorge, ravine, chasm, and gully.
A canyon (from Spanish cañón; archaic British English spelling: cañon), gorge or chasm, is a deep cleft between escarpments or cliffs resulting from weathering and the erosive activity of a river over geologic time scales.
Summary
A canyon (from Spanish cañón; archaic British English spelling: cañon), gorge or chasm, is a deep cleft between escarpments or cliffs resulting from weathering and the erosive activity of a river over geologic time scales. Rivers have a natural tendency to cut through underlying surfaces, eventually wearing away rock layers as sediments are removed downstream. A river bed will gradually reach a baseline elevation, which is the same elevation as the body of water into which the river drains. The processes of weathering and erosion will form canyons when the river's headwaters and estuary are at significantly different elevations, particularly through regions where softer rock layers are intermingled with harder layers more resistant to weathering.
A canyon may also refer to a rift between two mountain peaks, such as those in ranges including the Rocky Mountains, the Alps, the Himalayas or the Andes. Usually, a river or stream carves out such splits between mountains. Examples of mountain-type canyons are Provo Canyon in Utah or Yosemite Valley in California's Sierra Nevada. Canyons within mountains, or gorges that have an opening on only one side, are called box canyons. Slot canyons are very narrow canyons that often have smooth walls.
Steep-sided valleys in the seabed of the continental slope are referred to as submarine canyons. Unlike canyons on land, submarine canyons are thought to be formed by turbidity currents and landslides.
Details
Bound by cliffs and cut by erosion, canyons are deep, narrow valleys in the Earth's crust that evoke superlatives and a sense of wonder. Layers of rock outline stories of regional geology like the table of contents to a scientific text.
The landforms commonly break parched terrain where rivers are the major force that sculpts the land. They are also found on ocean floors where the currents dig underwater grooves.
"Grand" is the word used to describe one of the most famous canyons of all. Cut by the Colorado River over the last few million years, the Grand Canyon is 277 miles (446 kilometers) long, more than 5,000 feet (1,500 meters) deep, but only 18 miles (29 kilometers) across at its widest yawn.
Layers of rock in the Grand Canyon tell much about the Colorado Plateau's formative years: a mountain range built with two-billion-year-old rock and then eroded away; sediments deposited from an ancient sea; more mountains; more erosion; another sea; a burst of volcanic activity; and the birth of a river that has since carved the chasm by washing the layers away.
Each layer erodes differently. Some crumble into slopes, others sheer cliffs. They stack together like a leaning staircase that leads to the river's edge. A mixture of minerals gives each layer a distinctive hue of yellow, green, or red.
And its immense size has been seen by very few. More people have orbited the Earth than have hked the Grand Canyon from end to end. Follow the trek of Pete McBride and Kevin Fedarko using this interactive map.
Types of Canyons
Other canyons start where a spring sprouts from the base of a cliff. Such cliffs are composed of permeable, or porous, rock. Instead of flowing off the cliff, water seeps down into the rock until it hits an impermeable layer beneath and is forced to leak sideways. Where the water emerges, the cliff wall is weakened and eventually collapses. A box canyon forms as sections of wall collapse further and further back into the land. The heads of these canyons are marked by cliffs on at least three sides.
Slot canyons are narrow corridors sliced into eroding plateaus by periodic bursts of rushing water. Some measure less than a few feet across but drop several hundred feet to the floor.
Submarine canyons are similar to those on land in shape and form, but are cut by currents on the ocean floor. Many are the mere extension of a river canyon as it dumps into the ocean and flows across the continental shelf. Others are gouged from turbid currents that occasionally plunge to the ocean floor.
Additional Information
A canyon is a deep, narrow valley with steep sides. “Canyon” comes from the Spanish word cañon, which means “tube” or “pipe.” The term “gorge” is often used to mean “canyon,” but a gorge is almost always steeper and narrower than a canyon.
The movement of rivers, the processes of weathering and erosion, and tectonic activity create canyons.
River Canyons
The most familiar type of canyon is probably the river canyon. The water pressure of a river can cut deep into a riverbed. Sediments from the riverbed are carried downstream, creating a deep, narrow channel.
Rivers that lie at the bottom of deep canyons are known as entrenched rivers. They are entrenched because, unlike rivers in wide, flat floodplains, they do not meander and change their course.
The Yarlung Zangbo Grand Canyon in Tibet, a region of southwestern China, was formed over millions of years by the Yarlung Zangbo River. This canyon is the deepest in the world—at some points extending more than 5,300 meters (17,490 feet) from top to bottom. Yarlung Zangbo Canyon is also one of the world’s longest canyons, at about 500 kilometers (310 miles).
Weathering and Erosion
Weathering and erosion also contribute to the formation of canyons. In winter, water seeps into cracks in the rock. This water freezes. As water freezes, it expands and turns into ice. Ice forces the cracks to become larger and larger, eroding bits of stone in the process. During brief, heavy rains, water rushes down the cracks, eroding even more rocks and stone. As more rocks crumble and fall, the canyon grows wider at the top than at the bottom.
When this process happens in soft rock, such as sandstone, it can lead to the development of slot canyons. Slot canyons are very narrow and deep. Sometimes, a slot canyon can be less than a meter (three feet) wide, but hundreds of meters deep. Slot canyons can be dangerous. Their sides are usually very smooth and difficult to climb.
Some canyons with hard, underlying rock may develop cliffs and ledges after their softer, surface rock erodes. These ledges look like giant steps.
Sometimes, entire civilizations can develop on and around these canyon ledges. Native American nations, such as the Hopi and Sinagua, made cliff dwellings. Cliff dwellings were apartment-style shelters that housed hundreds of people. The shaded, elevated ledges in Walnut Canyon and Canyon de Chelly, in Arizona, U.S.A., provided protection from hostile neighbors and the burning desert sun.
Hard-rock canyons that are open at one end are called box canyons. The Hopi and Navajo people often used box canyons as natural corrals for sheep and cattle. They simply built a gate on the open side of the box canyon, and closed it when the animals were inside.
Limestone is a type of hard rock often found in canyons. Sometimes, limestone erodes and forms caves beneath the earth. As the ceilings of these caves collapse, canyons form. The Yorkshire Dales, an area in northern England, is a collection of river valleys and canyons created by limestone cave collapses.
Tectonic Uplift
Canyons are also formed by tectonic activity. As tectonic plates beneath Earth’s crust shift and collide, their movement can change the area’s landscape. Sometimes, tectonic activity causes an area of Earth’s crust to rise higher than the surrounding land. This process is called tectonic uplift. Tectonic uplift can create plateaus and mountains. Rivers and glaciers that cut through these elevated areas of land create deep canyons.
The Grand Canyon, in Arizona, is a product of tectonic uplift. The Grand Canyon, up to 447 kilometers (277 miles) long, 29 kilometers (18 miles) wide, and 1.8 kilometers (6,000 feet) deep, is the largest canyon in the United States. The Grand Canyon has been carved, over millions of years, as the Colorado River cuts through the Colorado Plateau. The Colorado Plateau is a large area that was elevated through tectonic uplift millions of years ago. Geologists debate the age of the canyon itself—it may be between five million and 70 million years old.
Canyons Reveal Earth’s History
Canyons are like silent journals of an area’s history over thousands or even millions of years. By studying the exposed layers of rock in a canyon wall, experts can learn about how the climate changed, what kind of organisms were alive at certain times, and perhaps even how the canyon may change in the future.
For example, geologists studying layers of rock in the Columbia River Gorge, in the U.S. states of Washington and Oregon, discovered that the oldest rocks there are at least 17 million years old. They also found out the rocks are dark-black basalt, made from hardened lava. From this, geologists determined that the rocks formed when volcanoes erupted and their lava spilled out onto the land. Over millions of years, the Columbia River and Ice Age glaciers cut through the area and exposed its volcanic beginnings.
Canyons are also important to paleontology, or the study of fossils. Fossils are often best preserved in dry, hot areas. Since canyons usually form under the same conditions, they are good places to examine fossils.
The layers of sediment revealed by a canyon can make it easier to date fossils. For example, a new area of dinosaur tracks was discovered in the U.S. state of Utah at Glen Canyon National Recreation Area in 2009. These tracks reveal new information about a group of dinosaurs called ornithopods. Paleontologists analyzed the layers of rock surrounding the fossils to estimate how old they were. These new dinosaur tracks show that ornithopods were alive 20 million years earlier than scientists thought.
Geologists study canyons to determine how the landscape will change in the future. The erosion patterns and thickness of different layers can reveal the climate during different years. A series of very dry years will have very thin layers of rock, when little erosion took place. The overall pattern of erosion and layering reveals the rate of water flow, from both the river and rain, through a canyon.
Geologists estimate that the Grand Canyon, for example, is being eroded at a rate of 0.3 meters (one foot) every 200 years. The Colorado Plateau, the geologic area where the Grand Canyon is located, is a very stable area. Geologists expect the Grand Canyon to continue to deepen as long as the Colorado River flows.
Submarine Canyons
Some of the deepest canyons lie beneath the ocean. These submarine canyons cut into continental shelves and continental slopes—the edges of continents that are underwater.
Some submarine canyons were carved by rivers that flowed during periods when the sea level was lower, and the continental shelves were exposed. The Hudson Canyon extends 750 kilometers (450 miles) into the Atlantic Ocean, from the mouth of the Hudson River, in the U.S. states of New York and New Jersey. At least part of the Hudson Canyon was the riverbed during the last ice age, when sea levels were much lower.
Submarine canyons can also develop when powerful ocean currents sweep away sediments. Just as rivers erode land, these currents carve deep canyons in the ocean floor. Strong currents of the Atlantic Ocean prevent Whittard Canyon, about 400 kilometers (248 miles) south of the coast of Ireland, from filling with sediment. Scientists studying Whittard Canyon believe glacial water mixed with seawater to rush into the submarine canyon thousands of years ago.
The formation of some submarine canyons is still a mystery. Monterey Canyon is a deep submarine canyon off the coast of the U.S. state of California. It has been compared to the Grand Canyon because of its size. It is 152 kilometers (95 miles) long and 3.2 kilometers (two miles) deep at its deepest point. Geologists still aren’t certain how Monterey Canyon was formed. One theory is that the canyon was formed by an ancient outlet of the Sacramento or Colorado Rivers. Another theory is that it was formed by tectonic activity—an earthquake splitting apart the rock with enormous force. Scientists believe the canyon was formed 25 million to 30 million years ago.
The depth of submarine canyons makes them hard to explore. Scientists usually use remotely operated vehicles (ROVs) to conduct studies. Sometimes, they can use a submersible, a special kind of submarine. The Monterey Bay Aquarium Research Institute (MBARI) uses a vehicle called Ventana to explore Monterey Canyon. Through the Ventana and other research vehicles, MBARI scientists have discovered new species of organisms living in the canyon, from tiny sea anemones to giant squid.

Bronchitis
Gist
Bronchitis is inflammation of the large airways in your lungs. The inflammation causes you to cough.
Bronchitis can be acute or chronic. Acute bronchitis is usually caused by a viral infection and goes away by itself. Chronic bronchitis is a type of chronic obstructive pulmonary disease (COPD), a long-term lung condition that is usually related to smoking.
What are the symptoms of acute bronchitis?
Someone with bronchitis will have a cough (either dry or bringing up phlegm). The cough may last for 2 to 3 weeks in people with acute bronchitis.
Other symptoms of bronchitis may include:
* wheezing or feeling short of breath
* chest discomfort or pain (due to frequent coughing)
* a blocked or runny nose
* headache
* fever
* aches and pains
* feeling tired
Summary
Bronchitis is inflammation of the bronchi (large and medium-sized airways) in the lungs that causes coughing. Bronchitis usually begins as an infection in the nose, ears, throat, or sinuses. The infection then makes its way down to the bronchi. Symptoms include coughing up sputum, wheezing, shortness of breath, and chest pain. Bronchitis can be acute or chronic.
Acute bronchitis usually has a cough that lasts around three weeks, and is also known as a chest cold. In more than 90% of cases, the cause is a viral infection. These viruses may be spread through the air when people cough or by direct contact. A small number of cases are caused by a bacterial infection such as Mycoplasma pneumoniae or Bordetella pertussis. Risk factors include exposure to tobacco smoke, dust, and other air pollution. Treatment of acute bronchitis typically involves rest, paracetamol (acetaminophen), and nonsteroidal anti-inflammatory drugs (NSAIDs) to help with the fever.
Chronic bronchitis is defined as a productive cough – one that produces sputum – that lasts for three months or more per year for at least two years. Many people with chronic bronchitis also have chronic obstructive pulmonary disease (COPD). Tobacco smoking is the most common cause, with a number of other factors such as air pollution and genetics playing a smaller role. Treatments include quitting smoking, vaccinations, rehabilitation, and often inhaled bronchodilators and steroids.[13] Some people may benefit from long-term oxygen therapy.
Acute bronchitis is one of the more common diseases. About 5% of adults and 6% of children have at least one episode a year. Acute bronchitis is the most common type of bronchitis. By contrast in the United States, in 2018, 9.3 million people were diagnosed with the less common chronic bronchitis.
Details
Bronchitis is an inflammation of the lining of your bronchial tubes. These tubes carry air to and from your lungs. People who have bronchitis often cough up thickened mucus, which can be discolored. Bronchitis may start suddenly and be short term (acute) or start gradually and become long term (chronic).
Acute bronchitis, which often develops from a cold or other respiratory infection, is very common. Also called a chest cold, acute bronchitis usually improves within a week to 10 days without lasting effects, although the cough may linger for weeks.
Chronic bronchitis, a more serious condition, is a constant irritation or inflammation of the lining of the bronchial tubes, often due to smoking. If you have repeated bouts of bronchitis, you may have chronic bronchitis, which requires medical attention. Chronic bronchitis is one of the conditions included in chronic obstructive pulmonary disease (COPD).
Symptoms
If you have acute bronchitis, you may have cold symptoms, such as:
* Cough
* Production of mucus (sputum), which can be clear, white, yellowish-gray or green in color — rarely, it may be streaked with blood
* Sore throat
* Mild headache and body aches
* Slight fever and chills
* Fatigue
* Chest discomfort
* Shortness of breath and wheezing
While these symptoms usually improve in about a week, you may have a nagging cough that lingers for several weeks.
For chronic bronchitis, signs and symptoms may include:
* Cough
* Production of mucus
* Fatigue
* Chest discomfort
* Shortness of breath
Chronic bronchitis is typically defined as a productive cough that lasts at least three months, with bouts that recur for at least two consecutive years. If you have chronic bronchitis, you're likely to have periods when your cough or other symptoms worsen. It's also possible to have an acute infection on top of chronic bronchitis.
When to see a doctor
Contact your doctor or clinic for advice if your cough:
* Is accompanied by a fever higher than 100.4 F (38 C).
* Produces blood.
* Is associated with serious or worsening shortness of breath or wheezing.
* Includes other serious signs and symptoms, for example, you appear pale and lethargic, have a bluish tinge to your lips and nail beds, or have trouble thinking clearly or concentrating.
* Lasts more than three weeks.
Causes
Acute bronchitis is usually caused by viruses, typically the same viruses that cause colds and flu (influenza). Many different viruses — all of which are very contagious — can cause acute bronchitis. Antibiotics don't kill viruses, so this type of medication isn't useful in most cases of bronchitis.
Viruses spread mainly from person to person by droplets produced when an ill person coughs, sneezes or talks and you inhale the droplets. Viruses may also spread through contact with an infected object. This happens when you touch something with the virus on it and then touch your mouth, eyes or nose.
The most common cause of chronic bronchitis is cigarette smoking. Air pollution and dust or toxic gases in the environment or workplace also can contribute to the condition.
Risk factors
Factors that increase your risk of bronchitis include:
* Cigarette smoke. People who smoke or who live with a smoker are at higher risk of both acute bronchitis and chronic bronchitis.
* Low resistance. This may result from another acute illness, such as a cold, or from a chronic condition that compromises your immune system. Older adults, infants and young children have greater vulnerability to infection.
* Exposure to irritants on the job. Your risk of developing bronchitis is greater if you work around certain lung irritants, such as grains or textiles, or are exposed to chemical fumes.
* Gastric reflux. Repeated bouts of severe heartburn can irritate your throat and make you more prone to developing bronchitis.
Complications
Although a single episode of bronchitis usually isn't cause for concern, it can lead to pneumonia in some people. Repeated bouts of bronchitis, however, may mean that you have chronic obstructive pulmonary disease (COPD).
Prevention
To reduce your risk of bronchitis, follow these tips:
* Get an annual flu shot. Many cases of acute bronchitis result from influenza, a virus. Getting a yearly flu vaccine can help protect you from getting the flu. Also ask your doctor or clinic if you need a vaccination that protects against certain types of pneumonia.
* Wash your hands. To reduce your risk of catching a viral infection, wash your hands frequently and get in the habit of using alcohol-based hand sanitizers. Also, avoid touching your eyes, nose and mouth.
* Avoid close contact with people who have a viral infection. Stay away from people who have the flu or another respiratory illness.
* Avoid cigarette smoke. Cigarette smoke increases your risk of chronic bronchitis.
* Wear appropriate face covering. If you have COPD, consider wearing a face mask at work if you're exposed to dust or fumes. Talk to your employer about the appropriate protection. Wearing a face mask when you're going to be among crowds helps reduce exposure to infections.
Additional Information
Bronchitis is when the airways leading to your lungs (trachea and bronchi) get inflamed and fill with mucus. You get a nagging cough as your body tries to get rid of the mucus. Your cough can last two or more weeks. Acute bronchitis is usually caused by a virus and goes away on its own. Chronic bronchitis never really goes away but can be managed.
Overview:
What is bronchitis?
Bronchitis is an inflammation of the airways leading into your lungs.
When your airways (trachea and bronchi) get irritated, they swell up and fill with mucus, causing you to cough. Your cough can last days to a couple of weeks. It’s the main symptom of bronchitis.
Viruses are the most common cause of acute bronchitis. Smoke and other irritants can cause acute and chronic bronchitis.
What are the types of bronchitis?
When people talk about bronchitis, they usually mean acute bronchitis, a temporary condition that makes you cough. Some people get bronchitis so often that it’s considered chronic bronchitis.
Acute bronchitis
Acute bronchitis is usually caused by a viral infection and goes away on its own in a few weeks. Most people don’t need treatment for acute bronchitis.
Chronic bronchitis
You have chronic bronchitis if you have a cough with mucus most days of the month for three months out of the year. This goes on for at least two years.
If you have chronic bronchitis, you may have chronic obstructive pulmonary disease (COPD). Ask your provider about whether you should get tested for COPD.
Who does bronchitis affect?
Anyone can get bronchitis, but you’re at higher risk if you:
* Smoke or are around someone who does.
* Have asthma, COPD or other breathing conditions.
* Have GERD (chronic acid reflux) (Gastroesophageal reflux disease.)
* Have an autoimmune disorder or other illness that causes inflammation.
* Are around smoke, chemicals or toxins in the air.
How does bronchitis affect my body?
When your airways are irritated, your immune system causes them to swell up and fill with mucus. You cough to try to clear the mucus out. As long as there’s mucus or inflammation in your airways, you’ll keep coughing.
Symptoms and Causes:
What are the symptoms of bronchitis?
A persistent cough that lasts one to three weeks is the main symptom of bronchitis. You usually bring up mucus when you cough with bronchitis, but you might get a dry cough instead. You might also hear a whistling or rattling sound when you breathe (wheezing).
You might have other symptoms, including:
* Shortness of breath (dyspnea).
* Fever.
* Runny nose.
* Tiredness (fatigue).
What causes bronchitis?
You almost always get bronchitis from a virus. However, nearly anything that irritates your airways can cause it. Infectious and noninfectious causes of bronchitis include:
* Viruses. Viruses that cause bronchitis include influenza (the flu), respiratory syncytial virus (RSV), adenovirus, rhinovirus (the common cold) and coronavirus.
* Bacteria. Bacteria that cause bronchitis include Bordetella pertussis, Mycoplasma pneumonia and Chlamydia pneumonia.
* Toxins in the air.
* Smoking cigarettes or marijuana (cannabis).
How do you get bronchitis?
You get bronchitis when your airways swell up and fill with mucus. You can get the viruses and bacteria that cause bronchitis from close contact (shaking hands, hugging, touching the same surfaces) with someone who has them. You don’t have to have bronchitis yourself to pass on a virus to someone else who ends up with bronchitis.
Other irritants are in the air you breathe.
Is bronchitis contagious?
Bronchitis itself — inflammation of your airways — isn’t contagious, but the viruses and bacteria that can cause it are. For instance, if you’re sick with the flu, you might get bronchitis too. But when your friend gets the flu from you, their airways don’t get inflamed like yours did.
Is bronchitis a side effect of COVID-19?
You can get bronchitis with almost any virus, including SARS-CoV2, the virus that causes COVID-19. The symptoms of bronchitis can be similar to COVID-19, so make sure you get tested to know which one you have. There haven’t been any studies that show that COVID-19 is any more likely to cause bronchitis than other viral illnesses.
Diagnosis and Tests:
How is bronchitis diagnosed?
Your healthcare provider can tell if you have bronchitis based on your health history and symptoms (clinical diagnosis). They’ll listen to your lungs for signs of congestion and to make sure you’re breathing well. They might test you for viral infections, like the flu or COVID-19.
What tests will be done to diagnose this condition?
There aren’t any specific tests to diagnose bronchitis, but you might be tested for other conditions. Possible tests include:
* Nasal swab. Your healthcare provider may use a soft-tipped stick (swab) in your nose to test for viruses, like COVID-19 or the flu.
* Chest X-ray. If your cough lasts for a long time, you may get a chest X-ray to rule out more serious conditions. Your healthcare provider will use a machine to get pictures of your heart and lungs. They’ll look for signs of other diseases that could cause your symptoms.
* Blood tests. Your provider may do blood tests, using a needle in your arm, to look for infections or check your overall health.
* Sputum test. Your provider may have you cough and then spit into a tube. Your sample will be tested for signs of a virus or bacteria.
* Pulmonary function tests. If your provider thinks you have chronic bronchitis, they may use a machine to test how well your lungs work.

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Robotics
Gist
Robotics is the interdisciplinary field of engineering and computer science dedicated to the design, construction, and operation of automated machines (robots) that replicate or enhance human actions. Using sensors and AI, robots perform tasks ranging from repetitive industrial manufacturing to hazardous exploration.
Robotics is a branch of engineering and computer science that involves the conception, design, manufacture and operation of robots. The objective of the robotics field is to create intelligent machines that can assist humans in a variety of ways.
Summary
Robotics is the interdisciplinary study and practice of the design, construction, operation, and use of robots. A roboticist is someone who specializes in robotics. Robotics usually combines four aspects of design work: a power source (e.g. a battery), mechanical construction, a control system (electrical circuits), and software (run by remote control or artificial intelligence).
The goal of most robotics is to design machines that can assist humans in various fields, such as agriculture, construction, domestic work, food processing, inventory management, manufacturing, medicine, military, mining, space exploration, and transportation.
Robots impact humans by displacing workers. Some expect this to occur at an increasing rate, leading to proposed solutions such as basic income. Robotics is itself a lucrative business that creates careers, especially for postgraduates. Roboticists often aim to create machines that seem to interface naturally with humans. The field is under active research and development, with areas of interest including robot kinematics and quantum robotics.
Details
What is Robotics?
Robotics combines computer science, engineering, and technology to design, construct, and utilize machines that are programmed to replicate or substitute human actions and decision-making. These machines, known as robots, are deployed across a broad spectrum of industries to improve productivity, efficiency, and safety. Because robots can be used in so many ways, robotics is a broad, interdisciplinary field, meaning that there are many ways to study it and find a specialized career.
Robots aren't new. They've been around since ancient times, but the Industrial Revolution's rise in manufacturing highlighted the need for widespread automation. The first autonomous machines were built in the mid-20th century. In the 1990s, researchers developed the foundational elements for social robots that could understand and interpret human language and emotion. The advent of artificial intelligence (AI) and machine learning launched the field forward, expanding what is possible for robot automation and autonomy.
Each robot, regardless of its level of autonomy—meaning its ability to operate and make decisions without human supervision or intervention—consists of the same three components: mechanical construction, electrical power and control, and software or programming.
Robotics professionals can design and construct entire robots holistically, or they might focus on one component. They can specialize even further into sensors, control systems, human-robot interaction, and more. With a wide range of ever-growing industry applications, possibilities in the field of robotics are boundless.
What Are Robotics Applications?
Robotics got its start by providing an advantage in manufacturing and industrialization. But now, nearly every industry has found a need for robotic applications to make work more efficient and safe.
Manufacturing
From automobiles to smartphones, robotics have revolutionized the manufacturing industry. Industrial robots can assemble products, sort items, and even fix and maintain other machines in a factory or warehouse.
Healthcare
Medical robots transport medical supplies, perform surgery and diagnostics, manage hospital logistics, and dispense medications. As the robotics industry advances, more sophisticated machines are being developed to improve the efficiency of medical professionals and quality of patient care.
Agriculture
Robots help agricultural businesses meet growing global demand by performing routine tasks such as planting, pest and weed management, and harvesting.
Construction
Construction teams are safer, efficient, and more accurate thanks to robotic assistance. Autonomous technologies operate construction machinery and complete specialized tasks like welding, drilling, and brick-laying.
Shipping and Delivery
Robotics have streamlined the logistics of shipping and delivering goods. Autonomous mobile robots maneuver through warehouses and collect items for shipments, while companies deploy delivery bots to complete local deliveries in a timely manner.
More Real-World Robotics
Robots and autonomous technologies keep clean energy affordable through system installation and maintenance. Robots navigate mines for materials and analyze structural integrity. Search and rescue robots help disaster response teams by navigating floodwaters and putting out forest fires. In the home, robots keep surfaces clean and sanitized, mow lawns, engage with children, and assist people with disabilities.
Types of Robots
Robots come in all shapes and sizes, which is understandable given the variety of purposes they serve, from education and entertainment to integration as vital components in the manufacturing industry.
* Humanoid robots look like and mimic human behavior. Development of more advanced models is ongoing, as demand rises for robots to assist with research and professional services.
* Industrial robots are heavy-duty machines that automate manufacturing processes at scale.
* Mobile robots sort and deliver goods in warehouses, in the home, and on the street.
* Collaborative robots, or cobots, work in conjunction with people in the service industry and manufacturing.
* Social robots are AI-powered machines with a variety of applications in education, early childhood development, disability assistance, and companionship.
* Microrobots and nanorobots run diagnostics, monitor and treat diseases, and assess injuries.
What is Robotics?
Robotics combines computer science, engineering, and technology to design, construct, and utilize machines that are programmed to replicate or substitute human actions and decision-making. These machines, known as robots, are deployed across a broad spectrum of industries to improve productivity, efficiency, and safety. Because robots can be used in so many ways, robotics is a broad, interdisciplinary field, meaning that there are many ways to study it and find a specialized career.
Robots aren't new. They've been around since ancient times, but the Industrial Revolution's rise in manufacturing highlighted the need for widespread automation. The first autonomous machines were built in the mid-20th century. In the 1990s, researchers developed the foundational elements for social robots that could understand and interpret human language and emotion. The advent of artificial intelligence (AI) and machine learning launched the field forward, expanding what is possible for robot automation and autonomy.
Each robot, regardless of its level of autonomy—meaning its ability to operate and make decisions without human supervision or intervention—consists of the same three components: mechanical construction, electrical power and control, and software or programming.
Robotics professionals can design and construct entire robots holistically, or they might focus on one component. They can specialize even further into sensors, control systems, human-robot interaction, and more. With a wide range of ever-growing industry applications, possibilities in the field of robotics are boundless.
What Are Robotics Applications?
Robotics got its start by providing an advantage in manufacturing and industrialization. But now, nearly every industry has found a need for robotic applications to make work more efficient and safe.
Manufacturing
From automobiles to smartphones, robotics have revolutionized the manufacturing industry. Industrial robots can assemble products, sort items, and even fix and maintain other machines in a factory or warehouse.
Healthcare
Medical robots transport medical supplies, perform surgery and diagnostics, manage hospital logistics, and dispense medications. As the robotics industry advances, more sophisticated machines are being developed to improve the efficiency of medical professionals and quality of patient care.
Agriculture
Robots help agricultural businesses meet growing global demand by performing routine tasks such as planting, pest and weed management, and harvesting.
Construction
Construction teams are safer, efficient, and more accurate thanks to robotic assistance. Autonomous technologies operate construction machinery and complete specialized tasks like welding, drilling, and brick-laying.
Shipping and Delivery
Robotics have streamlined the logistics of shipping and delivering goods. Autonomous mobile robots maneuver through warehouses and collect items for shipments, while companies deploy delivery bots to complete local deliveries in a timely manner.
More Real-World Robotics
Robots and autonomous technologies keep clean energy affordable through system installation and maintenance. Robots navigate mines for materials and analyze structural integrity. Search and rescue robots help disaster response teams by navigating floodwaters and putting out forest fires. In the home, robots keep surfaces clean and sanitized, mow lawns, engage with children, and assist people with disabilities.
Types of Robots
Robots come in all shapes and sizes, which is understandable given the variety of purposes they serve, from education and entertainment to integration as vital components in the manufacturing industry.
Humanoid robots look like and mimic human behavior. Development of more advanced models is ongoing, as demand rises for robots to assist with research and professional services.
Industrial robots are heavy-duty machines that automate manufacturing processes at scale.
Mobile robots sort and deliver goods in warehouses, in the home, and on the street.
Collaborative robots, or cobots, work in conjunction with people in the service industry and manufacturing.
Social robots are AI-powered machines with a variety of applications in education, early childhood development, disability assistance, and companionship.
Microrobots and nanorobots run diagnostics, monitor and treat diseases, and assess injuries.
Advantages and Disadvantages of Using Robots
Robots have expanded what's possible across industries. But their onset has drawbacks as well as benefits.
Advantages of Robotics
Increased accuracy: Robots perform repetitive tasks with greater precision and accuracy than humans, allowing people to focus on more complex tasks.
Enhanced productivity: Robots can work at a faster pace than humans for longer durations, leading to more consistent and higher-volume productivity.
Improved safety: Robots can complete tasks and operations in unsafe environments, protecting workers from injuries.
Rapid innovation: Robots equipped with advanced sensors and cameras can collect and organize data quickly, leading to faster analysis and innovation.
Greater cost-efficiency: As robots accelerate productivity, they can be a more cost-effective option for companies over human labor.
Disadvantages of Robotics
Workforce displacement: Robotic process automation may put some human employees out of work and change the skills necessary for work in certain sectors.
Limited creativity: Robots aren't good with surprises. In unexpected situations, robots don't possess the same level of problem-solving skills as humans.
Security risks: Robots can be subject to cyber attacks, potentially exposing large amounts of data.
Maintenance costs: Robotic machines are expensive to repair and maintain. Faulty equipment can lead to production disruptions and revenue loss.
Environmental waste: Robot construction requires large amounts of raw materials. Discarded robots and parts can lead to pollution and waste disposal issues.
What Skills Do People In Robotics Fields Need?
Robotics professionals need to possess an interest and understanding of all three robotics components: mechanical construction, electrical power and control, and programming.
While the level of understanding across the three components may vary depending on career or role, all robotics professionals must have strong mathematical skills, expertise in physical sciences, computer programming proficiency, and ample problem-solving abilities. Robotics professionals must also possess strong communication skills in order to work well with others and present their developments to clients and stakeholders. Professionals can specialize based on skill, expertise, and interest.
What Careers Are There in Robotics?
The robotics field is broad and ever-expanding. Robotics jobs and careers vary widely depending on specialization, interest, and industry. Different robotics careers require different kinds of skills and education. Some standard robotics jobs include the following:
* Robotics engineer
* Mechatronics engineer
* Robotics programmer
* Automation engineer
* Robotics integration designer
* Industrial engineer
* Software engineer
* Mechanical engineer
* User interface/user experience (UI/UX) designer
* Robotics operator
* Controls engineer
* Manufacturing technician
The Future of Robotics
The future of robotics relies heavily on the advancements of artificial intelligence (AI). Advanced AI can affect robotic autonomy and problem-solving abilities as autonomous machines develop neural frameworks. Through generative AI tools, robots acquire the capability to adapt to unexpected situations and communicate with human operators more effectively.
As robots become increasingly prevalent in everyday life, the field of human-robot interaction is expanding to understand how people can operate and live harmoniously with robots in homes, in the workplace, and on the street. As interactions between humans and robotic systems grow, the look and behavior of robots has changed to be more visually appealing to humans, better understand human language and emotion, and respond more effectively.
With millions of robots being used around the world, societal and organizational developments will be needed as humans determine how to best work alongside robots and adapt the workforce to counteract the rise in displaced jobs from robotic labor. With the introduction of technologies such as AI and machine learning, humans will need to adapt to work alongside robots in a more efficient and productive society.
Additional Information
Robotics is design, construction, and use of machines (robots) to perform tasks done traditionally by human beings. Robots are widely used in such industries as automobile manufacture to perform simple repetitive tasks, and in industries where work must be performed in environments hazardous to humans. Many aspects of robotics involve artificial intelligence; robots may be equipped with the equivalent of human senses such as vision, touch, and the ability to sense temperature. Some are even capable of simple decision making, and current robotics research is geared toward devising robots with a degree of self-sufficiency that will permit mobility and decision-making in an unstructured environment. Today’s industrial robots do not resemble human beings; a robot in human form is called an android.
Japanese roboticist Masahiro Mori proposed that as human likeness increases in an object’s design, so does one’s affinity for the object, giving rise to the phenomenon called the "uncanny valley." According to this theory, when the artificial likeness nears total accuracy, affinity drops dramatically and is replaced by a feeling of eeriness or uncanniness. Affinity then rises again when true human likeness—resembling a living person—is reached. This sudden decrease and increase caused by the feeling of uncanniness creates a “valley” in the level of affinity.

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2751.
2474) Walter Rudolf Hess
Gist:
Work
The diencephalon of both human and animal brains has cells that govern many behaviors. During the 1930s Walter Hess inserted a narrow metal thread into different parts of anesthetized cats’ hypothalamus, an area on the underside of the diencephalon. When the cats awoke, he could trigger different behaviors with weak electrical impulses to different parts of the hypothalamus—not just simple reactions but complex behaviors. Among other things, the cats could be made to display defensive and aggressive behaviors and to curl up and go to sleep.
Summary
Walter Rudolf Hess (born March 17, 1881, Frauenfeld, Switz.—died Aug. 12, 1973, Ascona) was a Swiss physiologist, who received (with António Egas Moniz) the 1949 Nobel Prize for Physiology or Medicine for discovering the role played by certain parts of the brain in determining and coordinating the functions of internal organs.
Originally an ophthalmologist (1906–12), Hess turned to the study of physiology, becoming a research assistant first at the Physiological Institute at the University of Zürich in 1912 and then at the University of Bonn in 1915. In 1917 he was appointed professor of physiology and later director of the Physiological Institute (1917–51) at Zürich. He became interested in the study of the autonomic nervous system—those nerves originating at the base of the brain and extending throughout the spinal cord that control the automatic functions such as digestion and excretion. They also trigger the activities of a group of organs that respond to complex stimuli, such as stress.
Using fine electrodes to stimulate or destroy specific areas of the brain in freely moving conscious cats, Hess found that the seat of autonomous function lies at the base of the brain, in the medulla oblongata and the diencephalon (interbrain), particularly that part of the interbrain known as the hypothalamus. He mapped the control centres for each function to such a degree that he could induce the physical behaviour pattern of a cat confronted by a dog simply by stimulating the proper points on the animal’s hypothalamus. He also studied the mechanisms of goal-directed movements and established the concept of anticipatory motor control on posture to enable voluntary motor action. Among Hess’s books is The Biology of Mind (1964).
Details
Walter Rudolf Hess (17 March 1881 – 12 August 1973) was a Swiss physiologist who won the Nobel Prize in Physiology or Medicine in 1949 for mapping the areas of the brain involved in the control of internal organs. He shared the prize with Egas Moniz.
Early life and education
Hess was born in Frauenfeld as the second of three children to Clemens Hess and Gertrud Hess (née Fischer). His father encouraged him to pursue a scientific career and with him he conducted experiments in his physics laboratory. He started to study medicine in Lausanne in 1899 and then in Berlin, Kiel and Zürich. He received his medical degree from the University of Zurich in 1906 and trained as surgeon in Münsterlingen (in the same canton as his birthplace Frauenfeld) under Conrad Brunner (1859–1927). He developed a viscosimeter to measure blood viscosity and published his dissertation in 1906 titled Zum Thema Viskosität des Blutes und Herzarbeit. In 1907, he went to the University of Zurich to study under Otto Haab to be trained as an ophthalmologist and opened his own private practice in Rapperswil SG. In these years, he developed the "Hess screen", married Louise Sandmeier and in 1910 their daughter Gertrud Hess was born. In 1913 his son Rudolf Max Hess was born.
In 1912, he left his lucrative private practice as an ophthalmologist and went into research under Justus Gaule (1849–1939), habilitating in 1913 to become Privatdozent. His primary interests were the regulation of blood flow and respiration. During the First World War he spent a year at the Physiological Institute of the University of Bonn under Max Verworn. In 1916, Gaule retired and Hess first became interim director of the Department of the Physiological Institute at the University of Zurich. Hess served as full professor and director of the institute from 1917 until his retirement in 1951.
In the 1930s, he began mapping the parts of the diencephalon that control the internal organs using cats. This research won him the Nobel prize in Physiology and Medicine 1949. Hess also helped to found the meteorological research foundation International Foundation for the High Alpine Research Station Jungfraujoch in 1930 and served as its director until 1937. Furthermore, he politically campaigned against the anti-vivisectionists that wanted to forbid animal experimentation.
Hess retired in 1951 but continued working at the university in an office. In 1967, he moved to Ascona and died of heart failure in 1973 at the age of 92 in Locarno, Switzerland. His widow died in 1987.
Research
Hess used brain stimulation techniques developed in the late 1920s. Using electrodes, Hess stimulated the brain at well-defined anatomical regions. This allowed him to map regions of the brain to specific physiological responses. He developed a special technique he called "interrupted direct-current (DC) stimulation" which used stimuli of long duration (typically 12.5 or 25 ms) with ramp-like upward and downward slopes. Also, the stimuli were rather weak (around 0.5–1.5 V) and of low frequency (2–12 Hz, usually 8 Hz) and he used very fine electrodes with a diameter of 0.25 mm.
By stimulating the hypothalamus, he could induce behaviors from excitement to apathy; depending on the region of stimulation. He found that he could induce different responses when stimulating the anterior (lateral) hypothalamus compared to stimulating the posterior ventromedial hypothalamus. When stimulating the anterior part, he could induce fall of blood pressure, slowing of respiration and responses such as hunger, thirst, micturition (urination) and defecation. Stimulation of the posterior part led to extreme excitement and defense-like behavior.
Hess also found that he could induce sleep in cats – a finding that was highly controversial at the time but later confirmed by other researchers, including his son Rudolf Max Hess.

Angiogram
Gist
An angiogram is a scan that shows blood flow through arteries or veins, or through the heart, using X-rays, computed tomography angiography (CTA) or magnetic resonance angiography (MRA). The blood vessels appear on the image after a contrast dye is injected into the blood, which lights up on the scan wherever it flows.
Angiography may be the first step of a procedure to find and fix a blood vessel blockage, aneurysm, structural heart or valve disease.
Summary
An angiogram is a type of X-ray used to examine blood vessels.
Blood vessels don’t show up clearly on ordinary X-rays, so a special dye is injected into the area being examined. The dye highlights the blood vessels as it moves through them. The medical name for this is a catheter angiogram.
Less commonly, angiograms can also be carried out using magnetic resonance imaging(MRI) and computerised tomography (CT) techniques.
Why angiograms are used
An angiogram can help diagnose conditions that affect blood vessels and the flow of blood through them. These include:
* coronary heart disease – the blood flow through the artery that supplies the heart muscle is disrupted because it has become narrowed
* aneurysm – a section of a blood vessel wall bulges outwards due to a weakness in the wall
* atherosclerosis – blood vessels become clogged up with fatty substances, such as cholesterol; an angiogram can be used to assess the level of atherosclerosis in specific blood vessels
Details
An angiogram is a diagnostic procedure that uses imaging to show your provider how your blood flows through your blood vessels or heart. An injected contrast material makes it easy to see where blood is moving and where blockages are. Your provider can use X-rays or other types of imaging for your angiogram.
Cerebral Arteriogram
An arteriogram is an X-ray of the blood vessels. It’s used to look for changes in the blood vessels, such as:
* Ballooning of a blood vessel (aneurysm)
* Narrowing of a blood vessel (stenosis)
* Blockages
This test is also called angiogram.
For arteriogram, your healthcare provider inserts a catheter into a large blood vessel and injects contrast dye. The contrast dye causes the blood vessels to appear on the X-ray image. This lets the healthcare provider better see the vessel(s) under exam.
Many arteries can be seen on an arteriogram, including those of the legs, kidneys, brain, and heart. A cerebral arteriogram is used to look at the blood vessels of the brain, head, or neck.
For a cerebral arteriogram, a catheter is usually inserted into an artery in the groin. Sometimes, an artery in the arm is used. Rarely, an artery in the neck may need to be used. The groin artery is most commonly used because it’s easier to get to. Once the catheter is inserted, the contrast dye is injected. Next, a series of X-rays are made. These images show the arteries, veins, and capillaries and blood flow in the brain.
What is computed tomography (CT) angiography?
CT angiography is a type of medical test that combines a CT scan with an injection of a special dye to produce pictures of blood vessels and tissues in a part of your body. The dye is injected through an intravenous (IV) line placed in your arm or hand.
A computerized tomography scan, or CT scan, is a type of X-ray that uses a computer to make cross-sectional images of your body. The dye injected to perform CT angiography is called a contrast material because it enhances blood vessels and tissues that are being studied.
Why might I need a computed tomography angiography?
* To find or measure the size of an aneurysm (a blood vessel that has become enlarged and may be in danger of rupturing)
* To find blood vessels that have become narrowed by atherosclerosis (fatty material that forms plaques in the walls of arteries)
* To follow vessels involved by dissections, which are tears that can form in the wall of vessels
* To find abnormal blood vessel formations inside your brain
* To identify blood vessels damaged by injury
* To find blood clots that may have formed in your leg veins and traveled into your lungs
* To evaluate a tumor that is fed by blood vessels
Information from CT angiography may help prevent a stroke or a heart attack. This type of test may also help your health care provider plan cancer treatment or prepare you for a kidney transplant. Your health care provider may have other reasons for ordering this test.
What is fluoroscopy?
Fluoroscopy is a study of moving body structures--similar to an X-ray "movie." A continuous X-ray beam is passed through the body part being examined. The beam is transmitted to a TV-like monitor so that the body part and its motion can be seen in detail. Fluoroscopy, as an imaging tool, enables physicians to look at many body systems, including the skeletal, digestive, urinary, respiratory, and reproductive systems.
Fluoroscopy may be performed to evaluate specific areas of the body, including the bones, muscles, and joints, as well as solid organs, such as the heart, lung, or kidneys.
Other related procedures that may be used to diagnose problems of the bones, muscles, or joints include X-rays, myelography ( myelogram ), computed tomography ( CT scan ), magnetic resonance imaging ( MRI ), and arthrography.
What is magnetic resonance angiography?
You’ve probably heard about the test called magnetic resonance imaging or MRI. In this test, radio waves, a magnetic field, and a computer create a scan of your body parts to look for health problems.
Magnetic resonance angiography–also called a magnetic resonance angiogram or MRA–is a type of MRI that looks specifically at the body’s blood vessels. Unlike a traditional angiogram, which requires inserting a catheter into the body, magnetic resonance angiography is a far less invasive and less painful test.
During magnetic resonance angiography, you lie flat inside the magnetic resonance imaging scanner. This is a large, tunnel-like tube. In some cases, a special dye, known as contrast, may be added to your bloodstream to make your blood vessels easier to see. When needed, the contrast is given with an intravenous (IV) needle.
What is a resting radionuclide angiogram?
Resting radionuclide angiogram (RNA) is a type of nuclear medicine test. Doctors use a tiny amount of a radioactive substance, called a tracer, during the scan to help show the heart’s chambers in motion. This test can tell the doctor how well the heart pumps and how much blood is pumped with each heartbeat. This is called the ejection fraction.
Your doctor injects a radioactive tracer (usually technetium) into an arm vein. The tracer “tags" blood cells so your doctor can track them with a scanner as they move through the heart. A special camera (called a gamma camera) then records the heart muscle at work, like a movie. Your doctor can match these recordings with the electrocardiogram (ECG). An ECG is a recording of the heart's electrical activity.
If the heart muscle doesn’t move normally, or not enough blood is pumped out by the heart, it may be a sign of one or more of the following:
* Injury to the heart muscle, possibly as a result of decreased blood flow to heart muscle due to clogged heart arteries
* An enlargement of one or more of the heart's chambers
* Aneurysm (a weak area in the heart muscle)
* Toxic effects of certain medicines
* Heart failure
Additional Information
An angiogram is a diagnostic procedure that uses imaging to show your provider how your blood flows through your blood vessels or heart. An injected contrast material makes it easy to see where blood is moving and where blockages are. Your provider can use X-rays or other types of imaging for your angiogram.
Overview:
An angiogram uses X-ray images and contrast dye to show blockages in blood vessels.
What is an angiogram?
An angiogram is a diagnostic procedure that uses X-ray images to look for blockages or narrow spots in your blood vessels (arteries or veins). An angiogram test can show how blood circulates in blood vessels at specific locations in your body. Healthcare providers use an angiogram of your heart, neck, kidneys, legs or other areas to locate the source of an artery or vein issue.
Your healthcare provider may want to do an angiogram procedure when you have signs of blocked, damaged or abnormal blood vessels. An angiogram test helps your provider determine the source of the problem and the extent of damage to your blood vessels.
With an angiogram procedure, your provider can diagnose and plan treatment for conditions like:
* Coronary artery disease (blockage or narrowing in the arteries that supply your heart)
* Peripheral artery disease (blockage or narrowing in your leg arteries)
* Blood clots (mass of blood cells)
* Aneurysm (weak artery wall)
Test Details:
How does an angiogram work?
An angiogram procedure involves injecting contrast material (dye) that your provider can see with an X-ray machine. Images on a screen show blood flow and blockages in your blood vessels.
Your provider will give you medicine to make sure you’re relaxed and comfortable. Most people receive sedation. Others get general anesthesia, which makes them sleep. Either way, someone will need to drive you home afterward.
How to prepare for an angiogram procedure
Before your angiogram test, your provider may want to check your blood to determine how well your blood clots. They also want to make sure your kidneys are working well.
Medications
Always consult with your provider before you stop taking any medication, especially antiplatelets and anticoagulants. With provider approval:
* Don’t take clopidogrel for five days before your procedure.
* Don’t take blood thinners like dipyridamole or warfarin within 72 hours before the test and 24 hours after the test.
* Take all other medications as usual.
* If you have diabetes, ask your provider for instructions about if and when to take your insulin and/or medicine.
Don’t eat anything after midnight the night before your angiogram. If you’re having general anesthesia during the procedure, don’t eat or drink anything after midnight.
The day of your angiogram
Be sure to:
* Drink only clear liquids for breakfast on the day of your procedure.
* Leave your jewelry and other valuables at home.
* Make sure you arrange for a responsible adult to drive you home.
* Bring a current list of your medications and allergies.
* Bring a book or magazine in case your healthcare provider has to handle an urgent case before yours.
* Let all of your providers know if you have diabetes.
* Change into a hospital gown and lie down on a special X-ray table.
* Meet with your provider to review instructions, questions and your medical history.
What to expect during angiography
During an angiogram procedure, your provider will:
1) Numb the area where the catheter will go.
2) Access your blood vessel with a needle.
3) Thread a wire through the needle.
4) Slide a long, slender tube called a catheter over the needle and into a large artery (usually in your groin or wrist area).
5) Slowly and carefully thread the catheter through your artery until the catheter’s tip reaches the part of the blood vessel they want to examine.
6) Inject a small amount of contrast material (dye) through the catheter and into your blood vessel segment. For a few seconds, this can make you feel flushed or like you need to pee.
7) Take X-rays.
8) Watch where the contrast agent goes on the X-ray monitor to see where and how well blood is moving in your blood vessels.
How long does an angiogram take?
An angiogram can take as little as 15 minutes. But some can take a few hours. It depends on what procedures your provider does after they find the issue.
If your provider finds a blockage, they may treat it right away with an angioplasty. This procedure uses a tiny balloon to force the blockage against your artery wall. An angioplasty may be all you need if it makes your blood flow better and there’s less than 30% of your blockage left after the procedure.
If an angioplasty doesn’t create a large enough opening for blood to get through, you may need a stent. This tiny metal tube stays in your blood vessel to keep it open. Your provider can place this right after your angioplasty.
Another treatment, surgery for your heart (coronary artery bypass) or legs (peripheral artery bypass), creates a way around your blockage. A provider will do this on a different day.
What to expect after angiography
Your healthcare provider will take out the catheter and bandage the area where they punctured your skin. They’ll press on the bandaged area for at least 15 minutes to stop or prevent bleeding.
If they put the catheter in through your leg, you’ll need to rest in bed for four to six hours. This will make your incision less likely to bleed.
Your provider will evaluate you and discuss at-home instructions with you before you go home.
Angiogram recovery
You should be able to go home the same day as your angiogram procedure or the next day, even if you had angioplasty and stenting. Because you received anesthesia, you’ll need someone to drive you home.
After you get home, don’t lift anything heavier than 10 pounds or stoop or bend for the next two days. This should keep your incision from bleeding.
A responsible adult should stay with you overnight after your procedure. Some people may need to spend the night in the hospital for their angiogram recovery.
If you have diabetes, don’t take metformin for 48 hours after the test. This reduces the risk of kidney complications.
Drinking water will help flush the contrast dye out of your system.
What are the risks of angiography?
Angiogram risks are low. But you can have complications in the area where your provider went through your skin to reach your artery. Angiogram complications happen in less than 1% of cases.
Risks of an angiogram procedure usually involve your puncture site and include:
* Bruises, which are common and go away in one to three weeks
* Bleeding
* Infection
* Pain
* Kidney issues
* An allergic reaction to the contrast material (dye)
* Injury to blood vessels
* Abnormal heart rhythm (arrhythmia) or cardiac arrest that requires resuscitation
* A blood vessel blockage from a blood clot that could cause a heart attack or stroke (rarely)
* A blood vessel leak (rarely).

Ulcer
Gist
The most common causes of peptic ulcers are Helicobacter pylori (H. pylori) infection and nonsteroidal anti-inflammatory drugs (NSAIDs). Other causes of peptic ulcers are uncommon or rare. People with certain risk factors are more likely to develop ulcers.
Mouth ulcers typically heal on their own within 1 to 2 weeks, though larger ones can last up to 6 weeks. Stomach ulcers usually heal within 4 to 8 weeks with proper treatment, though severe cases may take over 12 weeks. See a doctor if mouth ulcers last over 3 weeks.
Summary:
What is an ulcer?
Ulcers are sores on the lining of your stomach or small intestine. Sores also could be on your esophagus (throat). Most ulcers are located in the small intestine. These ulcers are called duodenal ulcers. Stomach ulcers are called gastric ulcers. Ulcers in the throat are called esophageal ulcers.
Ulcer symptoms:
Common ulcer symptoms
* Discomfort between meals or during the night (duodenal ulcer)
* Discomfort when you eat or drink (gastric ulcer)
* Stomach pain that wakes you up at night
* Feel full fast
* Bloating, burning, or dull pain in your stomach
* Comes and goes days or weeks at a time
* The discomfort lasts for minutes or hour
Bleeding ulcer symptoms
If your ulcer becomes perforated (torn), it becomes a bleeding ulcer. This can cause the following symptoms:
* Nausea
* Vomiting blood
* Unexpected weight loss
* Blood in your stool or dark stools
* Pain in your back
What causes ulcers?
A bacterial infection called Heliocobacter pylori (H. pylori) is typcially what causes ulcers. Acids from the foods we eat can make the pain and discomfort worse. Long-term use of aspirin or anti-inflammatory medicines (ibuprofen) are also a common cause of ulcers. Stress and spicy foods can make an ulcer worse.
How is an ulcer diagnosed?
Your doctor will ask you about your symptoms. They may do an endoscopy. This procedure involves inserting a thin, flexible tube attached to a camera down your throat and into your stomach. Your doctor will test your blood, breath, or stool for H. pylori. They also can test a sample of your stomach lining. Your doctor also will ask you if you regularly take aspirin or anti-inflammatory medicines.
Details:
What Are Stomach Ulcers?
Stomach ulcers, also known as peptic ulcers, are open sores in the lining of your stomach or the upper part of your small intestine. The ulcer forms when stomach acid eats away at the mucus that protects the lining of your digestive tract.
Types of peptic ulcers
Gastric ulcer: It occurs when a sore forms in the lining of your stomach.
Duodenal ulcer: This happens when a sore develops in the upper part of your intestine.
Esophageal ulcer: This is when a sore forms in the lining of your esophagus, which is the tube that carries food and liquid from your throat to your stomach.
Causes of Stomach Ulcers
Until the mid-1980s, the conventional wisdom was that ulcers form as a result of stress, being prone to excessive stomach acid secretion because of genetics, and poor lifestyle habits (including overindulging in rich and fatty foods, alcohol, caffeine, and tobacco). It was believed that such factors could lead to a buildup of stomach acids that could erode the protective lining of the stomach, duodenum, or esophagus.
While too much stomach acid secretion certainly plays a role in the development of ulcers, a relatively recent theory holds that bacterial infection is the primary cause of peptic ulcers. Research since the mid-1980s has shown that the bacterium Helicobacter pylori(H. pylori) is present in more than 90% of duodenal ulcers and about 80% of stomach ulcers. However, more recent figures indicate those percentages are declining.
Most people infected with H. pylori do not get ulcers. But in others, it can raise the amount of acid, break down the protective mucus layer, and irritate the digestive tract. Experts aren’t sure how an H. pylori infection spreads. They think it may pass from person to person through close contact, such as kissing. You may also get it from unclean food and water.
Other factors also seem to contribute to ulcer formation, especially in someone with an H. pylori infection, including:
* Overuse of over-the-counter painkillers (such as aspirin, ibuprofen, and naproxen). If you’ve been taking aspirin often and for a long time, you’re more likely to get a peptic ulcer. The same is true for other nonsteroidal anti-inflammatory drugs (NSAIDs). They include ibuprofen and naproxen. NSAIDs block your body from making a chemical that helps protect the inner walls of your stomach and small intestine from stomach acid. Other types of pain meds, such as acetaminophen, won’t lead to peptic ulcers.
* Heavy alcohol use
* Psychological stress
* Smoking
Your risk for peptic ulcers also increases if you:
* Use steroids and have high calcium levels. If you use steroids often and have high levels of calcium in your blood, known as hypercalcemia, you can be more prone to ulcers.
* Are older. Studies show that stomach ulcers are more likely to develop in older people. This may be because arthritis is prevalent in older people, and easing arthritis pain can mean taking daily doses of aspirin or ibuprofen. Also, with advancing age, the pylorus (the valve between the stomach and duodenum) relaxes and allows extra bile (a compound produced in the liver to aid in digestion) to seep up into the stomach and erode the stomach lining.
* Have type A blood. For an unknown reason, people with type A blood are more likely to develop cancerous stomach ulcers.
* Have type O blood. Duodenal ulcers tend to appear in people with type O blood, possibly because they do not produce the substance on the surface of blood cells that may protect the lining of the duodenum.
* Have Zollinger-Ellison syndrome. If you have Zollinger-Ellison syndrome, which is a rare condition where tumors in your pancreas or duodenum (called gastrinomas) cause your stomach to make too much acid, you are at a greater risk of developing peptic ulcers.
Additional Information:
Definition
A peptic ulcer is an open sore or raw area in the lining of the stomach (gastric ulcer) or in the first part of the small intestine (duodenal ulcer).
There are two types of peptic ulcers:
Gastric ulcer -- occurs in the stomach
Duodenal ulcer -- occurs in the first part of the small intestine
Causes
Normally, the lining of the stomach and small intestines can protect itself against strong stomach acids. But if the lining breaks down, the result may be:
* Swollen and inflamed tissue (gastritis)
* An ulcer
Most ulcers occur in the first, inner surface, layer of the inner lining. A hole in the stomach or duodenum is called a perforation. This is a medical emergency.
The most common cause of ulcers is infection of the stomach by bacteria called Helicobacter pylori (H pylori). Most people with peptic ulcers have these bacteria living in their digestive tract. Yet, many people who have these bacteria in their stomach do not develop an ulcer.
The following factors raise your risk for peptic ulcers:
* Drinking too much alcohol
* Regular use of aspirin, ibuprofen, naproxen, or other nonsteroidal anti-inflammatory drugs (NSAIDs)
* Smoking cigarettes or chewing tobacco
* Being very ill, such as being on a breathing machine
* Radiation treatments
* Stress
A rare condition, called Zollinger-Ellison syndrome, causes the stomach to produce too much acid, leading to stomach and duodenal ulcers.
Symptoms
Small ulcers may not cause any symptoms and may heal without treatment. Some ulcers can cause serious bleeding.
Abdominal pain (often in the upper mid-abdomen) is a common symptom. The pain can differ from person to person. Some people have no pain.
Pain occurs:
* In the upper abdomen
* At night and wakes you up
* When you feel an empty stomach, often 1 to 3 hours after a meal
Other symptoms may include:
* Feeling of fullness and problems drinking as much fluid as usual
* Nausea
* Vomiting
* Bloody or dark, tarry stools
* Chest pain
* Fatigue
* Vomiting, possibly bloody
* Weight loss
* Ongoing heartburn
Exams and Tests
To detect an ulcer, you may need a test called an upper endoscopy (esophagogastroduodenoscopy or EGD).
This is a test to check the lining of the esophagus (food pipe), stomach, and first part of the small intestine.
It is done with a small camera (flexible endoscope) that is inserted down the throat.
This test most often requires sedation given through a vein (IV).
In some cases, a smaller endoscope may be used that is passed into the stomach through the nose. This does not require sedation.
EGD is done on most people when peptic ulcers are suspected or when you have:
* Low blood count (anemia)
* Trouble swallowing
* Bloody vomit
* Bloody or dark and tarry-looking stools
* Lost weight without trying
Other findings that raise a concern for cancer in the stomach
Testing for H pylori is also needed. This may be done by biopsy of the stomach during endoscopy, with a stool test, or by a urea breath test.
Other tests you may have include:
* Hemoglobin blood test to check for anemia
* Stool occult blood test to test for blood in your stool
Sometimes, you may need a test called an upper GI series. A series of x-rays are taken after you drink a thick substance that contains barium. This does not require sedation.
Treatment
Your health care provider will recommend medicines to heal your ulcer and prevent a relapse. The medicines will:
* Kill the H pylori bacteria, if present.
* Reduce acid levels in the stomach. These include H2 blockers such as cimetidine (Tagamet), famotidine (Pepcid AC), and nizatidine (Axid), or a proton pump inhibitor (PPI) such as omeprazole (Prilosec), lansoprazole (Prevacid), esomeprazole (Nexium), rabeprazole (AcipHex) or pantoprazole (Protonix).
Take all of your medicines as you have been told. Other changes in your lifestyle can also help.
If you have a peptic ulcer with an H pylori infection, the standard treatment uses different combinations of the following medicines for 7 to 14 days:
* Two different antibiotics to kill H pylori.
* PPIs such as omeprazole (Prilosec), lansoprazole (Prevacid), or esomeprazole (Nexium).
* Bismuth subsalicylate (the main ingredient in Pepto-Bismol) may be added to help kill the bacteria.
You will likely need to take a PPI for 8 weeks if:
* You have an ulcer without an H pylori infection.
* Your ulcer is caused by taking aspirin or NSAIDs.
* Your provider may also prescribe this type of medicine regularly if you continue taking aspirin or NSAIDs for other health conditions.
Other medicines used for ulcers are:
* Misoprostol, a medicine that may help prevent ulcers in people who take NSAIDs on a regular basis
* Medicines that protect the tissue lining, such as sucralfate
If a peptic ulcer bleeds a lot, an EGD may be needed to stop the bleeding. Methods used to stop the bleeding include:
* Injecting medicine in the ulcer
* Applying metal clips or heat therapy to the ulcer
If bleeding cannot be stopped during an EGD, you make need to have a procedure in radiology, called embolization, where the radiologist can put a coil in the bleeding blood vessel to block it and stop the bleeding.
Surgery may be needed if:
* Bleeding cannot be stopped with an EGD or by the radiologist
* The ulcer has caused a tear (perforation) in the stomach or duodenum.

Denali
Gist
Denali, officially renamed from Mount McKinley in 2015, is the highest mountain peak in North America, reaching a summit elevation of 20,310 feet above sea level. Located in Alaska's Denali National Park and Preserve, this massive granite block is known for extreme, unpredictable weather, and it is considered one of the most challenging, deadly, and scenic climbs in the world.
Mount McKinley is the crown jewel of Denali National Park and Preserve, the highest mountain in North America (at 20,310' above sea level), and a sought-after prize for sightseeing national park visitors and mountain climbing alpinists alike.
Denali, formerly known as Mount McKinley, is the highest mountain peak in North America, towering 20,310 feet above sea level in Alaska's Denali National Park & Preserve. Located in the Alaska Range, it is a premier destination for mountaineering and wilderness exploration, often considered one of the coldest and most challenging mountains in the world.
Summary
Denali, federally designated as Mount McKinley, is the highest mountain peak in North America, with a summit elevation of 20,310 feet (6,190 m) above sea level. It is the tallest mountain in the world from base to peak on land, measuring 18,000 ft (5,500 m). With a topographic prominence of 20,156 feet (6,144 m) and a topographic isolation of 4,621.1 miles (7,436.9 km), Denali is the third most prominent and third-most isolated peak on Earth, after Mount Everest and Aconcagua. Located in the Alaska Range in the interior of the U.S. state of Alaska, Denali is the centerpiece of Denali National Park and Preserve.
The Koyukon people who inhabit the area around the mountain have referred to the peak as "Denali" for centuries. In 1896, a gold prospector named it "Mount McKinley" in support of then–presidential candidate William McKinley, who later became the 25th president; McKinley's name was the official name recognized by the federal government of the United States from 1917 until 2015. In August 2015, 40 years after Alaska had officially named the mountain Denali, the United States Department of the Interior under the Obama administration changed the official federal name of the mountain also to Denali. In January 2025, the Department of the Interior under the Trump administration reverted the mountain's official federal name to Mount McKinley.
In 1903, James Wickersham recorded the first attempt at climbing Denali, which was unsuccessful. In 1906, Frederick Cook claimed the first ascent, but this ascent is unverified and its legitimacy questioned. The first verifiable ascent to Denali's summit was achieved on June 7, 1913, by climbers Hudson Stuck, Harry Karstens, Walter Harper, and Robert Tatum, who went by the South Summit. In 1951, Bradford Washburn pioneered the West Buttress route, considered to be the safest and easiest route, and therefore the most popular currently in use.
On September 2, 2015, the U.S. Geological Survey measured the mountain at 20,310 feet (6,190 m) high, 10 ft lower than the 20,320 feet (6,194 m) measured in 1952 using photogrammetry.
Details
Mount McKinley, highest peak in North America. It is located near the center of the Alaska Range, with two summits rising above the Denali Fault, in south-central Alaska, U.S.
Elevation and geology
Mount McKinley’s official elevation figure of 20,310 feet (6,190 meters), established by the United States Geological Survey in September 2015, was the product of a thorough remeasurement of the mountain’s height conducted earlier that year using state-of-the-art equipment. The new value superseded the long-standing figure of 20,320 feet (6,194 meters) that had been the official elevation since the early 1950s. Earlier attempts to measure the mountain’s height had yielded different values. One such survey, conducted in 2010 using advanced radar technology, was made public in September 2013 and gave its elevation as 20,237 feet (6,168 meters). However, that measurement was subsequently determined to be inaccurate.
Mount McKinley lies about 130 miles (210 km) north-northwest of Anchorage and some 170 miles (275 km) southwest of Fairbanks in Denali National Park and Preserve. The mountain is essentially a giant block of granite that was lifted above Earth’s crust during a period of tectonic activity that began about 60 million years ago. It rises abruptly some 18,000 feet (5,500 meters) from Denali Fault at its base to the higher, more southerly of its two summits. The upper half of the mountain is covered with permanent snowfields that feed many glaciers, some surpassing 30 miles (48 km) in length.
Exploration and climbing attempts
In 1794 the English navigator George Vancouver sighted the mountain from Cook Inlet (an arm of the Gulf of Alaska). The first attempt to climb it was made in 1903 by an American judge, James Wickersham, but it was unsuccessful. A much-publicized but fraudulent claim by the physician and explorer Frederick A. Cook that he had reached the top inspired the conquest of the North Peak in 1910, by two prospectors of what was dubbed the “Sourdough Expedition.” On June 7, 1913, Hudson Stuck and Harry Karstens led a party to the South Peak, the true summit. A climbing party was first airlifted onto the mountain’s flanks in 1932; beginning in the 1950s, that became the standard way to attempt a summit climb, as it reduced the trip by several weeks. Most climbers are now flown to a base camp on southern-facing Kahiltna Glacier at an elevation of 7,200 feet (2,195 meters), where the greatest number follow the West Buttress route. On average, several hundred climbers attempt to reach the summit each year.
Denali or McKinley?
The mountain was known to the Athabaskan Indians as Denali (“The High One” or “The Great One”) and to the Russians as Bolshaya Gora (“Great Mountain”). It was called Densmore’s Mountain in 1889 by Frank Densmore, a prospector. The name Mount McKinley was applied in 1896 by William A. Dickinson, another prospector, in honor of William McKinley (who was elected president of the United States later that year) and became the official name. Efforts began in the mid-1970s to restore the mountain’s original Native American name but faced opposition, mainly from lawmakers from Ohio, McKinley’s home state. However, the mountain’s original name was recognized by the state of Alaska, and it was adopted as the name of the national park and preserve when it was created in 1980.
Use of the name Denali for the mountain became increasingly common, and in 2015 it was officially renamed Denali. On January 20, 2025, as one of his first acts upon his return to the White House, Pres. Donald Trump issued an executive order that called for Denali to be reverted back to Mount McKinley. The following month, the Board on Geographic Names enacted that change. Denali National Park and Preserve retained its current name, however.
Additional Information
Denali (Mount McKinley) is the highest mountain in North America, but controversy surrounds both its height and name.
Denali, also called Mount McKinley, is the tallest mountain in North America, located in south-central Alaska. With a peak that reaches 6,190 meters (20,310 feet) above sea level, Denali is the third-highest of the Seven Summits (the tallest peaks on all seven continents).
Denali is about 210 kilometers (130 miles) north-northwest of Anchorage. Sixty million years ago, tectonic uplift pushed Earth's crust upward, forming Denali and the other Alaska Range mountains. Denali is the centerpiece of the Denali National Park and Preserve, which spans 2.4 million hectares (6 million acres) of land.
“Denali” comes from Koyukon, a traditional Native Alaskan language, and means “the tall one.” This name had been used for many generations and was used by early non-Native researchers and naturalists. But in 1896, William A. Dickinson, a prospector, began calling Denali “Mount McKinley,” in honor of William McKinley, a presidential candidate at the time. After McKinley became president and was later assassinated, Congress formally recognized the name in 1917, despite McKinley’s tenuous ties to Alaska (he had never visited). But Native Alaskans, as well as locals of varied backgrounds, continued to call the mountain Denali. In 1975, a movement began to rename the mountain Denali, but it was blocked by politicians in Ohio, McKinley’s home state. Finally, President Barack Obama and Secretary of the Interior Sally Jewell took action in 2015 to change the name back to Denali, which is now its official name.
In 2015, Denali was measured using state-of-the-art equipment by the United States Geological Survey (USGS), who determined the definitive and now widely accepted height of the mountain: 6,190 meters (20,310 feet). However, a report released in 2013 gave its elevation as 6,168 meters (20,237 feet). Both measurements were different from the long-standing figure of 6,194 meters (20,320 feet) that had been circulated since the 1950s, when the mountain was first measured.
Denali is considered an extremely difficult climb due to the severe weather and steep vertical climbs. In 1906, physician and explorer Frederick Cook was famously reported to have reached the summit, a claim that was later found false. Hudson Stuck, Harry Karstens, and their team of climbers were the first on record to actually reach the summit in 1913. Since then, several hundred people attempt to climb Denali each year.

Diabetic Neuropathy
Gist
Summary
Diabetic neuropathy is nerve damage that is caused by diabetes.
Nerves are bundles of special tissues that carry signals between your brain and other parts of your body. The signals
What are the different types of diabetic neuropathy?
Types of diabetic neuropathy include the following:
Peripheral neuropathy
Peripheral neuropathy is nerve damage that typically affects the feet and legs and sometimes affects the hands and arms.
Autonomic neuropathy
Autonomic neuropathy is damage to nerves that control your internal organs. Autonomic neuropathy can lead to problems with your heart rate and blood pressure, digestive system, bladder, sex organs, sweat glands, eyes, and ability to sense hypoglycemia.
Focal neuropathies
Focal neuropathies are conditions in which you typically have damage to single nerves, most often in your hand, head, torso, and leg.
Proximal neuropathy
Proximal neuropathy is a rare and disabling type of nerve damage in your hip, buttock, or thigh. This type of nerve damage typically affects one side of your body and may rarely spread to the other side. Proximal neuropathy often causes severe pain and may lead to significant weight loss.
Who is most likely to get diabetic neuropathy?
If you have diabetes, your chance of developing nerve damage caused by diabetes increases the older you get and the longer you have diabetes. Managing your diabetes is an important part of preventing health problems such as diabetic neuropathy.
You are also more likely to develop nerve damage if you have diabetes and
* are overweight
* have high blood pressure
* have high cholesterol
* have advanced kidney disease
* drink too many alcoholic drinks
* smoke
Research also suggests that certain genes may make people more likely to develop diabetic neuropathy.
What causes diabetic neuropathy?
Over time, high blood glucose levels, also called blood sugar, and high levels of fats, such as triglycerides, in the blood from diabetes can damage your nerves. High blood glucose levels can also damage the small blood vessels that nourish your nerves with oxygen and nutrients. Without enough oxygen and nutrients, your nerves cannot function well.
Details
Diabetic neuropathy is nerve damage that can happen when you have diabetes that's not well controlled. It can happen in many ways, and they all seem to be related to blood sugar levels being too high for too long.
"Although the exact mechanism of diabetic neuropathy is not known, there are a number of ways elevated blood sugar can cause neuropathy," says Laura Rosow, MD, a neurologist at the University of California San Francisco Weill Institute for Neurosciences.
"One way is by interfering with chemical pathways within nerves that allow them to transmit signals. Another way is by causing damage to tiny blood vessels that supply the nerves with nutrients and oxygen. Longer duration of diabetes and higher average blood sugar levels are both associated with an increased risk of developing neuropathy."
To prevent it, work with your doctor to manage your blood sugar. Many people with diabetes will have this complication, but it may be prevented by taking your medicine and taking other steps to improve your health.
You may hear your doctor mention the four types of diabetes-related neuropathy: peripheral, autonomic, proximal, and focal.
What Is Diabetic Peripheral Neuropathy?
Diabetic peripheral neuropathy is nerve damage in your peripheral nervous system caused by chronically high blood sugar and diabetes. Peripheral nerves include everything outside your brain and spinal cord, or the central nervous system. This type of neuropathy leads to numbness, loss of sensation, and, sometimes, pain in your feet, legs, or hands.
"Most commonly, diabetes affects the longest nerves in the body first, including the nerves in the feet," Rosow says. "This can manifest as numbness, pain, tingling, or weakness in the feet and toes and may cause issues with walking and balance. As this type of neuropathy progresses, it may creep upward towards the knees and can eventually involve the hands as well, potentially leading to issues with fine motor control."
As many as 60%-70% of all people with diabetes eventually develop diabetic peripheral neuropathy, although not all may have pain. Yet this nerve damage is not inevitable. Studies have shown that people with diabetes can lower their risk of developing nerve damage by keeping their blood sugar levels as close to normal as possible.
Symptoms of diabetic peripheral neuropathy
People describe the early symptoms of peripheral neuropathy in many ways. You may feel:
* Tingling
* Numbness (which may become permanent)
* Burning (especially in the evening)
* Pain, which can be sharp
* Pins and needles
* Prickling
* Cold
* Pinching
* Buzzing
* Deep stabs
* Cramps
The symptoms are often worse at night. Be on the lookout for these changes in how you feel:
* Touch sensitivity. You may feel heightened sensitivity to touch or a tingling or numbness in your toes, feet, legs, or hands.
* Muscle weakness. Chronically elevated blood sugars can also damage nerves that tell muscles how to move. This can lead to muscle weakness. You may have trouble walking or getting up from a chair. You may also have trouble grabbing things or carrying things with your hands.
* Balance problems. You may feel more unsteady than usual and uncoordinated when you walk. This happens when the body adapts to changes brought on by muscle damage.
How to treat diabetic peripheral neuropathy
Early symptoms usually get better when your blood sugar is under control. There are medications to help manage the discomfort.
Other steps you can take to avoid or help with the symptoms include:
* Check your feet and legs daily. Look for blisters, calluses, and cuts.
* Apply lotion if your feet are dry. But avoid getting lotion in between your toes; this area should be kept dry.
* Care for your nails regularly (go to a podiatrist if necessary).
* Wear properly fitting footwear. Some people with bone abnormalities may need custom shoes to redistribute pressure.
* Wear your shoes most of the time to avoid injury.
* People with claudication may need a referral to a doctor or surgeon who specializes in poor circulation.
* Control blood sugar, cholesterol, and high blood pressure.
* If you smoke, quit.
What Is Diabetic Autonomic Neuropathy?
Diabetic autonomic neuropathy is caused by diabetes-related nerve damage to your autonomic nervous system. Your autonomic nervous system is the part of your peripheral nervous system that controls your body's involuntary or automatic functions, including the pumping of your heart, blood pressure, digestion, and temperature. Autonomic nerves connect your brain to your internal organs. This type of diabetic neuropathy usually affects the digestive system, especially the stomach. It can also affect the heart, blood vessels, urinary system, and sex organs.
This type of diabetic neuropathy isn't well understood compared to other types. But it may come with more risk for heart-related complications and death. Some studies suggest that about 20% of people with diabetes have signs of abnormal heart function. Most people who have diabetic autonomic neuropathy will have other types of peripheral neuropathy, too.
Diabetic autonomic neuropathy can make it harder to notice signs of your blood sugar being low. You may have trouble controlling your body temperature; you may sweat a lot. You may have trouble seeing when you turn off the lights because your eyes don't adjust like they should. You may also have many other signs in your digestive system, circulatory system, bladder, and sex organs.
Symptoms of diabetic autonomic neuropathy in your digestive system
Symptoms include:
* Bloating
* Diarrhea
* Constipation
* Heartburn
* Nausea
* Vomiting
* Feeling full after small meals
How to manage the symptoms of diabetic autonomic neuropathy in your digestive system
You may need to eat smaller meals and take medication to treat them.
Symptoms of diabetic autonomic neuropathy in blood vessels
Common symptoms may include:
* Blacking out when you stand up quickly
* Faster heartbeat
* Dizziness
* Low blood pressure
How to manage the symptoms of diabetic autonomic neuropathy in blood vessels
Avoid standing up too quickly. You may also need to wear special stockings (ask your doctor about them) and take medicine.
Symptoms of diabetic autonomic neuropathy in male sex organs
People assigned male at birth may not be able to have or keep an erection, or they may have "dry" or reduced ejaculations.
How to manage the symptoms of diabetic autonomic neuropathy in people assigned male at birth
See your doctor, because there are other possible causes besides diabetes. Treatment may include:
* Counseling
* Penile implant or injections
* Vacuum erection device
* Medication
Symptoms of diabetic autonomic neuropathy in female sex organs
People assigned female at birth may have less vaginal lubrication. Diabetic autonomic neuropathy also may make it hard to have an orgasm, so you may have fewer or no orgasms.
How to manage the symptoms of diabetic autonomic neuropathy in people assigned female at birth
See your doctor. Treatment options include:
* Counseling
* Estrogen
* Vaginal estrogen creams, suppositories, and rings
* Medications to help sex not feel painful
* Lubricants
Symptoms of diabetic autonomic neuropathy in the urinary system
You may have:
* Trouble emptying your bladder completely
* Bloating
* Incontinence (leaking urine)
* More bathroom trips to pee at night
How to manage the symptoms of diabetic autonomic neuropathy in the urinary system
Tell your doctor. Treatments may include:
* Medication
* Inserting a catheter into the bladder to release urine (self-catheterization)
* Surgery
What Is Diabetic Proximal Neuropathy?
Diabetic proximal neuropathy happens when there's damage from diabetes to nerves in your thighs, hips, buttocks, or legs. It's more common when you have type 2 diabetes and are 50 or older.
Symptoms of diabetic proximal neuropathy
This type of neuropathy may cause pain in the thighs, hips, or buttocks. The pain is usually on one side. It can also lead to weakness in your legs. You may also notice:
* Shrinking of the muscles in your legs
* Trouble getting up after sitting
* Pain in your stomach or chest
* Weight loss
* Loss of your reflexes
How to treat the symptoms of diabetic proximal neuropathy
Most people with this condition need treatment. Your doctor may recommend medication and physical therapy to help you with your weakness, pain, or other symptoms.
What Is Diabetic Focal Neuropathy?
Diabetic focal neuropathy affects only one particular nerve. It's also called mononeuropathy. This type can appear suddenly, most often in the head, torso, or leg. It can cause muscle weakness or pain along with a variety of symptoms, depending on the nerve that's affected.
Symptoms of diabetic focal neuropathy
* Double vision
* Trouble focusing with your eyes
* Pain or ache behind an eye
* Eye pain
* Paralysis on one side of the face (Bell's palsy)
* Severe pain, tingling, or burning in a certain area, such as the lower back or leg(s)
* Chest or belly pain that is sometimes mistaken for another condition such as heart attack or appendicitis
* Loss of feeling or numbness in the affected part of your body
How to manage the symptoms of diabetic focal neuropathy
Tell your doctor about your symptoms. Focal neuropathy is painful and unpredictable. But it tends to improve by itself over weeks or months. It usually doesn't cause long-term damage.
Additional Information
Diabetic neuropathy includes various types of nerve damage associated with diabetes mellitus. The most common form, diabetic peripheral neuropathy, affects 30% of all diabetic patients. Studies suggests that cutaneous nerve branches, such as the sural nerve, are involved in more than half of patients with diabetes 10 years after the diagnosis and can be detected with high-resolution magnetic resonance imaging. Symptoms depend on the site of nerve damage and can include motor changes such as weakness; sensory symptoms such as numbness, tingling, or pain; or autonomic changes such as urinary symptoms. These changes are thought to result from a microvascular injury involving small blood vessels that supply nerves (vasa nervorum). Relatively common conditions which may be associated with diabetic neuropathy include distal symmetric polyneuropathy; third, fourth, or sixth cranial nerve palsy; mononeuropathy; mononeuropathy multiplex; diabetic amyotrophy; and autonomic neuropathy.
Diabetic neuropathy can be a debilitating condition. You may feel helpless or worried about serious complications that could arise from having diabetic neuropathy. Advocate Health Care’s team of expert neurologists are here to help you manage diabetic neuropathy and help you improve your quality of life.
Diabetic neuropathy arises from prolonged mismanagement of blood sugar levels in people with diabetes. Elevated glucose levels inflict harm on the peripheral nerves throughout the body, especially nerves in your feet and legs.
The severity of diabetic neuropathy depends on the nerves involved and can cause symptoms such as pain, tingling, numbness and weakness in the feet, legs and hands. Furthermore, it can also cause adverse effects on cardiac function, circulation, kidney health and digestion.
What is diabetic neuropathy?
A side effect of diabetes is damage to your nerves. This damage impacts the nerves’ ability to carry messages to different parts of your body. With diabetic neuropathy, this roadblock for the communication pathway happens in the legs and feet but could happen anywhere within the peripheral nervous system.
Your doctor may refer to this nerve damage by different terms based on what nerves are impacted from high blood sugar levels.
The four types of diabetic neuropathy are:
* Autonomic neuropathy: Damage to the autonomic nerves that control involuntary actions such as breathing, regulating body temperature and blood pressure.
* Mononeuropathy: Damage to a single nerve, usually to nerves close to the skin or near a bone.
* Peripheral neuropathy: Damage to the peripheral nerves in the hands, arms, legs and feet.
* Proximal neuropathy: Damage to the nerves in the thighs, hips, buttock and legs. This is more common if you have type 2 diabetes.

Bonsai
Gist
Bonsai are trees and plants grown in containers in such a way so that they look their most beautiful – even prettier than those growing in the wild. Cultivating bonsai, therefore, is a very artistic hobby as well as a traditional Japanese art.
Bonsai are trees and plants grown in containers in such a way so that they look their most beautiful – even prettier than those growing in the wild. Cultivating bonsai, therefore, is a very artistic hobby as well as a traditional Japanese art. It's also a good illustration of the gentle respect Japanese have for living things and an expression of their sense of what is beautiful. It's much more involved than growing potted flowers, and requires a much bigger commitment – physically and emotionally.
Bonsai trees are expensive primarily due to the immense time, specialized labor, and expertise required to cultivate them, often taking decades or centuries to reach a high-quality, mature, and artistic form. Prices are driven by age, species rarity, detailed design, and expensive, often antique, imported pots.
Summary
Bonsai (lit. plantings in tray, from bon, a tray or low-sided pot and sai, a planting or plantings) is the Japanese art of growing small trees in pots. This is done by growing the tree in a small pot or tray and pruning (cutting) the branches and roots to keep the tree small over time. Bonsai trees are trained to grow into a shape that is pleasing to look at. The best bonsai trees appear to be old, and to have a shape that seems like a real tree except much smaller.
The word bonsai means "tree in tray" in the Japanese language. Bonsai is a very old art form in Japan. It is a Japanese form of the older Chinese art called penjing. Penjing is a Chinese art form that also uses trees growing in pots. Other nations also have arts like bonsai and penjing.
People like bonsai because it is nice to look at, and because it is fun to grow a bonsai tree. A bonsai tree can live for a very long time, longer than a person can live. In a family, a bonsai might be started by a grandparent, then given to a parent, then given to a child over many years.
A bonsai starts with a small tree. This tree can be grown from a seed, or can be found already growing in a yard or a park or the forest. It can also be bought from a plant store.
To make the bonsai, the small tree is taken out of the ground. Its roots are carefully cleaned of dirt. The roots may be trimmed (cut) a little to help them fit in a small pot. The branches may also be trimmed to make the tree smaller. Then it is put in a bonsai pot, which has low sides. Fresh soil (dirt) is put in the pot to cover the bonsai tree's roots. Then it is watered and put outdoors to live.
Good trees to make into bonsai have small leaves (pine tree needles are leaves too). If the leaves are too big, the bonsai will not look like a small tree. A good bonsai tree will have old-looking bark and old-looking roots too.
Details
Bonsai is the Japanese art of growing and shaping miniature trees in containers, with a long documented history of influences and native Japanese development over a thousand years, and with unique aesthetics, cultural history, and terminology derived from its evolution in Japan. Similar arts exist in other cultures, including Korea's bunjae, the Chinese art of penjing, and the miniature living landscapes of Vietnamese Hòn non bộ.
The loanword bonsai has become an umbrella term in English, attached to many forms of diminutive potted plants, and also on occasion to other living and non-living things. According to Stephen Orr in The New York Times, "in the West, the word is used to describe virtually all miniature container trees, whether they are authentically trained bonsai or just small rooted cuttings. Technically, though, the term should be reserved for plants that are grown in shallow containers following the precise tenets of bonsai pruning and training, resulting in an artful miniature replica of a full-grown tree in nature." In the most definitive sense, "bonsai" refers to miniaturized, container-grown trees adhering to Japanese bonsai tradition and principles.
Purposes of bonsai are primarily contemplation for the viewer, and the pleasant exercise of effort and ingenuity for the grower. Bonsai are not grown for the production of food or medicine.
A bonsai is created beginning with a specimen of source material. This may be a cutting, seedling, a tree from the wild (known as yamadori) or small tree of a species suitable for bonsai development. Bonsai can be created from nearly any perennial woody-stemmed tree or shrub species that produces true branches and can be cultivated to remain small through pot confinement with crown and root pruning. Some species are popular as bonsai material because they have characteristics, such as small leaves or needles or aged-looking bark, that make them appropriate for the compact visual scope of bonsai.
The source specimen is shaped to be relatively small and to meet the aesthetic standards of bonsai, which emphasizes not the entirety of a landscape but the unique form of a specimen bonsai tree or trees. When the candidate bonsai nears its planned final size, it is planted in a display pot, usually one designed for bonsai display in one of a few accepted shapes and proportions. From that point forward, its growth is restricted by the pot environment. Throughout the year, the bonsai is shaped to limit growth, redistribute foliar vigor to areas requiring further development, and meet the artist's detailed design.
The practice of bonsai is sometimes confused with dwarfing, but dwarfing generally refers to research, discovery, or creation of plants that are permanent, genetic miniatures of existing species. Plant dwarfing often uses selective breeding or genetic engineering to create dwarf cultivars. Bonsai does not require genetically dwarfed trees but rather depends on growing small trees from regular stock and seeds. Bonsai uses cultivation techniques like pruning, root reduction, potting, defoliation, and grafting to produce small trees that mimic the shape and style of mature, full-size trees.
Additional Information
Bonsai is a living dwarf tree or trees or the art of training and growing them in containers.
Bonsai specimens are ordinary trees and shrubs (not hereditary dwarfs) that are dwarfed by a system of pruning roots and branches and training branches by tying with wire. The art originated in China, where, perhaps over 1,000 years ago, trees were cultivated in trays, wooden containers, and earthenware pots and trained in naturalistic shapes. Bonsai, however, has been pursued and developed primarily by the Japanese. The first Japanese record of dwarfed potted trees is in the Kasuga-gongen-genki (1309), a picture scroll by Takashina Takakane.
The direct inspiration for bonsai is found in nature. Trees that grow in rocky crevices of high mountains, or that overhang cliffs, remain dwarfed and gnarled throughout their existence. The Japanese prize in bonsai an aged appearance of the trunk and branches and a weathered character in the exposed upper roots. These aesthetic qualities are seen to embody the philosophical concept of the mutability of all things.
Bonsai may live for a century or more and may be handed down from one generation to another as valued family possessions. Aesthetics of scale call for short needles on conifers and relatively small leaves on deciduous trees. Small-flowered, small-fruited varieties of trees are favoured. Open space between branches and between masses of foliage are also important aesthetically. In diminutive forests the lower portions of the trunks should be bare.
Good bonsai specimens are usually hardy species that can be kept outdoors the year round wherever winters are mild. They can be brought into the house occasionally for appreciation and enjoyment. In Japan they are customarily displayed in an alcove or on small tables in a living room and later returned to their outdoor bonsai stands.
The selection of the appropriate container in which to cultivate a bonsai is an essential element of the art. Bonsai pots are usually earthenware, with or without a colourful exterior glaze. They may be round, oval, square, rectangular, octagonal, or lobed and have one or more drainage holes in the bottom. Containers are carefully chosen to harmonize in colour and proportion with the tree. If the container is rectangular or oval, the tree is planted not quite halfway between the midpoint and one side, according to the spread of the branches. In a square or round container the tree is placed slightly off centre, except for cascade types, which are planted toward the opposite side of the container from which they overhang. Bonsai are trained to have a front, or viewing side, oriented toward the observer when on exhibit.
Although categorizations vary considerably, miniature bonsai are known broadly as shohin. The smallest of these (keishi and math) range in size up to about 2 inches (5–7 cm) in height and, started from seeds or cuttings, may take three to five years to come to quality stage. They may live several decades. Small bonsai (mame), 2 to 6 inches (7 to 15 cm) in height, require 5 to 10 or more years to train. Medium bonsai generally range from roughly 7 to 15 inches (20 to 40 cm) in height but can be up to about 2 feet (60 cm) tall and can be produced in as little as three years. Large (dai) bonsai can be as tall as 47 inches (120 cm) and require two or more people to move them.
Naturally dwarfed trees collected in the wild frequently fail to adapt to cultivation as bonsai because of the severe shock brought about by the change of environment and substrate.
Bonsai must be repotted every one to five years, depending on the species and extent of root growth. Gradual root pruning during transplanting in subsequent years reduces the size of the soil ball so that the tree can ultimately go into the desired small and shallow container. Water is usually provided on a daily basis; liquid fertilizer is also used. Pruning and nipping of shoots is performed through the growing season.
A bonsai industry of considerable size exists as part of the nursery industry in sections of Japan. The technique is also pursued on a small industrial scale in California.

Cerebral Hemorrhage
Gist
A cerebral hemorrhage (brain bleed) is a life-threatening type of stroke occurring when an artery in the brain bursts or blood leaks into brain tissue, causing high pressure and oxygen deprivation. Common symptoms include sudden, severe headaches, numbness, weakness, confusion, and vomiting. Treatment includes urgent blood pressure control, medication for seizures, or surgery to relieve intracranial pressure.
What is the main cause of cerebral hemorrhage?
The most common causes of a brain hemorrhage are: Head trauma - Injuries to the head are the most common reason for a brain hemorrhage to occur in people younger than 50 years old. High blood pressure - High blood pressure, if left untreated, can weaken the blood vessel walls and lead to a brain hemorrhage.
Summary
Intracerebral hemorrhage (ICH) is a devastating form of stroke with high morbidity and mortality. This review article focuses on the epidemiology, cause, mechanisms of injury, current treatment strategies, and future research directions of ICH. Incidence of hemorrhagic stroke has increased worldwide over the past 40 years, with shifts in the cause over time as hypertension management has improved and anticoagulant use has increased. Preclinical and clinical trials have elucidated the underlying ICH cause and mechanisms of injury from ICH including the complex interaction between edema, inflammation, iron-induced injury, and oxidative stress. Several trials have investigated optimal medical and surgical management of ICH without clear improvement in survival and functional outcomes. Ongoing research into novel approaches for ICH management provide hope for reducing the devastating effect of this disease in the future. Areas of promise in ICH therapy include prognostic biomarkers and primary prevention based on disease pathobiology, ultra-early hemostatic therapy, minimally invasive surgery, and perihematomal protection against inflammatory brain injury.
Intracerebral hemorrhage (ICH) is a devastating form of stroke characterized by bleeding into the brain parenchyma. Although this form of stroke accounts for only 10% of all strokes in the United States and 6.5% to 19.6% worldwide, mortality from ICH remains as high as 50% at 30 days. Over the past decade, there have been significant advances in the understanding of ICH risk, potential treatments, and outcomes.
Intracerebral hemorrhage (ICH) is a devastating form of stroke characterized by bleeding into the brain parenchyma. Although this form of stroke accounts for only 10% of all strokes in the United States and 6.5% to 19.6% worldwide, mortality from ICH remains as high as 50% at 30 days. Over the past decade, there have been significant advances in the understanding of ICH risk, potential treatments, and outcomes.
Details
Intracerebral hemorrhage (ICH), also known as hemorrhagic stroke, is a sudden bleeding into the tissues of the brain (i.e. the parenchyma), into its ventricles, or into both. An ICH is a type of bleeding within the skull and one kind of stroke (ischemic stroke being the other). Symptoms can vary dramatically depending on the severity (how much blood), acuity (over what timeframe), and location (anatomically) but can include headache, one-sided weakness, numbness, tingling, or paralysis, speech problems, vision or hearing problems, memory loss, attention problems, coordination problems, balance problems, dizziness or lightheadedness or vertigo, nausea/vomiting, seizures, decreased level of consciousness or total loss of consciousness, neck stiffness, and fever.
Hemorrhagic stroke may occur on the background of alterations to the blood vessels in the brain, such as cerebral arteriolosclerosis, cerebral amyloid angiopathy, cerebral arteriovenous malformation, brain trauma, brain tumors and an intracranial aneurysm, which can cause intraparenchymal or subarachnoid hemorrhage.
The biggest risk factors for spontaneous bleeding are high blood pressure and amyloidosis. Other risk factors include alcoholism, low cholesterol, blood thinners, and cocaine use. Diagnosis is typically by CT scan.
Treatment should typically be carried out in an intensive care unit due to strict blood pressure goals and frequent use of both pressors and antihypertensive agents. Anticoagulation should be reversed if possible and blood sugar kept in the normal range. A procedure to place an external ventricular drain may be used to treat hydrocephalus or increased intracranial pressure, however, the use of corticosteroids is frequently avoided. Sometimes surgery to directly remove the blood can be therapeutic.
Cerebral bleeding affects about 2.5 per 10,000 people each year. It occurs more often in males and older people. About 44% of those affected die within a month. A good outcome occurs in about 20% of those affected. Intracerebral hemorrhage, a type of hemorrhagic stroke, was first distinguished from ischemic strokes due to insufficient blood flow, so called "leaks and plugs", in 1823.
Additional Information
A brain bleed (intracranial hemorrhage) is a type of stroke. It causes blood to pool between your brain and skull. It prevents oxygen from reaching your brain. It’s life-threatening and requires quick treatment for the best outcome.
Overview:
What is a brain bleed?
A brain bleed (intracranial hemorrhage) is a type of stroke that causes bleeding in your head.
As your brain can’t store oxygen, it relies on a series of blood vessels to supply its oxygen and nutrients. When a brain bleed occurs, a blood vessel leaks blood or bursts. Blood collects or pools within your skull and brain. This causes pressure against your brain, which prevents oxygen and nutrients from reaching your brain tissues and cells.
Brain bleeds are common after falls or traumatic injuries. They’re also common in people with unmanaged high blood pressure.
A brain bleed is a life-threatening medical emergency. It only takes three to four minutes for your brain cells to die if they don’t receive enough oxygen. Treating a brain bleed quickly leads to the best outcome.
What are the types of brain bleeds?
There are many parts to your brain, so the term “brain bleed” (intracranial hemorrhage) is very broad to healthcare providers. Types of brain bleeds help your healthcare provider identify specifically where the bleeding occurs.
There are two main areas of bleeding:
* Within your skull but outside of brain tissue.
* Inside brain tissue.
To better understand where each type of brain bleed occurs, it helps to know the components within your skull. The brain has three membrane layers (meninges) between the bony skull and brain tissue. The three membranes are the dura mater, arachnoid and pia mater. The purpose of the meninges is to cover and protect your brain. Bleeding can occur anywhere between these three membranes.
Types of brain bleeds within your skull but outside of brain tissue include:
* Epidural bleed: This bleed happens between the skull bone and the outermost membrane layer, the dura mater.
* Subdural bleed: This bleed happens between the dura mater and the arachnoid membrane.
* Subarachnoid bleed: This bleed happens between the arachnoid membrane and the pia mater.
There are two types of brain bleeds that occur inside the brain tissue itself:
* Intracerebral hemorrhage: This bleeding occurs in the lobes, brainstem and cerebellum of your brain. This is bleeding anywhere within the brain tissue itself.
* Intraventricular hemorrhage: This bleeding occurs in your brain’s ventricles, which are specific areas of the brain (cavities) where your body makes cerebrospinal fluid (fluid that protects your brain and spinal cord).
Are brain bleeds fatal?
Brain bleeds can be life-threatening and cause permanent brain damage. The severity and outcome of a brain bleed depend on its cause, location inside of your skull, size of the bleed, the amount of time that passes between the bleed and treatment. Once brain cells die, they don’t come back. Damage can be severe and result in physical, mental and task-based disability.
How common is a brain bleed?
Brain bleeds are a type of stroke. More than 795,000 people in the United States experience a stroke each year.
Symptoms and Causes:
What are the symptoms of a brain bleed?
Symptoms of a brain bleed vary based on the type, but could include:
* Sudden tingling, weakness, numbness or paralysis of your face, arm or leg, particularly on one side of your body.
* Sudden, severe headache.
* Nausea and vomiting.
* Confusion.
* Dizziness.
* Slurred speech.
* Lack of energy, sleepiness.
In addition, you may experience:
* Difficulty swallowing.
* Vision loss.
* Stiff neck.
* Sensitivity to light.
* Loss of balance or coordination.
* Trouble breathing and abnormal heart rate.
* Seizures.
* Loss of consciousness and coma.
What is the first symptom of a brain bleed?
Most people who experience a brain bleed note that the first symptom is a sudden, painful headache.
What causes a brain bleed?
A leaky, broken or burst blood vessel causes a brain bleed. As a result, excess blood pools in your brain. A brain bleed can happen after:
* Head trauma (a fall, car accident, sports injury, etc.).
* A buildup of fatty deposits in your arteries (atherosclerosis).
* A blood clot.
* A weak spot in a blood vessel wall (cerebral aneurysm).
* A leak from abnormally formed connections between arteries and veins (arteriovenous malformation, or AVM).
* A buildup of protein within the artery walls of the brain (cerebral amyloid angiopathy).
* A brain tumor.
What are the risk factors for a brain bleed?
A brain bleed can affect anyone at any age, from newborns to adults. It’s more common among adults over age 65. You may be more at risk of a brain bleed if you experience the following:
* High blood pressure (hypertension).
* Substance use disorder.
* Tobacco use.
* Bleeding conditions or conditions that need treatment with blood thinners (anticoagulants).
* Pregnancy and childbirth-related conditions (eclampsia, postpartum vasculopathy or neonatal intraventricular hemorrhage).
* Conditions that affect how your blood vessel walls form.
What are the complications of a brain bleed?
If not treated quickly, a brain bleed can lead to permanent brain damage or death. A lack of oxygen to your brain can destroy your brain cells and prevent them from communicating with other parts of your body. This affects how your body functions overall, so you may experience:
* Memory loss.
* Difficulty with swallowing, speech and communication.
* Coordination and movement challenges.
* Inability to move part of your body (paralysis).
* Numbness or weakness in part of your body.
* Vision loss.
* Personality changes and/or emotional changes.
Diagnosis and Tests:
How is a brain bleed diagnosed?
A healthcare provider will diagnose a brain bleed after an immediate physical exam, neurological exam and testing. They’ll review your complete medical history and your symptoms first. Then, they’ll order an imaging test like:
* A computed tomography (CT) scan.
* Magnetic resonance imaging (MRI).
* Magnetic resonance angiogram (MRA).
These imaging tests determine the location, extent and, sometimes, the cause of the bleed.
Other tests can help detect a cause and may include:
* Electroencephalogram.
* Chest X-ray.
* Urinalysis.
* Complete blood count (CBC).
* Lumbar puncture (spinal tap).
* Angiography (for an aneurysm or arteriovenous malformation).

Q: Where do peanut drivers go to fill their tanks?
A: The Shell station!
* * *
Q: How do you catch an elephant?
A: Hide in the grass and make a sound like a peanut!
* * *
Q: Where did the peanuts go to have a few drinks?
A: The Snack Bar!
* * *
Two peanuts were walking down a road.
One was assaulted
* * *
Q: What do you call a peanut in a spacesuit?
A: An astronut!
* * *
2536) Psychosis
Gist
Psychosis occurs when a combination of genetic vulnerabilities, brain chemistry changes, and high stress or trauma causes a detachment from reality, often marked by hallucinations or delusions. It is not a specific disease, but a symptom triggered by mental illnesses (like schizophrenia or bipolar disorder), drug use, or physical illnesses/injuries.
Psychosis is when people lose some contact with reality. This might involve seeing or hearing things that other people cannot see or hear (hallucinations) and believing things that are not actually true (delusions). It may also involve confused (disordered) thinking and speaking.
Summary:
What is psychosis?
Psychosis refers to a collection of symptoms that affect the mind, where there has been some loss of contact with reality. During an episode of psychosis, a person’s thoughts and perceptions are disrupted and they may have difficulty recognizing what is real and what is not.
Who develops psychosis?
It is difficult to know the number of people who experience psychosis. Studies estimate that between 15 and 100 people out of 100,000 develop psychosis each year.
Psychosis often begins in young adulthood when a person is in their late teens to mid-20s. However, people can experience a psychotic episode at younger and older ages and as a part of many disorders and illnesses. For instance, older adults with neurological disorders may be at higher risk for psychosis.
What are the signs and symptoms of psychosis?
People with psychosis typically experience delusions (false beliefs, for example, that people on television are sending them special messages or that others are trying to hurt them) and hallucinations (seeing or hearing things that others do not, such as hearing voices telling them to do something or criticizing them). Other symptoms can include incoherent or nonsense speech and behavior that is inappropriate for the situation.
However, a person will often show changes in their behavior before psychosis develops. Behavioral warning signs for psychosis include:
* Suspiciousness, paranoid ideas, or uneasiness with others
* Trouble thinking clearly and logically
* Withdrawing socially and spending a lot more time alone
* Unusual or overly intense ideas, strange feelings, or a lack of feelings
* Decline in self-care or personal hygiene
* Disruption of sleep, including difficulty falling asleep and reduced sleep time
* Difficulty telling reality from fantasy
* Confused speech or trouble communicating
* Sudden drop in grades or job performance
Alongside these symptoms, a person with psychosis may also experience more general changes in behavior that include:
* Emotional disruption
* Anxiety
* Lack of motivation
* Difficulty functioning overall
In some cases, a person experiencing a psychotic episode may behave in confusing and unpredictable ways and may harm themselves or become threatening or violent toward others. The risk of violence and suicide decreases with treatment for psychosis, so it is important to seek help. If you find that you are experiencing these changes in behavior or notice them in a friend or family member and they begin to intensify or do not go away, reach out to a health care provider.
Details
Psychosis is the term for a collection of symptoms that happen when a person has trouble telling the difference between what’s real and what’s not. This disconnection from reality can happen for several reasons, including many different mental and physical conditions. It’s usually treatable with medication and other techniques.
Overview:
What is psychosis?
Psychosis is disconnection from reality. People may have false beliefs or experience things that aren’t real. Psychosis isn’t a condition. It’s a term that describes a collection of symptoms.
Two important types of psychosis include:
* Hallucinations. These are when parts of your brain mistakenly act like they would if your senses (vision, hearing, touch, smell and taste) picked up on something actually happening. An example of a hallucination is hearing voices that aren’t there (auditory hallucination).
* Delusions. These are false beliefs that someone holds onto very strongly, even when others don’t believe them or there’s plenty of evidence that a belief isn't true. For example, people with delusions of control believe someone is controlling their thoughts or actions remotely.
Possible Causes:
What are the most common causes of psychosis?
Psychosis is a common symptom of many mental health conditions. The America Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) has an entire category devoted to these conditions.
This category, “Schizophrenia Spectrum and Other Psychotic Disorders,” includes the following conditions:
* Schizophrenia.
* Brief psychotic disorder.
* Delusional disorder.
* Schizoaffective disorder.
* Schizophreniform disorder.
* Schizotypal (personality) disorder.
* Substance/medication-induced psychotic disorder.
* Psychotic disorder due to another medical condition.
Psychosis can also happen with certain types of mood disorders. Those include:
* Bipolar disorder.
* Major depression and related conditions.
Medical conditions that can cause psychosis
Psychosis can also happen because of a wide range of other conditions that affect your brain and body. These include:
* Alzheimer’s disease and other types of dementia.
* Hormone-related conditions like Addison’s disease and Cushing’s disease, and when your thyroid gland is too active or not active enough.
* Infections of your brain or spinal cord (encephalitis or meningitis).
* Lupus.
* Lyme disease.
* Multiple sclerosis.
* Postpartum psychosis (a rare, severe mental health emergency related to postpartum depression).
* Stroke and other neurological (brain-related) conditions.
* Vitamin B1 (thiamine) and vitamin B12 deficiencies.
Other causes of psychosis
Psychosis, or symptoms that look very much like it, can also happen under other circumstances. The causes will seem more like triggers in some cases because psychosis develops quickly. In others, it may be a slow process. Some of the circumstances or factors that can cause psychosis include:
* Misuse of alcohol, prescription medications or recreational drugs (the disorder mentioned above is when this lasts for a longer period).
* Severe head injuries (concussions and traumatic brain injuries).
* Traumatic experiences (past or present).
* Unusually high levels of stress or anxiety.
Care and Treatment:
How is psychosis treated?
The treatment of psychosis depends mainly on the underlying cause. In those cases, treating the underlying cause is often the only treatment needed.
For psychosis that needs direct treatment, there are several approaches.
* Medications. Antipsychotic drugs are the most common type of medications to treat psychosis, but other medications, such as antidepressants or lithium, may also help.
* Cognitive behavioral therapy (CBT). This type of psychotherapy can help with certain mental health conditions that can cause psychosis or make it worse.
* Inpatient treatment. For severe cases of psychosis, especially when a person may poses a danger to themselves or others, inpatient treatment in a hospital or specialist facility is sometimes necessary.
* Support programs or care. Many people experience psychosis because of other conditions such as alcohol or substance use disorders and personality disorders. Treating these disorders or helping people with social, work and family programs can sometimes reduce the impact of psychosis and related conditions. These programs can also make
it easier for people to manage psychosis and their underlying condition.
How can psychosis be prevented?
Psychosis is unpredictable. There are many genetic and lifestyle risk factors, but there’s no way to consistently predict if people will experience these symptoms.
There are some things people can do to make them less likely to develop these symptoms or conditions that involve it.
Avoid recreational marijuana use earlier in life. Researchers have linked psychosis with heavy marijuana use during teenage years and early adulthood. However, there’s disagreement on whether or not marijuana use is a direct cause or if it’s just a contributing factor.
Wear safety equipment. Head injuries can result in brain damage that causes psychosis or similar symptoms.
Don’t ignore infections. Untreated infections, especially those that affect your eyes and ears, can spread to your brain and cause psychosis.
Eat a balanced diet and maintain a healthy weight. Many conditions related to your circulatory and heart health, especially stroke, can cause psychosis and related conditions.
Preventing stroke and similar conditions can help reduce your risk of developing psychosis.
Additional Information
What Is Psychosis?
Psychosisaffects the way your brain processes information. It causes you to lose touch with reality. You might see, hear, or believe things that aren’t real. Psychosis is a symptom, not an illness. It can result from a mental illness, a physical injury or illness, substance abuse, or extreme stress or trauma.
Psychotic disorders, like schizophrenia, involve psychosis that usually affects you for the first time in the late teen years or early adulthood. Even before what doctors call the first episode of psychosis (FEP), you may show slight changes in the way you act or think. This is called the prodromal period and could last days, weeks, months, or even years.
Sometimes, you can lose touch with reality even when you don’t have a primary psychotic illness such as schizophrenia or bipolar disorder. When this happens, it’s called secondary psychosis.
These episodes stem from something else, like drug use or a medical condition. Whatever the reason, they tend to disappear in a short time, and they often stay away if you treat the condition that caused them.
Who gets psychosis?
Young people are more likely to get it, but doctors don’t know why. It most often starts when you’re in your teens to late 20s. But it can also affect older people and, rarely, children.
How common is psychosis?
It’s hard to know exactly how common psychosis is. Studies show that it affects about 15 to 100 out of every 100,000 people each year.
Psychosis vs. schizophrenia
Psychosis is a symptom of schizophrenia, a complicated mental illness that also has other symptoms. Psychosis can also be a symptom of other conditions, such as serious depression.
Psychosis vs. neurosis
Doctors used to use the term "neurosis" to describe what they now call anxiety disorders. Symptoms of these disorders may include obsessive thoughts, irrational fears, or compulsive behaviors. But unlike psychosis, they don’t involve losing touch with reality.
Symptoms of Psychosis
Psychosis doesn’t start suddenly. It usually follows a pattern.
It starts with gradual changes in the way you think about and understand the world. You or your friends or family members may notice:
* A drop in grades or job performance
* Trouble thinking clearly or focusing
* Feeling suspicious or uneasy around others
* Lack of self-care or hygiene
* Spending more time alone than usual
* Stronger emotions than situations call for
* No emotions at all
Signs of early psychosis
You may:
* Hear, see, or taste things other* s don’t
* Hang on to unusual beliefs or thoughts, no matter what others say
* Pull away from family and friends
* Stop taking care of yourself
* Not be able to think clearly or pay attention
What does a psychotic episode look like?
Usually, you’ll notice all of the above psychosis symptoms, including:
* Hallucinations. These could be:
** Auditory hallucinations: Hearing voices when no one is around
** Tactile hallucinations: Strange sensations or feelings you can’t explain
** Visual hallucinations: Seeing people or things that aren’t there, or thinking that the shape of things looks wrong
** Olfactory hallucinations: Smelling odors no one else can
** Gustatory hallucinations: Tasting things when there’s nothing in your mouth
* Delusions. These are beliefs that aren’t in line with your culture and don’t make sense to others, such as:
** Outside forces are in control of your feelings and actions.
** Small events or comments have huge meaning.
** You have special powers, are on a special mission, or actually are a god.
You might have persecutory delusions, in which you think a person or group of people wants to harm you. Or you could have grandiose delusions, in which you believe you are all-powerful or in a position of authority. Religious delusions, sometimes called spiritual psychosis, center on spiritual or religious themes.
Unstable thought patterns could cause outward symptoms, like:
* Suddenly losing your train of thought, in conversation or while doing a task
* Speaking quickly
* Talking constantly
Can you be aware of your own psychosis?
Often, people with psychosis don’t know it. Your hallucinations and delusions may seem very real to you.

Hyperion Tree
Gist
Hyperion, the world's tallest known living tree at over 379 feet, is located in a remote area of Redwood National and State Parks in Northern California. To protect the fragile ecosystem and the tree from damage, its precise location is not disclosed, and visiting it is strictly prohibited, with violators facing fines up to $5000 and potential jail time.
Hyperion was discovered on August 25, 2006, by naturalists Chris Atkins and Michael Taylor. It was found in a remote area of Redwood National Park that was part of the original 1968 park boundaries. It is estimated to be 600 to 800 years old and contain 530 m^3 (18,600 cu ft) of wood.
Summary
‘Hyperion’ in Redwood national park, 380ft high and up to 800 years old, now off limits after damage done by trampling visitors.
Tree enthusiasts who make the trek to the world’s tallest tree deep in a northern California forest will face a fine and possible jail time after park officials declared the remote area off-limits because of damage done by trampling visitors to the tree and surrounding forest, a park official said on Monday.
The tree, a 380ft (115m) coast redwood, is in a remote area of Redwood national park and is not accessible by any trail. But that hasn’t stopped scores of visitors from hiking to the tree, said Leonel Arguello, the park’s manager for natural resources.
Arguello said the tree, known as Hyperion, was “discovered” by two amateur naturalists in 2006. By 2010, visitors started trekking to see the tall, skinny redwood after bloggers, travel writers and others shared its exact location online. In 2019, Guinness World Records declared the tree, estimated to be between 600 and 800 years old, the tallest in the world.
Tree enthusiasts who make the trek to the world’s tallest tree deep in a northern California forest will face a fine and possible jail time after park officials declared the remote area off-limits because of damage done by trampling visitors to the tree and surrounding forest, a park official said on Monday.
The tree, a 380ft (115m) coast redwood, is in a remote area of Redwood national park and is not accessible by any trail. But that hasn’t stopped scores of visitors from hiking to the tree, said Leonel Arguello, the park’s manager for natural resources.
Arguello said the tree, known as Hyperion, was “discovered” by two amateur naturalists in 2006. By 2010, visitors started trekking to see the tall, skinny redwood after bloggers, travel writers and others shared its exact location online. In 2019, Guinness World Records declared the tree, estimated to be between 600 and 800 years old, the tallest in the world.
Hikers have bushwhacked off-trail into dense vegetation to reach the tree, making many social trails. The tree has also been damaged by visitors who step on its base. The area around the tree no longer has ferns due to trampling, Arguello said.
“The social trails have grown in number, the amount of garbage has increased, there’s human waste that has been seen, and as more people go up to this tree, they create more social trails and all of that is having damage impacts to the vegetation, to the soils and, and all of the garbage just sits out there,” he said.
Details
Hyperion is a coast redwood (Sequoia sempervirens D.Don, Endl.) tree in California, which is the world's tallest known living tree, measured at 116.22 metres (381.3 ft) tall in 2026.
Hyperion was discovered on August 25, 2006, by the naturalists Chris Atkins and Michael Taylor. The tree height of 115.55 m (379.1 ft) was verified by Stephen Sillett in 2006 by use of both a laser range finder and a fiberglass tape to measure the tree from the base to the crown. The tree has grown since then to reach 116.07 metres (380.8 ft) recorded in 2019. Hyperion was found in a remote area of Redwood National Park, inside of the originally designated park boundaries of 1968.[9] The park also houses the second-, fourth- and fifth-tallest known trees, coast redwoods named Helios, Icarus, and Daedalus, which respectively measured 377, 371 and 363 feet in 2022.
The tree was named after the titan Hyperion from Greek mythology.
Hyperion is estimated to be between 600 and 800 years old and contain 530 m^3 (18,600 ft3) of wood; it was seeded when the Chilula (a Pacific Coast Athabaskan people) inhabited the region.
The exact location of Hyperion is nominally secret but is available via internet search. However, in July 2022, the Redwood Park superintendent closed the entire area around the tree, citing "devastation of the habitat surrounding Hyperion" caused by visitors. Its base was trampled by the overuse and as a result ferns no longer grow around the tree.
Measures to protect the Hyperion tree were officially implemented in 2022 when the National Park Service (NPS) closed public access to its location in Redwood National Park. Individuals who enter the closed area could face up to six months in jail and a $5,000 maximum fine.
Additional Information
Here at Verdissimo, the world’s largest producer of preserved plants and flowers, we’d like to tell you about Hyperion, the tree which, at a height of 115.55 meters (397.1 feet), has been recognized as the tallest tree in the world.
Hyperion is a Sequoia sempervirens, a plant which belongs to the Cupressaceae family. Sequoia sempervirens is commonly known as coast redwood or California redwood, since the vast majority of them are located there.
They are among the most long-lived trees in existence: their maximum lifespan can be anywhere from 2000 to 3000 years, during which time period they can grow to great heights.
The Location of the Hyperion Tree
Hyperion was discovered in August of 2006 by Chris Atkins and Michael Taylor in Redwood National Park while they were they were hiking.
Redwood National Park is in the United States, specifically, in California, in Humboldt County and Del Norte County. Along with state parks Del Norte Coast, Jedediah Smith, and Prairie Creek, Redwood National Park occupies an area of 540 km2.
About 45% of the redwood forests in the whole world are contained within these parks, and one of the highlights for many hikers is Hyperion, due to its great size.
Why Was It Named “Hyperion”?
The name “Hyperion” is meant to compare it to a titan of the same name from Greek mythology.
Hyperion, as the son of Uranus (god of the sky) and Gaea (goddess of the earth) was known as “he who walks in the high places” and “he who appears before the sun.” He was one of the twelve titans, and was considered to be a god of watchfulness, which is a good fit for the tallest tree on the planet, which seems to keep watch over its surroundings from its impressive, dominating height.

Calcination
Gist
Calcination is a thermal treatment process that heats raw materials—typically minerals or ores—to high temperatures (below their melting point) in a limited supply of oxygen or absence of air. It decomposes carbonates, removes volatile organic matter, and drives off moisture, commonly used for producing lime, alumina, and cement.
What causes calcination?
When limestone (CaCO3) is heated in a kiln, it undergoes a chemical reaction called calcination. This process produces calcium oxide (CaO) and releases CO2 as a byproduct. Calcination accounts for almost two-thirds of the total CO2 emissions from cement production.
Summary
Calcination is the heating of solids to a high temperature for the purpose of removing volatile substances, oxidizing a portion of mass, or rendering them friable. Calcination, therefore, is sometimes considered a process of purification.
A typical example is the manufacture of lime from limestone. In this process the limestone is brought to a temperature high enough to expel the carbon dioxide, producing the lime in a highly friable or easily powdered condition. Calcination in special cases may be carried on in furnaces designed to exclude air, for which an inert gas may be substituted.
What is another name for calcination?
Although calcination in the strict sense only means decarbonisation or dehydration, today it is used to refer to a wider set of thermal processes that involve high-temperature treatments. The goal may be to heat solid materials to dehydrate them, decompose them or transform them chemically.
Details
Calcination is thermal treatment of a solid chemical compound (e.g. mixed carbonate ores) whereby the compound is raised to high temperature without melting with a restricted supply of oxygen (i.e. gaseous O2 fraction of air), generally for the purpose of removing impurities or volatile substances and/or to induce thermal decomposition.
The root of the word calcination refers to its most prominent use, which is to remove carbon and oxygen from limestone (calcium carbonate) through applying heat to yield calcium oxide (quicklime). This calcination reaction (which is endothermic) is CaCO3(s) → CaO(s) + CO2(g).
Calcium oxide is a crucial ingredient in modern cement, and is also used as a chemical flux in smelting. Industrial calcination generally emits carbon dioxide (CO2).
A calciner is a steel cylinder that rotates inside a heated furnace and performs indirect high-temperature processing (550–1150 °C, or 1000–2100 °F) within a controlled atmosphere.
Calcining is simply firing a ceramic material to create a powder of new physical properties. Often it is done to kill the plasticity or burn away the hydrates, carbonates, sulfates of a clay or refractory material.
The calcining process is most commonly used to remove some or all unwanted volatiles from a material (e.g. H2O, CO2, SO2 - thus eliminating the LOI) and/or to convert a material into a more stable, durable or harder state. However, in ceramics, it is also useful to destroy the plasticity of a clay for use in glazes (non-plastic clays reduce drying shrinkage). Varying temperatures are employed to calcine materials, depending on the decomposition temperature of the volatiles being burned out or the degree of sintering (and thus physical characteristics change) needed.
The cement industry is by far the largest consumer of calcined clay. And the largest calcined powder producers. They heat-treat the kaolin in rotary kilns at 1450C (mixed with limestone and iron ore to form clinkers ground with gypsum to get the final product).
To produce molochite, lump kaolins are calcined at high temperatures (but lower than that of the cement process), they are then ground and sized. Powdered calcined kaolin is burned at lower temperatures.
Potters typically calcine clays to enable using them in higher percentages in glazes, slips and engobes (the electrolytics of clay particles are destroyed by this process resulting in less shrinkage while drying). Typical calcine temperatures are not necessary to accomplish this, only about 1000F is needed (cone 022 or red heat). At this temperature, the process is commonly called "roasting". The loose powder can be fired in bisque vessels made of pottery clay (any clay can easily withstand this temperature. For large or heavy-walled roasting vessels, fire slower (e.g. 200F per hour). For small amounts, 500F/hr should be fine. Hold at temperature for the time necessary for the heat to penetrate (start with 30 minutes). If any black powder remains in the center extend the soak time next firing.
The calcining and roasting processes produce a material having no LOI (Loss on Ignition), if it is being substituted into a glaze this needs to be considered. For example, if a kaolin loses 12% weight on firing, then 12% less of the calcine would be needed in the glaze recipe.
Calcining can actually produce a less stable form of certain materials, they gradually want to revert to the former carbonated or hydrated state. For a good example of this, mix calcium carbonate with kaolin and make a bar and fire it. Out of the kiln, it will appear to be a hard ceramic. But after several days it will absorb CO2 from the air and completely fracture into a powder. Pour water on it and it will immediately fracture and generate considerable heat as it disintegrates.
Calcined clays are not normally used as ingredients for traditional clay bodies (because of cost and plasticity loss). But for refractories and high-tech product manufacture the use of calcined materials is common.
Additional Information
The Calcination is a thermal treatment process in presence of air or oxygen; applied to ores and other solid materials to bring about a thermal decomposition, phase transition, or removal of a volatile fraction. The calcination process usually takes place at temperatures below the melting point of the product materials. Materials processed are rare earths, precious metals, refractory metals, pigments and phosphor. Vesuvius provides trays and containers for calcination processes performed in kilns at temperatures below 1200°C.
* Higher cycling rate Unique fused silica material enables repeated strong thermal cycling through excellent resistance to thermal shock.
* Strong resistance to breakage in operations Whether your process is robotic or manual to load and to pour your powders, the high mechanical resistance of the part avoids breakage and makes its lifetime longer, compared to other materials.
* No powder contamination The selection of dedicated raw material and the high resistance of fused silica material to chemical corrosion matches the strong purity requirements in some applications.
* No process interruption Precise bottom flatness ensures tray stability on all conveying systems.
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Command Quotes - III
1. It's always felt natural, because I'm generally very comfortable with people. - Bruce Springsteen
2. I have been learning English on the road since I started when I was 15, so it is a slow process but making some progress. Now I think I am much more comfortable with my English. However, it is difficult, still, when I speak about something that is not tennis. - Rafael Nadal
3. There's nothing wrong with a woman being comfortable, confident. - Selena Gomez
4. Working in 'Man Ka Meet', I noticed the dedication and sincerity of Sunil Dutt at his work. He encouraged every new comer and made me as well as others feel very comfortable on the sets. - Vinod Khanna
5. I never felt comfortable with myself, because I was never part of the majority. I always felt awkward and shy and on the outside of the momentum of my friends' lives. - Steven Spielberg
6. People can judge me for what I've done. And I think when somebody's out in the public eye, that's what they do. So I'm fully comfortable with who I am, what I stand for, and what I've always stood for. - Hillary Clinton
7. War is a way of shattering to pieces... materials which might otherwise be used to make the masses too comfortable and... too intelligent. - George Orwell
8. A broken heart is a very pleasant complaint for a man in London if he has a comfortable income. - George Bernard Shaw.
2473) William Giauque
Gist:
Work
Thermodynamics is about heat and its transformation into other forms of energy—basically involving statistical descriptions of atomic and molecular movements. An important but difficult to grasp concept in thermodynamics is entropy, which is a measure of disorder in a system. The third law of thermodynamics states that the entropy in a perfect crystal is zero when the absolute temperature is zero. In 1933 William Giauque used a magnetic field to attain an extremely low temperature and was able provide evidence for the law’s validity.
Summary
William Francis Giauque (born May 12, 1895, Niagara Falls, Ont., Can.—died March 28, 1982, Berkeley, Calif., U.S.) was a Canadian-born American physical chemist and winner of the Nobel Prize for Chemistry in 1949 for his studies of the properties of matter at temperatures close to absolute zero.
After earning his Ph.D. from the University of California, Berkeley, in 1922, Giauque joined the chemistry faculty there and held posts at the school until 1981. In 1927 he proposed a new method of achieving extremely low temperatures using a process called adiabatic demagnetization. By 1933 he had a working apparatus that obtained a temperature within one-tenth of a degree of absolute zero (−273.15° C). His research confirmed the third law of thermodynamics, which states that the entropy of ordered solids reaches zero at the absolute zero of temperature. In the course of his low-temperature studies of oxygen, Giauque discovered with Herrick L. Johnston the oxygen isotopes of mass 17 and 18.
Details
William Francis Giauque (May 12, 1895 – March 28, 1982) was a Canadian-born American chemist and Nobel laureate. He was recognized in 1949, for his studies in the properties of matter, at temperatures close to absolute zero. He spent virtually all of his educational and professional career at the University of California, Berkeley.
Biography
William Francis Giauque was born in Niagara Falls, Ontario, on May 12, 1895.
His father (William Tecumseh Giauque) was an American citizen, and so William Francis Giauque was conferred American citizenship, despite being born in Canada,
In 1926, he proposed a method for observing temperatures considerably below 1 Kelvin (1 K is −457.87 °F or −272.15 °C). He developed a magnetic refrigeration device of his own design in order to achieve this outcome, getting closer to absolute zero than many scientists had thought possible. This trailblazing work, apart from proving one of the fundamental laws of nature led to stronger steel, better gasoline and more efficient processes in a range of industries.
Giauque was elected a member of the United States National Academy of Sciences in 1936, a member of the American Philosophical Society in 1940, and the American Academy of Arts and Sciences in 1950.
Personal life
In 1932, Giauque married Dr. Muriel Frances Ashley and they had two sons. He died on March 28, 1982, in Berkeley, California.

Command Quotes - II
1. Man is made to adore and to obey: but if you will not command him, if you give him nothing to worship, he will fashion his own divinities, and find a chieftain in his own passions. - Benjamin Disraeli
2. Have fun in your command. Don't always run at a breakneck pace. Take leave when you've earned it, spend time with your families. - Colin Powell
3. Your position never gives you the right to command. It only imposes on you the duty of so living your life that others can receive your orders without being humiliated. - Dag Hammarskjold
4. In our system leadership is by consent, not command. To lead a President must persuade. Personal contacts and experiences help shape his thinking. They can be critical to his persuasiveness and thus to his leadership. - Donald Rumsfeld
5. Justice is the first virtue of those who command, and stops the complaints of those who obey. - Denis Diderot
6. You see that even the enemy did not dare to declare war against us till they had seized our generals, for they were sensible that, while we had commanders and yielded obedience to them, we were able to conquer them; but, having seized our commanders, they concluded that we should, from a want of command and discipline, be destroyed. - Xenophon
7. The issues a president faces are not black and white, and cannot be boiled down into 140 characters. Because when you have the nuclear codes at your fingertips and the military at your command, you can't make snap decisions. You can't have a thin skin or the tendency to lash out. - Michelle Obama
8. If I had been censured every time I have run my ship, or fleets under my command, into great danger, I should have long ago been out of the Service and never in the House of Peers. - Horatio Nelson.
Q: What do you call a dodgy neighbourhood in Italy?
A: A Spaghetto.
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Q: What did Lara eat for dinner?
A: Croft Macaroni and Cheese.
* * *
Q: Where did the spaghetti go to dance?
A: The meat ball!
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Q: What do you call a pasta that is sick?
A: Mac and sneeze.
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Q: What does an Irishman get after eating Italian lasagna?
A: Gaelic breath!
* * *
Pleurisy
Gist
Pleurisy is the inflammation of the membrane surrounding the lungs (pleura), causing sharp, stabbing chest pain that worsens with breathing, coughing, or sneezing. Primarily caused by infections (viral, bacterial pneumonia), it is treated by managing the underlying cause and reducing pain with NSAIDs. Recovery varies, often lasting a few days to weeks depending on the cause, with a generally good prognosis upon prompt treatment.
Pleurisy is inflammation around the lungs, which causes sharp chest pain. It's easy to treat and usually gets better in a few days, but can sometimes be a sign of something more serious, like pneumonia.
Summary
Pleurisy, also known as pleuritis, is inflammation of the membranes that surround the lungs and line the chest cavity (pleurae). This can result in a sharp chest pain while breathing. Occasionally the pain may be a constant dull ache. Other symptoms may include shortness of breath, cough, fever, and weight loss, depending on the underlying cause.
Pleurisy can be caused by a variety of conditions, including viral or bacterial infections, autoimmune disorders, and pulmonary embolism. The most common cause is a viral infection. Other causes include bacterial infection, pneumonia, pulmonary embolism, autoimmune disorders, lung cancer, following heart surgery, pancreatitis and asbestosis. Occasionally the cause remains unknown. The underlying mechanism involves the rubbing together of the pleurae instead of smooth gliding. Other conditions that can produce similar symptoms include pericarditis, heart attack, cholecystitis, pulmonary embolism, and pneumothorax. Diagnostic testing may include a chest X-ray, electrocardiogram (ECG), and blood tests.
Treatment depends on the underlying cause. Paracetamol (acetaminophen) and ibuprofen may be used to decrease pain. Incentive spirometry may be recommended to encourage larger breaths. About one million people are affected in the United States each year. Descriptions of the condition date from at least as early as 400 BC by Hippocrates.
Details:
What is pleurisy?
Pleurisy is an inflammation of the pleura, a large, thin sheet of tissue that wraps around the outside of your lungs and lines the inside of your chest cavity. Between the layer of the pleura that wraps around your lungs and the layer that lines your chest cavity is a very thin space called the pleural space. Normally this space is filled with a small amount of fluid that helps the two layers of the pleura glide smoothly past each other as your lungs breathe air in and out. Pleurisy occurs when the two layers of the pleura become red and inflamed, rubbing against each other every time your lungs expand to breathe in air. Infections like pneumonia are the most common cause of pleurisy.
Symptoms
The main symptom of pleurisy is a sharp or stabbing pain in your chest that gets worse when you breathe in deeply or cough or sneeze. The pain may stay in one place or it may spread to your shoulder or back. Sometimes it becomes a fairly constant dull ache. Depending on what's causing the pleurisy, you may have other symptoms, such as:
* Shortness of breath
* A cough
* Fever and chills
* Rapid, shallow breathing
* Unexplained weight loss
* A sore throat followed by pain and swelling in your joints
Diagnosis
Your doctor will find out if you have pleurisy or another pleural disorder by taking a detailed medical history and doing a physical exam and several diagnostic tests, including:
* Chest X-ray to show air or fluid in the pleural space, and what's causing the condition (for example, pneumonia, a fractured rib, or a lung tumor)
* CT scan that can show pockets of fluid, signs of pneumonia, a lung abscess or a tumor
* Ultrasound, which can show where fluid is located in your chest
* Magnetic resonance (MR) scan, which can show pleural effusions and tumors
* Blood tests, which can show whether you have a bacterial or viral infection, pneumonia, rheumatic fever, a pulmonary embolism or lupus
* Arterial blood gas tests, which show how well your lungs are taking in oxygen
Treatment
A procedure called thoracentesis is used to remove fluid from the pleural space. The doctor inserts a needle or a thin, hollow, plastic tube through the ribs in the back of your chest into your chest wall. A syringe is attached to draw fluid out of your chest.
To relieve symptoms, your doctor may recommend:
* Acetaminophen or anti-inflammatory agents, such as ibuprofen, to control pain
* Codeine-based cough syrups to control a cough
* Lying on the painful side to make you more comfortable
* Breathing deeply and coughing to clear mucus as the pain eases
Your doctor will look at the fluid under a microscope to determine what's causing the fluid buildup. If the fluid is infected, treatment involves antibiotics and draining the fluid. If the infection is tuberculosis or from a fungus, treatment involves long-term use of antibiotics or antifungal medicines. If the fluid is caused by tumors of the pleura, it may build up again quickly after it's drained. Sometimes antitumor medicines will prevent further fluid buildup. If they don't, the doctor may seal the pleural space.
Additional Information
Pleurisy is a condition in which the pleura — two large, thin layers of tissue that separate your lungs from your chest wall — becomes inflamed. Also called pleuritis, pleurisy causes sharp chest pain (pleuritic pain) that worsens during breathing.
One pleural layer of tissue wraps around the outside of the lungs. The other pleural layer lines the inner chest wall. Between these two layers is a small space (pleural space) that's usually filled with a very small amount of liquid. These layers act like two pieces of smooth satin gliding past each other, allowing your lungs to expand and contract when you breathe.
If you have pleurisy, these tissues swell and become inflamed. As a result, the two layers of the pleural lining rub against each other like two pieces of sandpaper. This causes pain when you breathe in and out. The pleuritic pain lessens or stops when you hold your breath.
Treatment of pleurisy involves pain control and treating the cause.
Symptoms:
Signs and symptoms of pleurisy might include:
* Chest pain that worsens when you breathe, cough or sneeze.
* Shortness of breath — often from trying to limit breathing in and out.
* Cough — only in some cases.
* Fever — only in some cases.
Pain caused by pleurisy might worsen with movement of your upper body and can spread to your shoulders or back.
Pleurisy can occur along with pleural effusion, atelectasis or empyema:
* Pleural effusion. In some cases of pleurisy, fluid builds up in the small space between the two layers of tissue. This is called pleural effusion. When there is a fair amount of fluid, pleuritic pain lessens or disappears because the two layers of pleura are no longer in contact and don't rub together.
* Atelectasis. A large amount of fluid in the pleural space can create pressure. This can compress your lung to the point that it partially or completely collapses (atelectasis). This makes breathing difficult and might cause coughing.
* Empyema. The extra fluid in the pleural space can also become infected, resulting in a buildup of pus. This is called an empyema. Fever often occurs along with an empyema.
When to see a doctor
Call your healthcare provider or seek emergency care right away if you experience unexplained, intense chest pain during breathing. You might have a problem with your lungs, heart or pleura or an underlying illness for which you need prompt medical care.
Causes
A variety of conditions can cause pleurisy. Causes include:
* Viral infection, such as the flu (influenza).
* Bacterial infection, such as pneumonia.
* Fungal infection.
* Autoimmune disorder, such as rheumatoid arthritis or lupus.
* Lung cancer near the pleural surface.
* Pulmonary embolism.
* Tuberculosis (TB).
* Rib fracture or trauma.
* Certain inherited diseases, such as sickle cell disease.
* Certain medications and recreational drugs.
Risk factors
The risk of pleurisy increases if you get certain infections, such as the flu or pneumonia. Some medical conditions, such as lupus, TB and sickle cell disease also can increase your risk. And taking certain medicines or certain recreational drugs raise the risk of pleurisy.
Diagnosis
Your healthcare provider will likely start by asking about your medical history and doing a physical exam that includes listening to your chest with a stethoscope.
To determine if you have pleurisy and identify the cause, your healthcare provider might recommend:
* Blood tests. A blood test might tell if you have an infection. Other blood tests might detect an autoimmune disorder, such as rheumatoid arthritis or lupus. In these conditions, pleurisy can be the first sign.
* Chest X-ray. A chest X-ray can show if your lungs are fully inflating or if there is air or fluid between the lungs and ribs.
* Computerized tomography (CT) scan. A CT scan combines a series of X-ray images taken from different angles around your body. It uses computer processing to create cross-sectional images that look like slices of your chest. These detailed images can show the condition of the pleura. They can also show if there are other causes of pain, such as a blood clot in the lung.
* Ultrasound. This imaging method uses high-frequency sound waves to produce precise images of structures within your body. An ultrasound might be used to determine whether you have a pleural effusion.
* Electrocardiogram (ECG or EKG). This heart-monitoring test might be recommended to rule out certain heart problems as a cause for your chest pain.
Diagnostic procedures
In some cases, your healthcare provider might remove fluid and tissue from the pleural space for testing. Procedures might include:
* Thoracentesis. In this procedure, a local numbing agent (anesthetic) is injected between your ribs to the area where fluid was seen on your imaging studies. Next a needle is inserted through your chest wall between your ribs to remove fluid for lab analysis. Removing fluid can also help you breathe better. The needle is usually inserted with the help of ultrasound guidance.
* Thoracoscopy. If TB or cancer is suspected, a thoracoscopy — also called a pleuroscopy — may be performed. During this procedure, a tiny camera (thoracoscope) is inserted through a small cut in your chest wall. This procedure allows for a direct view inside your chest to look for any problems or to get a tissue sample (biopsy).
Treatment
Treatment for pleurisy focuses primarily on the underlying cause. For example, if bacterial pneumonia is the cause, an antibiotic can be prescribed to manage the infection. If the cause is a viral infection, pleurisy may go away on its own.
The pain and inflammation associated with pleurisy is usually treated with nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin IB, others). Occasionally, your healthcare provider may prescribe steroid medication.
The outcome of pleurisy treatment depends on the seriousness of the underlying cause. Early diagnosis and treatment of the condition that caused pleurisy can help you feel better. Depending on the cause and the condition, you may make a full recovery.
Lifestyle and home remedies
These steps might help relieve symptoms related to pleurisy:
* Take medication. Take medication as recommended by your healthcare provider to relieve pain and inflammation.
* Get plenty of rest. Find the position that causes you the least discomfort when you rest. Even when you start to feel better, be careful not to overdo it.
* Don't smoke. Smoking can cause more irritation to your lungs. If you smoke and can't quit on your own, ask your healthcare provider for help.
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Hi,
#10811. What does the term in Geography Downtown mean?
#10812. What does the term in Geography Storm drain mean?
Hi,
#2610. What does the medical term Multiple sclerosis mean?