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Cross References Alien hand discount dramamine 50mg on-line, Alien limb; Forced groping; Gait apraxia; Grasp reflex Main d’Accoucheur Main d’accoucheur dramamine 50mg fast delivery, or carpopedal spasm, is a posture of the hand with wrist flexion in which the muscles are rigid and painful. Main d’ac- coucheur is so called because of its resemblance to the posture of the hand adopted for the manual delivery of a baby (“obstetrical hand”). This tetanic posture may develop in acute hypocalcemia (induced by hyperventilation, for instance) or hypomagnesemia, and reflects muscle hyperexcitability. Development of main d’accoucheur within 4 minutes of inflation of a sphygmomanometer cuff above arterial pres- sure (Trousseau’s sign) indicates latent tetany. Mechanosensitivity of nerves may also be present elsewhere (Chvostek’s sign). Cross References Chvostek’s sign; Trousseau’s sign Main en Griffe - see CLAW HAND Main Étranger - see ALIEN HAND, ALIEN LIMB Main Succulente Main succulente refers to a swollen hand with thickened subcutaneous tissues, hyperkeratosis and cyanosis, trophic changes which may be observed in an analgesic hand, e. Cross References Charcot joint “Man-in-a-Barrel” “Man-in-a-barrel” is a clinical syndrome of brachial diplegia with preserved muscle strength in the legs. Acute central cervical cord lesions may also produce a “man-in-a-barrel” syndrome, for example after severe hyperextension injury, or after unilateral vertebral artery dissec- tion causing anterior cervical spinal cord infarction. This may follow a transient quadriplegia, and considerable recovery is possible. A neuro- genic main-in-a-barrel syndrome has been reported (“flail arm syn- drome”), which is a variant of motor neurone disease. Neurology 1969; 19: 279 (abstract GS7) Cross References Flail arm; Quadriparesis, Quadriplegia Marche à Petit Pas Marche à petit pas is a disorder of gait characterized by impairments of balance, gait ignition, and locomotion. Particularly there is short- ened stride (literally marche à petit pas) and a variably wide base. This gait disorder is often associated with dementia, frontal release signs, and urinary incontinence, and sometimes with apraxia, parkinsonism, and pyramidal signs. This constellation of clinical signs reflects under- lying pathology in the frontal lobe and subjacent white matter, most usually of vascular origin. Modern clinical classifications of gait dis- orders have subsumed marche à petit pas into the category of frontal gait disorder.

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Because the virtual heart may be stopped without harm at any point in time purchase 50mg dramamine with mastercard, and dissected generic dramamine 50 mg on line, inspected, resurrected, etc. We shall address this in more detail below, together with other enticing aspects of virtual organ development. In particular, we will try to: • review the need for virtual organs in the context of contemporary bio- medical research; • introduce the ideas behind the ‘Physiome Project’ – a world-wide research effort, similar to the Genome Project, to describe human bio- logical function using analytical computer models; • provide insights into some of the more technical aspects of the virtual heart; and finally • address the utility and benefit of this new tool for biomedical research, drug and device development, and the wider society. In order to understand the dimensions of the making of the virtual heart – let’s stand back, for a minute, and consider the difficulties of stud- ying and describing any unknown complex system. You are given the assignment, should you accept it, to report on the use of cars by humans. You could visit earth, hire a mechanical workshop in a remote area, car-jack a few specimens, and dissect them. You would observe that cars differ in their colour, shape, size and spec. Some may even contain a bar, cinema or swimming pool, but, perhaps, limousines are excluded from your exploration. On closer examination you would notice small ID- numbers imprinted on various strategic body parts. For example that they all require one or the other kind of fuel to work. Or, you could stay in orbit and look down at the movement and inter- actions of cars. You would soon find that in some parts of the planet cars stick to the left side of the road, while elsewhere they prefer the right.

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X You should check the national source of the data as in- formation may differ between countries order 50 mg dramamine otc. X For some topics specific websites have been set up that contain details of questionable products 50 mg dramamine overnight delivery, services and theories. Interlibrary loans If you are a student your institutional library will prob- ably offer an interlibrary loan service which means that you can access books from other university libraries if they are not available in your library. This is a useful service if, when referencing, you find that a small amount of infor- mation is missing (see Example 5 below). EXAMPLE 5: GILLIAN Nobody told me the importance of keeping careful re- cords of my background research. I just thought it was something you did and then that was it, you got on with 44 / PRACTICAL RESEARCH METHODS your own research and forgot about what you’d done. Of course then I had to write my report and in the ‘background’ section I wanted to include loads of things I’d read when I first started the work. Even then I still forgot to write down the name and location of the publisher, so I had to go back to them again. My advice would be to look at how bibliographies are structured and imprint that in your brain so you don’t forget anything. Keeping records When you begin your background research, keep accurate records of what data was gathered from which source as this will save you plenty of time and frustration later, especially when you come to write your research proposal, or final report. A useful way to organise your background research is to have two files – one for primary research and one for secondary research. Each file can be divided into topics with the relevant notes slotted into each. Primary research For the primary research file, notes from each contact can be separated by a contact sheet which gives the name of the person, the date and time you met and a contact num- ber or address.

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