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It can be surprising to realize that an organ as high-powered and sophisticated as the brain also has a plumbing system. And, as the case with a house's plumbing, the drainage side of the system can get gummed up. But the symptoms are different. When a home's drainage backs up, well...I won't go there. When the brain's drainage system backs up, the brain's owner can become confused, incontinent of urine and unsteady on his or her feet. The plumbing system in question is that which produces and drains the cerebrospinal fluid (CSF). Normal CSF looks the same as water from a faucet, but is created from the bloodstream in the choroid plexus tissue within three of the brain's four inner chambers -- the right and left "lateral" ventricles and the midline "fourth" ventricle, but not the interposed, midline "third" ventricle. The CSF percolates through passageways from one ventricle to another, finally emerging through openings at the base of the brain to bathe the outer surfaces of the brain and spinal cord before getting reabsorbed into the bloodstream again. This re-absorption occurs in special collection-nodes in the membranes surrounding the brain. The entire CSF volume of about 150 milliliters or five ounces (about as much as a glass of wine) is produced and reabsorbed four times a day, so the fluid is constantly turning over. But blockages along the way can interfere with the normal flow of the CSF. For example, when the passageway between the third and fourth ventricles becomes narrowed or choked with sludge, the CSF backs into the lateral and third ventricles. Those ventricles react to the increased pressure by becoming physically dilated or enlarged. In this case, a CT or MRI scan could reveal the location of the blockage by showing expansion of the two lateral and the single third ventricles, but a normal-sized fourth ventricle. Another example of a blockage and its consequences is when the collection-nodes responsible for CSF re-absorption in the brain's overlying membranes (meninges) become clogged. In this case, all four ventricles are upstream from the blockage, and all four of them expand. This, too, is visible on brain scans. Both cases are examples of hydrocephalus, or water on the brain. The first case is one of "internal" or high-pressure hydrocephalus. The second is called "external" or normal-pressure hydrocephalus (NPH). In NPH the pressure is inexplicably normal much of the time, but the term is somewhat misleading because prolonged recordings with pressure-monitors do show intermittent periods of increased pressure. Hydrocephalus of one kind or another is especially prevalent at the two extremes of the life cycle -- in the very young and the very old -- but can occur at any age. In infancy, hydrocephalus can be caused by malformed brain-tissue. In contrast, adults with hydrocephalus were usually born with normal brain anatomy, but acquired a blockage due to a tumor, injury, bleed or infection. However, many cases of hydrocephalus in adults occur without a history of these preceding illnesses. CT and MRI scans are sensitive tools in detecting hydrocephalus, particularly when it's striking enough not be confused with ventricular enlargement due to gradual loss of surrounding brain tissue from aging. The main treatment of hydrocephalus is for a surgeon to insert a tube (shunt) into one of the swollen lateral ventricles and provide an alternative pathway for the backed-up CSF to drain. Once the shunt equipment is in place, a piece of hardware about the size of a large button sits outside the hole made in the skull (but inside the skin of the scalp) and redirects the excess CSF through another tube into either a jugular vein in the neck or into the abdominal cavity (peritoneum). Thus, the patient can receive either a "VJ" shunt or a "VP" shunt, with the letters designating the locations of the two ends of the shunt. The success or failure of shunting depends not just on the skill of the surgeon, but also on the selection of appropriate patients. Sometimes hydrocephalus turns up unexpectedly on scans when doctors are looking for something else entirely. Although an unexpected finding like this should always cause the doctors to re-think the case, the point is that hydrocephalus doesn't always cause problems. Sometimes the hydrocephalus has been there for years and the brain has adjusted to it in a way that produces no symptoms. This is an example of a case that should not be shunted, though it would still be appropriate to monitor the patient and his or her scans over subsequent months and years. Who, then, should receive a shunt? The answer, in short, is people for whom the benefits of the operation exceed its risks. Identifying them, however, is the tough part. And the task is made even more difficult by the lack of randomized, controlled trials in which a group of patients receiving treatment is compared to an equivalent group of patients not receiving treatment. Although similar reasoning applies to adults thought to have internal (high-pressure) hydrocephalus, I'll lay out the decision-tree as it applies to external (normal-pressure) hydrocephalus. Published observations imply that shunts are most likely to help NPH patients who have the following features:substantial enlargement of all four ventricles a full "triad" of symptoms, including confusion, urinary incontinence and altered walking poor walking as the first of the three symptoms temporary improvement of symptoms after drainage of 50-60 milliliters (2 ounces) of CSF by lumbar puncture (spinal tap) The elderly patients most at risk for NPH are also at increased risk for other diseases, and the shunting operation doesn't help symptoms produced by other causes. For example, confusion can be caused by Alzheimer's disease and strokes. Urinary incontinence can be due to prostate disease in men and sagging pelvic tissue in women. Walking can be disrupted by arthritis, fractured bones, low vision, inner-ear disease, Parkinson's disease and many other unrelated processes. So it's important for the doctor to determine if other diseases might be to blame for the very symptoms that seem, at first glance, to be from NPH. Assuming that NPH still seems likely, the next round of decision-making concerns the possibility that an operation will cause harm. Even a patient whose brain scan and symptoms are classic for NPH can develop serious complications from the operation. A particularly feared complication is bleeding into the space outside the brain, called a subdural hematoma. Older patients are also more likely to have other medical conditions that could compromise the safety of an operation, like coronary artery disease or emphysema. Cases in which expected benefits of the operation are much greater than risks, or in which the risks are much greater than the expected benefits, are easy to make decisions about. But many other cases are in the gray zone in which potential benefits and risks are more evenly matched and the chances of doing harm with an operation come close to canceling out the chances of doing good. (C) 2006 by Gary Cordingley pnis enlargement without pills medical penis enlargment vig rx scam vimax penis enlargement photo permanent pnis enlargement pennis enlargement picture vigrx results free penile enlargement exercise pro solution pill side effects

If you have a watery, painful blister on your skin, mouth, lips or genitals, it may be time to pay your doctor a visit. It may be just a minor infection, but it could also be a dreaded cold sore, more popularly known by the term herpes simplex virus or HSV. HSV is very contagious, especially when it has just been contracted and the first symptoms are only beginning to make themselves known. The most distressing thing about this horrible health disorder is that there is no cure. If you get cold sores, you will be carrying them around the rest of your life like luggage. Cold sores come by many names, including Night Fever and Fever Blister. They are sometimes mistaken for canker sores (Apthous ulcers) because they have the same appearance and show themselves frequently on the inside of the mouth. The difference is that canker sores are not caused by the herpes simplex. If your doctor told you that you have canker sores instead of cold sores, you should thank your lucky stars. There are many other symptoms of HSV aside from cold sores. These include skin irritations, clusters of blisters in different parts of your body and lesions that leave no scars when they heal. The cold sore lesions often appear around the genital area in men and also around the buttocks or anus, inner thigh or on the shaft of the penis. In women, the lesions can usually be found on or near the pubis, vulva, labia, clitoris, anus or buttocks. Sometimes, they are not obvious to the eye and at other times, you can’t miss them when they’re there. Cold sores look different from individual to individual. Often, they appear to be blisters, especially in the genital area, but they also sometimes appear to be a yeast infection or a bad case of chafing. Aside form the signs that you see around your body, cold sores are also characterized by a general ache all over your body and a bit of pain in the genital area, discomfort or pain during urination and discharges from the penis or vagina. There may also be flu-like symptoms that last for a week. Outbreaks usually come four or five times a year. vimax penis enlargement surgery photo vig rx pic herbal penis elargement herbal natural penis enlagement penis enlargement traction device penis enhancement stretcher penis enlargement pills review penis enargement result pro solution pill side effects

Here are 5 questions to flex your mental muscle to. The answers and explanations are at the end - no cheating now! RULES: There are no trick questions. You cannot ask the audience but I welcome you to 'Phone a Friend' (and forward this article onto them!). *Question 1: "What happens if you submit your website to Google more than once?" A. Nothing. B. You are at risk of being penalised for multiple submissions C. Your submission is bumped to the back of the queue *Question 2: "According to a survey conducted by AC Nielsen in December 2004 what did people state as their primary reason for doing their Christmas shopping online?" A. Saves time B. Better prices C. Ability to find a more personalized gift *Question 3: "In Internet terms, what is a 'spider'?" A. It's a virus that spreads using loopholes in certain web technologies B. It's a software tool that search engines use to retrieve information from websites C. It's another word for a person that browses websites *Question 4: "What is the industry average click through rate for banner advertisements? I.e. what percentage of all banner ads are actually clicked on?" A. 0.39% B. 1.39% C. 2.39% *Question 5: "According to the latest research from the Computer Industry Almanac what was the worldwide online population in 2004? I.e. how many of the people, worldwide, accessed the Internet at some point in 2004?" A. 934 million B. 714 million C. 579 million **THE ANSWERS Q.1 - "What happens if you submit your website to Google more than once?" A. Nothing. Google doesn't mind how many times you submit your website. However there are search engines out there that will penalise you for submitting too often. This is what Google says about submitting to its site: "You are free to submit as often as you wish. However, given the nature of our inclusion process your time is better spent improving the content and links of your site." Q.2 - "According to a survey conducted by AC Nielsen in December 2004 what did people state as their primary reason for doing their Christmas shopping online?" A. Saves time 78% of the 1007 people surveyed gave ‘Saves time' as their answer when asked their reasons for shopping online. The survey findings: Reasons for Shopping Online: Saves time 78% Better prices 51% More selection 43% Easier shipping 40% Ability to find a more personalized gift 28% More information available about the products 20% What this tells us is that people no longer view the Internet as a low-cost option. So perhaps you need to take a look at your own website and focus more on making the buying process as quick and simple as possible rather than trying to cut prices to attract buyers.. Q. 3 - "In Internet terms, what is a ‘spider'?" B. It's a software tool that search engines use to retrieve information from websites When your website is submitted to a search engine the search engine sends out a ‘spider' to visit your site and retrieve all the information from it. The spider then returns to the search engine with all the information that is then added to the search engine's database. The results you see when you use a search engine are not live snapshots of websites. Instead, the results show the information that the spider collected the last time it visited each website. This is why it is sometimes possible to see a link that looks fine in the search engine results and then click on it to find it no longer exists. This is because the search engine spider has yet to revisit this website and update the search engine's records. Q.4 - "What is the industry average click through rate for banner advertisements? I.e. what percentage of all banner ads are actually clicked on?" A. 0.39% The latest studies indicate that only 0.39% of banners shown are actually clicked on. With powerful graphics and enticing offers this average clickthrough rate can be improved ten-fold or more. But the point remains that advertising by using banners alone no longer appears to be viable route unless, that is, the costs of using this method are exceptionally low. Q.5 - "According to the latest research from the Computer Industry Almanac what was the worldwide online population in 2004? I.e. how many of the people, worldwide, accessed the Internet at some point in 2004?" A. 934 million It's predicted that this year the online population will hit 1 billion! Not all of these people will be your potential customers but no matter which way you look at - there has never been a better time to have a well-marketed website! **SCORES - How Many Did You Get Right? 0 - 2: Don't forget - you learn more in this life from your mistakes than you do from anything else! 3 - 4: Well done! You obviously know your stuff or you're good at guessing! 5 out of 5: Outstanding! Top marks for you! Michael Cheney is the Author of The Website Marketing BibleTM: "High five Michael! Your bible is superb! The world needs to read it and learn from it." - Jay Conrad Levinson, Author of "Guerrilla Marketing" http://www.websitemarketingbible.com [You have my permission to use this article in your newsletter, on your website or anywhere else for that matter as long as it remains unedited and includes the resource box at the bottom.] Website Marketer's Enemy No. 1 It's about an inch across by half an inch tall. It's quite innocuous and yet this silent killer reaps havoc every second of every day on your efforts to build your online empire. What is it? The DELETE key! There comes a time in your efforts to market your website that you realise that it's no longer enough to tell your family and friends to visit your website - you need to get some people who will pay you in cash rather than compliments. You need to start approaching other website owners and start building an online network of contacts. This is a crucial step to achieving online success. I once read a quote that applied at the time to conventional 'bricks and mortar' businesses but it just as pertinent if not more so for online businesses: "You will not be successful by being a cave dweller." Kind of obvious but there are so many business owners that are cave dwellers. Sitting in their offices staring at the phone day after day wondering why no new prospects ever phone them up. You have to stand up, open the door and get out into the world and shout from the rooftops about your business. If you're online you need to do the same for your website. One of the best ways to do this is to establish reciprocal links with other relevant websites. But this is where Public Enemy No. 1 comes in - if you don't know how to bypass it all your efforts to contact the website owners and establish links with them will be in vain. Those nasty spam monsters that roam the web harvesting email addresses from all web pages and then bombarding them with member enlargement hormones and get rich quick schemes have made it hard for you. If you decide to try and email a website owner using the email address they make publicly available on their website you're already fighting an uphill battle. That email address is likely to be going through some form of spam filtering and if your email subject to this person has even a whiff of canned ham about it you'll be in that Trash Can quicker than you can say "$1million Ebay secrets". So, what's the answer? Well, for starters - don't be tempted to use software to do your links work for you. People like people. Not robots. Do your own dirty work. Also - try and find the name of the website owner and use that in your email to them. One of the best ways to overcome the dreaded Delete Key when you are contacting website owners though is to use their online contact form. When they receive an email via the form they have on their website they know that a real, living, actual human being has filled it in and not some spam monster - hence - they're more likely to read it. Good luck!