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Valsalva Maneuver
The Valsalva maneuver is performed by a forceful attempt of exhalation against a closed airway, usually done by closing one's mouth and pinching one's nose shut while expelling air out as if blowing up a balloon. Variations of the maneuver can be used either in medical examination as a test of cardiac function and autonomic nervous control of the heart, or to clear the ears and sinuses (that is, to equalize pressure between them) when ambient pressure changes, as in scuba diving, hyperbaric oxygen therapy, or air travel. A modified version is done by expiring against a closed glottis. This will elicit the cardiovascular responses described below but will not force air into the Eustachian tubes. History The technique is named after Antonio Maria Valsalva, a 17th-century physician and anatomist from Bologna whose principal scientific interest was the human ear. He described the Eustachian tube and the maneuver to test its patency (openness). He also described the use of th ...
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Otoscope
An otoscope or auriscope is a medical device which is used to look into the ears. Health care providers use otoscopes to screen for illness during regular check-ups and also to investigate ear symptoms. An otoscope potentially gives a view of the ear canal and tympanic membrane or eardrum. Because the eardrum is the border separating the external ear canal from the middle ear, its characteristics can be indicative of various diseases of the middle ear space. The presence of earwax (cerumen), shed skin, pus, canal skin edema, foreign body, and various ear diseases can obscure any view of the eardrum and thus severely compromise the value of otoscopy done with a common otoscope, but confirm the presence of obstructing symptoms. The most commonly used otoscopes consist of a handle and a head. The head contains a light source and a simple low-power magnifying glass, magnifying lens, typically around 8 diopters (3.00x Mag). The Anatomical terms of location#Proximal and distal ...
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Cardiac Output
In cardiac physiology, cardiac output (CO), also known as heart output and often denoted by the symbols Q, \dot Q, or \dot Q_ , edited by Catherine E. Williamson, Phillip Bennett is the volumetric flow rate of the heart's pumping output: that is, the volume of blood being pumped by both ventricles of the heart, per unit time (usually measured per minute). Cardiac output (CO) is the product of the heart rate (HR), i.e. the number of heartbeats per minute (bpm), and the stroke volume (SV), which is the volume of blood pumped from the left ventricle per beat; thus giving the formula: :CO = HR \times SV Values for cardiac output are usually denoted as L/min. For a healthy individual weighing 70 kg, the cardiac output at rest averages about 5 L/min; assuming a heart rate of 70 beats/min, the stroke volume would be approximately 70 mL. Because cardiac output is related to the quantity of blood delivered to various parts of the body, it is an important component of how eff ...
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Squat (exercise)
A squat is a strength exercise in which the trainee lowers their hips from a standing position and then stands back up. During the descent and knee joints flex while the ankle joint dorsiflexes; conversely the hip and knee joints extend and the ankle joint plantarflexes when standing up. Squats also help your hip muscles Squats are considered a vital exercise for increasing the strength and size of the lower body muscles as well as developing core strength. The primary agonist muscles used during the squat are the quadriceps femoris, the adductor magnus, and the gluteus maximus. The squat also isometrically uses the erector spinae and the abdominal muscles, among others. The squat is one of the three lifts in the strength sport of powerlifting, together with the deadlift and the bench press. It is also considered a staple exercise in many popular recreational exercise programs. Form The squat begins from a standing position. Weight is often added and is typically ...
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Powerlifting
Powerlifting is a strength sport that consists of three attempts at maximal weight on three lifts: squat, bench press, and deadlift. As in the sport of Olympic weightlifting, it involves the athlete attempting a maximal weight single-lift effort of a barbell loaded with weight plates. Powerlifting evolved from a sport known as "odd lifts", which followed the same three-attempt format but used a wider variety of events, akin to strongman competition. Eventually odd lifts became standardized to the current three. In competition, lifts may be performed equipped or un-equipped (typically referred to as 'classic' or 'raw' lifting in the IPF specifically). Equipment in this context refers to a supportive bench shirt or squat/deadlift suit or briefs. In some federations, knee wraps are permitted in the equipped but not un-equipped division; in others, they may be used in both equipped and un-equipped lifting. Weight belts, knee sleeves, wrist wraps, and special footwear may also b ...
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Tensor Veli Palatini
The tensor veli palatini muscle (tensor palati or tensor muscle of the velum palatinum) is a broad, thin, ribbon-like muscle in the head that tenses the soft palate. Structure The tensor veli palatini is found anterior-lateral to the levator veli palatini muscle. It arises by a flat lamella from the scaphoid fossa at the base of the medial pterygoid plate, from the spina angularis of the sphenoid and from the lateral wall of the cartilage of the auditory tube. Descending vertically between the medial pterygoid plate and the medial pterygoid muscle, it ends in a tendon which winds around the pterygoid hamulus, being retained in this situation by some of the fibers of origin of the medial pterygoid muscle. Between the tendon and the hamulus is a small bursa. The tendon then passes medially and is inserted into the palatine aponeurosis and into the surface behind the transverse ridge on the horizontal part of the palatine bone. Nerve supply The tensor veli palatini muscle ...
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Tensor Tympani Muscle
The tensor tympani is a muscle within the middle ear, located in the bony canal above the bony part of the auditory tube, and connects to the malleus bone. Its role is to dampen loud sounds, such as those produced from chewing, shouting, or thunder. Because its reaction time is not fast enough, the muscle cannot protect against hearing damage caused by sudden loud sounds, like explosions or gunshots. Structure The tensor tympani is a muscle that is present in the middle ear. It arises from the cartilaginous part of the auditory tube, and the adjacent great wing of the sphenoid. It then passes through its own canal, and ends in the tympanic cavity as a slim tendon that connects to the handle of the malleus. The tendon makes a sharp bend around the ''processus cochleariformis'', part of the wall of its cavity, before it joins with the malleus. The tensor tympani receives blood from the middle meningeal artery via the superior tympanic branch. It is one of two muscles in the ...
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Yawn
A yawn is a reflex lasting 4-7 seconds, and is characterized by a long inspiratory phase with gradual mouth gaping, followed by a brief climax (or acme) with muscle stretching, and a rapid expiratory phase with muscle relaxation. For fish and birds, this is described as gradual mouth gaping, staying open for at least 3 seconds and subsequently a rapid closure of the mouth. Almost all vertebrate animals, including mammals, birds, reptiles, amphibians, and even fish, experience yawning. The study of yawning is called chasmology. Yawning (oscitation) most often occurs in adults immediately before and after sleep, during tedious activities and as a result of its contagious quality. It is commonly associated with tiredness, stress, sleepiness, boredom, or even hunger. In humans, yawning is often triggered by the perception that others are yawning (for example, seeing a person yawning, or talking to someone on the phone who is yawning). This is a typical example of positive feedb ...
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South Pacific Underwater Medicine Society Journal
The South Pacific Underwater Medicine Society (SPUMS) is a primary source of information for diving and hyperbaric medicine physiology worldwide. History The SPUMS was founded on May 3, 1971 in the wardroom of HMAS PENGUIN. The founding members of SPUMS were Carl Edmonds, Bob Thomas, Douglas Walker, Ian Unsworth, and Cedric Deal and they were joined by approximately 20 others as "charter members". The society was incorporated in 1990. Purpose The aims of SPUMS have never changed since its inception: * To promote and facilitate the study of all aspects of underwater and hyperbaric medicine; * To provide information on underwater and hyperbaric medicine; * To publish a journal and; * To convene members of each Society annually at a scientific conference. Training SPUMS offers a Diploma of Diving and Hyperbaric Medicine. This certification, was the first non-naval certification and for years the only postgraduate education available. The first Diplomas by examination were a ...
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Swallowing
Swallowing, sometimes called deglutition in scientific contexts, is the process in the human or animal body that allows for a substance to pass from the mouth, to the pharynx, and into the esophagus, while shutting the epiglottis. Swallowing is an important part of eating and drinking. If the process fails and the material (such as food, drink, or medicine) goes through the trachea, then choking or pulmonary aspiration can occur. In the human body the automatic temporary closing of the epiglottis is controlled by the swallowing reflex. The portion of food, drink, or other material that will move through the neck in one swallow is called a bolus. In colloquial English, the term "swallowing" is also used to describe the action of taking in a large mouthful of food without any biting, where the word gulping is more adequate. In humans Swallowing comes so easily to most people that the process rarely prompts much thought. However, from the viewpoints of physiology, of spe ...
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Caisson (engineering)
In geotechnical engineering, a caisson ( or ; borrowed from French ''caisson'', from Italian ''cassone'', meaning ''large box'', an augmentative of ''cassa'') is a watertight retaining structure used, for example, to work on the foundations of a bridge pier, for the construction of a concrete dam, or for the repair of ships. Caissons are constructed in such a way that the water can be pumped out, keeping the work environment dry. When piers are being built using an open caisson, and it is not practical to reach suitable soil, friction pilings may be driven to form a suitable sub-foundation. These piles are connected by a foundation pad upon which the column pier is erected. Caisson engineering has been used at least since the 18th century, and was notably used in the construction of the Brooklyn Bridge, which was completed in 1883. Types To install a caisson in place, it is brought down through soft mud until a suitable foundation material is encountered. While bedrock is pre ...
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Antral Communication
A dental extraction (also referred to as tooth extraction, exodontia, exodontics, or informally, tooth pulling) is the removal of teeth from the dental alveolus (socket) in the alveolar bone. Extractions are performed for a wide variety of reasons, but most commonly to remove teeth which have become unrestorable through tooth decay, periodontal disease, or dental trauma, especially when they are associated with toothache. Sometimes impacted wisdom teeth (wisdom teeth that are stuck and unable to grow normally into the mouth) cause recurrent infections of the gum (pericoronitis), and may be removed when other conservative treatments have failed (cleaning, antibiotics and operculectomy). In orthodontics, if the teeth are crowded, healthy teeth may be extracted (often bicuspids) to create space so the rest of the teeth can be straightened. Procedure Extractions could be categorized into non-surgical (simple) and surgical, depending on the type of tooth to be removed and other fact ...
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Perforation
A perforation is a small hole in a thin material or web. There is usually more than one perforation in an organized fashion, where all of the holes collectively are called a ''perforation''. The process of creating perforations is called perforating, which involves puncturing the workpiece with a tool. Perforations are usually used to allow easy separation of two sections of the material, such as allowing paper to be torn easily along the line. Packaging with perforations in paperboard or plastic film is easy for consumers to open. Other purposes include filtrating fluids, sound deadening, allowing light or fluids to pass through, and to create an aesthetic design. Various applications include plastic films to allow the packages to breathe, medical films, micro perforated plate and sound and vapor barriers. Processes Pins and needles Rotary pinned perforation rollers are precision tools that can be used to perforate a wide variety of materials. The pins or needles can b ...
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