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Reflex Hammer
A reflex hammer is a medical instrument used by practitioners to test deep tendon reflexes, the best known possibly being the patellar reflex. Testing for reflexes is an important part of the neurological examination, neurological physical examination in order to detect abnormalities in the central nervous system, central or peripheral nervous system, peripheral nervous system. Reflex hammers can also be used for chest percussion (medicine), percussion.Swartz MH. ''Textbook of Physical Diagnosis: History and Examination.'' Third edition. Philadelphia: WB Saunders; 1998 Models of reflex hammer Prior to the development of specialized reflex hammers, hammers specific for percussion of the chest were used to elicit reflexes.Lanska DJ. The history of reflex hammers. ''Neurology''. 1989 Nov;39(11):1542-9. However, this proved to be cumbersome, as the weight of the chest percussion hammer was insufficient to generate an adequate stimulus for a reflex. Starting in the late 19th ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Ernst Trömner
Ernst Trömner (24 August 1868 – 27 May 1930) was a German neurologist who was a native of Meerane in the Kingdom of Saxony. In 1893 he earned his medical doctorate at Leipzig, and was later director of the neurological department of St. Georg Hospital in Hamburg. He designed the Trömner reflex hammer, a popular reflex hammer that is used for evoking cutaneous and myotatic responses. His name is also associated with "Trömner's reflex" of which, with the fingers of the patient partially flexed, the tapping of the volar aspect of the tip of the middle or index finger causes flexion of all four fingers and thumb. This phenomenon is associated with pyramidal tract lesions with moderate spasticity Spasticity () is a feature of altered skeletal muscle performance with a combination of paralysis, increased tendon reflex activity, and hypertonia. It is also colloquially referred to as an unusual "tightness", stiffness, or "pull" of muscles. .... References Mondofacto Dic ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Arundo
''Arundo'' is a genus of stout, perennial plants in the grass family. Description ''Arundo'' is native to southern Europe, North Africa, and much of temperate Asia as far east as Japan. They grow to 3–6 m tall, occasionally to 10 m, with leaves 30–60 cm long and 3–6 cm broad. ; Species * '' Arundo collina'' Ten. * '' Arundo donax'' L. – Giant cane, Spanish cane (south and east Mediterranean, to India; naturalised in many additional areas and often invasive) * '' Arundo formosana'' Hack. – Nansei-shoto, Taiwan, Philippines * '' Arundo mediterranea'' Danin – Mediterranean * '' Arundo micrantha'' Lam. – Mediterranean * '' Arundo plinii'' Turra – Pliny's reed – Greece, Italy, Albania, Croatia There are over 200 species once considered part of ''Arundo'' but now regarded as better suited to other genera: ''Achnatherum'', ''Agrostis ''Agrostis'' (bent or bentgrass) is a large and very nearly Cosmopolitan distribution, cosmopolitan genus ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Perpendicular
In geometry, two geometric objects are perpendicular if they intersect at right angles, i.e. at an angle of 90 degrees or π/2 radians. The condition of perpendicularity may be represented graphically using the '' perpendicular symbol'', ⟂. Perpendicular intersections can happen between two lines (or two line segments), between a line and a plane, and between two planes. ''Perpendicular'' is also used as a noun: a perpendicular is a line which is perpendicular to a given line or plane. Perpendicularity is one particular instance of the more general mathematical concept of '' orthogonality''; perpendicularity is the orthogonality of classical geometric objects. Thus, in advanced mathematics, the word "perpendicular" is sometimes used to describe much more complicated geometric orthogonality conditions, such as that between a surface and its '' normal vector''. A line is said to be perpendicular to another line if the two lines intersect at a right angle. Explicitly, a fi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Arc (geometry)
In mathematics, a curve (also called a curved line in older texts) is an object similar to a line (geometry), line, but that does not have to be Linearity, straight. Intuitively, a curve may be thought of as the trace left by a moving point (geometry), point. This is the definition that appeared more than 2000 years ago in Euclid's Elements, Euclid's ''Elements'': "The [curved] line is […] the first species of quantity, which has only one dimension, namely length, without any width nor depth, and is nothing else than the flow or run of the point which […] will leave from its imaginary moving some vestige in length, exempt of any width." This definition of a curve has been formalized in modern mathematics as: ''A curve is the image (mathematics), image of an interval (mathematics), interval to a topological space by a continuous function''. In some contexts, the function that defines the curve is called a ''parametrization'', and the curve is a parametric curve. In this artic ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Stimulus (physiology)
In physiology, a stimulus is a change in a living thing's internal or external environment. This change can be detected by an organism or organ using sensitivity, and leads to a physiological reaction. Sensory receptors can receive stimuli from outside the body, as in touch receptors found in the skin or light receptors in the eye, as well as from inside the body, as in chemoreceptors and mechanoreceptors. When a stimulus is detected by a sensory receptor, it can elicit a reflex via stimulus transduction. An internal stimulus is often the first component of a homeostatic control system. External stimuli are capable of producing systemic responses throughout the body, as in the fight-or-flight response. In order for a stimulus to be detected with high probability, its level of strength must exceed the absolute threshold; if a signal does reach threshold, the information is transmitted to the central nervous system (CNS), where it is integrated and a decision on how to ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Hyporeflexia
Hyporeflexia is the reduction or absence of normal bodily reflexes. It can be detected through the use of a reflex hammer and is the opposite of hyperreflexia. Hyporeflexia is generally associated with a deficit in the lower motor neurons (at the alpha motor neurons from the spinal cord to a muscle), whereas hyperreflexia is often attributed to lesions in the upper motor neurons (along the long, motor tracts from the brain). The upper motor neurons are thought to inhibit the reflex arc, which is formed by sensory neurons from intrafusal fibers of muscles, lower motor neurons (including alpha and gamma motor fibers) and appurtenant interneurons. Therefore, damage to lower motor neurons will subsequently result in hyporeflexia and/or areflexia. In spinal shock, which is commonly seen in the transection of the spinal cord, hyporeflexia can transiently occur below the level of the lesion and can later become hyperreflexic. Cases of severe muscle atrophy or destruction may ren ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Hyperreflexia
Hyperreflexia is overactive or overresponsive bodily reflexes. Examples of this include twitching and spastic tendencies, which indicate disease of the upper motor neurons and the lessening or loss of control ordinarily exerted by higher brain centers of lower neural pathways. Spinal cord injury is the most common cause of hyperreflexia. Standard stimuli, such as the filling of the bladder, can cause excessive responses from the nervous system. The causes of hyperreflexia are not known. Hyperreflexia also has many other causes, including the side effects of drugs (e.g., stimulants), hyperthyroidism, electrolyte imbalance, serotonin syndrome, severe brain trauma, multiple sclerosis, Reye syndrome, and pre-eclampsia. Recovery from hyperreflexia can occur several hours to several months after a spinal cord injury; the phase of recovery is likely to occur in stages rather than on a continuum.Little, J., Ditunno, J. F., Stien, S., A., Harris, R. M. (1999). "Incomplete spinal cord ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Myotonia
Myotonia is a symptom of a small handful of certain neuromuscular disorders characterized by delayed relaxation (prolonged contraction) of the skeletal muscles after voluntary contraction or electrical stimulation, and the muscle shows an abnormal EMG. Myotonia is the defining symptom of many channelopathies (diseases of ion channel transport) such as myotonia congenita, paramyotonia congenita and myotonic dystrophy. Brody disease (a disease of ion pump transport) has symptoms similar to myotonia congenita, however, the delayed muscle relaxation is pseudo-myotonia as the EMG is normal. Other diseases that exhibit pseudo-myotonia are myositis, glycogen storage diseases, hyperkalemic periodic paralysis, root disease, anterior horn cell disorders, Isaacs syndrome, and Hoffmann syndrome. Generally, repeated contraction of the muscle can alleviate the myotonia and relax the muscles thus improving the condition, however, this is not the case in paramyotonia congenita. ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Vienna
Vienna ( ; ; ) is the capital city, capital, List of largest cities in Austria, most populous city, and one of Federal states of Austria, nine federal states of Austria. It is Austria's primate city, with just over two million inhabitants. Its larger metropolitan area has a population of nearly 2.9 million, representing nearly one-third of the country's population. Vienna is the Culture of Austria, cultural, Economy of Austria, economic, and Politics of Austria, political center of the country, the List of cities in the European Union by population within city limits, fifth-largest city by population in the European Union, and the most-populous of the List of cities and towns on the river Danube, cities on the river Danube. The city lies on the eastern edge of the Vienna Woods (''Wienerwald''), the northeasternmost foothills of the Alps, that separate Vienna from the more western parts of Austria, at the transition to the Pannonian Basin. It sits on the Danube, and is ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Black Tie
Black tie is a semi-formal Western dress code for evening events, originating in British and North American conventions for attire in the 19th century. In British English, the dress code is often referred to synecdochically by its principal element for men, the dinner suit or dinner jacket. In American English, the equivalent term tuxedo (or tux) is common. The dinner suit is a black, midnight blue or white two- or three-piece suit, distinguished by satin or grosgrain jacket lapels and similar stripes along the outseam of the trousers. It is worn with a white dress shirt with standing or turndown collar and link cuffs, a black bow tie, sometimes an evening waistcoat or a cummerbund, and black patent leather dress shoes or court pumps. Accessories may include a semi-formal homburg, bowler, or boater hat. In Britain, some individuals may rebel from the formal dress code by wearing coloured socks or a bow tie that is not black, such as red. For women, an evening gow ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
United States
The United States of America (USA), also known as the United States (U.S.) or America, is a country primarily located in North America. It is a federal republic of 50 U.S. state, states and a federal capital district, Washington, D.C. The 48 contiguous states border Canada to the north and Mexico to the south, with the semi-exclave of Alaska in the northwest and the archipelago of Hawaii in the Pacific Ocean. The United States asserts sovereignty over five Territories of the United States, major island territories and United States Minor Outlying Islands, various uninhabited islands in Oceania and the Caribbean. It is a megadiverse country, with the world's List of countries and dependencies by area, third-largest land area and List of countries and dependencies by population, third-largest population, exceeding 340 million. Its three Metropolitan statistical areas by population, largest metropolitan areas are New York metropolitan area, New York, Greater Los Angeles, Los Angel ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
