Cognitive Insensitivity to pain and anhidrosis (CIPA) is best described by the International Journal of Clinical Pediatric Dentistry (2015) as a disorder that occurs in the autonomic nervous system that is categorized as a level IV Hereditary Sensory and Autonomic Neuropathies (HSAN). 1846 marked the beginning of the recognition of HSAN, but it was not widely analyzed. Advancements in the research of the disorder did not occur largely until 1932 and then were sparse until 1963. Some of the first visible symptoms recorded would refer to the way individuals with the disorder would sweat. Which is consistent with the modern research of sweat variations in people with HSAN. There is no specific gender or race that are inclined to be one of the 0.004% of the population that is affected by the disorder (Ravichandra, Kandregula, Koya,& Lakhotia, …show more content…
HSAN I usually start after one turns twenty years old and has autosomal dominant neuropathy. Responses of HSAN I from patients include: Reflexes do not seem to work, a lack of sweat, and problems with urinating. HSAN II is autosomal recessive neuropathy where individuals lose the sense of pressure and touch. HSAN III seems to be more hereditary, especially with ancestry from Ashkenazic Jews. Symptoms include fungiform papillae on the tongue, loss of pain, and loss of temperature perception. Only about 50% of patients with HSAN III make it to age 30. HSAN IV or CIPA is one of the most talked about forms of HSAN. Individuals with CIPA often times have anhidrosis, which causes them to have issues sweating, thermal and pain sensitivity is absent, and self-mutilation is present. HSAN V is similar to HSAN IV, with insensitivity to pain and temperature, but the autonomic system differs in those with type IV and type V. (Ravichandra, Kandregula, Koya,& Lakhotia, 2015, p.
The newborn and infant physical examination, NIPE, is performed by a qualified NIPE practitioner (Department of Health, DoH, 2015; Public Health England, PHE, 2013), within the first seventy-two hours of an infant’s life. This screening consists of a head-to-toe examination of the infant, including, but not limited to: the heart; the eyes; and the hips. During the examination, the practitioner will take the time to promote good health and wellbeing of the infant, by teaching the family how to identify signs of a well and unwell infant (Someren, 2013). The intention of the examination is to assess whether the infant has any congenital abnormalities (DoH, 2015; PHE, 2013). The NIPE is a developmental examination which is replicated between six and eight weeks after the infant’s birth, to screen for congenital disorders that become prominent in their physiology within this time period.
1. A small family was traveling in its van and had a minor accident. The children in the back seats were wearing lap belts, but still sustained numerous bruises about the abdomen, and had some internal organ injuries. Why is this area more vulnerable to damage than others? Name specific organs that would be injured, as well as the abdominopelvic quadrant and region in which they are found. What injuries might you suspect in the damaged organs?
Daniel will be diagnosed with the DSM-V category anxiety disorders. “Anxiety disorders share features of excessive fear and anxiety and related behavioral disturbances” (American Psychoanalytic Association, 2013). Daniel is diagnosed with general anxiety disorder (GAD). The DSM-V outlines the following features for Daniels illness:
Describe the series of events that occur in skin, which is healing with the help of a skin graft?
Environmental justice, which is the “fair treatment and meaningful involvement of all people”, (USEPA, 2014) is an important public health goal. Erasing the boundaries of ethnicity, nationality, economic and educational inequalities, environmental justice ensures that there is no segment of the population that bears an unequal share of harmful environmental agents like air pollutants, industrial toxic chemicals etc., or faces disparity in issues like the availability of food, transportation and green living spaces (USEPA, 2015). Despite the many efforts of the Environmental Protection Agency (USEPA) in achieving these goals through plans, grants and programs like the Plan EJ 2014, EJ Small Grants Program etc., studies indicate that racial minority
CM travel to YMCA in Newark to visit Justin this morning. Upon CM arrival Justin had not come in from dropping a youth of with the shelter staff. CM set at a empty table for at least 5-10 minibus before Justin arrived. Justin was very excited to see CM, he even greeted me with a hug. CM expresses to Justin that I notice he appears to be in a great mood. Justin informs CM that he started opening up and talking to the resident’s ad staff at the shelter. He reports that he is no longer scared of the residents at the shelter nor does he want to leave. Justin expresses to CM that since he started talking to staff and the other residents he has been feeling a lot better. Justin reports going on outing with the other residents and staff. He states
1. This exercise involves the Auto data set studied in the lab. Make sure that the missing values have been removed from the data
Complex regional pain syndrome (CRPS) is characterised by pain in combination with sensory, autonomic, trophic and motor abnormalities. There are two forms of CRPS and they are referred to as CRPS type 1 and CRPS type 2. CRPS type 1 is also known as Reflex sympathetic dystrophy syndrome (RSD). And type 2 is known as Causalgia.1-2
Finally, another life threatening condition is loss of sensation. What this means is that this family cannot distinguish the difference between hot and cold temperatures. This intern can be life threating. They try to live as normal lives as possible, but not feeling pain is scary for
If a house is on a fault –line, it would be difficult to find a buyer for such a house.
3. Calculate the client's target heart rate at 60% and 80% using the Karvonen formula.
Great post! I have never heard of programs like NICView, previous to your post, so this was new, interesting information to me. I use to work in post-partum care and floated to the NICU unit several times and I can see how this would be great for the families of the infants. After reading your post I decided to research more about such programs and I discovered another NICU web-camera system called Angel Eye.
Onychophagia is a medical syndrome that includes the habitual biting, picking, and chewing of a person’s fingernails and the cuticles surrounding them (Tanaka, Vitral, Tanaka, Guerrero, & Camargo, 2008). Onychophagia is classified as a nail disorder caused by recurring injuries (Snorrason & Woods, 2014). This issue is not incorporated as a detailed diagnosis in the DSM-5, however may be classified as a body focused repetitive behavior disorder (BFRBD) within the category other specified obsessive-compulsive disorder (Snorrason & Woods, 2014). Onychophagia is a normal oral practice, seen in both adults and children (Tanaka et al., 2008).
Limited time for audit preparation. H&H may not have enough time to test all the RMM. It is January 15th; audit will
Current sensory integration theory proposes that a very wide array of difficulties and maladaptive behaviors can derive from disordered sensory processing. Sensory Processing Disorders are further categorized as issues of hypersensitivity, hyposensitivity, and sensory discrimination. These disturbances of processing are recognized as potentially occurring in any sensory modality, be it visual, auditory, olfactory, tactile, gustatory, proprioceptive, or other interceptive