Effective stroke

Koh MG, Phan TG, Atkinson JL, Wijdicks EFM. Neuroimaging in deteriorating patients with cerebellar infarcts and mass effect. Stroke 2000 31(9) 2062-2067. 

Figure 9.5 Diagram showing the character of the effective stroke (a) and the recovery stroke (b) of a cilium. The mucus blanket (c) is always propelled in the same direction as the effective stroke (d)...

At the end of the effective stroke the cilium disengages from the mucus gel and enters the rest phase where it lies parallel to the epithelium pointing in the direction of mucus flow. This position is believed to discourage any reversal of mucus movement. 

The cilium unrolls within the periciliary fluid ready for the next effective stroke. Undergoing the recovery stroke beneath the mucus layer prevents retrograde mucus transport (Figure 9.5). 

A randomised controlled trial. Australian Journal of Physiotherapy 50 219-224 Bowen A, Lincoln NB, Dewey ME (2002). Spatial neglect is rehabilitation effective Stroke 33 2728-2729... 

Pargyline (Eutonyl) Inhibits monoamine oxidase in adrenergic nerves. Inhibits norepinephrine release Because of DANGEROUS effects, is last choice antihypertensive drug. Life-threatening effects (stroke, hypertensive crisis, myocardial infarction, arrhythmias) may occur when taken with foods (fermented products, cheese) and drugs (diet pills, cold remedies) which contain sympathomimetics. 

Lead wire presses are constructed for pressure capacities of about 250 tons, while the ram diameter is 90 mm and the effective stroke... 

The press capacity is 2,650 tons. It takes a lead charge of 450 kg at a container diameter of 400 mm its mandrel-holder diameter is 240 mm and its effective stroke 485 mm. The extrusion ram pressure is approx. 3,250 kg/cm. ... 

CJ-Receptors are localized ia the brain stem and limbic stmcture, regions associated with endocrine function (76). In the periphery, CJ-receptors are found in the Hver, heart, ileum, vas deferens, and on lymphocytes and thymocytes. Although there is insufficient evidence to clearly define the functional role of CNS CJ-sites, based on the effects of PCP and the interaction of haloperidol with CJ-sites, CJ-receptor ligands may be antipsychotics or used for the treatment of substance abuse. Several CJ-receptor ligands have shown neuroprotective effects in vivo. Ifenprodil (315) and CNS 1102 (316) are being developed for treatment of stroke (Table 18). 

Amiodarone dilates arteriolar vascular smooth muscle, especiady coronary arteries, and thus exhibits antianginal effects. Its effects on the peripheral vasculature to decrease resistance leads to a decrease in left ventricular stroke work and a decrease in myocardial oxygen consumption. The dmg rarely produces hypotension that requires discontinuation of the dmg (1,2). 

Diuretics, such as those of the thiazide type, have been the cornerstone of first-line antihypertensive treatments for decades. However, popularity and use have eroded as a result of increases in sudden death in patients on diuretic therapy, and unfavorable effects on blood Hpids profile, ie, increasing cholesterol and triglyceride. These effects have been impHcated as possible causes for the lack of decrease in the mortaUty rate resulting from acute MI in patients treated with a diuretic (187,240,241). However, diuretics do protect against stroke and CHF. 

Reciprocating pumps are those most commonly used in high performance Ic. The single-piston type usually has inlet and outlet check valves with some mechanism such as variable stroke frequency to minimize the effect of pump pulsations. Dual-piston pumps operate with the pistons 180° out of phase to minimize pulsations. For this system to work optimally, the piston units must be identical. 

The actuating time for a quick-closing/quick-opening operation effected by the solenoid valves is 0.6 sec, and the actuating time under normal control is 5 sec for the inlet valves and 0.6 sec for the bypass valves. These actuating times apply to the full valve stroke outside the end position damping range. 

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