The practical sides of local or regional anesthesia are explained by two applications of local anesthetics under moderately demanding circumstances. The examples illustrated are surgical repair of the severed lower tendon of the left index finger and the case of pregnant woman involving the delivery of a child in the early stages of cervical…

Cerebral palsy--also known as CP--is a condition caused by injury to the parts of the brain that control the body's ability to use muscles effectively. Often the injury happens before birth, sometimes during delivery or soon after birth. The symptoms will differ from person to person and change as children and their nervous systems mature. This…

The author, as an otolaryngologist and the Director of Global ENT (Ear, Nose and Throat) Outreach, traveled to Ethiopia to help 11 children who could not breathe because of respiratory papillomas blocking their airways and who had been hospitalized for years. The disease, called juvenile respiratory papillomatosis, is what affected these 11…

The grand narrative of modernism is a dominating story with profound sociopolitical implications in the lives of people with the label of intellectual disabilities. In this article, we throw light on the life stories and interpretive theories of self-advocates, which usually remain hidden between the story-lines of life. Professionals in the field…

User-created virtual worlds, such as Second Life, are a hot topic in higher education. Thousands of educators are currently exploring and using Second Life, and hundreds of colleges and universities have purchased and developed their own private islands in Second Life, including the University of Kansas Medical Center (KUMC). Because it is so easy…

Evidence suggests that teachers are often at risk for vocal disease and are more likely to change occupations because of their voice problems compared to non-teachers. Physical educators are especially at risk for voice problems due to the intense daily demands of voice projection. Chronic abuse can cause swelling and inflammation of the…

As the world economy continues to evolve, businesses and industries must adopt new practices and processes in order to survive. Quality and cost control, work teams and participatory management, and an infusion of technology are transforming the way people work and do business. Employees are now expected to read, write, and communicate…

The underlying proposition for any experimental/therapeutic trial is the uncertainty that the risks of treatment will be outweighed by its benefits. For some therapeutic interventions (e.g., exercise programs, vitamin supplementation), the potential for treatment-emergent adverse events may prima facie be low or negligible, whereas for others…

Nearly 1 out of 2 children and teens with seizures may need to take medications throughout their lives. At least 25% will develop a condition called refractory epilepsy--meaning that their seizures do not respond to medical therapy. For these children and teens, non-drug therapies such as brain surgery are available that may offer a chance to…

Dr. Pete Anderson, a clinician and professor at the University of Texas MD Anderson Cancer Center, entered the life of Anna and her family two years ago. Anna was referred to him because of his clinical research and expertise in pediatric oncology and multimodality therapies. Anna had been diagnosed with metastatic Ewing's Sarcoma, a form of bone…

This article profiles John Kuniholm, a 34-year-old PhD candidate in biomedical engineering at Duke University and has master's degrees in mechanical engineering and industrial design from North Carolina State University. He has worked in the research and development of tools for robotic cardiac surgery for Cardiovations, a Johnson & Johnson…

This is the story of my daughter, Hannah. Hannah is an amazing child. She can speak, read, and write English. She can play the piano and violin and she is mainstreamed into a third grade class. Hannah was born profoundly deaf and was not diagnosed until she was almost two years old. She received a cochlear implant when she was 2 1/2 years old.…

Clozapine is licensed for the treatment of psychotic illnesses resistant to other antipsychotic medications. Velo-cardio-facial syndrome (VCFS) is associated with a vulnerability to psychotic illness that may be resistant to treatment with conventional typical and atypical antipsychotics. A 32-year-old man with intellectual disability (ID) and a…

Arthroscopic surgery has become popular among athletes because of reduced recovery time and decreased chances of surgical complications. The advantages, drawbacks, and limitations of arthroscopic surgery are discussed. (Author/MT)

The Food and Drug Administration has approved a prosthetic ligament for limited use in persons with damaged anterior cruciate ligaments (ACL). This article addresses ligament repair, ACL tears, current treatment, development of the Gore-Tex artificial ligament, other artificial ligaments in process, and arguments for and against their use.…