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War of Adygei

While some post-Soviet Russian officials earlier acknowledged that the area Russians call the Kuban was once populated by and ruled over by Circassians, today they, in lock step, refuse to even concede that fact as tensions with Kyiv have heated up over whether that region should belong to Russia or Ukraine.

But Moscow's effort to rewrite history in this case is having exactly the opposite effect the Kremlin intends. It has provoked Circassians both in the North Caucasus and abroad to focus on Moscow's methods and to mobilize to oppose them by speaking out and demanding that their history be recognized and their holidays celebrated. This past Sunday, for example, the Maikop city organization Adyge Khase–Circassian Council issued a declaration pointing out that neither Ukraine nor Russia should be talking about the Kuban as if it had always belonged to one or the other. In fact, the Council pointed out, it was Circassian before the Russians killed or expelled most of their ances…

She Founds Out About Her Adiadochokinesia

Dysdiadochokinesis is the clinical term for an inability to perform rapidly alternating movements. The condition is a key sign of many cerebral disorders, including multiple sclerosis and neocerebellar syndrome, and is caused by lesions in the cerebellum, the part of the brain that governs motor control. A person with dysdiadochokinesia will not be able to perform rapid alternate movements like winding a watch or moving the tongue quickly from one side of the mouth to the other.It is thought to be caused by the inability to switch on and switch off antagonising muscle groups in a coordinated fashion due to hypotonia, secondary to the central lesion. Dysdiadochokinesia is also seen in Friedreich's ataxia and multiple sclerosis, as a cerebellar symptom including ataxia, intention tremor and dysarthria. It is also a feature of ataxic dysarthria.Performing alternating movements steadily and quickly requires significant cerebellum coordination. As a result, patients with lesions or oth…

Muscle Dysfunction Abnormality

Abnormalities in diadochokinesia can be seen in the upper extremity, lower extremity and in speech. The deficits become visible in the rate of alternation, the completeness of the sequence, and in the variation in amplitude involving both motor coordination and sequencing.Average rate can be used as a measure of performance when testing for dysdiadochokinesia.
Dysdiadochokinesia is demonstrated clinically by asking the patient to tap the palm of one hand with the fingers of the other, then rapidly turn over the fingers and tap the palm with the back of them, repeatedly. This movement is known as a pronation/supination test of the upper extremity. A simpler method using this same concept is to ask the patient to demonstrate the movement of trying a doorknob or screwing in a light bulb. When testing for this condition in legs, ask the patient to tap your hand as quickly as possible with the ball of each foot in turn. Movements tend to be slow or awkward. The feet normally perform less we…

Biblical Adeodatus

Adeodatus, the only-known son of Augustine, bishop of Hippo, was born while his father was a student at Carthage to the first of the several mistresses with whom Augustine lived. In this particular case, though the woman’s name be unknown, they cohabited for a period of at least fourteen years, she finally leaving Augustine when he had taken up with others. The child was left with his father; the mother returned to the Roman province of Africa, from which she had come, “vowing never to give herself to any other man” .

Augustine’s father, Patricius, had died two years before Augustine was nineteen; his mother, Monica did not remarry. Augustine appears to have begun his daliances in that interval, even though it was ultimately his mother’s parental and religious influences which were to prevail. Monica had been instrumental in the conversion of her husband to Christianity not long before his death, and in the instilling within her son the seeds of such a possibility, in spite of the post…

The Outbreak of Adenovirus That Killed Dozens

Seven children at a healthcare facility have died in an outbreak of adenovirus, a virus that can cause cold and flu-like symptoms, according to health officials. An additional 11 children at the facility, called the Center for Nursing and Rehabilitation, have also fallen ill with adenovirus, according to a statement from the Department of Health. The facility is not admitting any new patients until the outbreak ends, the statement said.

Adenoviruses are prolific viruses that can cause a variety of illnesses, including upper respiratory infections — such as colds — as well as pneumonia, gastrointestinal illness, conjunctivitis and even urinary tract infections.

Symptoms can range from mild to severe, although serious illness with adenovirus is not common, the according to the Centers for Disease Control and Prevention (CDC). Still, people with weakened immune systems are at higher risk of developing severe illness from adenovirus, according to the CDC.

The children at the Center fit into…

Enemy of Mortality: Peritoneal adhesions

Postsurgical adhesions severely affect the quality of life of millions of people worldwide. Numerous attempts have been made to prevent or reduce the incidence of peritoneal adhesions, but with limited success.

Reoperating through a previous wound can be extremely difficult, risky, and potentially dangerous. Also, adhesiolysis extends operating time, anesthesia, and recovery time and causes additional risks to the patient such as blood loss, visceral damage including injury to the bladder, enterocutaneous fistulas, and resection of damaged bowel.

Congenital or inflammatory adhesions rarely give rise to intestinal obstructions, except for malformation. However, between 49 and 74% of the small bowel obstructions are caused by post surgical adhesions.4, 17, 18 Small bowel obstructions from adhesions are responsible for a large proportion of general surgical admissions and unavoidable operations in current surgical practice. Approximately 1% of all surgical admissions and 3% of lsaparotomie…

His Life was On the Edge Due to Adenoid Hypertrophy

A 15-month-old boy with Noonan syndrome was referred to our pediatric pulmonary department to assess the need for noninvasive positive pressure ventilation (NPPV). He required hospital care during the first 3 weeks of life because of transient upper airway obstruction requiring nasal continuous positive airway pressure (CPAP). He was discharged home with nasal oxygen therapy for a few weeks. He also presented a moderated hypertrophic cardiomyopathy treated with beta-blocker therapy that was stopped after 6 months after improvement on ultrasonographic examination.

At the age of 6 months, he was hospitalized during several weeks for an important persistent dyspnea due to rhinitis and major nasal obstruction and at the age of 12 months for a pneumopathy that rapidly responded to oral antibiotics. He was hospitalized again at the age of 15 months because of important desaturations during his daytime nap. Clinical examination was normal during wakefulness, while numerous obstructive apneas,…