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It can be surprising to realize that an organ as high-powered and sophisticated as the brain also has a plumbing system. And, as the case with a house's plumbing, the drainage side of the system can get gummed up. But the symptoms are different. When a home's drainage backs up, well...I won't go there. When the brain's drainage system backs up, the brain's owner can become confused, incontinent of urine and unsteady on his or her feet. The plumbing system in question is that which produces and drains the cerebrospinal fluid (CSF). Normal CSF looks the same as water from a faucet, but is created from the bloodstream in the choroid plexus tissue within three of the brain's four inner chambers -- the right and left "lateral" ventricles and the midline "fourth" ventricle, but not the interposed, midline "third" ventricle. The CSF percolates through passageways from one ventricle to another, finally emerging through openings at the base of the brain to bathe the outer surfaces of the brain and spinal cord before getting reabsorbed into the bloodstream again. This re-absorption occurs in special collection-nodes in the membranes surrounding the brain. The entire CSF volume of about 150 milliliters or five ounces (about as much as a glass of wine) is produced and reabsorbed four times a day, so the fluid is constantly turning over. But blockages along the way can interfere with the normal flow of the CSF. For example, when the passageway between the third and fourth ventricles becomes narrowed or choked with sludge, the CSF backs into the lateral and third ventricles. Those ventricles react to the increased pressure by becoming physically dilated or enlarged. In this case, a CT or MRI scan could reveal the location of the blockage by showing expansion of the two lateral and the single third ventricles, but a normal-sized fourth ventricle. Another example of a blockage and its consequences is when the collection-nodes responsible for CSF re-absorption in the brain's overlying membranes (meninges) become clogged. In this case, all four ventricles are upstream from the blockage, and all four of them expand. This, too, is visible on brain scans. Both cases are examples of hydrocephalus, or water on the brain. The first case is one of "internal" or high-pressure hydrocephalus. The second is called "external" or normal-pressure hydrocephalus (NPH). In NPH the pressure is inexplicably normal much of the time, but the term is somewhat misleading because prolonged recordings with pressure-monitors do show intermittent periods of increased pressure. Hydrocephalus of one kind or another is especially prevalent at the two extremes of the life cycle -- in the very young and the very old -- but can occur at any age. In infancy, hydrocephalus can be caused by malformed brain-tissue. In contrast, adults with hydrocephalus were usually born with normal brain anatomy, but acquired a blockage due to a tumor, injury, bleed or infection. However, many cases of hydrocephalus in adults occur without a history of these preceding illnesses. CT and MRI scans are sensitive tools in detecting hydrocephalus, particularly when it's striking enough not be confused with ventricular enlargement due to gradual loss of surrounding brain tissue from aging. The main treatment of hydrocephalus is for a surgeon to insert a tube (shunt) into one of the swollen lateral ventricles and provide an alternative pathway for the backed-up CSF to drain. Once the shunt equipment is in place, a piece of hardware about the size of a large button sits outside the hole made in the skull (but inside the skin of the scalp) and redirects the excess CSF through another tube into either a jugular vein in the neck or into the abdominal cavity (peritoneum). Thus, the patient can receive either a "VJ" shunt or a "VP" shunt, with the letters designating the locations of the two ends of the shunt. The success or failure of shunting depends not just on the skill of the surgeon, but also on the selection of appropriate patients. Sometimes hydrocephalus turns up unexpectedly on scans when doctors are looking for something else entirely. Although an unexpected finding like this should always cause the doctors to re-think the case, the point is that hydrocephalus doesn't always cause problems. Sometimes the hydrocephalus has been there for years and the brain has adjusted to it in a way that produces no symptoms. This is an example of a case that should not be shunted, though it would still be appropriate to monitor the patient and his or her scans over subsequent months and years. Who, then, should receive a shunt? The answer, in short, is people for whom the benefits of the operation exceed its risks. Identifying them, however, is the tough part. And the task is made even more difficult by the lack of randomized, controlled trials in which a group of patients receiving treatment is compared to an equivalent group of patients not receiving treatment. Although similar reasoning applies to adults thought to have internal (high-pressure) hydrocephalus, I'll lay out the decision-tree as it applies to external (normal-pressure) hydrocephalus. Published observations imply that shunts are most likely to help NPH patients who have the following features:substantial enlargement of all four ventricles a full "triad" of symptoms, including confusion, urinary incontinence and altered walking poor walking as the first of the three symptoms temporary improvement of symptoms after drainage of 50-60 milliliters (2 ounces) of CSF by lumbar puncture (spinal tap) The elderly patients most at risk for NPH are also at increased risk for other diseases, and the shunting operation doesn't help symptoms produced by other causes. For example, confusion can be caused by Alzheimer's disease and strokes. Urinary incontinence can be due to prostate disease in men and sagging pelvic tissue in women. Walking can be disrupted by arthritis, fractured bones, low vision, inner-ear disease, Parkinson's disease and many other unrelated processes. So it's important for the doctor to determine if other diseases might be to blame for the very symptoms that seem, at first glance, to be from NPH. Assuming that NPH still seems likely, the next round of decision-making concerns the possibility that an operation will cause harm. Even a patient whose brain scan and symptoms are classic for NPH can develop serious complications from the operation. A particularly feared complication is bleeding into the space outside the brain, called a subdural hematoma. Older patients are also more likely to have other medical conditions that could compromise the safety of an operation, like coronary artery disease or emphysema. Cases in which expected benefits of the operation are much greater than risks, or in which the risks are much greater than the expected benefits, are easy to make decisions about. But many other cases are in the gray zone in which potential benefits and risks are more evenly matched and the chances of doing harm with an operation come close to canceling out the chances of doing good. (C) 2006 by Gary Cordingley com enlarement penis penis pump pennis enlargement surgery penis elargement forum penile enlargment surgery cost sex vig rx penile enlargment doctor penile enlargement drug surgical penis enhancement

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Your grandma just left you an oil painting and you need a few copies; one for appraisal purposes and two for your siblings who would love to have a copy, too. A trip to the professional photographer involves a set up fee, print cost, and a negative that is unavailable for sale. The painting is too big for a flat bed scanner so digital copies are not feasible. One solution is to copy it yourself. A good 35mm SLR camera with a normal lens will probably focus to two and one half feet. Even better is a six or eight megapixel DSLR or EVF camera. Use an ISO setting of 100 or slower. Critical is the correct use of lighting. Allowing the surface texture to show in your copies prevents displaying the true color and values of the picture. Ideally, two identical incandescent lamps in reflectors angled at forty-five degrees will minimize surface reflections. Place the painting vertically and line up the camera on a tripod exactly perpendicular to the painting. An alternative is to use the sun at a forty to fifty degree angle. Any other unbalanced source (single) is to be avoided. Fill the view finder to about 80% of the viewfinder and check to see that all edges are parallel. The circle of light cast by the lamps determines the distance from the lights to the picture. Make sure all of the painting surface is evenly lit. Use an 80B filter with outdoor film or set your digital white balance at incandescent. A filter is not needed if electronic flash is the source of light. Electronic flash must be metered with a flash meter or calculated using the guide on the back of the flash. Equalize the distance from each flash to the center of the painting and aim the center of the cone of light at the furthest edge of the painting. Bracket your exposure one stop over and under the recommended F stop. F8 or F11 are the sharpest F stops. The resulting proofs are NOT a good guide to choosing the negative with the best quality. If a digital camera was used then print a small test picture before making the enlargement. When viewed over a well lit white surface, it is not too difficult to choose the negative with the best color and contrast. A slight increase in contrast is generally considered a plus. When done properly, it is difficult for the average person to tell the difference between the copy and the original when viewed from a normal distance. penis enhancement traction device pnis enlargement procedure manual penis enargement exercise penile enlargment tip herbal penis enlargement penis enlargement technique penis enlagement surgery picture magna rx results vimax top penis enlargement pills

Whether it’s for impotence, endurance, libido, enlargement… male enhancers seem to provide the solution for all. With time and demand male enhancers have greatly grown into a multi million dollar industry. Yet, do the promises of “larger penis size”, “huge orgasms” or “hard rock erections” really get fulfilled? Sex is very important to men. Men are practically made to have greater sex drives and want sex more often than women. Thus, most men hold sex issues very personally. Whether it’s size or impotency, it all comes down to embarrassment a problem that needs to be solved without hurting yourself more. And that’s why the male enhancer market has grown so much. Now on the market you can find everything from chemical based formulas to all natural male enhancers. Even if your problem isn’t so bad like an erectile dysfunction, it’s still somewhat embarrassing to go to your doctor and confess. You want to face it like a man and find the solution yourself. So you go online to investigate. You sit tight and experience the world of male enhancers. All basically offer you the same thing… a bigger penis, more orgasms, become a porn star and more. Who doesn’t want to have all of this? Now the choice is which one to pick, and with all the news about side effects from other pills you maybe skeptical about getting more harm done than good. Fortunately the natural herbs come to save the day. In an article by Boris Boki the author mentions, “There is always a chance to enhance your sex live with the help of food. It is not a secret that many natural enhancement pills are based on well-known ancient aphrodisiac, mostly exotic, like Cayenne Fruit, Chinese Ginseng, Horny Goat, Ginkgo and others. They also contain vitamins (Vitamin B3, Vitamin E) and minerals like Zinc.” Thus a wide majority of male enhancer industries have formulated all natural penis pills without all the man-made chemicals and possibilities of dangerous side effects. Don’t go crazy now. You still got be on the safe side and read through all the ingredients before you buy any male enhancer that way you’re sure it’s 100% natural. Also make sure that company has some type of reasonable guarantee, you never know. Make sure that if just incase you start to feel any side effects you can get a refund. Male enhancers do really work, as long as they’re all natural. Always make a through investigation of any male enhancer you’re considering in buying, in this case you really don’t want to risk the side effects. Take some time so you can be sure to get the results you wanted. Have a better sex life, be more confident and do it all discreetly, safely and 100% natural. penis enlagement pump vimax do penis enlargement pills work enlargement manhattan penis vimax surgical penis enlargement prosolution penis enhancement pills pnis enlargement review vimax penis enlagement best pennis enlargement pills vimax top penis enlargement pills

Search engines index millions of web sites to generate the search results they return for key words. They do this using “spiders”. Most search engines have their own spider that crawls around the web looking for web pages. Spiders are also known as “robots” because they are simply tiny little programs that run automatically, looking for web pages and recursively traveling through the embedded text links to index them. Most robots look for a robots.txt file in the top-level directory of your web site, also known as the “root” where your home page is located on the web server. The robots.txt file is a simple text file created in a basic text editor, like Notepad. It allows you to control what the spider is allowed to access and what it is not allowed to access or index. The format of the basic robots.txt file is pretty simple: User-Agent: [Spider Name] Disallow: [File Name] For example, to allow ALL robots complete access to your web site, your robots.txt file will look like this: User-agent: * Disallow: The asterisk is a “wild card” character that represents ALL robots. Leaving the Disallow line blank indicates to the robots, that nothing on the site is disallowed. The next example bars all robots from the cgi-bin (where your scripts are typically located), images directories, and the portfolio directories: User-agent: * Disallow: /cgi-bin/ Disallow: /images/ Disallow: /portfolio/ Note: You should use a separate Disallow line for each directory or individual file. In this example, you may wonder why you would want to disallow a robot from indexing your portfolio directory. If you are a photographer and you have thumbnail images on a portfolio page that link to enlargement pages launched in a pop-up window, you may not want those pop-up pages indexed. These are called “dead-end” or “orphaned” pages because only the enlarged image appears on the page with no contact info or menu links back to the main site. If the visitor entered your site on one of these pages, they would have nowhere to go and no way to contact you. For a live example, check out www.AnJPhotography.com and look at her wedding portfolio. When you click on an image, it opens in a new window. The page in the new window is a “dead-end” page. A robots.txt file can keep search engines from indexing these “dead” pages so you don’t leave site visitors stranded. This example keeps googlebot (the Google spider) from getting at the private.htm file: User-agent: googlebot Disallow: private.htm When you create your robots.txt file it is extremely important that you use a basic text editor (like Notepad) and NOT a word processing application like Microsoft Word. Applications like Microsoft Word can insert hidden characters that may make your robots.txt file unreadable. After you post your robots.txt file to the web server, you can validate it to make sure it is properly formatted. There are several free validators on the web. Here is one: http://www.searchengineworld.com/cgi-bin/robotcheck.cgi There are several advantages and some disadvantages of having the robots.txt file in your root directory. Protocol requires that all search engine robots start indexing your web site with the robots.txt file. This is the default entry point for robots if the file is present. Major search engines will never violate the Standard for Robots Exclusion. This is the primary reason it should be there. Beyond that, it can help with your search engine rankings when used correctly, and it can keep dead pages on your web site from being indexed. The primary disadvantage is that the robots.txt file may be viewed by nefarious individuals on the web, so you never want to use the robots.txt file to try to hide sensitive pages or directories on your web site (like passwords or private information). For more information about the robots.txt file and complete list of robots, visit the following web site: http://www.robotstxt.org/wc/robots.html blood erection vimax penis pills vimax penis enlargement fact penis enlargement surgeries pennis enlargement pills review best penis elargement surgery magna rx patch pnis enlargement surgery picture penile enlargement surgery photo vimax top penis enlargement pills

One of the more popular plastic surgery procedures involves breast enlargements. Let us take a closer look at the type of procedures available. Enlargements are often thought to be the most popular form of plastic surgery. In truth, it is the third most popular procedure and covers more option than most people consider at first blush. The procedure is technically known as augmentation mammaplasty. It involves the placement of an implant into both breasts for the purpose of enlarging and shaping the breasts. The earliest form of this procedure was undertaken in the 1860s in Germany with fatty tissue from the body used to perform the enhancement. As time passed, silicone implants became the implant of choice, leading to one of the most contentious debates in medical science. Ultimately, the silicone implants were banned in 1992 by the Federal Drug Administration. Improved design and further medical research has led to the reintroduction of some silicone implants and the FDA is considering approving further models. There are several techniques used in enhancements and you should discuss the best option with your plastic physician. Nonetheless, the options are sub-glandular where the implant is placed in the body of the breast, sub-muscular for small chested individuals where the implant is placed below the musculature, and sub-fascial where the implant is placed between the muscle and outer fascial. The specific procedure is dependent upon the pre-existing conditions each person has. A second issue that you need to keep in mind is the type of incursion technique. Specifically, where will the surgeon create an incursion in the body to put the implants? The axillary approach involves creating an incision in the arm pit and bringing the implant in from the side. Peri-Areolar involves an incision around the lower half of the nipple, in a semi-circle format. The Infra-mammary approach involves an actual incision into the lower flesh area. The incursion technique should be discussed carefully with your surgeon, particularly as it pertains to scarring issues. Incisions result in scars, and even tiny ones have to be taken into account. The decision to have enlargement surgery necessarily involves a lot of choices. Make sure to fully discuss the options, risks and benefits with your physician to determine if the surgery is appropriate for you and the best option to get a result you are happy with in the future.