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gastro-esophageal reflux disease and Learning Disorders



gastro esophageal reflux, or GERD, is a disorder of the gastro-intestinal tract that also causes burning in the larynx so irritating vocal apparatus, altering his voice.

PHYSIOLOGY When we eat, food passes from the mouth to the stomach through the esophagus. Between the esophagus and the stomach is a valve. This valve opens and closes. It opens for food. It closes immediately after it has passed into the stomach.
PATHOLOGY If the valve between the esophagus and stomach is not working well, that opens when should happen to the food you eat come back.
The food and gastric juices (acid) coming back from the stomach into the esophagus.
And it is precisely the presence of acid in the esophagus that irritates the esophagus causing reflux symptoms (pain, inflammation)
Reflux is caused by different causes. It can be both a physiological and pathological conditions (ie illness). And its consequences will vary depending on the frequency with which it occurs.
It is unclear how the different factors that contribute to gastroesophageal reflux contribute to laryngeal damage. The extended pH monitoring of patients with hoarseness or a chronic cough showed abnormal acid reflux in the distal which is rather inconsistent in amount in the pharyngeal region.
In order to relieve the symptoms of reflux is necessary to follow specific and changing some eating habits, as well as the recruitment of anti-reflux.


FOODS TO AVOID MILK AND CHEESE: high fat and spicy cheese, whole milk;
Soup beef broth or bouillon;
MEAT. pork fat, fried food, sauces, fatty meats and smoked meat, oil, meat sauces, gravies made;
sausages. all
LEGUMES. all;
VEGETABLES: raw tomatoes, tomato sauce
FRUIT: Citrus
eggs: fried or boiled;
sweets. pastry with cream or liquor, chocolate, confectionery industry in general;
BEVERAGES: Tea, coffee, spirits, soft drinks, juices in general;
CONDIMENTS: butter, lard, margarine, nut
Avoid, if possible, NSAIDs
FOOD PERMITTED
milk and cheese: fresh cheese (ricotta, mozzarella, growth), grain, and parmesan cheese, skimmed milk;
Soups: vegetable soup, vegetable soup;
MEAT - FISH: veal, beef, rabbit, turkey, skinless chicken, fish fresh or frozen, lamb (cooked grilled, skewered, boiled);
affection: raw or cooked ham very thin, cured;
eggs: boiled, poached,
FRUIT: Fresh seasonal, preferably without skin, raw or cooked;
SWEETS: Milk puddings, biscuits, honey, jams and jellies, sugar, sweets prepared at home;
BEVERAGES: Carbonated mineral water, herbal teas;
CONDIMENTS: extra virgin olive oil.

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IT'S TIME TO GO BACK ...

1
The last two months in the Australian land spend traveling and discovering other new wonders of the infinite earth.
book a tour from Broome to Darwin 9-day long national park in the Kimberley, the largest on the continent. I was presented with a scenario quite different: forget the endless blue ocean, white beaches and bays to forget postcard. In front of me a tropical vegetation, towering palms and a huge green leaves around me, huge waterfalls and pools of fresh water, crocodiles are relaxing on the banks of the river, hot springs and other wonderful freaks of nature that, thank God for these share has remained untouched. 9 days sleeping on the ground under the stars, thanking his life for giving me these unforgettable moments.
From Darwin to fly to Brisbane. The temperature in the capital of the Northern Territory is suffocating: it is the beginning of the so-called Wet Season (rainy season), there is high humidity and in the evening the temperature exceeds 35 degrees Celsius. If it is hot now I dare not imagine how it will be in the middle of this season!
arrived in Brisbane decided to go to visit Fraser Island, the largest sand island in the world. The scenery is spectacular, driving on the beach with an ocean of deep blue that runs alongside you. Dingo and whales are the contours in these 3-day stay on the island. A visit to a lake called Mc Kenzie, with water so clear that is the envy of the ocean: it looks like anything but a lake! I think I have seen water so clear a few times. Alas
time is short, it's time to move closer to Sydney, where he will close the circle.
On the way down, I stop at Yamba, a small town just south of Byron Bay. Perhaps my consistency is not 100% right now, but I decide to stop in this place to spend some 'time with Alex, the guy who I met in the pearl farm. After all I spent with him these past two and a half months, is the person with whom I have close relationship more sincere and true in everything this year, is an important person who has been part of my journey called life of Australia and for any reason I will never forget. I
him an opportunity to confirm the ideas that I had done all these months on the Australians. I was a guest of Alex and his Aunt Ming, I was a guest of their friends and living in their homes, I never felt a foreigner, but on the contrary, I felt perfectly at ease, at home, I have always treated as one of them. Hospitality, friendliness and hospitality are innate characteristics of this people. (They also have many faults, do not you think! But this is not the place, maybe in another post).
The last two weeks spent in Down Under in Sydney, where the circle closes. I love this city, maybe a little 'chaotic and travel, but full of magical atmosphere that captures me and makes me spend hours sitting and watching the Opera House, without experiencing the feeling of wasting time or losing. I get drunk with happiness if it were not for the thought that the days go by in a hurry and is approaching the fateful November 10.
And so I find myself at the airport, with tears that never cease to fall from my cheeks and with a sense of selfishness that comes over me ... I should be excited to go home, see my family and my friends, and but not quite so ... Perhaps it is partly but I find myself crying continuously with an infinite sadness in my spirit, with the other part of me that wants to get on that damn plane. Here's how I feel, a succession of strange feelings and sensations that is driving me crazy. I will never forget a single day of this year. A farewell to Sydney Opera House and the plane that is taking me away, but with a promise in my heart: "See you again soon!"


A year in Australia, away from the routine and everything you built in a lifetime. A year full of emotions and unforgettable memories and a sincere smile. The year of living my life. One year he gave me a new Laura that maybe I did know the real Laura. A

Laura has always had a little 'fear and who now feels the bravest in the world. A
Laura has never had great respect for herself and now is much more secure and aware of his qualities. A
Laura once complained often and now understood that it is nothing to be happy, just the desire to live with a smile. A
Laura did not know the concept of multiculturalism and who now sees no difference between people. Laura A
a time a little 'timid and now has a thirst for new challenges. Laura A
before equating the word with the word live there and who now felt the sharp distinction between the two. A
Laura was not so sure of that "wanting is power" and that he now knows that you just want to get something truly and deeply. A
he saw Laura in linguistic and cultural diversity an important barrier in interpersonal communication and that now he understood that it is only ignorance to make us believe certain things. A
Laura had not fully learned the gift of life and now feels the most fortunate of the world.

I think I could go on for hours. Every day a new discovery and that is why the thirst for travel and to know is alive in me, and I think I can choke now that I discovered what it is. Thanks
Australia, thanks for making me stop and think, thank you for having taught me the true love of life and for teaching me things that I did not and could never learn by living like a machine in today's society. Thanks for making me realize that happiness is within each of us, and it takes very little to notice. I will treasure all that you taught me, in my heart for the rest of my life.

Polyp In Roof Of Mouth

It was found in recent years, an increased incidence of learning disabilities, even to my attention is more and more patients with this diagnosis.
What is this?
disorders cover a group of specific learning disabilities in children, where there are significant difficulties in acquiring and use of reading (dyslexia), writing (dysgraphia) and calculation (dyscalculia). The diagnosis of dyslexia, dysgraphia and dysorthography of dyscalculia, is made following the results of specific tests on reading, writing and mathematics, and sometimes there may be an association between deficits (disorders of reading and calculation). Very often such disturbances are associated with attention deficit and hyperactivity, or conduct disorder, oppositional-defiant disorder to, those with depression or anxiety.

The prevalence of such disorders in school-age population, according to most studies, is between 2-5%. Among the cases were investigated primarily genetic factors and those acquired (brain suffering early injuries of various kinds, delayed maturation, etc.)..

DIFFERENTIAL DIAGNOSIS:
E 'clinically important to discriminate between specific developmental disorders of scholastic skills that arise in the absence of clinically diagnosable neurological conditions and those that are secondary to some neurological condition such as cerebral palsy. The specific disorders of scholastic skills are included within those affected by psychological development (eg the specific disorders of language, motor function). The differential diagnosis includes:

- Changes in school performance within the limits (low)
the standard - academic difficulties due to lack of opportunities, lack of education, cultural factors (IPOSTIMOLAZIONE ENVIRONMENTAL)
- learning difficulties arising from poor eyesight or hearing, unless the learning difficulties are in excess of what is usually associated with these deficits
- mental retardation, except those cases with level of learning (reading, writing, or calculation) significantly below the level expected on the basis of education and degree of mental retardation
-Pervasive Developmental Disorders, unless the level school is significantly lower than expected on the basis of education and intellectual functioning.
ERRORS MORE 'FREQUENTLY:
in reading are:
- omissions, substitutions, additions of words
- slow reading
- false starts, hesitation, loss of staff
- inability to remember and understand the text read
in writing are:
- inability to distinguish letters very similar to the form ('m' and 'n', 'b' and 'd', 'p' and 'q') or sound ('d' and 't', 'b' and 'p');
- reversal of letters ('id' to 'of', 'lad' for 'from');
- omission of letters or syllables in of a word ('gifts' for 'tomorrow');
- replacing whole words in a trial ('auto' instead of 'air');
- no double;
- the text is in the free composition short, poor vocabulary, the composition of words into sentences and poor punctuation lacking.
in arithmetic you experience such difficulty
- difficulties in the sphere of logic (concept of quantity, size, spatial organization)
- difficulty in simple calculation

These children may appear lazy, distracted, lazy, but actually display a great emotional distress and social development. It 's very important to the diagnosis and early treatment to prevent graft in these children a sense of inadequacy and frustration, which can then determine anger, low self-esteem and loss of interest in school.
The diagnosis is made through consultation with a specialist (pediatric neurologist or speech therapist) and the treatment varies depending on the case, may provide the only speech therapy or it may be associated with psychomotor or psychotherapy (for age).

Megastreaming Does It Work?

11 Novenber, 2009 to Vaccera

I decide to do this week out because the weather is favorable, and so it is! At about 1000m
are the first traces of snow on the roadside but the road is all cleaned up to the hill where I found the last stretch of road leading to the shelter covered with 20cm of fresh snow.
The sight of snow makes me a bad effect throughout the night and hope not to find patches of ice on the road.

I took this picture, eager to Maximus, known on the amateur astronomer place, with his telescope because it seems that the sign indicating "no parking" for telescopes over the hill! I hope not!

Around 18 is dark enough to start shooting.

Night textbook, no wind and humidity, but with the temperature of -2 ° brrr!!

Something had to go wrong!

I have not cared for well, the focus with the result of having to throw away all the shots!

I'm at least able to verify the validity of the recent maintenance that I did at the Sphinx, now chasing well at low temperatures.

At 2 am dismantle the equipment and go down by much watch where you put the wheels, now there are several patches of ice and go down with extreme caution since I do not have the tires for the season.

you next!