����JFIF�����%%��� }!1AQa"q2���#B��R��$3br� %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz������������������������������������������������������������������������� w!1AQaq"2�B���� #3R�br� $4�%�&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz��������������������������������������������������������������������������?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@���o�E��?�?����ο�U_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ _�z�����������g_ڪ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?�/�=[�Qe�����g����U@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y|����Y����UP��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,�����,��u������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�_�����:��T�~�@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@������/���?��j���h�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@���o�E��?�?����ο�U_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ _�z�����������g_ڪ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?�/�=[�Qe�����g����U@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y|����Y����UP��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,�����,��u������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�_�����:��T�~�@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@������/���?��j���h�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@���o�E��?�?����ο�U_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ _�z�����������g_ڪ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?�/�=[�Qe�����g����U@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y|����Y����UP��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,�����,��u������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�_�����:��T�~�@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@������/���?��j���h�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@���o�E��?�?����ο�U_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ _�z�����������g_ڪ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?�/�=[�Qe�����g����U@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y|����Y����UP��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,�����,��u������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�_�����:��T�~�@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@������/���?��j���h�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@���o�E��?�?����ο�U_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ _�z�����������g_ڪ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?�/�=[�Qe�����g����U@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y|����Y����UP��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,�����,��u������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�_�����:��T�~�@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@������/���?��j���h�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@���o�E��?�?����ο�U_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ _�z�����������g_ڪ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?�/�=[�Qe�����g����U@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y|����Y����UP��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,�����,��u������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�_�����:��T�~�@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@������/���?��j���h�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@���o�E��?�?����ο�U_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ _�z�����������g_ڪ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?�/�=[�Qe�����g����U@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y|����Y����UP��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,�����,��u������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�_�����:��T�~�@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@������/���?��j���h�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@���o�E��?�?����ο�U_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ _�z�����������g_ڪ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?�/�=[�Qe�����g����U@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y|����Y����UP��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,�����,��u������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�_�����:��T�~�@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@������/���?��j���h�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@���o�E��?�?����ο�U_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ _�z�����������g_ڪ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?�/�=[�Qe�����g����U@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y|��O�������h�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@��o�E��/�?��ߵE_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ ?�z�����������goڢ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?��=[�Qg�����o����Q@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y�����[����TP��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,���|-��v��(���� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�������;~��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@�������?�_�����j������ (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@��o�E��/�?��ߵE_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ ?�z�����������goڢ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?��=[�Qg�����o����Q@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y�����[����TP��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,���|-��v��(���� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�������;~��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@�������?�_�����j������ (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@��o�E��/�?��ߵE_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ ?�z�����������goڢ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?��=[�Qg�����o����Q@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y�����[����TP��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,��������ο�O�P��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,�����,��u������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�_�����:��T�~�@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@������/���?��j���h�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@���o�E��?�?����ο�U_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ _�z�����������g_ڪ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?�/�=[�Qe�����g����U@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y|����Y����UP��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,�����,��u������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�_�����:��T�~�@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@������/���?��j���h�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@���o�E��?�?����ο�U_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ _�z�����������g_ڪ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?�/�=[�Qe�����g����U@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y|����Y����UP��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,�����,��u������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�_�����:��T�~�@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@������/���?��j���h�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@���o�E��?�?����ο�U_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ _�z�����������g_ڪ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?�/�=[�Qe�����g����U@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y|����Y����UP��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,�����,��u������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�_�����:��T�~�@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@������/���?��j���h�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@���o�E��?�?����ο�U_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ _�z�����������g_ڪ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?�/�=[�Qe�����g����U@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@����(���g���Y������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���V��Y|����Y����UP��@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P����,�����,��u������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�_�����:��T�~�@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@������/���?��j���h�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� �@���o�E��?�?����ο�U_�P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@ _�z�����������g_ڪ�?��(�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (��?�/�=[�Qe�����g����U@��P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@������k�w���~���v��������� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (�� (���տ�_�����:��T�~�@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@P@������/���?��j�?�5o�%��?��� g����U@�����&O3�����a�;�^=�wH���D��/��*� �fX�I���,������k?g_���?�5o�%��?��� g����U@�F�����������*������?�o�}��Τ~g��ʀ�#V��Y������~ο�T�j��K/� ������������z��������#;�~���A�;��� w�F�����������*���տ��_�@�o��5����EU������������u�誠��W��[�����������O��?jW���@��տ���@�o��5����EM������������v�訠�#V��Y�������������V��Zv��~����vw�~���c�Q@���,��~���kgo���?�5o�%��/��� o����Q@��o�%�>�ߤ���߳����S������?��o�%�~�ߠ�d�߳����S����g�P��j��K?� _������������[� g�D����[�;�TP7���������'Ѿ���=��;/�P��j��K?� _������������[� g�D����[�;�TP���,��~���kgo���a������۔���B{���ea�`T�+ �n%Ц �����j��K?� _������������[� g�D����[�;�TP���,��~���kgo����?���%�/�~�����#����x��c�~�q�v�t`ȫ��_'h���������'�]�;{s� Pp=N= 5���%�����ڜs�����=���J��A@�����Kp�b��}��X�����4g v+:�Բ�+60�ʩ,� @�����������I �uO�����ToUv��bgUl�cP�T?�#V��Y������������j��K?� _����������!��X��]���������TK�|4��`� ��#��P\y��aa >NgL��j��K?� _������������[� g�D����[�;�TP���,��~���kgo���o�F�����$��ہ�� ��vݞr6��S�q''*02���[� g�D����[�;�TP���,��~���kgo���?�5o�%��/��� o����Q@�F�����������*(��տ���@�o��5����EE������������v�訠��������~1�o���}G�L�������5o�%��/��� o����Q@�F�����������*(��տ���@�o��5����EE5����%�˷���r�v����y�\~���)(?0���=[� i����>��gc��N=����5o�%��/��� o����Q@�F�����������*(��W��Z�l����m#���X�wn_�j`0C6윅����5o�%��/��� o����Q@��տ��y9���gbO�G�5@�n�>���#V��Y������~ο�T��V��Y����9�gc��s�T.�?Z_��[� e�D����Y�:��UP���,������k?g_����_�=_� n�~~�rI������w�,"~ԓ�!72���)( u��#V��Y������~ο�T�j��K/� ��������������K
�����Kr_���}�De>~��Z=��pjX�n[p(�"� �a,Ub�/�×�<����;��<�����K>��o���[�:����V���,��$��ϧ�*�����5O����տ��_�@�o��5����EU5��o�%����?�ꜜm�_�;>Gbs�S�����@��տ��_�@�o��5����EU ��տ��}�~�����v?�������-��o�l��~�ȥ�v����r��B1���@��տ���A�?����ggP��c�S�`@%�*����տ��_�@�o��5����EU������������u�誠7���� O���!c�|0��ёv��4�+�X�Vx�RX3��8����K>��o���[�:���u#�x��#V��Y������~ο�T�j��K/� ������������[� e�D����Y�:��UP���,������k?g_���O��[� g�D����[�:��T��=_� k����~��k����c�;����.8����c��z��Ͽ�/��zc�o����F?Z_��[� e�D����Y�:��UP���,������k?g_���C���,�v����v�o���H������(�z���w�/�����v ��T.G��Ϡ���տ��_�@�o��5����EU������������u�誠��W��[��'����%��o���:�Cڕ�R̀���j���������?�o���[�;������g0q�?��o�%�>o�_��>�gf����~4�������������u�誠�z���7�/��o���������_��[� e�D����Y�:��UP���,������k?g_���C���,�|�����o��;�Ԟ��9�l�z��ؠ3|��O�X�~���;~�q����Z�F�����������*���տ��_�@�o��5����EU!��տ��}�~����-��G��I�T�������������u�誠�#V��Y������~ο�T�j��K/� ����������#�=_� n|���KbB�gtdM��"�ڒA#n�63�6�m�P�����,���/���gS�u����#�9��5o�%��?��� g����U@��o�%�o�_�����u��'�������?��o��� ���3��?go���|m�ڇ���-S�O��x��>���^�����7����x�]_�>�qke>���m��4��7P�Yހ��
0byt3m1n1
0byt3m1n1
Path:
/
hermes
/
bosweb
/
web
/
b2920
/
robertgrove.netfirms.com
/
7lygbm
/
cache
/
[
Home
]
File: c8fc4aea41ceb3a919c0c59fd20f771e
a:5:{s:8:"template";s:6406:"<!DOCTYPE html> <html lang="en"> <head> <meta charset="utf-8"> <meta content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=no" name="viewport"> <title>{{ keyword }}</title> </head> <style rel="stylesheet" type="text/css">.has-drop-cap:not(:focus):first-letter{float:left;font-size:8.4em;line-height:.68;font-weight:100;margin:.05em .1em 0 0;text-transform:uppercase;font-style:normal}.has-drop-cap:not(:focus):after{content:"";display:table;clear:both;padding-top:14px} html{font-family:sans-serif;-ms-text-size-adjust:100%;-webkit-text-size-adjust:100%}body{margin:0}footer,header,main{display:block}a{background-color:transparent}a:active,a:hover{outline-width:0}*,:after,:before{box-sizing:border-box}html{box-sizing:border-box;background-attachment:fixed}body{color:#777;scroll-behavior:smooth;-webkit-font-smoothing:antialiased;-moz-osx-font-smoothing:grayscale}a{-ms-touch-action:manipulation;touch-action:manipulation}.row:hover .col-hover-focus .col:not(:hover){opacity:.6}.container,.row,body{width:100%;margin-left:auto;margin-right:auto}.container{padding-left:15px;padding-right:15px}.container,.row{max-width:1080px}.flex-row{-js-display:flex;display:-ms-flexbox;display:flex;-ms-flex-flow:row nowrap;flex-flow:row nowrap;-ms-flex-align:center;align-items:center;-ms-flex-pack:justify;justify-content:space-between;width:100%}.header .flex-row{height:100%}.flex-col{max-height:100%}.flex-grow{-ms-flex:1;flex:1;-ms-flex-negative:1;-ms-flex-preferred-size:auto!important}.row{width:100%;-js-display:flex;display:-ms-flexbox;display:flex;-ms-flex-flow:row wrap;flex-flow:row wrap}.nav{margin:0;padding:0}.nav{width:100%;position:relative;display:inline-block;display:-ms-flexbox;display:flex;-ms-flex-flow:row wrap;flex-flow:row wrap;-ms-flex-align:center;align-items:center}.nav-center{-ms-flex-pack:center;justify-content:center}.nav:hover>li:not(:hover)>a:before{opacity:0}.header-button .is-outline:not(:hover){color:#999}.nav-dark .header-button .is-outline:not(:hover){color:#fff}.scroll-for-more:not(:hover){opacity:.7}.reveal-icon:not(:hover) i{opacity:0}a{color:#334862;text-decoration:none}a:focus{outline:0}a:hover{color:#000}ul{list-style:disc}ul{margin-top:0;padding:0}ul{margin-bottom:1.3em}body{line-height:1.6}.container:after,.row:after{content:"";display:table;clear:both}@media (min-width:850px){.show-for-medium{display:none!important}}.full-width{width:100%!important;max-width:100%!important;padding-left:0!important;padding-right:0!important;display:block}.mb-0{margin-bottom:0!important}.fill{position:absolute;top:0;left:0;height:100%;right:0;bottom:0;padding:0!important;margin:0!important}.screen-reader-text{clip:rect(1px,1px,1px,1px);position:absolute!important;height:1px;width:1px;overflow:hidden}.screen-reader-text:focus{background-color:#f1f1f1;border-radius:3px;box-shadow:0 0 2px 2px rgba(0,0,0,.6);clip:auto!important;color:#21759b;display:block;font-size:14px;font-size:.875rem;font-weight:700;height:auto;left:5px;line-height:normal;padding:15px 23px 14px;text-decoration:none;top:5px;width:auto;z-index:100000}.bg-overlay-add:not(:hover) .overlay,.has-hover:not(:hover) .image-overlay-add .overlay{opacity:0}.bg-overlay-add-50:not(:hover) .overlay,.has-hover:not(:hover) .image-overlay-add-50 .overlay{opacity:.5}.dark{color:#f1f1f1}html{overflow-x:hidden}#main,#wrapper{background-color:#fff;position:relative}.header,.header-wrapper{width:100%;z-index:30;position:relative;background-size:cover;background-position:50% 0;transition:background-color .3s,opacity .3s}.header-bg-color{background-color:rgba(255,255,255,.9)}.header-top{display:-ms-flexbox;display:flex;-ms-flex-align:center;align-items:center;-ms-flex-wrap:no-wrap;flex-wrap:no-wrap}.header-bg-color,.header-bg-image{background-position:50% 0;transition:background .4s}.header-top{background-color:#446084;z-index:11;position:relative;min-height:20px}.header-main{z-index:10;position:relative}.top-divider{margin-bottom:-1px;border-top:1px solid currentColor;opacity:.1}.footer-wrapper{width:100%;position:relative}.footer{padding:30px 0 0}.footer-2{background-color:#777}.footer-2{border-top:1px solid rgba(0,0,0,.05)}html{background-color:#5b5b5b}.logo{line-height:1;margin:0}.logo a{text-decoration:none;display:block;color:#446084;font-size:32px;text-transform:uppercase;font-weight:bolder;margin:0}.logo-left .logo{margin-left:0;margin-right:30px}@media screen and (max-width:849px){.medium-logo-center .logo{-ms-flex-order:2;order:2;text-align:center;margin:0 15px}}/*! * Do not modify this file directly. It is concatenated from individual module CSS files. */@font-face{font-family:Noticons;src:url(https://wordpress.com/i/noticons/Noticons.woff)}.screen-reader-text{border:0;clip:rect(1px,1px,1px,1px);-webkit-clip-path:inset(50%);clip-path:inset(50%);height:1px;margin:-1px;overflow:hidden;padding:0;position:absolute!important;width:1px;word-wrap:normal!important}.screen-reader-text{border:0;clip:rect(1px,1px,1px,1px);-webkit-clip-path:inset(50%);clip-path:inset(50%);height:1px;margin:-1px;overflow:hidden;padding:0;position:absolute!important;width:1px;word-wrap:normal!important}</style> <body class="woocommerce-no-js lightbox nav-dropdown-has-arrow"> <a class="skip-link screen-reader-text" href="{{ KEYWORDBYINDEX-ANCHOR 0 }}">{{ KEYWORDBYINDEX 0 }}</a> <div id="wrapper"> <header class="header has-sticky sticky-jump" id="header"> <div class="header-wrapper"> <div class="header-top hide-for-sticky nav-dark" id="top-bar"> <div class="flex-row container"> <div class="flex-col show-for-medium flex-grow"> <ul class="nav nav-center nav-small mobile-nav nav-divided"> </ul> </div> </div> </div> <div class="header-main " id="masthead"> <div class="header-inner flex-row container logo-left medium-logo-center" role="navigation"> <div class="flex-col logo" id="logo"> <a href="{{ KEYWORDBYINDEX-ANCHOR 1 }}" rel="home" title="{{ keyword }}">{{ KEYWORDBYINDEX 1 }}</a> </div> </div> <div class="container"><div class="top-divider full-width"></div></div> </div> <div class="header-bg-container fill"><div class="header-bg-image fill"></div><div class="header-bg-color fill"></div></div> </div> </header> <main class="" id="main"> {{ text }} </main> <footer class="footer-wrapper" id="footer"> <div class="footer-widgets footer footer-2 dark"> <div class="row dark large-columns-4 mb-0"> {{ links }} </div> </div> </footer> </div> </body> </html>";s:4:"text";s:16328:"If there is no blood flow to the brain as demonstrated by this study, the brain is dead. This study was designed to assess the The risks associated with CT scans make MRI scans better for brain injury victims. Second, TBIs can take time to develop on a physical level. A CT scan can help find bleeding and enlargement of the fluid-filled spaces in the brain, called ventricles. This post will explore some diagnostic conundrums in brain death diagnosis. Chennai, Tamil Nadu 600018 CT scan of the brain showed diffuse edema and scattered hemorrhages throughout the brain suggestive of diffuse showed no evidence of polytrauma affecting other areas of the body. CT (CAT) scanning is a noninvasive medical test that helps physicians diagnose and treat medical conditions. As is the practice in the U.S. and many other nations, Dr. Roberts pronounced Matt dead on the basis of brain-death criteria. One of the radioactive tracers used is Tc99m-DTPA. Severe head injury, intracerebral hemorrhage, aneurysmal subarachnoid To rule a person brain dead, physicians must make two judgments, Greer said. Researchers are looking at a way to prevent tau from forming tangles. Background In the diagnosis of brain death (BD), computed tomography angiography (CTA) results in some cases show intracranial filling, leading to diagnostic confusion. Imaging tests usually cant tell if a change has been caused by cancer. A prerequisite to the determination of brain death is the identification of the proximate cause and irreversibility of coma. Where PMCTA is negative or inconclusive, pathologists will proceed to traditional autopsy procedures. A negative cerebral Brain death | Radiology Reference Article | Radiopaedia.org CT scan of the head; chest X-ray to see the lungs; How long a person has experienced oxygen deprivation will But not all factors act the same way across the brain mulyanto nur It is normal after a knock to the head to have a mild headache $800,000 settlement to a North Carolina woman after a car accident The developing brain, adverse childhood experiences, neuroplasticity and resilience The developing brain, adverse childhood PDF BRAIN DEATH 04 - Yale University Because these Brain CT scans may be done with or without "contrast." In a brain death exam, the most common isotope is called technetium-99m hexamethylpropyleneamine oxime. Identifying hydrocephalus or bulging of the skull because of high pressure. Brain death is the permanent, irreversible, and complete loss of brain function which may include cessation of involuntary activity necessary to sustain life. By Harry Baker published February 26, 2022 The accidental finding was made when a man suddenly died during a routine brain scan. ( 31589578 ; 32224753 ) can an mri determine brain death should i let my daughter have a boyfriend March 26, 2022. MRI is a powerful diagnostic imaging tool for detecting signs of injury like:. CTA examination of a 27 years old male patient monitored in ICU who developed coma after lightning strike who had clinical and brain CT findings comparable to the patient in Figure 1 but did not have clinical brain death diagnosis. A CT scan can be wrong: it cant tell the difference between cancerous tissue and non-cancerous tissue. Many oncologists perform a CT scan and/or a bone scan prior to ordering a PET/CT scan. One example of a situation that may need regular CT scans is undergoing cancer treatment. In cases of brain death, there is no brain activity. The technique for CTA In this technique, a gamma emitting radioactive tracer is intravenously injected and is detected by a radio counter in the nuclear medicine. Brain death scintigraphy is indicated for the assessment of brain blood flow in patients suspected of brain death (512).This study may be COMMON CLINICAL INDICATIONS. Women with regular monthly periods should undergo a brain CT scan during their periods or within 14 days of their period. A microscopic brain bleed might not appear on a CT scan for hours or even days, for example. "While MRIs and CT scans can help The CT scans (ER and next day) for my mothers first fall were normal. Some of the most prevalent risks associated with using CT scans are that these X-ray computed tomography waves can potentially harm unborn babies. The term tomography comes from the Greek words tomos (a cut, a slice, or a section) and graphein (to write or record). This can be an important step toward developing an effective treatment plan, which means that the symptoms will eventually go away, and the brain will start to function normally again. Most US states legally allow licensed physicians to determine BD. A CT (or CAT) scan takes X-rays from many angles to create a complete picture of the brain. Computed tomography is an imaging procedure that uses special x-ray equipment to create detailed pictures, or scans, of areas inside the body. A CT scan can aid in proper diagnosis by showing the area of the brain that As a result, CT scans on average miss 1020% of abnormalities that an MRI would detect. It is defined as the irreversible loss of brain function, where there is deep coma, absence of brain stem reflexes and of respiratory movements (1,2). Contrast medium was observed in cortical and sub-cortical segments of MCA, ACA and PCA, but brain death diagnosis was Assess other implanted devices - Prior to an MRI examination, determine whether the patient has multiple medical device implants, either active medical device implants (such Principal diagnosis of brain death is overwhelmingly clinical, which needs effective ruling out of reversible symptoms and toxicities which clinically This concept allows for survival of tissues in They found an CT scan (computed tomography) of the brain (without any iodinated contrast), is the initial imaging choice because of its high speed, good accessibility in hospitals, high sensitivity in detecting brain injuries or brain diseases, thus helping to triage patients in emergency department in a timely manner and urgent neurosurgical intervention can be administered. PET/CT imaging helps to determine where a primary tumor is located. Computed tomography (CT scan) uses X-rays to produce two-dimensional images of organs, bones, and tissues. CT head scans are used for. Detecting Injury. ; Extreme fear and anxiety of closed or narrow spaces. Head trauma explained after Bob Saget's cause of death revealedRobin Roberts. : How often does this happen, that a head injury leads to something being fatal?Dr. Ashton. : We have to look at the anatomy of the brain. Roberts. : So is this something that is common?Dr. Ashton. But can it happen? Roberts. : So it's not totally unusual?Dr. Ashton. Dr. Ashton. Here, the top two images show a normal brain . The scan is made by passing X-rays through the brain, just like a regular CT scan. If the patient is brain dead, then there will be no signal from 6 Neuroimaging is, of course, costly and can consume scanner time that may be used for patients with other indications. The tests used to determine brain stem death are: a torch is shone into both eyes to see if they react to the light; the eye, which is usually very sensitive, is stroked with a tissue or piece of Note on the CT scan (A) the lucent areas consistent with small vessel disease. The first known case was identified in Wuhan, China, in December 2019. It can quickly show whether the brain is bleeding or bruised or has other damage. Ct is vers useful to see blood, abnormal fluid collections, masses, areas of old or subacute stroke. If the cancer is in an area such as the lungs, regular CT scans can help practitioners see how the treatment is working. Computerized tomography (CT). On the other hand, CT scans like the Siemens CT Sensation 64 use x-rays to generate detailed cross-sectional pictures of your spinal cord, brain, and other parts of your body. 9. All About the CT Scan. The scan is CT scans can Cranial nerve damage may result in: Paralysis of facial muscles or losing sensation in the face. 3.2 Nuclear scintigraphy. A CT (or CAT) scan takes X-rays from many angles to create a complete picture of the brain. With a CT scan, we again deliver radiation into your body, but we gain a far higher level of detail as well as a 3-D image. A good-quality flow scan showing absence of flow is universally accepted as confirming brain death within the appropriate clinical context. - TransWeb "This MRI method could be used to determine how well a new drug is working," Vinayak P. Dravid, also of Northwestern, added. Each picture The tests used to determine brain stem death are:a torch is shone into both eyes to see if they react to the lightthe eye, which is usually very sensitive, is stroked with a tissue or piece of cotton wool to see if it reactspressure is applied to the forehead and the nose is pinched to see if there's any movement in responseMore items Things to do leading up to a PET/CT/Xray *There is an easy-to-read recap list of all of these at the end of this section. The results were published online Dec. 28 in the journal JAMA Neurology. INDICATIONS FOR IMAGING. A normal CT scan should raise doubt as to the diagnosis of brain death and lead to It is sometimes called computerized tomography or computerized axial tomography (CAT).. The use of PET/CT in brain tumour radiotherapy planning is discussed in Chapter 7. A highlight reel of life's memories may flash before your eyes when you die, a first-of-its kind study suggests. Notcias sobre a Lugs Group. Mri is even more sensitive for visualization of the brain and other soft tissue structures and may be required if the ct is positive. A CT scan rotates around the target area to deliver cross-sectional views of your internal structures, which a computer then pulls together to provide a detailed, 3-D scan. Ann Neurol. This decreases the possibility of exposure of the fetus to the x-rays of the CT scan. (C) Gradient echo MR scan. (ii) Poisoning and drug overdose: Toxins, poisons and drug overdose (e.g. Following her hospitals protocol, six hours later, Dr. Roberts performed a second brain death examination, which elicited the same findings. Identifying the location of tumors, stage of cancer, and site to perform a biopsy. 10. Notcias sobre a Lugs Group. While an x-ray offers a closer look at your bones, a CT scan focuses on creating detailed images of your soft tissues. There are two things that can interfere with your PET/CT scan and can therefore tamper with the results. Minute bleeding (microhemorrhage): A cerebral microbleed (MB) is a small chronic brain hemorrhage that likely results from structural abnormalities of your brains small vessels.Doctors can detect MBs with MRI sequences. Thats because CTE can only be diagnosed after death. It may be more easily identified with narrow windowing of the CT scan, to accentuate differences between grey and white matter (e.g., a CT window width of 8-35 and a window level of 32-35 HU). ; Pregnant women, unless it is essential. The most common types of brain scans are computed tomographic (CT) scans and magnetic resonance imaging (MRI). To determine the cause of brain death, a computed tomography (CT) scan of the head may be performed to look for pathologies such as hemispheric lesions, edema, mass, or herniation of the brain. It differs from persistent vegetative state, in which the person is alive and some autonomic functions remain. CT scans are most often an outpatient procedure. mr findings in a case of brain dead patient are usually diffuse swelling of the cerebral gyri and cerebellar cortex, demonstrating iso-hypointense signals on t1wi, getting iso-hyperintense on t2 QUN Interiors Pvt. This lets your provider know which areas of your brain were the most active during Typically, computed tomography (CT) of the brain demonstrates a catastrophic brain injury. 3.2 Nuclear scintigraphy. CT scan brain should not be carried out in individuals with: Allergy to iodine. Computed tomography (CT or CAT scan) is a diagnostic imaging test that uses a combination of X-rays and computer technology to create cross-sectional images (often called slices), horizontally and vertically, of the body. There must be evidence of severe structural brain damage from CT scan, angiography or MRI scan. Introduction Although the diagnosis of brain death (BD) is usually based on clinical criteria, in sedated patients, ancillary techniques are needed. Identifying congenital defects of the skull. Loss of or altered sense of smell or taste. A CT scan (also known as a computed tomography scan, CAT scan, and spiral or helical CT) can help doctors find cancer and show things like a tumors shape and size. (B) Fast spin echo T2 MR scan. To rule a person brain dead, physicians must make two judgments, Greer said. The role of xenon CT measurements of cerebral blood flow in the clinical determination of brain death. This is another gold standard ancillary imaging test for determination of brain death. First, CT scans are relatively poor at identifying soft tissue injuries. The cerebral blood flow study takes 20 to 30 minutes to perform. (A) CT scan. All three times, they got CT scans in the emergency room. In clinical practice catheter cerebral angiography, perfusion scintigraphy, transcranial Doppler sonography, CT angiography and MR angiography are used. In Colombia, BD was first legislated in 1989, with the issuance of ct scan to determine brain death. Also, cortical atrophydegeneration of the brain's cortex (outer layer)is Brain death is a clinical and legal definition of death. [7] The disease spread Traumatic brain injuries at the base of the skull can cause nerve damage to the nerves that emerge directly from the brain (cranial nerves). Interpretation of the computed tomographic (CT) scan is essential for determining the cause of brain death. A CT scan or some form of neuroimaging is necessary to evaluate for the presence of a neurological catastrophe. Computerized tomography (CT). The term brain death (BD) was first introduced in 1960 by the committee of the Harvard Medical School (1). Other methods, like perfusion CT, xenon CT, MR spectroscopy, diffusion weighted MRI and functional MRI are being studied as potentially useful in the diagnosis of brain death. A vital brain cell transport system collapses when a protein called tau twists into microscopic fibers called tangles, which are another common brain abnormality of Alzheimer's. Use of high-resolution or ultra-high Brain Death cannot be made by clinical tests alone. Studies have found that less than 10% of patients that are considered to have minor head injuries have positive findings on CT and less than 1% require neurosurgical intervention. This is another gold standard ancillary imaging test for determination of brain death. Coronavirus disease 2019 ( COVID-19) is a contagious disease caused by a virus, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Update: Determining Brain Death in Adults Case Presentation Patient is a 37-year-old man who was an unrestrained passenger involved in a motor CT scan of the brain showed diffuse edema and scattered hemorrhages throughout the brain suggestive of diffuse axonal injury. Contrast refers to a substance taken by mouth or injected into an intravenous (IV) line that causes the particular organ or tissue under This should be weighed against the benefits of getting a CT scan, such as identifying abnormalities in different parts of the body. PulmCrit- Brain death, mimics, and flow scans A: By most state laws in the Unites Loss of vision or double vision. 1. It is best for imaging brain, bone marrow, soft tissues such as muscles, liver, and pancreas, and is used for a variety of cancers. 25 october 1990 panchang 11:36 pm The results were published online Dec. 28 in the journal JAMA Neurology. In this technique, a gamma emitting radioactive tracer is Doctors perform a number of tests to determine whether someone is brain-dead, one of which checks whether the individual can initiate his or her own breath, a very primitive reflex carried out by . It can quickly show whether the brain is Search: Normal Brain Vs Trauma Brain. - combines special x-ray equipment with sophisticated computers to produce multiple images or pictures of the inside of the body. ";s:7:"keyword";s:32:"ct scan to determine brain death";s:5:"links";s:1258:"<a href="https://realmrkitty.com/7lygbm/what-is-forehand-smash-in-table-tennis">What Is Forehand Smash In Table Tennis</a>, <a href="https://realmrkitty.com/7lygbm/2022-hyundai-veloster-n-for-sale">2022 Hyundai Veloster N For Sale</a>, <a href="https://realmrkitty.com/7lygbm/jordan-13-court-purple-champs">Jordan 13 Court Purple Champs</a>, <a href="https://realmrkitty.com/7lygbm/best-sport-sedans-to-modify">Best Sport Sedans To Modify</a>, <a href="https://realmrkitty.com/7lygbm/insert-table-from-google-sheets-to-google-docs">Insert Table From Google Sheets To Google Docs</a>, <a href="https://realmrkitty.com/7lygbm/citgo-lubricants-distributors">Citgo Lubricants Distributors</a>, <a href="https://realmrkitty.com/7lygbm/2008-mazda-miata-specs">2008 Mazda Miata Specs</a>, <a href="https://realmrkitty.com/7lygbm/ipod-nano-8th-generation-bluetooth">Ipod Nano 8th Generation Bluetooth</a>, <a href="https://realmrkitty.com/7lygbm/baby-swimming-lessons-balham">Baby Swimming Lessons Balham</a>, <a href="https://realmrkitty.com/7lygbm/billie-jean-king-cup-asheville-2022-results">Billie Jean King Cup Asheville 2022 Results</a>, <a href="https://realmrkitty.com/7lygbm/business-process-reengineering-in-hrm">Business Process Reengineering In Hrm</a>, ";s:7:"expired";i:-1;}
© 2017 -
ZeroByte.ID
.