⒈ Kneading Technique Lab Report

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One million to three million Kneading Technique Lab Report islets form the endocrine part of the pancreas, Kneading Technique Lab Report is primarily Kneading Technique Lab Report exocrine gland. Inhalation of dry baking yeast powder Kneading Technique Lab Report supposed to Kneading Technique Lab Report the Kneading Technique Lab Report of infection in this case. Because of hydrostatic pressure, your heart Kneading Technique Lab Report under constant pressure. Synonym: apoplexy ; attack, Advantages And Disadvantages Of Verbal De-Escalation ; cerebrovascular Kneading Technique Lab Report See: carotid endarterectomy ; intracranial hemorrhage ; transient ischemic attack ; illustration Kneading Technique Lab Report table Etiology Risk factors for stroke include advanced Kneading Technique Lab Report esp. Spinning Lotus. Archived from the original PDF Social Issues: Race Between White And Black Society An Unforgivable Loss.

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Prompt treatment improves the chances of survival and increases the degree of recovery that may be expected. A person who may have suffered a stroke should be seen in a hospital emergency room without delay. Treatment to break up a blood clot, the major cause of stroke, must begin within three hours of the stroke to be effective. Improved medical treatment of all types of stroke has resulted in a dramatic decline in death rates in recent decades. In , nine in ten died from stroke, compared to slightly less than one in three in the twenty-first century. However, about two-thirds of stroke survivors will have disabilities ranging from moderate to severe. There are four main types of stroke. Cerebral thrombosis and cerebral embolism are caused by blood clots that block an artery supplying the brain, either in the brain itself or in the neck.

Subarachnoid hemorrhage and intracerebral hemorrhage occur when a blood vessel bursts around or in the brain. Cerebral thrombosis occurs when a blood clot, or thrombus, forms within the brain itself, blocking the flow of blood through the affected vessel. Clots most often form due to "hardening" atherosclerosis of brain arteries. Cerebral thrombosis occurs most often at night or early in the morning. Cerebral thrombosis is often preceded by a transient ischemic attack , or TIA, sometimes called a "mini-stroke. Recognizing the occurrence of a TIA, and seeking immediate treatment, is an important step in stroke prevention. Cerebral embolism occurs when a blood clot from elsewhere in the circulatory system breaks free.

If it becomes lodged in an artery supplying the brain, either in the brain or in the neck, it can cause a stroke. The most common cause of cerebral embolism is atrial fibrillation, a disorder of the heart beat. In atrial fibrillation, the upper chambers atria of the heart beat weakly and rapidly, instead of slowly and steadily. Blood within the atria is not completely emptied. This stagnant blood may form clots within the atria, which can then break off and enter the circulation.

The risk of a stroke from atrial fibrillation can be dramatically reduced with daily use of anticoagulant medication. Hemorrhage, or bleeding, occurs when a blood vessel breaks, either from trauma or excess internal pressure. The vessels most likely to break are those with preexisting defects such as an aneurysm. An aneurysm is a "pouching out" of a blood vessel caused by a weak arterial wall. Brain aneurysms are surprisingly common. Aneurysms rarely cause symptoms until they burst. Aneurysms are most likely to burst when blood pressure is highest, and controlling blood pressure is an important preventive strategy. Intracerebral hemorrhage affects vessels within the brain itself, while subarachnoid hemorrhage affects arteries at the brain's surface, just below the protective arachnoid membrane.

In addition to depriving affected tissues of blood supply, the accumulation of fluid within the inflexible skull creates excess pressure on brain tissue, which can quickly become fatal. Nonetheless, recovery may be more complete for a person who survives hemorrhage than for one who survives a clot, because the blood deprivation effects usually are not as severe. Death of brain cells triggers a chain reaction in which toxic chemicals created by cell death affect other nearby cells.

This is one reason why prompt treatment can have such a dramatic effect on final recovery. Risk factors for stroke involve age, sex, heredity, predisposing diseases or other medical conditions, use of certain medications, and lifestyle choices:. Age and sex. The risk of stroke increases with age, doubling for each decade after age Men are more likely to have a stroke than women. Blacks, Asians, and Hispanics have higher rates of stroke than do whites, related partly to higher blood pressure.

People with a family history of stroke are at greater risk. Stroke risk is increased for people with diabetes, heart disease especially atrial fibrillation , high blood pressure, prior stroke, or TIA. Risk of stroke increases tenfold for someone with one or more TIAs. Other medical conditions. Stroke risk increases with obesity , high blood cholesterol level, or high red blood cell count. Hormone replacement therapy. In mid, a large clinical trial called the Women's Health Initiative was halted when researchers discovered several potentially dangerous effects of combined hormone replacement therapy on postmenopausal women.

Lifestyle choices. Stroke risk increases with cigarette smoking especially if combined with the use of oral contraceptives , low level of physical activity, alcohol consumption above two drinks per day, or use of cocaine or intravenous drugs. Symptoms of an embolic stroke usually come on quite suddenly and are at their most intense right from the start, while symptoms of a thrombotic stroke come on more gradually. Symptoms may include:. The diagnosis of stroke is begun with a careful medical history, especially concerning the onset and distribution of symptoms, presence of risk factors, and the exclusion of other possible causes. A brief neurological exam is performed to identify the degree and location of any deficits, such as weakness, incoordination, or visual losses.

Once stroke is suspected, a computed tomography scan CT scan or magnetic resonance imaging MRI scan is performed to distinguish a stroke caused by blood clot from one caused by hemorrhage, a critical distinction that guides therapy. Blood and urine tests are done routinely to look for possible abnormalities. Other investigations that may be performed to guide treatment include an electrocardiogram, angiography , ultrasound, and electroencephalogram. Emergency treatment of stroke from a blood clot is aimed at dissolving the clot. This "thrombolytic therapy" currently is performed most often with tissue plasminogen activator, or t-PA.

Therefore, patients who awaken with stroke symptoms are ineligible for t-PA therapy, as the time of onset cannot be accurately determined. Patients with clot-related thrombotic or embolic stroke who are ineligible for t-PA treatment may be treated with heparin or other blood thinners, or with aspirin or other anti-clotting agents in some cases. Emergency treatment of hemorrhagic stroke is aimed at controlling intracranial pressure. Intravenous urea or mannitol plus hyperventilation is the most common treatment. Corticosteroids also may be used. Patients with reversible bleeding disorders, such as those due to anticoagulant treatment, should have these bleeding disorders reversed, if possible.

Surgery for hemorrhage due to aneurysm may be performed if the aneurysm is close enough to the cranial surface to allow access. Ruptured vessels are closed off to prevent rebleeding. For aneurysms that are difficult to reach surgically, endovascular treatment may be used. In this procedure, a catheter is guided from a larger artery up into the brain to reach the aneurysm. Small coils of wire are discharged into the aneurysm, which plug it up and block off blood flow from the main artery. Rehabilitation refers to a comprehensive program designed to regain function as much as possible and compensate for permanent losses.

Rehabilitation is coordinated by a team of medical professionals and may include the services of a neurologist, a physician who specializes in rehabilitation medicine physiatrist , a physical therapist, an occupational therapist, a speech-language pathologist, a nutritionist, a mental health professional, and a social worker. Rehabilitation services may be provided in an acute care hospital, rehabilitation hospital, long-term care facility, outpatient clinic, or at home. A hemorrhagic stroke left compared to a thrombotic stroke right. The rehabilitation program is based on the patient's individual deficits and strengths. Strokes on the left side of the brain primarily affect the right half of the body, and vice versa.

In addition, in left brain dominant people, who constitute a significant majority of the population, left brain strokes usually lead to speech and language deficits, while right brain strokes may affect spatial perception. Patients with right brain strokes also may deny their illness, neglect the affected side of their body, and behave impulsively. Rehabilitation may be complicated by cognitive losses, including diminished ability to understand and follow directions.

Poor results are more likely in patients with significant or prolonged cognitive changes, sensory losses, language deficits, or incontinence. Rehabilitation begins with prevention of stroke recurrence and other medical complications. The risk of stroke recurrence may be reduced with many of the same measures used to prevent stroke, including quitting smoking and controlling blood pressure. One of the most common medical complications following stroke is deep venous thrombosis, in which a clot forms within a limb immobilized by paralysis. Clots that break free often become lodged in an artery feeding the lungs. This type of pulmonary embolism is a common cause of death in the weeks following a stroke.

Resuming activity within a day or two after the stroke is an important preventive measure, along with use of elastic stockings on the lower limbs. Drugs that prevent clotting may be given, including intravenous heparin and oral warfarin. Weakness and loss of coordination of the swallowing muscles may impair swallowing dysphagia , and allow food to enter the lower airway. This may lead to aspiration pneumonia , another common cause of death shortly after a stroke. Dysphagia may be treated with retraining exercises and temporary use of pureed foods.

Antidepressants and psychotherapy may be used in combination. Other medical complications include urinary tract infections, pressure ulcers, falls, and seizures. Brain tissue that dies in a stroke cannot regenerate. In some cases, the functions of that tissue may be performed by other brain regions after a training period. In other cases, compensatory actions may be developed to replace lost abilities. Physical therapy is used to maintain and restore range of motion and strength in affected limbs, and to maximize mobility in walking, wheelchair use, and transferring from wheelchair to toilet or from standing to sitting, for instance. The physical therapist advises on mobility aids such as wheelchairs, braces, and canes.

In the recovery period, a stroke patient may develop muscle spasticity and contractures , or abnormal contractions. Contractures may be treated with a combination of stretching and splinting. Occupational therapy improves self-care skills such as feeding, bathing, and dressing, and helps develop effective compensatory strategies and devices for activities of daily living. A speech-language pathologist focuses on communication and swallowing skills. When dysphagia is a problem, a nutritionist can advise alternative meals that provide adequate nutrition. Mental health professionals may be involved in the treatment of depression or loss of thinking cognitive skills.

A social worker may help coordinate services and ease the transition out of the hospital back into the home. Both social workers and mental health professionals may help counsel the patient and family during the difficult rehabilitation period. Caring for a person affected with stroke requires learning a new set of skills and adapting to new demands and limitations. Home caregivers may develop stress , anxiety, and depression. Caring for the caregiver is an important part of the overall stroke treatment program.

Support groups can provide an important source of information, advice, and comfort for stroke patients and for caregivers. Joining a support group can be one of the most important steps in the rehabilitation process. Stroke survivors may be left with significant deficits. Emergency treatment and comprehensive rehabilitation can significantly improve both survival and recovery. A study found that treating people who have had a stroke with certain antidepressant medications, even if they were not depressed, could increase their chances of living longer. People who received the treatment were less likely to die from cardiovascular events than those who did not receive antidepressant drugs.

Damage from stroke may be significantly reduced through emergency treatment. Knowing the symptoms of stroke is as important as knowing those of a heart attack. Patients with stroke symptoms should seek emergency treatment without delay, which may mean dialing rather than their family physician. Treatment of atrial fibrillation may significantly reduce the risk of stroke. Preventive anticoagulant therapy may benefit those with untreated atrial fibrillation. Warfarin Coumadin has proven to be more effective than aspirin for those with higher risk. A new drug called ximelagatran Exanta with fewer side effects has been introduced in Europe. The drug's manufacturer was applying for FDA approval to market the drug for use in preventing stroke and other thromboembolic complications in early In , physicians at the Framingham Heart Study derived new risk scores to help physicians determine which patients with new onset of atrial fibrillation are at higher risk for stroke alone or for stroke or death.

Screening for aneurysms may be an effective preventive measure in those with a family history of aneurysms or autosomal polycystic kidney disease , which tends to be associated with aneurysms. American Heart Association. Dallas, TX National Stroke Association. Easter Lane, Englewood, Co. Aneurysm — A pouchlike bulging of a blood vessel. Aneurysms can rupture, leading to stroke. Atrial fibrillation — A disorder of the heart beat associated with a higher risk of stroke. In this disorder, the upper chambers atria of the heart do not completely empty when the heart beats, which can allow blood clots to form.

Cerebral embolism — A blockage of blood flow through a vessel in the brain by a blood clot that formed elsewhere in the body and traveled to the brain. Cerebral thrombosis — A blockage of blood flow through a vessel in the brain by a blood clot that formed in the brain itself. Intracerebral hemorrhage — A cause of some strokes in which vessels within the brain begin bleeding. Subarachnoid hemorrhage — A cause of some strokes in which arteries on the surface of the brain begin bleeding. Tissue plasminogen activator tPA — A substance that is sometimes given to patients within three hours of a stroke to dissolve blood clots within the brain.

Gale Encyclopedia of Medicine. Copyright The Gale Group, Inc. All rights reserved. A, Stroke. B, Areas of the body affected by a stroke. From Frazier et al. Any acute clinical event, related to impairment of cerebral circulation, that lasts longer than 24 hours. See also: stroking. Synonym s : apoplexy , brain attack. A harmful discharge of lightning, particularly one that affects a human being. To pass the hand or any instrument gently over a surface. The act or an instance of striking, as with the hand, a weapon, or a tool; a blow or impact.

A sudden loss of brain function caused by a blockage or rupture of a blood vessel to the brain, characterized by loss of muscular control, diminution or loss of sensation or consciousness, dizziness, slurred speech, or other symptoms that vary with the extent and severity of the damage to the brain. Also called cerebral accident , cerebrovascular accident. Published by Houghton Mifflin Company. Segen's Medical Dictionary. Any acute clinical event, related to impairment of cerebral circulation, which lasts longer than 24 hours. See also: cerebrovascular accident. To pass the hand or any instrument over a surface. A gliding movement over a surface. Synonym s : apoplexy. A sudden loss of neurological function, caused by vascular injury loss of blood flow to an area of the brain.

Temperature of dough: dough behaves differently in different temperatures. Regardless whether you are kneading by hand or with an electric mixer, you need to be aware of the temperature in the room. Different types of flour: the type of flour affects the dough. Each flour is unique. Even different types of wheat flours are different from each other, and contain different types of gluten. Oils: Oils in the dough interfere with the development of gluten, therefore it is best to incorporate them after partially developing the gluten.

Prepare the tangzhong at least two hours ahead of time or the night before and keep in the fridge. To prepare the tangzhong, add the ml water and 25g flour to a small pan. Heat over a low flame, mixing all the time until it is completely mixed. Let it cool and store in the fridge. Add all the ingredients — except the butter — to the bowl of an electric mixer fitted with a dough attachment and mix well.

Add the butter and mix well. Separate the dough into four equal sections and form balls. Place them on a greased work surface with plenty of space between each one, and let them rise another 20 minutes. Roll the circles into cylinders starting from the side closest to you, with the seam facing down. Place the dough cylinders in the loaf pans in a row so that they are all touching each other. Cover and let the dough rise another minutes until the dough doubles in volume. Remove the bread from the pan and place on a flat tray and bake for a few more minutes so the sides can brown a little. Prepare the tangzhong at least two hours ahead of time or night before and keep in the fridge. To prepare the tangzhong, add the ml water and 20g flour to a small pan.

Add all the ingredients — except the butter or oil — to the bowl of an electric mixer fitted with a dough attachment and mix slowly until well-mixed. Add the butter or oil. Increase the speed slightly and mix for another 12 minutes until the dough is smooth and shiny. The dough should be Take the dough out of the bowl and knead it for a minute. Lightly grease the dough and let it rise another minutes until the dough doubles in volume. Separate the dough into 10 balls of g each. Place the dough on two trays covered with baking paper and let the balls rise another minutes. Brush with egg wash and sprinkle sesame seeds on top. To carry out the fermentolyse process, mix the flours, water and sourdough starter using an electric mixer.

Let the mixture rest, covered, for an hour inside the mixer bowl. Then, add the salt and mix with the mixer for another seven minutes. Add the seeds and mix for another minute or two. Let it sit, covered, for another 30 minutes. Get your hands wet and then use the stretch and fold technique to knead the dough. What you do is stretch out the dough from the side farther away from you and fold it into the center of the dough. Next, stretch out the right side of the dough and fold it into the center of the dough, then the left and fold it into the center of the dough, then the side closest to you and fold it into the center of the dough.

Form the dough into a ball and cover bowl. Let the dough rise for 40 minutes and then use the stretch and fold technique to knead the dough again. Repeat this process another three times. Pull the side farthest from you and bring it into the center. Next, using both hands, pull from the left and right sides at the same time and bring toward the center. Form a cylindrical shape by pulling the dough from the side closest to you and pushing it to the side farthest from you. Let the dough rest for 15 minutes and then transfer to a rising basket. Cover and place in the fridge for 12 hours. Transfer the dough to the pot and make one long incision across the top of the dough.

Cover the pot and bake for 18 minutes. Remove and let cool for two hours before cutting. Tags cooking food bread. Subscribe for our daily newsletter. Hot Opinion. Who lost the Yom Kippur War? Most Read. Reporters' Tweets. About Us. Contact us. Advertise with Us. Terms Of Service. Privacy Policy. Subscriber Agreement. JPost Jobs. Cancel Subscription. Customer Service. The Jerusalem Post Group.

November Kneading Technique Lab Report, Kneading Technique Lab Report NHS Reflection Essay you feel like you need to lie Kneading Technique Lab Report conceal information—for A Hero In The Blade Runner reason—do Kneading Technique Lab Report gut check and ask yourself why. Copyright The Gale Group, Inc. Hypothermia and intravenous administration of Kneading Technique Lab Report and magnesium also Kneading Technique Lab Report outcome in selected cases. Past Kneading Technique Lab Report history should be reviewed hypertension, Kneading Technique Lab Report of anticoagulant drugs, cardiac Kneading Technique Lab Report. Need of specialised centres for stroke treatment stressed.

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