Neurologic System Case Study Example | Topics and Well Written Essays - 750 words

Neurologic System - Case Study Example on leading to the paralysis, diminution in respiratory rate, elevation in systolic blood pressure, increase in pulse pressure, elevation of body temperature, inaudible speech and restiveness, convulsions and abnormal posturing. Cerebrovascular auto-regulation is the ability of brain to keep the flow of cerebral blood constant even though there are alterations in cerebral perfusion pressure (CPP). The mechanism is disrupted due to any kind of injury in the head, from mild to severe. Unfavourable outcome may result when head injury is followed by poor auto-regulation, indicating that the mechanism protects the brain against perfusion pressure-related secondary insults. It is therefore auto-regulation is determined in patients with traumatic brain injury. Auto-regulation is determined by assessing CBF, measured by transcranial Doppler (TCD) used for static and dynamic measurement of auto-regulation, other methods encompass cerebral metabolic rate for oxygen (CMRO2), waveform analysis, arterio-jugular oxygen content difference (AJDO2) (Steiner, 2003). The oculovestibular reflex is tested by caloric stimulation using irrigation with ice water. In normal subjects jerk nystagmus is elicited for about 2-3 minutes with slow component towards the irrigated ear. In unconscious patients with intact brainstem, the fast component of nystagmus disappears so that eyes are tonically deviate towards irrigated side for 2-3 minutes before returning to their original position. With impaired brainstem function the response becomes perverted and finally disappears. In metabolic coma, oculocephalic and oculovestibular reflex responses are preserved at least initially. White matter- composed of Myelinated nerve fibers. In these nerve fibers, the speed of action potential is very high. These neurons convey the action potential from sensory receptor to CNS (sensory neuron) or from CNS to effector organ (Motor

Reveal or Conceal Essay Example | Topics and Well Written Essays - 250 words

Reveal or Conceal - Essay Example In this, it is important for Sujit to explain to his senior the actual state of affair in the organization. By concealing his emotion, he will just be adjourning the problem and it may turn back on him in the future. It is imperative to note that the back stops at him in case the workers decided to have another course of action such as court redress or even organizing a worker’s strike. This is the best course of action because he will have discharged his responsibility as a manager. In this case, Gillies, (2004) advises that the effects of failing to report the problem would be more severe that when the problem is reported. In my opinion, Sujit would act in contempt by failing to discharge his duties and as such he would lay enough ground for termination. For the language appropriate in this scenario, Sujit would describe the problem in such a way that it reflects potentially good performance for the organization. In this case, he would inform the managers that workers would have better output if their welfare is checked. In addition, he should present a solution that is in line with the organization’s goals, Bar, Alpa