gastro ./ gastrointestinal tract
Peptic Ulcer Disease An ulcer is defined as a breach in the mucosa of the alimentary tract, which extends through the muscularis mucosae into the submucosa or deeper. Although ulcers may occur anywhere in the alimentary tract, none are as prevalent as the peptic ulcers that occur in the duodenum and stomach. Acute gastric ulcers may also appear under conditions of severe systemic stress.
Peptic ulcers
Peptic ulcers are chronic , most often solitary, lesions that occur in any portion of the gastrointestinal tract exposed to the aggressive action of acid peptic juices. Peptic ulcers are usually solitary lesions less than 4 cm in diameter, located in the following sites, in order of decreasing frequency:
Duodenum, first portion Stomach, usually antrum At the gastroesophageal junction, in the setting of gastroesophageal reflux Within the margins of a gastrojejunostromy In the duodenum,stomach, or jejunum of patients with Zollinger-Ellison syndrome. Within or adjacent to a Meckel diverticulum that contains ectopic gastric mucosa
In the United States, approximately 4 million people have peptic ulcers (duodenal and gasteric), and 350,000 new cases are diagnosed each year. Around 100,000 patients are hospitalized yearly , and about 3000 people die each year as a result of peptic ulcer disease. The lifetime likelihood of developing a peptic ulcer is about 10% for American men and 4% for women. Visit for Medical help
Peptic ulcers are remitting , relapsing lesions that are most often diagnosed in middle aged to older aged, but
The precedence of the factorial operator
Back when I added a factorial operator to my assembler,
the code only applied it to numeric literals because the code that implemented it appeared in the same function as parsing a numeric literal.
I only found the bug when I tried to apply a factorial to a subexpression in parenthesis,
for example,
-(2+1)!.
The fix was easy,
just move the code out of the numberic literal parsing routine rvalue() to rfactor() where the unary + and - occur,
as well as handing subexpressions.
But the fix lead to another issue?how to handle a sequence like -3!.
Should it error out since negative values aren't defined for factorial?
Or should it apply the factorial to ?3? and then the unary minus sign?
I asked the question over on Lobters and a very loose consensus seemed to be that factorial has a higher precedence than unary minus.
I also threw -3! at Wolfram Alpha
(that I forgot existed until I started doing some web searches on the question)
and it also handled factorial before unary minus.
So that's what I went with.
From what little I found on this topic,
it seems that -3! should indeed return -6 as an answer.
It also seems to be the mathematical convention that -32 should return -9 and not 9
(which is that my assembler returns,
as well as Microsoft Excel).
Fixing that issue would require a rewrite of the expression parser.
The Shunting Yard algorithm I use to handle precedence doesn't handle unary operators all that well.
Sigh.
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?I am altering the deal. Pray I don't alter it any further.?
I know it was probaby inevitable,
but I still found it surprising and rather upsetting to see that our television updated itself and that we had to accept the new terms of service.
I'm not sure what would have happened had we refused.
Would it have bricked itself?
And what ?service? has changed that required new terms?
Sending back our watching habits to the mother ship?
Watching one more ad ad we turn it off?
Sigh.
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A week of appointments
You would think that now that Bunny was home now that we could relax for a bit.
But nooooooooo!
We had to call today to schedule a follow-up visit at the house.
This follow-up visit is for tomorrow,
then a scheduled visit to Bunny's general doctor on Thursday,
and a follow-up visit to the orthopedist on Friday.
I don't think she's ever had this many scheduled medical visits before.
Nor so quickly.
Geeze.
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A sprung Bunny
After nearly two months from breaking her shoulders,
Bunny is finally released from the rehabilitation center.
Her arms still hurt and she still has some range issues with her arms,
but nothing that requires her to remain in the center.
After signing a bunch of forms,
we were able to walk out,
and with no help,
she was able to get into the car.
We're home now.
I still have a few observations about the habilitation center.
- Everyday I was there
(and I was there every day)
in the main hall I would see a gentleman in a wheel chair.
He was always wearing a straw hat so he was recognizable,
and every time he saw me,
he would salute me and thank me for visiting.
I would always wave back and say, "you're welcome!"
I never noticed anyone seemingly visiting him though.
- Another gentleman I would see from time to time was a double amputee
(legs, just above the knees).
One day as I was aproaching the vending machines in the main hall,
he wheeled over to me and handed me $5 to get him a drink.
He had a very thick accent,
and it was hard to see where he was pointing to,
and yet,
I still managed to not give him what he wanted.
Twice.
I still feel very bad about that over two weeks later.
- Bunny's roommate was a frail old lady in her 90s, maybe
weighing 90 pounds (40kg) soaking wet.
She had incredible lungs though?every time she had her blood pressure taken,
it sounded like she was being murdered,
and it was loud enough that I'm sure everyone in the facility could hear her,
even on the second floor.
It was both literally and figuratively painful to hear.
- The kitchen staff would gladly give out a second helping if you asked.
Did I mention the food was quite good?
- Technically,
to exit the building,
you have to ask a staff member to open the front door.
I was there often enough to see how they would open the front door,
so I didn't need to find someone to leave the building if the receptionist was not at the front desk.
That did not help me if I was outside wanting to get in and the receptionist was not there.
- In the parking lots of the rehabilitation center,
none of the parking stops lined up with the parking spaces,
making for a rather confusing jumble of parking spaces.
While there might have been enough spots for two or three more cars,
because of the mismatching lines and parking stops,
cars would be parked haphazardly in the lots,
wasting space.
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The sounds of silence
I'm at the rehabilitation center where Bunny is rehabilitating her broken shoulders and all the TVs in the place shut down,
and it's suddenly quiet.
Maybe not as silent as Rachel, Nevada,
or maybe when a Las Vagas casino lost power
(talk about dead silence?it was weird!),
but still,
it's eerie.
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Extreme abstract staircase, Boca Raton edition
While Bunny was otherwise occupied with a nurse I took the opportinity to look around outside.
While there,
I found this odd staircase off the side of a path:
I'm not sure what the purpose of such a structure could be,
perhaps a place to sit down?
But there were benches along the path.
Perhaps stairs to Narnia?
Perhaps?
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It's no surprise that the LLMs confabulate what I've worked on
While I am known to some of the LLMs
(link via Flutterby),
my own score
(or ?strength? as the site calls it) is in the upper two digit range.
It picked up that I'm a blogger,
but it also confabulated that I worked on the Apache module mod_python.
Heh ? close,
but no cigar!
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Extreme aviary, Boca Raton edition
Bunny is doing as well as can be expected,
given that she really can't use her arms to get out of bed or a chair.
But she does like looking at the finches they have in the main hall:
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Extreme Kobolds, Boca Raton edition
As my tires were being addressed at a local tire shop,
I meandered across the street to have lunch and browse at some stores to kill some time.
At a gaming store,
I came across this little fellow defending this terroritory:
He seemed very keen on keeping this corner of the store to himself.
I let him be.
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How many English words to you actually know?
From the video ?How Many Words Do You ACTUALLY Know?? comes this quiz
VocabOwl: The Scientific Word Count,
which claims to measure how large of a vocabulary you know.
I took the quiz,
which asks for the definitions of 100 words
(twenty each from a basic list, intermediate list, advanced, export and grandmaster)
and from that,
estimates how many you know.
I missed 6 out of the 100 words
(two from the advanced category, and four from the grandmaster) and so,
according to this quiz,
my vocabulary consists of some 76,000 English words,
for what it's worth.
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Study Solves the Mystery of Why Humans Are Mostly Right Handed
Speaking of left-handed people,
here's a video of why so many people are right-handed.
An executive summary might be, beacuse of our brains and how parts of it specialize for certain tasks.
It's worth a watch.
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they may first become evident in young adult life. They often appear without obvious precipitating influences and may then after a periof of weeks to months of active disease, heal with or without therapy. Even with healing however, the propensity to develop peptic ulcers remains in part because of the propensity for recurrent infections with H.pylori. The male to female ration for duodenal ulcers is about 3:1 and for gasteric ulcers about 1.5 to 2:1. Women are most often affected at or after menopause. For unknown reasons, there has been a significant decrease in the prevalence of duodenal ulcers over the past decades but little change in the prevalence of gastric ulcers.
Peptic ulcers appear to be produced by an imbalance between the gastroduodenal mucosal defense mechanisms and the damaging forces. Gastric acid and pepsin are requisite for all peptic ulcerations. Hyperacidity is not a prerequisite because only a minority of patients with duodenal ulcers have hyperacidity, and it is even less common in those with gastric ulcers. Gasric ulceration can rapidily occur when mucosal defenses fall, however as when mucosal blood flow drops gastric emptying is delayed or epithelial restitution is impaired. Article Source: http://www.articlemap.com For More information visit www.medicalhealthcenter.net
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