What does Olo's mother and sister do while Olo and his father are hunting?

making clothes from animal skins

A Day in the Stone Age

Some Arctic Dinos Lived in Herds By Sid Perkins Just as interesting, however, is how this was discovered. Scientists didn’t look at a single fossil bone. Instead, they analyzed a large number of preserved footprints on a mountainside located toward the southern end of central Alaska. Anthony Fiorillo works at the Perot Museum of Nature and Science in Dallas, Texas. As a vertebrate paleontologist, he studies the fossils of creatures with backbones. In 2007, he was part of a research team exploring Denali National Park. “We rounded the corner and there they were,” he recalls. Thousands of footprints had been preserved in stone. “It was amazing.” Dinosaurs died out more than 65 million years ago (not counting birds, their modern-day relatives). So, it’s a bit surprising that scientists know so much about these ancient creatures. Now, a new study reveals that a certain type of duckbilled dinosaur lived in the Arctic year-round. These animals also traveled in herds that included many age groups, they find. The creatures even appear to have gone through a “teenage growth spurt.” Those tracks pepper a steep patch of exposed rock about twice as long as a football field and up to 60 meters (roughly 200 feet) wide. They sit at least 160 kilometers (100 miles) north of the Gulf of Alaska. Between 69 million and 72 million years ago, that now-rocky material was muddy sediment on a floodplain near a seacoast, Fiorillo explains. The hadrosaurs walked across the squishy mud. Later, the footprints they left turned to stone. Previous studies suggested adult duckbills took care of their young, says Fiorillo. The new evidence that these dinosaurs truly traveled in herds with multiple age groups confirms that parents cared for their young well beyond the time they left the nest, his team concludes. The researchers published their findings June 30 in Geology. © Science News for Students Thousands of tracks cover this rocky mountainside in Alaska’s Denali National Park. They provide a wealth of information about the size, age and lifestyle of certain dinosaurs. COURTESY OF PEROT MUSEUM OF NATURE AND SCIENCE EVIDENCE FOR HERDS O F DINOSAURS Small meat-eating dinosaurs called theropods had left behind a few of the tracks that Fiorillo’s team found in Denali. Birds had left some others. But the vast majority came from creatures called hadrosaurs. These large plant-eating duckbilled dinosaurs had been quite common during the Cretaceous Period. That helps explain one of their nicknames: “cattle of the Cretaceous.” For the new study, the researchers focused only on the hadrosaur tracks. More than half of the footprints were preserved so well that they had clear impressions of the skin on the dinosaurs’ feet. Most tracks had a similar level of preservation. That suggests all were probably left within a short period. Other fossils in the nearby rocks, including insect burrows, suggest these hadrosaurs had left their footprints during the summer. These are trace fossils — evidence of ancient life other than a preserved carcass or bone. At the time these dinosaurs lived, Fiorillio says, the average temperature in the warmest months was between 10° and 12° Celsius (50° and 54° Fahrenheit). That’s about what conditions are like today along the border between Canada and the lower 48 U.S. states, he notes. The team measured a large sample of the duckbills’ footprints. They fell into four distinct size ranges. The largest tracks, presumably made by adults, measured about 64 centimeters (25 inches) across. The smallest tracks, 8 centimeters (3 inches) wide, were likely left by young duckbills. They would have been no more than a year old. Tracks of two other size groups were probably made by juveniles and near-adults. These data suggest the community of hadrosaurs included four different age groups. © Science News for Students A hadrosaur footprint made roughly 70 million years ago. For scale, the long blue bar at right is 10 centimeters long; each small blue or white bar measures 1 centimeter. COURTESY OF PEROT MUSEUM OF NATURE AND SCIENCE © Science News for Students THESE DINOSAURS DIDN’T MIGRATE About 84 percent of the tracks sampled for the new study had been left by older hadrosaurs — adults or near-adults. Roughly 13 percent came from the youngest members of the herd. And a mere 3 percent came from herd members considered to be juveniles, says Fiorillo. The rarity of tracks by these tweens suggests that the young of this species had a rapid growth spurt. If true, they would have spent relatively little time at this vulnerable size — and therefore left very few tracks. “What’s really neat is how many small tracks there are,” notes Anthony Martin. An ichnologist — or expert in trace fossils — he works at Emory University in Atlanta, Ga. Other scientists had analyzed fossil bones from duckbills. These studies had hinted that the equivalent of adolescent hadrosaurs would have experienced growth spurts. But the new findings are “the best evidence that I’ve seen,” says Eric Snively. He’s a vertebrate paleontologist at the University of Wisconsin- La Crosse. “This is a great study,” he adds, “and further evidence that juvenile hadrosaurs grew up in an eye-blink.” Also previously, researchers had proposed that Arctic dinosaurs migrated farther south for the winter. That’s because even if the region was much warmer than it is today, nights in the high Arctic would have been 24 hours long. So, with no sunshine for several months, Alaska would have had long periods of very bleak, chilly weather. But finding juveniles in the herd strongly suggests that these dinosaurs remained in the Arctic all year. That’s because adolescents and preadolescents wouldn’t have had the strength or stamina to make those long treks, Fiorillo maintains. Field work is often harsh. Paleontologists studying the dinosaur footprints here on an Alaskan mountainside sometimes worked in cold and fog. COURTESY OF PEROT MUSEUM OF NATURE AND SCIENCE © Science News for Students The presence of very young dinosaurs might have been expected, he notes: If this were a nesting region, the babies would have hatched sometime just before summer. And remember, that’s when these tracks were left. But that wouldn’t explain the juveniles, he says. The team’s findings “suggest that these dinosaurs were overwintering in Alaska somehow,” says Snively. At the time, the average temperature in the region remained above freezing even during the winter, he notes. But, he adds, “this study raises interesting issues about how the dinosaurs could live in the region when it was pretty dark for several months at a time.”

Weathering describes the breaking down or dissolving of rocks and minerals on the surface of the Earth. Water, ice, acids, salts, plants, animals, and changes in temperature are all agents of weathering. Once a rock has been broken down, a process called erosion transports the bits of rock and mineral away. No rock on Earth is hard enough to resist the forces of weathering and erosion. Together, these processes carved landmarks such as the Grand Canyon, in the U.S. state of Arizona. This massive canyon is 446 kilometers (277 miles) long, as much as 29 kilometers (18 miles) wide, and 1,600 meters (1 mile) deep. Weathering and erosion constantly change the rocky landscape of Earth. Weathering wears away exposed surfaces over time. The length of exposure often contributes to how vulnerable a rock is to weathering. Rocks, such as lavas, that are quickly buried beneath other rocks are less vulnerable to weathering and erosion than rocks that are exposed to agents such as wind and water, As it smoothes rough, sharp rock surfaces, weathering is often the first step in the production of soils. Tiny bits of weathered minerals mix with plants, animal remains, fungi, bacteria, and other organisms. A single type of weathered rock often produces infertile soil, while weathered materials from a collection of rocks is richer in mineral diversity and contributes to more fertile soil. Soils types associated with a mixture of weathered rock include glacial till, loess, and alluvial sediments. Weathering is often divided into the processes of mechanical weathering and chemical weathering. Biological weathering, in whichliving or once-living organisms contribute to weathering, can be a part of both processes. Mechanical Weathering Mechanical weathering, also called physical weathering and disaggregation, causes rocks to crumble. Water, in either liquid or solid form, is often a key agent of mechanical weathering. For instance, liquid water can seep into cracks and crevices in rock. If temperatures drop low enough, the water will freeze. When water freezes, it expands. The ice then works as a wedge. It slowly widens the cracks and splits the rock. When ice melts, liquid water performs the act of erosion by carrying away the tiny rock fragments lost in the split. This specific process (the freeze-thaw cycle) is called frost weathering or cryofracturing. Figure 4.3 Frost Wedging Temperature changes can also contribute to mechanical weathering in a process called thermal stress. Changes in temperature cause rock to expand (with heat) and contract (with cold). As this happens over and over again. the structure of the rock weakens. Over time, it crumbles. Rocky desert landscapes are particularly vulnerable to thermal stress. The outer layer of desert rocks undergo repeated stress as the temperature changes from day Eventually, Lo outer night. layersflake off in thin sheets, a process called exfoliation. Exfoliation contributes to the formation of bornhardts, one of the most dramatic features in landscapes formed by weathering and erosion. Bornhardts are tall, domed, isolated rocks often found areas. in tropical Sugarloaf Mountain, an iconic landmark in Rio de Janeiro, Brazil, is bornhardt. a Salt also works to weather rock in a process called haloclasty. Saltwater sometimes gets into the cracks and pores of rock. If the saltwater evaporates, salt crystals are left behind. As the crystals grow, they put pressure on the rock, slowly breaking it apart. Plants and animals can be agents of mechanical weathering. The seed of a tree may sprout in soil that has collected in a cracked rock. As the roots grow, they widen the cracks, eventually breaking the rock into pieces. Over time, trees can break apart even large rocks. Even small plants, such as mosses, can enlarge tiny cracks as they grow. Animals that tunnel underground, such as moles and prairie dogs, also work to break apart rock and soil. Other animals dig and trample rock aboveground, causing rock to slowly crumble. Chemical Weathering Chemical weathering changes the molecular structure of rocks and soil.For instance, carbon dioxide from the air or soil sometimes combines with water in a process called carbonation. This produces a weak acid, called carbonic acid, that can dissolve rock. Carbonic acid is especially effective at dissolving limestone. When carbonic acid seeps through limestone underground, it can open up huge cracks or hollow out vast networks of caves. Carlsbad Caverns National Park, in the U.S. state of New Mexico, includes more than 119 limestone caves created by weathering and erosion. The largest is called the Big Room.. With an area of about 33,210 square meters (357,469 square feet), the Big Room is the size of six football fields. Another type of chemical weathering works on rocks that contain iron. These rocks turn to rust in a process called oxidation. Rust is a compound created by the interaction of oxygen and iron in the presence of water. As rust expands, it weakens rock and helps break it apart. Another familiar form of chemical weathering is hydrolysis. In the process of hydrolysis, a new solution (a mixture of two or more substances) is formed as chemicals in rock interact with water. In many rocks, for example, sodium minerals interact with water to form a saltwater solution. Hydration and hydrolysis contribute to flared slopes, another dramatic example of a landscape formed by weathering and erosion. Flared slopes are sometimes nicknamed "wave rocks." Their c-shape is largely concave rock formations a result of subsurface weathering, in which hydration and hydrolysis wear away rocks beneath the landscape's surfaceWeathering and People Weathering is a natural process, but human activities can speed it up. For example, certain kinds of air pollution increase the rate of weathering Burning coal, natural and petroleum releases chemicals such as nitrogen oxide and gas, sulfur dioxide into the atmosphere. When these chemicals combine with sunlight and moisture, they change into acids. They then fall back to Earth as acid rain. Acid rain rapidly weathers limestone, marble, and other kinds of stone. The effects of acid rain can often be seen on gravestones, making names and other inscriptions impossible to read. Acid rain has also damaged many historic buildings and monuments. For example, at 71 meters (233 feet) tall, the Leshan Giant Buddha at Mount Emei, China is the world's largest statue of the Buddha. It was carved 1,300 years ago and sat unharmed for centuries. An innovative drainage system mitigates the natural process of erosion But in recent years, acid rain has turned the statue's nose black and made some of its hair crumble and fall.

The advantage of direct method is that the teacher can control the class and fit in a lot of activity into a short class period. This leaves plenty of opportunities for the students to hone their skills, especially new ones. On the other hand, because the class is centered around the teacher, some students may not receive proper feedback, and creativity is limited. Also, the lesser talented athletes often tend to get lost in the shuffle while the great athletes shine. However, there are now a multitude of various teaching strategies that can be employed in addition to that method. Ex: Announcements, Module/Unit introductions, Descriptions/modeling of assignments and learning activities, Written or video lectures, Demonstration videos, Presentations, Discussions moderated by instructors, Interactive tutorials. Indirect Method The Indirect Teaching Style allows students to be involved in their own learning through experience and other peer’s knowledge. Students can use critical thinking to expand their learning capabilities by seeing what others may be doing correct and adjusting this to their own knowledge. The Indirect approach is the opposite of what the direct style suggests, but they are both strictly related, meaning you can’t have one without the other. Direct teaching: The instructor stands in front of the class or group and lectures or advises. Indirect teaching: The instructor assumes a more passive role and guides the student interactions. Movement exploration: Incorporates the use of equipment that involves movement. Movement Exploration The movement exploration class is founded on developing a strong, positive association to physical activity. Classes are aimed at developing movement skills and foundational strength through fun and engaging activities. The activities are age appropriate and include games, challenges, and exploration that positively challenge children’s competency while improving their physical capabilities. Skills such as the ability to climb, hold animal shapes, gymnastic style activities, and the introduction to athletic motor skill competencies are the foundations to youth training. This class provides the introduction to strength training to give children the opportunity to learn the skills required to safely and confidently engage in resistance training. Cooperative Skills Cooperative activities teach students to work together for their group's common good. By participating in these activities, students can learn the skills of listening, discussing, thinking as a group, group decision making, and sacrificing individual wants for the common good. There are two primary objectives guiding the teaching of cooperative activities. First, cooperative activities allow students to apply a variety of fundamental motor skills in a unique setting. Students are typically asked to perform motor skills in a specific way, such as “skip in general space” or “balance on one foot and one elbow.” Cooperative activities ask students to perform different activities such as skip with their hands on the shoulders of someone in front of them, walk with big steps while placing their feet on small spots, or walk across an area blindfolded while someone directs their moves. Due to the uniqueness of such experiences, students often find cooperative activities exciting and motivating. Second, cooperative activities are a wonderful medium for teaching social and emotional learning (SEL). SEL offers students an opportunity to understand and manage their emotions. In addition, such activities offer an opportunity to show empathy for others and develop positive relationships. Cooperative activities demand that all students play a role in completing the task or solving the movement problem. Every student, regardless of ability level, is important and contributes to group goals. 9 traits a PE teacher often needs Here are nine essential traits of an effective PE teacher: 1. Athletic ability Athletic ability is an essential trait for a PE teacher because they're often showing kids how to perform exercises. To demonstrate proper form and encourage the kids to continue their fitness education, it's important they can perform the exercises themselves. Having experience with fitness training can enhance a PE teacher's lesson planning because they're familiar with how each exercise affects a person's body. Athletic ability can also refer to an aptitude for sports and games. PE teachers can instruct students on how to play these games or lead after-school activities involving them, like soccer or basketball. An aptitude for sports and games can help a PE teacher encourage students to participate in the activities during class. If the PE teacher enjoys physical activity, they may make the lessons more enjoyable for the student. 2. Teaching ability A PE teacher is a member of a school faculty, so it's essential they have the teaching ability that allows them to communicate lessons to students. There are various skills involved in teaching, including the technical capabilities associated with each professional's particular field. Learning these skills can help PE teacher plan their lessons effectively and connect with their students, meaning they can encourage students to practice fitness skills in optimal ways for their health. Here are some important teaching skills for PE teachers: Having an engaging classroom presence  Real-world learning  Project building  Lesson planning  Technology 3. Interpersonal skills PE coaches are part of faculty teams, so working alongside other teachers is an essential part of their job. They often collaborate with a student's general education teacher to address any behavioral issues that arise. They can also team up with other classes to plan activities for students, like field days and special field trips. Communicating with peers can ensure these interactions remain productive and create opportunities for more fulfilling lessons. Teachers can also model emotional skills for their students by displaying positive social interactions. Interpersonal skills can also help PE teachers interact with students and their families. If a student can make a student feel comfortable expressing their needs and preferences, they can often perform physical exercises or play games to the best of their individual capacities. Understanding how to soothe nerves and support students' emotional needs are important examples of interpersonal skills. When interacting with family members, you may use some of these same techniques to communicate effectively and best uplift students. 4. Written and verbal communication Both verbal and written communication is important for PE teachers because they often communicate with students, families and various personnel on a day-to-day basis. For example, a PE teacher uses their communication skills in a lesson plan to describe any student assignments or expectations accurately. They may also write instructions in a document, then explain them in a classroom lecture. They also use communication skills to share their lesson plans with other PE teachers during conferences or classroom development exercises. Many teachers continue to learn their trade even after working as a teacher for many years. They may share tips with each other or special lessons they've developed if they feel another teacher may benefit from it. Creating a community can help PE teachers continue to expand their teaching methodology and receive feedback on their lessons. 5. Patience and adaptability Working with children can require patience and adaptability because they're encountering many new concepts at the same time and learning how to regulate their emotions. As a result, it's important to treat them with patience and care while they're in your class so they can feel comfortable and feel motivated to complete assignments. As children become teenagers, they may require patience and adaptability to account for their changing bodies and attention spans. Like any job where you perform tasks in real-time, certain circumstances may occur that require you to adapt lesson plans. For example, if the weather turns from sunshine to rain on a day you planned for students to run a mile outside, you may need to adapt the lesson plan so they can practice endurance sports inside a gymnasium instead. 6. Organization PE teachers can use organization skills to improve their lesson planning sessions. For example, they can keep their plans in one place, and determine which parts of a semester or quarter to introduce new concepts. Throughout the year, these objectives may change because of unforeseen setbacks, but organizational skills can help PE teachers control the trajectory of their class curriculum. PE teachers can also use organizational skills to maintain their classroom space. Physical education frequently requires balls, equipment and tools to play games that may be on a lesson plan. They also organize equipment and decide where to store it within their classroom or storage space. 7. Creativity Creativity can help a PE teacher develop fun ways to introduce new material to their students or reinforce previous lessons. They can teach new games or devise interesting ideas to change the rules of a game to help keep students engaged. To find inspiration for their lesson plans, they can turn to personal hobbies or media aspects they enjoy, like movie scenes, songs or dances. A varied lesson plan can foster more engagement among students who prefer action- based learning activities, rather than lectures. 8. Focus Focus is an essential trait of a PE teacher because students often require their full attention during class, especially if they're learning a complicated physical task. You can focus your lesson plans around specific elements of physical education you believe are essential for students of a certain age group or skill level. If students require mentorship, you can also focus on each student's needs to supply them with a steady support system. Focusing on your students can help guide your career purpose. It can give you a core value system that informs your lesson plans and mentorship activities. This passion for your student's well-being can also help you become an advocate for each student in your class. You can also help organize funding for different field trips or establish after-school activities to support their interests. 9. Enthusiasm for teaching sports and fitness Enthusiasm is essential for a PE teacher. Many physical education activities require high energy and may suit someone who enjoys teaching them to others. Being an effective PE teacher also requires an enthusiasm for working with kids and making a positive impact on their lives.

Once upon a time in the bustling city of Stratonia, there lived a young and ambitious individual named Alex Turner. Alex had always been fascinated by the world of business and entrepreneurship. From a young age, Alex exhibited a keen sense of innovation and a natural ability to identify opportunities. One day, as Alex was walking through the vibrant streets of Stratonia, an idea struck like lightning. It was an opportunity that seemed too good to pass up – a chance to start a small business that could make a big impact. Excitement bubbled within Alex as the vision of entrepreneurship took shape. Eager to set a solid foundation for the business, Alex began drafting a mission statement. This document outlined the purpose of the venture, emphasizing the values and goals that would guide every decision. In the spirit of business ethics, Alex was committed to conducting operations in a morally sound manner, considering the impact on employees, customers, and the community. With the mission statement in hand, Alex set out to turn the entrepreneurial dream into reality. A code of ethics was established, reflecting a commitment to honesty, integrity, and fairness. This code served as a compass, ensuring that the business upheld the highest moral standards in every interaction. As the small business started gaining traction, innovation became a cornerstone of its success. Alex encouraged a culture of creativity, where employees were empowered to think outside the box and contribute fresh ideas. This commitment to innovation not only kept the business ahead of the competition but also fostered an environment where everyone felt valued and engaged. However, as the business expanded, challenges arose. Alex faced decisions that tested the principles outlined in the code of ethics. It was during these moments that the true character of the entrepreneur shone through. Alex remained steadfast in upholding the values that had been set from the beginning, even when faced with tempting shortcuts that could compromise integrity. The journey of entrepreneurship in Stratonia proved to be a rollercoaster of highs and lows. Yet, through unwavering commitment to the mission statement, a dedication to business ethics, and a passion for innovation, Alex Turner built a small business into an enduring success. The story of Alex and their venture became a beacon for aspiring entrepreneurs, a testament to the transformative power of ethical entrepreneurship and the pursuit of opportunities, no matter how small.

[t comes from the GREEK name "Epilepsia" which means "taking hold of or seizing". - It is a disorder characterized by: recurrent seizures. SEIZURES R ectment transient attacks of: R epresent: R esult from: ASSOCIATED WITH: somatic, psychic, or, autonomic clinical featmes. clinical features of abnormally hyperexcitable cortical neurons. paroxvsmal and excessive electrical neuronal discharges. EEG changes & may be disturbance of consciousness. same causes of convulsions 1. Idiopathic epile~ • It is the commonest cause. no cause can be detected ( 65 % ) • It may be associated with positive family history in some cases. • It starts in the l st & 2nd decades in the form of: -- Grand ma! epilepsy. Petit mal epilepsy. Myoclonic epilepsy. Atonic seizures. 2. Secondary epilepsy A. Local causes in the brain: l. Congenital: 2. Traumatic: cerebral palsy. a cause can be detected cerebral contusion or laceration. 3. Inflammatory: 4. Neoplastic: 5. Degenerative: 6. Vascular: encephalitis, brain tumours. mening1t1s, presenile dementia. brain abscess. stroke (especially hemon-hagic), hypertensive encephalopathy. B. General causes with secondary effects on the brain: I. Toxic: 2. Iatrogenic: 3. Metabolic: 4. Endocrinal: 5. Organ failure: 6. Heart disease: 7. Nutritional: - Alcohol, cocaine, lead. - Lidocaine, INH. - j glucose & ! glucose. - Hypoparathyroidism. - Hepatic failme. - Adam's Stoke's attacks. - Pellagra. - Botulism, tetanus. - Ambilhar, Amphetamine, Aminophylline. - j Ca & ! Ca. - Hype1thyroid crisis. - Renal failure. - Fallot's tetralogy. - j Na & ! Na. - Vitamin B6 deficiency. 8. Physical: 9. HYSTERICAL. - High fevers. - Heat stroke. 136 137 CLINICAL PICTURE 1. GENERALISED SEIZURES " Excessive electrical discharges from cortical neurons in BOTH hemispheres simultaneously " I. II. 1. Grand Mal Epile~: 1. Pre-ictal stage "attacks of tonic-clonic convulsions " (aura) It is a warning sign of a coming attack. It may be: • Somatic: • Psychic: • Autonomic: 2. Ictal stage Myoclonus, Hallucinations. Tachycardia, (seizure) Sudden loss of consciousness: Parasthesias. Sweating. for seconds to minutes. -- Tonic phase (few seconds) o The UL & LL: o o o o The HEAD: The JAWS: CYANOSIS: are extended. is retracted to one side & the eye balls rolled up. are firmly clenched, with biting of the TONGUE. due to impaired respiration. There may be incontinence of urine. Clonic phase (few minutes) o The UL & LL: o The HEAD: 3. Post-ictal stage - It may be: • Somatic: • Psychic: • Autonomic: Drug of choice: contract & relax repeatedly & rapidly. jerks forcibly. (sequelae) Todd's paralysis(< 24 hours, due to neuronal exhaustion). Confusion. Vomiting. Carbamazepine (Tegretol) or Phenytoin (Epanutin) Petit Mal Epilepsy: "attacks of loss of consciousness " " Absence " It starts in childhood & improves at puberty & usually disappears at the age of 20. 2. It is NOT PRECEEDED by aura & NOT FOLLOWED by sequelae. 3. It is usually PRECIPITATED by: hyperventilation 4. It is characterized by: or photic stimulation. sudden loss of consciousness of short duration (few seconds). 5. It may be associated with: • High frequency ( 50 attacks / day). • Falling to the ground without warning. • Jerky movements of the head & UL Drug of choice: (myoclonic petit mal). Valproate (Depakine) or Succinimide (Zarontin) 137 138 Ill. M oclonic Seizures: "attacks of involuntary clonic movements " - It is characterized by: sudden, jerky, shock-like INVOLUNTARY muscle contraction. • The jerks are bilateral contractions, mainly of the shoulders and arms. • However, some patients repmtjerking in the lower limbs, trunk, or head. - It may be of 2 types: - Occurs singly • Simple: • As a pait of: I Drug of choice: IV. Atonic seizures: (no loss of consciousness). - Grand mal epilepsy (aura). - Petit mal epilepsy. Valproate (Depakine) or Clonazepam (Rivotril) I - Transient attacks of brief loss of postural tone, often resulting in falls and injuries. 2. PARTIAL SEIZURES "Excessive electrical discharges from cmtical neurons in a ce1tain area in ONE hemisphere" A. Simple seizures: " No disturbance in consciousness " - The CP depends on the site of the hyperexcitable neurones in the cerebral cortex, whether in: "Motor area or Senso,y areas". 1. Motor fits: • Focal fits: • Motor jacksonian fits: 2. General Sensory fits: • Focal fits: • Sensory jacksonian fits: 3. Special Senso1y fits: • Visual hallucinations: • Auditory hallucinations: • Olfactory hallucinations: B. Complex seizures: - SITE: movement of part of a limb or the whole limb. movement of one side of the body (see before). parasthesia of part of a limb or the whole limb. parasthesia of one side of the body (see before). irritation of the visual sensory area. irritation of the auditory sensory area. initation of the uncus. " disturbance in consciousness " The hyperexcitable neurons are in the Temporal lobe "Temporal lobe epilepsy". - DURATION: The seizure lasts few seconds to few minutes. - The seizure starts with A ura, followed by A bsence, Automatism, Amnesia: 1. 2. 3. 4. A ura: A bsence: Automatism: A mnesia: Olfactory hallucinations, Deja-vu phenomenon, Sensation of fear. Absent patient with staring eyes (with no response to conversation). Involuntary Purposeless acts: motor ( eg, lip smacking, chewing) or verbal. No recalling of the seizure. 138 139 3. PARTIAL SEIZURES ~ GENERALISED SEIZURES " Partial seizures may spread to involve the whole brain .- secondarily generalised seizures " . HY-sterical epilepsY • Usually: • The cause: • Incidence: young neurotic Sj2 . psychological & there is no organic lesion. usually occurs in the presence of people. • It is associated with: • EEG: • It is not associated with: normal. • Missed ttt. • Menses. • Alkalosis. anxiety, palpitaion & hyperventilation. tongue biting or incontinence of urine. • Alcohol use & Drug abuse ( e.g. cocaine ). • S timulation by photons & Hyperventilation. • S leep deprivation & Stress & sudden withdrawal of antiepileptic drngs. INVESTIGATIONS 1. EEG: • It is the most specific test for epilepsy because it records the electrical activity of the brain. • It shows specific pattern: 2. LOCAL INVESTIGATIONS: "Epilepsy waves". "CT & MRI of the brain" • To identify or exclude a LOCAL CAUSE of seizures in the brain. 3. GENERAL INVESTIGATIONS: "Laboratory investigations" • To search for a GENERAL CAUSE of seizures, e.g. blood glucose. 139 140 TREATMENT A. General Measures: 1. 2. Moderation of the patient's physical activity. A void the precipitating factors ( Alcohol, hyperventilation, photic stimulation ...... ). 3. A ketogenic diet is encouraged because it will induce acidosis: - Acidosis is beneficial as it raises the threshold of stimulation of the brain cells. B. Specific Treatment: 2. 1. Treatment of the cause in secondary epilepsy. Anti-epileptic drugs: a) Always sta1t with one drug, then add another drug if there is no response. b) Always stop the drugs ONLY if: • The patient stays free of symptoms for at least 2 years. • The patient has a normal EEG. 3. Side effects of Anti-epileptic drugs: I . Skin rash. 2. 3. Bone marrow depression. Ataxia. Drug 1. Barbiturates (Pbenonobarbitone) 2. Hydantoin (Epanutin) 3. Carbamazepine 4. Clonazepam 5. Valproate 6. Succinamide ANTI-EPILEPTIC DRUGS NEW ANTI-EPILEPTIC DRUGS - These drugs are new dtugs that may be used in resistant seizures. 1. Lamotrigine: 200 - 400 mg/ day. 2. Felbamate: 3. Gabapentin: 400- 800 mg/ day. 600 - 1200 mg/ day. \ " General rules for use ": Dose 100-600 mg I day 100-600 mg / day 200-600 mg I day 2-6 mg I day 500-1500 mg I day 500-1000 mg / day Best indicated - Broad spectrum. - Not for petit mal. - Grand mal. - Motor Jacksonian fits. - Grand mal. - Motor Jacksonian fits. - Complex seizures. - Not for petit ma!. - Myoclonic. - Grand mat. - Broad spectrum. - Petit mat. 140 141 STATUS EPILEPTICUS DEFINITION - A medical emergency: 1. Repeated attacks of generalized convulsions, with lack of recove,y of consciousness, 2. Persistent attack of seizure lasting for at least 30 minutes. OR, - If the convulsions are not stopped rapidly, coma deepens & death may occur due to: heart failure or respiratory failure or brain damage or hyperpyrexia. - The most common causes are: sudden withdrawal of anti-epileptic drugs & stroke. TREATMENT A. General Measures: l. Take care of: " ABC " • Place the patient on the ground, to guard against falling from bed. • Mouth gag & 02 inhalation ( endo-tracheal intubation may be needed). • Record the vital signs regularly. 2. Take a sample of: - Venous blood: for the level of: - A.tierial blood: for the level of: 3. a nti-epileptic drugs, a lcohol. pH, p0 2, pC02, HC0 3. Give cerebral dehydrating measures: e.g. Frusemide, cone. Mannitol, Dexamethazone. B. Specific Treatment: - Phenytoin with diazepam (or clonazepam) immediately: 1. Phenytoin: 2. Diazepam: Clonazepam: seizures recur: 15 mg I Kg slow infusion. 5 mg slowly IV, to be repeated after 5 minutes if seizures recur: maximum dose: 20 mg. OR: 2 mg slowly IV, to be repeated after 5 minutes if maximum dose: 6 mg. - If seizures persist after 20 min. of Phenytoin & diazepam: 3. PHENOBARBITONE: - In resistant cases: 200 mg infusion. 4. GENERAL ANAESTHESIA: may be used.

The story of The Resurrection of Jesus is very amazing. Resurrection: meaning Jesus rising from the dead. Jesus is alive again. Jesus proved to the people that He is the “Son of God”. Would you like to know the amazing story? Let’s read on! Jesus is Alive! After Jesus died a man named Joseph from Arimathea put Jesus in His tomb. Before Joseph left, he and some men rolled a large heavy stone in front of the tomb. Mary and Mary Magdalene made spices and oils as a sign of respect to Jesus, and went very early to the tomb on the third day to go see Jesus' body. As they were just about at the tomb the earth suddenly shook and an angel came down from heaven. He easily rolled away the stone at the entrance of the tomb and sat on top of it. The women looked at each other and rubbed their eyes, they couldn't believe what they had seen. The angel was so bright, almost as bright as lightning. His clothes were as white as snow. There had been guards watching the tomb so no one would steal Jesus' body. When they saw the angel they fell over and they couldn't move or speak because they were so afraid. Christian Living Education 2 SEIBO COLLEGE 5 Then the angel said to the women, "Do not be afraid. I know you are looking for Jesus who has died. But He isn't here; He has risen just as He said He would! Come and see for yourself, the tomb is empty." The women were confused. How could this happen? They were sure Jesus had died, and now He was alive? They looked in the tomb and the cloths Jesus was wrapped in were lying on the ground, and the tomb was empty. Then the angel spoke again, "If you want to find Jesus He's on his way to Galilee." So the women hurried away. They had been so sad that Jesus was dead and now they were so excited He was alive! They just knew they had to find Jesus, and they had to tell the disciples the good news. As they were running down the path they turned a corner, and there was Jesus. "Greetings," He said. The ladies fell at His feet and worshiped him. Then Jesus said to them, "Do not be afraid. Go and tell my disciples to come to Galilee, which is where they will see me." The disciples came to Galilee, and had heard by this time that Jesus was alive. They were sitting around talking about it, when Jesus walked into the room and said to them, "Peace be with you." The disciples immediately stopped talking. Even though they had heard Christian Living Education 2 SEIBO COLLEGE 6 He was alive, they were shocked to see Him standing there with them. Jesus said to them, "Why do you look at me like you've just seen a ghost? Why don't you believe what you're seeing? Look at the scars in my hands and feet. It is really me! Touch me and see, I am not a ghost but a real person." The disciples’ mouths were open in amazement because they still didn't know what to think. They were so full of joy, and yet it was so impossible. Jesus understood what they were thinking, so He said, "This is what I told you would happen, that everything must happen that has already been written in the Bible." Then Jesus told them, "You have seen these things that have happened, so stay in the city and soon I am going to give you what God has promised you, the Holy Spirit. Jesus had one more person to see. His name was Thomas, and he was one of the disciples that weren’t there when Jesus met with them. Thomas had also heard that Jesus was alive, but would not believe until he saw Jesus with his own eyes. A week later when Thomas finally saw Jesus, Jesus said to him, "Put your finger here; see my hands. Stop doubting and believe." But Jesus continued, "Because you have seen me, you have believed; but it is more amazing for those who don't see me, and believe anyway." Christian Living Education 2 SEIBO COLLEGE 7 Jesus is actually talking to us when He said this. If you believe in Him, without seeing Him He thinks you're very special! That is exactly what faith is, believing in God even though you can't see Him. When we become Christians Jesus automatically gives us the Holy Spirit to live inside of us. The Holy Spirit makes us know when we have done something wrong. We might feel sick to our stomach, or just get a bad feeling, that is the Holy Spirit reminding us that we are doing something wrong, or that we need to stop and say sorry and ask for forgiveness for what we've done. Do you know what we celebrate during Easter Sunday? We celebrate the rising of Jesus from the dead. We celebrate because Jesus shared His new life with us. Through His rising from the dead, we are saved. We also have new life. What do you think we should do with our new life? How can we thank Jesus for sharing His new life with us? Of course, we should do good deeds. When we say good deeds, it is anything that we do that is good. It doesn’t matter how big or small as long as it is good. It would make Jesus very happy if we stop our bad ways and change for the better

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