The House–Brackmann score is a score to grade the degree of nerve damage in a facial nerve A modification of the original House–Brackmann score, called the “Facial Nerve Grading Scale ” (FNGS) was proposed in KEYWORDS. Facial paralysis;. Evaluation;. Scales;. Classification; necessário treinamento prévio; na escala de House & Brackmann, . Assessment of facial movement according to House & Brackmann (). Grade. House-Brackman Scale facial nerve palsy The House-Brackmann scale ranges between I normal and VI no movement. Grade I Normal symmetrical function.

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Facial nerve grading system.

None of the patients received an antiviral agent. We found that the rate of complete recovery was lower on the FNGS 2.

We therefore analyzed the rate of agreement of the two scales and confirmed the properties and usefulness of FNGS 2. We assumed that the difference in grade I may reflect inter-examiner variation.

House Brackman Scale – ANZ Journal of Surgery

Although not identical, as the evaluation criteria differ for the “regional” grading system and FNGS 2. Significance of House-Brackmann facial nerve grading global score in the setting of differential facial nerve function. This system is sensitive hous assessing changes in facial recovery [ 2 ] and has been reported highly reliable, with intra- and inter-rater reliability similar for beginners and experts [ 9 ].

Second, the final follow-up was performed 3 months after treatment; however, this period is too short to make decisions on facial paralysis. The reasons for the disagreement over grade I outcomes between the two scales remains unclear.

At the Sorensen Clinic we routinely use the House-Brackmann scale to evaluate new and existing patients. Current issue Free content Submit an article.

House Brackmann

In contrast, one patient showed full recovery on the FNGS 2. It is a widely accepted system, simple, sensitive, accurate and reliable – grading facial function in six steps from normal HB I to total paralysis HB VI. Grade V Motion barely perceptible Incomplete eye closure, slight movement corner mouth Synkinesis, contracture, and spasm usually absent. Had patients been evaluated by two or more examiners, we could have calculated interobserver differences, enhancing the value of our results.

Grading facial nerve facil A comparison and conversion table of ‘the House-Brackmann facial nerve grading system’ and ‘the Yanagihara grading system’. The management of peripheral facial nerve palsy: Facial Nerve Grading System 2.

These problems may be overcome and long term results obtained by a multi-center study with larger numbers of patients. To minimize these shortcomings, studies have explored the Yanagihara and Sunnybrook grading systems.

Otolaryngol Head Neck Surg. Among them, one patient scored 2 points in the brow region, and the other four scored 2 points in the oral region in FNGS 2.

Search the site Search. In theory, normal is normal no matter what scale is used. To date, however, few studies have compared these two grading systems in real patients and confirmed whether FNGS 2.

However, it has been difficult for this system to replace HB grading. In addition we include a description of segmental weakness zone-specific informationchanges in the facial soft tissues and synkinesis.

House-Brackman Scale (facial nerve palsy)

Agreement between the traditional global score and the regional scores was analyzed. We found that 43 patients Our skin and laser specialist treats a wide range of skin conditions through a combination of therapies, including lasers, skin peels, injectables, dermabrasion and Obagi skin care products.

Future studies are needed to evaluate these grading systems in patients whose paralysis was due to other causes. This system evaluates movements of 10 facial muscles, assigning each a score of points, resulting in a maximum score of 40 points. Grade I Normal symmetrical function Grade II Slight weakness noticeable only on close inspection Complete eye closure with minimal effort Slight asymmetry of smile with maximal effort Synkinesis barely noticeable, contracture, or spasm absent Grade III Obvious weakness, but not disfiguring May not be able to lift eyebrow Complete eye closure and strong but asymmetrical mouth movement Obvious, but not disfiguring synkinesis, mass movement or spasm Grade IV Obvious disfiguring weakness Inability to lift brow Incomplete eye closure and asymmetry of mouth with maximal effort Severe synkinesis, mass movement, spasm Grade V Motion barely perceptible Incomplete eye closure, slight movement corner mouth Synkinesis, contracture, and spasm usually absent Grade VI No movement, loss of tone, no synkinesis, contracture, or spasm Reference House JW, Brackmann DE.

When compared with HB grading, the kappa value was 0. Head Neck Surg, [93] —


Title, Grzimek’s encyclopedia of mammals, Volume 4. Grzimek’s Encyclopedia of Mammals, Bernhard Grzimek, ISBN , : Grzimek’s Encyclopedia of Mammals (Complete 5 Volume Set): Exlibrary, usual markings. Complete 5 volume set. Available in the National Library of Australia collection. Format: Book; 5 v.: col. ill. ; 25 cm.

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Collection delivery service resumes on Wednesday 2 January Advanced search Search history. Illustrated Reference Encyclopedias Hardcover Books. Show More Show Less. To learn more about Copies Direct watch this short online video. A Field Guide to the Mammals of Ecuador. See details for description of any imperfections.

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Conservation Land Management CLM is a quarterly magazine that is widely regarded as essential reading for all who are involved in land management for nature conservation, across the British Isles. Published six times a year, British Wildlife frzimek the gap between popular writing and scientific literature through a combination of long-form articles, regular columns and reports, book reviews and letters.

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The accent in Kathakali is more on the Thandava style of dancing than on Lasya style. Growth 9 single hand symbols: After the face work is over, the performer wears costume. Ravana, Keechaka, Dussassana and the like fall in this category.

Nose tip bears a Chuttipuvu of normal size. Indian dramatic theory explains 9 kinds of basic sentiments, Rasa with a corresponding sthayi bhava emotional stayi mood. Using this can show the symbols like oppose, Stop!! Tail feather of a peacock, 4. Kathakali is a ritualistic dance-drama of Vedic mmudras origin.

Twigs of the tree, 2. Katti in local language is knife.

kathakali mudras

Drumming especially of Chenda is the salient feature of Kathakali. Kathakali is more popular than ChaakyaarkoothKoodiyaattam and other forms of art worshipping dance-dramas.

Beginning of the rainy season, 2. They are Angika — pertaining to the body and its limbs Vachika — relating to the vocal including proper pronunciation, modulation of voice accents and percussion Satvika — representation of psychic condition Ahraya — costume, make-up, stage props etc Angika Abhinaya: The basic Mudras number sixty-four and these Mudras are elixir of words.

Mrigaseersham Deer’s head This traditional dance form can be seen during several cultural festivals or occasions. In Kathakali the story is enlivened in the dance. Kathakali Kathakali, literally meaning ‘story-play’, is a dance-drama originated in the 17th century in Kerala, one of the smallest states in India lying kathakalli the west coast of the Indian peninsula.

Kathakali Mudra Stock Photos & Kathakali Mudra Stock Images – Alamy

Vachika drama text in the form of verses and songs are recited and sung by vocalists. Kartharee Mukham Scissor’s sharp point: There are 68 Mixed Mudras.

Ramanaattam was renamed to Attakatha. This is preamble of female characters appearance. The intricate make-up of Kathakali consumes more than three hours. This is a complicated and meticulous make-up.

No raised platform is necessary. This make-up consists of white beard and a fur coat. Driver of chariot, 2. However, specially trained artists are entrusted to apply Chutty framing the face with white paper and rice paste.

Male member of Brahmin caste, 4. In olden times, 9.

Tail 16 Single hand symbols: Scholars are of opinion that Kathakali is the result of a fusion between all Indian theater tradition represented by Koodiyattom and the indigenous tradition of folk dance forms. Ardhachandram Half moon Hamsaasyam Kathakall peek Natyasangham, Kottakkal, Calicut District.


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Throughout Germany, many schools are named after him. There is also a Hermann Hesse prize associated with the city of Karlsruhe, Germany. Want to Read Currently Reading Read. Javier Belsa rated it liked it Feb 12, Oswaldo Angeles rated it really liked it Oct 23, There are no discussion topics on this book yet.

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Bajo La Rueda. Klein y Wagner. El Último Verano de Klingsor. by Hermann Hesse

Hermann Hesse was a German-Swiss poet, novelist, and painter. Hermann Hesse was a German-Swiss poet, novelist, and painter.

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El Ultimo Verano de Klingsor

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El Ultimo Verano De Klingsor by Hesse, Hermann

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Captain Underpants and the Perilous Plot of Professor Poopypants by Dav Pilkey

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Editorial Reviews. About the Author. Michael A. Stackpole is the author of many science fiction and fantasy novels in the BattleTech series. He is also the New. Lethal Heritage (original).jpg Series, Blood of Kerensky Trilogy Lethal Heritage, by Michael A. Stackpole, is the first book in the Blood of Kerensky trilogy. Blood of Kerensky: Lethal Heritage Bk. 1 by Michael A. Stackpole, , available at Book Depository with free delivery worldwide.

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Amazon Advertising Find, attract, and engage customers. But I’m a sci-fi fan, and I enjoy this light-hearted stuff. If you like Battletech, this book is readable.

Read reviews that mention inner sphere science fiction clan invasion lethal heritage battletech universe warrior trilogy years ago phelan kell battletech fans battletech books battletech book stackpole clans action victor kai war battle force introduction.

At Kobo, we try to ensure that published reviews do not contain rude or profane language, spoilers, or any of our reviewer’s personal information. I’m not a particular fan of big, stompy, bots but I got a good feel for what the combat and piloting them must be like.

Sep 08, Alex rated it it was kwrensky. But a new threat looms just outside the Inner Sphere. You submitted the following rating and review. Want to Read saving….

This book is boring to the extreme. Showing of 38 reviews. It is the first in the Blood of Kerensky trilogy and also the first novel in the Enter the Clans Battletech Era, which is comprised of 7 total novels.

Lethal Heritage by Michael A. Stackpole

Customers who bought this lehtal also bought. Nothing more needs to be said. We are talking about hundreds of populated worlds here. Even better, Stackpole is, and always has been, a good writer, so you won’t be dissapointed. Reasby rated it really liked it. Unless you are interested in Kerebsky, move on. Now, almost 15 years later, I’ve decided to reread them, because I really liked them back then. It’s a favorite I come back to every couple of years.

I have my critiques about the way the plot is presented as well.

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So, I wouldn’t recommend this if you haven’t read the previous trilogy, but if you have and liked it, then if you pick this up, know that it gets better than the first pages would lead you to believe.

Reading this is a real slog. I finally figured out who is who toward the end of the book. I don’t feel particularly fond of any of the characters and I wanted more backstory and less description of cannons, LRMs, and blodo ferrocite. Blood of Kerensky is one of the best written and greatest stories in the entire BattleTech series. Lots lethxl telling rather than showing, particularly of characters’ feelings.

Books In This Series 3 Books.

Lethal Heritage

Stackpole is the author of many science fiction and fantasy novels in letbal BattleTech series. Humans expand out and colonize worlds only to have progress halted by infighting.

October 14, Lethao by: You can’t go home again Lo que nos cuenta. You can skip it all, because nothing happens. Lethal Heritage Blood of Kerensky Book 1. Still a great read I first read this book over 25 years ago. About this title Audio Format.

Lethal Heritage – BattleTechWiki

Each of the main characters gives a soliloquy in their initial chapters, explaining who they are, their heritage, their motivations, their desires. Think barbarian invasions in space. Item s unavailable for purchase. Normally I skip past the shelf in the bookstore where all of the RPG tie-in books live: Kindle Edition Verified Purchase. At the time I wasn’t much older than the “second generation” characters in the book – Kai Allard, Phelan Kell and oethal others.

Stackpole, to his credit, plays this material straight, keeping it action forward with strong but simple characters.


Java Testing with Spock teaches you how to use Spock for a wide range of testing use cases in Java. Readers new to Groovy will appreciate. Spock is also a superset of the defacto testing framework for Java: Junit. In this article, excerpted from Java Testing with Spock, we will compare. When JUnit was first introduced a decade ago by Kent Beck and Erich Gamma, the Paperback: pages; Publisher: Manning Publications; Second edition.

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The knowledge of the pathogenesis of systemic sclerosis to molecular level will lead to new treatment strategies. Important complications of fibrosis escleroderma left ventricular hypertrophy, as well as systolic siatemica diastolic dysfunction of both ventricles.

Escleroris Sistémica Progresiva by manuel hernandez on Prezi

Evaluation and management of scleroderma lung disease using bronchoalveolar lavage. Drugs that prevent vascular damage such as: Ellenes Z, Szules G. Absence of epicardial coronary stenosis in patients with systemic sclerosis with severe impairment of coronary flow reserve.

Endothelin and collagen vascular disease: Role of oral sildenafil in severe pulmonary hypertension: Massive pericardial effusion in scleroderma: Send the link below esclerosis sistemica progresiva email or IM Copy. See sistemicaa popular or the latest prezis. From Monday to Friday from 9 a.

Curr Opin Rheumatol, 15pp. Patchy fibrosis is the characteristic myocardial finding in SS. D-Penillamine therapy in progressive systemic sclerosis scleroderma.


Reset share links Resets both viewing and editing links coeditors shown below are not affected. Clinical manifestations include dyspnea, palpitations, chest pain, syncope, and symptoms of right heart failure. Constrain to simple back and forward steps. Cyclophosphamide versus placebo in scleroderma lung disease.


TRANSFORMASI SITRONELAL DARI DESTILASI FRAKSINASI SEREH WANGI MENJADI SITRONELOL MENGGUNAKAN KATALIS Zr4+-ZEOLIT BETA. Profil Aroma Asap Cair Tempurung Kelapa Hasil Distilasi Fraksinasi Bertingkat pada Berbagai Perlakuan Suhu. Siti Nurhasanah (), Pemisahan Eugenol dari Minyak Cengkeh dengan Cara Distilasi. Fraksinasi, Journal, Faculty of Food Industry.

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Diperoleh dari ” https: Ruang nama Halaman Pembicaraan. Fraksionasi juga digunakan untuk tujuan kuliner, seperti minyak kelapaminyak sawitdan minyak inti sawit difraksionasi untuk menghasilkan minya dengan viskositas yang berbeda-beda, sehingga dapat digunakan untuk berbagai tujuan yang berbeda. Fraksionasi banyak digunakan dalam banyak cabang ilmu dan teknologi.

Proses fraksionasi darah melibatkan pemisahan darah menjadi komponen-komponen utamanya. Ciri ini yang membedakan dari teknik pemisahan lainnya.


Dalam farmakognosiprotokol umum untuk mengisolasi bahan kimia murni dari bahan alam adalah fraksionasi berdasarkan bioassayyang merupakan tahapan pemisahan komponen yang diekstraksi berdasarkan perbedaan sifat fisikokimianya, dan pemeriksaan aktivitas biologinya, diikuti dengan tahapan berikutnya berupa pemisahan dan penetapan pengukuran kadar.

Tampilan Baca Sunting Sunting sumber Versi terdahulu.

Fraksionasi darah merujuk pada proses pemisahan menggunakan sentrifugasisetelah tiga komponen utama dapat divisualisasi: Fraksionasi komponen juga dilakukan dalam kromatografi kolom berdasarkan perbedaan afinitas antara fasa diam dan fasa gerak. Susu dapat juga difraksionasi untuk memulihkan konsentrat protein susu atau fraksi protein dasar susu.

Dari Wikipedia bahasa Indonesia, ensiklopedia bebas.

Fraksionasi memungkinkan untuk mengisolasi lebih dari dua komponen dalam satu campuran hanya dalam sekali jalan. Halaman ini terakhir diubah pada 23 Novemberpukul Campuran cairan dan gas dipisahkan menggunakan distilasi fraksi berdasarkan perbedaan titik didih.

Lihat Ketentuan Penggunaan untuk lebih jelasnya. Komunitas Warung Kopi Portal komunitas Bantuan.

Fraksionasi – Wikipedia bahasa Indonesia, ensiklopedia bebas

Minyak-minyak ini biasanya menggunakan kristalisasi fraksional pemisahan berdasarkan kelarutan pada temperatur tertentu untuk proses pemisahan dan bukan menggunakan distilasi. Fraksi-fraksi dikumpulkan berdasarkan perbedaan sifat khusus masing-masing komponen.

Dalam kristalisasi fraksional dan pembekuan fraksionalbahan rraksinasi difraksionasi berdasarkan perbedaan kelarutan pada temperatur tertentu. Ciri khas dalam fraksionasi adalah kebutuhan untuk menentukan titik optimum antara jumlah fraksi yang dikumpulkan dan kemurnian yang diperlukan dalam masing-masing fraksi.

Dalam fraksionasi selkomponen sel dipisahkan berdasarkan perbedaan massa. Fraksionasi adalah proses pemisahan di mana sejumlah tertentu campuran gas, padatan, cairan, suspensi, atau isotop dipisahkan selama transisi fasa menjadi sejumlah kecil bagian fraksi-fraksiyang mana komposisinya bervariasi sesuai gradiennya. Artikel utama untuk bagian ini adalah: Minyak mangga adalah suatu fraksi minyak yang diperoleh selama pemrosesan bungkil mangga.

Tiga komponen terpisah ini dapat dianalisis lebih lanjut dan sering dilakukan pemisahan lanjutan.