About kms of rural roads are gravel roads. Internal roads in all the rural wards need major constructions and constant maintenance. This developmental are affected all the 35 wards which constitute Mahikeng Local Municipality.
Because of this, other classification systems such as the one shown in the table are also used to help determine severity. Focal and diffuse brain injury CT scan Spread of the subdural hematoma single arrowsmidline shift double arrows Systems also exist to classify TBI by its pathological features.
Extra-axial lesions include epidural hematomasubdural hematomasubarachnoid hemorrhageand intraventricular hemorrhage. With mild TBI, the patient may remain conscious or may lose consciousness for a few seconds or minutes. Domestic violence is another cause of TBI,  as are work-related and industrial accidents.
Other factors in secondary injury are changes in the blood flow to the brain ; ischemia insufficient blood flow ; cerebral hypoxia insufficient oxygen in the brain ; cerebral edema swelling of the brain ; and raised intracranial pressure the pressure within the skull.
Since the pterion is so weak, this type of injury can easily occur and can be secondary due to trauma to other parts of the skull where the impact forces spreads to the pterion.
Diagnosis CT scan showing epidural hematoma arrow Diagnosis is suspected based on lesion circumstances and clinical evidence, most prominently a neurological examinationfor example checking whether the pupils constrict normally in response to light and assigning a Glasgow Coma Score. X-rays are still used for head trauma, but evidence suggests they are not useful; head injuries are either so mild that they do not need imaging or severe enough to merit the more accurate CT.
Prevention Protective sports equipment such as helmets can help to protect athletes from head injury. Since a major cause of TBI are vehicle accidents, their prevention or the amelioration of their consequences can both reduce the incidence and gravity of TBI. In accidents, damage can be reduced by use of seat belts, child safety seats  and motorcycle helmets,  and presence of roll bars and airbags.
An increase in use of helmets could reduce the incidence of TBI. The essential concept of daily dietary supplementation with DHA, so that those at significant risk may be preloaded to provide protection against the acute effects of TBI, has tremendous public health implications.
In particular, it has been demonstrated through multiple studies to significantly reduce neuronal losses and to improve cognitive and neurological outcomes associated with these traumatic events.
Acetylcysteine has been safely used to treat paracetamol overdose for over forty years and is extensively used in emergency medicine. Treatment It is important to begin emergency treatment within the so-called " golden hour " following the injury.
In the acute stage the primary aim of the medical personnel is to stabilize the patient and focus on preventing further injury because little can be done to reverse the initial damage caused by trauma. Other methods to prevent damage include management of other injuries and prevention of seizures.
Sedativesanalgesics and paralytic agents are often used. Failing to maintain blood pressure can result in inadequate blood flow to the brain. While they can be treated with benzodiazepinesthese drugs are used carefully because they can depress breathing and lower blood pressure.Physical activity is an integral part of health and well being in heartoftexashop.com bodies also require physical activity in order to be heartoftexashop.comtanding and supporting physical activity, will help children have the right foundation for a healthy and happy heartoftexashop.comve experiences with physical activity at a young age promotes the growth if.
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