Separate Siamese

Separate Siamese

By Lisa Waddell Buser
Fetal Center at Le Bonheur Children in Memphis, making the medical director Giancarlo Mari a fetal ultrasound to 27 years Adrienne Spaten. After learning she was pregnant with conjoined twins, Spaten has been controlled in the center of the fetus for eight weeks. The boys were Spaten prenatal diagnosis by ultrasound at 25 weeks gestation, then returned to Mari, who has developed a plan of care delivered and boys at 34 weeks gestation by Caesarean section on Jan. 24 at Memphis Regional Medical Center.

Seven hours after birth, the boys were transferred to the neonatal unit Le Bonheur intensive care. Born joined the division of the spine and the rectum, the muscles and nerves, the twins are one of only six ever recorded in Memphis. Joshua is on the left, and Jacob is right.

Joshua and Jacob are twins pygopagus, which is a rare form of reunited twins to return to the pelvis and lumbar spine, each with separate hearts, heads and limbs. This represents only 15% of conjoined twins. The boys have spent seven months in the happiness of the Neonatal Intensive Care Unit prior to separation.

Respiratory therapist Jessica Mann, dean of the hands of Siamese twins Joshua and Jacob Spaten their mother, Adrienne Spaten in Happiness neonatal intensive care unit.

Spaten Joshua, with his brother, James, in the background at the age of 10 weeks.

Adrienne Spaten comforts her newborn twins, Joshua (left) and Jacob (right).

In combination with the twins, Jacob (left) and Joshua (right) plays with her mother days before their separation surgery.

The surgical team of Jacob and Joshua Spaten arrives to transport the boys to the operating room at 6:30 on August 29 Spaten Adrienne said goodbye to her boys.

On the day of surgery, Melody Cunningham, Adrienne Spates comfort before his twins were produced by Joel Saltzman, and anesthesiology.

The team of Anesthesiology happiness is preparing for sleep position and twins surgery. The surgical team consisted of twin 34 physicians, nurses and technicians.

Joshua and Jacob are marked with the letters "A" and "B" to eliminate confusion during the operation. Surgical teams were divided into teams and the B team during the separation.

William Warner orthopedic surgeon explains the procedure for the surgery group.

Plastic surgeon Robert Wallace is working with other surgeons and they begin the separation of Joshua and Jacob Spaten.

Double fused when Jacob Spates successfully separated from his brother, Joshua.

Certified nurse anesthetist Gordon Corder keeps a watchful eye on the boys in the 13 hours of surgery.

The surgical team members are prepared to spend an Spates Joshua to bed before it is transferred to another operating room.

Nurses and doctors to move Joshua Spates in his bed after the surgery is completed for about twenty to 29 August. Joshua and Jacob was transferred to the pediatric intensive care unit in the operating room.

After waiting for a surgery that lasted more than 13 hours, the mother of Adrienne Spates welcomed their son, Jacob, on his return from surgery. To the right is an anesthesiologist Paidipalli Rao.

Adrienne Spaten comforts his son James, shortly after his return from surgery.

Adrienne Spaten is comforted by his uncle.

Guy Ben plastic surgeon sutures control Gblulie Jacob Spaten "back one day after surgery. Jacob is still in the happiness of the pediatric intensive care unit. His brother, Joshua, moved to the unit of the hospital care for babies.

Today is separated twins Joshua, above, and Jacob Spaten welcome for the first time since the separation operation. Both were recovering in separate rooms, since their Aug. 29 surgery.

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3 Died Of A Rare Brain Infection Of The Amoeba In Water

3 Died Of A Rare Brain Infection Of The Amoeba In Water

ATLANTA (AP) - Two boys and a girl died this summer of a brain-eating amoeba officials living in the water of health.
This month, the rare infection killed a 16 year old girl in Florida who became ill after swimming, and a 9 year old boy in Virginia, who died a week after he went fishing the day camp. The child was wet with the first day of camp, his mother told the Richmond Times-Dispatch.
These themes are consistent with the previous cases, which are usually the children - often children - who are exposed to the bug while swimming or playing sports in hot water in ponds or lakes.

In the third case, in Louisiana, were unusual. He was a young man, whose death in June was traced to tap water, used a device called a neti pot. This is a small teapot-shaped container used to rinse the nose and sinuses with salt water to relieve allergies, colds and sinusitis.
Health officials later found the amoeba in the water system of the house. The problem is confined to the house, was not found in samples of tap water, said Dr. Raoult Ratard, Louisiana State Epidemiologist.

The young man who was only identified as being in his 20s and southern Louisiana, had not been swimming or had contact with surface water Ratard said.
He said that the only sterile distilled water or boiled water should be used neti pots.
The disease is extremely rare. About 120 cases in the United States - almost all the deaths - were reported by the amoeba were found in 1960, the Centers for Disease Control and Prevention.
About three deaths recorded each year on average. Last year there were four.

There is no evidence that cases are increasing, said Jonathan Yoder, who coordinates the surveillance of waterborne diseases to CDC.
The amoeba - Naegleria fowleri (nuh-uh GLEER-ee-eye-er-BIRD) - the nose is raised to their burrows in the skull and destroys brain tissue. Found in lakes and rivers warm during the hot summer months, mainly in the South.
It is a medical mystery why some people who bathe in water containing amoeba causes of mortality of the nervous system, while others do not, experts say.
But the cases that occur tend to be tragic, and there has been a single report of successful treatment.
"It's very difficult to treat. The majority of people die," said Ratard.
AP writer Stephanie Nano in New York contributed to this report.

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License Health.com 25 Ways To Cut 500 Calories A Day

License Health.com 25 Ways To Cut 500 Calories A Day
1) A little 'here, a little' there

The easiest way to lose weight is to reduce calories. It is the first one hundred Diet But how do you really need to cut or burn to see results? It's simple: you can lose a pound a week by cutting 500 calories daily. (Calories burned based on a 150-pound woman.)
In fact, to make the exchange a couple of days and you can lose 10 kg in 5 weeks! In order to test these 25 simple changes, and get the slim body you want in no time.

2) Press the foot

Your friends are probably slim fidgeters, which will burn up to 350 calories per day just by tapping your feet or is restless.
Try for a few days. Walk around while you're on the phone or press a melody with your hands or feet (in the privacy of your own office, of course).
3) Move away from nuts

Especially if they are in a large bowl. Over the bowl, the more you eat, Cornell University researchers say.
Nuts are heart-healthy fat, but they are also high in calories: a handful (about 1 oz) oil roasted mixed nuts has 175 calories, 3 handles the 525th Cut the nuts completely and save more than 500 calories .
He can not resist 'em? Eating pistachios: two handfuls are only 159 calories, and the shells are holding you back, nibble.
4) Do not eat while watching TV

You will eat up to 288 more calories, according to research from the University of Massachusetts.
Instead, eat at the table, and trade an hour of television a walk. Overall, it's 527 calories burned.
5) Limit salad

A large salad might seem healthy, but all these goodies on top could make it more calories than responsible for lasagna or fettuccine Alfredo. Cheese crumbles, caramelized walnuts, bacon, avocados, nuts, croutons and dressing can add a lot of calories.
Save 500 calories by one or more filling, add flavor, but lower CAL vegetables (roasted red peppers, grilled onions or mushrooms), and only half of the sauce.
6) use smaller plates

Trade your plate for a 12-inch 10-inch. You will eat 20 to 25% less and save up to 500 calories.
Do not you feel less crowded, and, researchers say.
7) Avoid the whip

Or at least that is the size below. Dessert, as the creations of coffee can contain up to 670 calories, with large sizes and options such as cream, whole milk, and syrups.
Desire whipped cream? Try an espresso for a total of only 30 calories. You save 640 calories!
8) Count your chips (and cookies)

No, you can not eat snacks in a large bag or box, because it's waaaay too tempting to eat until the bag is empty. (Remember Oprah's blue-corn tortilla chips confession?)
Bender at the bottom of the chip-9-ounce bag is 1260 calories sans dip. Thus, a single dose, approximately 15 applications of 140 calories or raise around 100 calories snack packs and save 1120 calories.
9) Serve and sit

Family-style meals, dishes and bowls with food on the table, invite the people to return to the second and third.
Cut calories by filling in hundreds of dishes before bringing the table, leaving the food they serve in the kitchen, too.
10) Skinny-up cocktails

Syrup, sour mix, sugar juices and additions round of drinks to creamy desserts: an indulgent mudslides can have more than 800 calories.
For mixed drinks with soda, tonic water, cranberry juice or a squeeze of lemon juice, or try to distilled spirits on the rocks. You can save up to 800 calories.
Indeed, a couple one day and you can swap file 10 pounds in 5 weeks! So try these 25 easy adjustments and get the slim body you want in no time.
11) Eat less pasta

A cup of pasta only 220 calories. But the typical dinner in the restaurant portions can be up to 480% more than a cup, according to New York, university research.
It is 1056 calories. Even if you eat 2 cups of noodles, you'll still save 616 calories.
12) limit for guests at dinner

Eating seven or more other customers to get you to eat 96% more, says Brian Wansink, PhD, author, Mindless Eating.
It's like double the dinner! Eat fewer customers to save 500 calories or more.
13) Do not clean the disc

Leave 25% of your food on your plate at every meal, says an expert in weight loss, James O. Hill, Ph.D., author of the diet phase. Save what is left as the remains of a delicious lunch the next day.
If you normally eat 2000 calories or more a day, you cut 500 calories.
14) Make Mine a Mini

Check menus for smaller versions of large desserts, so you can dodge calories and end your meal on a sweet note.
PF Chang Great Wall of Chocolate (planned as the dinner!) It is 1440 Mini Great Wall calories.The? Chocolate still lean 150 calories. Save 1290-calories.
15) Nix the smoothie a day

A large 32-oz smoothies can have 800 or more calories. It really does, if you over-the-go breakfast sometimes several times a week.
Instead, try to close down calories starts oatmeal with brown sugar and banana slices and a cup of black coffee. You'll save 518 calories.
16) Beware of the trap-healthy foods

People drop their guard when the menu is full of healthy dishes, underestimated the calories by up to 35%, the investigation of the Organization of Cornell University and shows the mark of the laboratory.
You are also likely to order drinks, sides and desserts up to 131% more calories when you have a healthy starter. Skip the calorie content of the site cookies, chips, store up to 500 calories.
17) Beware of hidden oil

Request that the food cooked for a while 'broth instead of oil or steamed or fried to order food: save 124 calories per tablespoon of oil.
In addition, cooking oils, skip added at the last minute as basil or chives, oil and save 40 calories a teaspoon extra.
18) Get enough sleep

Lack of sleep can cause taste, new research from the University of Chicago shows. People who have received only 5 1 / 2 hours of sleep more during the day nosh.
Snooze more and save about 1,087 calories.
19) Be the hostess with the mostest

Go grocery shopping for one hour, store shopping, spend two hours cooking a fabulous holiday party, set the table and serve.
So you toast to the beautiful 640 calories. (A glass of champagne is only about 106 calories, so you are always ahead.)
20) Soda habit

 A 12 oz soft drink has about 150 to 180 calories. If two or three a day, you get a lot of extra calories.
Quench your thirst with water and save up to 540 calories.
21) the simple tricks to fill (vähemmän!)

Before breakfast, eat two eggs boiled or fried. (You will feel better and eat about 416 calories less than the rest of the day.)
Before lunch and dinner, enjoy a cup of low calorie soup. (You will eat about 134 fewer calories at each meal.) And save a total of 684 calories during the day.
22) gap buttered popcorn movie

Yes, popcorn is a great stand weighs a staggering 1005 calories.
Smuggling in their own (microwave jumped 94% fat free, of course) and save over 700 calories.
23) Get in line with the belly

Pay attention to how you feel full, and count the fork when you're happy.
Listen to your body signals, rather than see if the disc is clean and store up to 500 calories per day.
24) Drink Sugar Free

Added the 20-ounce fruit juice can be a 400-more calories. And Southern-style sweet tea is not much better than soda bottle of 16-syrupy sweet tea has 180 calories, three of them have 540 calories.
Choose sugar-free sips and save over 400 calories.
25) Check the number of doses of the mix

Menu shrimp fried rice calories you can not say 350 calories per serving, but what lies ahead of you may in fact be 4 servings. Split is the three guys, and save 1050 calories.
26) Small ice cream shop

While you enjoy your favorite full-fat taste, you can save up to 550 calories with 5-ounce instead of 12 ounces.
For breakfast, eat two boiled eggs or poached. (You will feel full and eat about 416 fewer calories the rest of the day.)
Before lunch and dinner, enjoy a cup of low calorie soup. (You will eat about 134 fewer calories at each meal.) And save a total of 684 calories a day.

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