Army Regulation AR 380-5 Security: Army Information Security Program October 2019

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Army Regulation AR 380-5 Security: Army Information Security Program October 2019

Army Regulation AR 380-5 Security: Army Information Security Program October 2019

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De Lucia D, Napolitano M, Di Micco P, Niglio A, Fontanella A, Di lorio G. Benign Intracranial Hypertension Associated to Blood Coagulation Derangements. Thromb J. 2006;4(1):21. doi:10.1186/1477-9560-4-21 - Pubmed San Millán D & Kohler R. Enlarged CSF Spaces in Pseudotumor Cerebri. AJR Am J Roentgenol. 2014;203(4):W457-8. doi:10.2214/AJR.14.12787 - Pubmed Digre K. Not So Benign Intracranial Hypertension. BMJ. 2003;326(7390):613-4. doi:10.1136/bmj.326.7390.613 - Pubmed

In addition to enabling venous stenting, catheter venography allows for venous manometry to be performed 31. The degree of pain relief from injections is variable and temporary. One study found that acromioclavicular arthritis patients who had steroid injections had pain relief ranging from as little as two hours to as long as three months. In post renal causes of oliguria, attention should be directed to underlying etiology.Sometimes only simple measures are required to manage those causes, for example, catheter irrigation in case of a clogged urinary catheter, or manipulation in case of a kinked catheter, etc. A bedside bladder ultrasound may be helpful to detect urinary retention and to guide if an indwelling urinary catheter is needed. A urology consultation might be helpful in cases of urinary retention due to BPH, tumors, or stones.

Record Details for AR 190-13

Aiken A, Hoots J, Saindane A, Hudgins P. Incidence of Cerebellar Tonsillar Ectopia in Idiopathic Intracranial Hypertension: A Mimic of the Chiari I Malformation. AJNR Am J Neuroradiol. 2012;33(10):1901-6. doi:10.3174/ajnr.A3068 - Pubmed Suzuki H, Takanashi J, Kobayashi K, Nagasawa K, Tashima K, Kohno Y. MR Imaging of Idiopathic Intracranial Hypertension. AJNR Am J Neuroradiol. 2001;22(1):196-9. PMC7975547 - Pubmed Lumbar puncture is central to diagnosis. The CSF composition is normal but the opening pressure is elevated (with 20-25 cm H 2O considered equivocal and >25 cm H 2O considered definitely abnormal). It is controversial whether positioning during lumbar puncture is clinically important, with some insisting that lateral decubitus is the most accurate but others believing the default position for fluoroscopy-guided lumbar puncture, prone, is close enough 25. It should also be noted that opening pressure can vary during the day. One study continuously measuring CSF pressures demonstrated many patients had intermittent pressure waves with amplitudes of 50–80 mmHg (68–109 cm H 2O) that lasted 5 to 20 minutes 26. Brown JN, Roberts SN, Hayes MG, et al. Shoulder pathology associated with symptomatic acromioclavicular joint degeneration (abstract only). J Shoulder Elbow Surg 2000;93:173Y176. Less commonly IIH can also be encountered in males, usually older and less likely to be obese 15. It is rare in the pediatric population, being more common in the 12-17 year age group than in the 2-12 year age group 15,29. Associations

In the absence of a cause for intracranial hypertension, imaging features that support the diagnosis of idiopathic intracranial hypertension include 3,6-9,15,23: However, depending on the patient, co-existing conditions, and the specific physical therapy program, exercises that focus on stretching and strengthening muscles and maintaining the shoulder’s range of motion may be helpful. Calls are being made for greater scrutiny on primary schools with claims one in four kids go to high school with a poor understanding of reading, writing and numbers. People can loosen a stiff AC joint by using moist heat, such as a warming pad or whirlpool, for a few minutes before activity. Icing the shoulder joint for 15 to 20 minutes after activity can decrease swelling and provide some immediate pain relief. These treatments provide temporary symptom relief, and do not treat the underlying causes of AC joint osteoarthritis. Schuknecht B, Simmen D, Briner H, Holzmann D. Nontraumatic Skull Base Defects with Spontaneous CSF Rhinorrhea and Arachnoid Herniation: Imaging Findings and Correlation with Endoscopic Sinus Surgery in 27 Patients. AJNR Am J Neuroradiol. 2008;29(3):542-9. doi:10.3174/ajnr.A0840 - PubmedA variety of conditions are known to be associated with idiopathic intracranial hypertension including: Urinalysis can aid in distinguishing the causes of oliguria as well. The specific gravity of the urine is >1.02 in prerenal and <1.01 in renal causes. Urinary sodium concentration (mmol/liter) value is <20 in prerenal causes whereas it is >40 in renal etiologies. Similarly, fractional excretion of sodium (%) is <1% in prerenal and >1% in renal causes. The ratio of urinary to plasma creatinine is >40 in prerenal causes, whereas <20 in renal causes. Urine osmolality is >500 in prerenal and <350 in renal etiologies, and the ratio of urine to plasma osmolarity is >1.5 in prerenal and <1.1 in renal etiologies. [11]The blood urea nitrogen (BUN) to creatinine ratio is >20:1 in prerenal disease and <10:1 in renal diseases. [8]

Resection surgery to treat AC arthritis is controversial. Some surgeons do not recommend it, citing research that suggests resection does not reduce arthritis pain and other symptoms. People who have AC joint osteoarthritis severe enough to consider surgery almost always have other shoulder problems, too. In one study, Shaffer, BS. Painful conditions of the acromioclavicular joint. JAmAcad Orthop Surg 1999;7:176Y188. As cited in Menge TJ, Boykin RE, Bushnell BD, Byram IR. Acromioclavicular osteoarthritis: a common cause of shoulder pain. South Med J. 2014 May;107(5):324-9. doi: 10.1097/SMJ.0000000000000101.Degnan A & Levy L. Pseudotumor Cerebri: Brief Review of Clinical Syndrome and Imaging Findings. AJNR Am J Neuroradiol. 2011;32(11):1986-93. doi:10.3174/ajnr.A2404 - Pubmed Malem A, Sheth T, Muthusamy B. Paediatric Idiopathic Intracranial Hypertension (IIH)-A Review. Life (Basel). 2021;11(7):632. doi:10.3390/life11070632 - Pubmed Fukuoka T, Nishimura Y, Hara M et al. Chiari Type 1 Malformation-Induced Intracranial Hypertension with Diffuse Brain Edema Treated with Foramen Magnum Decompression: A Case Report. NMC Case Rep J. 2017;4(4):115-20. doi:10.2176/nmccrj.cr.2016-0278 - Pubmed



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