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1.How do we differentiate between an occlusive stroke and a hemorrhagic stroke,

ID: 122434 • Letter: 1

Question

1.How do we differentiate between an occlusive stroke and a hemorrhagic stroke, and why is it crucial to do so as soon as possible?

2.There are many factors that go into determining if a mother and child are successful when breastfeeding. It is not easy for some to breastfeed! Later babies can transition to infant food to pureed food to finely chopped finger foods. Which is the recommended transition stages. But there is a newer trend in feeding called "Baby Led Weaning" (Baby Centre, 2014). Have you heard of this? Is this appropriate? Why or why not?

Explanation / Answer

A stroke occurs when a blood vessel in the brain becomes blocked or bursts. A stroke is one of the leading causes of serious, long-term disability.

There are two types of strokes: hemorrhagic or ischemic.

A hemorrhagic stroke occurs when the brain arteries rupture.

An ischemic stroke occurs when the blood supply to part of the brain is cut off.

A hemorrhagic stroke that occurs inside your brain is also called an intracerebral hemorrhage.

Ischemic stroke is characterized by the sudden loss of blood circulation to an area of the brain, resulting in a corresponding loss of neurologic function. Acute ischemic stroke is caused by thrombotic or embolic occlusion of a cerebral artery and is more common than hemorrhagic stroke.

Acute ischemic stroke (AIS) is characterized by the sudden loss of blood circulation to an area of the brain, typically in a vascular territory, resulting in a corresponding loss of neurologic function. Also previously called cerebrovascular accident (CVA) or stroke syndrome, stroke is a nonspecific state of brain injury with neuronal dysfunction that has several pathophysiologic causes. Strokes can be divided into 2 types: hemorrhagic or ischemic. Acute ischemic stroke is caused by thrombotic or embolic occlusion of a cerebral artery.

Nearly 800,000 people suffer strokes each year in the United States; 82-92% of these strokes are ischemic. Ischemic and hemorrhagic stroke cannot be reliably differentiated on the basis of clinical examination findings alone. Further evaluation, especially with brain imaging tests (ie, computed tomography [CT] scanning or magnetic resonance imaging [MRI]), is required.

The different types of stroke determines on the kind of treatment you will receive. Ischemic stroke is the most common type and is treated by busting or removing the clot. There are two ways to remove or bust the clot, medically or mechanically. Tissue plasminogen activator, tPA, is given within three to 4.5 hours to eligible patients.

Hemorrhagic strokes happen as a result of a rupture and the goal is to stop bleeding. A catheter can sometimes be threaded up through a major artery in the arm or leg to the brain tissue. Once the catheter is at the source, it deposits a mechanical agent, like a coil, to prevent further ruptures.

B.

Baby-led weaning (or BLW) is a method of adding complementary foods to a baby's diet of breastmilk. Baby Led Weaning, quite simply, means letting your child feed themselves from the very start of weaning. According to the most recent research most babies reach for food at around six months, which is also the time that mothers are being encouraged to wean by the Health Visitors. The distinct advantage of weaning at around six months is that by then, our children are developmentally capable of feeding themselves proper food. Baby-led weaning allows babies to control their solid food consumption by "self-feeding" from the very beginning of their experiences with food. Baby-led weaning places the emphasis on exploring taste, texture, color and smell as the baby sets their own pace for the meal, choosing which foods to concentrate on. Instead of the traditional method of spooning food into the baby's mouth, the baby is presented with a plate of varied finger food from which to choose.

So I think it is appropriate if followed under supervision.

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