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Total Windows 8 effect for XP, Vista and Windows 7 .. Windows 8 Transformation .. Instant messaging - Wikipedia, the free encyclopedia. Instant messaging (IM) is a type of online chat which offers real- time text transmission over the Internet. A LAN messenger operates in a similar way over a local area network. Short messages are typically transmitted bi- directionally between two parties, when each user chooses to complete a thought and select . Some IM applications can use push technology to provide real- time text, which transmits messages character by character, as they are composed. More advanced instant messaging can add file transfer, clickable hyperlinks, Voice over IP, or video chat. Non- IM types of chat include multicast transmission, usually referred to as . Instant messaging systems tend to facilitate connections between specified known users (often using a contact list also known as a . Depending on the IM protocol, the technical architecture can be peer- to- peer (direct point- to- point transmission) or client- server (a central server retransmits messages from the sender to the communication device). Overview. Of importance is that online chat and instant messaging differ from other technologies such as email due to the perceived quasi- synchrony of the communications by the users. Some systems permit messages to be sent to users not then 'logged on' (offline messages), thus removing some differences between IM and email (often done by sending the message to the associated email account). IM allows effective and efficient communication, allowing immediate receipt of acknowledgment or reply. However IM is basically not necessarily supported by transaction control. In many cases, instant messaging includes added features which can make it even more popular. For example, users may see each other via webcams, or talk directly for free over the Internet using a microphone and headphones or loudspeakers. Download BBM for BlackBerry. 3 Compatible BlackBerry 10, Android or iOS devices. If you use the BBM service without a Wi-Fi network connection. Download amazing smartphone apps for your Lumia from the Windows Phone Marketplace. Stay up-to-date on your email. Microsoft Mobile Service Terms. Many applications allow file transfers, although they are usually limited in the permissible file- size. It is usually possible to save a text conversation for later reference. Instant messages are often logged in a local message history, making it similar to the persistent nature of emails. History. Initially, some of these systems were used as notification systems for services like printing, but quickly were used to facilitate communication with other users logged into the same machine. As networks developed, the protocols spread with the networks. Some of these used a peer- to- peer protocol (e. The Zephyr Notification Service (still in use at some institutions) was invented at MIT's Project Athena in the 1. Parallel to instant messaging were early online chat facilities, the earliest of which was Talkomatic (1. PLATO system. During the bulletin board system (BBS) phenomenon that peaked during the 1. Freelancin' Roundtable was one prime example. This includes the Unix . Some BBS chat programs (i. Celerity BBS) also used a similar interface. Modern implementations of real- time text also exist in instant messengers, such as AOL's Real- Time IM. While the Quantum Link client software ran on a Commodore 6. Commodore's PETSCII text- graphics, the screen was visually divided into sections and OLMs would appear as a yellow bar saying . OLMs were what Q- Link called . Similar functionality was offered by CU- See. Nokia Messaging makes mobile email easy and mobilizes consumer email across a range of Nokia S60 devices. Nokia Messaging enables users to quickly set up, access, and use their email on their Nokia devices through a service. New service for consumer email and instant messaging on Nokia devices, along with Ovi email address for email and cross access to other Ovi services from a mobile phone or a PC. Download WhatsApp for. Nokia Symbian, Nokia S40. Email & SMS Software applications free download. Download free Email & SMS apps for Nokia 5233. Deal with your messages with Message Mirror. Instant messaging (IM) is a type of. Of importance is that online chat and instant messaging differ from other technologies such as email due to the perceived quasi. Smart Messaging iii Revision 3.0.0. Use of the Smart Messaging Specification shall be governed by the license terms set forth by Nokia in Smart Messaging Specification License. Short Message Service (SMS. Me in 1. 99. 2; though primarily an audio/video chat link, users could also send textual messages to each other. AOL later acquired Mirabilis, the authors of ICQ; a few years later ICQ (now owned by AOL) was awarded two patents for instant messaging by the U. S. Meanwhile, other companies developed their own software; (Excite, MSN, Ubique, and Yahoo!), each with its own proprietaryprotocol and client; users therefore had to run multiple client applications if they wished to use more than one of these networks. In 1. 99. 8, IBM released IBM Lotus Sametime, a product based on technology acquired when IBM bought Haifa- based Ubique and Lexington- based Databeam. In 2. 00. 0, an open source application and open standards- based protocol called Jabber was launched. The protocol was standardized under the name Extensible Messaging and Presence Protocol (XMPP). XMPP servers could act as gateways to other IM protocols, reducing the need to run multiple clients. Multi- protocol clients can use any of the popular IM protocols by using additional local libraries for each protocol. IBM Lotus Sametime's November 2. IBM Lotus Sametime Gateway support for XMPP. As of 2. 01. 0, social networking providers often offer IM abilities. Facebook Chat is a form of instant messaging, and Twitter can be thought of as a Web 2. Similar server- side chat features are part of most dating websites, such as OKCupid or Plentyof. Fish. The spread of smartphones and similar devices in the late 2. Many instant messaging services offer video calling features, voice over IP and web conferencing services. Web conferencing services can integrate both video calling and instant messaging abilities. Some instant messaging companies are also offering desktop sharing, IP radio, and IPTV to the voice and video features. The term . For this reason, in April 2. Gaim (or gaim) announced that they would be renamed . These usually only work with the supplier company's service, although some allow limited function with other services. Third party client software applications exist that will connect with most of the major IM services. Interoperability. These may be all the functions that a small business needs, but larger organizations will require more sophisticated applications that can work together. The solution to finding applications capable of this is to use enterprise versions of instant messaging applications. These include titles like XMPP, Lotus Sametime, Microsoft Office Communicator, etc., which are often integrated with other enterprise applications such as workflow systems. These enterprise applications, or enterprise application integration (EAI), are built to certain constraints, namely storing data in a common format. There have been several attempts to create a unified standard for instant messaging: IETF's Session Initiation Protocol (SIP) and SIP for Instant Messaging and Presence Leveraging Extensions (SIMPLE), Application Exchange (APEX), Instant Messaging and Presence Protocol (IMPP), the open XML- based Extensible Messaging and Presence Protocol (XMPP), and Open Mobile Alliance's Instant Messaging and Presence Service developed specifically for mobile devices. Most attempts at producing a unified standard for the major IM providers (AOL, Yahoo! This agreement enabled AIM, ICQ and MSN Messenger users to talk with Reuters Messaging counterparts and vice versa. Following this, Microsoft, Yahoo! This deal established SIP/SIMPLE as a standard for protocol interoperability and established a connectivity fee for accessing public instant messaging groups or services. Separately, on October 1. Microsoft and Yahoo! This approach moves the task of communicating with the other services to the server. Clients need not know or care about other IM protocols. For example, LCS 2. Public IM Connectivity. This approach is popular in XMPP servers; however, the so- called transport projects suffer the same reverse engineering difficulties as any other project involved with closed protocols or formats. Some approaches allow organizations to deploy their own, private instant messaging network by enabling them to restrict access to the server (often with the IM network entirely behind their firewall) and administer user permissions. Other corporate messaging systems allow registered users to also connect from outside the corporation LAN, by using an encrypted, firewall- friendly, HTTPS- based protocol. Usually, a dedicated corporate IM server has several advantages, such as pre- populated contact lists, integrated authentication, and better security and privacy. Certain networks have made changes to prevent them from being used by such multi- network IM clients. For example, Trillian had to release several revisions and patches to allow its users to access the MSN, AOL, and Yahoo! The major IM providers usually cite the need for formal agreements, and security concerns as reasons for making these changes. The use of proprietary protocols has meant that many instant messaging networks have been incompatible and users have been unable to reach users on other networks. The language has become widespread, with well- known expressions such as 'lol' translated over to face- to- face language. Emotions are often expressed in shorthand, such as the abbreviation LOL, BRB and TTYL; respectively laugh(ing) out loud, be right back, and talk to you later. Some, however, attempt to be more accurate with emotional expression over IM. Real time reactions such as (chortle) (snort) (guffaw) or (eye- roll) are becoming more popular. Also there are certain standards that are being introduced into mainstream conversations including, '#' indicates the use of sarcasm in a statement and '*' which indicates a spelling mistake and/or grammatical error in the prior message, followed by a correction. Tens of millions of the consumer IM accounts in use are being used for business purposes by employees of companies and other organizations. In response to the demand for business- grade IM and the need to ensure security and legal compliance, a new type of instant messaging, called . Microsoft followed suit shortly thereafter with Microsoft Exchange Instant Messaging, later created a new platform called Microsoft Office Live Communications Server, and released Office Communications Server 2. October 2. 00. 7. Oracle Corporation has also jumped into the market recently with its Oracle Beehive unified collaboration software. 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G A B Davies- Jones. D S Sanders. 2. R A Gr. No systematic study of the effect of gluten- free diet on gluten ataxia has ever been undertaken. All were offered a gluten- free diet and monitored every six months. All patients. underwent a battery of tests to assess their ataxia at baseline and after one year on diet. Twenty six patients (treatment. Fourteen patients. Three patients had persistently raised antigliadin antibodies despite adherence to the diet.
This was significant. The diet associated improvement was apparent irrespective of the presence of an enteropathy. The diagnosis of gluten ataxia. Gluten. ataxia forms part of a spectrum of disorders associated with gluten sensitivity which include coeliac disease (gluten sensitive. There was no mention, however. In some case reports, adherence to a gluten- free diet. No systematic study of the effect of a gluten- free diet on a cohort. Our second aim was to provide further evidence, by studying patients with gluten ataxia but without. The study protocol was approved by the South Sheffield research ethics committee and all patients gave. Additional tests were done if clinically indicated. Patients with a history of alcohol abuse, prolonged use. E deficiency, paraneoplastic cerebellar degeneration, and. We devised a pragmatic cohort study in which all patients. We compared the neurological response in those who adhered to the diet. Detailed. dietary advice by a dietician expert in gluten sensitivity was given to all the patients. The gluten- free diet was started. The patients were reviewed at six monthly intervals by both a neurologist and a dietician. The assessment of ataxia was. Patients with gluten ataxia who refused the diet were followed up in an identical manner, with demonstration of persistently. Although. he was not blinded to the dietary compliance of the patients, he was not aware of the results of antigliadin antibody testing. In addition, all the one year assessments took place without knowledge of the baseline. We have selected tests based on the standard. Pocket reference guide eds Patients who experience a nonaneurysmal subarachnoid hemorrhage differ from patients who suffer an aneurysmal subarachnoid. Recent advances in the treatment of cerebral gliomas have increased the demands on noninvasive neuroimaging for the diagnosis, therapeutic planning, tumor monitoring. The accuracy of recording of latency for the finger- nose test was enhanced by the use of a computer with a touch sensitive. The tests were as follows. Computerised finger nose test. This was done by adapting the motor screening test from the Cambridge automated neuropsychological test battery (CANTAB). Patients were placed at arm’s length from a touch sensitive screen. They were asked to place their right index finger on. As soon as the patient touched the cross the image disappeared. Patients were instructed to place. The image reappeared nine. The test was repeated using the left index finger. The board consisted. The pegs, which have a key along one side, must be rotated to match the. The subjects were asked to insert the pegs starting from the top and from right. The time taken to fill all. The task was repeated using the left hand. The patienta are. They are then asked to press with their index finger the. The task is repeated using the. The total count from the two counters after 3. The same device placed on the floor at a fixed. They were instructed to try to keep their eyes closed and. The time to first corrective feet movement or eye opening was recorded. This test. was maximally sensitive only in subjects with moderate ataxia. Because of pronounced “floor” and “ceiling” effects in this. Continuous variables were compared at baseline and after one year on diet by repeated. The quantitative Romberg’s test results, converted to categories “improved” or “worse or same,”. Statistical analysis was undertaken using the statistical package GB- Stat version 6. Dynamic Microsystems Inc, Silver. Spring, Maryland, USA). Twenty six adhered strictly to the gluten- free diet and. These patients comprised the treatment group. Fourteen. refused the diet and comprised the control group. Three claimed to have adhered to the gluten- free diet but had persistently. All patients attended for the six month and one year. The mean age for both the treatment and control groups was 6. Eight of 2. 6 patients. The clinical picture. Twenty three patients in the treatment group had positive Ig. G antigliadin. antibodies. Eight had Ig. A antigliadin antibodies and five had both. All of the 1. 4 patients in the control group had Ig. G antigliadin. antibodies. Four also had Ig. A antigliadin antibodies. Patient and control groups were matched at baseline for performance. The improvement in all the tests in the treatment group was also. When the three patients with persistently positive antigliadin. The evidence that gluten ataxia is a manifestation of gluten sensitivity. Dermatitis herpetiformis is best described as a gluten sensitive dermatopathy triggered. The majority but not all patients with dermatitis herpetiformis. The presence of circulating antigliadin antibodies. HLA association similar to that. DQ2). 2. Further compelling evidence for an immune pathogenesis comes from research showing the presence of circulating Purkinje cell. The same research has shown that antigliadin antibodies cross react with Purkinje cells, suggesting the sharing of common. Purkinje cells. This confirms our contention. Furthermore the finding. The onset of this study in 1. At the time, information on the prevalence of this disorder was limited. In addition the prevalence of an enteropathy among. Randomising patients with gluten ataxia to treatment or not with gluten- free. Furthermore, if patients were assigned to the control group they would inevitably avoid. This would further. On clinical grounds—both neurological and gastrointestinal—we. In line with patient preference, we therefore devised a pragmatic cohort study in which all patients with. We compared the neurological response in those who adhered to the diet with. However, we emphasised to patients that improvement, if at all, on diet was. The groups were well matched for severity and type of syptom. This bias was minimised as far as possible by the use of objective ataxia scales and by his remaining. That this was not the case and that ataxia improved. The improvement occurred irrespective of the duration of the ataxia, though. The results suggest that before the loss of Purkinje. Such inflammation. This is analogous to other inflammatory cerebellar diseases such as paraneoplastic cerebellar degeneration, where removal. This implies. that patients with gluten ataxia without an enteropathy may well have latent coeliac disease. Another patient in the control group who had the ataxia for 2. His duodenal biopsy before enrolment in the study showed no evidence. A third patient in the control group developed cerebellar atrophy within 1. These observations pose serious ethical issues regarding randomisation of patients with gluten ataxia to no intervention. One may argue that there is no longer a need for a small bowel biopsy in. Alternatively, given the diversity of organ involvement in this disease, precise characterisation. It is imperative, however, that close monitoring. Immune. treatment with immunosuppressants and intravenous immunoglobulins should be considered only if a strict gluten- free diet for. The diagnosis of. Clinical, radiological, neurophysiological and neuropathological characteristics of gluten ataxia. Lancet. 19. 98; 3. Gluten ataxia in perspective: epidemiology, genetic susceptibility and clinical characteristics. Brain. 20. 03; 1. AGA technical review on celiac sprue. Gastroenterology. Coeliac disease and spinocerebellar degeneration with normal vitamin E status. Neurology. 19. 85; 3. Kaplan JG, Pack D, Horoupian D, et al. Distal axonopathy associated with chronic gluten enteropathy: a treatable disorder. Neurology. 19. 88; 3. Mauro A, Orsi L, Montara P, et al. Cerebellar syndrome in adult celiac disease with vitamin E deficiency. Acta Neurol Scand. Hermaszewski RA, Rigby S, Dalgleish AG. Coeliac disease presenting with cerebellar degeneration. Postgrad Med J1. 99. Bhatia KP, Brown P, Gregory R, et al. Progressive myoclonic ataxia associated with coeliac disease: the myoclonus is of cortical origin, but the pathology is. Brain. 19. 95; 1. Muller AF, Donnelly MT, Smith CML, et al. Neurological complications of coeliac disease: a rare but continuing problem. Am J Gastroenterol. Cerebellar ataxia associated with subclinical celiac disease responding to gluten- free diet. Neurology. 19. 99; 5. Effectiveness of intravenous immunoglobulin therapy in cerebellar ataxia associated with gluten sensitivity. Ann Neurol. 20. 01; 5. Measuring ataxia: quantification based on the standard neurological examination. J Neurol Neurosurg Psychiatry. Computerised assessment in neuropsychiatry using CANTAB. J R Soc Med. 19. 92; 8. Is cryptic gluten sensitivity an important cause of neurological illness? Lancet. 19. 96; 3. The humoral response in the pathogenesis of gluten ataxia. Neurology. 20. 02; 5. Gluten ataxia and gluten neuropathy: the effect of gluten fee diet. J Neurol Neurosurg Psychiatry. Clinical and pathological spectrum of coeliac disease – active, silent, latent, potential. Gluten sensitivity as a neurological illness. J Neurol Neurosurg Psychiatry. Shadowing experiences allow students to learn what neurosurgery is about and can be especially useful for medical students who wish to explore neurosurgery in order to decide whether they might be interested in this surgical specialty as a career. Shadowing experiences are flexible and can be arranged at the convenience of the student and faculty. Participate in the medical student neuroscience interest group. Join us for conferences and/or journal clubs. Consider doing an elective rotation in neurosurgery. Consider becoming involved in a research project or working in the lab over the summer. Surf the Internet. Have a look at the website of the American Association of Neurological Surgeons (AANS) at http: //www. The AANS website has a large volume of information and links to other resources that will be useful to medical students. To find this material, click on the “Young Neurosurgeons” button and select the link to medical student resources or access the AANS medical student site directly at http: //www. Young%2. 0Neurosurgeons/Medical%2. Students. Students who are interested in neurosurgery as a career are encouraged to meet with neurosurgery faculty and residents to learn more about the field and the residency application process. Neurosurgery residency training information. The Society of Neurological Surgeons, in conjunction with the American Association of Neurological Surgeons, has established a website that offers a wealth of valuable information about pursuing a career in neurosurgery and applying to neurosurgery residency training programs ( www. Information includes an overview of the residency match process, grades and USMLE scores, mentors, research, recommended rotations, ERAS application personal statement and letters of recommendation, interviews, and ranking programs. The purpose of the clerkships is to provide M3 students an introduction to neurosurgery (as part of the general surgery clerkship) and to provide M4 students a more in- depth experience, which is particularly important for those interested in pursuing neurosurgery as a career. Clerkships allow students to interact directly with faculty and residents as an integral part of the neurosurgical team. Our program has a full spectrum of adult and pediatric neurosurgical services and cases, including endovascular neurosurgery, cerebrovascular neurosurgery, neuro- oncology, spine, pediatrics, functional neurosurgery (epilepsy and deep brain stimulation for movement disorders), trauma, as well as other neurosurgical subspecialties. Some of the disorders seen commonly in our program include head and spine trauma, brain and spine tumors, stroke, aneurysmal subarachnoid hemorrhage and other vascular disorders, chronic pain syndromes, degenerative and congenital (e. Parkinson’s disease, tremor, and medically intractable epilepsy. In the four- week clerkship, students work at NMC as well as at Nebraska Methodist Hospital and Children’s Hospital. This blend of adult and pediatric tertiary/quaternary care academic medical center- and community- based experience gives students excellent exposure to neurosurgery. During the course of the clerkship, students work closely with the resident team in day- to- day patient care working up new patients in the inpatient and outpatient settings, scrubbing with the residents and faculty in the operating room, and following patients through their hospital stays. Students should attend neurosurgery conferences during their neurosurgery rotation. At the conclusion of this clerkship, students should be able to: Discuss the anatomy of the nervous system and how it influences symptoms and signs of neurological disease. Perform a thorough neurological examination. Describe and recognize common neurosurgical disorders. Interpret basic neuroimaging studies and other diagnostic information relevant to neurological diseases and conditions. Outline basic diagnostic and surgical management options for surgical diseases of the nervous system and understand risks and goals of treatment of common disorders. Identify and differentiate acute problems in the nervous system needing surgical attention by a neurosurgeon from those that are more chronic in nature. If you are scheduled to participate in one of our neurosurgery clerkships, prior to your start- date please contact our program coordinator, Kellie Devney (4. You can get the most from your rotation by being involved actively as a member of our neurosurgery team. The more you are engaged on the service and the more you take advantage of learning opportunities, the more you will learn: Ask about things you don’t understand (never be afraid to ask questions!)Assist the nursing staff preparing the patients for surgery (e. Foley catheters, getting the scrub nurse your gloves, prepping) and for transport to the recovery room post- op (e. Read about the disease process and anatomy you’ll see before you get to the OR. Let us know if you are considering neurosurgery for your future career. We’re always happy to help set up research and other opportunities for you to get involved and provide guidance about neurosurgery residencies and the application process. The CNS Curriculum for Medical Students is available also as a Powerpoint/PDF presentation (. The Neurosurgery Gray Matter presentation is provided by courtesy of Dr. Karin Muraszko, Chair, Department of Neurosurgery at the University of Michigan. Students on our 2 and 4 week clerkships are expected to review the CNS Curriculum for Medical Students in order to develop their familiarity with neurosurgical topics and disorders. A good, relatively inexpensive resource for students of neurosurgery is the paperback Handbook of Neurosurgery by Mark S. Greenberg, MD, (Thieme Publishers). A useful companion book is Pocket Atlas of Sectional Anatomy (TB Moeller and E Rief, Thieme Publishers), which provides simple cross- sectional anatomy drawings of the nervous system with corresponding CT and MRI images. The website radiopaedia. Smartphone/i. Pad apps such as “Neurosurgery Survival Guide” may be helpful. Electives in neurosurgery. In addition to the two- week rotation opportunity for M3 students as part of the general surgery clerkship, we have the following specific electives in neurosurgery. The rotation typically includes two weeks at the Nebraska Medical Center and two weeks at Nebraska Methodist Hospital (adult neurosurgery)/Childrens Hospital (pediatric neurosurgery). The goal is to provide the student with a broad introduction to adult and pediatric neurosurgery. This rotation should be taken by students who will apply for neurosurgery residency training. Students who take this rotation may wish to purchase a copy of . Greenberg (Thieme Publisher), but as a minimum are expected to study the CNS Curriculum for Medical Students, which is available on- line at http: //w. Stud. Cur/index. 2. Clicking on each of the key topics on the first page (overview of topics) of the document opens full narratives related to those topics. The CNS Curriculum for Medical Students is available also as a Powerpoint/PDF presentation (. Services available include: Drs. Steve Doran, Keith Lodhia, Douglas Long, Mark Puccioni, Wendy Spangler, John Treves, Bradley Bowdino and Guy Music, Omaha. Drs. Eric Pierson, Benjamin Gelber, and Daniel Tomes, Lincoln. Preceptorships at other institutions within the state of Nebraska may be possible (please check with Kellie Devney). Prior arrangements must be made with the physician involved and approved by the Chief of the Division of Neurosurgery. A student evaluation of the elective will be required upon completion of the elective. SURG- 7. 99 Neurosurgery Research. Periods Offered: Each four weeks. Student Limit: By Arrangement. Where to Report: Kellie Devney, Room 4. UNHThis elective offers students an opportunity to work with faculty members in clinical investigations of neurosurgical diseases or participate in ongoing bench research projects. Definitions of problems and programs of learning will be decided upon discussion with faculty. Noncredit research opportunities with more flexible duration and timing exist outside the setting of this 4 week rotation – please contact Kellie Devney (kdevney@unmc. Medical students from other institutions, especially those fourth- year students who are considering applying to our neurosurgery residency training program, are invited to rotate on our clerkship. Please contact Kellie Devney, our resident coordinator (kdevney@unmc. We sincerely hope you enjoy your experience! |
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