#Koplik

[yououghtaknow]

god. so many experiences in the universe are shared without any of us even realising. and we can connect across lifetimes and continents through art.

[mounadiloun]

Une loi du retour pour les Juifs en Espagne

En 2015, le gouvernement espagnol, alors dirigé par le Parti Populaire, un parti de droite, a adopté une loi permettant aux descendants de Juifs chassés d’Espagne après 1492 de solliciter la nationalité espagnole en sus de la nationalité qu’ils ont déjà. Cette loi présentée comme traduisant une volonté de réparation était surtout dictée par une volonté de se rapprocher de manière plus étroite du…

[lysseva]

A third monochrome added to my collection 🖤🩶🤍

[eretzyisrael]

by Jackie Hajdenberg

An authors’ panel at an Albany book festival Saturday has been canceled after organizers said two panelists refused to share a stage with the “Zionist” moderator.

Elisa Albert, who is Jewish, was set to moderate a panel at the Albany Book Festival on Saturday called “Girls, Coming of Age.” But on Thursday, she received an email from a festival organizer informing her that the event had been canceled: Two of the three panelists — authors Lisa Ko and Aisha Abdel Gawad — objected to sitting on the panel with Albert because they did not want to appear with a “Zionist.” The third panelist was to be Emily Layden.

Albert said the cancellation is of a piece with her experiences since Hamas attacked Israel on Oct. 7.

“Unfortunately, I’m not surprised,” Albert told the Jewish Telegraphic Agency on Friday. “I’ve been really vocal from the get-go, and I’ve lost many friends. I’ve seen my whole professional life wildly altered. I’m not surprised at all. I’ve seen all kinds of people behaving in all kinds of ways that are on the spectrum of this exact same kind of bigotry, complicity, fear — all of it.”

Albert, who lives in Albany, first learned about the panelists’ objections on Thursday afternoon, when she got an email from Mark Koplik, the assistant director of the New York State Writers Institute, which is organizing the festival.

“We have a crazy situation developing and we’d love to talk on the phone,” Koplik wrote in a message that JTA obtained.

“Basically, not to sugar coat this, Aisha Gawad and Lisa Ko don’t want to be on a panel with a ‘Zionist,’” he added. “We’re taken by surprise, and somewhat nonplussed, and want to talk this out.”

By Thursday evening, Albert had been notified by Paul Grondahl, director of the Writers Institute, that the event had been canceled.

“We regret this situation, which was out of our control,” Grondahl wrote in an email obtained by JTA. “It is unfortunate for everyone involved.”

Grondahl added, “I wish this were otherwise. We will find a way to air these issues we have discussed in a deeper, more considered, more carefully planned event with intentionality and context.”

The cancellation of the panel is the latest in a long series of literary events to be upended or nixed because of disputes over the Israel-Hamas war and Zionism. Activists have sought to hinder the careers of authors they deem “Zionist,” many of whom have Jewish heritage.

In one notable recent instance, a launch event for Jewish journalist Joshua Leifer’s new book, “Tablets Shattered,” at a Brooklyn bookstore in August was canceled because one of its employees objected to the event’s “Zionist” rabbi moderator.

Some of those facing the criticism have not expressed public support for Israel. Gabrielle Zevin, who wrote the bestseller “Tomorrow, and Tomorrow, and Tomorrow,” for example, has faced calls for cancellation despite saying nothing publicly about Israel or the war.

Albert, on the other hand, has been an outspoken advocate for Israel since the outbreak of the war nearly a year ago. On Instagram, she has posted aggressively and frequently in support of Israel and against Hamas and those she perceives as supporting it, including pro-Palestinian protesters in the United States, whom she has called “terror apologists.”

On Friday afternoon, following the cancelation, she appeared to embrace the cancellation, posting an image of her latest book — “The Snarling Girl,” a collection of personal essays published last month — with the text, “Now’s as good a time as ever to promote Zio lit!” She later added a selfie with the text “Friendly local Zio bitch” over it.

[godlessondheimite]

I saw Outsiders and would be very curious about your take. Thought the production design and choreography were superb but the book is mediocre and the score is...weak.

I’m tempted to see it because Matt Koplik liked it and we tend to be finnicky in the same ways

[thoughtportal]

A 4-year-old from Detroit has a confirmed case of the measles, and potentially exposed others while seeking treatment for the highly infectious virus at DMC Children's Hospital of Michigan, an urgent care center and a pharmacy in the city, the Detroit Health Department announced Wednesday.

It is Michigan's fifth documented measles case this year.

The child was unvaccinated, said Dr. Claudia Richardson, the city health department's medical director, and had no history of international travel. Measles is so contagious, 90% of unvaccinated people who are exposed to the virus will become infected.

City health officials said they are working with the state health department to investigate where the child might have been exposed to the virus. So far, however, the case appears to be isolated, Richardson said.

"This is definitely an ongoing investigation," she said, "so we're in the middle of that. At this time, we do not have a source of the infection."

The child was not hospitalized, Richardson said, but was treated in the emergency department at Children's Hospital and is now following isolation protocol.

Anyone who was at the following places at these times and dates may have been exposed to the virus:

From noon to 3 p.m. April 1 at Acadian Urgent Care, 2117 Springwells, Detroit.

From 1:45-4 p.m. April 1 at the Rite Health Pharmacy, 5851 W. Vernor, Detroit.

From 5-10 a.m. April 3 in the emergency department at DMC Children’s Hospital of Michigan, 3901 Beaubien Blvd., Detroit.

Children’s Hospital of Michigan did not respond to questions from the Free Press about how many people may have been exposed to the measles in the emergency department on April 3 or about how the hospital is notifying them.

Health leaders urge anyone who might have been exposed to the virus April 1-3 to monitor themselves for symptoms for 21 days. If symptoms develop, call ahead before visiting a doctor, urgent care center or hospital emergency room so precautions may be taken to avoid exposing others.

"We're ... doing our routine communicable disease investigation, which requires us to reach out to anyone that may have had direct contact. So far, all we know are family members," Richardson said, adding: "We are trying to get the word out the best we can."

What are the symptoms of measles?

Measles symptoms typically begin seven to 14 days after exposure, but can first appear as long as 21 days after exposure and can include:

High fever that could reach 104 degrees or higher.

Cough.

Runny nose.

Red, watery eyes (conjunctivitis).

Tiny white spots on the inner cheeks, gums and roof of the mouth called Koplik Spots, which usually appear two to three days after symptoms begin.

A rash that starts on the face and spreads to the trunk, arms and legs, typically three to five days after symptoms begin. The rash is red, raised and blotchy.

"Infected people can spread measles before noticing any symptoms, including four days before and four days after the rash appears," Denise Fair Razo, chief public health officer for the Detroit health department, said in a statement. "Our best advice is to get vaccinated against measles if you have not already done so. It is part of the two-dose measles, mumps, rubella (MMR) series of childhood vaccines."

2 doses of MMR vaccine are 97% effective at preventing measles

Measles infections are preventable with widespread vaccination. Two doses of the measles, mumps and rubella vaccine (MMR), offer 97% protection from infection. A single dose is about 93% effective.

However, in Michigan, immunization rates have fallen to 66% among Michigan toddlers — the lowest point in more than a decade for recommended childhood immunizations, according to MDHHS.

More:Measles cases send Michigan health authorities scrambling to avoid bigger outbreak

What is the recommendation for measles vaccinations?

The U.S. Centers for Disease Control and Prevention recommends:

A first dose of the MMR vaccine for children ages 12-15 months old, with a booster dose administered between ages 4 and 6.

Anyone born in or after 1957 without evidence of immunity against measles or documentation of having been vaccinated with two doses of MMR vaccine should get vaccinated.

Two doses are recommended for adults at high risk, such as international travelers, college students and health care personnel born during or after 1957.

People exposed to measles who cannot document immunity against the virus should get post-exposure prophylaxis — a dose of the vaccine to potentially provide protection within 72 hours of initial exposure, or immunoglobulin within six days of exposure.

How serious is a measles infection?

Measles can cause serious illness, long-term disability and death in people of all ages.

About 1 in 5 people who get the measles end up hospitalized, according to the CDC, and 1 in 20 kids with measles develops pneumonia. Roughly 1 out of every 1,000 children who have measles infections will also have encephalitis. Brain swelling from encephalitis can lead to convulsions, permanent hearing loss, intellectual disability and death.

Anywhere from 1 to 3 out of every 1,000 children with measles dies from respiratory or neurologic complications from the virus.

"We've had the vaccine since 1963, and before the vaccine was available, every year across the U.S., between 400 and 500 people died," Dr. Natasha Bagdasarian, Michigan's chief medical officer, told the Free Press for a previous article. "Four hundred to 500 people may not seem like ... huge numbers, but it is a lot, especially if you're talking about your loved one or your child."

Notification too late for post-exposure treatment

The Detroit child's measles case was confirmed Tuesday, Richardson said, but public notification was not made until Wednesday afternoon, when anyone who was potentially exposed to the virus would be outside the window for treatment with post-exposure prophylaxis to prevent infection.

A dose of the MMR vaccine can be administered 72 hours of initial measles exposure and immunoglobulin can be given intravenously within six days of exposure to potentially prevent illness, according to the CDC.

By Wednesday afternoon, that window had closed.

"We are out of both of those windows and ... we were going through the dates very rigorously," Richardson said.

What can be done now, she said, is to educate the public about the potential exposures, what to do if they develop symptoms, and to urge vaccination.

"That's where we're focusing," Richardson said. "When situations like this arise, it brings preventable diseases such as measles to the forefront. ... It's the perfect opportunity for us to stress the importance of vaccination."

More:State's top doctor: Measles outbreak likely in Michigan because of low vaccination rates

The Detroit Health Department offers vaccinations for measles and all childhood vaccination series, plus COVID-19, flu and Mpox at its Immunizations Clinic at 100 Mack Ave. Hours are: 8:30 a.m.-4:30 p.m. Mondays-Fridays by appointment. Walk-ins are welcome from 9 a.m.-3 p.m. Late hours are available on the first and third Thursdays of each month, when the clinic is open 10 a.m.-6:30 p.m.

To learn more or to schedule, go to: www.detroitmi.gov/health or call 313-876-4667.

Michigan is not at outbreak status

This is the fifth known measles case in Michigan in 2024.

Two cases were identified in March in Washtenaw County. The second person is believed to have been exposed to the virus at Trinity Health Ann Arbor's waiting and triage area, where another Washtenaw County resident contagious with measles had gone for care.

An adult from Wayne County who had traveled internationally and had no record of measles immunization had the virus in February.

An Oakland County child who was unvaccinated and had traveled internationally was the first known case of measles in Michigan this year, state health officials announced Feb. 23.

Although Michigan health leaders have reported five measles cases since February, the situation doesn't yet rise to the level of an outbreak, according to the definition set by the CDC, which identifies an outbreak as a chain of transmission including three or more cases linked in time and space.

As of April 4, there have been 113 cases of measles in the U.S. this year, according to the CDC, and 58% of the people infected with the virus nationally in 2024 have been hospitalized for isolation or for management of measles complications.

Among those 113 cases, the CDC has recognized seven measles outbreaks, which include 73% of cases identified in 2024.

Comparatively, there were 58 total U.S. measles cases in 2023 and four outbreaks.

[omgbeebeestuff]

Check out this listing I just added to my Poshmark closet: Vintage Anne Koplik Designs Palm Leaf Fan Rhinestone Brooch.

[joelaaronvillanuevacruz]

EXAMEN FISICO EXTRAORAL

BLOG 3. TERCERA SEMANA

UNIVERSITARIO: JOEL AARON VILLANUEVA CRUZ

CATEDRA: SEMIOLOGIA ESTOMATOLOGICA "B"

ROTE: F

TITULO: EXAMEN FISICO EXTRAORAL

EXAMEN DE CRANEO

Modificación de Diámetros: Diámetro longitudinal mayor que el transversal (relación 5:3).

Braquicefalia: Diámetro transversal se acerca al longitudinal.

Dolicocefalia: Diámetro Longitudinal exagerado.

Modificación de Tamaño Global    

Macrocefalia: Aumento de tamaño; en niños debido a raquitismo o hidrocefalia (por aumento de LCR); en adultos, secundario a acromegalia (exceso de H. del crecimiento) o Enf. de Paget (engrosamiento de calota)                        

Microcefalia: Disminución del tamaño de cráneo y cerebro (trastornos congénitos o adquiridos en etapas tempranas del desarrollo).

Deformaciones Localizadas

Salientes anatómicas anormales: lipomas, quistes dermoides, hematomas, aneurismas cirsoideos (malformaciones vasculares que se palpan y soplan a la auscultación).

Depresiones: en lactantes, fontanela anterior hasta los 9-18 meses. fontanela posterior hasta los 2 meses. Luego, fracturas de cráneo.

Cuero cabelludo

Inspección: calvicie (fisiológico), alopecia (patológico ej. lupus, tiña, drogas, psiquiátricas)

Palpación:

seco, opaco e implantación débil en hipotiroidismo

abundante y fino; hipertiroidismo

EXAMN DE CARA

Cejas

Ausencia en quimioterapia. En hipotiroidismo y sífilis, perdida sólo lateral o cola.        

Párpados

El párpado superior se eleva por acción del músculo elevador del párpado, inervado por el nervio oculomotor (III par craneano)

Edema:

Por causas generales, es bilateral, simétrico y más intenso al despertar (síndrome nefrótico, hipotiroidismo, sobre hidratación EV.)

Causas locales: picadura de insecto, trauma, infecciones hematoma (bilateral si es por   fractura de base de cráneo «ojo de mapache”)

Ectropión: Eversión del borde palpebral (reacción cicatricial o parálisis del orbicular de los párpados). Se acompaña de blefaritis (infección del borde del párpado) y epifora (lagrimeo continuo)

Entropión: Inversión del borde palpebral (quemaduras, tracoma, infecciones locales)

Epífora: Conjuntivitis, obstrucción vía lacrimal, dacriocistitis (inflamación saco lacrimal)

Xeroftalmia: disminución de lágrimas (Síndrome de Sjogren u ojo seco)

Ptosis: descenso parcial del párpado. Con miosis, anhidrosis y enoftalmo, sospechar de Sind. de Claude Bernard Horner (compromiso simpático a nivel cervical)

Blefaroespasmo: imposibilidad de levantar los párpados (parálisis de VII par, hipertiroidismo severo)

Chalazion: inflamación de una glándula de meibomio (en el interior de los párpados, drenan al borde de estos).

Orzuelo: inflamación del folículo piloso de una pestaña.

Globo ocular

Exoftalmo: protrusión del globo ocular. Bilateral en Hipertiroidismo, unilateral en procesos expansivos intra o retro orbitarios (tumores, aneurismas, celulitis)

Enoftalmo: Depresión del globo ocular. Bilateral en Hipotiroidismo, deshidratación severa, caquexia.

Esclera

Ojo rojo

Pingüecula: engrosamiento triangular amarillento graso, que no toca la córnea.

Pterigion: membrana vascularizada que puede invadir la cornea

Pupilas

Tamaño: Isocoria: pupilas de igual tamaño y normales (2-4 mm), anisocoria: pupilas con distinto tamaño, midriasis: Diámetro mayor a 4mm, miosis: Diámetro menor a 2 mm

Forma: discoria: forma alterada, ej. Cirugía oftalmológica.

Córnea

Continuación de la esclera en el segmento anterior del ojo. Curva, transparente y sin vasos.

Reflejo corneal: pestañeo al tocar la córnea; vía aferente, n. trigémino; vía eferente, n. facial.

Nariz

En silla de montar; base nasal hundida=sífilis

Rinofima: rosácea con hipertrofia de glándulas sebáceas, aspecto de frutilla

Senos paranasales: a la palpación con los dedos pulgares presionando límite nasal de cejas (senos frontales), y región infraorbitaria (senos maxilares). Si hay dolor + rinorrea =sinusitis.

Boca

Hipertrofia Gingival (encías): leucemia y embarazo

Manchas de Koplik: manchas blanquecinas irregulares, del Sarampión

Melanoplaquias: máculas hiperpigmentadas, especialmente en encías (Enf. de Addison)        

Candidiasis: placa blanquecina removible(hongo)   

Aftas; lesiones pequeñas, ulcerativas, blanquecinas, dolorosas               

Mucosa Oral: Con baja lengua

Labios: anemia (palidez), cianosis (color azulado por aumento de CO2). Lesiones tipo herpes simple, chancro sifilítico o carcinoma de piel. Estomatitis angular (boqueras).

Lengua:

Macroglosia: lengua agrandada (hipotiroidismo, acromegalia, angiomas, Sd. De Down)

Depapilada: hipovitaminosis B12, déficit de fierro

Saburral: hipertrofia de papilas filiformes (cuadros febriles o ayuno)

Aframbuesada: rojo intenso (escarlatina, Kawasaki)

Leucoplaquia: placas blancas adherentes y secas (pre malignas)

Glándulas Salivales: Parótidas y Submaxilares (palpación y/o visualización)

Crecimiento bilateral progresivo=Parotiditis infecciosa

Crecimiento unilateral=tumoración maligna o litiasis Conducto de Stenon (fluctuación violenta y dolorosa)

Sialorrea: salivación excesiva=estomatitis, drogas, Parkinson, otras afecciones neurológicas

Xerostomía: sequedad de boca=Síndrome de Sjogren, respirador bucal, deshidratación

Oídos

Tofos: Pequeños nódulos en pabellón auricular(hiperuricemia)

Supuración: otitis externa o media

Quistes sebáceos: retro auriculares, con punto negro en el centro.

EXAMEN DE PARES CRANEALES

El examen neurológico es un grupo de preguntas y pruebas para revisar problemas en el sistema nervioso. A veces se conoce como neuro examen o neuro test.

EXAMEN DEL ATM

Evaluación de la ATM: de forma estática (por medio de la palpación de la misma y de los músculos relacionados) y de forma dinámica (evaluación de ruidos, crepitaciones, clicks y compresiones).

EXAMEN DEL CUELLO

Valorar la simetría del cuello (clavículas, hueco esternal, los ECMs, la laringe y las ramas de la mandíbula). Durante toda la exploración del cuello pediremos al paciente que mueva la cabeza hacia diferentes lados para facilitar la palpación mediante la relajación muscular.

EXAMEN DE GANGLIOS LINFATICOS - GLANDULAS SALIVALES

normalmente un ganglio linfático sano no es posible de ser palpado, mide menos de 0,5cm de diámetro y es flácido (NO ES PALPABLE) se hace palpable cuando hay patologías y las regiones que se palpa son submaxilar derecho e izquierdo y Submentoniano

examen de glándulas salivales: se determina glándulas salivales mayores y menores

• Glándulas salivales mayores: se valora glándulas parótidas y glándulas submaxilares y a nivel intraoral valoraremos glándulas sublinguales en piso de boca

• Glándulas salivales menores: lo único que se valora es glándulas labiales y para eso se revierte el labio inferior, se seca la mucosa y se espera un minuto para observar:

[settygallery]

Discover Anne Koplik's Jeweled World | Setty Gallery

At Setty Gallery, we proudly showcase a curated selection of Anne Koplik's iconic pieces, each meticulously crafted to captivate the senses and adorn the wearer with unparalleled beauty. From intricately detailed earrings that sparkle with every movement to statement necklaces that command attention, Anne Koplik's jewelry transcends fashion trends, offering a glimpse into a world where luxury meets artistry.

[storelatina]

Koplik spots: what they are, when they appear and treatment - https://storelatina.com/?p=101775

[discoverybody]

The Truth About Measles: Separating Fact from Fiction

Measles, also known as rubeola, is a highly contagious viral infection that primarily affects the respiratory system. It is spread through respiratory droplets and can remain active and contagious in the air and on surfaces for up to 2 hours. The initial symptoms of measles are similar to those of a common cold, but are followed by characteristic red spots called Koplik's spots and a red, blotchy rash that spreads throughout the body.

Measles can cause severe complications, especially in young children and adults, including ear infections, pneumonia, encephalitis, and in rare cases, death. Early recognition of symptoms and seeking medical attention is crucial to prevent the spread of the virus and reduce the risk of complications.

The development of the measles vaccination has played a significant role in reducing the prevalence of this disease. The first measles vaccine was licensed in 1963 and has since led to a significant reduction in measles cases and deaths. The vaccine is usually administered as part of the measles, mumps, and rubella (MMR) vaccine, which provides immunity against all three diseases. Vaccination campaigns have led to high vaccination coverage and the elimination of native measles transmission in many countries.

[lysseva]

Sketch of Matrix to go with my other monochromes :)

[justfour2023rn]

Koplik's spot: Measles

[style-on-a-dime]

Check out this listing I just added to my Poshmark closet: Anne Koplik Brass and Black Jet Pendant Beaded Necklace Vintage year 2000..