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The organization of brain knowledge systems, in particular the extent to which different modalities and categories of knowledge are dissociable, remains a core theoretical issue in contemporary cognitive neuropsychology. Category-specific deficits of verbal knowledge have been documented in degenerative disease, but category effects are unusual and occur much less frequently than with acute pathologies. There may be selective impairment of the ability to comprehend the names of living things (McCarthy and Warrington, 1988 ; Lambon Ralph et al ., 2003 ) or inanimate items (Silveri et al ., 1997 ), or concrete versus abstract words (Warrington, 1975 ). Conversely, there may be relatively preserved comprehension of the names of body parts (Coslett et al ., 2002 ), colours (Robinson and Cipolotti, 2001 ) or countries (Incisa della Rochetta et al ., 1998 ). Though rare, category-specific deficits are of theoretical importance: the existence of such category effects, together with the consistency of deficits observed in SD and evidence for retention of partial knowledge in SD and AD (Murre et al ., 2001 ; Garrard et al ., 2005 ), argues for degradation of stored concepts (i.e. direct involvement of the knowledge store) rather than loss of access to the knowledge store. One well-established category effect in degenerative disease is the dissociation between noun and verb knowledge. Impairments of noun retrieval and comprehension are well documented (Silveri et al ., 2003 b ) and usually are most salient in SD. Conversely, selective impairments of verb retrieval and comprehension have been demonstrated in patients with frontal dementia syndromes including frontotemporal dementia associated with motor neuron disease (FTD-MND) (Bak et al ., 2001 ). Such patients have particular difficulty in processing verb phrases, and may rely more heavily on noun phrases (such as ‘laddering’ for ‘climbing’) and ‘superordinate’ verbs (such as ‘being’, ‘making’ or ‘having’).

Under most circumstances in daily life, words must be processed not in isolation but combined into sentences. Difficulty with sentence comprehension may occur despite normal single-word comprehension. This pattern suggests that the processing of grammatical relations is deficient, and it may also be associated with particular difficulty understanding verbs rather than nouns (Price and Grossman, 2005 ). Having established that the comprehension of single words (nouns) is normal, the sentence level of comprehension can be assessed by asking the patient to perform a short sequence of actions according to different syntactic rules (e.g. ‘put the paper underneath the pen that is on the book’, ‘you pick up the watch and then give me the book’). Alternatively, the patient can be asked to identify a picture based on a syntactical sentence description (e.g. ‘point to the boy being chased by the dog’). The comprehension of grammar involves a number of different procedures (including determination of tense and number, interpretation of pronouns and prepositions, analysis of word order and subject-object relations and parsing of clauses). These procedures can be broadly classified as syntactical (relations between words) and morphological (word modifications according to grammatical context) and may have distinct neural bases. Some aspects of grammar processing may be dissociable from sentence comprehension (Cotelli et al ., 2007 ) and can be assessed by asking the patient to detect grammatical errors within written sentences.

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The Undergraduate Profile Classification describes the undergraduate population with respect to three characteristics: the proportion of undergraduate students who attend part- or full-time; background academic achievement characteristics of first-year, first-time students; and the proportion of entering students who transfer in from another institution. Each of these captures important differences in the nature of the undergraduate population. They do not imply differences in the quality of undergraduate education, but they have implications for how an institution serves its students. Please see the Undergraduate Profile Methodology for more detail regarding how this classification was calculated.

Some institutions serve a primarily full-time student population, while others serve large numbers of students who attend part-time due to substantial work and family commitments outside school. These differences have implications for the scheduling of classes, student services, extracurricular activities, time to degree, and other factors. Part-time students also tend to be older than full-time students, and older students bring more life experience and maturity into the classroom, often accompanied by different motivations for learning compared with those who have not spent any appreciable time away from formal education. Older students also generally face special challenges related to the competing obligations of school, work, and family. For two-year colleges, the proportion of students enrolled part-time is based on all undergraduates. For four-year institutions, it is based on degree-seeking undergraduates.

Entrance examination (SAT or ACT) scores describe—with notable limitations—the academic preparation of entering first-year students, which in turn corresponds to the selectivity of undergraduate admissions. Although we do not take this as a gauge of institutional quality, admissions test scores and selectivity are widely used by institutions, academic researchers, and others in determining the comparability of colleges and universities. For all the criticisms of standardized tests, they provide the only comparable, widely available metric for students' prior academic preparation and achievement. Average institution-level entering test scores are also highly correlated with institutional-level graduation rates (typically around r=0.85).

A measure of transfer origin identifies institutions where many undergraduates enter as first-year students and progress to graduation, as compared with those where an appreciable number of students begin their college careers elsewhere. Serving larger numbers of transfer students has a number of implications, such as the planning and assessment of general education, student advising, the structure of majors, and so on. At schools admitting large numbers of transfer students, test score data based on the first-time first-year population may not adequately describe the undergraduate population as a whole.

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If you sneeze a lot, if your nose is often runny or stuffy, or if your eyes, mouth or skin often feels itchy, you may have allergic rhinitis, a condition that affects 40 million to 60 million Americans.

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» Types of Allergies:
Overview

If you sneeze a lot, if your nose is often runny or stuffy, or if your eyes, mouth or nose often feel itchy, you may have allergic rhinitis, a condition that affects 40 million to 60 million Americans.

Allergic rhinitis develops when the body’s immune system becomes sensitized and overreacts to something in the environment that typically causes no problem in most people.

Allergic rhinitis is commonly known as hay fever. But you don’t have to be exposed to hay to have symptoms. And contrary to what the name suggests, you don’t have to have a fever to have hay fever.

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Find an allergist

Allergic rhinitis takes two different forms:

Some people may experience both types of rhinitis, with perennial symptoms getting worse during specific pollen seasons. There are also nonallergic causes for rhinitis including irritants such as cigarette or other smoke, perfumes, cleaning products and other strong odors.

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Avoid triggers by making changes to your home and to your behavior.

Control some symptoms with over-the-counter medication.

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to help confirm your triggers and for prescription medications, which may be more effective.

For more information on hay fever management and treatment click here.

Symptoms

Allergic rhinitis – commonly known as hay fever – is a group of symptoms affecting the nose. But don’t be misled by the name – you don’t have to be exposed to hay to have symptoms. And despite the name, it’s not usually accompanied by fever.

People with allergic rhinitis generally experience symptoms after breathing in an allergy-causing substance such as pollen or dust. In the fall, a common allergen is Cheap Sale High Quality DESIGN Wiggle Midi Dress Nude Asos Excellent For Sale Discount Latest YHrXc3k
or other weed pollens or outdoor mold. In the spring, the most common triggers are grass and tree pollen.

When a sensitive person inhales an allergen, the body’s immune system may react with the following symptoms (listed in order of frequency):

Symptoms also may be triggered by common irritants such as:

There are two types of allergic rhinitis:

Allergic rhinitis can be associated with:

Many parents of children with allergic rhinitis have said that their children are more moody and irritable during allergy season. Since children cannot always express their symptoms verbally, they may express their discomfort by acting up at school and at home. In addition, some children feel that having an allergy is a stigma that separates them from others.

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, symptoms can be kept under control and disruptions in learning and behavior can be avoided.

Symptoms of allergic rhinitis have other causes as well, the most customary being the common cold — an example of infectious rhinitis. Most infections are relatively short-lived, with symptoms improving in three to seven days.

Many people have recurrent or chronic nasal congestion, excess mucus production, itching and other nasal symptoms similar to those of allergic rhinitis. In those cases, an allergy may not be not the cause.

Diagnosing

To find the most effective way to treat allergic rhinitis symptoms, see an allergist

Your allergist may start by taking a detailed history, looking for clues in your lifestyle that will help pinpoint the cause of your symptoms. You’ll be asked, among other things, about your work and home environments (including whether you have a pet) your family’s medical history and the frequency and severity of your symptoms.

Sometimes allergic rhinitis can be complicated by several medical conditions, such as a deviated septum (curvature of the bone and cartilage that separate the nostrils) or nasal polyps (abnormal growths inside the nose and sinuses). Any of these conditions will be made worse by catching a cold. Nasal symptoms caused by more than one problem can be difficult to treat, often requiring the cooperation of an allergist and another specialist, such as an otolaryngologist (ear, nose and throat specialist).

Your allergist may recommend a skin test , in which small amounts of suspected allergens are introduced into your skin. Skin testing is the easiest, most sensitive and generally least expensive way of identifying allergens.

Types of skin tests

Management and Treatment

Avoidance

The first approach in managing seasonal or perennial forms of hay fever should be to avoid the allergens that trigger symptoms.

Outdoor exposure

Indoor exposure

Exposure to pets

Medications

Many allergens that trigger allergic rhinitis are airborne, so you can’t always avoid them. If your symptoms can’t be well-controlled by simply avoiding triggers, DRESSES Kneelength dresses Francesca Ferrante Outlet Fashion Style Sale Authentic Clearance Eastbay Buy Cheap Great Deals Big Sale For Sale aITd7Ewu
may recommend medications that reduce nasal congestion, runny nose, sneezing and itching. They are available in many forms — oral tablets, liquid medication, nasal sprays and eyedrops. Some medications may have side effects, so discuss these treatments with your allergist.

Intranasal corticosteroids

Intranasal corticosteroids are the single most effective drug class for treating allergic rhinitis. They can significantly reduce nasal congestion as well as sneezing, itching and a runny nose.

Talk with your allergist about whether these medications are appropriate and safe for you. These sprays are designed to avoid the side effects that may occur from steroids that are taken by mouth or injection. Take care not to spray the medication against the center portion of the nose (the nasal septum). The most common side effects are local irritation and nasal bleeding. Some older preparations have been shown to have some effect on children’s growth; data about some newer steroids don’t indicate an effect on growth.

Antihistamines

Antihistamines are commonly used to treat allergic rhinitis. These medications counter the effects of histamine, the irritating chemical released within your body when an allergic reaction takes place. Although other chemicals are involved, histamine is primarily responsible for causing the symptoms. Antihistamines are found in eyedrops, nasal sprays and, most commonly, oral tablets and syrup.

Antihistamines help to relieve nasal allergy symptoms such as:

There are dozens of antihistamines; some are available over the counter, while others require a prescription. Patients respond to them in a wide variety of ways.

Generally, the newer (second-generation) products work well and produce only minor side effects. Some people find that an antihistamine becomes less effective as the allergy season worsens or as their allergies change over time. If you find that an antihistamine is becoming less effective, tell your allergist, who may recommend a different type or strength of antihistamine. If you have excessive nasal dryness or thick nasal mucus, consult an allergist before taking antihistamines. Contact your allergist for advice if an antihistamine causes drowsiness or other side effects.

Proper use: Short-acting antihistamines can be taken every four to six hours, while timed-release antihistamines are taken every 12 to 24 hours. The short-acting antihistamines are often most helpful if taken 30 minutes before an anticipated exposure to an allergen (such as at a picnic during ragweed season). Timed-release antihistamines are better suited to long-term use for those who need daily medications. Proper use of these drugs is just as important as their selection. The most effective way to use them is before symptoms develop. A dose taken early can eliminate the need for many later doses to reduce established symptoms. Many times a patient will say that he or she “took one, and it didn’t work.” If the patient had taken the antihistamine regularly for three to four days to build up blood levels of the medication, it might have been effective.

Side effects: Older (first-generation) antihistamines may cause drowsiness or performance impairment, which can lead to accidents and personal injury. Even when these medications are taken only at bedtime, they can still cause considerable impairment the following day, even in people who do not feel drowsy. For this reason, it is important that you do not drive a car or work with dangerous machinery when you take a potentially sedating antihistamine. Some of the newer antihistamines do not cause drowsiness.

A frequent side effect is excessive dryness of the mouth, nose and eyes. Less common side effects include restlessness, nervousness, overexcitability, insomnia, dizziness, headaches, euphoria, fainting, visual disturbances, decreased appetite, nausea, vomiting, abdominal distress, constipation, diarrhea, increased or decreased urination, urinary retention, high or low blood pressure, nightmares (especially in children), sore throat, unusual bleeding or bruising, chest tightness or palpitations. Men with prostate enlargement may encounter urinary problems while on antihistamines. Consult your allergist if these reactions occur.

Important precautions:

Decongestants

Decongestants help relieve the stuffiness and pressure caused by swollen nasal tissue. They do not contain antihistamines, so they do not cause antihistaminic side effects. They do not relieve other symptoms of allergic rhinitis. Oral decongestants are available as prescription and nonprescription medications and are often found in combination with antihistamines or other medications. It is not uncommon for patients using decongestants to experience insomnia if they take the medication in the afternoon or evening. If this occurs, a dose reduction may be needed. At times, men with prostate enlargement may encounter urinary problems while on decongestants. Patients using medications to manage emotional or behavioral problems should discuss this with their allergist before using decongestants. Patients with high blood pressure or heart disease should check with their allergist before using. Pregnant patients should also check with their allergist before starting decongestants.

Nonprescription decongestant nasal sprays work within minutes and last for hours, but you should not use them for more than a few days at a time unless instructed by your allergist. Prolonged use can cause rhinitis medicamentosa, or rebound swelling of the nasal tissue. Stopping the use of the decongestant nasal spray will cure that swelling, provided that there is no underlying disorder.

Oral decongestants are found in many over-the-counter (OTC) and prescription medications, and may be the treatment of choice for nasal congestion. They don’t cause rhinitis medicamentosa but need to be avoided by some patients with high blood pressure. If you have high blood pressure or heart problems, check with your allergist before using them.

Nasal sprays

Nonprescription saline nasal sprays will help counteract symptoms such as dry nasal passages or thick nasal mucus. Unlike decongestant nasal sprays, a saline nasal spray can be used as often as it is needed. Sometimes an allergist may recommend washing (douching) the nasal passage. There are many OTC delivery systems for saline rinses, including neti pots and saline rinse bottles.

Nasal cromolyn blocks the body’s release of allergy-causing substances. It does not work in all patients. The full dose is four times daily, and improvement of symptoms may take several weeks. Nasal cromolyn can help prevent allergic nasal reactions if taken prior to an allergen exposure.

Nasal ipratropium bromide spray can help reduce nasal drainage from allergic rhinitis or some forms of nonallergic rhinitis.

Leukatriene pathway inhibitors

Leukotriene pathway inhibitors (montelukast, zafirlukast and zileuton) block the action of leukotriene, a substance in the body that can cause symptoms of allergic rhinitis. These drugs are also used to treat asthma.

Immunotherapy

Immunotherapy may be recommended for people who don’t respond well to treatment with medications or who experience side effects from medications, who have allergen exposure that is unavoidable or who desire a more permanent solution to their allergies. Immunotherapy can be very effective in controlling allergic symptoms, but it doesn’t help the symptoms produced by nonallergic rhinitis.

Two types of immunotherapy are available: allergy shots and sublingual (under-the-tongue) tablets.

Eye allergy preparations and eyedrops

Eye allergy preparations may be helpful when the eyes are affected by the same allergens that trigger rhinitis, causing redness, swelling, watery eyes and itching. OTC eyedrops and oral medications are commonly used for short-term relief of some eye allergy symptoms. They may not relieve all symptoms, though, and prolonged use of some of these drops may actually cause your condition to worsen.

Prescription eyedrops and oral medications also are used to treat eye allergies. Prescription eyedrops provide both short- and long-term targeted relief of eye allergy symptoms, and can be used to manage them.

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or pharmacist if you are unsure about a specific drug or formula.

Treatments that are not recommended for allergic rhinitis

Allergy shots:

Annual Disability Statistics Compendium

Funding for this project is made possible by:

The StatsRRTC is funded by the Department of Health and Human Services, Administration for Community Living, NIDILRR – Rehabilitation Research and Training Centers (RRTCs) Program under grant number 90RT5022-02-00, from 2013 - 2018.

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