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A TIME columnist bears witness to an operation to help triplets with cerebral palsy walk like other boys. Cindy Hickman nearly bled to death the day she gave birth — three months prematurely — to her triplet sons. Weighing less than 2 lbs. each, her babies were alive, but barely. They clung so tenuously to life that her doctors recommended she name them A, B and C. Then, after a year of heroic interventions —brain shunts, tracheotomies, skull remodeling — often requiring emergency helicopter rides to the hospital nearest their rural Tennessee home, the Hickmans learned that their triplets had cerebral palsy. Fifteen years ago there wasn"t much that could be done about cerebral palsy, a disorder caused by damage to the motor centers of the brain. But pediatric medicine has come a long way since then, both in intervention before birth, with better prenatal care and various techniques to postpone delivery, and surgical interventions after birth to correct physical deficiencies. So although the incidence of cerebral palsy seems to be increasing(because the odds of preemies surviving are so much better), so too are the number of success stories. This is one of them. Lane, Codie and Wyatt(as the Hickman boys are called)have spastic cerebral palsy, the most common form, accounting for nearly 80% of cases. "We first noticed that they weren"t walking when they should," Cindy recalls. "Instead they were only doing the combat crawl." Their brains seemed to be developing age appropriately, but their muscles were unnaturally stiff, making walking difficult if not impossible. Happily, spastic cerebral palsy is also the most treatable form of CP, largely thanks to a procedure known as selective dorsal rhizotomy, in which the nerve roots that are causing the problem are isolated and severed. Among the first to champion SDR in the U.S. in the late 1980s was Dr. T.S. Park, a Korean-born pediatric neurosurgeon at Washington University in St. Louis, Mo., who has preformed more than 800 of these operations and hopes to do an additional 1,000 before he retires. Peering through a microscope and guided by an electric probe, we were able to distinguish between the two groups of nerve roots leaving the spinal cord. The ventral roots send information to the muscle; the dorsal roots send information back to the spinal cord. The dorsal roots cause spasticity, and if just the right ones are severed, the symptoms can be greatly reduced. Nearly half a million Americans suffer from cerebral palsy. Not all are candidates for SDR, but Park estimates that as many as half may be. He gets the best results with children between ages 2 and 6 who were born prematurely and have stiffness only in their legs. He is known for performing the operation very high up in the spine, right where the nerve roots exit the spinal cord. It"s riskier that way, but the recovery is faster, and in Park"s skilled hands, the success rate is higher. Cindy and Jeremy Hickman will testify to that. Just a few weeks after the procedure, two of their sons are walking almost normally and the third is rapidly improving. Cerebral palsy is ______.
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Researchers at Yale University Medical School and the Olin Neuropsychiatry Research Center at the Institute of Living in Hartford, Conn., have taken a pretty good look at what happens in the brain of a drunken driver. And it isn"t pretty. Using【C1】______scans, the scientists compared the neural activity that【C2】______on and off like lights on a police car as both sober【C3】______game. The maps of activity in different areas of the brain【C4】______in new detail the impact that drinking has on a complicated【C5】______task such as driving. "No one had seen that in a scanner【C6】______." said Dr. Godfrey Pearlson, a Yale psychiatrist and director of the Olin Center. Pearlson and Vince Calhoun, a researcher at Yale and Olin, first conducted brain scans on【C7】______drivers as they played the driving simulation game and then as they watched others play the game. Those scans gave the researchers a baseline of【C8】______activity in the unimpaired driver. Subjects were then given a low dose or a high dose of booze—enough to get their blood alcohol content to either 0.04 percent or 0.10 percent. An inebriated driver often will speed because alcohol has affected the cerebellum, a primitive area of the brain involved in【C9】______function, the researchers found. But drunken drivers【C10】______in and out of traffic because of errors in the front parietal cortex, which translates sensory information and helps in the decision-making process, Pearlson said. Drinking did not seem to change activity in five other areas of the brain associated with driving, such as vision centers, the researchers found. But to the surprise of no one, the more the subjects drank, the more trouble they had with their driving. 【C9】
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A TIME columnist bears witness to an operation to help triplets with cerebral palsy walk like other boys. Cindy Hickman nearly bled to death the day she gave birth — three months prematurely — to her triplet sons. Weighing less than 2 lbs. each, her babies were alive, but barely. They clung so tenuously to life that her doctors recommended she name them A, B and C. Then, after a year of heroic interventions —brain shunts, tracheotomies, skull remodeling — often requiring emergency helicopter rides to the hospital nearest their rural Tennessee home, the Hickmans learned that their triplets had cerebral palsy. Fifteen years ago there wasn"t much that could be done about cerebral palsy, a disorder caused by damage to the motor centers of the brain. But pediatric medicine has come a long way since then, both in intervention before birth, with better prenatal care and various techniques to postpone delivery, and surgical interventions after birth to correct physical deficiencies. So although the incidence of cerebral palsy seems to be increasing(because the odds of preemies surviving are so much better), so too are the number of success stories. This is one of them. Lane, Codie and Wyatt(as the Hickman boys are called)have spastic cerebral palsy, the most common form, accounting for nearly 80% of cases. "We first noticed that they weren"t walking when they should," Cindy recalls. "Instead they were only doing the combat crawl." Their brains seemed to be developing age appropriately, but their muscles were unnaturally stiff, making walking difficult if not impossible. Happily, spastic cerebral palsy is also the most treatable form of CP, largely thanks to a procedure known as selective dorsal rhizotomy, in which the nerve roots that are causing the problem are isolated and severed. Among the first to champion SDR in the U.S. in the late 1980s was Dr. T.S. Park, a Korean-born pediatric neurosurgeon at Washington University in St. Louis, Mo., who has preformed more than 800 of these operations and hopes to do an additional 1,000 before he retires. Peering through a microscope and guided by an electric probe, we were able to distinguish between the two groups of nerve roots leaving the spinal cord. The ventral roots send information to the muscle; the dorsal roots send information back to the spinal cord. The dorsal roots cause spasticity, and if just the right ones are severed, the symptoms can be greatly reduced. Nearly half a million Americans suffer from cerebral palsy. Not all are candidates for SDR, but Park estimates that as many as half may be. He gets the best results with children between ages 2 and 6 who were born prematurely and have stiffness only in their legs. He is known for performing the operation very high up in the spine, right where the nerve roots exit the spinal cord. It"s riskier that way, but the recovery is faster, and in Park"s skilled hands, the success rate is higher. Cindy and Jeremy Hickman will testify to that. Just a few weeks after the procedure, two of their sons are walking almost normally and the third is rapidly improving. When the triplets were born, ______.
Children are getting so fat they may be the first generation to die before their parents, an expert claimed yesterday. Today"s youngsters are already falling prey to potential killers such as diabetes because of their weight. Fatty fast-food diets combined with sedentary lifestyles dominated by televisions and computers could mean kids will die tragically young, says Professor Andrew Prentice, from the London School of Hygiene and Tropical Medicine. At the same time, the shape of the human body is going through a huge evolutionary shift because adults are getting so fat. Here in Britain, latest research shows that the average waist size for a man is 36-38in and may be 42-44in by 2032. This compares with only 32.6 in in 1972. Women"s waists have grown from an average of 22 inches in 1920 to 24 inches in the Fifties and 30 inches now. One of the major reasons why children now are at greater risk is that we are getting fatter younger. In the UK alone, more than one million under-16s are classed as overweight or obese — double the number in the mid-Eighties. One in ten four-year-olds are also medically classified as obese. The obesity pandemic—an extensive epidemic—which started in the US, has now spread to Europe, Australia, Central America and the Middle East. Many nations now record more than 20 per cent of their population as clinically obese and well over half the population as overweight. Prof Prentice said the change in our shape has been caused by a glut of easily available high-energy foods combined with a dramatic drop in the energy we use as a result of technology developments. He is not alone in his concern. Only last week one medical journal revealed how obesity was fuelling a rise in cancer cases. Obesity also increases the risk factor for strokes and heart disease. An averagely obese person"s lifespan is shortened by around nine years while a severely obese person by many more. Prof Prentice said: "So will parents outlive their children, as claimed recently by an American obesity specialist" The answer is yes—and no. Yes, when the offspring become grossly obese. This is now becoming an alarmingly common occurrence in the US. Such children and adolescents have a greatly reduced quality of life in terms of both their physical and psychosocial health. So say No to that doughnut and burger. What does the author mean by "So say No to that doughnut and burger"
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