... (Doc. 11 108)
2. Honouring of obligations and commitments by Albania (Doc. 11 115 )
Co-rapporteurs ofthe Committee on the Honouring of Obligations and Commitments by
Member States ofthe Council ...
11 .30 a.m. 1. Opening ofthe first partofthe 2007 Ordinary Session
(oldest member in the Chair: Mr Miguel Barceló Pérez (Spain, EPP/CD))
a. Examination of credentials (Doc. 11 124) ... 11 124)
b. Election ofthe President ofthe Assembly
c. Election ofthe Vice-Presidents ofthe Assembly
d. Appointment of members of committees (Commissions (2007) 1)
e. Requests for debate:...
... in thenight because he didn't
want to drive in the extreme heat ofthe day so he decided to go in the
cooler partofthe day, night time. In the end, the fact ofthe matter was
that the ... get to
ends of chapters.
========================Response Journal: 8 In The Heat
Of TheNight Vocabulary Word:
Outskirt (noun) - The outer partof a town, far from the center of the
town.Vocabulary ... look for firewood for the church. The weapon had to be a
piece of wood about the size of firewood. This way if the found the piece
used by the killer, the could pin it to the man who did it. This...
... common in people of northern
European descent. Their diagnosis is obvious when they are visible as glittering
particles upon the surface ofthe optic disc. However, in many patients they are
hidden ... fulminant papilledema.
Optic Disc Drusen
These are refractile deposits within the substance ofthe optic nerve head
(Fig. 29 -13 ). They are unrelated to drusen ofthe retina, which occur in age-related ... beneath the surface, producing pseudo-papilledema. It is important to
recognize optic disc drusen to avoid an unnecessary evaluation for papilledema.
Chapter 029. Disorders ofthe Eye
(Part 12 )...
... Chapter 029. Disorders ofthe Eye
(Part 14 )
Stroke
This occurs when interruption of blood supply from the posterior cerebral
artery to the visual cortex is prolonged. The only finding on examination ... viewing light reflected from the fundus with an ophthalmoscope or by
examining the dilated eye using the slit lamp.
The only treatment for cataract is surgical extraction ofthe opacified lens.
Over ... cataracts
develop slowly as a result of aging, leading to gradual impairment of vision. The
formation of cataract occurs more rapidly in patients with a history of ocular
trauma, uveitis, or diabetes...
... by administration of
panretinal laser photocoagulation at the appropriate point in the evolution ofthe
disease. For further discussion ofthe manifestations and management of diabetic
retinopathy, ... detachment ofthe retinal
pigment epithelium and the neurosensory retina. These detachments produce acute
or chronic symptoms of metamorphopsia and blurred vision when the macula is
involved. They ... Chapter 029. Disorders ofthe Eye
(Part 16 )
Central Serous Chorioretinopathy
This primarily affects males between the ages of 20 and 50. Leakage of
serous fluid from the choroid causes small,...
... Disorders ofthe Eye
(Part 17 )
Melanoma and Other Tumors
Melanoma is the most common primary tumor ofthe eye (Fig. 29 -18 ). It
causes photopsia, an enlarging scotoma, and loss of vision. ... atrophy of retrobulbar fat, or fracture ofthe orbital
floor. The position ofthe eyes within the orbits is measured using a Hertel
exophthalmometer, a hand-held instrument that records the position ... dramatic response to a therapeutic trial of systemic glucocorticoids
indirectly provides the best confirmation ofthe diagnosis.
When the globes appear asymmetric, the clinician must first...
... limitation of motility. The width of
the palpebral fissures is measured in primary gaze to quantitate the degree of
ptosis. The ptosis will be underestimated if the patient compensates by lifting the ... a family history of
ptosis should be sought. Fluctuating ptosis that worsens late in the day is typical of
myasthenia gravis.
Chapter 029. Disorders ofthe Eye
(Part 18 )
Orbital Cellulitis ... dehiscence or stretching ofthe aponeurotic tendon,
which connects the levator muscle to the tarsal plate ofthe eyelid. It occurs
commonly in older patients, presumably from loss of connective tissue...
... "lazy" eye) in the deviated eye.
Chapter 029. Disorders ofthe Eye
(Part 19 )
Myogenic Ptosis
The causes of myogenic ptosis include myasthenia gravis (Chap. 3 81) and a
number of rare myopathies ... gaze,
and then with the head turned and tilted in each direction. In the above example, a
cover test with the head turned to the right will maximize the fixation shift evoked
by the cover test. ... If the eye movements are full
and the ocular misalignment is equal in all directions of gaze (concomitant
deviation), the diagnosis is strabismus. In this condition, which affects about 1%
of...
... occurs from all the causes listed above for the
oculomotor nerve, except aneurysm. The trochlear nerve is particularly apt to
suffer injury after closed head trauma. The free edge ofthe tentorium ... thought to result from microvascular infarction ofthe nerve, somewhere along
its course from the brainstem to the orbit. Usually the patient complains of pain.
Diabetes, hypertension, and vascular ... common when the oculomotor nerve is
injured by trauma or compression (tumor, aneurysm). Miswiring of sprouting
fibers to the levator muscle and the rectus muscles results in elevation ofthe eyelid...
... Disorders ofthe Eye
(Part 21)
Abducens Nerve
The sixth cranial nerve innervates the lateral rectus muscle. A palsy
produces horizontal diplopia, worse on gaze to the side ofthe lesion. ... generally have the opposite effect: the eyes deviate conjugately away from the
irritative focus. Parietal lesions disrupt smooth pursuit of targets moving toward
the side ofthe lesion. Bilateral ... sclerosis are the most common
etiologies of brainstem abducens palsy.
After leaving the ventral pons, the abducens nerve runs forward along the
clivus to pierce the dura at the petrous apex,...
... lesion ofthe
medial longitudinal fasciculus and the abducens nucleus on the same side. The
patient's only horizontal eye movement is abduction ofthe eye on the other side.
Figure 29 -19 ... controlled at the level ofthe midbrain. The neuronal circuits
affected in disorders of vertical gaze are not fully elucidated, but lesions ofthe
rostral interstitial nucleus ofthe medial longitudinal ... misalignment ofthe eyes, usually constant in all
positions of gaze. The finding has poor localizing value because skew deviation
has been reported after lesions in widespread regions ofthe brainstem...
... Molecular genetics ofcolor vision and color vision
defects. Arch Ophthalmol 11 8:6 91, 2000 [PMID: 10 815 162]
Riordan-Eva P, Whitcher J: Vaughn and Asbury's General Ophthalmology
,
16 th ed. New ... macular
degeneration. N Engl J Med 355 :14 19,
2006 [PMID: 17 0 213 18]
Rutar T et al: Ophthalmic
manifestations of infections caused by
the USA300 clone of community-
associated methicillin-
resistant ... examination
of the eyes. Observation of nystagmoid movements ofthe optic disc on
ophthalmoscopy is a sensitive way to detect subtle nystagmus.
Gaze-Evoked Nystagmus
This is the most common form of...