H developing handedness before age 18 months: this indicates weakness or abnormal muscle tone on one side, which may be an early sign of cp. Problems and disabilities related to cp range from very mild to very severe. cheap generic viagra Their severity is related to the severity of the brain damage. They may be very subtle, noticeable only to medical professionals, or may be obvious to the parents and other caregivers. buy viagra online Abnormal muscle tone: muscles may be very stiff (spastic) or unusually relaxed and "floppy. " limbs may be held in unusual or awkward positions. viagra to take effect For example, spastic leg muscles may cause legs to cross in a scissor-like position. viagra coupon Abnormal movements: movements may be unusually jerky or abrupt, or slow and writhing. They may appear uncontrolled or without purpose. buy viagra without prescription Skeletal deformities: people who have cerebral palsy on only one side may have shortened limbs on the affected side. If not corrected by surgery or a device, this can lead to tilting of the pelvic bones and scoliosis (curvature of the spine). what do the bathtubs in the viagra ads mean Joint contractures: people with spastic cerebral palsy may develop severe stiffening of the joints because of unequal pressures on the joints exerted by muscles of differing tone or strength. Mental retardation: some, although not all, children with cerebral palsy are affected by mental retardation. Generally, the more severe the retardation, the more severe the disability overall. Seizures: about one-third of people with cerebral palsy have seizures. Seizures may appear early in life or years after the brain damage that causes cerebral palsy. The physical signs of a seizure may be partly masked by the abnormal movements of a person with cerebral palsy. generic viagra canada Speech problems: speech is partly controlled by movements of muscles of the tongue, mouth, and throat. viagra effects blood pressure Some individuals with cerebral palsy are unable to control these muscles and thus cannot speak normally. Swallowing problems: swallowing is a very complex function that requires precise interaction of many groups of muscles. People with cerebral palsy who are unable to control these muscles will have problems sucking, eating, drinking, and controlling their saliva. pfizer viagra cheap prices They may drool. An even greater risk is aspiration, the inhalation into the lungs of food or fluids from the mouth or nose. This can cause infection or even suffocation. Hearing loss: partial hearing loss is not unusual in people with cerebral palsy. The child may not respond to sounds or may have delayed speech. Vision problems: three-quarters of people with cerebral palsy have strabismus, which is the turning in or out of one eye. This is due to weakness of the muscles that control eye movement. These people are often nearsighted. If not corrected, strabismus can lead to more severe vision problems over time. Dental problems: people with cerebral palsy tend to have more cavities than usual. This results from both defects in tooth enamel and difficulties brushing the teeth. Bowel and/or bl. buy viagra online usa

Welcome to the website of the London Acute Kidney Injury Network

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Acute Kidney Injury (AKI), previously known as acute renal failure, is a sudden loss of kidney function. AKI is strongly associated with mortality, increased lengths of stay, chronic morbidity and increased healthcare costs.

The London Acute Kidney Injury Network is a collaboration of healthcare professionals and organisations based in and around the capital. Our goal is equitable, high-quality AKI prevention and care in London.

London AKI Network was the world’s first clinical network for AKI. This model has now scaled Nationally across England.

We pioneered cross site-collaboration, harmonised regional pathways and clinical guidance, sharing of best practice, regional audit and patient engagement and support in AKI care. We oversaw the first regional deployment of a standardised AKI care bundle and electronic e-alerting (in both secondary and primary care). We developed the first dedicated online and mobile application resource on AKI for healthcare professionals and these open-access, award-winning resources are accessed nationally and globally. We also run the AKI academy, the UKs first regular AKI course, as well as other events for patients and professionals.

We share our freely and have presented at numerous regional, national and international meetings. If you would like to collaborate, please get in touch.

2014 London AKI Network was cited as an exemplar in the Future Hospital Commission Report.


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