We are a voluntary group consisting of fishermen, scientists, local community leaders and citizens who share the same concern; the future of our commercial fishing industry and the communities closely and historically tied to fishing.
Historicaly, the commercial fishing industry has been the engine of the communities on the central coast of California. The sardines, squid, salmon, rock cod, sand dabs, sole, crab... and other fish had sustained thousands of jobs on our coast for most of the 20th century. Now we are facing very gray times in our industries and maybe even a less colorful future (hopefuly not).
L manifestations result when hyper-or hyposecretions occur. Pituitary adenomas are further differentiated by size. Microadenomas have little impact on the visual system or gland function and are defined as intrasellar adenomas that measure up to one centimeter in diameter without sellar enlargement. Macroadenomas present with mass effect symptoms such as headaches and measure larger than one centimeter with generalized sellar enlargement. Macroadenomas include (in order of most common to least common): non-secreting adenomas, prolactin secreting (chromaphobe) adenomas, growth hormone secreting (acidophil) adenomas, acth secreting (basophil) adenomas and fsh or tsh secreting adenomas. Secreting tumors are usually diagnosed by general physicians and endocrinologists. Non-secreting tumors are often diagnosed by eye care practitioners because they produce visual symptoms in the absence of systemic signs. Management surgical therapy, medicinal therapy or radiotherapy are the three treatment options for pituitary adenomas. Since the late 1970s, the transphenoidal surgical approach has been the preferred procedure for removal of tumors. Surgery is indicated if there is evidence of tumor enlargement, especially when growth is accompanied by compression of the optic chiasm, cavernous sinus invasion, or the development of pituitary hormone deficiencies. Visual improvement following treatment is often dramatic, with the greatest degree of improvement occurring within the first few months. Perimetry and mri occupy an important role in the post treatment monitoring of patients. Medicinal treatment is limited to prolactinomas. generic viagra onlinecheap viagrahttp://floridalighttacklecharters.com/thq-buy-viagra-without-prescriptions-gq/cheap viagra onlinecheap generic viagrafemale viagra for salebuy generic viagrahttp://classicmotocrossimages.com/mbs-order-cheap-viagra-online-jt/buy viagrabuy viagra online Bromocriptine, a dopamine agonist, is useful in shrinking the sizes of these tumors. Low dose therapy of bromocriptine is maintained for life. If the drug therapy is discontinued, there is often regrowth and enlargement of the adenoma. Conventional radiotherapy is usually added adjunctively to prevent tumor regrowth. Clinical pearls in pregnant women, bitemporal visual field loss and headache may signal pituitary apoplexy (rapid degeneration with hemorrhagic necrosis of the pituitary gland). Pituitary apoplexy is a potentially life-threatening condition. Any woman with sudden onset of headache and suspicious visual symptoms (confirmed by perimetry) should be referred for a mri with or without lumbar puncture to rule out subarachnoid hemorrhage from the this type of tumor. Women with pituitary adenomas and mri evidence of subarachnoid bleeding should deliver by cesarean section to avoid risk of apoplexy during delivery. Postpartum hemorrhage can cause infarction of the pituitary gland leading to hypopituitarism (sheehans syndrome). Differential diagnoses of pituitary tumor includes craniopharyngioma (. We would like to provide the opportunity for anyone who would like to help our fishermen and we would also like to provide information about fishing, fishermen, boats and our communities. Our main goal is to educate the general public about the issues and challenges each of our fisheries faces. We would like to provide an open forum for those who are concerned about these issues and a real connection between the fishing community and the general public. We believe that if we get united we will be able to bring hope to our future generations of fishermen on our coast and in America.
Please support your local and other American fishermen and join us.