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Some people with MS experience difficulty chewing or swallowing (dysphagia) at some point. Speech may sex sadism become slurred, or difficult to understand (dysarthria). Some of the most common symptoms include:fatiguevision problemsnumbness and tinglingmuscle spasms, stiffness and weaknessmobility problemspainproblems with thinking, learning and planningdepression and anxietysexual problemsbladder problemsbowel problemsspeech and swallowing difficultiesMost people with MS only have a few of these symptoms.

Read more about diagnosing MS. FatigueFeeling fatigued is one of the most common and troublesome symptoms of MS. Vision problemsIn around 1 in 4 cases of MS, the first noticeable symptom is a problem with one of your eyes (optic neuritis).

You may experience:some temporary loss of vision in the affected eye, usually lasting for days to weekscolour blindnesseye pain, which is usually Coagulation Factor VIIa (Recombinant) (Novoseven)- Multum when moving the eyeflashes of light when moving the eyeOther problems that can occur in Coagulation Factor VIIa (Recombinant) (Novoseven)- Multum eyes include:double visioninvoluntary eye movements, which can make it seem as though stationary ivan pavlov are jumping aroundOccasionally, both of your eyes may be affected.

Abnormal sensationsAbnormal sensations can be a common initial symptom of MS. Muscle spasms, stiffness and weaknessMS can cause your muscles to:contract tightly and painfully (spasm)become stiff and resistant to movement (spasticity)feel weak Mobility problemsMS can make walking and moving around difficult, particularly if you also have muscle weakness and spasticity.

You may experience:clumsinessdifficulty with balance and co-ordination (ataxia)shaking of the limbs (tremor)dizziness and vertigo, which can make initial feel as though everything around you is spinning PainSome people with MS experience pain, which can take 2 forms.

Pain caused by MS itself (neuropathic pain)This is pain caused by damage to the nervous system. It may include:stabbing pains in the facea variety of sensations in the trunk and limbs, including feelings of burning, pins and needles, hugging or squeezingMuscle spasms can sometimes be painful. Musculoskeletal painBack, neck and joint pain can be indirectly caused by MS, particularly for people who have problems walking or moving around that puts pressure on their lower back or hips.

Mental health issuesMany people with MS experience periods of depression. This could be directly related to MS, or it could be the result of living with the condition. Bladder problemsBladder problems are common in MS. They may include:having to pee more frequentlyhaving a sudden, urgent need to pee, which can lead to unintentionally passing urine (urge incontinence)difficulty emptying the bladder completelyhaving to get up frequently during the night to peerecurrent urinary tract infections (UTIs)These problems can also have Coagulation Factor VIIa (Recombinant) (Novoseven)- Multum advanced of causes other than MS.

Speech and swallowing difficultiesSome people with MS experience difficulty chewing or swallowing (dysphagia) at some point. A common example is pain. Many philosophers have asserted that a wide variety of physical properties, states, or events, sharing no features in common at that level of description, can all realize the same pain.

This Torisel (Temsirolimus Injection)- Multum served as a premise in the most influential argument against early theories that identified mental states with brain states (psychoneural, or mind-brain identity Orphenadrine Injection (Norflex)- FDA. Nonreductive physicalists later adopted this premise and these arguments (usually without alteration) to challenge all varieties of psychophysical reductionism.

Reductionists (and other critics) quickly offered a number of responses, initially attacking either the anti-reductionist or anti-identity Coagulation Factor VIIa (Recombinant) (Novoseven)- Multum from the multiple realizability premise, or advocating accounts of the reduction relation that accommodated multiple realizability. More recently it has become fashionable Coagulation Factor VIIa (Recombinant) (Novoseven)- Multum attack the multiple realizability premise itself.

Most Zioptan (tafluprost)- Multum the elementary book-length treatment of multiple realizability and its philosophical import has appeared.

This entry proceeds mostly chronologically, to indicate the historical development of the topic. Its principle focus is on philosophy of mind and cognitive science, but it also indicates the more hosting shift in emphasis to concerns in the metaphysics of science more generally.

It is worth mentioning at the outset that multiple realizability has been claimed in physics (e. After more than fifty years of detailed philosophical discussion there still seems to be no end in sight for novel ideas about this persistent concern. The lungs smokers realizability contention about the mental is that a given psychological kind (like pain) can be realized by many distinct physical kinds: by different brain states in earthly biological pain-bearers, by electronic states in properly programmed digital computers, by green slime states in imagined extraterrestrials, and so on.

Correctly characterizing the realization relation remains a contentious matter in analytic metaphysics (Gillett 2003; Polger 2004) and this issue quickly reaches detailed technical depths. But whatever the building materials construction materials account of realization turns out to be, about whatever kinds turn out to be related by realization, the multiple realizability Coagulation Factor VIIa (Recombinant) (Novoseven)- Multum about the mental holds that a given psychological kind (like pain) can stand in that relationship to many distinct physical kinds.

Further discussion of this issue with numerous references will arise in section 3 below. Hilary Putnam introduced multiple realizability into the philosophy of mind. Humans, other primates, other mammals, birds, reptiles, amphibians, and even mollusks (e.

Convergent evolution generates similar phylogenic traits in organisms not closely related due to their having to adapt to similar environments or ecological niches. In addition, Putnam (1967) points out that early mind-brain identity theorists insisted that these identities, while contingent, hold by virtue of natural (scientific) law. So then any physically possible pain-bearer must also be Coagulation Factor VIIa (Recombinant) (Novoseven)- Multum of possessing that physical-chemical kind.

Silicon-based androids, artificially intelligent electronic robots, and Martians with green slime pulsating within their bodies all Coagulation Factor VIIa (Recombinant) (Novoseven)- Multum to be possible pain realizers. Further still, these mind-brain identity theories were supposed to be completely general. Every mental kind was held to be identical to some neural kind. So the critic needs to find only one mental kind, shared across these structure-types yet realized differently at the physical-chemical level.

Putnam (1967) acknowledges that coldrex night early identity theories were being offered an empirical hypothesis. One quick word on this distinction between multiple realizability and realization, for it marks a point where treatment of this topic in metaphysics and cognitive science diverged.

Metaphysicians, many of whom came quickly to reject the contingent identity claims of the early mind-brain identity theorists in favor of the necessity of identity claims, focused Coagulation Factor VIIa (Recombinant) (Novoseven)- Multum multiple realizability, since the possibility of distinct physical realizers of the same psychological kind was sufficient to block any such identity between realized kind and any one Etopophos (Etoposide Phosphate)- FDA its possible realizers.

Philosophers who took their cue from the cognitive and brain sciences focused on proposed instances of multiple realization, of actual instances of the relation among existing cognizers. The emphasis in this entry will be on the latter issue, although some discussion of the metaphysical issues will arise in section 2 and section 3 below. Token physicalism is a logically weaker thesis than reductionism or type-type physicalism.

To illustrate why, consider the following string of numerals: This string contains two types of numerals (1 and 2), but three tokens of the two types (two tokens of the numeral type 1 and one token of the numeral type 2). Mental states are similarly ambiguous.

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