coma

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Related to diabetic coma: diabetic ketoacidosis

coma,

in astronomy: see cometcomet
[Gr.,=longhaired], a small celestial body consisting mostly of dust and gases that moves in an elongated elliptical or nearly parabolic orbit around the sun or another star. Comets visible from the earth can be seen for periods ranging from a few days to several months.
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.

coma,

in medicine, deep state of unconsciousness from which a person cannot be aroused even by painful stimuli. The patient cannot speak and does not respond to command. Coma is the result of damage to the brain stembrain stem,
lower part of the brain, adjoining and structurally continuous with the spinal cord. The upper segment of the human brain stem, the pons, contains nerve fibers that connect the two halves of the cerebellum.
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 and cerebrum that may be caused by severe head or brain injury, cardiac arrest, strokestroke,
destruction of brain tissue as a result of intracerebral hemorrhage or infarction caused by thrombosis (clotting) or embolus (obstruction in a blood vessel caused by clotted blood or other foreign matter circulating in the bloodstream); formerly called apoplexy.
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, diabetesdiabetes
or diabetes mellitus
, chronic disorder of glucose (sugar) metabolism caused by inadequate production or use of insulin, a hormone produced in specialized cells (beta cells in the islets of Langerhans) in the pancreas that allows the body to use and store
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, drug overdose, shockshock,
any condition in which the circulatory system is unable to provide adequate circulation to the body tissues, also called circulatory failure or circulatory collapse. Shock results in the slowing of vital functions and in severe cases, if untreated, in death.
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, or hemorrhagehemorrhage
, escape of blood from the circulation (arteries, veins, capillaries) to the internal or external tissues. The term is usually applied to a loss of blood that is copious enough to threaten health or life.
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. It occurs just before death in many diseases. There are various depths of coma; the nature of the injury determines the level of supportive treatment necessary (see artificial life supportartificial life support,
systems that use medical technology to aid, support, or replace a vital function of the body that has been seriously damaged. Such techniques include artificial pacemakers, internal defibrillators, dialysis machines (see kidney, artificial), and
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). Survival and prognosis depend upon the cause, extent of damage, and duration of the coma.

The term persistent vegetative state was coined in 1972 to describe an unconscious state in which sleep and wake cycles remain and eyes may open, but there is no thinking, feeling, or awareness of one's surroundings (although one may react reflexive to certain stimulations). The brain stem is usually relatively intact but the cerebral cortex is severely impaired. It is this state that sometimes results from resuscitation and life support of people who otherwise would have died; partial emergence from such a state sometimes occurs with a year or two, but not after that.

Coma due to concave mirrorclick for a larger image
Coma due to concave mirror

coma

(koh -mă)
1. The most obvious part of a comet when it is close to the Sun. It consists of a diffuse luminous nebulous cloud of gas and dust that surrounds the comet's nucleus and is formed by the sublimation of ices and ejection of dust particles from the nucleus. The brightest part of the coma is the central region nearest the surface of the nucleus, where the density of material being released is at its highest; the gas density in this region is typically 1013 molecules per cm3. The visual boundary of the coma merges with the sky background. A coma's size varies with the comet's distance from the Sun and with the amount of material being released from the nucleus but can grow to typically 104 to 105 km in diameter. The luminosity of the coma is mainly produced by fluorescence from a variety of carbon, nitrogen, hydrogen, and oxygen radicals and reflection of sunlight by dust particles. The shape seems roughly circular but fan-shaped comas have been reported. The material comprising the coma is extremely rarefied: even faint stars shine through.

See also head.

2. An aberration of a lens or mirror that occurs in a telescope when the light falls on the objective or primary mirror at an oblique angle. The light is not imaged as a point in the focal plane but as a fan-shaped area: each zone of the lens or mirror produces an off-axis image in the form of a circular patch of light, the diameter and position of the circle center varying steadily from zone to zone (see illustration). The dimensions of the resulting combination of zone images, i.e. the fan-shaped image, depends on the obliquity of the light falling on the lens or mirror. See also aplanatic system.

Coma

 

a life-threatening condition characterized by loss of consciousness, severe decrease or absence of reaction to external stimuli, extinction of reflexes (to the point of complete disappearance), disturbance of the depth and frequency of respiration, change in vascular tonus, acceleration or deceleration of the pulse, and upset of temperature regulation.

Coma is a consequence of deep inhibition in the cerebral cortex extending to the subcortex and lower sections of the central nervous system, as a result of acute disruption of blood circulation in the brain, head injury, inflammation (encephalitis, meningitis, malaria), intoxication (barbiturates, carbon monoxide), diabetes mellitus, uremia (urémic coma), and hepatitis (hepatic coma). In addition, there is disruption of the acid-base equilibrium in nervous tissue, oxygen starvation, disturbances of ion exchange, and energy starvation in the nerve cells. A precomatose state, during which the symptoms indicated develop, precedes coma. The condition can be treated by eliminating the primary causes of the coma and taking measures aimed at restoring the acid-base balance, reversing collapse, restoring respiration, and combating oxygen starvation.


Coma

 

an aberration of optical systems in which each part of the system at a distance d (circular zone) from the axis gives the image of a luminous point as a ring with a radius that increases as d increases; the centers of the rings are not coincident, so that their superposition, that is, the image of the point produced by the system as a whole, takes the form of an asymmetrical, diffuse spot (see Figure 1).

Figure 1. Coma in a simple optical system passing a beam of parallel rays: (a) beam, passing through the center of the system at angle w, intersects the focal plane FF’ at point O; rays traversing the system at points A1, A1, A2, A2, . . . , which are symmetrical with respect to the axis, are not collected by the system at point O in plane FF’, but rather at points O1 O2, . . . , at a distance from O proportional to dP (d being the distance from the axis at which a ray intersects the system); (b) the diffuse spot observed in the focal plane instead of point image O

The size of this spot is proportional to the square of the aperture angle of the system and the distance of the point-object from the system’s axis. The coma is very large with parabolic mirrors; it is, in fact, the principal factor limiting their visual field (see Figure 2). In complicated optical systems, coma is usually corrected together with spherical aberration by matching lenses. If one of the lens surfaces is off-center when a system is assembled, coma will also distort the images of points located on the system’s axis.

Figure 2. Coma effect with a parabolic mirror


Coma

 

a tuft of simple or pinnate hairs at the apex or base of the seeds of certain plants, for example, the willow herb. The coma is an outgrowth of the seed coat, or testa. It promotes distribution of seeds and fruits by means of wind, water, and animals.

coma

[′kō·mə]
(astronomy)
The gaseous envelope that surrounds the nucleus of a comet. Also known as head.
(electronics)
A cathode-ray tube image defect that makes the spot on the screen appear comet-shaped when away from the center of the screen.
(medicine)
Unconsciousness from which the patient cannot be aroused.
(optics)
A manifestation of errors in an optical system, so that a point has an asymmetrical image (that is, appears as a pear-shaped spot).

coma

1
a state of unconsciousness from which a person cannot be aroused, caused by injury to the head, rupture of cerebral blood vessels, narcotics, poisons, etc.

coma

2
1. Astronomy the luminous cloud surrounding the frozen solid nucleus in the head of a comet, formed by vaporization of part of the nucleus when the comet is close to the sun
2. Botany
a. a tuft of hairs attached to the seed coat of some seeds
b. the terminal crown of leaves of palms and moss stems
3. Optics a type of lens defect characterized by the formation of a diffuse pear-shaped image from a point object
References in periodicals archive ?
41, could slip into a diabetic coma if his blood sugar became very low but he kept sugar and medicine in his car.
According to the Miami Herald, Ewarda O'Bara was a high school student in 1970 when she fell ill, threw up her medicine and slipped into a diabetic coma, Fox News reported.
Pete Williams' wife Margaret, of Shotton, fell into a rare diabetic coma caused by hypoglycaemia - low blood sugar - on Christmas Day last year after being unable to eat properly for a few days.
GIFU, Japan - A 12-year-old girl who was found dead at a private natural food research institute in Gifu Prefecture a week ago died of diabetic coma, police said Monday.
Ceri, 35, was in the early stages of a diabetic coma and was in urgent need of sugar to bring her around.
Assistant Deputy Coroner Michael Snell said Ms Houston was already unsteady on her feet as a result of going into a diabetic coma in 2009.
And when mum Hazel collapsed in a diabetic coma at the family home, the tot picked up Hazel's phone, hit a few buttons and managed to get through to one of her mother's friends.
The four-year-old sprang into action to help her unconscious mum Emma, 34, who fell into a diabetic coma.
In April, 55-year-old Mr Gurung was told he might have to pay thousands of pounds in medical costs after his 46-year-old wife Chandra collapsed into a diabetic coma and was rushed to hospital in Nottingham.
Maxine Farnden, 14, a pupil at Ysgol Bro Morgannwg, in Barry, found her mum Nicola, in a diabetic coma at the family home in the town.
LEWIS Gladman leapt into action when his pregnant mother slipped into a diabetic coma.
Birmingham nurse Sarah Troughton, 27, fell into a diabetic coma while staying at a friend's house in Nottingham.