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As with the excitement that comes at a baby s first word, parents rejoice at their baby s first sign. Seeing your baby use a sign is an easily observable indicator that she is on her way to talking before she can talk. But what about days, weeks, or even months when you are enthusiastically signing without any apparent progress on the part of your baby Just because your baby is not yet using signs herself does not mean she is not making progress. In fact, there may be a lot going on in that little head of hers, piecing together all the bits of information in anticipation of producing her first sign. There are a number of ways you can tell that your baby is catching on to this new language.
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tional source is always a curve with respect to four-dimensional space. This is impossible for most (if not all) people to envision directly without cheating by taking away one dimension. But the mathematics is straightforward enough, and observations have shown that it correctly explains the phenomenon.
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Switch the induction receiver to the On position. When you first turn on the unit you will probably hear a lot of buzzing from the wiring in the room. Rotate the receiver in a horizontal plane to find a null where the hum is minimal. If you can get a reasonable null, you should be able to hear the source material from the transmitter loop or at least some hum coming from the earphone. If your transmitter loop is broadcasting then you should hear the source music or speech on the headphone of your induction loop receiver. If all goes well, both your transmitter and receiver section will be working and you will be hearing the source material in your remote headphones. In the event that the induction receiver does not work when first power-up, you will have to remove the battery and carefully examine the circuit board for any errors. The most common cause for failure are improper placement of resistors, electrolytic capacitors and diodes installed backwards, and semiconductors such as transistors installed incorrectly. Have a knowledgeable electronics friend provide a second pair-of-eyes to help you examine the circuit for errors. It is very easy to miss a problem since, as the builder, you will continue to see the same circuit, the same way over and over. Once the error has been found and corrected, you can re-connect the battery and test the circuit once again. As mentioned earlier, you can use the system for hard of hearing people, for museum displays and demonstrations, for theater personnel, late night TV listening, etc. You could wind a transmitter loop around your easy chair and use the system to broadcast TV sound to your earphones for late night listening. This is a great Boy Scout project for helping old folks who live in nursing homes to better enjoy TV, radio and music. You can also use the induction loop receiver by itself without the transmitter loop, to trace power wires behind a wall or ceiling by listening for a sharp increase in hum as the coil passes near the wire. Make sure that current is flowing in the wires to be traced by turning on a lamp or other appliance. Other wires can be traced if they are carrying alternating current in the audio
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This puts the command in Add mode. 4. Enter O for Object and pick the shaft. AutoCAD displays 4.9087 for the area and 7.8540 for the circumference. (Circumference is the distance around a circle.) Notice that AutoCAD is still in Add mode and is asking you to select objects. 5. Press ENTER. 6. Enter S for Subtract. Now the command is in Subtract mode. 7. Enter O for Object and select the pocket. AutoCAD subtracts the area of the pocket from the area of the end of the shaft and displays the result (3.9087). 8. Press ENTER twice to terminate the command.
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Table 37-6 Differential diagnosis of leukodystrophies of infancy
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hands of experienced anesthesiologists and cerebrovascular surgeons, the operative mortality, even in grade III and IV patients, has now been reduced to 2 to 3 percent. For a detailed account of the operative approach to each of the major classes of saccular aneurysm, the reader is referred to the monograph by Ojemann and colleagues. Several alternative therapeutic measures are still being studied. Among these, endovascular obliteration of the lumen of the aneurysm holds the most promise. This has become the preferred approach for aneurysms that are surgically inaccessible for example, those in the cavernous sinus or for patients whose medical state precludes an operation. Among several trials that have compared surgery with endovascular placement of coils in the aneurysm, several have shown a slight superiority of the latter. For example, the International Subarachnoid Aneurysm Trial Group randomly assigned over 2000 patients to surgery or platinum coil placement; the overall rate of death or dependence at 1 year was 24 percent in the endovascular group and 31 percent in the operated group. Doubtless, further studies will continue to clarify the relative bene ts of the treatment. We would comment that the skill of the surgeon and the quality of postoperative care are major determinants of outcome; perhaps the simplicity of endovascular treatment and the improvements in the training of interventional specialists will prove its advantage over time. Because of the current approach of ablating the aneurysm early, the previously popular use of anti brinolytic agents as a means of impeding lysis of the clot at the site of aneurysmal rupture has been generally abandoned. Repeated drainage of the CSF by lumbar puncture is also no longer practiced as a routine. One lumbar puncture is generally carried out for diagnostic purposes if the CT scan is inconclusive; thereafter spinal uid drainage is performed only for the relief of intractable headache or to detect recurrence of bleeding. As mentioned earlier, patients with stupor or coma who have massive hydrocephalus often bene t from decompression of the ventricular system. This is accomplished initially by external drainage and may require permanent shunting if the hydrocephalus returns. The risk of infection of the external shunt tubing is high if it is left in place for much more than 3 days. Replacement with a new tube, preferably at another site, reduces this risk. Unruptured Intracranial Aneurysms Not infrequently, cerebral angiography, MRI, MRA, or CT scanning performed for an unrelated reason, discloses the presence of an unruptured saccular aneurysm. Or, a second or third aneurysm is found during the angiogram to assess a ruptured one. There is now a reasonable body of information about the natural history of these lesions. Wiebers and colleagues observed 65 patients with one or more unruptured aneurysms for at least 5 years after their detection. The only clinical feature of signi cance relative to rupture was aneurysmal size. None of 44 aneurysms smaller than 10 mm in diameter had ruptured, whereas 8 of 29 aneurysms 1 cm or larger eventually did so, with a fatal outcome in 7 cases. Two large studies have attempted to re ne these statistical data. In the older Cooperative Study of Intracranial Aneurysms, none of the aneurysms less than 7 mm diameter had further trouble. A more recent and quite sizable cooperative study that included 4060 patients and gathered data prospectively for 5 years, conducted by the International Study of Unruptured Intracranial Aneurysms Investigators, found an extremely low rate of rupture, about 0.1 percent yearly, for aneurysms smaller than 7 mm in diameter, an annual risk of 0.5 percent was
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Click OK, and you will see the table format within the Web template, as the following illustration shows.
10. Save the script under a name of your choice.
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Fourteen: VLF Radio Receiver
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