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Patients seen during the preliminary stages of fainting or after they have lost consciousness should be placed in a position that permits maximal cerebral blood ow, i.e., with head lowered between the knees if sitting or preferably in the supine position with legs elevated. All tight clothing and other constrictions should be loosened and the head and body positioned so that the tongue does not fall back into the throat and the possible aspiration of vomitus is avoided. Nothing should be given by mouth until the patient has regained consciousness. The patient should not be permitted to rise until the sense of physical weakness has passed and he should be watched carefully for a few minutes after arising. As a rule, the physician sees the patient after recovery from the faint and is asked to explain why it happened and how it can be prevented in the future. One should think rst of those causes of fainting that constitute a therapeutic emergency. Among them are massive internal hemorrhage and myocardial infarction, which may be painless, and cardiac arrhythmias. In an elderly person, a sudden faint without obvious cause must always arouse the suspicion of a complete heart block or other cardiac arrhythmia. The prevention of fainting depends on the mechanisms involved. In the usual vasodepressor faint of adolescents which tends to occur in circumstances favoring vasodilatation (warm environment, hunger, fatigue, alcohol intoxication) and periods of emotional excitement it is enough to advise the patient to avoid such circumstances. In postural hypotension, patients should be cautioned against arising suddenly from bed. Instead, they should rst exercise the legs for a few seconds, then sit on the edge of the bed and make sure they are not light-headed or dizzy before starting to walk. Standing for prolonged periods can sometimes be tolerated without fainting by crossing the legs forcefully. Alternatives should be found for medications that are conceivable causes of orthostasis. Beta-adrenergic blocking agents, diuretics, antidepressants, and sympatholytic antihypertensive drugs are the common culprits. In the syndrome of chronic orthostatic hypotension, special corticosteroid preparations such as udrocortisone acetate (Florinef) 0.05 to 0.4 mg/day in divided doses and increased salt intake to expand blood volume are helpful. Recently the alpha1 agonist midodrine, beginning with 2.5 mg every 4 h and slowly increasing the dose to 5 mg every 4 to 6 h, has been used successfully in small studies, but this medication has the potential to worsen the situation and must be used with care. Sleeping with the headposts of the bed elevated on wooden blocks 8 to 12 in. high and wearing a snug elastic abdominal binder and elastic stockings are measures that often prove helpful. Tyramine and monoamine oxidase inhibitors have given limited relief in some cases of Shy-
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the transmitted frequency and R is the geometric range between the user and transmitter. The Doppler shift is fr fT = fT R . c (8.30)
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at all the indicators to get the overall view of the market. These indicators can be helpful to all investors, whether or not they decide to use the market-timing strategies presented in later chapters. An investor who wants to go long the market or short the market with a basket of stocks or mutual funds should make sure the market s health has been adequately assessed. For those investors who want to track each of these indicators, I have provided Table 4-1 which is a summary of these indicators with their key numbers for bullish or bearish readings. In addition, the last column is labeled assigned value. I arbitrarily assigned a 1 to each indicator that was bearish and a +1 to an indicator that was bullish. By tabulating all the indicators, you can get a reading on the market s health. An overall reading of 7 or higher, for example, would indicate that most indicators are now bullish and a 7 would indicate the opposite. Keep in mind that this is just an example of how to tabulate the indicators and not a precise methodology. Remember that being on the right side of a trending market and minimizing your risk are both critical elements in building wealth.
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410 500 90 10 72 62 Be careful what you call these signs; a negative sign in front of a number indicates that the number is smaller than zero. A minus sign between two numbers indicates subtraction. In 3 5 2, the sign in front of 5 is a minus sign and the sign in front of 2 is a negative sign. A minus sign requires two quantities and a negative sign requires one quantity.
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But could pro football, which had always been seen as an afterthought to the college game, win the hearts of Americans The answer came at the end of the 1958 NFL season, when the Baltimore Colts and the New York Giants played a classic championship game. A battle of two great teams, punctuated by acts of great athleticism and courage, the game subsequently was dubbed the greatest football game ever played. It was also the first NFL championship game that was played under the new suddendeath rules, which called for play beyond regulation time to break a tie. And coincidentally, the game was broadcast to a national TV audience, which was thrilled with what it saw that day at Yankee Stadium, as the Colts beat the Giants in overtime. Although the broadcast was crude by today s standards, it was clear that football and television were a good match. (Television got viewers closer to the action than they would have been in the stadium itself.) Large forces were converging. My father was on the Giants sideline during that pivotal game, serving as the Giants offensive coach. By then, of course, he was well established with the Giants as a successful and respected assistant coach. But that cut both ways. Longtime assistant coaches tended to retire as longtime assistant coaches. Lombardi, however, wasn t necessarily doomed to that fate if he stayed with the Giants.
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which is accurate only when the eigenvalues of F are very small relative to the sampling period T (i.e., FT 1). This approximation does not account for any of the correlations between the components of the driving noise wk that develop over the course of a sampling period due to the integration of the continuous-time driving noise through the state dynamics. The reader should compare the results from Examples 4.21, 4.22, and 4.23. Example 4.21 For the double integrator system with F= 0 0 1 0 and GQG = 0.00 0.00 0.00 0.01 ,
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