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3. Antenna height. VHF transmission is line of sight. Transmit/receive distance is the same as the distance two observers at the same heights can see each other. Figure 13.8 demonstrates the principle. Table 13.2 lists the distances, versus the heights, of the two antennas.
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Age <25 years Normal weight or BMI before pregnancy No first-degree relative with diabetes mellitus No history of abnormal glucose tolerance test No history of poor obstetric outcome, macrosoma, vacuum, forceps, shoulder dystocia (even with good outcome) Member of an ethnic group with a low prevalence of GDM (i.e., patient is not Hispanic, African, Native American, South or East Asian, Pacific Islander) When should screening be performed If there is a high suspicion of GDM, screening should be done at the first antenatal visit; otherwise, screening can be performed at 24 28 weeks of gestation. (If a high-risk patient has a negative screening test at the first antenatal visit, she should be rescreened at 24 28 weeks.) A 50 g oral glucose challenge test (GCT) is given. Plasma or serum glucose level is measured 1 hour later without regard to the time of the prior meal. A value 140 mg/dL (7.8 mmol/L) is the most commonly used parameter and is considered abnormal (some authors recommend using a cut-off as low as 130) A 100-g, 3-hour oral glucose tolerance test (GTT) performed after an overnight fast. GDM is present if a diagnosis of two or more of the following are met or exceeded: Plasma or Serum Glucose Level (mmol/L) 5.3 10.0 8.6 7.8
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matching capacitor XP is now in parallel with the source s resistance, instead of the load s resistance). When two different, but pure, resistances must be matched, the above technique is easily and rapidly applied to perform this task. However, if reactances must also be canceled within one or both of these circuits as well as the resistances matched then one (or both) of the two following methods may be employed. Absorption uses the reactances of the impedance matching network itself to absorb the undesired load and/or source reactances (Fig. 3.27). This is accomplished by positioning the matching inductor in series with any load or source inductive reactance. In this way, the load or source s XL actually becomes part
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= 9. The area of the region enclosed by the two intersecting# parabolas is 9.
The ref parameter modifier causes C# to create a call-by-reference, rather than a call-byvalue. The ref modifier is specified when the method is declared and when it is called. Let s begin with a simple example. The following program creates a method called Sqr( ) that returns in-place the square of its integer argument. Notice the use and placement of ref.
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This very small lesion was found on the posterior shoulder of a 45-year-old man. 1. There are classic arborizing vessels of a basal cell carcinoma. 2. The combination of arborizing vessels, white color, and pigment diagnose a pigmented basal cell carcinoma. 3. The large brown irregular blotch with a focus of bluish-white color is a clue that this might be a melanoma. 4. Pigment network seen outside of the lesion has no diagnostic significance. 5. In focus arborizing vessels are never seen in basal cell carcinomas.
Section II: Topics in Gynecology
We traditionally credit Alexander Graham Bell for inventing the telephone and Thomas Edison for fashioning the rst light bulb, but no single inventor can step forward and take credit for the compact disc. The collaborative efforts of many engineers and technicians and hundreds of thousands of hours of research and experimentation resulted in the rst disc: a half-ounce piece of plastic and aluminum that could store 74 minutes of music. The engineering effort required the studied application of principles that had evolved and been re ned over many years. To become useful and practical in the real world, the compact disc also demanded the cooperation of numerous manufacturers (who produced the playback equipment), the music industry (who had to be convinced of the viability of this method of recording sound), and the music-listening public (who had to be persuaded to give up their turntables and vinyl records). The clear advantage that the compact disc offered music listeners was the almost total absence of background noise. Proponents of this new music distribution medium emphasized this advantage by demonstrating compact disc playback using music pieces with quiet passages, where the absence of the usual white noise intruding on the silence was startling to listeners, most of whom had become used to it as an inescapable aspect of recorded music. Although analog recording devices using noise-reduction circuitry had successfully reduced the amount of background hiss
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