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What is hyperemesis gravidarum It is persistent vomiting typically in the first trimester that is severe enough to cause weight loss, dehydration, acidosis from starvation, alkalosis from vomiting, and hypokalemia It may be related to high or rapidly rising levels of serum estrogen or hCG, or both Elevated levels of hCG or serum thyroxine Elevated levels of serum transaminases (typically <200 IU/L, and ALT > AST) Elevated levels of bilirubin, amylase, lipase, and electrolytes What is the association between hyperthyroidism and hyperemesis gravidarum Although there are biochemical signs of hyperthyroidism (elevated thyroxine levels), this is most likely the effect of hCG on the TSH receptor (seen in 60 70% of patients). Clinical symptoms of hyperthyroidism during hyperemesis gravidarum are not seen First-line pharmacotherapy consists of vitamin B6 or vitamin B6 plus doxylamine. Vitamin B1 should also be administered to prevent Wernicke encephalopathy. Antiemetics, IV crystalloids, and IV fluids should be given until the vomiting is controlled Mallory-Weiss tears Esophageal rupture Pneumothoraces Pneumomediastinum
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Another type of class member is the property. As a general rule, a property combines a field with the methods that access it. As some examples earlier in this book have shown, you will often want to create a field that is available to users of an object, but you want to maintain control over the operations allowed on that field. For instance, you might want to limit the range of values that can be assigned to that field. While it is possible to accomplish this goal through the use of a private variable along with methods to access its value, a property offers a better, more streamlined approach. Properties are similar to indexers. A property consists of a name along with get and set accessors. The accessors are used to get and set the value of a variable. The key benefit of a property is that its name can be used in expressions and assignments like a normal variable, but in actuality the get and set accessors are automatically invoked. This is similar to the way that an indexer s get and set accessors are automatically used. The general form of a property is shown here: type name { get { // get accessor code }
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j = b; } void widget::put_widget() { cout << i << " " << j << "\n"; } int main() { widget x(10, 20), y(0, 0); x.put_widget(); y.put_widget(); return 0; }
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The most sophisticated inverters offer shore-power battery charging. In effect running backward, when external AC power is applied from either shore power or an onboard generator, a 30-amp internal transfer switch connects inverter loads directly to the external AC-power source and, at the same time, begins charging the battery. The battery-charging circuitry is as sophisticated as many multicycle stand-alone chargers costing nearly as much as the inverter. The economy is realized through the use of many of the same components for both modes. Figure 8.5 shows the battery-charging cycles of the older Heart EMS-1800 inverter. More modern inverters are even more exible, allowing operator choice of charging voltages, depending on the type of battery.
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Describe the need and role of addressing in a network Create and apply an addressing scheme to a network Assign and verify valid IP addresses to hosts, servers, and networking devices in a LAN environment Explain the basic uses and operation of NAT in a small network connecting to one ISP Describe and verify DNS operation Describe the operation and benefits of using private and public IP addressing Enable NAT for a small network with a single ISP and connection using SDM and verify operation using CLI and ping Configure, verify, and troubleshoot DHCP and DNS operation on a router (including CLI/SDM) Implement static and dynamic addressing services for hosts in a LAN environment Identify and correct IP addressing issues
Multithreading Fundamentals
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To set the default properties for specific dimension lines, use the Options dialog, shown next. To access specific dialog pages controlling dimension lines quickly, choose the Dimension Tool button in the Toolbox and then double-click on it. Once the options are set, your new dimension lines are created according to your preferences.
If you followed my suggestions in 7, you have a main folder for all of your digital images and it is divided into subfolders that contain images these may have been photographed at a certain place, to be of a particular subject or person, or taken at a certain time. When the Photoshop Elements Organizer batch of images you viewed are displayed. To import images into the Organizer:
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In addition to displaying multiple static pages, HDMV menus also offer the ability for effects and animations. Each page can have an in- and out-effect associated with it that plays prior to loading the page or right before transitioning the page into the inactive state. A common application of this would be to animate the main menu bar onto the screen when the menus are turned on and to animate them off the screen when the menus are turned off. Similar to presentation graphics (subtitles), the effects supported are scrolls, wipes, cuts, fades, and color changes.
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