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onstrated and EEG activity synchronized with videographically recorded seizure activity. Also important clinically are EEGs recorded by small tape recorders or telemetry from freely moving ambulatory patients with suspected seizure disorders. These techniques are discussed more fully in Chap. 16. The standard EEG consists of 150 to 300 or more pages, each representing 10 s in time. It is obtained by a technician who is primarily responsible for the entire procedure, including notation of movements or other events responsible for artifacts and successive modi cations of technique based upon what the record shows. Certain precautions are necessary if electroencephalography is to be most useful. The patient should not be sedated (except as noted above) and should not have been without food for a long time, for both sedative drugs and relative hypoglycemia may modify the normal EEG pattern. The same may be said of mental concentration and extreme nervousness or drowsiness, all of which tend to suppress the normal alpha rhythm and increase muscle and other artifacts. When dealing with patients who are suspected of having epilepsy and are already being treated for it, most physicians prefer to record the EEG while the patient continues to receive anticonvulsant drugs. Under special circumstances these drugs may be omitted for a day or two in order to increase the chance of recording a seizure discharge. The proper interpretation of EEGs involves the recognition of the characteristic normal and abnormal patterns and background rhythms (in accordance with the age of the patient), the detection of asymmetries and periodic changes in rhythm, and, importantly, the differentiation of artifacts from genuine abnormalities.

into Eq. (A.2), which. after collection of Equations(A.3) and (A.5) can be substituted expressed terms,can be as

Discuss your goals and IDP training expectations for the upcoming year with your mentor. Evaluate how your present rm is helping to achieve your personal and professional goals. Contact your state registration board to learn about the registration requirements. Verify the ARE application process and deadlines. Review the IDP guidelines and compare the IDP requirements with your state s registration requirements. Contact the NCARB and your state registration board to clarify your questions and concerns. Keep your portfolio current. Maintain a daily log of training units in conjunction with your time sheet. Review the IDP core competencies and divide your hours worked into the proper training areas to help expedite your IDP training reports. Talk with other interns. Find out about their rms projects and share your internship experiences.

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electronics. By the time your unsuspecting buddy begins the painful hunt for the source of the stink, the timing cycle will probably have hit the neutral zone, but if your heating resistor holds up, you could expect several more blasts of stink to fill the room. Just remember, don t use this thing in a public area, and avoid direct placement under a fire detector, or your siege against the

As was the casefor Fig. 20.1i, the three-dimensional plot (Fig20.12) depictstrajecrories cycling in a definite pattem arounda pair ofcritical points. As a final note, the sensitivity of chaotic systemsto initial conditions hasimplications for numericalcomputations. Beyond the initial conditionsthemselves, differentstepsizes or different algorithms (and in some cases,even different computers)can introducesmall differencesin the solutions.In a similar fashion to Fig. 20.10, thesediscrepancies will eventuallylead to large deviations.Someof the problemsin this chapterand in Chap. 21 are designedto demonstrate this issue.

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Meperidine, for pain, 124t Meprobamate (Equanil; Miltown), 1024 Meralgia paresthetica, 1170 Mercury intoxication, 1037, 1130, 1132 Meropenem, for meningitis, 599t Merosin de cient muscular dystrophy, 1224 1225, 1225t MERRF, 844 Mescaline, 1029 Metabolic diseases acquired, of nervous system, 959 980, 960t presenting as cerebellar ataxia, 976 977 presenting as progressive extrapyramidal syndromes, 975 976 presenting as psychosis and dementia, 977 980 presenting as syndrome of confusion, stupor, or coma, 959 975 dementia due to, 909 910 encephalopathy associated with, 971 973 aggressive behavior in, 448 fatigue associated with, 435 inherited, of nervous system, 797 845 adult forms of, 840 841, 841t behavior and intellect changes with, 839 840 diagnostic features of, 799 of early childhood, 816 825 extrapyramidal syndromes with, 830 836 of infancy, 805, 806t, 807 816 of late childhood and adolescence, 825 830 leukodystrophies, 836 838 mitochondrial, 841 845, 842t neonatal, 799 805 strokes in association with, 838 839 seizures due to, 290 Metachromatic leukodystrophy (MLD), 806t, 815t, 1159 in children, 820f, 820 821 juvenile and adult, 838 Metamorphopsias, 405 Metastatic disease back pain with, 181 cerebral, 562f, 562 563 cervical pain with, 188 Methadone for opioid withdrawal, 1020 for pain, 124t Methemoglobin, in cerebrospinal uid, 13

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