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calculation looks more at smaller size stocks than larger size ones In other words, when the Advance-Decline Line increases to a higher low, while the S&P 500 makes a new low, it means that money is probably moving from large caps into small caps, which indicates that risk taking is back in the markets, and the markets could move higher Conversely, if the Advance-Decline Line makes a lower high while the S&P 500 makes a new high, it means that money is probably going into large caps, which is a sign of unwillingness to take new risk The market might pull back down Finally, a number of traders have turned to short-term trading tools such as the NYSE McClellan Oscillator, briefly explained in 12, for more reliable signals Traders usually use this momentum oscillator with the McClellan Summation Index.

A slight lymphocytic pleocytosis (10 or up to 200 cells per cubic millimeter) and a moderate increase in protein content and gamma globulin (generally without oligoclonal bands), consistent with meningeal involvement, are the usual CSF ndings, but many cases show no change. The glucose content is normal or slightly reduced. The spinal form may be associated with CSF block and greatly raised protein content, the result of enlargement of the cord or adhesive arachnoiditis. The diagnosis of CNS sarcoidosis is made on the basis of the clinical features together with clinical and biopsy evidence of sarcoid granulomas in other tissues (lymph nodes, lungs, bones, uvea, skin, and muscle). The contrast-enhanced CT scan is a useful means of detecting meningeal involvement, and MRI may disclose periventricular and white matter lesions, although the latter pattern is usually not speci c. Nodular or streak-like perivenular enhance-

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The following statement saves the front document in the current working folder in Word 97 2004 format with the filename Primate Language.doc, preventing the document from appearing on the Recent Documents list:

For a daily list of advances and declines, as well as charts of the McClellan Oscillator and Summation Index, go to wwwmcoscillatorcom, and select Market Breadth from the main menu Tom McClellan, owner of the above Web site, is the son of Sherman and Marian McClellan His parents originally developed the McClellan Oscillator and the Summation Index in 1969, based on the work of P N Haurlan, a real rocket scientist McClellan continued the work his parents started He explains that the McClellan Oscillator is not going to tell you something different from the Advance-Decline Line But it will give you more in-depth information so you ll know the complete story Unfortunately, he says, not everyone fully understands how to use the oscillator.

Table 4-1

To get the first paragraph, use the first paragraph or a similar formulation (for example, paragraph 1):

If all you do is look at the numerical value of the McClellan Oscillator, McClellan says, you re ignoring 99 percent of the most useful information If all you know is the number, you don t know what the trend is It s like forecasting the weather by only knowing the current temperature That would be a very limited way of forecasting Therefore, you can only use the McClellan Oscillator if you understand its value relative to yesterday or last week The key to understanding it, he says, is looking at it on a chart..

service and represent the hospital or clinic and other medical-legal activities Prepare periodic narrative and statistical presentations on the overall utilization of the hospital or clinic Employment opportunities include positions such as directors, assistant directors, and assistant or staff medical record librarians. All of these openings are found in hospitals, clinics, research institutions, and government-operated institutions. Instructors or lecturers are needed in hospitals with in-service educational programs, as are medical record consultants. To become a medical record librarian, you need four years of college, leading to a bachelor s degree in medical record library science or a similar degree, or a minimum of two years of undergraduate work plus a one-year approved hospital course in medical record library science. At the conclusion of either preparatory program, students may take the examination for registration conducted by the American Health Information Management Association. Those unable to afford three or four years of study following high school, may take a nine-month course in basic medicalrecord technology, as offered in certain approved hospital schools, and combine classroom instruction with on-the-job training. This special preparation leads to proficiency in the technical and clerical aspects of medical record work. There are many excellent positions within medical record departments for trained medical record technicians who work under the direction of professional medical record librarians.

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