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What if we reverse the order of this sum We start with 2 and travel upward 3 units. We re talking about displacement here, not simple distance, so negatives can make sense! An upward displacement of 3 units is the same as a downward displacement of 3 units. This process is shown on the right in Fig. 4-2. When we add the integers 3 and 2 in either order as shown, we end up at the same point, which corresponds to 1. We have now analyzed these two facts: 3 + 2 = 1 and 2 + ( 3) = 1

A manufacturing plant, which produces compact disks, has monthly overhead costs of $6000. Each disk costs 18 cents to produce and sells for 30 cents. How many disks must be sold in order for the plant to make a pro t Let x number of CDs produced and sold monthly Cost 6000 0:18x and Revenue 0:30x Revenue > Cost 0:30x > 6000 0:18x 0:18x > 0:18x 0:12x > 6000 6000 x> 0:12 x > 50,000 The plant should produce and sell more than 50,000 CDs per month in order to make a pro t. Mary inherited $16,000 and will deposit it into two accounts, one paying 51% interest and the other paying 63% interest. What is the most she 2 4 can deposit into the 51% account so that her interest at the end of a year 2 will be at least $960

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Type Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic Ceramic

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Description See Table 4-5 for the detailed definition of these parameters. You use this parameter to determine the maximum number of text lines for text documents that can be displayed. You use this parameter to determine the default URL that is displayed when no document is found. You set the link to the document in Knowledge Management. You use this parameter to determine whether the document is embedded in the Web application (On) or if only a link to the document is displayed (Off). You use this parameter to determine whether the List of Documents Web item should be displayed if more than one document qualifies for the Web item context. You use this parameter to determine the properties of the document to be displayed under the document. You have the following selection options: Modified On (MODIFIED_ON) Modified By (MODIFIED_BY) Created On (CREATED_ON) Created By (CREATED_BY)

Lumbar puncture (LP) carries a certain risk if the CSF pressure is very high (evidenced by headache and papilledema), for it increases the possibility of a fatal cerebellar or transtentorial herniation The risk is considerable when papilledema is due to an intracranial mass, but it is much lower in patients with subarachnoid hemorrhage or pseudotumor cerebri, conditions in which repeated LPs have actually been employed as a therapeutic measure In patients with purulent meningitis, there is also a small risk of herniation, but this is far outweighed by the need for a de nitive diagnosis and the institution of appropriate treatment at the earliest moment With this last exception, therefore, LP should be preceded by computed tomography (CT) or MRI whenever an elevation of intracranial pressure is suspected.

Figure 6-3

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If radiologic procedures do disclose a mass lesion that is causing displacement of brain tissue toward the tentorial opening or into the foramen magnum (the presence of a mass alone is of less concern) and if it is considered absolutely essential to have the information yielded by CSF examination, the LP maybe performed with certain precautions A ne-bore (no 22 or 24) needle should be used, and if the pressure proves to be very high over 400 mmH2O one should obtain the necessary sample of uid and then, according to the suspected disease and patient s condition, administer mannitol (or urea) and observe a fall in pressure on the manometer Dexamethasone or an equivalent corticosteroid may also be given, in an initial intravenous dose of 10 mg, followed by doses of 4 to 6 mg every 6 h in order to produce a sustained reduction in intracranial pressure.

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