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and an equivocal Babinski sign on that side, and an aphasia is gradually transformed into a stuttering or hesitant paraphasia or dysnomia that is not disabling except to a professional person, speaker, or writer Many of the signs of brainstem disease (cranial nerve dysfunction and ataxia) improve also, usually within the rst 6 months after injury (Jennett and Bond) and often to a surprising extent Most patients who had been in coma for many hours or days ie, those with severe brain injuries are left with memory impairment and other cognitive defects and with personality changes These may be the only lasting sequelae According to Jennett and Bond, these mental and personality changes are a greater handicap than focal neurologic ones as far as social adjustment is concerned.

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wherec : concentration (mole), I : time (rnin), n : reactionorder (dimensionless), and ft : reaction rate (min I moler "). The di.fferentialmethod can be used to evaluate parametersk and rt. This involves applying a the logarithmic transformto the rate law to yield, . / - rlcr Iog{ , }=logk -\ dt / L, log(

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In open head wounds and penetrating brain injuries, Grafman and coworkers found that the magnitude of tissue loss and location of the lesion were the main factors affecting the outcome The prognosis of head injury is in uenced by several other factors The age of the patient is the most important of these (Vollmer et al) Increasing age reduces the chances of survival and of good recovery Older patients often remain disabled, especially when compensation is involved Young and middle-aged ones do better, particularly if they are not entitled to compensation Russell has pointed out that the severity of the injury as measured by the duration of traumatic amnesia is a useful prognostic index.

Exercise 5.8 Assume that y(t) = x(t) + b(t) + n(t)

This problem is messy but not difficult. Let s expand the numerator and the denominator out so we don t have any exponents, and let s put small elevated dots (they can represent multiplication, remember!) between the factors to make them easy to tell apart. Let s write the numerator out in full, scratch a long dashed line underneath it, and then below that, write the denominator out in full. We get 1 a b b b c d e ----------------------------------------- 1 a b b c e e e f Now it s easy to see which factors are duplicated in the numerator and the denominator. They are 1, a, b (twice), c, and e. When we remove these factors from the expressions above and below the dashed line, we get b d -----------------------------------------e e f This can be written as bd /e 2f. The parentheses in the denominator are no longer needed because the minus sign is gone. This ratio is in lowest form because both the numerator and the denominator are products of primes, and none of the primes in the numerator and denominator are duplicates.

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Of patients with a period of amnesia lasting less than 1 h, 95 percent were back at work within 2 months; if the amnesia lasted longer than 24 h, only 80 percent had returned to work within 6 months However, about 60 percent of the patients in his large series still had symptoms at the end of 2 months, and 40 percent at the end of 18 months Of the most severely injured (those comatose for several days), many remained permanently disabled However, the degree of recovery was often better than one had expected; the motor impairment, aphasia, and dementia tended to lessen and sometimes cleared Improvement could continue over a period of 3 or more years Children seemed to recover more completely than adults..

The use of chemical peels is a versatile tool for any physician interested in aesthetic facial rejuvenation. Chemical peels are most often classi ed by the depth of injury they induce, as shown in Table 4.3. Clinical uses, associated

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Numerical (computer)

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