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the weeks before hemorrhage In our own material, only severe impregnation of vessels with amyloid and brinoid change in the vessel wall were associated with hemorrhage (Vonsattel et al) Greenberg and colleagues have found that apolipoprotein E4, the same marker that is overrepresented in Alzheimer disease, is associated with severe amyloid angiopathy and intracerebral hemorrhage, but others have found an association with the E2 allele Contrary to previous notions, there is probably no greater risk in evacuating these clots surgically than in the case of other cerebral hemorrhages, but most of them are of a size that allows conservative management Several primary hematologic disorders are also complicated by hemorrhage into the brain The most frequent of these are leukemia, aplastic anemia, and thrombocytopenic purpura Often they give rise to multiple intracranial hemorrhages, some in the subdural and subarachnoid spaces As a rule, this complication signals a fatal issue.

The equivalence the derivativesat an interior node,I * I can therefore be written as of bi l2ciht +3dihl : bi+l (16.15)

Oracle RMAN and Oracle Secure Backup are the two tools you will use to perform backups. This section provides an overview of the capabilities of these tools and the best practices of configuring them for performing backups on the Exadata Database Machine.

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Other, less common causes of intracerebral bleeding are advanced liver disease, uremia being treated with dialysis, and lymphoma Usually several factors are operative in these hematologic cases: reduction in prothrombin or other clotting elements ( brinogen, factor V), bone marrow suppression by antineoplastic drugs, and disseminated intravascular coagulation Any part of the brain may be involved, and the hemorrhagic lesions are usually multiple Frequently there is also evidence of abnormal bleeding elsewhere (skin, mucous membranes, kidney) by the time cerebral hemorrhage occurs Plasma exchange, used in the treatment of myasthenia gravis and Guillain-Barre disease, also lowers the serum brin ogen to a marked degree, but we have not observed a single instance of intracerebral hemorrhage in more than 500 patients treated in this way.

Thefirstond lostequotions needed specify to somecommonly usedend o c o n d i t i o nfs r c u b i cs o l i n e s .

Figure 10.1 An electron can be in a ground state or in an excited state. In the Dirac notation used in quantum physics, these are denoted 0 and 1 . But the superposition principle says that, in fact, the electron is in a state that is a linear combination of these two: 0 0 + 1 1 . This would make immediate sense if the s were probabilities, nonnegative real numbers adding to 1. But the superposition principle insists that they can be arbitrary complex numbers, as long as the squares of their norms add up to 1!

Acute extradural and subdural hemorrhage, typically traumatic in origin, must also be considered in the patient who, under unknown circumstances, has rather abruptly developed a neurologic de cit such as hemiparesis or confusion, with or without bloody CSF The use of anticoagulant drugs and intrinsic coagulopathies of all types are risks for these extracerebral hemorrhages In chronic subdural hemorrhage, which can occur without remembered trauma, the inde nite picture of drowsiness, headache, confusion, and mild hemiparesis may erroneously be attributed to a stroke, especially in elderly persons There should be no hesitation in subjecting patients to CT scanning whenever the diagnosis of subdural hemorrhage cannot readily be excluded on clinical grounds In the patient who falls and strikes his head at the onset of a stroke, it may be dif cult or impossible to decide whether blood in the CSF is due to the stroke or to cerebral contusion.

We can simplify things if we temporarily rename two of the terms in the binomial. We ll give them their legitimate names back later. Let p = b /(2a) and q = (|d |1/2)/(2a)

Question 11-8

These disorders are discussed more fully in the next chapter Occasionally the origin of intracranial hemorrhage cannot be determined clinically or pathologically In some postmortem cases, a careful search under the dissecting microscope discloses a small arteriovenous malformation; this is the basis for suspecting that an overlooked lesion of this type may be the cause of cerebral hemorrhage in other cases Primary intraventricular hemorrhage, a rare event in adults, can sometimes be traced to a vascular malformation or neoplasm of the choroid plexus; more often, such a hemorrhage is the result of periventricular bleeding, in which blood enters the ventricle without producing a visible parenchymal clot Hemorrhage into primary and secondary brain tumors is not rare; when this is the rst clinical manifestation of the neoplasm, diagnosis may be dif cult Choriocarcinoma, melanoma, renal cell and bronchogenic carcinoma, pituitary adenoma, thyroid cancer, glioblastoma multiforme, intravascular lymphoma, and medullo-.

his chapter discusses the current and future components of the BI reporting frontend The current BI reporting tools have been around for 10 12 years in one shape or form A significant leap in functionality occurred from the 2x version to the 3x version in both the BEx Analyzer and the BEx Web Analyzer Another significant jump in functionality occurred from the 3x version to the 70 version, including improvements in documentation, Web reporting, formatted reporting, BI portal integration, Excel integration with the BEx Analyzer, the use of distribution methods for reports, and authorizations The next phase in SAP technology evolution is the integration of the BI NW Reporting components with the BusinessObjects (BOBJ) components.

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