Chronic inflammatory demyelinative polyneuropathy (CIDP) is an acquired polyneuropathy presumably of immunological origin. It is characterized by a progressive or a relapsing course with predominant motor deficit. The diagnosis rests on the association of non-length-dependent predominantly motor deficit following a progressive or a relapsing course associated with increased CSF protein content. The demonstration of asymmetrical demyelinating features on nerve conduction studies is needed for diagnosis. The outcome depends on the amplitude of axon loss associated with demyelination. CIDP must be differentiated from acquired demyelinative neuropathies associated with monoclonal gammopathies. CIDP responds well to treatment with corticosteroids, intravenous immunoglobulins, and plasma exchanges, at least initially.
Disorders of the peripheral nerve system (PNS) are heterogeneous and may involve motor fibers, sensory fibers, small myelinated and unmyelinated fibers and autonomic nerve fibers, with variable anatomical distribution (single nerves, several different nerves, symmetrical affection of all nerves, plexus, or root lesions). Furthermore pathological processes may result in either demyelination, axonal degeneration or both. In order to reach an exact diagnosis of any neuropathy electrophysiological studies are crucial to obtain information about these variables. Conventional electrophysiological methods including nerve conduction studies and electromyography used in the study of patients suspected of having a neuropathy and the significance of the findings are discussed in detail and more novel and experimental methods are mentioned. Diagnostic considerations are based on a flow chart classifying neuropathies into eight categories based on mode of onset, distribution, and electrophysiological findings, and the electrophysiological characteristics in each type of neuropathy are discussed.
An exploration of how computer algorithms can be applied to our everyday lives to solve common decision-making problems and illuminate the workings of the human mind. What should we do, or leave undone, in a day or a lifetime? How much messiness should we accept? What balance of the new and familiar is the most fulfilling? These may seem like uniquely human quandaries, but they are not. Computers, like us, confront limited space and time, so computer scientists have been grappling with similar problems for decades. And the solutions they’ve found have much to teach us. In a dazzlingly interdisciplinary work, Brian Christian and Tom Griffiths show how algorithms developed for computers also untangle very human questions. They explain how to have better hunches and when to leave things to chance, how to deal with overwhelming choices and how best to connect with others. From finding a spouse to finding a parking spot, from organizing one’s inbox to peering into the future, Algorithms to Live By transforms the wisdom of computer science into strategies for human living.
This book represents the essential body of knowledge for an introductory operations management course. The guiding principle in the development of Matching Supply with Demand has been “real operations, real solutions.”
As the Earth`s surface deviates from its spherical shape by less than 0.4 percent of its radius and today’s satellite missions collect their gravitational and magnetic data on nearly spherical orbits, sphere-oriented mathematical methods and tools play important roles in studying the Earth’s gravitational and magnetic field. Geomathematically Oriented Potential Theory presents the principles of space and surface potential theory involving Euclidean and spherical concepts. The authors offer new insight on how to mathematically handle gravitation and geomagnetism for the relevant observables and how to solve the resulting potential problems in a systematic, mathematically rigorous framework. The book begins with notational material and the necessary mathematical background. The authors then build the foundation of potential theory in three-dimensional Euclidean space and its application to gravitation and geomagnetism. They also discuss surface potential theory on the unit sphere along with corresponding applications. Focusing on the state of the art, this book breaks new geomathematical grounds in gravitation and geomagnetism. It explores modern sphere-oriented potential theoretic methods as well as classical space potential theory.
Foreword by Stephen R. Covey Are outer demands for more success, more money, and more prestige overwhelming your inner longings? Is your work no longer energizing you? For many people in the work world, years of frenetic activity and blind ambition are actually killing them. They are enslaved to the opinions of others...to the financial burden of an extravagant lifestyle...to a crushing fear of failure. The great Danish writer Hans Christian Andersen succinctly illuminated foibles like these in his treasured fairy tales for children and adults. Now, the powerful lessons of these classic folk tales have been ingeniously applied to the complexities of the modern workplace. The Ugly Duckling Goes to Work probes H. C. Andersen's sharp and witty stories for lessons that will inspire you to bring more meaning, more energy, and more joy to your work -- to create a meaningful work life. You'll read about: * The Emperor's New Clothes: This prickly story pokes fun at phoniness and snobbery and shows how fear and ego can drive you to foolishness. You'll learn to reclaim your own agenda by using two terrific fool-detectors: self-awareness and candid conversations. * The Ugly Duckling: This fierce tale of rejection, survival, longing, learning, and growing teaches you that success is not just having a great career, but finding out where you belong and becoming the person you were meant to be. * The Dung Beetle: The dung beetle, a self-absorbed and status-driven creature, provides a cautionary example of the need to get past illusions and face the reality of your strengths and weaknesses in order to succeed. * The Nightingale: This charming story looks at a plain little bird that sings the most enchanting songs, drawing its strength from nature, meaning, and freedom -- in sharp contrast to the gold, titles, and applause that motivate the emperor's court. The tale teaches you to push beyond mere perfunctory performances and reach your full potential. In addition to the concise summaries and probing analyses of H. C. Andersen's tales, The Ugly Duckling Goes to Work includes the author's new translations of the full texts, which restore the humor and rich detail often muted in previous English translations. Simple but never simplistic, these insightful interpretations and translations of some of the most cherished stories ever written will help you look deeply at your life, laugh lightly at your flaws, and make the changes needed to build a more meaningful, joyful work life.
It has long been thought that imperial portrait types were officially commissioned to commemorate specific historical moments and that they were made available to both the mint and the marble workshops in Rome, assuming a close correspondence between portraits on coins and in the round. All of this, however, has never been clearly proven, nor has it been disproven by a close systematic examination of the evidence on a broad material basis by those scholars who have questioned it. Through systematic case studies of Faustina the Younger's and Marcus Aurelius' portraits on coins and in sculpture, this book provides new insights into the functioning of the imperial image in Rome in the second century AD that move a difficult, much-discussed subject forward decisively. The new evidence presented here has made it necessary to adjust the established model; more flexibility is needed to describe the processes and practices behind the phenomenon of 'repeated' imperial portraits and how the imperial portrait worked in the mint of Rome and in the metropolitan marble workshops.
Quantitativeapproachesforsolvingproductionplanningandinventorymanagement problems in industry have gained growing importance in the past years. Due to the increasinguse of AdvancedPlanningSystems, a widespreadpracticalapplicationof the sophisticated optimization models and algorithms developed by the Production Management and Operations Research community now seem within reach. The possibility that productscan be replaced by certain substitute productsexists in various application areas of production planning and inventory management. Substitutions can be useful for a number of reasons, among others to circ- vent production and supply bottlenecks and disruptions, increase the service level, reduce setup costs and times, and lower inventories and thereby decrease ca- tal lockup. Considering the current trend in industry towards shorter product life cycles and greater product variety, the importance of substitutions appears likely to grow. Closely related to substitutions are ?exible bills-of-materials and recipes in multi-level production systems. However, so far, the aspect of substitutions has not attracted much attention in academic literature. Existing lot-sizing models matching complex requirements of industrial optimization problems (e.g., constrained capacities, sequence-dependent setups, multiple resources) such as the Capacitated Lot-Sizing Problem with Sequence-Dependent Setups (CLSD) and the General Lot-Sizing and Scheduling Problem for Multiple Production Stages (GLSPMS) do not feature in substitution options.
Over several years, Christian Suhr followed Muslim patients being treated for jinn possession and psychosis in a Danish mosque and in a psychiatric hospital. Through rich filmic and textual case studies, he shows how the bodies and souls of Muslim patients become a battlefield between the moral demands of Islam and the psychiatric institutions of European nation-states. The book reveals how both psychiatric and Islamic healing work to produce relief from pain, and also entail an ethical transformation of the patient and the cultivation of religious and secular values through the experience of pain. Creatively exploring the analytic possibilities provided by the use of a camera, both text and film show how disruptive ritual techniques are used in healing to destabilise individual perceptions and experiences of agency, which allows patients to submit to the invisible powers of psychotropic medicine or God.
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