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Patients with severe bilateral hemispheric disease may show some improvement from an initially comatose state, so that, after a variable interval, they appear to be awake but lie motionless and without evidence of awareness or higher mental activity This persistent vegetative state has been variously referred to as akinetic mutism, apallic state, or coma vigil Most patients in this persistent vegetative state will die in months or years, but partial recovery has occasionally occurred and in rare instances has been sufficient to permit communication or even independent living

Then you ll need to define the OrderDetails class, and give it the correct attributes:

In this state, patients exhibit inconsistent evidence of consciousness There is some degree of functional recovery of behaviors suggesting self- or environmental awareness, such as basic verbalization or context-appropriate gestures, emotional responses (eg, smiling) to emotional but not neutral stimuli, or purposive responses to environmental stimuli (eg, a finger movement or eye blink apparently to command) Further improvement is manifest by the restoration of communication with the patient The minimally conscious state may be temporary or permanent Little information is available about its natural history or long-term outlook, which reflect the underlying cause The likelihood of useful functional recovery diminishes with time; after 12 months, patients are likely to remain severely disabled and without a reliable means of communication Prognostication is difficult

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Select the script from the iTunes scripts menu. It asks if you wish to delete all current playlists. Doing so is useful if you wish to create new, unique playlists from your library. The script asks if you want to create playlists by artists or album. Choose either option. The script loads all records in the library into a list, sorts them, and iterates over the list, creating playlists based on the user selection. For larger collections, this process can take a few minutes.

6 Locked-In Syndrome (De-efferented State)

Acute destructive lesions (eg, infarction, hemorrhage, demyelination, encephalitis) involving the ventral pons and sparing the tegmentum may lead to a mute, quadriparetic but conscious state in which the patient is capable of blinking and of voluntary eye movement in the vertical plane, with preserved pupillary responses to light Such a patient can mistakenly be regarded as comatose Physicians should recognize that locked-in individuals are fully aware of their surroundings The prognosis is variable, but recovery has occasionally been reported in some cases including resumption of independent daily life, though this may take up to 2 or 3 years

[Table(Name = "Order Details")] public class OrderDetails { [Column] public int OrderID { get; set; } [Column] public int ProductID { get; set; } [Column] public short Quantity { get; set; } }

prognosis is provided by the mental status, since loss of consciousness for more than 1 or 2 minutes implies a worse prognosis than otherwise Similarly, the degree of retrograde and posttraumatic amnesia provides an indication of the severity of injury and thus of the prognosis Absence of skull fracture does not exclude the possibility of severe head injury During the physical examination, special attention should be given to the level of consciousness and extent of any brainstem dysfunction Note: Patients who have lost consciousness for 2 minutes or more following head injury should be admitted to the hospital for observation, as should patients with focal neurologic deficits, lethargy, or skull fractures If admission is declined, responsible family members should be given clear instructions about the need for, and manner of, checking on them at regular (hourly) intervals and for obtaining additional medical help if necessary Skull radiographs or CT scans may provide evidence of fractures Because injury to the spine may have accompanied head trauma, cervical spine radiographs (especially in the lateral projection) should always be obtained in comatose patients and in patients with severe neck pain or a deficit possibly related to cord compression CT scanning has an important role in demonstrating intracranial hemorrhage and may also provide evidence of cerebral edema and displacement of midline structures

These are summarized in Table 24 7 along with comments about treatment Increased intracranial pressure may result from ventilatory obstruction, abnormal neck position, seizures, dilutional hyponatremia, or cerebral edema; an intracranial hematoma requiring surgical evacuation may also be responsible Other measures that may be necessary to reduce intracranial pressure include induced hyperventilation, intravenous mannitol infusion, and intravenous furosemide; corticosteroids provide no benefit in this context

Trauma is the most common cause of death in young people, and head injury accounts for almost half of these traumarelated deaths The prognosis following head injury depends on the site and severity of brain damage Some guide to

Define the data context (on one line):

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