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spasms are added. The upper extremities may exhibit coarse tremors and involuntary movements. These symptoms, once established, are more or less permanent but not constantly progressive, and most of the patients live out their natural life span. Only two reports on the neuropathology of lathyrism were known to Dastur, one by Buzzard and Green eld in England, the other by Filiminoff in Russia. Both of their patients had been in a stationary paraplegic state for years. Green eld noted a loss of ascending and descending tracts in the spinal cord, particularly the corticospinal and direct spinocerebellar tracts. Filiminoff observed a loss of myelinated bers in the lateral and posterior columns. Unlike the cases of Spencer et al, there had been a loss of pain and thermal sensation in the upper extremities. The larger Betz cells had disappeared, while anterior horn cells were unaffected. Gliosis and thickening of blood vessels was seen in the degenerated tracts. The toxic nature of this disease, long suspected, was con rmed by Spencer and colleagues. They extracted a neuroexcitatory amino acid, beta-N-oxalylaminoalanine (BOAA), from grass peas and were able to induce corticospinal dysfunction in monkeys by giving this substance with a nutritious diet. Subsequently, Hugon and coworkers produced a primate model of lathyrism by feeding monkeys a diet of L. sativus in addition to an alcoholic extract of this legume. These ndings tend to negate the importance of several other factors that until now had been thought to be causative namely, malnutrition, ergot contamination, and toxins derived from Vicia sativa, the common vetch that grows alongside the lathyrus species. The African acute spastic paraplegia called konzo has a similar toxic pathogenesis; it is caused by cyanide-like compounds in our made from cassava.

Therefore, by comparison with eqn. (4.49), a suitable linear system gyro error model is 20 (4.53) G(s) = 10 + s and the PSD of the corresponding white driving noise process wg is Swg (j ) = 0.012 rad/s2 Hz

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Two types of system integrations are supported by OIM: provisioning and reconciliation. Provisioning automates account creation from the OIM server to an application or resource using the data from the OIM repository. Reconciliation automates the creation of an OIM identity record based on an external source of identities (that is, a source of truth). Most often, OIM reconciles from an external human resources application as an authoritative source of employee data and then provisions to business productivity applications, such as email, intranet portals, and other ERP systems. Reconciliation is often driven by business events such as new hires, new customers, organizational changes, employee transfers, and so on. Since these business events are initiated in an ERP system, most often the Human Resources (HR) system, it makes sense to configure OIM to setup reconciliation with those systems so it can listen for relevant identity events. OIM uses two reconciliation styles: trusted source reconciliation and target resource reconciliation.

Founded in 1917 by the religious group known as the Quakers, or Friends, this organization has the overall purpose of relieving human suffering and carries out its objectives through three divisions: community relations, international, and peace education. From a caregiving point of view, it manages numerous refugee and relief programs here and abroad and welcomes concerned men and women, regardless of their religious affiliations, to take part in its humanitarian programs. For information, write to: American Friends Service Committee 1501 Cherry Street Philadelphia, PA 19102 www.afsc.org

Following a method similar to that of Section 10.5.2.1, to derive the dynamic model for P, set the derivative of eqn. (10.32) equal to the left side of eqn. (10.46): PRn + (I + P)Rn b b which simpli es as follows, PRn + (I + P)Rn b b = (I + P)Rn ( b b + b ) in ib b ib n b n = (I + P)Rb + (I + P)Rb ib Rn b b in b b n n b b P = Rb ib Rn Rb in Rn (10.54) = (I + P)Rn ( b b ) ib in b (10.53)

FIGURE 8-4

Figure 422 Tumescing the face the lower face (Figure 422) Using smaller gauge cannulas (sizes 14 and 16), neck liposuction is performed from stab incisions performed in the submentum and the infraauricular regions The liposuction is carefully performed above the mandible to create a more optimal contour After contouring with liposuction, the incision is then performed Prior to raising the ap, tunnels are made with the liposuction cannula with the suction switched off Using either a baby Metzenbaum or Mayo scissors, the ap is undermined to approximately 6 cm anteriorly The neck is undermined to midline, hermostasis achieved Plication with 3-0 absorbable or nonabsorbable of the SMAS is then performed (Figure 423) The vector of Following informed consent and preoperative photos, the patient is marked The vectors should be as vertical as possible.

-1, thesevaluescan be substituted into (18.19)

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