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of affecting multiple nerve roots, simultaneously affecting one or both lower extremities as well as sphincteric and sexual function Radiculopathy occurring as a consequence of spondylosis also differs in its phenotypic expression in the lumbosacral and cervical regions due to differing anatomy Spondylytic bars in the cervical region are common Although these may affect the nerve roots bilaterally at that interspace, the phenotype is typically dominated by myelopathic features In the lumbosacral region, spondylytic narrowing of the central canal typically manifests as a polyradiculopathy, due to the orientation of the cauda equina and the absence of a spinal cord to provide myelopathic signs and symptoms6 Spondylosis producing a monoradiculopathy in the lumbosacral spine is most likely to affect the nerve root exiting at that level, rather than the one immediately below Using the same example as above, narrowing of the lateral recess at L4 5 resulting from any or all of the spondylytic mechanisms listed above puts the L4 root at greatest risk, whereas the L5 root is most likely to be affected by a disk herniation occurring at the same level Another implication of lumbosacral nerve root anatomy is its possible effect on electrodiagnostic studies Sensory nerve action potentials (SNAPs) in the legs may be abnormal in lumbosacral root disease, an apparent contradiction of the general principles of EDX emphasized in 27 Dorsal root ganglia typically lie in or just lateral to the neural foramina, although there is considerable anatomic variation in this regard8 As a result, the dorsal nerve roots within the spinal canal, ie, the cauda equina, are typically preganglionic Consequently, Wallerian degeneration most commonly occurs in a centripetal rather than centrifugal direction with resultant SNAP preservation as is the case in the cervical spine On occasion, the dorsal root ganglia are proximally located, or disk herniations occur suf ciently lateral so that the dorsal root ganglion is affected Accordingly, SNAPs may be reduced in otherwise typical root disease and serve as an electrodiagnostic confounder7 There is considerable variation in the anatomy of the lumbosacral plexus (Fig 22 3) It may have contributions from as many as 11 spinal nerves but is typically composed of eight (L1 S3) The lumbar plexus is predominantly composed of branches from L1 to L4, with variable contributions from T11, T12, and L5 Typically, the majority of L4 bers travel with the lumbar plexus, with a much smaller contribution from L4 joining with L5 to form the lumbosacral trunk In a pre- xed plexus, the plexus shifts downward so that there is more of an L1 contribution to the lumbar plexus, the femoral and obturator nerves become more L2 3- rather than L3 4-innervated structures, and the majority of L4 bers end up in the sacral plexus In the so-called post xed plexus, the plexus is shifted upward so that virtually all.

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The angle brackets (<>) that surround all the #include files we ve seen so far tell the compiler to look in the #include file directories that it knows about. When you surround the include file name by double quotes ("") instead of angle brackets, like those around

The Math class is similar to the Mouse class in that you can access its properties and methods directly from the class without creating an instance of it The random method is a method of the Math class that generates a random number between 0 and 1, but not including 1 The numbers generated are decimal numbers that can be multiplied with another number to produce random numbers in a particular range For example, the code that follows generates a random number between 0 and 10, but not including 10:

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Figure 22 2 Anatomic correlations between disk herniation and affected nerve root in the lumbosacral spine

of L4 and some of L5 are now con ned within the lumbar rather than sacral plexuses The lumbar plexus is formed in the retroperitoneum, just inferior to the kidney and just behind the psoas muscle Its blood supply originates from the internal iliac artery Ischemic injury may occur from distal aortic or internal iliac arterial occlusion The major branches of the upper lumbar plexus are the ilioinguinal, genitofemoral, and lateral cutaneous nerves of the thigh The femoral, obturator, and lumbosacral trunks are the major components of the lower aspect of the lumbar plexus The sacral plexus is formed within the concavity of the ventral surface of the sacrum, behind and lateral to the rectum The L4 and L5 contributions to the sacral plexus and to the sciatic nerve are provided by the lumbosacral trunk, the conduit between the lumbar and the sacral plexuses The lumbosacral trunk traverses

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the same folder as the including source code file. Regardless of where it locates the #include file, the compiler treats the contents of the #include file as if it were actually inside the including file. In this case, the compiler treats <stdio.h> and "structSize.h" as if they were directly inside main.c. Strictly speaking, the preprocessor loads the #include file inside its copy of the including file before control is handed off to the compiler.

the pelvic brim in the posterior aspect of the pelvis, over the sacral alae, just lateral to the sacroiliac joints In this location, it is vulnerable to compressive injury during partuition The major branches of the sacral plexus are the superior and inferior gluteal nerves, the posterior cutaneous nerve of the thigh, the peroneal and tibial divisions of the sciatic nerve, and the pudendal nerve Embryologically, the lower limb bud is initially oriented in a manner identical to the upper extremity so that the primordial exor muscles of the foot are on the ventral surface and the great toe is the most laterally situated digit As the lower limb develops, it rotates 180 medially This is the basis of the spiral orientation of the dermatomes and hip ligaments Muscles that were originally located on the posterior surface are innervated by the posterior branches of the lumbosacral plexus, eg, femoral, peroneal, superior and inferior gluteal nerves as

Mathrandom() * 10;

IIiohypogastric Nerve IIioinguinal Nerve Lateral Cutaneous Nerve of Thigh to IIiacus and Psoas Muscles L4 Obturator Nerve Femoral Nerve Lumbo-sacral Trunk S1 S2 Gluteal Nerves S3 S4 L5 L3

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The purpose of this document is to provide information that will help quickly get started using Azure services . The target audience is those in an IT operator role.

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Use Microsoft Graph to convert the format of your documents. ... The DriveItem API automatically converts files to PDF format. All Office file types for Word , Excel, and PowerPoint, and other common formats like CSV and RTF, are supported.

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