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Assessment of the degree of protein calorie malnutrition is important both as a guide to management and as a predictor of outcome. Children dehydrate more quickly than adults (Irwin, 1984) and often uid restrict as part of the illness. Clinical judgement, together with vital signs (pulse, blood pressure, temperature and circulation), may be the best indicator of the need for rehydration. Measures such as % Body Mass Index (BMI) (Cole et al., 1995) can be valuable pointers and screening instruments, but may be a poor re ection of a child s fat reserves, which in turn will vary with stage of development. Amenorrhoea is less helpful than in adults, as adolescents often miss three or more cycles in the rst 1 2 years, or may have primary amenorrhoea. Skinfold thickness and other measure of body composition adds a further level of re nement when %BMI and clinical ndings do not tally. For example, a child may be exercising suf ciently to maintain body mass, while having so little fat reserve that endocrine function (and hence growth and puberty) are disturbed. As with all measurements in growing children, skinfold thickness should be compared to age and sex-matched norms using charts or standard deviation scores (SDS) scores. Complications in growing young people can result from underestimating target weight due to failure to adjust for growth. Weight and height charts are of more value for monitoring change than for assessing the signi cance of a single measurement. A weight measurement

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How do total returns of junior subordinated debt issued by a double-A-rated company stack up against the senior debt of a triple-B-rated company, for example, and how do these compare with a preferred stock Much exciting work lies ahead..

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An interface is an object type that is implemented by one or several other classes. Interfaces are used extensively for remote method invocations. A server object that wishes to be accessible remotely has to implement at least one Java interface, which directly or indirectly extends the pre-defined interface j a v a . r m i . R e m o t e . R e m o t e does not declare any operation but defines the abstraction of being remotely accessible. Interfaces that extend R e m o t e are generally referred to as remote interfaces. The RMI specification refers to instances of classes that implement a remote interface as remote objects.

seasonal increases in productivity in response to the summer monsoon ood pulse (Stromberg et al., 1992; Stromberg et al., 1993a). Flood pulses are often rich in organic matter and nutrients, (Grimm et al., 1981). Storm runoff mobilizes nutrients that have accumulated in and on upland desert soils, and ood waters then deposit them on oodplain soils (Grimm and Fisher, 1986). Floods also stimulate microbial activity and increase the rates of decomposition of organic matter, which can be low on the dry surface soils of oodplains in semiarid regions (Molles et al., 1998). A high frequency of summer oods has been linked to increased growth of the tree Platanus wrightii, presumably because summer oods replenish the limited supply of nutrients (Stromberg, 2001b) (Figure 2-12). Stevens (1989) noted that waters in the Colorado River have become depleted in phosphorous because of sediment trapping in reservoirs. This nutrient depletion caused a reduced growth rate of woody riparian pioneer species in experimental studies. High salinity levels, such as can develop in infrequently ushed soils of regulated rivers, reduce the growth of some riparian tree species (Glenn et al., 1998). However, there have been no systematic studies of the effects of altered or suppressed ood pulses on

5. Kumari I, Kaur S, Mohan H, Huria A. Adnexal masses in pregnancy: a 5-year review. Aust NZ J Obstet Gynecol. 2006;46:52 54. 6. Leiserowitz GD, Xing G, Cress R, et al. Adnexal mass in pregnancy: how often are they malignant Gynecol Oncol. 2006;101:315 321. 7. Kier R, McCarthy SM, Scoutt LM, et al. Pelvic masses in pregnant patients: MR imaging. Radiology. 1990;176:709 713. 8. Whitecar P, Turner S, Higby KA. Adnexal masses in pregnancy: a review of 130 cases undergoing surgical management. Am J Obstet Gynecol. 1999;181:19 24. 9. Hess CU, Peaceman A, O Brier WF, et al. Adnexal masses occurring with intrauterine pregnancy: report of 54 patients requiring laparotomy for mature management. Am J Obstet Gynecol. 1988;93:585 589. 10. Ribic-Pucelj M, Kobal B, et al. Surgical treatment of adnexal masses in pregnancy. J Reprod Med. 2007;52:273 279. 11. Yuen PM, Ng PS, Leung PL, Rogers MS. Outcome in laparoscopic management of persistent adnexal masses during the second trimester of pregnancy. Surg Endosc. 2004;18:1354 1357. 12. Mathevet P, Nessah K, Dargent D, Mellier G. Laparoscopic management of adnexal masses in pregnancy: a case series. Eur J Obstet Gynecol Reprod Biol. 2003;108:217 222.

High costs $10,000 $20,000 for a high-performance system Personnel Requires experienced user/computer technician Additional components Electromechanical shutter, filter wheel, computer interface card, RAM upgrade, acquisition/processing software

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