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This results in a central scotoma on one or both sides (junctional syndrome) in addition to the classic temporal eld defect (see Fig 13-2) If the visual disorder is of long standing, the optic nerve heads are atrophic In 5 to 10 percent of cases, the pituitary adenoma extends into the cavernous sinus, causing some combination of ocular motor palsies Other neurologic abnormalities, rare to be sure, are seizures from indentation of the temporal lobe, CSF rhinorrhea, and diabetes insipidus, hypothermia, and somnolence from hypothalamic compression With regard to differential diagnosis, bitemporal hemianopia with a normal sella indicates that the causative lesion is probably a saccular aneurysm of the circle of Willis or a meningioma of the tuberculum sellae The major endocrine syndromes associated with pituitary adenomas are described brie y in the following pages Their functional classi cation can be found in the monograph edited by Kovacs and Asa.

Studies of monozygotic and dizygotic twins raised in the same or different families have 367.

Sagging Surface textural smoothing TABLE 4.1 Light and Laser Devices with Speci c Chromophores Visible Laser Sources Frequency doubled Nd:YAG, KTP (green, 532 nm) Pulsed dye (yellow) Short pulse 585 nm Long Pulse 595nm Visible Light Sources Pulsed light, 500 1200 nm Light emitting diodes narrowband Infrared Laser Sources 1064 nm (Q-switched and millisecond domains) 1320 nm 1450 nm 1540 nm 1540-nm nonablative fractional resurfacing 1550-nm nonablative fractional resurfacing Non-light Sources Monopolar radiofrequency NA Melanin, hemoglobin, water Water Water Water Water Water Hemoglobin, melanin, water NA Chromophore Hemoglobin Melanin Hemoglobin

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A detailed discussion of the diagnosis and management of hormone-secreting pituitary adenomas can be found in the reviews of Klibanski and Zervas and of Pappas and colleagues; recommended also is an article that details the neurologic features of pituitary tumors by Anderson and colleagues Also worthy of emphasis is the catastrophic syndrome of pituitary apoplexy discussed further on Amenorrhea-Galactorrhea Syndrome As a rule, this syndrome becomes manifest during the childbearing years The history usually discloses that menarche had occurred at the appropriate age; primary amenorrhea is rare A common history is that the patient took birth control pills, only to nd, when she stopped, that the menstrual cycle did not re-establish itself On examination, there may be no abnormalities other than galactorrhea Serum prolactin concentrations are increased (usually in excess of 100 ng/mL).

Setting up subject area security is quite simple. Technically, security is applied to the presentation catalog in the BI server metadata. As mentioned, a one-to-one correspondence exists between BI server metadata presentation catalogs and the subject areas that appear when using Oracle Answers. The terms presentation catalogs and subject areas are often used interchangeably, and they will both be used here as well. As shown in Figure 14-3, to set up subject area security, you modify the permissions in the Presentation Catalog properties dialog box in the Administration tool. Read access to a subject area can be granted to a user or a group. 13 discussed the benefits of externalizing security. If you have externalized security, access to subject areas can be accomplished only at the group level, because users are not stored in the RPD. This same restriction does not apply in the same way to fine-grained security within the BI server, as you will see in the next section.

Investing based on using the calendar has intrigued investors, market technicians, and other investment professionals for years. For the most part, the broadcast media has mentioned seasonal investing strategies on occasion, but they have not given it the attention it deserves. Therefore, most investors may have heard something about it but not taken it seriously or done any homework on the topic. As it turns out, that lack of initiative was probably a huge mistake, because careful analysis of seasonal investing strategies reveals their superiority to buy-and-hold over a long time period. Over the years, many academic studies have been done on the seasonal influences on stock market returns. This chapter will present a few of the more profitable strategies that have worked in the past but also in the present. Excluding the worst-performing months, staying out of the market and into cash, is an excellent

In general, the longer the duration of amenorrhea and the higher the serum prolactin level, the larger the tumor (prolactinoma) The elevated prolactin levels distinguish this disorder from idiopathic galactorrhea, in which the serum prolactin concentration is normal..

Figure 5.9 Top: Prim s minimum spanning tree algorithm. Below: An illustration of Prim s algorithm, starting at node A. Also shown are a table of cost/prev values, and the nal MST. procedure prim(G, w) Input: A connected undirected graph G = (V, E) with edge weights w e Output: A minimum spanning tree defined by the array prev for all u V : cost(u) = prev(u) = nil Pick any initial node u0 cost(u0 ) = 0 H = makequeue (V ) (priority queue, using cost-values as keys) while H is not empty: v = deletemin(H) for each {v, z} E: if cost(z) > w(v, z): cost(z) = w(v, z) prev(z) = v decreasekey(H, z)

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