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Patient selection is similar to that of tumescent liposuction. The procedure involves the removal of fat using a laser to melt fat cells and tighten skin. Three laser wavelengths (1064 nm, 1319 nm and 1320 nm) are available, with 1064 nm being the rst to obtain FDA clearance. Less downtime and absence of the side effects associated with plain tumescent liposuction have been reported by all the manufacturers. These lasers appear to deliver effective, reproducible results safely and effec-

Table 9-2

loma) or thickening of connective tissue in rheumatoid arthritis, acromegaly, amyloidosis, mucopolysaccharidosis, and hypothyroidism are less commonly identi ed causes It is not uncommon for the condition to make its appearance during pregnancy In elderly individuals, the cause of the carpal tunnel syndrome is often not apparent According to Kremer and colleagues, it was McArdle, in 1949, who rst suggested that the cause of this syndrome was a compression of the median nerve at the wrist and that the symptoms would be relieved by division of the exor retinaculum forming the ventral wall of the carpal tunnel Dysesthesias and pain in the ngers, referred to for many years as acroparesthesiae and attributed to cervical ribs, came to be recognized as a syndrome of median nerve compression only in the early 1950s.

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,|5.5 Interpoloting Polynomiol EXAMPLE Logronge polynomial thefirst and of second ProblemStotement. Use a Lagrange interpolating data: orderto evaluate density unused the of motoroil at T : 15'C based thefollowing on rr :0 r::20 .{::40 f(xr):3.85 l(.r:):0.gtlO f(rt):0.212

The EATTEXT command permits you to extract the attributes from the extract.dwg le using the Data Extraction wizard. 1. From the Tools menu on the Menu Bar, select Data Extraction... or enter the EATTEXT command at the keyboard. This starts the Data Extraction wizard, as shown in Fig. 37-2. There are eight pages in the Data Extraction wizard. 2. Make sure the radio button for Create a new data extraction is selected and pick Next. 3. Save your data extraction as extract.dxe in the le with your name on it. 4. On page 2 of the wizard, pick the Select objects in the current drawing radio button, because we want to extract attributes from blocks in the current drawing. The current drawing, extract.dwg, should be listed in the Drawing les and folders area.

category. First, the Map Web item in the Advanced category includes a large amount of configuration that is non-Web application functionality (configuration using GIS), making its coverage beyond the scope of the book. For more information, check out my book SAP Business Information Warehouse Reporting (McGraw-Hill/Professional, 2008). Second, the Chart Web item (configuration using Excel Chart objects) in the Standard group will be discussed in the following chapter.

The syndrome is essentially a sensory one; the loss or impairment of super cial sensation affects the palmar aspect of the thumb, and the index, and middle ngers (especially the index nger) and may or may not split the ring nger (splitting does not occur with a plexus or root lesion) The paresthesias are characteristically worse during the night As pointed out in Chap 11, the pain in carpal tunnel syndrome may radiate into the forearm and even into the region of the biceps and rarely to the shoulder Weakness and atrophy of the abductor pollicis brevis and other medianinnervated muscles occur in only the most advanced cases of compression Electrophysiologic testing con rms the diagnosis by demonstrating prolonged sensory conduction across the wrist and explains cases in which operation has failed (see also the review by Stevens) Several provocative tests are useful.

Table 7.2: General comparison of computational load for the navigation systems of Sections 7.1 and 7.4. Typically, ne < nt and f2 << f1 . Section 7.1 State dimension Time Update Measurement Update 5 O(125)

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The Phalen maneuver consists of hyper exion of the wrist for 30 to 60 s usually performed by opposing the outer surfaces of the hands with the wrists exed The Tinel sign is elicited by lightly tapping the volar aspect of the wrist at the transverse carpal ligament (distal to the rst wrist crease) Both of these tests are meant to elicit pain or paresthesias over the digits innervated by the median nerve The sensitivity of these tests is close to 50 percent but their speci city is considerably higher Other tests involving prolonged pressure over the median nerve have been devised but they are of uncertain value, eg, Durken s test of the Phelan maneuver combined with digital compression of the nerve Treatment Surgical division of the carpal ligament with decompression of the nerve is curative but is required only in severe and protracted cases.

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