word pdf 417

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Exceptionally, NF has been associated with peroneal muscular atrophy, congenital deafness, and partial albinism (Bradley et al) In childhood, progressive blindness is a particularly troublesome complication One or both optic nerves are involved in a tumor mass composed mainly of astrocytes The diagnosis comes to mind at once in a child with any of the cutaneous manifestations of NF Uncertainty as to its nature arises from the fact that the neuropathologist may be unable to decide between a benign hamartoma and a grade 1 astrocytoma Progressive enlargement in a succession of MRI scans may be needed to af rm its blastomatous nature Neuro bromatosis Type 2 (Acoustic or Central NF) This condition is considerably less frequent than type 1 NF Here there is.

The plane of Jupiter s equator is tilted 31 degrees relative to the plane of its orbit, so there are in effect no seasons on Jupiter However, this is more than made up for by the violent and turbulent winds that roar around the planet in light-colored zones and dark-colored belts At the boundaries between the zones and belts, the largest of which can be seen though a small telescope, eddies occur, similar to the high- and lowpressure systems we have here on Earth The typical wind speeds on Jupiter, however, are many times greater than those we consider normal on our planet In the extreme, Jovian winds exceed 400 kilometers (250 miles) per hour, comparable with the gales inside the most severe Earthly tornadoes.

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combined effects of occlusion of small vessels and concentric in ltration of the adjacent tissue by neoplastic cells In half of the cases, meningeal vessels are involved and the neoplastic cells have incited an in ammatory response that can be detected in the spinal uid, although malignant cells are not found in the uid In a few cases, the peripheral nerves, or more particularly the roots, have also been involved by the neoplasm, and we have seen two cases with a accid paraplegia on this basis Although the lymphoid origin of the anaplastic cells is now clear, not all of them are T cells, as was at one time believed; an equal number have the features of B cells Moreover, in some cases as in primary CNS lymphoma, portions of the genome of the Epstein-Barr virus (EBV) have been isolated from the malignant B cells within the pleocellular in ltrates.

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The light-colored zones on Jupiter are the tops of the highest clouds, reflecting sunlight in the same way as the tops of thunderstorms or hurricanes reflect sunlight back into space from Earth s atmosphere The dark belts are gaps in the high clouds, but further down, Jupiter is cloudy everywhere Imagine what it would be like to ride a hardy hybrid space/air shuttlecraft down into Jupiter in the middle of one of the dark belts You would see massive white clouds above and on either side, rising like walls, boiling and shredding as the winds blew them around and ripped wisps of cloud off into the clear You would see lightning strokes hundreds of kilometers long, and you would hear interminable peals of thunder.

As you continued your descent, the sky would get red, then brown, and finally would deepen to black, punctuated by flashes of lightning, each flash followed by thunderclaps so loud that the whole vessel would shudder Then your instruments would go crazy, indicating that the ship was tumbling, swooping, and diving as updrafts and downdrafts tossed it around like a falling snowflake At that moment you would decide that it was time to return to the main ship!.

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For these reasons it has been proposed that the disorder represents an EBV-induced proliferation of B cells with a prominent in ammatory T-cell reaction (Guinee et al) Because of the inconsistent location and size of the nervous system lesions, there is no uniform syndrome, but the disease should be suspected in patients with a subacute encephalopathy and indications of focal brain and spinal cord or nerve root lesions Headache is a prominent early component in some cases One of our patients had intermittent seizures 3 months before confusion and progressive encephalopathy The variety of clinical presentations is emphasized in the reviews of 8 cases by Beristain and Azzarelli and the article by Glass and associates All had focal cerebral signs, 7 had dementia, 5 had seizures, and 2 had myelopathy.

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