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If you place this file in the root directory of your IIS server, the general errors in a file are displayed, but your custom errors have been turned off. For the most part, that is a handy tool for testing on the Internet, but it is not the web.config file you want in a production environment.

rosis, combined system disease). Bilateral hand numbness, paresthesias, or similar altered sensation is common. Failure to consider a protruded cervical disc in patients with obscure symptoms in the legs, including stiffness and falling, is a common error. A vague sensory change can often be detected several dermatomes below the level of compression. The diagnosis and the level of disc protrusion should be con rmed by CT myelography or by MRI (Fig. 11-7).

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With synthetic division, check every r to see if it is a root of the original polynomial equation. If you find a root, you ll get a remainder of 0 at the end of the synthetic division process. If none of the numbers r produces a remainder of 0, then the original polynomial equation has no rational roots. If one or more of the ratios r produces a remainder of 0, then every one of those numbers is a rational root of the equation. List all of the rational roots found after carrying out the preceding steps. Call them r1, r2, r3, and so on. Create binomials of the form (x r1), (x r2), (x r3), and so on. Each of these binomials is a factor of the original equation. If you re lucky, you ll end up with an equation in binomial to the nth form, or an equation in binomial factor form. If you re less lucky, you ll end up with one or more binomial factors and a quadratic factor. That factor can be set equal to 0, and then the quadratic formula can be used to find its roots. Neither of those roots will be rational. They might even be complex. If you re unlucky, you ll be stuck with one or more binomial factors and a cubic or higher-degree factor. If you set that factor equal to 0 to form a polynomial equation, you ll know that none of the roots of that equation are rational. Some might even be complex. You can try to solve it, but you should not expect the task to be easy.

Unlike the generators of respiratory rhythm, the entire re ex apparatus for swallowing may be located in the NTS There is, however, no direct connection between the NTS and the cranial nerve motor nuclei Therefore it is presumed that control must be exerted through premotor neurons located in adjacent reticular brainstem regions There have been few comparable anatomic studies of the structures responsible for swallowing in humans As to the cortical regions that are involved in swallowing, it appears from PET studies that the inferior precentral gyrus and the posterior inferior frontal gyrus are activated, and lesions in these parts of the brain give rise to the most profound cases of dysphagia Dysphagia and Aspiration Weakness or incoordination of the swallowing apparatus is manifest as dysphagia and, at times, aspiration.

The patient himself is often able to discriminate one of several types of defect: (1) dif culty initiating swallowing, which leaves solids stuck in the oropharynx; (2) nasal regurgitation of liquids; (3) frequent coughing and choking immediately after swallowing and a hoarse, wet cough following the ingestion of uids; or (4) some combination of these Extrapyramidal diseases, notably Parkinson disease, reduce the frequency of swallowing and cause an incoordination of breathing and swallowing, as noted below It is surprising how often the tongue and the muscles that cause palatal elevation appear on direct examination to act normally despite an obvious failure of coordinated swallowing In this regard, the use of the gag re ex as a neurologic sign is quite limited, being most helpful when there is a medullary lesion or the lower cranial nerves are affected.

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