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Figure 34-4. Diagram of a cerebral hemisphere, lateral aspect, showing the branches and distribution of the middle cerebral artery and the principal regions of cerebral localization. Below is a list of the clinical manifestations of infarction in the territory of this artery and the corresponding regions of cerebral damage.

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In high school or during your first year of college, you were introduced to differential and integral calculus.There you learnedtechniquesto obtain analytical er exact derivatives and integrals. Mathematically,the derivuriverepresents rate o[ changeof a clependent the variable willr respect an independent to variable. For example. we are given a functionXt) that if specifies object'spositionas a functionof time.differentiation an provides means dea to termineils velocity. in: as d u(l): -y(l) dt' As in Fig. PT5.1n,the derivativecan be visualizedas the slopeof a function. Infegrationis the inverse of differentiation.Juqt as differentiation usesdifferences quantify an into stantaneous process, integrationinvolvessumminginstantaneous information to give a total result over an interval.Thus. iI-we are providedwith velocity as a function of time, integrationcan be usedto determine the distance lraveled:

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tions In the rst hours and days following the hemorrhage, a limited amount of edema accumulates around the clot and adds to the mass effect Hydrocephalus may occur as a result of bleeding into the ventricular system or from compression of the third ventricle Extravasated blood undergoes a predictable series of changes At rst uid, it clots within hours Before the clot forms, red cells may settle in the dependent part of the hematoma and form a meniscus with the plasma above; this is particularly prone to occur in cases of anticoagulant-induced hemorrhage A uid- uid level is then observed on scans ( hematocrit effect ) Only masses of red blood cells (RBCs) and proteins are found within the hematoma; rarely one sees a few remnants of destroyed brain tissue The hematoma is surrounded by petechial hemorrhages from torn arterioles and venules.

The tmp1.dwg le that you created in the last chapter should still be open. This template le is nearly complete. The last few steps (12, 13, and 14 in Table 23-1 on page 299) typically involve creating new text styles and setting the dimensioning variables and DIMSCALE. All of this is covered in s 27 and 28. The template le concept may lack meaning to you until you have actually applied it. Therefore, let s convert tmp1.dwg to a template le and use it to begin a new drawing. First we will create the template le. 1. Be sure to save your work if you haven t already. 2. Select Save As from the Menu Browser. 3. To the right of Files of type, pick the down arrow and select AutoCAD Drawing Template (*.dwt). 4. Find and select the folder with your name, enter tmp1 for the le name, and pick the Save button. The Template Options box appears. 5. Enter Created for stair details and pick OK. 6. Close tmp1.dwt. 7. Select the QNew button from the Quick Access toolbar and pick the Use a Template button. 8. Pick the Browse button. 9. Find and open the tmp1.dwt template le. Be sure to look in your named folder. AutoCAD loads the contents of tmp1.dwt into the new drawing le. 10. Review the list of layers. Look familiar All the layers from the template le are already loaded into your new drawing le. You can see why template les are valuable time-saving tools. 11. Save the new drawing le as staird.dwg and exit AutoCAD.

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Within a few days, hemoglobin products, mainly hemosiderin and hematoidin, begin to appear The hemosiderin forms within histiocytes that have phagocytized RBCs and takes the form of ferritin granules, which stain positively for iron As oxyhemoglobin is liberated from the RBCs and becomes deoxygenated, methemoglobin is formed This begins within a few days and imparts a brownish hue to the periphery of the clot Phagocytosis of RBCs begins within 24 h, and hemosiderin is rst observed around the margins of the clot in 5 to 6 days The clot changes color gradually, over a few weeks, from dark red to pale red, and the border of golden-brown hemosiderin widens The edema disappears over many days or weeks In 2 to 3 months, larger clots are lled with a chrome-colored mush, which is slowly absorbed, leaving a smooth-walled cavity (slit hemorrhage) or a yellow-brown scar.

Not all forms are modal. For example, the Find form in Notepad, shown in Figure 7-3 and displayed with the Edit | Find menu command, is modeless, in that the application user can edit text in the main application without having to close the Find form. 10 discusses modal dialog forms in more detail.

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