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to have to fudge it using the editing software. With a little knowledge of light and some basic tools, a very convincing shadow can be made using almost any editing program, so let s dive right in. Trying to use a darkening brush to hand paint the shadows in will likely result in a worse composite than one with no shadows at all, so let me show you a little trick I use to add shadows into images. We will

robehavioral and psychologic methods have not disclosed the basic fault in nervous functioning. Is there one domain of faulty psychologic function such as failure of learning, inattentiveness, or faulty perception that underlies all forms of mental retardation Or are there several domains, differing from one case to another or one disease to another Only by the most innovative and sophisticated neuropsychologic studies will answers to such questions be obtained. The EEG, in addition to exposing asymptomatic seizure activity, shows a high incidence of other abnormalities in the mentally retarded. Presumably this is due to a greater degree of immaturity of the cerebrum at any given age. However, a normal EEG is not infrequent and of relatively little help. Moreover, CT scanning and MRI have been singularly unhelpful in revealing abnormalities in this group of children. In the diagnosis of milder grades of retardation, always to be considered are the possible effects of severe malnutrition, neglect and deprivation, chronic systemic disease, iodine de ciency, impaired hearing and vision, and possibly childhood psychosis. Of particular importance is the differentiation of a group of patients who are normal for a variable period after birth and then manifest a progressive decline from disease of the nervous system. This type of disorder is representative of the group of hereditary metabolic and degenerative diseases discussed in Chap. 37. Seizure disorders (and anticonvulsant medications) can impair cerebral function, and several special childhood seizure disorders are associated with a progressive decline in mental function in this group of patients (Chap. 16). Management Since there is little or no possibility of treating the condition(s) underlying mental retardation and there is no way of

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The methods and objectives of psychotherapy for paranoia are discussed fully by Manschreck. We have no way of deciding whether psychotherapy has in uenced this state. In a general hospital, where most of our paranoid patients have been depressed or manic, we have several times been grati ed by the effects of antidepressant or antipsychotic medication. In the treatment of patients with pathologic jealousy, Mooney has found phenothiazine drugs to be useful. From what has been said, the clinical analysis of patients with delusions requires a careful study of mood and intelligence to rule out manic-depressive psychosis and dementia. If either of these two states exists, the treatment proceeds along the lines discussed in Chaps. 57 and 21. A matter of practical importance is for the physician to evaluate carefully the nature of the delusional ideas and try to judge whether the patient is homicidal or suicidal. Occasionally, physicians and others have been killed or maimed by patients with paranoia who thought they were being mistreated.

Complete the following activities using problem-solving skills and your knowledge of AutoCAD. 1. Open the le db_samp.dwg, which is located in the Sample/Database Connectivity folder. Use the Zoom Window button to zoom in on a small area near the center of the drawing. Notice that scroll bars are not available in the default window display. Click on the Menu Browser button and select the Options button. In the Options dialog box, pick the Display tab. Then check the box next to Display scroll bars in drawing window and pick OK. The scroll bars are now displayed. Use the horizontal and vertical scroll bars to navigate the drawing. Pick and drag the movable box within the scroll bars to move quickly around the drawing. Experiment to nd other ways to navigate. What other ways does AutoCAD provide Close the drawing without saving. 2. The following les are located in AutoCAD s Sample/Dynamic Blocks folder: Architectural - Metric.dwg, Civil - Metric.dwg, and Multileader Tools.dwg. Open all three drawings. Then click on the View tab of the Ribbon and focus on the Windows panel. Experiment with the following buttons on the Windows panel: Tile Horizontally, Tile Vertically, and Cascade. These are some of the ways you can arrange the AutoCAD window when you have more than one drawing open. Describe a situation where it would be preferable to cascade drawings. When would tiling be preferable When you are nished, quit AutoCAD without saving.

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