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Accident notification. When fitted to a car, the device can be used to detect air bag inflation and automatically notify the emergency services. If integrated with in-vehicle sensor systems, Telematics can send additional data to emergency services about the collision (direction of impact, speed at time of collision), thereby enhancing the specific type of rescue response. Travel routes. If the device always knows exactly where you are located, all you have to do is provide a destination, and the mobile device can tell you exactly how to get there by simple audio commands, or by displaying the route on the screen. Traffic alerts. This can either be done in conjunction with the route planning above, or separately. Providing the exact location of children, the elderly, infirm or handicapped persons for emergency services in order to render assistance if needed. Locking or unlocking of vehicle doors. With some kind of identification verification, the response center can control the electronic systems in the car to open the door if the owner has locked his keys in the car. This facility alone will save thousands of man-hours spent by roadside services opening cars for forgetful owners. Information services. This is where the marketing types can have a ball, because they can push relevant marketing or advertising data to users based on location. This is where the ability (for example) to send a user details of a special offer of a free cup of coffee if she drives in to the McDonald s restaurant just a couple of blocks ahead for a burger, becomes a major revenue-generating activity.

In Chap. 17,we derivedthe trapezoidal rule by integrating linearinterpolating a polynomial and by geometricalreasoning. The methodof undetermined

Figure 4-6

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The special case of plexopathy in patients with a genetic proclivity to pressure palsies is discussed below Pathologic data are sparse, but Suarez and coworkers have reported collections of intense mononuclear in ammation in fascicles of the plexus obtained by biopsy Perivascular lymphocytes were found in the endoneurial space and, less so, in the epineurium The disease has not been reproduced in the experimental animal Therapy is purely symptomatic, but we have often embarked on a course of steroids and, in a few cases, other immunosuppressants when the illness continued to advance over many weeks Corticosteroids have a bene cial effect on pain and have also been successful in some cases of lumbosacral plexitis for which reason this medication is favored by Suarez and colleagues Heredofamilial Brachial Plexopathy (Hereditary Neuralgic Amyotrophy, HNA) Rarely, an acute and painful recurrent brachial neuropathy occurs in a familial pattern.

The only noninvasive skin tightening device that has been tested for safety on the eyelids is the Thermage ThermaCool (Thermage Inc., Hayward, CA) use of this technology for facial rejuvenation is reviewed in 4 (see Tightening Devices by Alam). I have previously described both the safety and ef cacy studies performed with this device.14,15 I strongly advise against the use of any noninvasive skin tightening or resurfacing device on the eyelid skin unless it is well designed and clinical safety trials have been performed. This is particularly true of 1064-nm Nd:YAG lasers and broadband infrared devices because of associated vision risks. Noninvasive skin tightening treatment of the eyelids is best indicated for patients with mild to moderate dermatochalasis, reasonably good skin tone, and minimal eyebrow ptosis, eyelid ptosis, or herniated orbital fat. Ideal candidates for this noninvasive treatment either do not want or do not need blepharoplasty surgery. In general, younger patients who do not want or need to accomplish a very marked change in their eyelid appearance, or patients who have previously undergone blepharoplasty who are noticing a gradual recurrence of skin laxity are the best candidates for monopolar radiofrequency (RF) skin tightening.

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