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contributing factors are not adequately controlled, the in ammatory and pain mediators may return after the surgery. TMJ ankylosis can be due to brous or osseous union within the TMJ, causing a rm restriction of the condyle, which is generally not associated with pain. It is most commonly caused by trauma during childhood and can be unilateral or bilateral.86,87 Digital palpation of the ankylosed TMJ during maximal movements will demonstrate no or very limited translation of the condyle. The patient s limited opening due to ankylosis will not be improved by conservative TMD therapy.4 Treatment for brous ankylosis depends on the degree of dysfunction and discomfort. If a patient has adequate function and minimal discomfort, no treatment is indicated. If a patient desires to have the disc-condyle assembly released, TMJ surgery (e.g., arthroscopy or open joint surgery) will be needed. Bony ankylosis is rare, and treatment involves open joint surgery to resect and recontour the osseous structures and any additional interventions that may be necessary.87 Consider referring patients with an ankylosed TMJ when the degree of dysfunction and discomfort are such that the patients desire surgical intervention. Arthrocentesis, arthroscopy, and open joint procedures are traditionally used to treat TMD, but a modi ed condylotomy and joint replacement may be considered. Arthrocentesis is generally performed in the surgeon s of ce using local anesthesia with conscious intravenous sedation. It uses two ports to provide constant ushing of the TMJ with saline. During the procedure (1) the mandible is generally manipulated to allow the saline into the recesses of the TMJ, (2) the out- ow may periodically be blocked to allow the saline to distend the capsule and stretch adhesions, and (3) the mandible is generally opened wide to also stretch adhesions and

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with each other. Open, standardized interfaces allow interworking of these products and reduce the need for interface customizations in product implementations. Due to these reasons, standardization of the Intelligent Edge concepts, elements and interfaces is ongoing in various standardization organizations, e.g. in the Internet Engineering Task Force (IETF), 3GPP, 3GPP2 and the Open Mobile Alliance (OMA).

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2 12 14665 0:43; vR 18 11 1 0:43 77:4; 3 18 11 11 18 946 2

0 0 10 20 30 40 Concentration (%) 50 60 70

passes part through the mull and only part through the plates, hence producing a distorted spectrum. The amount of sample placed between the infrared plates is an important factor; too little leads to a very weak spectrum showing only the strongest absorption bands. Too much mull leads to poor transmission of radiation so that the baseline may be at 50% or less. It is sometimes possible to reduce the energy of a reference beam to a similar extent by use of an attenuator. Beam attenuators are placed in the sample compartment, working somewhat like a venetian blind, and the amount of radiation passing to the detector may be adjusted.

(3.11)

Consultation with Figure 8.14 informs us that the intensity of the second derivative spectra increases with alcohol content. The same trend would be expected for the spectra shown in Figure 8.15. Thus, the second derivative spectrum of weakest intensity corresponds to the sample containing 17% ethanol (Tequila). The spectra with increasing intensities correspond to the samples of increasing ethanol concentration, with the most intense spectrum corresponding to the 40% sample (Cognac).

SSM is a further development of multicast using PIM-SM It changes the basis of multicast from the situation where an arbitrary number of sources will transmit to a group and a receiver will take multicast traf c from any source to the situation where the receiver speci es the source from which they will accept data for a particular group A single (S, G) is known in SSM terminology as a channel In order for a host to indicate its desire to join a group with a speci c source, that host and the attached PIM routers must support IGMPv3 When a source-speci c join is received, the DR immediately creates a SPT directly to the source without joining a RPT rst, so the need for a RP is removed SSM provides some added bene ts with respect to scalability over and above those inherent with the behaviour of multicast.

Substituting this result in Eq. (4.7-4) yields 1 @ e jkr h x; y; z 2p @z r The above equation is the same as h x; y; z 1 z e jkr jl r r 4:7-7 ! 4:7-6

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