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Hyperthyroidism, on the other hand, can exhibit unintentional weight loss, palpitations, excessive sweating, symptoms of anxiety, and heat intolerance Often, on careful questioning and examination, women whose menstrual disturbances are caused by thyroid disease will have some of these ndings However, it is possible for the menstrual disturbance to be the presenting symptom of an underlying thyroid disorder The most likely anatomic cause of secondary amenorrhea is the presence of intrauterine adhesions (IUAs), also referred to as Asherman s syndrome IUAs are usually the result of a previous endometrial procedure, especially associated with pregnancy They are known sequelae of surgical removal of either a dead or live fetus, or either postpartum or post-abortal curettage Curettage after missed abortion can cause a 30% rate of IUAs (Stenchever et al 2001) If the patient s amenorrhea began after such a procedure, the diagnosis must be considered.

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Diagnosis is con rmed with either hysteroscopy or hysterography history In any patient who presents with oligomenorrhea or amenorrhea, a careful history must be taken The.

Individual Retirement Account (IRA)

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Gantt Charts and Time-Scaled Networks A picture is worth a thousand words. The network diagram is essential in calculating the schedule, but it can be terribly difficult to decipher on a large project. Thankfully, there are two very good alternatives, which display both the schedule information and the task relationships. Gantt charts, named after Henry Gantt, who developed them in the early 1900s, have become the most common method for displaying a project schedule. Figure 7.9 is a Gantt chart for the home landscape project. It has the same schedule dates as the network in Figure 7.6. Notice that all the tasks are currently scheduled at their early start date you can tell that because all noncritical tasks display float. The great advantage of the Gantt chart is its clarity: The horizontal axis shows the schedule and the vertical axis lists the work breakdown structure. Another excellent graphic for displaying a schedule is the timescaled network (as shown in Figures 7.5 and 7.10). One advantage that this diagram has, compared to the Gantt chart, is the ability to condense the network onto less paper. On large projects, the Gantt charts can grow too large to print, whereas the time-scaled network, because it combines many tasks on one line, can be made one-half to one-tenth the height of the Gantt. The initial schedule represents the combination of task sequence and task duration, but it s called an initial schedule because it hasn t 150 TEAM LinG - Live, Informative, Non-cost and Genuine !

W hat Trump liked best about the location on which he built Trump World Tower was the potential for stunning views over the East River. Without that, he would not have bought the property. In fact, views were also an important factor behind the success of his 40 Wall Street building (great views of New York Harbor from the upper floors), Trump Tower (which overlooks Central Park), Trump International Hotel and Tower (also overlooking Central Park), and his West Side Towers that overlook the Hudson River. For a small investor, good views may mean something slightly different, and more modest, but just as important to the value of the property. For example, a modest residential building may have views onto a grove of trees at the back of the property. Turning them into a park-like setting could raise the value of the building. In one of his buildings, Trump went so far as to cut larger window holes out of the existing structure, to enhance the building s views of Central Park. The importance of views depends on the particular use of the property you have in mind. Certainly, nobody wants to live near a dumpsite or a sewerage treatment plant but a quiet street is a good view for a modest residential building. At a minimum, look for a view that is compatible with the life style of the occupants of your property and you ve passed the view requirement.

One end of the hot line (U.S. Army photo)

Using Probability Theory in Risk Management What are the chances of getting a six when rolling a single die The math is pretty simple: There are six sides and all have an equal chance of being on top, so the probability is one out of six, or 0.167. How many houses in a specific area are likely to have flood damage in a year An insurance company will count the number of houses in the area that have had flood damage in the past to predict flood damage

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