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Delusional disorders are psychoses in which the predominant symptoms are persistent, nonbizarre delusions with minimal impairment of daily functioning (The schizophrenic disorders show significant impairment) Intellectual and occupational activities are little affected, whereas social and marital functioning tend to be markedly involved Hallucinations are not usually present Common delusional themes include paranoid delusions of persecution, delusions of being related to or loved by a well-known person, and delusions that one s partner is unfaithful

The schizophrenic disorders are a group of syndromes manifested by massive disruption of thinking, mood, and overall behavior as well as poor filtering of stimuli The characterization and nomenclature of the disorders are quite arbitrary and are influenced by sociocultural factors and schools of psychiatric thought It is currently believed that the schizophrenic disorders are of multifactorial cause, with genetic, environmental, and neurotransmitter pathophysiologic components At present, there is no laboratory method for confirming the diagnosis of schizophrenia There may or may not be a history of a major disruption in the individual s life (failure, loss, physical illness) before gross psychotic deterioration is evident Schizophrenic symptoms have been classified into positive and negative categories Positive symptoms include hallucinations, delusions, and formal thought disorders; these symptoms appear to be related to increased dopaminergic (D2) activity in the mesolimbic region Negative symptoms include diminished sociability, restricted affect, and poverty of speech; these symptoms appear to be related to decreased D2 activity in the mesocortical system

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There are also optional attributes and modifiers you can use, but you don t need them right now. An enumeration begins with the keyword enum, which is generally followed by an identifier; in this case, Temperatures:

Use StuffIt Expander (located in /Application/Utilities) to extract compressed data. Use StuffIt to compress data (http://www.stuffit.com).

Positive fungal studies distinguish tinea corporis from other skin lesions with annular configuration, such as the annular lesions of psoriasis, lupus erythematosus, syphilis, granuloma annulare, and pityriasis rosea Psoriasis has typical lesions on elbows, knees, scalp, and nails Secondary syphilis is often manifested by characteristic palmar, plantar, and mucous membrane lesions Tinea corporis rarely has the large number of lesions seen in pityriasis rosea Granuloma annulare lacks scales

Complications include extension of the disease down the hair follicles (in which case it becomes much more difficult to cure) and pyoderma

Since moist skin favors the growth of fungi, dry the skin carefully after bathing or after perspiring heavily Talc or other drying powders may be useful The use of topical corticosteroids for other diseases may be complicated by intercurrent tinea or candidal infection, and topical antifungals are often used in intertriginous areas with corticosteroids to prevent this

The base type is the underlying type for the enumeration. You might specify that you are declaring constant ints, constant longs, or something else. If you leave out this optional value (and often you will), it defaults to int, but you are free to use any of the integral types (ushort, long) except for char. For example, the following fragment declares an enumeration with unsigned integers (uint) as the base type:

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Tinea corporis responds to most topical antifungals, including miconazole, clotrimazole, butenafine, and terbinafine, which are available over the counter (Table 6 2) Terbinafine and butenafine require shorter courses and lead to the most rapid response Treatment should be continued for 1 2 weeks after clinical clearing Betamethasone dipropionate with clotrimazole (Lotrisone) is not recommended Longterm improper use may result in side effects from the highpotency corticosteroid component, especially in body folds Cases of tinea that are clinically resistant to this combination have been reported

1 Tinea Corporis or Tinea Circinata (Body Ringworm)

enum ServingSizes : uint { Small = 1, Regular = 2, Large = 3 }

Ring-shaped lesions with an advancing scaly border and central clearing or scaly patches with a distinct border (Plates 7 and 8)

Griseofulvin (ultramicrosize), 250 500 mg twice daily, is used Typically, only 4 6 weeks of therapy are required Itraconazole as a single week-long pulse of 200 mg daily is also effective in tinea corporis Terbinafine, 250 mg daily for 1 month, is an alternative

psoriatic involvement should be checked, and the KOH examination will be negative Erythrasma is best diagnosed with Wood s light a brilliant coral-red fluorescence is seen

Notice that an enum declaration ends with the enumerator list, which contains the constant assignments for the enumeration, each separated by a comma. Example 3-5 rewrites Example 3-4 to use an enumeration.

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