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A few hysterical syndromes occur with regularity and every physician may expect to encounter them Most are neurologic in nature They constitute some of the most puzzling diagnostic problems in medicine Hysterical Pain This may involve any part of the body; generalized or localized headache, atypical facial pain, vague abdominal pain, and chronic back pain with camptocormia are the most frequent and troublesome In many of these patients the response to analgesic drugs has been unusual or excessive, and some of them are addicted The hysterical patient may respond readily to a placebo as though it were a potent drug, but it should be pointed out that this is a notoriously unreliable means of distinguishing hysterical pain from that of other diseases A greater error is to mistake the pain of osteomyelitis or visceral tumor before other symptoms have developed for a manifestation of hysteria There are several helpful diagnostic features of hysterical pain: (1) the patient s inability to give a clear, concise description of the type of pain; (2) the location of the pain does not conform to the pattern of pain in the familiar medical syndromes; (3) the dramatic elaborations of its intensity (speaking in in ated metaphors like a giant knife stabbing ) and its effects on the body ( tearing my limb off ); (4) its persistence, either continuous or intermittent, for long periods of time; (5) the assumption of bizarre attitudes and postures; and, most important; (6) the coexistence of other clinical features or previous attacks of hysterical nature Hysterical Vomiting This is often combined with pain and tenderness in the lower abdomen and results in unnecessary appendectomies and removal of pelvic organs in adolescent girls and young women The vomiting often occurs after a meal, leaving the patient hungry and ready to eat again; it may be induced by unpleasant circumstances Some of these patients can vomit at will, regurgitating food from the stomach like a ruminant animal Vomiting may persist for weeks with no cause being found Weight loss may occur, but seldom to the degree anticipated As remarked earlier, the usual rst-trimester vomiting of pregnancy may continue.

Oracle Data Guard is an integral component of MAA and the best-practice solution for ensuring high availability and disaster recovery of the Oracle database Data Guard provides an extensive set of features that enable you to recover from planned and unplanned downtime scenarios, such as recovering from data corruption, performing near-zero database upgrades, and conducting database migrations Data Guard provides the software to manage and maintain one or more standby databases that are configured as a replica of the primary database, and protects from data loss by building and maintaining redundant copies of the database When a data loss or a complete disaster occurs on the primary database, the copy of the data stored on the standby database can be used to repair the primary database Data Guard also provides protection from

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Sometimes when you play a sound file, it is played incorrectly or just makes noise Because the speakers only amplify and cannot alter sound signals, you can rule them out as the cause of the problem Occasionally a user may be attempting to listen to more than one type of sound file at a time (such as a CD and streaming audio); this may cause the sound card to garble the sounds as a result of the mixing process Make sure you are only attempting to solve the problem using one audio source The problem could be in the sound file itself Try another sound file or, if you re using a CD, replace the CD with another and try to play a sound file If the problem is not limited to a specific sound file, try reinstalling the sound application or player software Most CD-ROMS provide an external audio cable on the back of the CD-ROM drive This cable must be connected to the sound card if you want your CD-ROM to be able to play music The most common symptom of this cable being missing is that the CD-ROM and software function properly and no music comes out of the speakers This cable is frequently not connected when an inexperienced person installs a CD-ROM drive or replaces a sound card

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