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Now that you understand how Interface Builder connects interface objects to handlers, let s look at the AppleScript code. Switch back to Project Builder and open the MemoryTracker.applescript file. Let s begin by looking at the main handler, called clicked:

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siblings born after 1956 who do not have documentation of immunity as defined above Susceptible personnel who have been exposed should be isolated from patient contact between the fifth and the twenty-first day after exposure regardless of whether they have been vaccinated or have received immune globulin If measles develop in these persons, they should be isolated from patient contact until 7 days after the rash develops When susceptible individuals are exposed to measles, the live virus vaccine can prevent disease if given within 5 days of exposure This is rarely feasible within a household Later, immune globulin (025 mL/kg [011 mL/lb] body weight) can be injected intramuscularly for prevention or modification of clinical illness if given within 6 days after exposure This must be followed by active immunization with live measles vaccine 3 months later Vaccination of all immunocompetent persons born after 1956 who travel to the developing world is important In the developing world, the use of the second vaccine dose is an important aspect of achieving control of measles in the community-at-large Pregnant women and immunosuppressed persons should not receive this vaccine The exception to this contraindication is asymptomatic HIV-infected patients including children, who have not shown adverse effects from measles vaccination In asymptomatic HIV-infected children, exposure to vaccines improves survival after measles, and HAART therapy is associated with an improved vaccine response Immune globulin should be considered for postexposure prophylaxis in any high-risk person exposed to measles This group includes children with malignant disease and patients with AIDS, in whom severe disease or fatal measles is likely to develop To be effective, immune globulin should be administered within 6 days after an exposure Severe allergic reactions to the MMR vaccine are rare, though fever and rash appear to occur slightly more often among female recipients An aerosolized measles vaccine is being investigated with hopes for availability by 2009 Future vaccines for a variety of infectious agents may utilize measles vectors, thereby augmenting immunity to measles.

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In the United States, it is recommended that children receive their first vaccine dose at 12 15 months and a second at age 4 6 years prior to entry into school (see Table 32 2) Combination measles-mumps-rubella-varicella vaccines (MMRV) can be used in place of the traditional measles, mumps, and rubella (MMR) vaccine Students beyond high school and medical staff starting employment must have the above vaccination schedule documented or must have serologic evidence of immunity if they were born after 1956 For individuals born before 1957, herd immunity can be assumed Health care workers should be screened and vaccinated if necessary regardless of date of birth Outbreak control in the United States is similar If outbreaks are occurring in infants under 1 year of age, initial vaccination may be given at 6 months, with repeat at 15 months When outbreaks take place in day care centers, K 12 institutions, or colleges and universities, revaccination is probably indicated for all, in particular for students and their

The patient should be isolated for the week following onset of rash and kept at bed rest until afebrile Treatment is symptomatic including antipyretics and fluids as needed Vitamin A, 200,000 units/d orally for 2 days (the beneficial effects of which include maintenance of gastrointestinal and respiratory epithelial mucosa and perhaps immune enhancement), reduces pediatric morbidity rates although high-dose vitamin A exposure increases the severity and risk of antibiotic failure in nonmeasles pneumonia

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Secondary bacterial infections are treated with appropriate antimicrobial drugs Pneumonia is managed with antibacterial antibiotics when clinical signs suggest sepsis or significant pulmonary findings Postmeasles encephalitis, including SSPE, can be managed only symptomatically

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