Motor deficits

Electric motors may be considered in cases where it is considered advantageous to export surplus steam outside the nitric acid plant. Condensing steam turbines are normally used to bridge the power deficit. Extraction-condensing turbines make it possible to use some of the available steam for heating purposes. 

Small vessel/lacunar strokes have better short- and long-term (1-year) survival as compared to other stroke subtypes. In the NINDS trial of rt-PA within 3 hours of onset, patients classified as small vessel stroke on the basis of their clinical syndrome had a 50% chance of a normal NIHSS score at 3 months if they received placebo, increasing to 70% in the treatment group. In the Lausanne cohort, 95% were independent after their first event, as opposed to only 65% of the cardioembolic strokes and 49% with large vessel atherothrombotic infarctions. Eighty-two percent of patients with small vessel stroke were independent at 1 year. Even at the time of maximal deficit, between 38% and 64% of small vessel/lacunar patients were independent, with motor impairment and extent of white matter disease adversely affecting outcomes. " In TOAST, small vessel/lacunar stroke was the only subtype associated with a favorable outcome, independent of the NIHSS score. ... 

Poor sleep architecture and fragmented sleep secondary to OSA can cause excessive daytime sleepiness (EDS) and neu-rocognitive deficits. These sequelae can affect quality of life and work performance and may be linked to occupational and motor vehicle accidents. OSA is also associated with systemic disease such as hypertension, heart failure, and stroke.21-23 OSA is likely an independent risk factor for the development of hypertension.24 Further, when hypertension is present, it is often resistant to antihypertensive therapy. Fatal and non-fatal cardiovascular events are two- to threefold higher in male patients with severe OSA.25 OSA is associated with or aggravates biomarkers for cardiovascular disease, including C-reactive protein and leptin.26,27 Patients with sleep apnea often are obese and maybe predisposed to weight gain. Hence, obesity may further contribute to cardiovascular disease in this patient population. 

Neurologic focality Symptomatic sensory or motor deficits that point to specific lesions or dysfunction in the brain. 

Schneider JS, Tobe EH, Mozley Jr. PD, et al. 1998. Persistent cognitive and motor deficits following acute hydrogen sulphide poisoning. Occup Med 48 255-260. 

Shukitt-Hale B, Carey A, Simon L, Mark D and Joseph J. 2006. Effect of Concord grape juice on cognitive motor deficits in aging. Nutrition 22 295-302. 

Joseph JA, Shukitt-Hale B, Denisova NA, Bielinski D, Martin A, McEwen JJ and Bickford PC. 1999. Reversals of age-related declines in neuronal signal transduction, cognitive, and motor behavioral deficits with blueberry, spinach, or strawberry dietary supplementation. J Neurosci 19(18) 8114-8121. 

The answer is a. (Hardman, p 22L Katzang, p L3L) Methylphenidate is similar to amphetamine and acts as a CN5 stimulant, with more pronounced effects on mental than on motor activities. It is effective in the treatment of narcolepsy and attention-deficit hyperactivity disorders. 

Patients with fucosidosis present with hypotonia, progressive mental retardation and motor deficits and also angiokeratomas in the skin, which resemble those in Fabry s disease. Mannosidosis patients show dysmorphic features, hepatosplenomegaly and mental retardation. 

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