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11. Roger Gill, Change Management Or Change Leadership Journal of Change Management (May 2003), pp. 307 318. 12. Randy G. Pennington, Making Changes, Executive Excellence (June 2000), p. 11. 13. Kari Reinhardt, Communicating During Times of Change, HRProfessional (February/March 2001), pp. 28 32. 14. Roger T. Sobkowiak, Lean, Not Mean: RIF Management at The Hartford, Information Strategy: The Executive s Journal (Winter 1990), pp. 19 21. 15. Gerald L. Maatman, Jr., Management Guide on Structuring and Implementing Reductions in Force to Comply with Federal, State and Local Laws, Labor Law Journal (Winter 2001), pp. 199 218.

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Another sex chromosome anomaly, Klinefelter syndrome, affects males rather than females This syndrome was rst identi ed by Klinefelter et al in 1942 based on males demonstrating testicular failure, breast enlargement, and inability to produce sperm (Cody & Hynd, 1999) The genetic karyotype of Klinefelter syndrome was determined to be 47, XXY, with a mosaic of 47, XXY/46, XY (Ross et al, 2004) Although it is always associated with an extra X chromosome in some or all genes, variants exist with 48, XXYY and 48, XXXY, and 49, XXXXY Regardless of karyotype, the same genetic and endocrine features are in place, but with the more severe karyotype, there is greater likelihood of severe cognitive de cits.

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We can now write Eqs. (19), (20), (25), and (26) for the particular conditions of the second module being unilateral (S122 = 0) and for the rst module being unilateral (S121 = 0). See Table S.1.

The Klinefelter phenotype includes childhood onset of testicular failure, tall stature, disproportionately long legs, elevated levels of gonadotropins, and breast development (gynecomastia) as well as behavioral and cognitive features (Ross, Stefanatos, & Roeltgen, 2007; Ross et al, 2008; Visootsak & Graham, 2006) Additional physical characteristics include decreased facial, pubic, and body hair; hypertelorism (widely spaced eyes); increased likelihood of left-hand dominance; and increased risk for obesity The primary physical manifestations emerge during puberty, so this is when Klinefelter syndrome is most likely to be identi ed and diagnosed Klinefelter syndrome is the most common sex-linked genetic disorder It occurs in about 1 per 426 to 1,000 males (01 to 02% of population) and accounts for 31% of infertile males It is equally distributed across socioeconomic status and racial/ethnic groups (Ross et al, 2007).

Course and Prognosis Evidence-Based Interventions Case Study: Naya Dysphasia/SLI Concluding Comments

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The manifestation of testicular failure and the inability to produce sperm relate to the levels of endogenous testosterone It is believed to be evident initially in the absence of the typical burst of testosterone during the last trimester of pregnancy, followed by continued lower than normal levels of testosterone during infancy and early childhood and throughout adulthood Because testosterone levels are affected, androgen levels also are affected Brain development may be altered by androgen de ciency, but this has not been a focus for diagnosis or research (Ross et al, 2007, 2008)..

The phase-to-phase short-circuit clear of earth is shown in Figure 3-2. This is a dissymmetrical fault. The symmetrical component method must be used as for the phase-to-earth fault. For a fault between phases 2 and 3:

for this as in the meantime data transfer is possible over the existing channel If the user remains dormant for an even longer time, the network might then go ahead and remove all resources on the air interface without cutting the logical connection This saves further resources and also has a positive effect on the overall operating time of a terminal as it consumes less energy if the channel is released The disadvantage of this approach is a longer reaction time once the user wants to resume the data transfer In the uplink direction, the same methods are applied It should be noted though that while the user is assigned a code, the mobile station will be constantly transmitting in the uplink direction.

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