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the circumstances in a mobile army surgical hospital (MASH) are a lot less luxurious than an insurance-funded bed in a private hospital, it is also common practice to have surgeons and some specialists on site to deal with cases Military telemedicine has another advantage (if that is the right word) over its astro-cousin, in that its patient base is much bigger This fact allows it to use telemedicine in a more predictive way For example, during and after the Gulf War, large numbers of soldiers developed symptoms that failed to yield to conventional medicine, the so-called Gulf syndrome classified by the military as a disease non-battle injury The US Air Force chiefs, concerned about the environment they had to draft personnel into, developed Desert Care [ 1951, a data warehouse system populated with anonymised records for previously and currently active personnel, and information on the terrain and local conditions.

Q: Do you recommend practitioners use a centric relation (CR) interocclusal record and adjust the appliance in CR A: Obtaining an interocclusal record and adjusting the appliance in CR provides the practitioner with a more reproducible maxillomandibular relationship, requires less effort to obtain a well-adjusted appliance, and provides the patient with an appliance that maintains its stable occlusal environment. Unfortunately many TMD patients cannot tolerate the TMJs being seated in CR and/or cannot relax the muscles satisfactorily so CR can be attained. Q: Do you ever provide patients with appliances that do not cover all of the teeth in the arch A: It is very rare for me to provide an appliance that does not cover all of the teeth in the arch, because a full-coverage appliance reduces the probability of teeth moving while the patient uses it. Q: Is a maxillary or mandibular appliance more effective A: Both maxillary and mandibular appliances can be fabricated to provide virtually a perfect gnathologic articulation, and they appear to have comparable ef cacy. Q: Do you adjust the occlusion of athletic mouthpieces that you deliver A: I always adjust the occlusion of the athletic mouthpiece, because it makes the mouthpiece more comfortable, less likely to cause occlusal changes, and less likely to cause patients to develop TMD symptoms.

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Now, when a serviceman or woman consults a doctor, this system can be queried to see if other personnel have presented similar symptoms and if there is any underlying pattern such as exposure to some environmental hazard In effect, Desert Care becomes an online tool for revealing trends and allowing commanders to take the necessary action The UK niilitary services have not had the funding to embark upon such cutting-edge developnients However, telemedicine has been used successfully in Bosnia [196] and other conflict areas and efforts have been made to include it in the Surgeon General s Information Strategy Because of their access to facilities, particularly satellite technology [1971, and experience in emergencies, space and military agencies are often the first to be called in when there is some sort of natural catastrophe such as an earthquake or flood.

Search available databases for respondent, spouse or other known household members or relatives (e.g. Insight is a primary database used in the USA) Internet search for respondent name and city, especially for an unusual name Check birth/marriage/divorce records if information is available online Check property ownership of last known address(es) Search records at administrative level (state/region), e.g. voter registration, motor vehicle registration, court records, etc. Use available administrative resources to help locate respondents (e.g. health authority, governmental department)

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Again with lessons learned, agencies are now planning appropriate responses in advance of disasters and developing telemedicine solutions at all stages [198, 1991..

SetWindowLong() sets a new window procedure address and returns the old one, which we save in a global variable. Its parameters, in the order shown, are the handle to the window being subclassed, the constant GWL_WNDPROC, which indicates we are replacing the address of the window procedure, and the address of the new window procedure. Windows OS stores system-related and optionally programmer-specific data in the window itself. This data is accessible via APIs, such as SetWindowLong and SetWindowWord. In C++, the compiler interprets function names as addresses, so this last parameter is simply the name of the new window procedures, without a parameter list. The new procedure then receives first crack at message processing, allowing it to handle those of particular interest. It then passes the rest of the messages to the original window procedure, using the address returned by SetWindowLong(). We pass the unprocessed messages on to the original window procedure by calling CallWindowProc():

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Shallice, T. (1988). The allocation of processing resources: Higher-level control. In From neuropsychology to mental structure (pp. 328 352). Cambridge: Cambridge University Press.

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