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, 1979) It is clear from the literature that the precise details of the mechanisms by which contaminants in uence the developing embryo and larvae are not known This is compounded by the fact that there appears to be a similarity in morphological defects observed for embryos exposed to the major classes of contaminants (ie heavy metals, chlorinated hydrocarbons, petroleum hydrocarbons) The reviews by Rosenthal and Alderdice (1976), von Westernhagen (1988) and Weis and Weis (1989) clearly show that notochord abnormalities, crano-facial defects, brain and eye defects, cardiovascular defects and spinal abnormalities may be induced in developing embryos exposed to a variety of contaminants This led Rosenthal and Alderdice (1976) to suggest that an embryo responds to toxic insults with a generalised stress response.



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Several of the treatment models we have introduced recognize the benefit of engaging the addict in a nonthreatening and encouraging manner that does not require abstinence in order to initiate therapy or as a certain goal of therapy Most TS groups, on the other hand, are quite explicit in the ultimate expectation of abstinence Meetings are geared around those who have found themselves to be powerless over the substance and cannot control their use; anything less is considered a failure to work the program, because the groups are designed around sobriety, including statement of a sobriety date and recognition of sobriety milestones (one month, two months, one year, and so on) In addition, clear personal identification as an alcoholic or addict is fundamental to the TS and incorporated into the familiar personal introduction at meetings.





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This may be clearly seen in an example given by Bodammer (1993) where the initial treatment of the egg and continued exposure of the embryo to cadmium can: (1) (2) (3) (4) (5) (6) (7) (8) (9) Modify the permeability of the egg membrane prior to and after fertilisation Disrupt gastrulation and axiation during the mid to later stages of embryogenesis Retard the growth, development and organogenesis Reduce embryonic heart rate Reduce or modify embryo motility Decrease the activity of several biosynthetic enzymes in late-stage embryos Disrupt normal osteogenesis, resulting in skeletal abnormalities Reduce yolk-sac size via osmotic effects on perivitilline uid, resulting from cadmium affected membranes Result in premature or delayed hatching..

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Individuals who continue to use will be welcomed for a while, and those who relapse but return to state a desire for sobriety are welcomed, but those who want to cut back only are likely to find that their sponsor will fire them until they are ready for abstinence In clinical practice, those who have met the criteria for substance abuse, but not substance dependence, may be able to reduce their use to a subclinical level without abstinence These individuals are probably not appropriate for referral to TS groups, certainly not without adequate preparation for the reaction they are likely to receive, because it may undermine therapy Individuals who are abstinent and cognizant of their addiction may benefit from the features of TS groups The groups provide peer support, testimonials, one-on-one sponsors, substance-free activities (eg, sober New Year s Eve parties), and a worldwide network of meetings.

2 Partial Sleeve The partial sleeve antenna, which is a two-dimensional transmission line antenna, was developed by Nash and others at the University of Illinois Antenna Lab in the early 1950s, but data were published only in reports to USAF ASD The antenna consists of a square or rectangular plate located adjacent to a ground plane and shorted to the ground plane A feed is connected at a point that gives a convenient impedance level, as shown in Figure 130 A capacitor may be used to tune the end of the sleeve The ground plane and the sleeve may be curved in either dimension The term sleeve arose as such an antenna may be used on a curved aircraft surface Typical sizes are separation 1/10 the length, and length from 001 to 01 .

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These features can augment couples therapy The inclusion of spirituality is a central feature to TS groups that originated from Alcoholics Anonymous (AA; Nowinski, 2002) Steps 2 and 3 specifically refer to God and the need to turn one s will over to a higher power as part of the recovery process (AA, 1976) Recognition of a higher power reduces one s individualism and provides an awakening to resources beyond oneself to assist in the recovery process Although, for some, the higher power may be the TS group, for many it reflects more traditional.

The needs of male patients, who represent a signi cant minority of those with anorexia nervosa, require special consideration. Issues of self-care and body image may be signi cantly different in men, as may those related to sexual relationships.

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