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129. Suppose that the coefficients and constant in a polynomial equation are placed in a synthetic division array. We try a positive real-number test root and get a nonzero remainder. None of the numbers in the last row are negative. This tells us that our test root is (a) larger than all the real roots of the equation. (b) equal to the largest real root of the equation. (c) somewhere between the smallest and the largest real roots of the equation. (d) equal to the smallest real root of the equation. (e) smaller than all the real roots of the equation. 130. Which of the following fractions is in lowest terms (a) 7/91 (b) 57/3 (c) 23/115 (d) 29/17 (e) None of the above 131. Figure FE-13 shows the graphs of two quadratic functions in a real-number rectangular coordinate plane. The origin (0, 0) is where the x and y axes intersect. The curves do not intersect anywhere. Suppose we consider these two functions as a system, and we find two solutions. Based on the information shown, (a) both solutions are ordered pairs of positive real numbers. (b) both solutions are ordered pairs of negative real numbers. (c) one solution is an ordered pair of positive reals, and the other solution is an ordered pair of negative reals.

Noteworthy is the fact that for 20 to 25 percent of the walking cycle, both feet are in contact with the ground (double limb support) In later life, when the steps shorten and the cadence (the rhythm and number of steps per minute) decreases, the proportion of double limb support increases (see further on) Surface electromyograms show an alternating pattern of activity in the legs, predominating in the exors during the swing phase and in the extensors during the stance phase When analyzed in greater detail, the requirements for locomotion in an upright, bipedal position may be reduced to the following elements: (1) antigravity support of the body, (2) stepping, (3) the maintenance of equilibrium, and (4) a means of propulsion Locomotion is impaired in the course of neurologic disease when one or more of these mechanical principles are prevented from operating normally 100.

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building up numerals digit-by-digit from right to left, giving each succeeding digit twice the value of the digit to its right. Note the absence of commas in this system.

Figure 12-25

The other clinical abnormalities in the motor realm, according to authorities such as Prechtl and Beintema, can be subdivided roughly into three groups, each of which constitutes a kind of syndrome: (1) hyperkinetic-hypertonic, (2) apathetic-hypotonic, or (3) unilateral or hemisyndromic Prechtl and Beintema, from a study of more than 1500 newborns, found that if clinical examination consistently discloses any one of the three syndromes, the chances are two out of three that by the seventh year the child will be manifestly abnormal neurologically They found also that certain neurologic signs such as facial palsy, lack of grasping, excessive oppiness, and impairment of sucking while sometimes indicative of serious disease of the nervous system, are less dependable; also, being rare, these signs will identify but few brain-damaged infants.

It is not the single neurologic sign but groups of them that are held to be the most reliable indices of brain abnormality, and the three syndromes mentioned above are the important ones, even though their anatomic and physiologic bases are not completely known In our observations of the neonatal metabolic diseases, we have endeavored to determine whether particular ones consistently manifest themselves by one or another of the three syndromes We are able to af rm this to some degree In cases of hypocalcemiahypomagnesemia, the hyperkinetic-hypertonic syndrome prevails Although most of the other diseases tend to induce the apathetichypotonic state, the hyperactive-hypertonic syndrome may represent the initial phase of the illness and always carries a less ominous prognosis than the apathetic-hypotonic state, which represents a more severe condition regardless of cause.

We have been least con dent in the recognition of the third putative group of unilateral abnormalities in the metabolic diseases Even more discouraging has been the frequent overlapping of the two other syndromes and the fact that seizures may occur in all of them The anatomic correlate for some of these neurologic abnormalities can be observed by MRI Clearly what is needed is a more de nitive neonatal neurologic semiology utilizing numerous stimulus-response tests, including those described by A Thomas and Dargassis, supplemented by evoked potentials; also needed are ways of accurately quantifying more of the natural activities of this age period Even the brain death syndrome, in which all brainstem-spinal re exes are abolished, has not been fully de ned in the neonate (Adams et al)..

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