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The classic disease of the neuromuscular junction is myasthenia gravis. Characteristics of myasthenia gravis: uncommon; no wasting; tone normal; weakness; fatiguability; re exes normal; positive response to anticholinesterase. The pattern of muscle involvement in this rare disease: ocular muscles common: ptosis; diplopia; bulbar muscles fairly common: dysarthria; dysphagia; trunk and limb muscles less common: limb weakness; trunk weakness; breathing problems. More common paralysis due to neuromuscular blockade is that which is produced by anaesthetists during operative surgery. Myasthenia gravis would not be a likely diagnosis in a patient presenting with left leg malfunction.

Bartholomew, K, & Perlman, D (1994) Attachment processes in adulthood: Advances in personal relationships (Vol 5) London: Jessica Kingsley Baucom, D, Shoham, V, Mueser, K, Daiuto, A, & Stickle, T (1998) Empirically supported couple and family interventions for marital distress and mental health problems Journal of Consulting and Clinical Psychology, 66, 53 88 Bowlby, J (1969) Attachment and loss: Volume I Attachment New York: Basic Books Bowlby, J (1988) A secure base New York: Basic Books Bradley, B A (2001) An intimate look into emotionally focused therapy: An interview with Susan M Johnson Marriage and Family: A Christian Journal, 4, 117 124 Bradley, B A, & Furrow, J (2004) Toward a mini-theory of the blamer softening event: Tracking the moment-by-moment process Manuscript submitted for publication Bradley, M J, & Palmer, G (2003) Attachment in later life: Implications for intervention with older adults.

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This in turn produces a set of precise Pressures , such as the discharge of particular chemicals either legally (after authorisation) or accidentally via spillages The Status of the physical, chemical and biological system then requires to be assessed, together with any Impacts on that system due to the pressures Finally, the Responses made by man to those impacts will enable problems to be solved This chapter considers the status and impacts at the population and community level of shes exposed to pollutants However, it is reiterated here that in many cases the pressures act in tandem and there are few examples in which pollution is the only stressor on the system.

In S M Johnson & V Whiffen (Eds), Attachment processes in couple and family therapy (pp 281 299) New York: Guilford Press Butler, M H, & Gardner, B C (2003) Adapting enactments to couple reactivity: Five developmental stages Journal of Marital and Family Therapy, 29, 311 327 Cassidy, J, & Shaver, P (1999) Handbook of attachment: Theory, research and clinical applications New York: Guilford Press Clothier, P F, Manion, I, Gordon-Walker, J, & Johnson, S M (2002) Emotionally focused interventions for couples with chronically ill children: A two year follow-up Journal of Marital and Family Therapy, 28, 391 398 Crane, D R, Wampler, K S, Sprenkle, D H, Sandberg, J G, & Hovestadt, A J (2002) The scientist-practitioner model in marriage and family therapy doctoral programs Journal of Marital and Family Therapy, 28, 75 83 Dankoski, M E (2001).

Pulling on the heart strings: An emotionally focused approach to family life cycle transitions Journal of Marital and Family Therapy, 27, 177 187 Denton, W H, Burleson, B R, Clark, T E, Rodriguez, C P, & Hobbs, B V (2000) A randomized trial of emotion focused therapy for couples in a training clinic Journal of Marital and Family Therapy, 26, 65 78 Dessaulles, A, Johnson, S M, & Denton, W H (2003) Emotion-focused therapy for couples in the treatment of depression: A pilot study American Journal of Family Therapy, 31, 345 353 Elliott, R, & Greenberg, L S (2001) Process-experiential psychotherapy In D J Cain (Ed), Humanistic psychotherapies: Handbook of research and practice (pp 279 306) Washington, DC: American Psychological Association Gottman, J M (1994) What predicts divorce Hillsdale, NJ: Erlbaum Gottman, J M, Driver, J, & Tabares, A (2002).

The links between subcellular and population responses to pollution and their repercussions can be assessed through a set of case studies giving the genetic response to pollutants, changes in the genetic composition and structure of the populations and the population shift in genetic structure via any stressors on the population It is therefore necessary to consider pollution effects on single and mixed stocks and also to determine whether the physiological responses to pollutants are translated into population changes, ie single species stocks Any such population changes will in uence stocks and thus have socioeconomic repercussions In essence, these changes can be seen as a set of bottom-up drivers, especially changes at the genetic and cellular level, and a set of top-down responses, at the.

Building the sound marital house: An empirically derived couple therapy In A S Gurman & N S Jacobson (Eds), Clinical handbook of couple therapy (pp 373 399) New York: Guilford Press Greenberg, L S, & Johnson, S M (1988) Emotionally focused therapy for couples New York: Guilford Press..

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