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pulses. The best opportunity to provide a large ood pulse to the Wild and Scenic Reach occurs when tributary ow accretions are high. The lag time for ow peaks from major tributaries and Tiber Dam is about the same, allowing ow releases from Tiber to arrive at Virgelle coincident with runoff spikes from other tributaries. Installation of telemetering equipment could automatically alert dam operators of large in ows at any or all important upstream gauges. Although ood pulse restoration using releases from Tiber Dam is feasible from a water supply and routing perspective, none of the alternatives we examined is risk-free. Each calls for very large releases (up to 1100 m3 sec-1) from Tiber Dam. Based on ood control considerations, maximum releases from Tiber are currently restricted to 283 m3 sec-1, the estimated bank-full discharge. Larger releases should be evaluated in light of costs and bene ts. Periodic large ood pulses below Tiber Dam would help restore some degree of natural channel movement and cottonwood recruit-

He could have aspirated while tting and have pneumonia Ecstasy toxicity can also present in this way But the priority is to exclude intracranial infection His CT brain scan showed no abnormality At lumbar puncture his CSF pressure was mildly elevated at 26 cm The CSF contained 110 lymphocytes (normal less than 4), no polymorphs and no organisms on Gram staining The CSF protein was mildly elevated at 06 g/dl and the CSF glucose level was a normal proportion of his blood glucose As you will discover in 15, this CSF picture suggests intracranial infection, most likely viral encephalitis He was treated with intravenous aciclovir He subsequently had an MR brain scan which showed signal changes consistent with swelling and haemorrhage in both temporal and frontal lobes, typical of herpes simplex encephalitis HSV was detected in his CSF using PCR.

Perhaps the most critical issue in existing CBT for the eating disorders is that it is based on cognitive-behavioural formulations that fail to re ect contemporary knowledge about the cognitive psychology of the eating disorders This point has been identi ed in restrictive anorexia by Fairburn, Shafran and Cooper (1999), although their control-based model is still in the early days of testing Recent conceptualisations of psychopathology (eg Wells & Matthews, 1994; Williams et al, 1997) have stressed the importance of understanding both cognitive content (beliefs and emotions) and cognitive process (attentional processes, cognitive avoidance, dissociation, etc) Both of these aspects have begun to be addressed in contemporary research into the eating disorders.

He rapidly improved but was left with persistent forgetfulness and occasional focal seizures..

As has been mentioned above, cognitive-behavioural formulations have stressed the role of two levels of cognitive representation negative automatic thoughts (which are largely immediate, conscious cognitions) and underlying assumptions (conditional rules, such as: Gaining one pound will mean that I put on a hundred pounds ) These can be characterised as super cial levels of cognition, and each primarily involves beliefs that are focused on weight, shape and eating However, it has been suggested that this super cial level of analysis is responsible for the failure of much contemporary CBT for the eating disorders (Hollon & Beck, 1994) Recent research has supported Kennerley s (1997) and Cooper s (1997) arguments that we need to understand the role of deeper schema-level representations in the eating disorders.

Eating psychopathology (at the diagnostic and the behavioural levels) appears to be directly related to unconditional core beliefs that are unrelated to eating, weight and shape, such as defectiveness/shame and emotional inhibition beliefs (eg Leung, Waller & Thomas, 1999b; Waller et al, 2000) In addition, the presence of unhelpful core beliefs has a negative impact on the outcome of conventional CBT for bulimia nervosa (Leung, Waller & Thomas, 2000), thus suggesting that the failure of some CBT cases is a product of pathological schema-level representations Re ecting this core belief literature, there is now substantial evidence that bulimics process threat cognitions preferentially, being in uenced by threats that are not directly relevant to food, shape and weight.

In the early days of ber optics, one of the largest startup carriers, Williams Communications, was built on the novel idea of buying up unused intercity oil pipelines, pumping out all the oil, and running optical ber in the robust mechanical duct

speci es a lightweight session protocol that can allow sessions to be suspended and resumed without the need to set the application up from scratch Another re nement, intended to save on transmission time, is to transmit the HTTP plain text headers in binary Input will also continue to be through a limited functionality keyboard, perhaps without full QWERTY capability The WML, is claimed to be based on XML principles, and allows a layered document structure, rather than the at structure of HTML pages A basic document unit is a card and services are created by allowing users to move back and forth between cards A user-interface speci cation has been created that allows the cards to be presented to the user Rather than use a full TCP stack in the phone, which would require too much memory, WAP uses a Wireless Transmission Protocol that provides a reliable datagram service.