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Cramping is preceded by twitching of the muscle ( cramp prone state ) followed by spasmodic spontaneous contractions and frank muscle cramping if activity is continued; Onset of EAMC is usually preceded by skeletal muscle fatigue; Relief from the cramp prone state occurs if the activity is stopped or if the muscle is stretched passively (temporary relief only); and Episodes of cramping can be precipitated by contraction of the muscle in a shortened position (inner range). physical signs The clinical examination of an athlete with localized (con ned to one or two muscle groups) acute EAMC reveals the following signs: Obvious distress and pain; A hard contracted muscle; and Visible fasciculation over the muscle belly. In most instances, the athlete is conscious, responds normally to stimuli, and is able to conduct a conversation. Vital signs and a general examination usually reveal no abnormalities. In particular, most athletes with acute EAMC are not dehydrated or hyperthermic. The athlete who has generalized severe cramping (i.e., symptoms in non-exercising muscle groups) or is also confused, semi-comatose, or comatose must be treated as a clinical emergency. This patient does have EAMC as a result of fatigued muscle but a systemic disorder may be the cause, and this patient usually requires hospitalization in an intensive care unit for further evaluation. special investigations in the athlete with EAMC In most instances, no special investigations are required. The athlete with severe generalized cramping or associated central nervous system symptoms requires tests to exclude: (i) disturbances of serum electrolyte concentrations; (ii) acute renal failure; (iii) metabolic myopathy; and (iv) intracranial pathology.

SEMANTIC DOUBTS Berners-Lee intended the Semantic Web to bring not just order, but meaning to the vast amount of information on the Web His dream is to make it possible for computers to understand the Web and perform complex tasks Agents would attempt to nd available information and automatically solve problems However, computer scientists have had considerable trouble trying to impart arti cial intelligence even under highly controlled laboratory environments Developing an intelligent agent that could operate across the World Wide Web is proving to be an extremely demanding endeavor Everyone agrees that bringing more intelligence and order to the Web is the right thing to do; however, the question is how best to do it The World Wide Web Consortium (W3C) is pushing forward with a highly structured approach to the problem by supporting the development of complex new languages for posting meaningful Web content.

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to the client s best judgment about the situation (with the therapist saying, eg, Well, I am not the expert on your situation; what do you think ) Leaving the responsibility for change to the client is simply acknowledging the powerlessness of a therapist to make a client do anything without his or her consent Accepting this powerlessness is liberating to a therapist and allows the process to be viewed less personally if it does not go according to what the therapist would like to see happen Note that there is an opportunity to provide advice to the client, but it is contingent upon two things: whether the client is at a point in the change cycle at which advice would be accepted (ie, whether he or she is less ambivalent about and more committed to change), and whether the client would welcome the advice.

Resource Description Framework (RDF), RDF Schema (RDFS), and Web Ontology Language (OWL) standards allow programmers to embed information in Web content that, theoretically, tells a computer everything it needs to know about the meaning of the information: how one word relates to another word, for example, or the classes and subclasses of objects But introducing a completely effective system of Web-based metadata may be too bold a structured vision Larry Page and Sergey Brin, as Stanford students, looked at how to impart meaning to all the content For example, they used information about which Web sites link into a target site to infer value and relevance of the target site They founded Google as a result What differentiates Google s approach from BernersLee s is that Google does not require changes in the method of posting content.

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