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The original Mac OS imposed a window-layering scheme that placed all application windows conceptually on a single layer. This meant that if you were using one application and you clicked a window from another application, all of that application s windows came to the foreground. Mac OS X implements a different windowlayering model: windows within an application are independent of one another, and can therefore be interleaved with windows from different applications. Imagine you have two applications running, each with several visible windows. Under Mac OS X, only the window you click comes to the foreground, enabling windows from different applications to be interspersed. The result is more information simultaneously visible at a time and fewer visible transitions between applications. Perceptually, the new window-layering scheme blurs the boundaries between applications, causing you to feel as if you are interacting with the system as a whole, rather than with individual applications. (By the way, clicking the application s icon on the Dock will bring all of the application s windows to the foreground.)

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remain permanently impaired in the involved ear The cause of labyrinthitis is unknown Treatment consists of antibiotics if the patient is febrile or has symptoms of a bacterial infection, and supportive care Vestibular suppressants are useful during the acute phase of the attack (eg, diazepam or meclizine) but should be discontinued as soon as feasible to avoid long-term dysequilibrium from inadequate compensation

matically detached statoconia (otoconia) settle on the ampulla of the posterior semicircular canal and cause an excessive degree of cupular deflection in response to head motion Clinically, this presents as episodic positioning vertigo Treatment consists of supportive care and vestibular suppressant medication (diazepam or meclizine) during the acute phase of the attack and vestibular therapy

Ernst A et al Management of posttraumatic vertigo Otolaryngol Head Neck Surg 2005 Apr;132(4):554 8 [PMID: 15806044]

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Benign paroxysmal positioning vertigo (BPPV), or benign positioning vertigo (BPV), is associated with changes in head position, often rolling over in bed The term positioning vertigo is more accurate than positional vertigo because it is provoked by changes in head position rather than by the maintenance of a particular posture The typical symptoms of positioning vertigo occur in clusters that persist for several days There is a brief (10 15 sec) latency period following a head movement before symptoms develop, and the acute vertigo subsides within 10 60 seconds, though the patient may remain imbalanced for several hours Constant repetition of the positional change leads to habituation Since some central nervous system disorders can mimic BPPV (eg, vertebrobasilar insufficiency), recurrent cases warrant MRI scanning of the head In central lesions, there is no latent period, fatigability, or habituation of the symptoms and signs Treatment of BPPV involves physical therapy protocols (eg, the Epley maneuver or Brandt-Daroff exercises), based on the theory that peripheral positioning vertigo results from free-floating otoconia within a semicircular canal

The List, Queue, and Stack types contain multiple versions of the CopyTo( ) and ToArray( ) methods for copying their elements to an array. In the case of a Stack, the CopyTo( ) method will copy its elements to an existing one-dimensional array, overwriting the contents of the array, beginning at the index you specify. The ToArray( ) method returns a new array with the contents of the Stack s elements. Example 14-8 illustrates several of the Stack methods.

Kovar M et al Diagnosing and treating benign paroxysmal positional vertigo J Gerontol Nurs 2006 Dec;32(12):22 9 [PMID: 17190403]

Leakage of perilymphatic fluid from the inner ear into the tympanic cavity via the round or oval window is often discussed as a cause of vertigo and sensory hearing loss but is actually very rare Most cases result from either physical injury (eg, blunt head trauma, hand slap to ear); extreme barotrauma during airflight, scuba diving, etc; or vigorous Valsalva maneuver (eg, during weight lifting) Treatment may require middle ear exploration and window sealing with a tissue graft; however, this is seldom indicated without a clear-cut history of a precipitating traumatic event

Position receptors located in the facets of the cervical spine are important physiologically in the coordination of head and eye movements Cervical proprioceptive dysfunction is a common cause of vertigo triggered by neck movements This disturbance often commences after neck injury, particularly hyperextension An association also exists with degenerative cervical spine disease Although symptoms vary, vertigo may be triggered by assuming a particular head position as opposed to moving to a new head position (the latter typical of labyrinthine dysfunction) Management consists of neck movement exercises to the extent permitted by orthopedic considerations

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