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Nearly every physical architecture is either centralized or decentralized. A centralized architecture uses a central location for the execution of the transformation and control functions of the system. A decentralized architecture has multiple, speci c locations at which the same or similar transformational or control functions are performed. The block diagram for an aircraft control system in Figure 8.7 shows a decentralized architecture; note that there is a central controller, but the controllers for each of the aircraft s actuated devices have been decentralized. In the decentralized architecture shown in Figure 8.7, the central controller manages the decentralized device controllers. A centralized architecture would not have the individual device controllers; rather, the centralized controller would perform all of the functions. A distributed architecture is one in which there are two or more autonomous processors connected by a communications interface and running a distributed operating system [Coulouris et al., 1994; Shuey et al., 1997]. The distributed operating system enables the processors to coordinate their actions and share the system s resources. The processors can perform the same functions, depending upon the needs of the system. Processing control issues for a distributed system are handling the redistribution of processing functions after partial failures; managing moves, changes, and additions to the processing activities; and synchronizing processing activities to meet performance and ef ciency objectives. An important distinguishing feature of a distributed system architecture is that the users are unaware of the distribution of processing.

full evaluation and individual exercise prescription are required for athletic participation (36th Bethesda Conference 2005). Valvular heart disease The diagnosis of valvular heart disease usually can be made on the basis of the characteristic murmurs and associated ndings on clinical examination. However, in athletes the physiologic cardiac adaptations, mentioned in the athletic heart syndrome, can create innocent ow murmurs that are dif cult to differentiate from the abnormal (Thompson 2001). Such ow murmurs in young athletes are caused by ow across the pulmonary valve and often vary with respiration. Athletes aged over 50 years, however, may have mild sclerosis of the aortic valve and the resultant ow murmur may be secondary to aortic valve turbulence created from both the physiologic changes of exercise training and the aortic valve sclerosis. The latter murmurs are not necessarily innocent and may progress to important aortic stenosis (Thompson 2001). Evaluating the severity of valvular lesions is much more dif cult. In general, the presence of symptoms indicates signi cant valvular disease and, in most cases, represents an indication for valve replacement or repair (Bonow et al. 1998). In the absence of symptoms, severity can be determined from the physical examination and Doppler echocardiography. Cardiac catheterization may also be necessary to evaluate the hemodynamic severity of valvular lesions (Bonow et al. 1998). In athletes where secondary gain in denying symptoms might be present, the history may be unreliable, thus the evaluation of the severity of valvular disease becomes more complicated. Aortic stenosis The most common etiologies of valvular AS are rheumatic, congenital, and calci c or degenerative, whereas the majority of young athletes with AS have congenital lesions (36th Bethesda Conference 2005). The normal aortic valve ori ce is approximately 3 4 cm2 and must be reduced to one-quarter

.

Ibid., par. 7. Ibid. See paragraphs parenthetically noted above. Also, see the appendices on this book s website for examples of analytical procedures, unusual or complex situations, and illustration representation letters.

Document and test disaster recovery plan regularly, and update as needed Implement disaster recovery plan

Practice parameter for the use of stimulant medications in the treatment of children, adolescents, and adults Practice parameters for the assessment and treatment of children, adolescents, and adults with mental retardation and comorbid mental disorders Practice parameters for the assessment and treatment of children, adolescents, and adults with autism and other pervasive developmental disorders Practice parameters for the assessment and treatment of children and adolescents who are sexually abusive of others Practice parameters for the assessment and treatment of children and adolescents with obsessive-compulsive disorder Practice parameters for the assessment and treatment of children and adolescents with language and learning disorders Practice parameters for the assessment and treatment of children and adolescents with depressive disorders Practice parameters for the assessment and treatment of children and adolescents with posttraumatic stress disorder Each of the preceding guidelines is hyperlinked to both a summary of the guideline and to the complete text of the guideline.

Jan 1, 1999