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Athletes with mild to moderate MR, who are in sinus rhythm and have normal LV size and function as well as normal pulmonary artery pressures, can participate in all competitive sports If there is mild LV enlargement (<60 mm) in a well-trained endurance athlete that may be secondary to athletic training, the athlete can participate in low or moderate static and low, moderate, or high dynamic competitive sports Athletes with severe MR and de nite LV enlargement (>60 mm), pulmonary hypertension, or any degree of LV systolic dysfunction should be excluded from any competitive sports (36th Bethesda Conference 2005) Mitral valve prolapse Mitral valve prolapse (MVP) is the most common form of valvular heart disease, with a prevalence of 2 6% in the general population It is the most common cause of signi cant MR in the USA (Bonow et al 1998) The prognosis of MVP is generally benign.

Complications, including severe progressive MR, infective endocarditis, embolic events, atrial and ventricular tachyarrhythmias, occur most commonly in patients with a mitral systolic murmur, thickened redundant mitral valve lea ets, and increased LV or left atrial size, especially in men over 45 years of age (Avierinos et al 2002; Bonow et al 1998; Marks et al 1989) Sudden death is a rare complication of MVP,.

Be Sure That Summary Tasks Are Meaningful When organizing the work breakdown structure, remember that the sole purpose of summary tasks on the WBS is for communication, or visibility (Recall that summary tasks aren t actually executed, they are just a summarization of work packages) So every summary task should be meaningful to some stakeholder (including the project manager) If there are summary tasks that have no audience, erase them As long as the work packages remain, the scope of the project is the same (compare Figure 65 to Figure 64) CRITERIA FOR A SUCCESSFUL WORK BREAKDOWN STRUCTURE Because a good WBS is easy to read, people often assume that it s also easy to write This, however, is a false assumption; there are large numbers of inaccurate and poorly developed work breakdown structures produced every year.

There are several strategies, derived from the different components of the biopsychosocial model, for encouraging motivation to change a drug problem. The first method that works with some people is to present data about changes in health. Using health care professionals to identify and intervene upon drug problems can be highly effective, but there is evidence that many professionals are missing drug problems in patients when they present for services. In one

12. A new server is being installed to enable Windows machines to resolve NetBIOS names to Internet domain addresses. What type of server is required A. WINS server B. DNS server C. DHCP server D. firewall server 13. A new Ethernet LAN network is being added to a current LAN that is running Token Ring. What type of server or device should be used to connect the two networks A. hub B. bridge C. firewall D. LAN adapter 14. When installing a server, which of the following is the most important when verifying a power source A. proper grounding B. proximity to UPS C. sufficient VA rating D. dual voltage capability 15. A technician is replacing an internal Web server with a new server containing a more powerful CPU and memory. The location of the new server has been verified for proper environmental and power requirements. Which of the following is the next aspect of the server s location to verify before installation A. UPS size B. network availability C. proxy connections D. firewall rules 16. A new RAS server has just been delivered. Parts that came with the server include a 9GB hard drive, video card, network card, and RS-232 cable. The technician notices immediately that a part is missing. What is most likely the missing item A. SCSI card B. CD-ROM

(continued)

However, if your WBS meets the the following evaluation criteria, you can be sure it will be useful in planning, communicating, and tracking your project Here are three criteria for a successful WBS 1 The WBS must be broken down starting at the top It is a top-down decomposition You need to make sure your work packages are subsets of your summary tasks The test is simple: Start with any work package and work your way up the hierarchy, asking, Is this task a subset of the task above it (Figure 66 illustrates this rule) Following this rule allows you to: Use standard project management software Do it any other way and the software will give you nothing but nonsense at the summary level Present meaningful project information at the summary task level.