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Monitoring systems sense the change in power ows and call upon the AGC of speci ed units to restore power ows to preoutage conditions. The AGC of an operating unit responds through the exciter; the exciter increases the strength of the electromagnet s magnetic eld, which in turn increases the voltage output. The rotor responds by slowing down because mechanical power to the turbine has not been increased. This causes the frequency to fall below its target level of 60 cycles per second. AGC receives inputs of frequency measurements and responds by increasing the power input into the turbine to bring the frequency back to 60 cycles per second. As the example demonstrates, AGC balances the magnetic strength of the electromagnet and mechanical power to maintain appropriate voltage and frequency levels. Effective AGC requires an effective control mechanism for the mechanical power input to the turbine. The most responsive systems are hydroelectric systems and are used for balancing whenever they are available. The second most preferred generation technology to utilize with AGC is a CCGT. This is because it is much easier to control the burn rate of natural gas than to control coal burn rates and nuclear ssion rates. During the daytime many units are set to run at their optimal output level. However, several units are selected to respond to uctuating grid conditions with AGC.

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Result:

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Paget s disease is associated with concurrent, invasive vulvar cancer in 4% to 15% of cases. Women with Paget s disease of the vulva should also be evaluated for Paget s synchronous neoplasms, as approximately 20% to 30% of these patients have a noncontiguous carcinoma (eg, involving breast, rectum, bladder, urethra, cervix, or ovary).8 13

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a. The problem is in the left optic nerve. The most likely cause is optic neuritis, which comes on rapidly and often causes pain on eye movement. It usually resolves spontaneously but improves rapidly with high-dose steroids. b. This is most likely to be a right 6th nerve palsy, although a left 3rd nerve palsy or left internuclear opthalmoplegia can all cause the same symptom (see pp. 117 19). Less commonly this symptom re ects weakness of the right lateral rectus or left medial rectus muscles (for example due to myasthenia or thyroid eye disease), and very rarely it is due to a mass in one orbit, displacing the eye. Examination will clarify matters. You can suppress the diplopia with an eye patch and then need to establish the underlying cause.

1 This decision did not determine the school s liability; the decision only allowed action in another court to rule on the school s liability. The school counselors ultimately were not held liable for the $1 million in damages the father sought.

In 1997, General Dynamics and the United Auto Workers (UAW) signed a collective-bargaining agreement that eliminated the company s obligation to provide health benefits to subsequently retired employees, except for then-current workers who were at least 50 years old. Dennis Cline, who was age 40 at the time, along with other, similarly situated employees, made a claim before the Equal Employment Opportunity Commission (EEOC) that the agreement violated the ADEA because it discriminated against them. (The ADEA does not protect workers under age 40.) The EEOC agreed with Cline, and invited the company and the union to settle informally with Cline. When they failed, Cline went to court. A district court dismissed his suit, saying that Cline s claim was essentially

when their organizations experienced occupational fraud, poor internal controls were cited 58 percent of the time, and management override of controls was mentioned in 36 percent of incidents Various forms of collusion were also mentioned frequently: 31 percent of respondents cited collusion between employees and outside third parties, and 19 percent cited collusion among employees or management Other causal factors mentioned were directors lack of control over management (11 percent) and a poor or nonexistent corporate ethics policy (8 percent)5 From the structure of the responses, it is evident that more than one causal factor could be cited for a given incident or series of incidents When I have been involved in reviews of controls programs, such as anti money laundering controls, I like to employ a three-stage approach.

2 1

cure rates between 68% and 83%. A longer-term retrospective study reported a 34% recurrence rate and 66% disease-free status at 44 months after surgical resection.22

First, I meet with key professionals in the controls and compliance programs to learn how their programs were developed, staffed, and implemented I also learn how they are administered More times than not, the programs are well written, comprehensive, and perhaps even draconian in tone Second, I spend some amount of time checking documentation regarding training, monitoring, and follow-up Last, I cheat I saunter down to human resources and ask to see the data for the last year or so for persons sanctioned or terminated for violating these controls Invariably, I get a blank stare I usually follow up by advising that I do not need to see all of these employee folders, just a few of the recent ones The stare gets blanker Then, I mosey back up to the compliance people to congratulate them.

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