A, No exposure group (n = 740) comprised survivors who were not treated with platinum-based chemotherapy or cochlear radiotherapy (RT). B, Platinum-only exposure group (n = 307) comprised survivors who were treated with cisplatin and/or carboplatin chemotherapy. C, Cochlear RT exposure group (n = 473) comprised survivors who were treated with cochlear RT with or without platinum-based chemotherapy. Analysis was adjusted for age at diagnosis, time since diagnosis, sex, and treatment variables (if any) within the group. These variables were cranial RT dose, methotrexate chemotherapy treatment (yes or no for intrathecal and high dose), and high-dose cytarabine chemotherapy treatment (yes or no).

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Calcium crystallizes in a face-centered cubic structure. The edge length of its unit cell is 558/8 pm.

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Rubidium iodide crystallizes with a cubic unit cell that contains iodide ions at the corners and a rubidium ion in the center. What is the formula of the compound?

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Importance  Despite advancements in cancer therapy and supportive care, childhood cancer survivors remain at risk for chronic morbidities associated with disease and treatment, such as hearing impairment (HI) and neurocognitive deficits. This study, to our knowledge, is the first to objectively measure hearing and neurocognitive function in a large cohort of long-term survivors of childhood cancer stratified by treatment exposures.

The structures of crystalline metals and simple ionic compounds can be described in terms of packing of spheres. Metal atoms can pack in hexagonal closest-packed structures, cubic closest-packed structures, body-centered structures, and simple cubic structures. The anions in simple ionic structures commonly adopt one of these structures, and the cations occupy the spaces remaining between the anions. Small cations usually occupy tetrahedral holes in a closest-packed array of anions. Larger cations usually occupy octahedral holes. Still larger cations can occupy cubic holes in a simple cubic array of anions. The structure of a solid can be described by indicating the size and shape of a unit cell and the contents of the cell. The type of structure and dimensions of the unit cell can be determined by X-ray diffraction measurements.

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Aluminum oxide crystallizes with aluminum ions in two-thirds of the octahedral holes in a closest-packed array of oxide ions. What is the formula of aluminum oxide?

Figure 2. This graph shows a plot of concentration versus time for a 1/000 M solution of H2O2. The rate at any instant is equal to the opposite of the slope of a line tangential to this curve at that time. Tangents are shown at t = 0 h (“initial rate”) and at t = 10 h (“instantaneous rate” at that particular time).

Zinc sulfide is an important industrial source of zinc and is also used as a white pigment in paint. Zinc sulfide crystallizes with zinc ions occupying one-half of the tetrahedral holes in a closest-packed array of sulfide ions. What is the formula of zinc sulfide?

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Poor reading skills have an association with pervasive, inferior overall academic achievement,54 hindering comprehension and the acquisition of higher-level reasoning ability. In a prospective study examining neurocognitive and academic outcomes in pediatric patients treated for medulloblastoma, Schreiber et al25 demonstrated that substantial HI was independently associated with a decline in intellectual and academic skills. Reading and linguistic difficulties in children with HI may expand to difficulties in other areas of academics, including mathematics.

A compound of cadmium, tin, and phosphorus is used in the fabrication of some semiconductors. It crystallizes with cadmium occupying one-fourth of the tetrahedral holes and tin occupying one-fourth of the tetrahedral holes in a closest packed array of phosphide ions. What is the formula of the compound?

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This is due to neuroplasticity: the pathways in our minds are strengthened by repetition. When we think or act in a new way over and over, we physiologically rebuild our neural network.

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As minerals were formed from the molten magma, different ions occupied the same cites in the crystals. Lithium often occurs along with magnesium in minerals despite the difference in the charge on their ions.

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Considerable evidence has been published of children with congenital or prelingual HI or deafness consistently performing worse in language,44,45 reading,46-48 mathematics,49-51 and overall academic achievement52 compared with peers with normal hearing. However, studies evaluating these academic measures in children with acquired HI are limited.

This behavior indicates the reaction continually slows with time. Using the concentrations at the beginning and end of a time period over which the reaction rate is changing results in the calculation of an average rate for the reaction over this time interval. At any specific time, the rate at which a reaction is proceeding is known as its instantaneous rate. The instantaneous rate of a reaction at “time zero,” when the reaction commences, is its initial rate. Consider the analogy of a car slowing down as it approaches a stop sign. The vehicle’s initial rate—analogous to the beginning of a chemical reaction—would be the speedometer reading at the moment the driver begins pressing the brakes (t0). A few moments later, the instantaneous rate at a specific moment—call it t1—would be somewhat slower, as indicated by the speedometer reading at that point in time. As time passes, the instantaneous rate will continue to fall until it reaches zero, when the car (or reaction) stops. Unlike instantaneous speed, the car’s average speed is not indicated by the speedometer; but it can be calculated as the ratio of the distance traveled to the time required to bring the vehicle to a complete stop (Δt). Like the decelerating car, the average rate of a chemical reaction will fall somewhere between its initial and final rates.

Most monatomic ions behave as charged spheres, and their attraction for ions of opposite charge is the same in every direction. Consequently, stable structures for ionic compounds result (1) when ions of one charge are surrounded by as many ions as possible of the opposite charge and (2) when the cations and anions are in contact with each other. Structures are determined by two principal factors: the relative sizes of the ions and the ratio of the numbers of positive and negative ions in the compound.

The two test reactions shown above are inherently very slow, but their rates are increased by special enzymes embedded in the test strip pad. This is an example of catalysis, a topic discussed later in this chapter. A typical glucose test strip for use with urine requires approximately 30 seconds for completion of the color-forming reactions. Reading the result too soon might lead one to conclude that the glucose concentration of the urine sample is lower than it actually is (a false-negative result). Waiting too long to assess the color change can lead to a false positive due to the slower (not catalyzed) oxidation of iodide ion by other substances found in urine.

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Silver crystallizes in an FCC structure. The edge length of its unit cell is 409 pm.

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The density of calcium can be found by determining the density of its unit cell: for example, the mass contained within a unit cell divided by the volume of the unit cell. A face-centered Ca unit cell has one-eighth of an atom at each of the eight corners ($8\;\times\;\frac{1}{8} = 1$ atom) and one-half of an atom on each of the six faces $6\;\times\;\frac{1}{2} = 3$), for a total of four atoms in the unit cell.

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This study has several strengths. It included a large sample size, a long-term follow-up, and high-quality and standardized audiologic and neurocognitive assessments. It also had a high participation rate.

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There are two tetrahedral holes for each anion in either an HCP or CCP array of anions. A compound that crystallizes in a closest-packed array of anions with cations in the tetrahedral holes can have a maximum cation:anion ratio of 2:1; all of the tetrahedral holes are filled at this ratio. Examples include Li2O, Na2O, Li2S, and Na2S. Compounds with a ratio of less than 2:1 may also crystallize in a closest-packed array of anions with cations in the tetrahedral holes, if the ionic sizes fit. In these compounds, however, some of the tetrahedral holes remain vacant.

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When a beam of monochromatic X-rays strikes a crystal, its rays are scattered in all directions by the atoms within the crystal. When scattered waves traveling in the same direction encounter one another, they undergo interference, a process by which the waves combine to yield either an increase or a decrease in amplitude (intensity) depending upon the extent to which the combining waves’ maxima are separated (see Figure 18).

Design, Setting, and Participants  Data analyzed in this cross-sectional study were collected for the period April 25, 2007, to June 30, 2021, from participants in the St. Jude Lifetime Cohort Study (SJLIFE), an ongoing study that quantifies the long-term health outcomes of survivors of childhood cancer. Participants included those treated at St. Jude Children’s Research Hospital (Memphis, Tennessee) for childhood cancer who survived 5 or more years after their original diagnosis and who were eligible for audiologic and neurocognitive testing. Hearing outcomes were coded using the Chang Ototoxicity Grading Scale. Data analysis was performed from March 22, 2021, to March 5, 2021.

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The instantaneous rate of a reaction may be determined one of two ways. If experimental conditions permit the measurement of concentration changes over very short time intervals, then average rates computed as described earlier provide reasonably good approximations of instantaneous rates. Alternatively, a graphical procedure may be used that, in effect, yields the results that would be obtained if short time interval measurements were possible.

Third, data for HI that was considered conductive, noise-induced, or aminoglycoside-related were not available and could not be included in the analyses. Fourth, only a small proportion of survivors for whom a hearing aid was recommended reported using a hearing aid, and data on key variables (eg, years of hearing aid use, hearing aid adherence, and appropriateness of hearing aid fitting) were not available. Thus, we had limited ability to adequately compare neurocognitive function between those who used a hearing aid and those who did not.

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The size of the unit cell and the arrangement of atoms in a crystal may be determined from measurements of the diffraction of X-rays by the crystal, termed X-ray crystallography. Diffraction is the change in the direction of travel experienced by an electromagnetic wave when it encounters a physical barrier whose dimensions are comparable to those of the wavelength of the light. X-rays are electromagnetic radiation with wavelengths about as long as the distance between neighboring atoms in crystals (on the order of a few Å).

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Conflict of Interest Disclosures: Dr Bass reported receiving grants from the National Cancer Institute (NCI) during the conduct of the study. Dr Pappo reported receiving personal fees from Bayer, Loxo, and Merck outside the submitted work. Dr Armstrong reported receiving grants from the NCI during the conduct of the study. Dr Hudson reported receiving grants from the NCI during the conduct of the study. Dr Krull reported receiving grants from the NCI during the conduct of the study. No other disclosures were reported.

Teachable people relish failure. They embrace the idea that every situation has only two outcomes: success or the opportunity to learn. Examining missteps like this takes the punch out of losing and reinforces other skills like humility and thick skin.

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HALT stands for hungry, angry, lonely, or tired. Given that it’s impossible to separate external stress from the customer in front of us, stay vigilant over these physical and emotional states.

Nickel metal crystallizes in a cubic closest packed structure. What is the coordination number of a nickel atom?

A compound of thallium and iodine crystallizes in a simple cubic array of iodide ions with thallium ions in all of the cubic holes. What is the formula of this iodide?

### Casio Computer In Vintage Calculators

To our knowledge, the present study is the first to objectively measure hearing sensitivity and task-specific neurocognitive function in a large cohort of long-term survivors of childhood cancer stratified by treatment exposures. Consistent with our expectations, survivors with severe HI demonstrated impaired function on 1 or more neurocognitive tests. Adjusting for age at diagnosis, time since diagnosis, sex, and relevant treatment factors, neurocognitive deficits were greater for survivors with severe HI vs normal hearing or mild HI, specifically for measures assessing executive function, processing speed, academic function, and intelligence.

The white pigment titanium oxide crystallizes with titanium ions in one-half of the octahedral holes in a closest-packed array of oxide ions. What is the formula of titanium oxide?

That’s not just cliché; it’s science. Change is hard is because our brains literally shape themselves based on how we typically think and act. But, rigidity is only half the story.

On top of the daily stress of serving customers, you could be facing something personal. Maybe you just had a bad start to the day.

The first rule for this method is “Aim high in steering”. Staying alert of the dangers and traffic ahead not only avoids rear-end collisions, but it also alerts other drivers behind your vehicle to slow down. The driver should steer and focus their attention high, so as to view the road as whole and not just a few feet ahead.

Prospective screening and intervention are needed nonetheless to fully understand the developmental sequence of these problems. Second, pretreatment neurocognitive assessment results were not available for survivors included in the study. Baseline neurocognitive testing is often not feasible and likely not a valid indication of typical premorbid functioning in survivors of solid tumors or CNS tumors attributed to young age and life-threatening illness at the time of diagnosis. Furthermore, many cognitive skills (eg, executive function) cannot be tested in a 2- or 3-year-old child.

### Customer service skill 4 clarity

When we multitask, what we’re really doing is “task switching,” which eats up brainpower. Disciple yourself to focus on the customer, the whole customer, and nothing but the customer.