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Alcohol treatment has been in rapid evolution over the last 20 years; the treatment population has been extended from the severe alcoholic to include people with a relatively mild alcohol problem and the variety of therapists has been extended to include psychologists, counsellors, nurses and doctors, among others Detoxi cation programmes have also evolved to take advantage of the range of professional skills available and to respond to the changing needs of problem drinkers who have come forward for treatment The aims of a detoxi cation programme are to monitor the severity of withdrawal, identify any complications of withdrawal in order to ensure safety, and to manage withdrawal with a minimum of discomfort for the patient Community-based detoxi cation can be delivered in the home, on an outpatient or daypatient basis or within a supported residential facility.

Home detoxi cation is relatively expensive and should be reserved for people unable to travel to an outpatient unit, for example, people who have child care problems, disabled people, the elderly In rural areas it is likely to be the case that home detoxi cation is more convenient and no more costly than the outpatient option The model of home detoxi cation developed by Stockwell et al (1990) involves daily visits from a psychiatric nurse trained to assess withdrawal and monitor for complications; any prescribing or medical care is provided by a consultant-led team or on a shared care basis with a general practitioner Successful home detoxi cation also requires supportive and sensible friends or relatives to stay with the patient during the detoxi cation For people without a home or without the support of friends or relatives, a community-based facility is a safe alternative to inpatient care.

Configure the PE to associate all routes that lead to a particular site with a particular Target VPN.

For example, in a recent study of 1629 admissions to a detoxi cation centre staffed by care workers, only four people required transfer to psychiatric care and 17 to a general hospital (Mortimer & Edwards, 1994) The homeless tend to drink relatively modest quantities of alcohol, spread throughout the day, and usually do not experience marked withdrawal problems The management of uncomplicated alcohol withdrawal in whatever setting may or may not include the use of medication Whit eld et al (1978) describe the safe detoxi cation of 1024 people who presented to non-drug detoxi cation centres with a variety of medical complications and severities of withdrawal The success of these centres depends upon training staff to feel con dent about monitoring withdrawal in order to identify those clients who are in need.

Reduce by two-thirds 8 oz (250 mL) white wine, 4 oz (125 g) chopped shallots, 1 2 tsp (2 mL) crushed peppercorns. Add 1 qt (1 L) demi-glace and simmer 20 minutes. Season with cayenne to taste and strain.

Telephone: 86 10 85229344 Web: www.chinacetm.com The China Economic Trade Herald is the publication of the National Development and Reform Commission. Its mission is to develop a comprehensive study of economic and social development policies.

The prime numbers are the positive whole numbers with no proper divisors; that is, the only numbers that divide a prime number are 1 and the number itself By definition, 1 is not prime; so the primes are {2, 3, 5, 7, 11, ..} The fundamental theorem of arithmetic states that each natural number greater than 1 factors into prime numbers in a way that is unique up to the order of the factors It is easy to find prime numbers and multiply them together to give a composite number, but much harder to resolve a composite number into its factors The largest composite product of two large random primes to have been factorized to date was 512 bits (155 digits) long; when such a computation was first done, it took several thousand MIPS-years of effort.

Recently, however, some Swedish students managed to factor a 512-bit number surreptitiously to solve a challenge cipher, so 512-bit composite numbers are now no more secure than 56-bit DES keys However, it is believed that a similar number of 1024 bits length could not be factored without an advance in mathematics The algorithm commonly used to do public key encryption and digital signatures based on factoring is RSA, named after its inventors Ron Rivest, Adi Shamir, and Len Adleman [649] It uses Fermat s (little) theorem, which states that for all primes p not dividing a, a p 1 1 modulo p (Proof: take the set {1, 2, ... p 1} and multiply each of them modulo p by a, then cancel out (p 1)! each side.

THE POWER OF POSITIVE PRAISE You should now have a sheet of paper that looks like this: