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The long straddle is created by buying a put and a call with the same underlying, at the same strike price, and in the same contract month. The options being bought at the same strike price create an automatic delta-neutral situation, and typically these options are bought either at the money or somewhat close to the money. The delta of any call and put at the same strike price should always

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maculum, sausage ) These changes were not observed in the sural nerve of a sporadic case of recurrent acute brachial plexus neuropathy but they are now appreciated as relatively nonspeci c The genetic basis for this is not established precisely but genetic linkage studies map the disease to human chromosome 17q25 in many families Another cause of recurrent brachial palsy, or of derivative syndromes involving nerves in the arms, is hereditary neuropathy with pressure palsies (HNPP) discussed in the earlier section on inherited neuropathies As commented there, the gene defect is also on chromosome 17, but it is not the one associated with familial brachial neuritis (see Chance et al) Some confusion has arisen because CMT1A, HNPP, and the familial brachial palsy disease all have chromosome 17 defects Pressure palsies in HNPP are painless, and there is usually an underlying and slowly advancing polyneuropathy.

In some families, such as the one reported by Thomas and Ormerod, the distinction between HNA and HNPP was dif cult since the recurrent brachial plexopathies were painful (consistent with the former) but there was also a painless multifocal sensory neuropathy (consistent with the latter) Brachial Neuropathy following Radiation Therapy This is usually a complication of irradiation of the axilla for carcinoma of the breast Stoll and Andrews studied a group of 117 such patients who were treated with high-voltage, small- eld therapy and had received either 6300 or 5775 cGy in divided doses Of those receiving the larger dose, 73 percent developed weakness and sensory loss in the hand and ngers between 4 and 30 months after treatment, most of them after 12 months.

long What makes this task quite easy is that primes are abundant a random n-bit number has roughly a one-in-n chance of being prime (actually about 1/(ln 2 n ) 144/n) For instance, about 1 in 20 social security numbers is prime! Lagrange s prime number theorem Let (x) be the number of primes x Then (x) x/(ln x), or more precisely, (x) = 1 lim x (x/ ln x) Such abundance makes it simple to generate a random n-bit prime: Pick a random n-bit number N Run a primality test on N If it passes the test, output N ; else repeat the process How fast is this algorithm If the randomly chosen N is truly prime, which happens with probability at least 1/n, then it will certainly pass the test So on each iteration, this procedure has at least a 1/n chance of halting.

In one autopsied case, the brachial plexus was ensheathed in dense brous tissue; distal to this zone, both myelin and axons had disappeared (secondary to wallerian degeneration), presumably as a result of entrapment of nerves in brous tissue; possibly a vascular factor was also operative Kori and coworkers, who analyzed the brachial plexus lesions in 100 patients with cancer, also found that doses exceeding 6000 cGy were associated with radiation damage Usually the upper plexus was involved and was associated with a painless lymphedema In patients who received lower doses, the development of brachial plexopathy usually indicated tumor in ltration; these lesions affected the lower plexus more than the upper; they were often painful and accompanied by a Horner syndrome (see also Lederman and Wilbourn).

Rarely, radiation may give rise, many years later, to a malignant tumor of nerve or the surrounding connective tissue, a sarcoma in one case familiar to us Myokymic discharges and fasciculations are particularly suggestive of radiation damage..

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