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Adapted by permission from Brew B, Sidtis J, Petito DK, Price RW: The neurologic complications of AIDS and human immunode ciency virus infection, in Plum F (ed), Advances in Contemporary Neurology Philadelphia, Davis, 1988, chap 1

present in this manner, but the frequency is far higher, close to twothirds, after the constitutional symptoms and opportunistic infections of AIDS are established In children with AIDS, dementia is more common than all opportunistic infections, over 60 percent of children eventually being affected This disorder takes the form of a slowly or rapidly progressive dementia (loss of retentive memory, inattentiveness, language disorder, and apathy) accompanied by abnormalities of motor function Patients complain of being unable to follow conversations, taking longer to complete daily tasks, and becoming forgetful Inco-ordination of the limbs, ataxia of gait, and impairment of smooth pursuit and saccadic eye movements are usually early accompaniments of the dementia Heightened tendon re exes, Ba-

if( defined $buf ) { if ($buf =~ /exit/i) { print $s "Bye!\n"; $readable->remove($s); $s->close; } elsif ($buf =~ /status/i) { my $uptime = `/usr/bin/uptime`; print $s scalar localtime(time()), ': ',$uptime; } } else { $readable->remove($s); $s->close; print STDERR "Client Connection closed\n"; } } } }

, I(rn\* /trr) 22

Figure 33-2 MRI of AIDS leukoencephalopathy There are large areas of white matter change that underlie one form of AIDS dementia; cortical atrophy and ventricular enlargement are evident

When connecting with a remote socket, you might take it for granted that you know the remote IP address of the machine you are talking to In fact, you can t necessarily guarantee it s the one you expect It s possible for a single name to resolve to a number of IP addresses, and the exact one you have connected to may not be obvious When you are running a script for use as a server, the same problem occurs if you forget to use the IP address returned by the accept function In both cases, you can use the getpeername function to return the IP address of the remote machine you are talking to:

t t -

and smiles, for a slight weakness may be more evident in these circumstances than on movements to command The auditory meati and tympanic membranes should be inspected with an otoscope A 256 double-vibration tuning fork held next to the ear and on the mastoid discloses hearing loss and distinguishes middle-ear (conductive) from neural deafness Audiograms and other special tests of auditory and vestibular function are needed if there is any suspicion of disease of the eighth nerve or the cochlear and labyrinthine end organs (see Chap 15) The vocal cords must be inspected with special instruments in cases of suspected medullary or vagus nerve disease, especially when there is hoarseness Voluntary pharyngeal elevation and elicited re exes are meaningful if there is a difference on the two sides; bilateral absence of the gag re ex is seldom signi cant Inspection of the tongue, both protruded and at rest, is helpful; atrophy and fasciculations may be seen and weakness detected Slight deviation of the protruded tongue as a solitary nding can usually be disregarded The pronunciation of words should be noted The jaw jerk and the snout, buccal, and sucking re exes should be sought, particularly if there is a question of dysphagia, dysarthria, or dysphonia

The function returns the packed sockaddr_in structure of the remote socket connection You ll need to extract the real address with something like this:

, " [ ( r r ) 1/ ( x : ]

plantar response poses special dif culty because several different re ex responses can be evoked by stimulating the sole of the foot along its outer border from heel to toes These are (1) the quick, high-level avoidance response; (2) the slower, spinal exor nocifensive (protective) re ex ( exion of knee and hip and dorsi exion of toes and foot, triple exion ) dorsi exion of the large toe as part of this re ex is the well-known Babinski sign (see Chap 3); (3) plantar grasp re ex; and (4) support reactions Avoidance and withdrawal responses interfere with the interpretation of the Babinski sign and can sometimes be overcome by utilizing the several alternative stimuli that are known to elicit the Babinski response (squeezing the calf or Achilles tendon, icking the fourth toe, downward scraping of the shin, lifting the straight leg, and others) An absence of the super cial cutaneous re exes of the abdominal, cremasteric, and other muscles are useful ancillary tests for detecting corticospinal lesions

print "Remote: ",inet_ntoa((unpack_sockaddr_in(getpeername SOCKET))[1]),"\n";

.

or, grouplng terms:

The opposite is true when a script is acting as a server If you specified one of the wildcard addresses, such as INADDR_ANY, as the address to bind to, then you may not know what you have bound to on a multiple-interface host You can find out that information with getsockname: