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StringBuffer dateBuf = new StringBuffer(); if (billingDate != null) { SimpleDateFormat formatter = new SimpleDateFormat(DATE_FORMAT); formatter.setLenient(false); formatter.format(billingDate, dateBuf, new FieldPosition(0)); } return dateBuf.toString(); } public void setAmount(BigDecimal amount) { this.amount = amount; } public BigDecimal getAmount() { return amount; } public String getAmountAsString() { String amountString = ; try { if (amount != null) { amount = amount.setScale(CURRENCY_SCALE, BigDecimal.ROUND_HALF_UP); amountString = NumberFormat.getInstance().format( amount.doubleValue()); } } catch (IllegalArgumentException e) { throw new NumberFormatException( Unable to format value + amount + as BigDecimal ); } return amountString; } }

balance Their symptoms do not respond to Sinemet or any other form of levodopa Arteriosclerotic palsy (pseudobulbar palsy), the result of many small strokes in patients with high blood pressure or diabetes, is another look-alike Patients may be unaware of these small strokes, but the damage caused to the brain affects balance and walking Antiparkinson medications do not control the symptoms of this condition Progressive supranuclear palsy is a look-alike that causes paralysis of the movements of the eyes, speech problems, rigidity, and symptoms of senility It does not respond to antiparkinson medications Wilson s disease, which causes copper to accumulate in the liver and the brain, appears in patients under forty years of age (This disease can be controlled effectively if it is diagnosed early enough) An unusual look-alike called olivopontocerebellar degeneration causes difficulty with balance and walking, and possibly tremor, but no rigidity or slowness of movement.

In endurance events the energy supply for the muscle largely comes from the aerobic metabolism of glucose which is able to generate large amounts of ATP at a slower rate There is an increasing contribution from the aerobic metabolism of fat, which cannot be metabolised anaerobically, the longer the exercise is maintained In aerobic endurance events the work intensity in the muscle is at a level which is sustainable by aerobic metabolism Rationale and evidence for the use of creatine supplements Creatine has been widely promoted and used as a legal performance enhancer or ergogenic aid by athletes Given its role in replenishing ATP in the rst few seconds of intense exercise there are theoretical grounds for believing that increases in phosphocreatine levels in muscles might be useful in maintaining maximum work output in those activities that involve a single burst or multiple short bursts of intense activity.

It does not respond to antiparkinson medications Dystonia is an inherited, progressive disease (that begins in childhood), in which unusual postures develop in the head, the arms, the legs, and the body Another form of dystonia that affects only the head and the neck begins in adulthood Brain tumors can sometimes be confused with Parkinson s disease Today, CAT scans or MRI scans are used to rule out the possibility of a brain tumor Are patients ever misdiagnosed Yes, sometimes they are I have included this information about diseases that are sometimes diagnosed as Parkinson s disease for people who have doubts about their diagnosis or the efficacy of their medication If you have been diagnosed as having Parkinson s, but your medications, particularly Sinemet, haven t helped your symptoms, you owe it to yourself to get the opinion of another neurologist or a Parkinson s specialist.

It was rst shown by Harris et al (1992) that creatine supplements could increase the phosphocreatine concentration in skeletal muscle They used 20 g of creatine per day for ve days and they split this 20 g/day into four 5 g aliquots This amount of creatine is well beyond that which could be obtained from boosting meat intake; Harris et al (1992) suggest that a single 5 g supplement is equivalent to eating over a kilogram of raw steak The average increase in muscle creatine recorded in this study amounted to around 20% with the biggest increases seen in those who had the lowest initial levels; those with baseline levels towards the top of the maximum normal range showed a lesser increase Subsequent studies have shown that the increase in muscle creatine induced by this rapid loading technique can be maintained with a smaller 2 g/daily maintenance supplement.

In conclusion, I want to mention that because the information for this chapter (except for anecdotal material) comes from medical and scientific literature, you can turn to the list of sources in the appendixes if you wish to know more about any of the topics..

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