It may sound absurd, but in Murakami's fiction, mental fissures crack as loudly as broken bones.
The exclusion criteria were systemic or chronic diseases such as heart disease, congenital physical or mental disability, full-coverage restoration in a permanent tooth, filling or fissure sealant on the buccal or palatal surfaces, orthodontic brackets, lack of parental consent to participate in research and lack of cooperation with the examination.
Atrio-acro-renal syndrome [ 44 ] of partial trisomy 4q is characterised by mental retardation, dysplastic ears with large antihelix, anti-mongoloid palpebral fissures, malformations of the fingers and thumb, renal malformations (horseshoe kidney, renal hypoplasia, ureteral reflux with or without hydronephrosis), congenital heart disease and cryptorchidism [ 44, 45 ].
The iNPH was clinically diagnosed in these patients according to the standard classic triad of gait impairment, urinary incontinence and impaired mental function, supported by ventricular dilatation and dilatation of Sylvian fissures, and narrowing of sulci and subarachnoid spaces over the high convexity without significant cerebral atrophy on CT or MRI.
In the same way that an X-ray confirms a bone fissure, a brain scan seems to offer an objective measure of mental activity.
Under the direction of Beverly Olevin, Ruskin's irascible father is too unsympathetic but he does show the fissures of uncertainty in a once-proud man as he realizes his growing mental feebleness.
So there was little fire from the Jets, only a sober acknowledgment that their offense, in particular, was in trouble and that their mental state was -- as Groh volunteered in his postgame remarks last Sunday -- vulnerable to internal fissure.
Both patients showed common manifestations associated with DG/VCFS, including malformations of the cardiovascular system (aberrant origin of subclavian artery/pulmonary stenosis), facial dysmorphic features (long face, small ears, narrow palpebral fissures, prominent tubular nose), velopharingeal insufficiency with severe hipernasality, motor delay, cognitive deficit and mild mental retardation.
The fatal fissure was there.
." The fatal fissure was there.
But a fissure is growing.
