Blood tests, lumbar puncture or toxicology screening can be helpful in specific circumstances suggestive of an underlying cause like alcohol or benzodiazepine withdrawal, meningitis or drug overdose, but there is insufficient evidence to support their routine use in the work-up of an adult with an apparently unprovoked first seizure.

Phenobarbital sodium injection can be used to stop acute convulsions or status epilepticus, but a benzodiazepine such as lorazepam, diazepam or midazolam is usually tried first.

In the patients that do achieve lasting ( longer than six months ) abstinence from opioids, over 40 % become addicted to alcohol and / or benzodiazepine drugs, and a small percentage become addicted to amphetamines, cocaine, or marijuana, with over 50 % of those remaining abstinent from opioids as per the aforementioned criterion becoming addicted to another drug to the degree of significant medical, psychosocial, or legal consequences, often just as bad as if not worse than the situation of the patient who first sought out opioid replacement therapy, in a phenomenon called cross-addiction.

The earliest certain ancestor of " A " is aleph ( also called ' aleph ), the first letter of the Phoenician alphabet ( which, by consisting entirely of consonants, is an abjad rather than a true alphabet ).

The X3 committee also addressed how ASCII should be transmitted ( least significant bit first ), and how it should be recorded on perforated tape.

In the first large-scale depictions during the early archaic period ( 640 – 580 BC ), the artists tried to draw one's attention to look into the interior of the face and the body which were not represented as lifeless masses, but as being full of life.

Tadpoles have cartilaginous skeletons, gills for respiration ( external gills at first, internal gills later ), lateral line systems and large tails which they use for swimming.

* Ada Lovelace ( 1815 – 1852 ), the first computer programmer

In the left part there were four beads, which in the first row have unitary values ( 1, 2, 3, and 4 ), and in the right side there are three beads with values of 5, 10, and 15 respectively.

In order to know the value of the respective beads of the upper rows, it is enough to multiply by 20 ( by each row ), the value of the corresponding account in the first row.

The English word alphabet came into Middle English from the Late Latin word alphabetum, which in turn originated in the Greek ἀλφάβητος ( alphabētos ), from alpha and beta, the first two letters of the Greek alphabet.

Nevertheless, in spite of Rutherford's estimation that gold had a central charge of about 100 ( but was element Z = 79 on the periodic table ), a month after Rutherford's paper appeared, Antonius van den Broek first formally suggested that the central charge and number of electrons in an atom was exactly equal to its place in the periodic table ( also known as element number, atomic number, and symbolized Z ).

In writing, the sentence can be rewritten to reduce possible misinterpretation, either by adding a comma after " taxes " ( to convey the first sense ) or by changing " which " to " that " ( to convey the second sense ), or by rewriting it in other ways.

* In 1870 the small City of Ragusa ( Dubrovnik ) became the first small Lifeboat to cross the Atlantic from Cork to Boston with two men crew, John Charles Buckley and Nikola Primorac ( di Costa ), only.

* In 1999, after rowing for 81 days and 4, 767 kilometres ( 2, 962 mi ), Tori Murden became the first woman to cross the Atlantic Ocean by rowboat alone when she reached Guadeloupe from the Canary Islands.

The order is thought to have first diverged from other related monocots some 120-130 million years ago ( early in the Cretaceous period ), although given the difficulty in classifying the families involved, estimates are likely to be uncertain.

The name was first used in the English language in 1768 by R. Edwin in a colorful description of a large snake found in Ceylon ( now Sri Lanka ), most likely a reticulated python, Python reticulatus.

The 21st chapter was omitted from the editions published in the United States prior to 1986 .< ref > Burgess, Anthony ( 1986 ) A Clockwork Orange Resucked in < u > A Clockwork Orange </ u >, W. W. Norton & Company, New York .</ ref > In the introduction to the updated American text ( these newer editions include the missing 21st chapter ), Burgess explains that when he first brought the book to an American publisher, he was told that U. S. audiences would never go for the final chapter, in which Alex sees the error of his ways, decides he has lost all energy for and thrill from violence and resolves to turn his life around ( a slow-ripening but classic moment of metanoia — the moment at which one's protagonist realises that everything he thought he knew was wrong ).

He was the fourth child of Ondrej Varchola ( Americanized as Andrew Warhola, Sr., 1889 – 1942 ) and Júlia ( née Zavacká, 1892 – 1972 ), whose first child was born in their homeland and died before their move to the U. S. Andy had two older brothers, Paul, born about 1923, and John, born about 1925.

In three arduous campaigns, the first two of which were conducted by the emperor himself while the third was directed by Manuel Comnenos ( great-uncle of Emperor Manuel Comnenos ), the Turks were defeated in detail in 1070 and driven across the Euphrates.

The word " alphabet " in English has a source in Greek language in which the first two letters were " A " ( alpha ) and " B " ( beta ), hence " alphabeta ".

Van Vogt's first published SF story, " Black Destroyer " ( Astounding Science Fiction, July 1939 ), was inspired by Voyage of the Beagle by Charles Darwin.

The triangle in the glass tube contains the first sample of americium ( as the hydroxide ), produced in 1944.

For example, the analysis of the debris at the testing site of the first U. S. hydrogen bomb, Ivy Mike, ( 1 November 1952, Enewetak Atoll ), revealed high concentrations of various actinides including americium ; due to military secrecy, this result was published only in 1956.

In English the noun alpha is used as a synonym for " beginning ", or " first " ( in a series ), reflecting its Greek roots.

According to Lovecraft's " History of the Necronomicon " ( written 1927, first published 1938 ), Alhazred was:

In 1930 the Lauberhorn Rennen ( Lauberhorn Race ), was run for the first time on the Lauberhorn above Wengen ; the equally demanding Hahnenkamm was first run in the same year in Kitzbühl, Austria.

But her prettiness was what he had noticed first, and all the other things had come afterward: cruelty, meanness, self-will.

There was an artificial lake just out of sight in the first stand of trees, fed by a half dozen springs that popped out of the ground above the hillside orchard.

The first part of the road was steep, but it leveled off after the second bend and curled gradually into the valley.

No one was behind it, but in the rear wall of the office I noticed, for the first time, a door which had been left partially open.

The herd was watered and then thrown onto a broad grass flat which was to be the first night's bedground.

Once again, Tom Horn was the first and most likely suspect, and he was brought in for questioning immediately.

For Matilda, it was the first she had known in many a night.

Even the knowledge that she was losing another boy, as a mother always does when a marriage is made, did not prevent her from having the first carefree, dreamless sleep that she had known since they dropped down the canyon and into Bear Valley, way, way back there when they were crossing those other mountains.

Stevens was grunting over the last empty pocket when Russ abruptly rose and lunged toward Carmer's hat, which had tumbled half-a-dozen feet away when he first fell.

The Indian's arm whipped sidewise -- there was a flash of amber and froth, the crash of the bottle shattering against the side of the first car.

It was her first smile.

At first, I thought he was out of his head, talking wildly like this.

Hell, I gave him the first decent job he ever had, six, seven -- how many years ago was it, Rob ''??

Miss Langford ( her first name was Evelyn ) was an attractive girl.

School began in August, the hottest part of the year, and for the first few days Miss Langford was very lenient with the children, letting them play a lot and the new ones sort of get acquainted with one another.

It was just as well that the ignorant Dandy enjoyed himself to the hilt that first evening, for the room was to become his prison cell.

`` Bastards '', he would say, `` all I did was put a beat to that Vivaldi stuff, and the first chair clobbered me ''!!

In 1961 the first important legislative victory of the Kennedy Administration came when the principle of national responsibility for local economic distress won out over a `` state's-responsibility '' proposal -- provision was made for payment for unemployment relief by nation-wide taxation rather than by a levy only on those states afflicted with manpower surplus.

The first systematic thinking about this Pandora's box within Pandora's boxes was done four years ago by Fred Ikle, a frail, meek-mannered Swiss-born sociologist.

The smell at first was more surprising than unpleasant.

His collaboration with Washington, begun when he was the general's aide during the Revolution, was resumed when he entered the first Cabinet as Secretary of the Treasury.