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the end of the following 6 months, 8 of every 100 patients had died of the original hemorrhage and 59 had had a recurrence (with 40 deaths), making a total of 48 deaths and 52 survivors In regard to recurrence of bleeding, it was found that of 50 patients seen on the rst day of the illness, 5 rebled in the rst week (all fatal), 8 in the second week (5 fatal), 6 in the third and fourth weeks (4 fatal), and 2 in the next 4 weeks (2 fatal), making a total of 21 recurrences (16 fatal) in 8 weeks The most comprehensive long-term analysis of the natural history of the disease is contained in the report of the Cooperative Study of Intracranial Aneurysms and Subarachnoid Hemorrhage (Sahs et al) This study was based on long-term observations of 568 patients who sustained an aneurysmal bleed between 1958 and 1965 and were managed only by a conservative medical program A follow-up search in 1981 and 1982 disclosed that 378, or twothirds of the patients, had died; 40 percent of the deaths had occurred within 6 months of the original hemorrhage For the patients who survived the original hemorrhage for 6 months, the chances of survival during the next two decades were signi cantly worse than those of a matched normal population Rebleeding occurred at a rate of 22 percent per year during the rst decade and 086 percent per year during the second Rebleeding episodes were fatal in 78 percent of cases These statistics, however, also re ect the outcome prior to the modern era of microsurgery and neurologic intensive care management One would expect these gures to have improved in recent years, but the change has not been striking In a prospective clinical trial conducted by the International Cooperative Study in 1990 and based on observations of 3521 patients (surgery performed in 83 percent), it was found, at the 6-month evaluation, that 26 percent of the patients had died and 58 percent had made a good recovery (Kassell et al) Vasospasm and rebleeding were the leading causes of morbidity and mortality in those who survived the initial bleed In respect to rebleeding, all series indicate that the risk is greatest in the rst day but extends for weeks The observations of Aoyagi and Hayakawa are similar to those of other series; they found that rebleeding occurred within 2 weeks in 20 percent of patients, with a peak incidence in the 24 h after the initial episode Treatment This is in uenced by the neurologic and general medical state of the patient as well as by the location and morphology of the aneurysm Ideally, all patients should have the aneurysmal sac obliterated, but the mortality is high if the patient is stuporous or comatose (grade IV or V, see below) Before deciding on a course of action, it has been useful to assess the patient with reference to the widely employed scale introduced by Botterell and re ned by Hunt and Hess, as follows: Grade I Asymptomatic or with slight headache and stiff neck Grade II Moderate to severe headache and nuchal rigidity but no focal or lateralizing neurologic signs Grade III Drowsiness, confusion, and mild focal de cit Grade IV Persistent stupor or semicoma, early decerebrate rigidity and vegetative disturbances Grade V Deep coma and decerebrate rigidity The general medical management in the acute stage includes the following, all or in part: bed rest, uid administration to maintain above-normal circulating blood volume and central venous pressure, use of elastic stockings and stool softeners; administration of beta blockers, calcium channel blockers, intravenous nitroprus-.

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print "Group of current($$): ", getpgrp(0), ", parent(",getppid,"):", getpgrp(getppid),"\n";

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If you do not specify a process, or use a process ID of 0, it returns the process group of the current process You can daemonize a process that is, make it act like a typical Unix daemon process that runs in the background without a controlling terminal by calling the setpgrp function A daemon process is one that is running in the background, and by using setpgrp, you can emulate a Unix command line like this: