To become a green thumb, learn professional secrets for caring for indoor plants to achieve the best results. Tips are also provided on planting bulbs and all-year-round lawn care. Additional planting tips and thinking green can be found through the provided link.
Tractament i publicació d'imatge i vídeo ipract1Marcos Baldovi
En el tractament i publicació d'imatge i vídeo es deprenen conceptes teòrics sobre la imatge i el vídeo. L'estudi dels processos com l'emmagatzemant o les operacions de modificat i processat a través de matrius i operacions matemàtiques.
Els softwares utilitzats al llarg del curs són: Processing (operacions matemàtiques) i After Effects.
This document discusses plans to open a new theme park, including:
- The target demographic is tourists and extreme activity enthusiasts aged 15-34 from mid-to-high income brackets.
- Potential competitors like Legoland are mentioned, which targets families but has small areas and boring activities.
- The theme park will be managed as a private limited company to limit liability but allow for higher capital investment and employee ownership.
- Financial projections estimate $200 million MYR in annual revenue with 2 million visitors annually and $230 million total initial capital from owners, loans, and shareholders.
The document is an advertisement for a product called "Get Rid of Herpes" that claims to have discovered a simple and cheap method for permanently curing herpes that has been suppressed by drug companies for profit reasons. It argues that mainstream doctors will not inform people about this method. The product teaches a protocol using natural remedies and substances to kill the herpes virus and cure outbreaks at home, without using expensive medications. It promises to reveal why this method works and how readers can copy it to get rid of their herpes for good.
To become a green thumb, learn professional secrets for caring for indoor plants to achieve the best results. Tips are also provided on planting bulbs and all-year-round lawn care. Additional planting tips and thinking green can be found through the provided link.
Tractament i publicació d'imatge i vídeo ipract1Marcos Baldovi
En el tractament i publicació d'imatge i vídeo es deprenen conceptes teòrics sobre la imatge i el vídeo. L'estudi dels processos com l'emmagatzemant o les operacions de modificat i processat a través de matrius i operacions matemàtiques.
Els softwares utilitzats al llarg del curs són: Processing (operacions matemàtiques) i After Effects.
This document discusses plans to open a new theme park, including:
- The target demographic is tourists and extreme activity enthusiasts aged 15-34 from mid-to-high income brackets.
- Potential competitors like Legoland are mentioned, which targets families but has small areas and boring activities.
- The theme park will be managed as a private limited company to limit liability but allow for higher capital investment and employee ownership.
- Financial projections estimate $200 million MYR in annual revenue with 2 million visitors annually and $230 million total initial capital from owners, loans, and shareholders.
The document is an advertisement for a product called "Get Rid of Herpes" that claims to have discovered a simple and cheap method for permanently curing herpes that has been suppressed by drug companies for profit reasons. It argues that mainstream doctors will not inform people about this method. The product teaches a protocol using natural remedies and substances to kill the herpes virus and cure outbreaks at home, without using expensive medications. It promises to reveal why this method works and how readers can copy it to get rid of their herpes for good.
The document is an advertisement for a product called "Get Rid of Herpes" that claims to have discovered a simple and cheap method for permanently curing herpes that has been suppressed by drug companies for profit reasons. It argues that mainstream doctors will not inform people about this method. The product teaches a protocol using natural remedies and substances to kill the herpes virus and cure outbreaks at home, without using expensive medications. It promises to reveal why this method works and how readers can copy it to get rid of their herpes for good.
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
The document is an advertisement for a product called "Get Rid of Herpes" that claims to have discovered a simple and cheap method for permanently curing herpes that has been suppressed by drug companies for profit reasons. It argues that mainstream doctors will not inform people about this method. The product teaches a protocol using natural remedies and substances to kill the herpes virus and cure outbreaks at home, without using expensive medications. It promises to reveal why this method works and how readers can copy it to get rid of their herpes for good.
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
2. Get
Rid
of
Herpes
Do
you
have
Herpes
Simplex
Virus
Type
2
(Genital
Herpes)?
Are
you
sick
of
hearing
the
following?
• You
will
have
to
live
with
HSV
2
for
the
rest
of
your
life.
• You
can't
ever
get
rid
of
herpes?
• Worse
sAll,
maybe
you
had
a
really
helpful
doctor
like
I
did
that
casually
told
me
that
I
shouldn't
ever
have
sex
again.
FinestHerpesCure.com
3. Get
Rid
of
Herpes
The
Simple
Herpes
Remedy
The
Drug
Companies
Want
to
Keep
Secret
Why…Because
it
can’t
be
patented
or
profited
from.
Most
people
sAll
believe
that
there
is
no
way
to
get
rid
of
herpes.
I
doubted
I
could
ever
stop
my
herpes
outbreaks,
yet
I
did.
In
fact
once
I
knew
how,
it
was
actually
very
straight
forward
not
to
menAon
cheap,
I
only
wished
I
had
known
about
it
a
couple
of
years
ago.
FinestHerpesCure.com
4. Get
Rid
of
Herpes
So
why
hasn't
my
doctor
recommended
this
miraculous
herpes
treatment?.
• First
off
your
Doctor
will
never
prescribe
this
herpes
treatment,
even
though
most
of
them
will
be
well
aware
of
it's
effecAveness,
that
is
unless
you
live
in
Germany
where
the
method
has
remained
in
popular
use
since
the
forAes.
• It's
not
a
licensed
medicaAon,
you'll
be
told
that
there
is
no
medical
evidence
that
it
works.
• It
has
not
been
evaluated
by
the
FDA,
but
nor
has
Green
Tea.
FinestHerpesCure.com
5. Get
Rid
of
Herpes
The
real
reason
you
won't
hear
about
this
simple
herpes
treatment
protocol
boils
down
to
profits.
You
see
the
main
ingredient
can't
be
patented
which
means
the
drug
companies
can't
control
it.
Believe
it
or
not,
If
everyone
suffering
with
herpes
dumped
the
expensive
anAvirals
and
decided
to
treat
their
condiAon
using
this
simple
procedure
the
huge
drug
companies
would
suffer
catastrophic
losses.
FinestHerpesCure.com
6. Get
Rid
of
Herpes
You
may
not
want
to
believe
statements
like
that
&
I
won't
try
to
convince
you
otherwise
but
the
fact
remains
that
this
simple
procedure
has
been
used
for
decades
to
actually
kill
viruses.
So,
do
you
really
want
to
Get
Rid
of
Herpes
&
stop
outbreaks?
Are
you
sick
of
being
told
you’ll
have
to
live
with
herpes
by
uninterested
doctors?
Fed
up
with
taking
expensive
&
ineffecAve
medicaAon…
FinestHerpesCure.com
7. Get
Rid
of
Herpes
Is
genital
herpes
sNll
a
persistent
problem
for
you,
does
it
get
you
down?.
Are
you
sick
and
Nred
of
uninterested
doctors
and
ineffecNve
symptomaNc
treatments?.
If
your
anything
like
I
was,
your
probably
running
out
of
opAons
and
entering
a
state
of
despair,
&
I
completely
understand
how
you
feel,
only
someone
who
has
been
where
you
are
now
can
truly
understand
what
your
going
through
and
that's
why
I
decided
to
publish
my
findings.
FinestHerpesCure.com
8. Get
Rid
of
Herpes
Get
Rid
of
Herpes
details
a
unique
method
of
actually
killing
viral
pathogens
responsible
for
the
herpes
virus
as
well
as
a
quick
and
natural
method
for
healing
herpes
blisters.
This
method
is
suitable
for
both
men
&
woman.
This
is
a
simple
and
powerful
self
treatment
process
which
borrows
it's
formulaAon
directly
from
tried
and
tested,
scienAfic
facts
as
well
as
age
old
remedies.
FinestHerpesCure.com
9. Get
Rid
of
Herpes
Heal
Herpes
Rash
In
Days
&
Stop
Further
Outbreaks:
This
is
a
real
soluAon
to
herpes,
I
know
you've
been
told
Ame
and
Ame
again
that
you
can't
get
rid
of
herpes,
but
that's
just
not
the
case.
You
really
can
stop
outbreaks
using
a
modified
version
of
a
simple
therapy
used
by
thousands
of
European
doctors,
naturopath's,
homeopaths
&
alternaNve
health
pracNNoners.
FinestHerpesCure.com
10. Get
Rid
of
Herpes
This
same,
simple
herpes
protocol
has
been
used
to
treat
the
condiAon
for
decades!
The
only
reason
you
don't
know
about
it
is
because
the
drug
companies
don't
want
you
too.
Healing
herpes
doesn't
have
to
be
complicated
or
expensive,
In
fact
it's
neither.
FinestHerpesCure.com
11. Get
Rid
of
Herpes
You
can
stop
herpes
outbreaks
permanently,
and
furthermore
you
can
do
it
all
quickly,
cheaply
and
from
the
privacy
of
your
own
home.
FinestHerpesCure.com
• No
More
Uninterested
Doctors
• No
More
Expensive
Supplements
• No
More
Embarrassment
• No
More
IneffecAve
Drugs
• No
More
Pointless
Creams
• No
More
Depression
Just
a
life
free
of
herpes
12. Get
Rid
of
Herpes
I
know
your
probably
sNll
scepNcal,
I
know
I
was,
but
the
fact
remains
that
this
is
the
only
method
I
know
of
that
actually
kills
the
cause
of
herpes.
Anyone
who
suffers
with
herpes
and
desperately
wants
to
get
rid
of
it
should
have
access
to
this
method
which
is
why
I'm
guaranteeing
this
informaAon
will
help
you
get
rid
of
herpes.
FinestHerpesCure.com
13. Get
Rid
of
Herpes
Get
Rid
of
Herpes
is
unlike
anything
you
have
ever
seen.
It
show's
you
exactly
how
to
copy
my
simple
method
and
treat
your
own
condiAon
at
home
regardless
of
how
severe
your
herpes
is
right
now.
I
will
tell
you
how
to
accomplish
this
permanent
relief
from
outbreaks
without
any
drugs
whatsoever
(and
that
includes
supplements
&
herbal
herpes
formulaAons).
FinestHerpesCure.com
14. Get
Rid
of
Herpes
Here
are
just
a
few
of
the
amazing
things
you
will
discover:
• What
herpes
really
is,
understand
this
&
you
will
understand
how
it's
possible
to
stop
outbreaks
• Why
lacking
in
one
important
element
leaves
you
at
the
mercy
of
herpes
outbreaks
• An
easy
to
follow
detailed
herpes
relief
protocol
• The
real
reason
this
amazing
herpes
remedy
has
been
deliberately
covered
up
FinestHerpesCure.com
15. Get
Rid
of
Herpes
• Why
this
simple
&
cheap
protocol
is
so
effecAve
against
the
herpes
simplex
virus
• How
this
science
based,
proven
method
allows
your
body
to
kill
the
herpes
virus
• How
to
quickly
get
rid
of
herpes
rash
using
another
amazing
and
cheap
substance
• And
lots
more
FinestHerpesCure.com
16. Find
out
more
about
Get
Rid
of
Herpes
By
clicking
on
the
link
below
Or,
visit
FinestHerpesCure.com