You should take Buy Cenforce 100mg about one hour before you plan to have s*x. Swallow the whole tablet with a glass of water. If you have the impression that the effect of 100mg is too strong or too weak, talk to your doctor or pharmacist.
You should take Buy Cenforce 100mg about one hour before you plan to have s*x. Swallow the whole tablet with a glass of water. If you have the impression that the effect of 100mg is too strong or too weak, talk to your doctor or pharmacist.
We Are Not Restful Anymore… And It’s FineNordic APIs
Because everything is not a “resource” on our drone platform, we were tired of maintaining our RESTFul API.
I’ll talk about the pros and cons of designing an API following the action pattern. Here are a few (- is a con, + is a pro) :
– it is not usual… (we have to deal with developer frustration :)
– there are much more API routes than for RESTFul API (/pet becomes /create-pet, /delete-pet, /update-pet…)
+ it is easier to apply a specific authorization policy on an action (no need to check the content of the request : the route is allowed or not)
+ it’s easier to add a new feature, and not trying to make it fit to the RESTFul principles (especially if more than one resource is involved in this operation)
+ we don’t have to remember all the RESTFul-related status codes. If it’s ok, it’s 200. For every other applicative error, we use the same status code, and maintain a list of error keywords.
+ no more PUT, DEL, UPDATE headaches : we use only POST and GET
+ and more ;)
ECHR procedure na gesaboteerde art 12 SV incl soft antwoord ECHR 2017 low ressiegfried van hoek
IN DUTCH 1st procedure at ECHR. Now many officials are complicit in covering a serious medical surgery crime. In this report 10 years of obstruction of justice are mentioned. Now I have the case far more ready a n extended new criminal complaint will follow soon.
Posted online in approving cooperation of a juridical advising Colleague: Proof of illegal neurosurgery on vertebral section C2-C4 (severe molest under mortal risk or subsidiary attempt of murder also considering letting behind an unused Michel Clip inside the head sagging down inside the Leptomeninges and the pinching of the spinal canal at C3.Next to the medical crime there is sever violation of human rights going on (in the Netherlands).
Ontbijtsessie 06012020 over de zingeving van pijn bij Assadaakasiegfried van hoek
Iedereen krijgt wel eens met diepere pijn te maken, want ook dat hoort bij het leven, want er is ook regen naast zonneschijn en er is geen dag zonxder nacht... Onder dit thema werden gedachten en ervaringen uitgewisseld.
Analysis of the report of the second surgical treatment low ressiegfried van hoek
Finalising proof on medical abuse with this analysis on the medical surgery report next to the layman scan-investigation. In the Netherlands the conspiracy of silence is inside the medical field as well in the juridical field up into the office of (in-)Justice. The earlier proofing on RX and CT scan image fraud is completing evidence on collaboration in concealment of medical crime.
V5 introduction anatomy head and neck low res for background infosiegfried van hoek
Theoretical anatomy support for understanding the presentation V5 on medical abuse with alteration of the left vein drainage in the head and placement of a strangulating ring around the Spinal Canal near C3 ijn the neck (attempt of murder).
Next to the new analysis of the surgery report this is evidence on medical crime in preparation for the ICC. Proof on the active negative involvement by the Dutch legal system in concealment and obstruction of justice will follow later.
V introduction anatomy head and neck for background infosiegfried van hoek
Replacing Medical Intitiation. Case: neurosurgicalo abuse with conspiracy of silence by others then direct offenders. Also by the Dutch government there is an active policy to keep abusive practises under the carpet, and cooperating in prevention cases would come up. Exposition with proof will follow.
Private revieuw 2017 medical crime facts. Ten years of learning and self-correcting did give some results. Patient abuse for other scientific tries (without conscent or need to treat the pathology). In sonspiracy the case is turned down (for the moment).
We Are Not Restful Anymore… And It’s FineNordic APIs
Because everything is not a “resource” on our drone platform, we were tired of maintaining our RESTFul API.
I’ll talk about the pros and cons of designing an API following the action pattern. Here are a few (- is a con, + is a pro) :
– it is not usual… (we have to deal with developer frustration :)
– there are much more API routes than for RESTFul API (/pet becomes /create-pet, /delete-pet, /update-pet…)
+ it is easier to apply a specific authorization policy on an action (no need to check the content of the request : the route is allowed or not)
+ it’s easier to add a new feature, and not trying to make it fit to the RESTFul principles (especially if more than one resource is involved in this operation)
+ we don’t have to remember all the RESTFul-related status codes. If it’s ok, it’s 200. For every other applicative error, we use the same status code, and maintain a list of error keywords.
+ no more PUT, DEL, UPDATE headaches : we use only POST and GET
+ and more ;)
ECHR procedure na gesaboteerde art 12 SV incl soft antwoord ECHR 2017 low ressiegfried van hoek
IN DUTCH 1st procedure at ECHR. Now many officials are complicit in covering a serious medical surgery crime. In this report 10 years of obstruction of justice are mentioned. Now I have the case far more ready a n extended new criminal complaint will follow soon.
Posted online in approving cooperation of a juridical advising Colleague: Proof of illegal neurosurgery on vertebral section C2-C4 (severe molest under mortal risk or subsidiary attempt of murder also considering letting behind an unused Michel Clip inside the head sagging down inside the Leptomeninges and the pinching of the spinal canal at C3.Next to the medical crime there is sever violation of human rights going on (in the Netherlands).
Ontbijtsessie 06012020 over de zingeving van pijn bij Assadaakasiegfried van hoek
Iedereen krijgt wel eens met diepere pijn te maken, want ook dat hoort bij het leven, want er is ook regen naast zonneschijn en er is geen dag zonxder nacht... Onder dit thema werden gedachten en ervaringen uitgewisseld.
Analysis of the report of the second surgical treatment low ressiegfried van hoek
Finalising proof on medical abuse with this analysis on the medical surgery report next to the layman scan-investigation. In the Netherlands the conspiracy of silence is inside the medical field as well in the juridical field up into the office of (in-)Justice. The earlier proofing on RX and CT scan image fraud is completing evidence on collaboration in concealment of medical crime.
V5 introduction anatomy head and neck low res for background infosiegfried van hoek
Theoretical anatomy support for understanding the presentation V5 on medical abuse with alteration of the left vein drainage in the head and placement of a strangulating ring around the Spinal Canal near C3 ijn the neck (attempt of murder).
Next to the new analysis of the surgery report this is evidence on medical crime in preparation for the ICC. Proof on the active negative involvement by the Dutch legal system in concealment and obstruction of justice will follow later.
V introduction anatomy head and neck for background infosiegfried van hoek
Replacing Medical Intitiation. Case: neurosurgicalo abuse with conspiracy of silence by others then direct offenders. Also by the Dutch government there is an active policy to keep abusive practises under the carpet, and cooperating in prevention cases would come up. Exposition with proof will follow.
Private revieuw 2017 medical crime facts. Ten years of learning and self-correcting did give some results. Patient abuse for other scientific tries (without conscent or need to treat the pathology). In sonspiracy the case is turned down (for the moment).
Kerstspecial van Project 7-blad, waarin aandacht is voor een betere (vaak ook alternatieve benadering) van gezondheiszorg en gezonder en bewuster leven. Hierin geef ik relaas van de rechtsverlakking in mijn kwestie en leg ik kort uit hoe dat kan in Nederland. Thans in voorbereiding op formulering Europese Procedure.
The writing is already spread further online by others as well, but in respect to her work and the value of it, just posting it here again with the references at the end, which are not always put online with.
The more people spread the copy, the more democratic awareness on the issue we may get. With gratitude and admiration for Trudy Newman her valuable writing (c) 2003.
Ten dienste van het belang edel-praktiserend arts en integer patiënt. De medische geheimhoudingsplicht welke op de eerste plaats dient ter bescherming van het elan van de beroepsgroep mag niet aangewend mogen worden om (zelfs met voorbedachte rade) medische vergrijpen te kunnen begaan. Als verder zwijgen over kwalijke zaken juist meer schade zal berokkenen aan het elan van de beroepsgroep, dan mag deze doorbroken worden. WELNU...
Fraude tekenen van manipulatie van fysieke rx negatieven gezien vanuit het a...siegfried van hoek
Oorsponkelijk grotendeels al in Medisch Onderzoek deel B: HIER DE MEEST EVIDENTE DETAILS. De samenzweringspraxis tot verzwijgen door derden over voorgaand gepleegd medisch vergrijp, terwijl ze zich konden verschonen van onderzoek. De Eed van Hypocrietus ten voeten uit!
Signs of manipulations of physical rx negatives seen from the aspect of produ...siegfried van hoek
Proof of deliberate Conspiracy of Silence, obstruction of TX CT scan investigation. Medical crime is allowed when kept silent is the conclusion with my study about the praxis in the Netherlands.
In spite of a counter activity (CT 11:11:11) the OLVG CT scan 2016 shows aditional image information supporting the suspician about (secret) vene deviation performed...
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.