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By: J. Eduardo Calonje, MD, DipRCPath

  • Director of Diagnostic Dermatopathology, Department of Dermato-Histopathology, St John's Institute of Dermatology, St Thomas' Hospital, London, UK

It was intended to erectile dysfunction systems cialis 20mg low cost halt here for the day but the plans were suddenly changed at about 4:30 olclock p erectile dysfunction treatment otc generic cialis 5mg overnight delivery. On account of the critical condition of nColonelH Mauro Dominguez erectile dysfunction 55 years old cialis 10mg visa, he was left in the vicinity of the ranch in care of the natives erectile dysfunction doctors fort worth buy cialis 20 mg online, and "Major" Alberto Camargo, who died during the halt Yyasburied before departure. At midnight the detachrrant passed in the vicinity of the pueblo of Cusihuiriachic. March 30,- the march of the Fernandez detachment with Villa was again resumed at about 7:00 a. Since leaving Cuidad Guerrero the men of the detachment had had but very little nourishment. A short march of about two hours was made to the south off the trail so as to preclude all probability of discovery. Horses are again quickly saddled on information that a Carranza force is moving south and at about 4:00 p. The road this day was unusually rough and the intermittent snow falling during the day caused the road to be slippery and dangerous; at a dintance of about three miles north of Cienegitta (Perez Ranch) one of the wheels of the vehicle Villa had occupied broke and the vehicle wns abandoned. The detachment marched south by a ranch road in the direction of Santa Ana, passing to the east of San Borja. Villa was left at a short distance from the house with an escort of ten men, while the detachment under Fernandez and the other wounded entered and occupied the pueblo of Santa Ana. Fernandez carried an autograph letter from Villa dated Cuidad Guerrero, March 27, which he handed to one Mariano Rermandez; the letter requested Hernandez to provide for the wounded, he, Villa, was sending him. Rodriquez visited Villa in the outskirts of Santa Ana and arranged for a hiding place for him; With Rodriquez a8 guide, Villa and escort are led to a water hole about ten miles southeast of Santa Ana called Ojitoe. In order to reach this place of concealment it was necessary for Villa to ride a horse. A messenger had been sent in advance to one Gorgonio Beltran of Santa Cruz de Herrera, asking him to come to El Aguage for conference. April 10, - Villa leaves the vicinity of El Aguaje this date and marches to the vicinity of Santa Cruz de Herrera, arriving there the ssme day. Since Villa was wounded at Guerrero he had made it a practice not to remain within the limit of any pueblo overnight. He made no exceptions ut the pueblo Santa Cruz de Herrera; his camp was established at a point about one mile from the group of houses which constitute the pueblo. Villa is quoted as saying: "It vrasthe closest call to capture I have ever had in my life; I was actually in very great danger. I- "Colonel" Candelario Cervantes vrithhis force, estimated at two hundred men, after his retreat from Guerrero to Arisiachic, March 29, sought to avoid encounter with the U. He alone of the Villa leaders, however, re,:ained within the zone of operations of the U. He was pursued constantly and vigorously and on April 22, forced to fight at the pueblo of Tomochic. On May 1, the Cervantes detachment had been reduced to a small folloaing not exceeding fifty, and on May 25, in an encounter with a small detachment of U. The number of his followers was further reduced at this time to about twenty, remained in the mountains in the vicinity of Namiquipa until about June 27, when they were granted amnesty by the Carranza authorities and returned to their homes. April 13 to May 31 - "General" Villa remained undisturbed in a house in the outskirts of the pueblo of Santa Cruz de Herrera from April 13 until May 31, under the care of "Colonel" Gorgonio Beltran. For the purpose of security and information a local guard was organized under the command of "General" Gorgonio Beltran. June 1, - Villa left Santa Cruz de Herrera on this date to join his forces operating in the vicinity of Rio Florid0 (Villa Coronada on map). His wound had not healed, but he was able to mount his horse and ride for short distances. San Juan de Bantista, a rank situated about six miles north of Cerro Gordo, in Durango, was reached on June 12.

In the past decade erectile dysfunction at age 27 buy 20 mg cialis with mastercard, individual differences within the top 1% of ability have revealed that these patterns portend important outcomes for technical innovation and creativity erectile dysfunction statistics cdc order cialis 2.5mg, with respect to erectile dysfunction treatment reviews buy discount cialis 2.5 mg line both ability level (Lubinski erectile dysfunction treatment for heart patients order 20 mg cialis mastercard, 2009; Park et al. Level of general ability has predictive validity for the magnitude of accomplishment (how extraordinary they are), whereas ability pattern has predictive validity for the nature of accomplishments (the domains they occur in). Psychological information on motivational differences (personal passions) is needed to understand attractions and aversions, different ways to create a meaningful life, and how differential development unfolds. Even people with the same intellectual equipment vary widely in their motivational proclivities. Paraphrasing Plato, different horses drive intellectual development down different life paths. The lower left region of Figure 1 provides the dominant model of vocational interests, one developed from decades of large-scale longitudinal and crosscultural research. It shows a hexagonal structure consisting of six general themes: Realistic (R) = working with gadgets and things, the outdoors, need for structure; Investigative (I) = scientific pursuits, especially mathematics and the physical science, an interest in theory; Artistic (A) = creative expression in art and writing, little need for structure; Social (S) = people interests, the helping professions, teaching, nursing, counseling; Enterprising (E) = likes leadership roles directed toward economic objectives; and Conventional (C) = liking of wellstructured environments and clear chains of command, such as office practices. These six themes covary inversely with the distance between them, hence, the hexagonal structure circling around R-I-A-S-E-C. John Holland (1959, 1996) justifiably receives most of the credit for this model (Day & Rounds, 1998), although Guilford et al. There are also super-ordinal themes such as people versus things (Su, Rounds, & Armstrong, 2009), which manifest arguably the largest sex-difference on a psychological dimension of human individuality. For basic science, this shows how ostensibly different kinds of intelligence at the extreme do not stem from different qualities, but rather from endpoint extremes within a multivariate space of systematic sources of individual differences, which "pull" with them constellations of nonintellectual personal attributes. For further insights, a final class of important psychological determinants is needed, however. Mastery As all parents of more than one child know, there are huge individual differences in the extent to which individuals embrace opportunities for positive development. Seasoned faculty at top institutions for graduate training have observed the same phenonemon-among highly select graduate students, task commitment varies tremendously. Even among the intellectual elite, individual differences in accomplishments stem from more than abilities, interests, and opportunity; conative determinants are critical catalysts. Galton (1869) called it "zeal," Hull (1928) called it "industriousness," and Webb (1915) called it "will. Conative factors are distinct from abilities and preferences, having more to do with individual differences in energy or psychological tempo rather than the content of what people can do or how rapidly they learn. Indeed, characteristic across scientific studies of expertise and world-class accomplishment are attributes Intellectual Abilities, Interests, and Mastery 1027 specifically indicative of indefatigable capacities for study and work. Nevertheless, in the field of talent development and identification, the greatest consensus appears to be found on the topic of conation, rather than cognition or affect. Exceptional performers are deeply committed to what they do, and they devote a great deal of time to doing it. Regardless of the theorist, Howard Gardner, Dean Simonton, Arthur Jensen, Anders Erikson, and Harriet Zuckerman all agree that this is a uniform characteristic of world class performers at the top of their game. People who wish to do so must organize their whole lives around a single enterprise. One group consists of a sample of profoundly gifted adolescents identified at age 12 as in the top 1 in 10,000 in mathematical or verbal reasoning ability; they were subsequently tracked for 20 years. Now in their mid-thirties, subjects were asked how much they would be willing to work in their "ideal job" and, second, how much they actually do work. There are huge individual differences associated with how much time people are willing to invest in their career development and work. But subsequently, over the life span, they markedly diverged in time allocation and life priorities (Ceci & Williams, 2011; Ferriman, Lubinski, & Benbow, 2009). These figures reveal huge noncognitive individual differences among individuals with exceptional intellectual talent. One only needs to imagine the ticking of a tenure clock and the differences likely to accrue over a 5-year interval between two faculty working 45- versus 65-hour weeks (other things being equal).

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Meta-analysis of paternal age and schizophrenia risk in male versus female offspring impotence under 30 buy 2.5 mg cialis otc. Meta-analysis of 41 functional neuroimaging studies of executive function in schizophrenia discussing erectile dysfunction doctor purchase 10mg cialis amex. Substantia nigra/ventral tegmental reward prediction error disruption in psychosis male erectile dysfunction icd 9 order 20 mg cialis mastercard. Suggestion of roles for both common and rare risk variants in genome-wide studies of schizophrenia erectile dysfunction treatment new jersey generic 5mg cialis mastercard. Randomized-controlled trials in people at ultra high risk of psychosis: a review of treatment effectiveness. Working memory related brain network connectivity in individuals with schizophrenia and their siblings. Continuities and discontinuities in psychopathology between childhood and adult life. Cognitive deficits in unaffected firstdegree relatives of schizophrenia patients: A meta-analytic review of putative endophenotypes. Memory and the hippocampus: A synthesis from findings with rats, monkeys, and humans. Symptoms as mediators of the relationship between neurocognition and functional outcome in schizophrenia: a meta-analysis. Disorganization and reality distortion in schizophrenia: a meta-analysis of the relationship between positive symptoms and neurocognitive deficits. Symptom domains and neurocognitive functioning can help differentiate social cognitive processes in schizophrenia: A metaanalysis. Ellard Anxiety is a natural part of life and, at normal levels, helps us to function at our best. However, for people with anxiety disorders, anxiety is overwhelming and hard to control. Anxiety disorders develop out of a blend of biological (genetic) and psychological factors that, when combined with stress, may lead to the development of ailments. Primary anxiety-related diagnoses include generalized anxiety disorder, panic disorder, specific phobia, social anxiety disorder (social phobia), post traumatic stress disorder, and obsessive-compulsive disorder. In this module, we summarize the main clinical features of each of these disorders and discuss their similarities and differences with everyday experiences of anxiety. Anxiety is what motivates us to plan for the future, and in this sense, anxiety is actually a good thing. But some people experience anxiety so intensely that it is no longer helpful or useful. They may become so overwhelmed and distracted by anxiety that they actually fail their test, fumble the ball, or spend the whole date fidgeting and avoiding eye contact. While everyone may experience some level of anxiety at one time or another, those with anxiety disorders experience it consistently and so intensely that it has a significantly negative impact on their quality of life. Biological vulnerabilities refer to specific genetic and neurobiological factors that might predispose someone to develop anxiety disorders. No single gene directly causes anxiety or panic, but our genes may make us more susceptible to anxiety and influence how our brains react to stress (Drabant et al. Psychological vulnerabilities refer to the influences that our early experiences have on how we view the world. If we were confronted with unpredictable stressors or traumatic experiences at younger ages, we may come to view the world as unpredictable and uncontrollable, even dangerous (Chorpita & Barlow, 1998; Gunnar & Fisher, 2006). If we learned that disapproval from others has negative, even dangerous consequences, such as being yelled at or severely punished for even the slightest offense, we might focus our anxiety on social evaluation.

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Students in the mortality salience group wrote down thoughts about their death whereas students in the control group wrote about dental pain erectile dysfunction medicine bangladesh purchase cialis 2.5 mg fast delivery. Next erectile dysfunction treatment in kenya 5mg cialis for sale, the students read a scenario that described a serious car accident in which a university employee named Steve had been the victim erectile dysfunction watermelon buy cialis 2.5 mg fast delivery. Perhaps to statistics of erectile dysfunction in india buy generic cialis 20mg line protect their independent construals of self from the fear of being accident victims, European Americans blamed Steve more when they were experiencing mortality salience. By contrast, Asian Americans who were experiencing mortality salience appeared to include Steve within their interdependent construals of self and, as a consequence, blamed him less. Several differences in basic assumptions have come up repeatedly in this survey of the various theories. It may be helpful to recap five of the most important differences in assumptions about personality and the approaches that advance each assumption: 1. As you have learned throughout Psychology and Life, this difference is also referred to as nature versus nurture. What is more important to personality development: genetic and biological factors or environmental influences Trait theories have been split on this issue; Freudian theory depends heavily on heredity; humanistic, social-learning, cognitive, and self theories all emphasize either environment as a determinant of behavior or interaction with the environment as a source of personality development and differences. Should emphasis be placed on the view that personalities are modified through learning or on the view that personality development follows an internal timetable Freudian theory has favored the inner determinant view, whereas humanists postulate an optimistic view that experience changes people. Sociallearning, cognitive, and self theories clearly support the idea that behavior and personality change as a result of learned experiences. Trait theories emphasize past causes, whether innate or learned; Freudian theory stresses past events in early childhood; sociallearning theories focus on past reinforcements and present contingencies; humanistic theories emphasize present reality or future goals; and cognitive and self theories emphasize past and present (and the future if goal setting is involved). Freudian theory emphasizes unconscious processes; humanistic, sociallearning, and cognitive theories emphasize conscious processes. Trait theories pay little attention to this distinction; self theories are unclear on this score. Social-learning theories emphasize situational factors; traits play up dispositional factors; and the others allow for an interaction between person-based and situation-based variables. Each type of theory makes different contributions to the understanding of human personality. Psychodynamic theories add a powerful engine and the fuel to get the vehicle moving. Social-learning theories supply the steering wheel, directional signals, and other regulation equipment. Over the next few days, you might try to experience both construals of self by trying to attend to how the events that happen around you have an impact both on your self as an individual and your self as a member of a larger social structure. Furthermore, examinations of cross-cultural construals of the self have had great influence on the way psychologists assess the universality of their theories. However, critics of self theory approaches to personality argue against their limitless boundaries. Because so many things are relevant to the self and to the self-concept, it is not always clear which factors are most important for predicting behavior. In addition, the emphasis on the self as a social construct is not entirely consistent with evidence that some facets of personality may be inherited. As with other theories, self theories capture some but not all of what you think of as personality. Why was it important that participants completed the worker scale before they had the opportunity to practice To address that question, a team of researchers used a web-based survey to obtain e-mail addresses and self-reports of personality from 599 individuals (Back et al. Next, the researchers asked a different group of 100 students to make personality judgments based only on the e-mail addresses. How aggreeable and conscientious would you imagine the person with that e-mail address to be The researchers found that personality ratings based on just the e-mail addresses were quite consistent among the group of 100 raters. The raters were able to make reasonably valid personality judgments based on just the e-mail addresses!

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