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By: Leonard S. Lilly, MD

bulletProfessor of Medicine, Harvard Medical School, Chief, Brigham and Women's/Faulkner Cardiology, Brigham and Women's Hospital, Boston, Massachusetts


To an extent treatment 1st degree av block 600 mg gabapentin fast delivery, the effectiveness of a leader depends on whether his or her followers accept or reject him/her medications management purchase 400 mg gabapentin, as well as on the extent to symptoms for mono cheap 400mg gabapentin fast delivery which the follower have the ability and willingness to silicium hair treatment gabapentin 100mg with mastercard accomplish a specific task. According to Hersey and Blanchard, the motivation and the abilities of various leaders will affect their decisions in a given situation. They group leaders into four styles of leadership: delegating, supporting, coaching, and directing. Their theory assumes that each of these leadership styles can be effective, depending on the development level of the individual or people you are leading. Paul Hersey and Ken Blanchard, Management of Organizational Behavior: Utilizing Human Resources, 1982. David Kolzow 25 Coaching, also called "selling," also involves directing people, but in a more supportive way. The leader now attempts to hear the suggestions, ideas, and opinions of his/her followers, which translates to a two-way communication. It should be pointed out that this is not the type of coaching that will be discussed in Chapter 10 of this book that deals with the leader as enabler and coach. The leader enables by discussing problems with the followers and coming to agreement on the nature of the problem. The decision-making for addressing the problem is handled by the subordinates, who "run their own show. This creates a new level of complexity for leaders: how thoroughly the willingness, motivation, and abilities of the followers are considered can decide how successfully they will be led. Subordinates in an organization may be at various levels of their own development. Employees must be capable of the needed response to delegated tasks and must take ownership of what is being delegated before receiving authority to proceed. At the initial stage of their development, they are likely to lack the specific skills required for the job at hand. Decisionmaking by employees who lack knowledge, skills, and dedication places the organization at significant risk. To paraphrase Deming, if you want to David Kolzow 26 rob employees of their pride of workmanship, ask them to do something they cannot do. The task or the situation may be new to them, even though they may have some relevant skills. As their learning level rises, employees should be given the opportunity to do a task on their own, regardless of some risk being present. However, although they may be experienced and capable, they may lack the confidence to go it alone or the motivation to do it well or quickly. Generally, those who have a high level of commitment will be eager to learn and be willing to take direction. As employees grow in confidence and capability, top management may only need to observe performance and reinforce the positive. Ultimately, in this model, the leader only needs to manage the consequences of the work of the subordinates. Employees are experienced at the job, and comfortable with their ability to do it well. Furthermore, leadership will be most effective if a leader can look at a situation, decide what style of leadership is needed by the group, and act accordingly. In this chapter, we move from broad concepts of leadership models into a discussion of more practical aspects of leadership. The topic of leadership behaviors themselves will be discussed more fully in the next chapter. This chapter revolves around broader styles of leadership that reflect a combination of various individual behaviors. The various leadership styles that exist provide no guidance on the kind of leadership that leaders should offer; they merely reflect what kinds exist. A style tends to contain what a particular leader has learned from other leaders that served as role models, and this style is influenced strongly by this experience.


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Distortion occurs at the corners if the horizon is placed relatively high and the distance points are close to symptoms ectopic pregnancy generic gabapentin 100mg otc the vanishing point medicine 360 buy gabapentin 600 mg free shipping. A growing tendency can clearly be observed over the years to treatment question trusted gabapentin 300 mg let the distance points move further away from the scene medicine vile 600 mg gabapentin with visa. By doing this, Vermeer eliminated the distortion of the floor tiles in the foreground corners, particularly as he moved his vanishing point toward the edge of the painting at the same time. Would he be able to determine the position of the diagonals on the edge of his canvas when space recedes towards the back walls in his interiors If there were a simple method of creating perfect central-point perspective, painters would surely have used it. By placing the canvas against a board (most of his paintings are small) or a wall, between two nails on either side of the painting, the painter would be able to use strings for the diagonals as well. Indications of the use of such a simple method may be deduced from books on perspective that might have been known to Vermeer. Desargues writes in his introduction that a painter who wants to know more about the Meet konst (the art of measurement) should consult the Landmeeter (the cartogra pher) in order to make use of his expertise (36). This, he writes, would lead to a better understanding of perspective or Doorsicht-kunde. Desargues further suggests that the painter should look around him in other guilds to take advantage of the knowledge of carpenters, bricklayers, and cabinetmakers. Furthermore, it appears that constructors of perspective in the seventeenth century were using drawing tables almost as sophisticated as the ones we use today. With strings attached to the upper corners of the drawing table, the draftsman could create any orthogonals he wanted on his paper. A horizon would be chosen at the desired level on this ruler, and by sliding the ruler across the paper, a line could be drawn (37). Vermeer also worked in this way, as is proven by the presence of the clearly distinguishable needle point found in the paint in paintings throughout his whole oeuvre (38). Conclusion the extraordinary and curious perspectives, so much admired by van Berck hout in 1 669, therefore appear to have been carefully constructed. This leaves the impression that Vermeer should be regarded first and foremost as a prac tical and skilled master in creating space just the way he wanted it. This approach departs from the previous conception of the artist as reproducing the scenes he saw in front of him, either by careful copying using drawing frames or a camera obscura. The author believes that Vermeer was completely aware of the spatial illusion he wanted to create, which he produced by combining his skill in constructing space with his artistic talent for compo sition, color, technique, and iconography (39). He thereby created his images in such a way that viewers are deceived into believing that the scenes were real. This was the highest level of artistic ambition to which a seventeenth century painter could aspire, a level Vermeer surely attained. Acknowledgments Most sincere thanks are due to the institutes that have been more than generous in supplying information about their Vermeer paintings and letting the author examine most of them in the conservation studios. The amount of information is overwhelm ing and goes well beyond the scope of this article; the reader is referred to the forthcoming exhibition catalogue on Johannes Vermeer (Washington, 1 995; the 1 52 Historical Painting Techniques, Materials, and Studio Practice Hague, 1 996). The author is also grateful to Rob Ruurs of the University of Am sterdam for a fruitful and stimulating discussion. Van Berckhout may have been able to see the two town views, the Little Street and the View o Delft, and certainly interior scenes such as the Music Lesson, A f Woman Holding a Balance, the Concert, and the Allegory o Painting. He might f have also seen the Love Letter, which is dated 1 667 (Blankert) or 1 669-1670 (Wheelock). Perspectieven: Saenredam en de architectuurschilders van de 1 7e eeuw: Boy mans-van Beuningen Rotterdam, 50.

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We need to symptoms 3 dpo generic gabapentin 300mg amex apply constructors of eval explicitly treatment 4 syphilis purchase gabapentin 800 mg online, but the process is easy to medicine to stop period generic 400mg gabapentin overnight delivery automate completely for concrete input programs medications prescribed for pain are termed buy discount gabapentin 300 mg. Now consider another very similar definition, this time of a Fibonacci number function. CoFixpoint fib (n: nat): thunk nat:= match n with 0 Answer 1 1 Answer 1 n1 fib (pred n); n2 fib (pred (pred n)); Answer (n1 + n2) end. The fact example succeeded because it was already tail recursive, meaning no further computation is needed after a recursive call. I know no easy fix for this problem of thunk, but we can define an alternate co-inductive monad that avoids the problem, based on a proposal by Megacz [24]. CoInductive comp (A: Type): Type:= Ret: A comp A Bnd: B, comp B (B comp A) comp A. Beside that technical wrinkle, we see the simplest possible definition of a monad, via a type whose two constructors are precisely the monad operators. Inductive exec A: comp A A Prop:= ExecRet: x, exec (Ret x) x ExecBnd: B (c: comp B) (f: B comp A) x1 x2, exec (A:= B) c x1 exec (f x1) x2 exec (Bnd c f) x2. We can also prove that Ret and Bnd form a monad according to a notion of comp equality based on exec, but we omit details here; they are in the book source at this point. Not only can we define the Fibonacci function with the new monad, but even our running example of merge sort becomes definable. CoFixpoint mergeSort' A (le: A A bool) (ls: list A): comp (list A):= if le lt dec 2 (length ls) then let lss:= split ls in ls1 mergeSort' le (fst lss); ls2 mergeSort' le (snd lss); Ret (merge le ls1 ls2) else Ret ls. To execute this function, we go through the usual exercise of writing a function to catalyze evaluation of co-recursive calls. Now the same sort of proof script that we applied for testing thunks will get the job done. Lemma test mergeSort': exec (mergeSort' leb (1:: 2:: 36:: 8:: 19:: nil)) 136 (1:: 2:: 8:: 19:: 36:: nil). Have we finally reached the ideal solution for encoding general recursive definitions, with minimal hassle in syntax and proof obligations Consider the following definition of a curried addition function: Definition curriedAdd (n: nat):= Ret (fun m: nat Ret (n + m)). This definition works fine, but we run into trouble when we try to apply it in a trivial way. The problem has to do with rules for inductive definitions that we will study in more detail in Chapter 12. Chapter 12 presents the exact mechanism by which this restriction is enforced, but for now our conclusion is that comp is fatally flawed as a way of encoding interesting higher-order functional programs that use general recursion. Among them there is no clear champion that dominates the others in every important way. Instead, we close the chapter by comparing the techniques along a number of dimensions. That is, we would like the type of a function to be the same, whether or not that function is defined using an interesting recursion pattern. Only the first of the four techniques, well-founded recursion, meets this criterion. The monad inspired by domain theory occupies some middle ground in this dimension, since generally standard computation is enough to evaluate a term once a high enough approximation level is provided. Another useful property is that a function and its termination argument may be developed separately. We may even want to define functions that fail to terminate on some or all inputs. The well-founded recursion technique does not have this property, but the other three do. A function may not be defined, and thus may not be computed with, until these obligations are proved. The co-inductive techniques avoid this problem, as recursive definitions may be made without any proof obligations. For instance, the thunk monad effectively only supports recursion that is tail recursion, while the others allow arbitrary recursion schemes. On the other hand, the comp monad does not support the effective mixing of higherorder functions and general recursion, while all the other techniques do.

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Interviewees suggested this year that pricing in gateway markets along with a rising level of new supply may deter 2019 investment activity symptoms when pregnant generic gabapentin 100mg visa. They offered an alternative strategy of looking at markets and submarkets outside the main urban core treatment diverticulitis buy discount gabapentin 600mg on line. The presence of transit is often mentioned as being key to symptoms ectopic pregnancy gabapentin 800 mg mastercard a successful suburban development treatment thesaurus 300 mg gabapentin with mastercard, along with other urban-like amenities. This is particularly vital for the New York City metro areas, Long Island, northern New Jersey, and Jersey City. While infrastructure investment in these markets is required to keep the daily foundations of the economy operating, other mar- kets in the region feel that infrastructure investment will spur new growth. Local market experts in Philadelphia mentioned the investment needed to support the basic infrastructure in the market, but also highlighted a need for increased investment in education. The belief is that good schools will make other investments in additional neighborhoods feasible. Investment and development opportunities vary based on the characteristics of each market. Pittsburgh and Philadelphia offer the opportunity to invest at lower entry price points, but still be in proximity to a significant percentage of the U. Pittsburgh also continues to look for ways to take advantage of the amount of technology research and development taking place in the city. Philadelphia enjoys a highly educated workforce and is finding that the suburbs are attractive to younger workers looking to start a family and companies that want to be close to that particular labor supply. Investors from around the world continue to look for investment opportunities, but with asset pricing at record levels and a significant amount of new supply in office and multifamily scheduled to be delivered, the market may see a pause in investment activity. In addition, the respondents feel like Boston will offer a number of opportunities. The survey results also reveal the idea that the same respondents like the potential for investment in Providence. The other markets in the region are considered fair locations for investment and development in 2019. Despite the slower overall population growth rate, Boston has enjoyed good net migration rates over the past five years. Hartford is the only market in the region to experience negative net migration over the same period. Note: Cities listed are the top 20 rated for investment in the retail sector; in this exhibit, cities are ordered according to the percentage of "buy" recommendations. Boston, Portland, and Hartford all have a higher percentage of their population with a postsecondary degree than the national rate. The population in the New England region also tends to be older than the national average. Only Boston has a higher percentage of younger workers, with a higher percentage of its population between the ages of 25 and 44 than the national average. Portland, Providence, and Hartford have a higher percentage than the national average of the population between ages of 45 and 64. These markets tout the advantage of having a more experienced workforce, although they do cite the need to attract younger workers. Employment growth in the New England region also is projected to be slower than the national rate in 2019. The labor force participation rates in the New England markets are well above the national rate. The Portland economy, with a high participation rate and low unemployment rate, continues to look for ways to attract new residents to enter the labor force. The tight labor market has pushed labor costs higher, which is reflected in the higher cost of doing business for each market. The trends for development that are expected for much of the United States also apply to the markets in the New Emerging Trends in Real Estate 2019 43 England region.

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