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By: Jonathan Handy

bulletConsultant in Intensive Care Medicine,Royal Marsden Hospital,Honorary Senior Lecturer,Imperial College London

For example arteria umbilical unica generic 5mg prinivil fast delivery, the Web and the Internet have both been shown to blood pressure medication toprol best 10mg prinivil have negative assortativity coefficients of -0 blood pressure chart height and weight order 10mg prinivil otc. On the other hand blood pressure in legs order prinivil 10 mg visa, many scientific coauthorship networks, a different type of social network, have been shown to have positive r [116]. Taken together, the significant scale-free metric and the positive assortativity coefficient suggests that there exists a tightly-connected "core" of the high-degree nodes which connect to each other, with the lower-degree nodes on the fringes of the network. In the next few sections, we explore the properties of these two components of the graph in detail. Thus, a "core" is a small group of well-connected group of nodes that is necessary to keep the remainder of the network connected. To more closely explore the core of the network, we use an approximation previously used in Web graph analysis [23]. Specifically, we remove increasing numbers of the highest degree nodes and analyze the connectivity of the remaining graph. The corresponding graphs for the other social networks look similar, and we omit them for clarity. To understand how much the network core contributes towards the small path lengths, we analyzed the path lengths of subgraphs containing only the highest-degree nodes. In Flickr, 5 We obtained the similar results when using both indegree and outdegree, thus we only present the indegree results here. This suggests that the high-degree core nodes in these networks are all within roughly four hops of each other, while the rest of the nodes, which constitute the majority of the network, are at most a few hops away from the core nodes. Thus, the graphs we study have a densely connected core comprising of between 1% and 10% of the highest degree nodes, such that removing this core completely disconnects the graph. The structure of social networks, with its high dependence on few highly connected nodes, may have implications for information flow, for trust relationships, and for the vulnerability of these networks to deliberate manipulation. The small diameter and path lengths of social networks are likely to impact the design of techniques for finding paths in such networks, for instance, to check how closely related a given pair of nodes 94 is in the network. Such techniques have applications, for instance, in social networks used to verify the trustworthiness or relevance of received information [57]. We first examine clustering, which quantifies how densely the neighborhood of a node is connected. Hence, they provide a point of reference for the degree of local clustering in the social networks. Graphs constructed using preferential attach- 95 ment also have no locality bias, as preferential attachment is a global process, and they provide a point of reference to the clustering in a graph with a similar degree distribution. The clustering coefficients of social networks are between three and five orders of magnitude larger than their corresponding random graphs, and about one order of magnitude larger than random power-law graphs. This unusually high clustering coefficient suggests the presence of strong local clustering, and has a natural explanation in social networks: people tend to be introduced to other people via mutual friends, increasing the probability that two friends of a single user are also friends. The clustering coefficient is higher for nodes of low degree, suggesting that there is significant clustering among low-degree nodes. This clustering and the small diameter of these networks qualifies these graphs as small-world networks [159], and further 96 indicates that the graph has scale-free properties. Participation in user groups varies significantly across the different networks: only 8% of YouTube users but 61% of LiveJournal users declare group affiliations. Once again, the group sizes follow a power-law distribution, in which the vast majority have only a few users each. Network Flickr LiveJournal Orkut YouTube Groups 103,648 7,489,073 8,730,859 30,087 Usage 21% 61% 13% 8% Average Size 82 15 37 10 Average C 0. Note that users in a group need not necessarily link to each other in the social network graph. As it turns out, however, user groups represent tightly clustered communities of users in the social network. This can be seen from the average group clustering coefficients of group members, shown in Table 5. Further, the members of smaller user groups tend to be more clustered than those of larger groups. Low-degree nodes tend to be part of very few communities, while high-degree nodes tend to be members of multiple groups. This implies a correlation between the link creation activity and the group participation.

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As a result blood pressure chart record generic 5mg prinivil otc, the prelocomotor infant is exposed to blood pressure medication missed dose order 5mg prinivil overnight delivery a family of global optical flow patterns and freedom to prehypertension 139 quality 2.5 mg prinivil look anywhere decreases the probability of experiencing significant amounts of peripheral-lamellar optical flow heart attack now love generic prinivil 5mg with visa. In addition, the visual stimulation associated with locomotion is imposed on the passively moved infant and is likely to be less meaningful, relative to that "obtained" by an actively locomoting infant. Gibson (1966, 1979) argued for the value of stimulation obtained during action vs. Furthermore, the prelocomotor infant has no need to process information about the spatial layout and self-motion simultaneously, and so there is no need to differentiate the different types and locations of optical flow. In agreement with an argument made by Stoffregen, Schmuckler, and Gibson (1987), we believe it is likely that, prior to locomotion, children are sensitive and responsive to any large-field optical motion, regardless of its location, and that differentiation of spatially delimited regions of optical flow. Thus, the stimulus array provides all the information necessary for the perception of selfmotion (Gibson, 1979), but factors like self-motion determine whether the information will be detected and used. The idea that there are many precursors to the emergence of mature skills is also congruent with contemporary theories of 60 David I. Barbu-Roth development that view behavior at any point in the lifespan as a reflection of a number of component substrates assembled by a particular task and context (Thelen & Smith, 1994; Thelen & Ulrich, 1991; Turvey & Fitzpatrick, 1993). A major assumption in this perspective is that it is extremely difficult (if not impossible) to determine when infants and children truly have acquired a competence because behavioral expression is entirely context dependent (Thelen & Smith, 1994). An excellent example is the work on infant treadmill stepping, where it has been shown that infants who would not normally step demonstrate highly coordinated, alternating stepping movements when supported with their feet in contact with a slowly moving treadmill (Thelen & Ulrich, 1991). Moreover, treadmill steps were kinematically more mature than steps taken without the treadmill and intentional steps taken shortly before the onset of walking (Thelen & Cooke, 1987). Some infants even showed steps with characteristics typically seen in mature locomotion (Thelen, Bril, & Breniere, 1992). It is simply a reflection of a necessary subcomponent of a task that is eminently more challenging and one that is, itself, highly dependent on context for its expression. In other words, the demands on the infant are much lower when he or she is tested with postural support in a dark room or a tunnel. Thus, the responsiveness to peripheral optical flow in this context seems to represent a necessary subcomponent of whole-body postural compensation to peripheral optical flow in a moving room, but it is not that skill ­ merely a component of that skill. The interesting question for a developmentalist is not the earliest age at which a particular competence like this can be demonstrated, because these demonstrations will always be situation or context dependent, but how and when these competencies are integrated into more sophisticated skills. There are many fascinating puzzles to solve in disentangling the relation between later skills and their precursors, including why these precursors are seen in some contexts and not others, and why they can apparently disappear even when tested in the same context. Another question that is hardly ever addressed is how Visual Proprioception 61 the functional experiences associated with integrating competencies into higher orders of behavior lead to changes in the competencies themselves. However, we must be mindful that there might be no "real" competencies (Thelen, 2000). Rather than dissuade us though, this thought should encourage us to focus on stability and change in the behaviors and contexts that are most meaningful to the infant or child. The specificity of practice/experience An intriguing finding that is particularly relevant to a discussion of the importance of context in development is the high degree of specificity in skill acquisition. Karen Adolph has provided some excellent examples recently to support this notion. For example, she has shown that what infants learn about negotiating slopes in a crawling position shows no transfer whatsoever to the negotiation of slopes from a standing posture. Infants must learn all over again which slopes are risky and which are not, and the learning is just as protracted as it was from the crawling posture. Similarly, Adolph (2000) has shown that infants will avoid reaching over a potentially dangerous gap in the substrate when tested in the sitting posture but not when tested in the crawling posture. In the latter case, infants plunge into the gap and must be rescued by an experimenter. Based on the above-mentioned findings, Adolph (1997, 2000) concludes that the information for control of balance is learned from posture to posture with little to no transfer from one posture to another. Thus, the coupling between optical flow and postural control found in one posture is unlikely to generalize to other postures. Thus, mappings between specific actions such as head stabilization and peripheral optical flow will have to be remapped during the learning of new actions. However, if our analysis is correct, the amount of transfer from one action to another seems to depend on whether transfer is from an easier task to a more difficult task or from a more difficult task to an easier task.

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Meanwhile blood pressure top number low buy prinivil 2.5 mg with mastercard, intersex-chromosomal heart attack from stress buy prinivil 5mg amex, anatomical or gonadal characteristics do not belong exclusively to blood pressure chart diagram prinivil 5 mg for sale either sex nhanes prehypertension cheap 5 mg prinivil fast delivery. This is why intersex persons encounter huge barriers to the enjoyment of their universal human rights. Stereotypes and norms grounded on the binary female­male classification have led to unnecessary medical and surgical interventions on intersex infants and a climate of incomprehension in society. Such surgeries, which are cosmetic rather than medically necessary, are often performed on intersex babies and toddlers. This can result in irreversible sex assignment and sterilization ­ performed without the full informed consent of the parents and, even more importantly, without the consent of intersex persons themselves. The sex assigned to children at an early age may not correspond with their identity and feelings later in their lives. The fundamental rights of intersex people are not respected as they remain largely unrecognized in societies. The objective for the study is to raise awareness on the situation of intersex persons and to inform governments, key stakeholders and practitioners in the Western Balkans about current ethical and human rights developments, including current global good practice to protect and empower intersex people. The study was undertaken from February to June 2017 and the information contained in this report is based on a comprehensive desk and field research. Desk research included the review of international medical documents, internal medical protocols, declarations, international guidelines, publications, resolutions, administrative procedures, legislation and other relevant materials related to intersex persons in Albania, Bosnia and Herzegovina, the former Yugoslav Republic of Macedonia, and Serbia. More precisely, intersex people are born with physical or biological sex characteristics (such as sexual anatomy, reproductive organs, hormonal patterns and/or chromosomal patterns) that do not fit the typical definitions for male or female bodies. Occasionally intersex babies have external (outside) genitalia that appear clearly female or male, but the internal genitalia can be different, malformed or absent. Therefore, in some cases, an intersex body can be discovered during childhood, at puberty or even in adulthood. While there is no systematic data collection and estimates depend upon which intersex variations are included, according to experts between 0. An intersex person may be straight, gay, lesbian, bisexual or asexual, and may identify as female, male, both or neither. Throughout history, intersex people and their bodies were first glorified, then stigmatized and discriminated against. Hermaphrodites and the Medical Invention of Sex, Cambridge, Massachusetts, London, England: Harvard University Press. In the 1950s, a team from the Johns Hopkins Hospital, 8 led by a clinical psychologist John William Money 9 started advocating for conducting early medical interventions, including genital surgery and hormonal treatment on children with sex variations. However, over time, it has been shown that imposing gender and sex can have negative, even fatal, consequences for children. Society does not recognize intersex people in daily life as they are still very invisible, and in some cases have no available mechanisms and legal provisions to protect their rights. They developed approaches that worked from the inside (by working with medical practitioners) and worked directly with those affected by medical practice (by providing support). This addition has potential advantages (visibility, solidarity, alliances, mainstreaming of intersex issues and inclusion) and disadvantages (potential or real backlash, appropriation, misrepresentation and exclusion). Intersex people have all kind of sexual orientations, gender identities and gender expressions. Intersex people, just like trans people, are primarily discriminated against on the grounds of physical appearance and gender expression that arise from their ambiguous sex characteristics. In many cases, they are discriminated against from birth when they are subjected to invasive, irreversible treatment without their consent. After establishment, different intersex community groups started to challenge the medical approaches to intersex issues. Now the intersex community is divided into two groups, one promoting a medical approach (labelled by diagnosis) and the other promoting demedicalization (a human rights approach). It has been adopted by international and European organizations such as the United Nations, the Council of Europe and the European Union.

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References:

bullethttp://www.ca5.uscourts.gov/opinions/pub/17/17-51060-CV1.pdf
bullethttps://www.academyhealth.org/sites/default/files/AH_230DiversityReport%202015_09.15.pdf
bullethttps://www.huxley.net/island/aldoushuxley-island.pdf
bullethttps://www.pca.state.mn.us/sites/default/files/wq-wwtp8-21.pdf