Saturday, November 28, 2009

Denise Milani T Streaming



The final session, Eddy Mitchell cover (11/29/2009)


Monday, November 23, 2009

Reciever Upconvert Stereo 5.1

Hello Doctor, I just got the paper. Should my child be vaccinated against the flu?

now, "safety", television and radio help, I am flooded with phone calls " just a little intelligence "

the current flu is not so common. It is neither more nor less nasty than usual flu according to The New England Journal of Medicine from November 12, 2009. Complications are rare and mainly concern the holders of severe chronic diseases.
What is at issue is not the vaccine but the WHO policy, our country and lack of transparency, scam, scam and corruption.

Child or adult? little difference


It is consistent to vaccinate you if you meet one of the following conditions:

Have 6 months to 3 years ( and a risk factor, it does not drag) see flu Argentina
Have a severe heart disease or lung cancer, diabetes (and your doctor knows you well). Have
low immunity (immunodeficiency, long-term oral corticosteroids, chemotherapy?).
Obesity important (major risk factor in the U.S. and Australia)

It is less coherent get vaccinated if you meet one or more of the following conditions:


never vaccinated against seasonal influenza previous years. This is not your thing
Hepatitis B Vaccination unwanted yet more dangerous than the flu,
You smoke: you like the risk because tobacco kills more than all the rest.
You drive fast and avoid transport (Slow down the road kills a lot).
You're not worried because of the flu. (With all that said, there would be enough yet!)
Do not want this vaccine. (All the better that's good, It "Panic in vaccine Palace , there are too many candidates. Where are the vaccines?)
Are you pregnant?: the text is made: it was very difficult because it is very complex. Click here .

"Anyway you are free. This vaccine is not mandatory, probably not dangerous at worst useless, and tell you that whatever you do, you could have done otherwise."

"And if you smoke (especially in the car!), It is more efficient stop smoking , to live well and long, that getting vaccinated against the Flu! "

If you think you have a risk factor and you Not sure what to do, consult your doctor. By telephone, the doctor can stick to generalities. Medicine is difficult enough when you have people in front of you, by telephone, it becomes hazardous. Avoid

This can be very sensitive updated at any time based on evolving knowledge

Last updated on 25 December 2009.

Sunday, November 22, 2009

Stretchers In The Beginning

Pregnancy and H1N1 vaccine to do?

We approach is an extremely sensitive subject and complex. Sensitive because it is an unborn baby, because the complex immunological status of pregnant women is still very mysterious. What comes to
a pediatrician in this case?
The gynecologist who sees pregnant women, is it not better placed?
No, e follows your gynecologist pregnancy and is trying to deliver the baby the most wonderful, but immunology is not his cup of tea. The immunologist
? Yes it is very hard, but how will you meet?
The pediatrician is at the crossroads between mother, father, child. It can help you sneak.
Anyway I try, to the best of my ability and my knowledge.

What is the status of a pregnant woman an immunological point of view?
A pregnant woman has received the father's sperm, which, combined with an egg, gave an "egg" which will turn into an adorable baby. Therefore welcomes the mother this fetus, future infant. This is similar to a transplant.
When we make a skin graft if the donor is not compatible, that is rejected in 8-10 days. Off the baby is 9 months tolerated. At 9 months, it seems "rejected" and the delivery takes place.
pregnancy was achieved through a process of immune tolerance during which the mechanisms of graft rejection are put to sleep.
same time the baby is tolerated, many other "things" are accepted: Toxoplasma transmitted not undercooked meats, Candida albicans fungus, which gives the B streptococcus and others.
pregnant woman no longer rejects what is foreign.

is also why it is minimally responsive to vaccines. It is not clear how effective are the vaccines. Although the last ten years, advocates vaccination of pregnant women are still quite ignorant of their effects and 10 years is very short.


How effective vaccines for pregnant women?
To my knowledge, there is no serious study on the effectiveness of vaccines in this situation because it is ethically impossible to recruit pregnant women to study the effect of an injection of vaccine. Of course, in the series "Be modern", some vaccinate pregnant women for two reasons apparently laudable, then protect them and their babies . But this is very recent. How many times have we not seen great trials, brutally interrupted? In time pediatrician, I believe that exceptions linked to an individual situation particularly serious, it takes about 20 years back to accept a new treatment for a product on individual growth, but also physical brain. For vaccines in pregnant women, has mostly been limited to study the case by mistake a vaccine was injected, and the only question that holds the attention then is: how is the baby?
frantic lobbying of private health systems, laboratories and insurance in the USA-probably in Europe, but we talk less - not greatly increased our tranquility. (See reference section of the World)
The only publication that I could find on the database in the NEJM (see below) on a limited study done in Bangladesh in 2008 ( why Bangladesh when everything was so simple in the U.S.? probably because this country has an outstanding medical facilities as well as its legal system, which made everything easier ). 340 pregnant women were vaccinated with reduced flu in mothers (but for doing my own research on small series of Parisians in easy to follow, I wonder how we can effectively monitor 340 women in a country as impoverished as Bangladesh.) And it was a Glaxo vaccine , so a study funded by the laboratory. can therefore eliminate this highly suspicious study. Would I be grumpy or bad language at the moment? I no it's not so good character!

Presumably pregnant women the vaccine is less effective. More when it is a new vaccine, nobody knows anything. What

toxicity of vaccines for mom and baby?
In most cases there is no problem (remember that the incidence of Guillain Barre syndrome during the U.S. influenza vaccination in 1976 was 1 in 56 000 vaccinations). But statistics do not count if it's your baby, especially there is no large series. Will you try saying the Bank? Would you take a risk when you do not know whether the vaccine will protect you?

Abstract:
Pregnant women are slightly more at risk but not more than other flus and what they propose is not rated for a company wide scale. I can not decide for you because there is no right answer.
If you do not know what to do, give you 15 days. In 15 days we have to experience some side effects.

References:


Effectiveness of Maternal Influenza Immunization in Mothers and Infants . New England Journal of Medicine (NJEM) 359 :1555-1564 October 9 2008 NUMBER 15 (this study in Bangladesh Glaxo flu vaccine uses a coincidence no doubt) (NB: access to the full article is available to subscribers)

New England Journal of Medicine Vol 361 No 20 12 November 2009 (4 articles on the flu)

A STEP HEHEAD, Infant Protection Through Maternal Immunization.'s Pediatric Clinic of North America 47 No. 2 April 2000 449-463
The Lobby will not disarm. Interview Wendel Porter Former Director of Communication of a giant U.S. health insurance "Le Monde" dated Tuesday, November 24, 2009 (NB access to the full article is available to subscribers)



"Should we vaccinate pregnant women?" I do not think anyone can answer this question. The mother herself will decide ultimately. A poker player must know, but what does he know of immunology, development of fetuses and the affect of mothers? "

Article may be changed.
Updated November 26, 2006 marked
The next topic talk about the flu in the U.S. and Australia and New Zealand in France, Auvergne because the NEJM (always him) of 12 November published a synthesis of these two countries. I have also used data on pregnant women to shape my opinion. Leave me a little time, it is in English very technical stuffed percentage, and I have my awesome to see young patients in consultation and intaglio and life itself! Good day!

Speech For Work Anniversary

The purpose

While the canvas and the old box febrile media have excited their characters on the hackneyed subject of "horseplay, ugly game" and, in this case, a set of m ... erde, play naughty! I focus on the first application of the Treaty of Lisbon. Yep! much less attractive, but far more fundamental to our collective destiny.
I was a fervent, passionate defender of the stillborn constitutional treaty, as to confuse me with some past affection, but I have always denounced the inconsistency process envisioned by leaders too sure because European: bringing twelve countries BEFORE you change institutions to suit the enlarged EU. This inconsistent cart before the horse has wasted a few years after the effective sovereign choice evolved into a referendum plebiscite failure. First act of a boondoggle orchestrated for nothing: the European elections last June have not confirmed the support of the people for parties who had defended the rejection of the treaty. QED, you could just wait ... The image of José Bové phagocytosed by the truculent Cohn-Bendit completes the demonstration of an opportunistic position instead of an actual ex applicable canonists.
no better on the other side? Close to the thinking: it vegetate in confabulations opaque negotiating shameful that spoiling the original spirit of a lively two-headed incarnation with a new European ideal perspective. Because they are the heads of state and government who vote for President of the European Council and High Representative for foreign affairs, this franchise can take care of all the pretenses, the incredible pressure on the other, so-called low exchange courtesies
... Yes, section 9B of the Lisbon Treaty (I 22 rehash of the late Constitution) only uses the verb "elect" without associating the Democratic triptych, "universal, equal and secret, but it does allow the rulers to divert the minds of the election with voting haggling and compromise, thick? The " majority" which refers to the treaty seems to focus more capacity conchier the first principles of every election that standard calculation.
Without commenting on the profile of Herman Van Rompuy and Baroness Ashton of Upholland, one can simply deplore the denial of absolute democratic basis in the electoral process that led them to their respective positions.
As proposed by Thierry Chopin of the Robert Schuman Foundation (that's a personality missing!), ECT would be beneficial to elect this president and this high representative elected by the parliaments of member states with respect secrecy of a vote not negotiable. That would restore the mouth to a Union that no longer seems have a purpose other than the management of petty interests. The Heads of State and Government finally appear the worst position to decide in conscience, and without being influenced by something other than their beliefs rooted, who should preside over the EU and conduct diplomacy. The cutesy
is what multiple instances of Europe, like a newly Barroso appetizingly in return for five years. No new breath to the Commission. No personality big enough to resist the inertia of the member states.
Meanwhile, I do not know what the crisis is global with his snub-nosed way, in the crosshairs, a set of states insolvent followed by a final implosion of the financial system.
While salopiots overpaid Baball continue to push with their feet, hands, ears, it distracts from a population of shenanigans and drama simmering ...
No Goal exciting, nothing to football: a nihilism effective tomorrow ... or even one! Absurd.

Wednesday, November 18, 2009

Trailer Permit Ontario



Chupee - Cocoon (cover ukulele, 19/11/09)

Monday, November 9, 2009

Mirena And Copper Taste

Rider lost his life in the spray

The end banquet in 2009, not the trappings of j oyeux feast in the small end insurgent Gaul goscinnyenne-Uderzo. We nibble what you can with the hosts we deserve.
Old bloated faces further cluttering the TV trays so that justice. As the paragon of virtue venerable Chirac combines promotions: a faulty memory on the preposterous to sugarcoat the City of Paris; memories fertile in non-written disclosures, for large parts by a non negro ... His fictional political incompatibility, or even genetics, with the haughty Giscard d'Estaing is the erection Past resentments into a cult of hatred. Suppose that a gulf is needed between the snout poking chiraquien the panties of the Madonna and provocative ways to flirt Giscardian imaginary fashion icon Diana Ségur with ethereal. Calf's head has never held a dinette for flower girl!
side mug, the Pasqua post a grumpy since Justice has dared to condemn the farm, the bar in series to pad ill frequented. The former gunslinger Place Beauvau threat, f ustige, tramples. Having not been a term deposit Statement of the award, he was able to deploy his artillery in the media, splitting a "you have a good look! "To evacuate the main charge. Exactly so! A mere glance would have sufficed if the offense was fishy mouth in France. Until conviction, his posture was the move-it-is-nothing to see! Since the court decision, volte-face: all the others in high places, knew too! The discrepancy is systematic ... the beginning of a degeneration of the nervous system, right?

So do not stay in such contaminating company. A crumbling reprobate, hoary pampered, to balance the momentum literature. Two figures Audiovisual: one that is fragile body betrays and old too soon, the other for eighty spring bloom, cheerful, and without shortness of breath.
Polac Michel answered some questions for a documentary on literary programs on television, Writers on a platter. The face ravaged by a semi-paralytic attack, he was a shadow of Physics, who feared him as no longer control his mind, time mowing his relentless bright faculties. Close your eyes and let yourself be carried by a tone of voice still faithful to the old flamboyance of Library Pocket to Right of reply. Pages television to enjoy without restraint to perpetuate the colossus of the heart and intelligence.
Point physical wreck at Pierre Bellemare. The accumulation of decades ennobles be achieved without the ability to self-mockery. The unclassifiable narrator, host, vendor on cathodic tries to boards showman. Confessions of a passion for drama, he meets this challenge with humility combatant. Always in tension for a project to success, he made a third age of the first moment. The obvious commitment to stretch easily over time, make the stay prégnant an extension of a life well-being of each instant.Qu it is good to finish with enthusiasm, by Toutatis!

Thursday, November 5, 2009

Lorazepam How Often Can You Take

Digestive absorption of water: intestinal physiology applied to the treatment of gastro-enteritis

The human digestive tract is a very complex machinery whose purpose is to allow digestion and absorption of food we eat. It begins with the mouth with teeth that grind food to make them more digestible. Then the food passes into the stomach where they are subjected to acid digestion and enzymatic (as well as enzymes for detergents greedy destroy stains, our enzymes break up food into small pieces), then pass into the small intestine so called because it is not big but is 7 to 8 meters long. This part of the intestine is crucial because this is what happens the absorption of almost everything, water, minerals, proteins, sugars, fats. In this article we will only consider the absorption of water.

To indicate the quantities we will take as a reference adult body surface area = 1.73 m² and a baby 1 year (10 pounds) with a body surface of 0.5 m². flows are indeed proportional to the surface of the skin and not by weight.


Where does the water absorbed by our intestines?

The water we drink and food that contained in food represents only 2 to 3 liters for an adult and a bottle for an infant of 10 kg. Contrary to what one can imagine that our water intestine absorbs or 9 to 10 liters per day for adults and 2.5 to 3 liters for an infant comes primarily from our body . It runs in a loop especially at mealtimes. This is the enterohepatic systemic water!






















Liquid (liters) Adults Children 1 year
dietary 2-3   1     
Secrétions  digestives             
estomac                                    1,5                            0,5     
Foie                                           0,5         0.2
Pancreas ; 1 to 1.5 0.4 to 0.7
Small Intestine 3 , 0.5
proximal ;
Total 9 to 10 2.5 to 3


Thus we see that in the Child the flow of water is much more important , since a third of its weight in water is secreted and then reabsorbed immediately within 24 hours. It is understandable that any disturbance inputs (lack of water, vomiting) or losses (vomiting, diarrhea, heat stroke) can lead quickly to a critical situation. Therefore diarrhea in infants is rightly a high risk situation, although fortunately, things change very often.

Whither water?

The water we drink or is contained in foods (milk and its derivatives are mainly composed of water) is present in the stomach. It is modified to have a composition quite close to the plasma that makes up our blood. This is why "pure water" remains longer in the stomach. It mixes with secretions different and requires small amounts in the small intestine.
is the small intestine that is responsible for 90% absorption of the water it receives.
It is here that the absorption process instead. The structure of the small intestine is made crypts and villi, which increase the exchange surface between the bolus and the tissue. Specialized cells in the absorption of nutrients are present in enterocytes that their surface microvilli, which, as the villi tissue, their role is to increase the exchange surface. Thus, we consider that the human gut has a contact surface with the bolus equivalent to the area of two tennis courts (400 m2).



Brush border electron microscopy and scanning and it is this cell structure and the presence of villi in the intestinal tissue which increases the surface exchange



How is the reabsorption of water?

There is an extremely effective mechanism and practically always functional: The coupling between the absorption water, salt and glucose . It is the enterocyte , specializing in digestive cell absorption is responsible for this work.

brush border











Glucose ( G) is the grape sugar. It is abundant in table sugar ( G + F ructose) and in starch which is the component ( G + G + G) ... Starch is found in wheat (pasta), the rice, potatoes, etc ...
Na is sodium found in table salt (Na Cl).
Water is everywhere at the tap, milk, fruit, and all foods

The co-transport glucose-sodium-water:
Water arrives in the intestine of side of light (lumens). She is accompanied by glucose and sodium. At the microvilli of the brush border of carriers are "active" specific glucose and sodium (red) . These transporters use energy. Sodium is sent, with water in the capillaries and throughout our body through "sodium pump" located on the other side of the cell ( green) on the basolateral membrane. This reaction produces the necessary energy.

This mechanism is almost always in full force and effective . He should try to stimulate it in cases of acute diarrhea. That's why we use re-hydration solutions we give often and split to avoid exceeding the capacity the diseased intestine. These solutions were initially developed for the treatment of cholera which is a model of secretory diarrhea.






















Vibrio cholera: a bacterium is flagellated which moves in contaminated waters
Photo University Bordeaux

bacillus cholera toxin stimulates the secretion mechanisms. It causes diarrhea profuse 5 to 8 liters a day and occurs in countries where the infra structure does not allow for infusions. In addition, the infusions were trying to compensate for the losses but the diarrhea remained the same. By simply drinking a mixture of water, sugar and salt, we were surprised to see that "those who drank had stool less abundant than those who did not drink" and healed faster . had been stimulated absorption mechanisms.

implications of such knowledge on the treatment of gastro-enteritis:

must therefore stimulate the mechanisms of absorption, which are mostly intact : two principles that we will develop in another chapter : rehydrate and nourish. Since we're on the water, see the side re-hydration: at will, split, often.


past, we used the form of soup, carrot containing up to 4.5% sugar. What was remarkably intelligent. The carrot soup is made with 500 g of carrots per liter of water, which resulted in a solution containing 1 gram of sugar per liter as our plasma and a little salt . In addition, the core bring fibers that chelate bile salts and reduce their power of irritation in the colon that does not like them at all. . Water lightly salted rice , share the same principle as the rice is mostly starch that is converted into glucose. Our grandmothers were very strong!
solutions Oral rehydration (ORS) swept the carrot. You could almost regret but "it is progress! What

the rest is water that is not absorbed by the small intestine?
Good question I almost forgot!
Colon is just after the small intestine in the digestive tract and measures approximately 1.5 meters long. Its role is mainly to store the waste, recover water, maintain water balance, and the absorption of some vitamins such as vitamin K. According to the composition of water varies from plus or minus 5%, the stool can be liquid or molded. But the diarrhea of colonic origin have not plenty of diarrhea small bowel.

NB
This article is just a glimpse of a small portion of bowel function vis-à-vis water. Do NOT attempt to treat your own children in case of acute diarrhea. The hydration status should be evaluated by a doctor. Even if you saw a doctor and you're calmer, get up 2 or 3 times during the night to watch the baby and offer him a drink, without forcing .

We see again the " acute diarrhea or gastroenteritis " . The simple rehydration not enough


Acknowledgements: I thank
Dr. Jehan-François Desjeux pediatrician who taught me everything about diarrhea when he worked with cholera toxin to developing solutions re-hydration. He became Director of Research at INSERM and Professor at the INAM.

Monday, November 2, 2009

Swfa Ss Vs Bushnell 3200





The camouflage is available only for major weapons. Some camouflage obtained by challenges to achieve.

Challenges for camouflage:

Desert: Unlocked by default.
Arctic: Unlocked by default.
Woody: Complete the challenge Expert I - Make 5 headshots with this weapon. Digital
: Complete the challenge Expert II - Make 15 headshots with this weapon.
Urban: Finish the challenge Expert III - Making 30 headshots with this weapon.
Blue Tiger: Complete Expert Challenge IV - Make 75 headshots with this weapon.
Red Tiger: Complete Expert Challenge V - Make 150 headshots with this weapon.
Spring: Complete Expert Challenge VI - Do 250 headshots with this weapon.

Here are the different camouflage available:

Arctic

arctic camouflage finish.




Desert:

desert camouflage finish.




Woody:

Finish Camouflage green wood.




Digital:

digital camouflage finish.




Urban:

urban camouflage red finish.




Blue Tiger: Finishing

camouflage blue tiger stripes.




Tiger red

red tiger stripes camouflage finish.




Spring:

autumn orange camouflage finish.




Related page:

Weapons

Do You Capitalize Socialism

The Prestige Trailer "In launching" The camouflage


"Video trailer for start "

Watching Our Daughter Masterbate





The prestige may happen after the LvL 70 (2516000 XP) ended. It corresponds to a lvl 71. There to a total of 10 prestige to pass. Skip

prestige has no other purpose than to lengthen the lifespan of the game Each to his opinion on that, some would pass, some do not.

- Skip prestige is not mandatory. It does nothing in terms of play (It is not stronger, no new weapons)

- Skip prestige lost (part of) his way into the multiplayer mode.

Specifically we lose:

- His rank (we start at the basic grade)
- The weapons, camouflage and accessories previously released (It starts with basic weapons and we need to unlock everything again)
- Challenges (all reset to 0)
- The bonus round of eliminations (It starts with the basic ones, we must unlock the others)

is preserved:

- His titles
- Its emblems
- His feats
- His ranking

You win:

- An icon that replaces the prestige rank (A different for each prestige past)
- titles (which are accessible only through the marvels)
- emblems (which are accessible only through the marvels)
- customizable classes (10 to final)
- New Challenges (Among other challenges veterans and 2nd Expert on each weapon category + special challenges "prestige" )

Note that the challenges of weapons "Veteran" and "Expert" that appear during the passage of the first prestige, not recover not 0 then returns when prestige.

Challenges of the category "Luxury" does not reset unless the following challenges: Warning! - Knife - Baroud honor - discretion - stun grenades and flash grenades.

available Here are the prestige:

s prestigious Modern Warfare 2





Badge Prestige 1





Badge Prestige 2





Badge Prestige 3





Badge Prestige 4





Badge Prestige 5





Badge Prestige 6





Badge Prestige 7





Badge Prestige 8





Badge Prestige 9





Badge Prestige 10