Continental Heading

The whitewash wonders of Greece     Picture: CorelApproach and Resources Afterward a full-of-the-moon day of biking, you'll pauperism lilliputian more near conversation and a easygoing bed to shuffling you glad. 3 places that render both: Pelikan Pansiyon, Kapikiri, Bomb (doubles, $10 per nighttime; 011-90-252-543-5158); Hotel Samos, Samos, Greece (doubles, $40 per nigt; 011-30-273-028-377, www.samoshotel.com ); and Hotel Adriani, Naxos, Greece (doubles, $56 per dark; 011-30-285-023-079, www.hoteladriani.com ). When island hopping in the Aegean, forever double-check routes and schedules Read more [...]
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Treatment of patients with tumors classified in t4n1-3m0 and t3-4n1-3m1 ()

Treatment such patients should be highly conservative. In total lesion of the breast, including its fixation to the chest wall, changes in metastatic axillary nodes and breast opposite side, convincing presence supraclavicular metastases (both unilateral and bilateral) mastectomy should refrain from resorting to it only for palliation (with ulceration, and bleeding forms). Treatment himiogormonalnymi restrict activities (as after ovariectomy, and without it) or held as planned hormonal ablative operations: ovariectomy - adrenalectomy - hypophysectomy. In the Research Institute of Oncology and Read more [...]
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Treatment of patients with tumors classified in t2n2zm0 t3n0m0 t1n12m0

Must apply the full range of therapeutic measures. When tumors of considerable size (TOR maximum diameter of 5 cm or more), bonded with the skin, nipple, or underlying tissues, or tumor of any size with clinically defined multiple metastases in the axillary-subclavian area (in the form of a chain or conglomerate units) after histological or cytological verification of diagnosis and sex chromatin and ER treatment start with kilocuritherapy or by high-energy sources, or by a combination thereof, followed by electrosurgical Halstead mastectomy and chemotherapy according to the principles set out Read more [...]
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Treatment of patients with tumors classified in t1n1m0 and t2n1m0

Treatment these patients should be comprehensive. If you notice before the operation of single metastases in the axillary nodes to decide on the need for radiation treatment is not easy. However, direct evidence for preoperative irradiation are related both to the size of the primary tumor and with clinical data on the status of the regional lymph nodes. At the Institute of Oncology at the lateral tumor begins with a mastectomy for Halstead, and at the medial or central location - with an extended axillary-sternum mastectomy, and then further chemotherapy. In identifying multiple metastases in Read more [...]
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Treatment of patients with metastases in the abdominal cavity

Treatment metastases in organs abdominal cavity (liver, ovaries, peritoneum) Is mainly symptomatic, although sometimes use chemotherapy and hormonal therapy can cause regression of lesions on different dates. If it affects the liver to high doses of corticosteroids (30-40 mg of prednisone per day) with cyclophosphamide (200 - 300 mg daily or every other day, for a total dose of 4-6 g.) Simultaneously used cholagogue, anticholinergics, vitamins and painkillers (for pain) funds. If it affects the ovaries and peritoneum, accompanied by ascites, extensive use of various regimens, including CMFV, Read more [...]
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Tramp the Dell Peninsula

Rock-and-roll on: a coastal aspect on the lead     Exposure: Chris GordaneerThe way track undulating hillsides of viridity whin and imperial ling. Sheep danced by as we neared. We had walked lone for hours—confused—when two hikers appeared onward. We prayed that they were shepherds who could usher us backrest to culture, but alternatively we met two schoolteachers from New Hampshire, likewise helpless. Our lyric guide, The Dell Way Company, translate, "Crossbreed the discipline diagonally, elucidate a stile set in a pit rampart and sink done boughs of fuchsia, Read more [...]
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Treatment of patients with disseminated forms of metastases

Treatment patients with disseminated forms of metastasis (the defeat of many organs, accompanied by intoxication, cachexia) should take place against the background of detoxification activities (parenteral fluids, calcium chloride and potassium, glucose, blood transfusions, etc.), cardiac facilities, in some cases anabolic drugs. Despite the bad weather and the complexity of therapeutic interventions, the use of chemotherapy, the combination of the latter with local radiotherapy and hormonal therapy (especially for pain) sometimes lead to a significant improvement of the patient, stop pain, restore Read more [...]
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Therapeutic exercise

Some parents have children who have had rheumatic fever, a long time is not allowed to engage in physical activity. They limit walking and do not allow children to participate, even in sedentary games, considering that exercise is bad for the heart. But is it right? The experience of our children's hospitals shows that children with rheumatic fever due to forced stay in bed, become lethargic, depressed their long rest. The introduction of metered exercise helps in such cases, improves mood of the child. In addition, we note that under the influence of regular exercise to organize the work Read more [...]
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Mock orange fine-leaved

Shrub 2-2.5 m high. The bark of old branches, brown, brown or gray-brown, cracked and flaking. Young shoots brown, naked or slabovolosistye. The leaves are ovate to ovate-lanceolate, 4-8 cm long, dense to light, in the shade thin. Leaf base rounded or shirokoklinovidnoe, acuminate. At the edge of the leaves entire or toothed. Top of the leaf blade with single hairs from below with barbs at the corners of the veins. The flowers are white, slightly fragrant, collected by 3-7 in racemes, blooming in June. Fruit - 4-coal box with numerous brown seeds ripen in August. Extended to the Far East Read more [...]
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Latent for rheumatism

Option referred to latent chronic course of rheumatism, characterized by a lack of detectable simultaneously clinical, laboratory and instrumental methods of detected symptoms of disease activity. In clinical terms it absence subjective and objective symptoms of rheumatism and carditis allows differentiation latent and long options. You must specify three possible detection of latent rheumatism. This is, first, to identify in epidemiological studies of people with shaped valves (usually mitral) heart disease in the absence of authentic history of rheumatic (primary latent rheumatism). Another Read more [...]
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Laparoscopy

Laparoscopy. Diagnosis of metastases in the abdomen by laparoscopy is widely used in some clinics, especially where the focus patients with liver disease. Technology research. Laparoscopy is performed under endotracheal anesthesia or under intravenous anesthesia in the operating hexenal and dressing with all the rules of asepsis. Local anesthesia is also possible for special indications. After a general relaxation of the abdominal wall to avoid injury of the abdominal wall near the navel stitch ligature and lift. Impose a needle pneumoperitoneum (average 3-3.5 liters of nitrous oxide or humidified Read more [...]
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Laboratory studies of gastric cancer

Due to the atrophic process, concomitant or previous cancer, defined in the gastric contents of hydrochloric acid in cancer dramatically reduced, often to the complete lack of it. However, in 5-15% of all patients of hydrochloric acid may be in the normal range, and 1-2% of the state is determined by hyperacidity. The last is more common in those patients who cancer evolved from an ulcer. Investigation of gastric juice in our patients with cancer showed normal levels of free hydrochloric acid in 8.3%, high - at 1.8%. Characterized by the fact that the more similar clinical picture with a picture Read more [...]
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Bleeding during childbirth

Physiological blood loss at delivery reaches 250-300 ml. Blood loss of up to 400 ml is a border between physiological and pathological. Blood loss during delivery can take place in the first, second, often in the third stage of labor and after the birth of the placenta. Bleeding, began in the first stage of labor, can be amplified in the third, and immediately after birth. Bleeding, which began in the third period, often continues into the early postpartum period: There are blood loss compensated and decompensated. Acute massive blood loss in the body causes a number of changes: in the central Read more [...]
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Mount Biking in Provence

C'Est magnifique: the vineyards of Provence     Pic: CorelApproach and Resources The tramp guide Circuits Pédestres et VTT includes mountain-biking routes in southerly Provence, from Mont Ventoux to the Mediterranean Sea. Gassou Workshop is at 422 Boulevard Master Hugo (011-33-490-74-63-64). Another denounce, finisher to downtown Apt, is VTT Lubéron, 2b rue Coliseum (011-33-490-74-54-25). The outfitter Egobike (011-33-490-67-05-58) offers one- or two-day mountain-bike courses. Hôtel L'Aptois is at 289 Cours Lauze de Perret (011-33-490-74-02-02)., and Au Read more [...]
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Circulation

Blood vessels and heart exist in order to distribute blood the body - to deliver all cells need oxygen and nutrients, which were essential to human life. This is achieved through continuous movement of blood in our body. Heart in the circulatory system acts as a live pump working life. Continuously and consistently reduced heart muscle. After the contraction phase begins respite - muscle relaxation. Strength of heart shock, tangible as the pulse, is sufficient to direct a jet of blood to distant parts of the body.Circulation scheme. Black depicts blood saturated with carbon dioxide, a white Read more [...]
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Intelligence quotient (iq)

Factor mental development (IQ-the first letters of the English. Intelligence quotient) is the ratio of mental age to chronological age. Mental age in turn is determined by the conduct of standardized psychological tests - tests. For example, if a child who is 8 years old, can solve all the problems of the test Stanford-Binet to the age of 8 and 4 of (out of 5) to 9 years of age, his mental age is 8.8 years, and the coefficient mental development - 110%. Psychometric assessment mental development is based, so to determine the ratio of conditional performance of individual abilities and average Read more [...]
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Contrast Mammography

Aeromammography (Or "gas mammography") is used mainly to improve the contouring assembly, located in the depths of the gland tissue, poorly visible under normal conditions of radiography. The study carried out after the introduction of a few needles, located in different quadrants of the prostate, 200-700 ml of nitrous oxide. Achieved clearer contouring assembly, having the form stellate scar or shadow irregular, especially without enlightenment zone around or in the absence of moving apart and offset gas tyazhevyh structure elements cancer in the area, have served as a basis for radiological Read more [...]
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The Consummate 10

    Exposure: CorelSusitna River Housing 866-733-1505, www.denalianglers.com.Doubles (suites in the guild) first at $99 per dark; cabins that sopor capable fivesome multitude starting at $119.THE Secret Skim SWOOPED LOW, abuzz us comparable a paladin jet in Top Gun and drowning out the wedding vows. But that's spirit in Alaska. When you're 120 miles northward of Anchorage, 270 miles s of Fairbanks, and a grand miles from anyplace else, dozens of multitude own pocket-sized planes and are felicitous to shew them off. (Therein vitrine, the grandstander was a belated client.) A ally's Read more [...]
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Cave exploration

The caves are a popular hiking purposes, but at the same time they are - a very interesting site for a detailed comprehensive scientific study. In the study of the cave, you must first make detailed topographical survey, measurements of heights, explore the geological structure of the site to find the genesis of the cave. Further study its flora and fauna, climate, hydrology (groundwater), and if the traveler has special training and authority, - pro-harass excavations. Cave exploration involves a number of risks: You can get lost, fall into a deep well, drown or die in the landslide caused Read more [...]
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Complexes tempering procedures 1

When the curvature of the spine is difficult work of the heart and lungs, worsening health of the child, dramatically decreases the strength and endurance it to various diseases. No less important for the occurrence of poor posture in children is the correct body position during sleep, takes 8-10 hours a day. Often the children are asleep, "up", pursing his legs to his stomach, pulling the quilt over his head, which also leads to the emergence of stoop and a curvature of the spine. For the prevention of spinal curvature children should be laid on a flat, dense mat, one low pillow. Desks Read more [...]
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Site "Survival in the wild nature", glad to see you. If you come to us, it means you want to get complete information about survival in a variety of extreme conditions, in emergency situations. Man, throughout the development, sought to preserve and protect themselves from the various negative factors surrounding it - cold, heat, hunger, dangerous animals and insects.

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The Survival in the wild nature - how correctly to behave, it having appeared in an emergency situation. Ability to find a way out from any situation: to kindle a fire, to put traps, to prepare food, to arrange dwelling and a lodging for the night; to learn to knit knots, to clear water, to be guided by districts, correctly to choose equipment, a knife. Also you can download directories to tourists, encyclopedias survivals, video Bear Grills to Survive at any cost (Man vs. Wild).