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A negative externality of military

Military

which makes it as a task on your life is taking a taste, I think we all do. now I'm a little uneasy because, sadly or not, my theoretical and eventual group membership (although I make no reference to them in particular) are not the kids of the JP, or the Cámpora are cumpas "slightly" larger, which eventually could be my parents or grandparents, who argues in general tends to find a partner in that area, according to the dogma Peruca is best, according to the dogma psy no. My unaccustomed to being around people my age, does not have much notion that sometimes people do not grow much or at least as much as you think you are an adult and habits, customs and neuroses that usually attributed to late adolescence and point to solve, walk retracing the life and finds it rather unusual to run into assholes attitudes and behaviors so that neither I would.

Now the concrete example that made me jump the heat: I do not tolerate an older man use social networks are not strictly necessary for activism, and is not retrograde, is a question of maturity. Know?! that social networks today are an important tool for politics, nothing else.

very impressionable As I do not usually see the profiles of my colleagues, eventually, in fact almost never, I have no choice when I do, and I find there is always something that the best is suspect in the worse is a confirmation of ASCO.

Sometimes I had the opportunity to have some ladies, wives, women, girlfriends, etc. comment me worried about this issue. No talk of Doña Rosa, or a housewife who lives to fuck fart her man for sport. I saw women taken over, live, workers, activists, independent, yet this issue made them feel threatened somewhere in their relationship.

course if described women as we speak, is a half taboo subject, perhaps not dare to raise it, but worry.

My sense in a situation like the one described is that I do not accept is that I do not understand the internet is itself a straw, what sense does it amplify it?

Partners

hate me but the phrase of 2011 will be: say what I want and you do not like, it sucks, it sucks.

Bye.

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"Nationalism of affection between neighbors" (Luis Salinas)

discovered this video of Luis Salinas on the blog http://puedecolaborar.blogspot.com/

Later I met him the Bird, his brother, a person as intelligent and credible, it felt like the living history of a certain age. Bird On the blog I also found the video of one guy who had touched me so http://pajarosalinas.blogspot.com/

I got tired of listening to this fellow so true, sincere, good wood, good, rather its reflection is the end of a film or a documentary, can not remember.

apprehended could say that the concepts of Luis, because when the events of Villa Soldati, Lugano and what do I know how many more, I thought it automatically and teaching, where it refers to nationalism as a form of love between neighbors. I felt that some people did not learn anything, that disrespect and indignity given him another, a neighbor makes us real turds. Among one of the issues that Luis mentioned is that it would be interesting to nationalism among neighbors, l "exes of fanfare and flags."

The truth is that their words do not waste a guy who says that at a time knew that he was not going to be quite happy and thought it was worth it.

I do not know, who do not want to be told what is most important part of the story, since I bought it completely, but I can not say that there were sentences that reached me.

I have to rescue a fellow with a conceptual and moral clarity, it is my best way to digest the pain of this lack of patriotism, in the sense of neighbor against neighbor, urged by those who deeply hate.

Luis Salinas
Uploaded by loboalphablogger . - videos of friends and family around the world.

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Merry Christmas and Happy New Year

From Gunitec want to congratulate these parties so endearing. We would like you to see the video we prepared to congratulate:

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Come pick up your gift

already have the Christmas Tree in the shop in Javea, for every purchase you make you get a surprise gift, we have gifts waiting 88 runs date hurry before they are completed.

Communication Boards For Cva Patients

Arrhythmogenic Right Ventricular

Arrhythmogenic Right Ventricular Cardiomyopathy is a disease that affects predominantly the myocardium Boxer. It is characterized by fibrofatty infiltration of right ventricular infarction which causes the appearance of right ventricular extrasystoles and ventricular tachycardia. May be asymptomatic or present with symptoms such as syncope or sudden death. Its diagnosis is mainly based on the findings of Holter monitoring (prolonged electrocardiographic monitoring).

Today we want to share this video by Dr Meurs at the University of Washington.

For those who do not have time or are stuck the English have made a summary of the key points below.

Link to video of Dr Meurs (106 minutes)

The highlights of the conference:

General:

- - The American cardiologists recommend starting screening tests (Holter) after 3 years and reassess each year

- - normal Holter study in a larger dog ; 4 years old preclude the occurrence of the disease

- - The disease onset usually occurs between 6-8 years

- - echocardiography is unreliable for detection of ARVC.

- - Echocardiography is not good for assessing right ventricular function. The best tool for that is cardiac magnetic resonance.

- - However, in those patients detected by Holter ARVC is advisable to echocardiography to assess the possible involvement of the left ventricle

- - The HRV or heart rate variability (one of the tools offered by Holter monitoring) may be diagnostic but only in advanced stages (when there is heart failure)

to Recover by Holter monitoring :

- - Rarely normal dogs have more than 100 premature ventricular contractions per day pairs or triplets or submit saved.

- - Some animals may present with less than 100 syncopations extrasystole per day if they come in bursts or triplets .

- - There is considerable consensus that the phenomenon of R in t is a serious phenomenon.

- - Boxers with ARVC Some extrasystole may have left home.

- - The genetic test can not replace the Holter

study on the analysis of Holter

- - At least 20 hours readable layout

- - A careful analysis of artifacts

- , - Count the total number of beats detected may help detect if there is too much noise (if less than 70000 detected something wrong)

- , - not uncommon to find a small number of supraventricular in Holter, is more worrying if they are several hundred or at frequencies very fast.

- - A sleeping dog can get to be 20 bpm, in such situations escape beats may occur without clinical significance

- - There 85% of daily variability in the results of Holter so there are animals that can not display nearly extrasystoles during the examination and submit however many more the next day

On the causes of ARVC

- - The presence of EV in puppies under one year is probable cause a virus.

- - often are viruses that cause transient arrhythmias and then disappear. In these cases we find elevated troponin.

- - In 50% of cases a mutation is identified as a cause of ARVC

- - mutations occur predominantly in 5 genes

- - The ARVC in autosomal dominant boxer has

- - The most important mutations affecting the desmosomes that are responsible for the connection between the myocardial cells.

- - The Boxers seem to have a mutation in the gene that encodes a protein called Striatina .

- - The severity of the disease in homozygous carriers greater but not all show the disease

- - penetrance of the mutation is higher in boxers In humans, 72% of animals affected by the disease mutation show

- - Animals with the same genotype show a great variation in disease severity

- - may be other mutations and other unidentified causes can cause ARVC

- - In a study of mutation-positive boxer in the UK population was 81% penetrance

- - is not known what determines the penetrance of the mutation.

- - Positive homozygotes: better not to breed with them, if they have characteristics closely positive parenting with a negative

regard to genetic testing.

- - Most affected animals show the mutation

- , - However, not all the show and all who develop the disease have

- - useful for breeders and to forecast as there are serious differences between

About

treatment

- - thyroid hormone supplementation may worsen arrhythmias in the course of ARVC

- - Risks to show clinical symptoms increase with age (rare to see them before age 6)

- - treatment for dogs with ARVC and asymptomatic depends on the total number of ventricular extrasystoles and their severity

- - are best sotalol or mexiletine. Overall sotatol

- - However there is no evidence to reduce the risk of sudden death

- , - Amiodarone is also indicated, but as at greater risk of side effects is used as 2 nd choice tto

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Veterinary Medicine Evidence Based Medicine II

Continued Based Veterinary Medicine I

evidence

3 - Evaluate the "evidence" (Critical Review of the literature)

is one of the most important and required, for our part, how to select and evaluate the scientific quality of medical articles.

Although there is extensive scientific and medical literature, only a small part of it is mean or apply to the vet and, within this group, there are few who are really relevant or serving all the criteria of a rigorous methodology.

Our university education provides us with little knowledge required for this assessment (Possibly none) but not overly complicated and can be purchased without a broad knowledge in statistics or epidemiology.

beyond the scope of this post explaining how we deal with a scientific paper (though I hope to devote one to this point later). Valga, in the meantime, this brief sketch taken from the article by Peggy L. Schmidtpara have a reference on the validity of the type of study.

As important as the validity of a study is its "applicability" to our clinical problem, we must ask whether it is able to answer the question we formulated in step 1. There is another acronym to systematize a bit this phase: RAAMbo its acronym in English.

- R (Representation): What is the population represented in the study? Is it representative for our clinical case?

- A (Allocation): How does the study subjects assigned? Did the control group? Did "randomization" and / or stratification?

- A (Consideration): In English "account." "All subjects who began the study were considered when finished? If not, the authors identified that happened to them?

- M (Measurements): Were the measurements obtained objectively evaluated? Did they know the evaluators which was the control group?

4 - Integrate the evidence (Application of the findings of this assessment practice)

transfer the knowledge acquired to track an individual patient or alter subsequent query performance is the next step. This exercise should be accompanied by clinical experience needed to balance the risks and benefits and consider the expectations and preferences.

latter is fundamental in the veterinary clinic, we must ask questions like: Do you accept the customer treatment? Is it compatible with their ethical, religious or cultural beliefs?

Do we, we, the skills or technology to carry it out? Can we refer you to a center of reference?

As you can see it is this point where we integrate our clinical experience, the best evidence available and preferences of the owner to try to provide the best possible clinical practice.

Bear in mind also that the Internet has made medical information more accessible to both veterinarians and to the owners. Therefore, veterinarians must be prepared to hear evidence presented by the owner and to refute a well-formed criteria.

5 - Evaluate the results

In our case, we evaluate two results.

Of course, we must evaluate the medical outcomes, "the results were obtained expected? "Otherwise, the results differ?

Any success or failure in diagnosis, treatment and prognosis can be properly recorded and, where appropriate, shared with the veterinary community.

Thus, the applicability of evidence-based medicine will also develop veterinary medicine.

The second thing to assess is how we developed the steps of EBM.

THE EBM requires certain skills that are developed with practice and critical self-assessment will help us progress faster.

In conclusion.

Veterinary medicine based on experience should be taken as a reference for all our activities taking into account that there are still few studies in veterinary medicine that are useful and easily applicable.

For more information I recommend:

www.infodoctor.org / rafabravo / mbe.htm

http://www.foyel.com/cartillas/29/medicina_veterinaria_basada_en_la_evidencia_mvbe.html

number May 2007 Clinics of North America (Small Practice).

Greetings