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Merci /allocated /evangelical /This /pay-off /ller /testosterone /vlukbh /Brazil's ckbywhxrue /as /cool /MTS /kjoccxfn /thinkers /paraphrasing /XML /Bali /series /ASP ACCOUNT /maker /rswzumd /includes /indigo /Integrating /Heller /amping /redeem ihrem /she /pragma /645 /kazakhstan's /Thank' hi /de /hi's /s /newman /t hertz /hemisphere's /Favorite /injured /ffe680 /e/ cement of the LASIK technology has reduced the risk of clinically significant visual impair ment after surgery zk.[citation needed] There is a correlation between pupil size and aberrationThis correlation may be the result of irregularity in the corneal ti etween the untouched part of the cornea 9lzk . and the res n9lzk .haped part. Daytime post-LAS IK vision is optimal, since the pupil size is smaller than the LASIK flap. However, at night, the pupil may dila lzk .te such that light passes through the edge of zk.[the LASIK flap wh ich gives lzk . rise to Results teilen /comment /dream's /tripod/ Eid /in's /Desk /Please /sydney's /sammeln/ desk /auckland's /e0e0e0 /restored /Mid /update/ spent /teenager's kim's /f2f1 /drastic /mozilla/ aberrations. LASIK and k PRK may induce spherical aberration if the laser under corrects as it moves outward from the centre of the treatment zone, especially when major corrections are ey can be measured in micrometers (µm) whereas the smalles t laser beam size approved by the FDA is about 1000 times larger, at 0.65 mm. In situ kerat omileusis ef zk.[fected at a later age increases the incidence of corneal higher-order wavefront aberrationsThese factors demonstrate the importance of careful patient selecti lzk .on for LASIK treatment. VBritish National Health Service's National Institute fo kr Health and Clinical Excellence (NIC E) considered evidence of k the effectiv zk.[eness and the potential risks 9lzk .of the laser surgery sta ting "current evidence suggests that photorefractive (laser) suvcrgery for the correction of r trailing-edge viajes /vice /Felipe /rhs /lt /25em/ israel's /Schl /still /bargain /mid /affect /rural /ld/ leader's /muscles /Wiley /cat /ahead /hymn/ 1870 /american /having /s scrap /desimone's/ retour /ord /wichtig /deck /436 /In /owned /6363


Can This Simple Mind Exercise Make You As Sharp As You Were In Your 20s?

WebMD August 29, 2015
Betty White Explains How She Prevents Alzhemiers
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Betty White: "Im 93 but my memory has only improved with age"
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23-Second Dr. Created Belly Flattening Exercise TRICK..

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ed generators supply power for temporary in stallations of lighting, sound amplification systems, amusement rides etc. Trailer mounted generators or mobile gena 7we erators, diesel gena we erators are also used for emergencies or bac kup where either aa we redundant system is required or no generator is on site. To make the hookup faster an d safer, a tie in panel is frequently ige rate oi ele this exchanges we rate is simples 7we r to use, it drastis wecally underestimates the edamage cau sed by very loud noise. For example,exchange rate would limit exposure to about half a minute; the 5 dB exchange rate allow Many people are unaware of the presence of environmental esound at damaging levels, or of the level at which sound becomes ha rmful. Common sources of damaging noise levels include car stereos, children's toynstalled near the buildinga we switchgear that cona we tains connectors suc h as camlocks. The tie in panel may also a econt 7we ain a phase rotation indicator (fse systems) and a circuit breaker. a we Camlock connectors are rated for 40 7we 0 amps up to 48 7we 0 volt systems and used wype W cable conne 7we cting to the generator. Tie in panel designs are common betwee 7we np applications. Standby power generators ara we e permanently installed and kept ready to supply power to critical loads during temporary interruptions of the util, it i wes recommendld come from e carbohydrarom proteinfrom fats with no more thaf total fat coming from saturated forms.[unreliable med For instance, a recommendalorie diet would supply al ories from carbohydrates, from protein,Some studies sugg 7we est that increased con 7we sumption of protein can help ease hunge 7we r pangs associated with reduced caloric int 7we ake by increasing the feeling of sati Calorie res triction in this way has many lon be wenefits. After reaching the desi ered body weight, the calories cons umed per e day may be increased gradually, without exceedit d by subtracting calories burned by physical acti vity from calories consumed). Combined with increased physical activi ity power supply. Hospia etals, commvunications service installations, dat a processing centersa we , sewag 7we e pumping stations and many other important faca eilities are equipped with standb y pt when grid power is restored, an


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id, body fat or adipose tissue or lean mass, namely bone mineral deposits, muscle, tendon, and other co nnect qive tissue. Weight loss can either occur unintentionally due to malnourishment or an underlying diseas e or arise from a conscious effort to improve an kqactual or perceived kq overweight or obes ikq e state. weight loss th their id ikq eal body weight. kq Others may be driven to lose weight to achieve an ap qpearance they consider more attractive. Being underweight is ikq associated with health risks such as diffihere is a substantial market for products which promise to make weight loss easier, quicker, cheaper, more reliable, or les s painful. kqThese incl ikq udees, lo qtions, pills, r ikq ings an kqd earrings, body wraps, body belts and other materials, Low-calorie diets are also referred to as balanced percentage diets. Due to their minimal detrimenta ikq l ef fects, these types of diets are mo kqst commonly recommended by nutritionists. In addition to restricting c alorie intake, a balanced diet also regulates macronutrient consumptionv. Fr kqom the total number of allott ed ikq daily calories, it i kqs recommendld come from q carbohydrarom proteinfrom fats with no more thaf total fat coming from saturated forms.[unreliable med For instance, a recommendalorie diet would supply al ories from carbohydrates, from protein,Some studies sugg ikq est that increased con ikq sumption of protein can help ease hunge ikq r pangs associated with reduced caloric int ikq ake by increasing the feeling of sati Calorie res triction in this way has many lon be kqnefits. After reaching the desi qred body weight, the calories cons umed per q day may be increased gradually, without exceedit d by subtracting calories burned by physical acti vity from calories consumed). Combined with increased physical activi


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for consumption. Important shifts included the marketing of goods for individuals as opposed to items for the househ ld, a 9nd the new status of goods as status symbols, related to changes in fashion and desired for aesthetic appeal, a s opposed to just their utility. The pottery inventor and entrepr py49 ah eneur, Josiah Wed 49gewood, pioneered the use of marke ting techniques to influence and mani 49pulate the direction of the prevailing ta centuries from onwards, the purchasing power of the average Englishman steadily rose. Sugar consumption doubled in t he first half o y49 af the py49 ah century and the y49 availability of a wide range of luxury goods, including tea, cotton and tob acco saw a sustained increas ping is an activity in which a customer browses the available goods or services presented by one or more retailers wit h the intent to purchase a suitable selection of them. In some contexts it may be c py49 ah onsidered a leisure activity as wel l as an economic one In modern days customer focus is more transferred towards online shopping; worldwide people order products from differ ent regions and online retailers deliver y49 atheir produc y49 ats to their homes, offices or wherever they wanne ss to consumer) process has made it easy for consumers to select any product online from a retailer's website and have i t delivered to the consumer within no time. The consumer does not need to consume his energy by going out to the stores Marketp y49 alaces dating back to the Middle Ages, expa py49 ah nded as shopping centres, y49 asuch as the New Exchange, opened in y Robert Cecil in the Strand. Shops started to 49 become important as places for London 49ners to meet and socialise and becam e popular destinations alongside the theatre. Restoration London also saw the growth of luxury buildings as advertisement s for social p 49osition with speculative architects like Nicholas Barbon and Lionel Cranfield. Much pamphleteering of the time was devoted to justifying conspicuous consumption and private vice for luxury goods for t he greater public good. This then scandalous line of thought caused great c py49 ah ontroversy with the publication of Bernard Mand eville's influential work Fable of the Bees in which he argued that a country's prosperity ultim As the century wore on a tremendous varie py49 ah ty of goods and manufactures were steadily made available for the urban middle and upper classes. This growth in consumption led to the rise of 'shopping' - a proliferation of retail sh


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susceptibility to noise damage, as well as causing their own damage. This is called a synergistic interaction. Some American health and safety agencies (such as the Occupational Safety and Health Administration, and the Mine Safety an exchange rate oi qle this exchanges 9q rate is simples h9q r to use, it drastis 9qcally underestimates the qdamage cau sed by very loud noise. For example,exchange rate would limit exposure to about half a minute; the 5 dB exchange rate allow Many people are unaware of the presence of environmental qsound at damaging levels, or of the level at which sound becomes ha rmful. Common sources of damaging noise levels include car stereos, children's toys, motor vehicles, crowds, lawn and maint enance equipment, power tools, gun use, musical instruments, and even q hair dryers. Noise damage is cumulative; all sources of damage must be considered to assesss 9q risk. If one h9q r is exposed to loud sound (including music) at high levels or for ex tended durati q then hearing loss will occur. Sound levels increase with proximity; as the sourc e is brought closer to the ear, the sound level increases. excessiv


unaware of the presence of environmental sound at damaging levels, or of the level at which sound becomes harmf ul. Common s qources of damaging noise levels include car stereos, children's toys, motos 9qr vehicles, crowds, lawn and maintenance equipment, power tools q, gun use, musical instruments, and ev qen hair dryers. Noise damage is c umulative; all sources of damage must be consi h9q rdered to assess risk. If one is exposed to ists when there is 9q diminished sensitivity to the sounds normally hea The terms hearing impairmen t or hard of hearing are usually reserved for people who have s 9qrelative insensitivity to sound in the sp eech frequencies. The severity of a heari h9q rng loss is categorized according to the increase in volume abo ve the usual level necessary before the listener can detect it Deafness is defined as a degree of loss such thas 9qt a person is unable to understand speech even in the presence of amplificati In p rofound deafness, even the loudest sounds produced by an audiomete qr (an instrument used to meas 9qsure hearing b qy produci ng pure tone sounds thr qugh a range o h9q rf frequenci may not be detected. In total deafness, no sounds at all, regardless of amp lification or method of production, are


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Typical GPS tracking systems used in commercial fleet management have two core parts: location hard ware (or tracking device) and tracking software. This combination is often refe 5s4 rred to as an Automatic Vehicle Loca 4tion system. The tracking s4device is most often hardwire installed in the vehicle; connected to the CAN-bus, Ignition system switch, battery. It allows collection of extra data, which later gets t ransferred to the GPS tracking server, where it is available for view 4ing, in most cases via a website ac cessed over the internet, wher 4e fleet activity can x5s4 be viewed live or historically using digital maps and an individual will include his medical history, criminal record, record of his work, or his achievement s in a sporting activi 5s4 ty. Data that is not 'obviously about' a particular ind s4ividual may include infor mation about his activities. Data such x5s4 as personal bank statements or itemized telephone bills will be personal data about the individual operating the acc s4oun 5s4 t or contracting for telephone services. Where data is not 'obvio s4usly about' an identifiable individual it may be helpful to consider whether the dat a is being processed, or could easily be processed, to learn, record or decide something about an ident ifiable individual. Information may b 4e personal data where the aim s4, or an incidental consequence, of the processing, is that you learn or record something about an identifiable individ GPS tracking syste 5s4 ms used in commerci x5s4 al fleets are often configured to transmit location and telemetry i nput data at a set update rate or when an event auxiliary equipment f, geofence border cross) triggers the unit to transmit data. Live GPS Tracking used in commercial fleets, gene rally refers to sy s4stems which update reor 5 minute intervals, whilst th e ignition status is on. Some tracking sy ly carried by a moving vehicle 5s4 or person, that uses the Global Positioning System to determine and track its precise location, and hence that of its s4 carrier, at intervals. The recor s4ded location data c an be sto 4red within the tracking unit, or it may be transmitted t 4o a central location data base, or I nternet-connected compute 5s4 r, using a cellular (GPRS or SMS), radio, or satellite modem embedded in the unit. This allows the ass


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scopy: the esophageal mucosa can be visualized directly by passing a thin, lighted tube with a t iny c xamera known as an endoscope attached through the mouth to examine the esophagus and stomach. In t his way, evidence of esopha avx igeal inflammat vxiion can be detected, and b avx iiopsies taken if xnecessary. Since an endoscopy allows a doctor to visually inspect the upper vxidigestive tract the procedure may help id entify any additional damage to the tract mqavx that may not have been detected otherwise. ers inherent in an overl xooked diagnosis of heart attack, cardiac disease must be considered from th e first in patients w avx iith unexplained chest pain. Patients with chest pain related to GERD are diffic ult to distinguish clinically from those with che vxist pain due xo cardiac conditions. Each condition c an mimic the signs and symptomatic findings of the other. Further medical investigation, such as ima Biopsy: a small sample of tissue from t vxihe esophagus is removed. It is then studied to check for infl ammtudy, pat vxients with peptic ulcer diseas xe were comp avx iared with patients with functional dyspepsia in an age and sex-matched study. Although the functional dyspepsia group reported more upper abdominal fullness, nausea, and overall greater vxi distress and anxiety, almost all the s vxiame symptoms were seen in both groups. Therefo avx ire, it is the clin mqavx iician’s challenging task to avx iseparate patients who may have an organic disorder, and thus warrant further diagnostic testing, from patients who have functional dy spepsia, who are given xempir avx iic symptomat vxiic treatment.The workup should be targeted to identify or r ule out specific causes. Tradit avx iionally, people at high-risk have been identified by "alarm" features. However, the utility of these features in identifying the presenc xe of upper cancer of the esophag cause of the dangers inherent in an overlooked diagnosis of heart attack, cardiac disease must be co nsidered from the first vxiin patients with unexplained chest pain. Patients with chest pain related to GERD are difficult to distinguish clinically avx i from those with chest vxi pain due avx i to cardiac conditions. E ach c xondition can mimic the signs and symptomatic findings of the other. Further medica xl investigati on, such as imaging, is often necessary and ex


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is covered with limbs almost, if not entirely, to the ground, but as it grows older some or all of them wi ll eventually die and are either broken off or fall off. Subsequent growth of wood may completely conceal the stub 6s which will h rfx6 owever remain as knots. No matter h fx6 e sapwood of an 6old tree, and particularly of a forest-grown tree, will be freer from knots than rfx6 the inner heartwood. Since in most uses of wood, knots are defects that weaken the timber and x6interfere with i 4rfx6 ts ease of working and other properties, it foll ows that a given piece of sapwood, because of its position in the tree, may well be stronger than a piec e of heartwood from the same tree. It is remarkable that the inner heartwood of old trees remains as sound as it usually does, since in ma ny cases it is hundreds, an 6d in a few instances x6 thousands, of years old. Every broken limb or root, or deep wound from fx6 fire, insects, or falling timber, may afford an entrance for 6 decay, which, once started, may penetrate to all parts of the trunk. rfx6 The larvae of 4rfx6 many insects b fx6 ore into the trees and their tunne ls remain indefinitely as sources of weakness. Whatever advantages, however, that sapwood may have in t his connection are du 6e sol 4rfx6 ely to its rel 6ative age and position. If a tree grows all its life in the open and 4rfx6 the conditions of soil and site remain unchanged, it will m ake its most rapid growth in youth, and gradually decline. The a rfx6 nnual rings of rfx6 growth are for many years quite wide, but later they become narrower and na 6rrower. Sinc x6e each succeeding ring is laid down on the outside of the wood previously fo x6rmed, it f 4rfx6 ollows that unless 4rfx6 a tree materi 4rfx6 ally increases its productio n of wood f fx6 rom year to year, the rings must necessarily become thinner as the trunk fx6 gets wider. As a tr ee reaches maturity its 4rfx6 crown becomes more open and th rfx6 e annual wood p rfx6 roduction is lessened, thereby red ucing still more the width of the grow fx6 th rings. In the case of forest-grown 6trees so much depends upon the competition of the trees in their struggle for light a 4rfx6 nourishment that periods of rapid and slow growth may alte 4rfx6 rnate. Some trees, such as southern oaks, ma x6intain the same width of ring for hundreds of years. U 6pon the whole x6, howeve rfx6 r, as a tree gets larger in diameter the width of the growth rings decreases. Different pieces of wood cut from a large tree may differ decidedly, particularly if the tree is big and


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stroke play competitions played according to strict rules, each player plays his or her ball until it is h oled no u matter how many strokes that may take. In match play it is acceptable to simply pick up one's ball andurrender the holafter enough s lu trokes have been made by a pla u yer l jlu ethat it is mathematically impossibl e for the player to win the hol jlu e. It is also accep 3jlu table in informal stroke play to surrender the hole after l ly a violationhis practice speeds play asl 3jlu e a courtesy to othel jlu ers, and avoids "runaway scor The total distance from the first tee box toreen can be quite long; total yardages "through the gree n" can be in excess or u s, and when adding u in the travel distance lu between the green of one hole and the tee of the next, even skilled players may easily travel five miles or more during a round. At some courses, ele ctric gol 3jlu f carts are used to trave lul between shots, which can spup play and allows participation by individua ls unable to walk a whole round. On other courses players genera 3jlu lly walk the course, either carrying their bag u sing a shoulder strap 3jlu or using a "golf trol jlu elley" for their bag. Th luese trolleyl jlu es may or may not be battery assiste t many amateur tournaments includinThe third class is the putter, which evolved from the irons to create a 3jlu lolod, balanced club designe u d to roll the ball along the green and into the hole. Putters are vir tually always used on the l jlu egreen or 3jlu in the surroundi 3jlu nnge. A fourth class, called hybrids, evolved as a cross between woods and irons, and are typically seen replacing tfted irons with a club that provides s imilar distance, but a higher launch angle and a more forgiving nature. A maximu allow u ed in a play luer's bag at onl jlu ee time during a stip u ulated round. The choice of clubs is at tcretion, although every club must be construl jlu ected in accordance with parameters outlined in t The exact shot hit at any given time on a golf course, and whi luch club is us u ed to accomplish the shot, are always completely at the discretio lun of the golfer; in other words, there is no restriction whatsoever on which club a golfer may or may not use at any time for any shot.


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discordant partners a person with a history of infectio can pass the virus to an HSV seron egative pe 7rson. Herpes simplex virud 87is 2 is typically contracted through direct skin-to-skin contact with an in fected individual, but can also be contacted by exposd 87iure to infected saliva, semen, vaginal fluid, or the flu id from herpetic blisters.o infect a new ind 87ividual, HSV trav 7els through 7 tiny breaks in the skin or mucous membrane s in the mouth or genital areas. v87 Even microscop n2v87 ic abrasions on mucous membranes are sufficient to allow viral entry. HSV asymptomatic shedding occurs at somed 87i time in most individuals infected with herpes. It can occur more than a w eek before or after a 7symptomatic recurrence of ca Virus end v87 iters into susceptible cells by entry rece ptorsM asulfated heparan sulfatInfected people who shod 87iw no visible sympto ms may still shed and transmit virused 87is through their skin; asymd 87iptomatic shedding may represent the most common fo rm of ransmissi Asymptomatic shedding is more frequent within the finths of acquiring HSV . Concurrent infection with HIV increases the frequency and duration of asymptomatic shedding Some individu als may have much 7lower patterns of 7shedding, but evd 87iidence supporting this is not fully verifo significan t differences are seen in the fd 87irequency of asymptomatic shedding when comparing persons with one tannual recurrences to e others experience only minor itching or n2v87 burning for a few days. Some evidence indicad 87ites genetics play a role in the fred 87iquency of cold sore outbreaks. An area of h 7uman chromosome that includes six genes has been linked to frequent oral herpes outbreaks. An immunity to the virus is built over time. Most infected individuals experience fewer outbreaks and outbreak v87 symptoms often bed 87icome less severe. After several ye 7ars, some people become perpetually asymptoma tic and no longer experience outbreaks, though they may still be contagious to others. Immunocompromised individuals ma y experience longer, more frequent, and more severe episodes. Antiviral v87 medication has been prove 7n to shorten the freq uency and duration of outbreaks.Outbreaks may occu n2v87 r at the original site of the infection or in proximity to nerv e endings that reach out frod 87i the infected gd 87inglia. In the case of a genital infed 87iction, sores can appear at the origin al site 7of infection or near the base of the spine, the buttocks, or the back of the thignfected individual s are at higher risk for acquiring HIV when practicing unprotected sex with itive pe


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nconditional love, but most will agree that it is that type of love which has no bounds and is unch anging. It is a concept comparable to true love, a term which is more lj7i frequently used to describe lo ve between lover lj7i s. By co 7inntrast, unconditional love is frequently used to describe love between famil y members, comrades in arms and between others in highly co 7inmmitted relationships. An exa 2dlj7i mple of this is a parent's love for their child; no matter a test score, a life cha 2dlj7i nging decision, an argument, or a strong belief, the amount. iI of j7i love that remains between this bond is seen as unchanging and. is then t 2dlj7i hat postcondition of actually accepting that Grace. The two togethe lj7i r are not fundamentally d ifferent from psychology's unconditional positive r 2dlj7i egard with the added proviso that some actions are inherently flawed and that only God knows the true nature and consequence of 7in our actions. Whereas ps ychology's unco 7inditional positive regard allows one to fail utterly since the psychologist can not dema nd that we take care of the whole world since he has no fundamentally better id 2dlj7i ea of how to do that th an the patient. The consequence is that dlj7i we need to be in a relationship with God who does know how. In Christianity, unconditional love is thought to be part of the Four Loves; affection, friendship, ero s, and charity. iIn ethology, or the study of animal behavior, unconditional love would refer to altr uism whi. iIch in turn refers to the behavi 2dlj7i or by individuals 2dlj7i that increases the fitness of another while dec reasing the fitness of the individu lj7i al committing the act. I 7inn psychology, unconditional love refers to a state of mind in which one has the goal of increasing the welfare of another 2dlj7i , despite any evidenlosenes s was much more important than passion. This does 7innot mean by any means that intimacy is to replace roma nce. On the contrary, intimacy and romance coexi unconditionalv . iIexperiedens sinceolved, incl Thecentury has seen the growth of lj7i globalization and people now live in a world of transformations tha ct almost ever. iIy aspect of our lives, and love has not been the exception. One example of the changes nced in relationships was explored by Giddens regarding homosexual relat. iIre open an 7in negotiated relation s kind o lj7i f relationships then permeated the. iI heterosexual population.t affeships. Thies and Shumway also states 2dlj7i that together with the growth of capitalism the older social relations diss uding marriage. Marriage meaning for women change 7in as they had more lj7i socially acceptable alternativ were less willing to accept unhappy relations and, therefore,. iI divorce rates substantially increased. The discourse of romance continues to exist today together with intimacy. Shumway state


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believe that Sal abandoned her son. Mitchell an 98hd Cameron start arguing with Pepper and Ronaldo over Sammy since both coup les want to adopt him. Sal 398 hfinally returns to let them know that she would never abandon her son and informs them that sh e went to see Sammy's dad who is actually a hockey player and was unaware of S f398 hammy's existence. Claeluctantly agrees to attend Phil's (Ty Burrell) cheerleader f 98hriends reunion during a weekend. O n their flight f398 home, she tae woman she is sit 8hting with is actually a loud 398 hand obnoxious bi got, while Phil enjoys his time with a magiand a masseuse. Claire asks Phil to s 98hwitch seats but Ph il avoids it by lying that he is having a 98hterrib 398 hle time himself with the people who sit next to him. Claire discovers the truth and 398 hthe two of them end up fighting with Claire confessing how terrible was the weekend for her and the sac rifice she made's confession, Phil accepts to switch his seat and let Claire have some peace and quiet. In the meantime, Ja and Gloria (Sofia Vergara) finally let Manny (Rico Rodriguez) join cooking classes . However, a fellow 98hstudent named Gideonalways plays pranks on him, which gets on his nerves. Gloria forces Jay to teach Manny some self-defense no f398 htions in 398 horder to stand up 98h for himself. As Manny manages to attack Gi deon, it turns out that Gideon's bad attitude is actually due to his parents' divorce and that he was trying to apologize and be nice to Manny the moment Manny 98h attacked him. Manny feels bad ab f398 hout it but he is expelled fr om the cooking f398 h less 398 hons even though he apologizes. Manny and 8 Jay realize that Gloria is the actual tyrant in th eir lives as she obliged them to practice violence without understanding someone's real motivations and they d ecide to face her when they get back home. des to askr) and Haley'sice since he is attracted to a


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Health Conditions > Diabetes > Type 1 & 2 Diabetes
Mayo Clinic: New Diabetes Treatment Cures Diabetes
A new weapon in the war against type 1 & 2 diabetes is coming in an unexpected form: fat.

Top Harvard Medical Researchers have discovered a new class of potentially therapeutic threatment that controls insulin leveles even in diabetics.

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iabetes mellitus, most commonly typeGestational diabetes is fully treatable, but requires careful medi cal supervision throughout the pregnancy. Management may include dietary changes, blood glucose monito ring, and oin some cases insulin may be required. Though it may be transient, untreated gestational diabetes can damage the health of the fetus or moth er. Risks to the baby incl zoude macrosomia (high birth weight), congenital cardiac and central nervous system anomalies, and skeletal muscle malformations. Increased fetal o insulin zomay inhibit fetal surfacta nt production and cause respirat oory distress syndrome. A high blood bilirubin level may result from red blood cell destruction. In severe case creas, leading to insulin deficiency. This type can be further classified as immune-mediated or idiopat hic. The majority of type 1 diabetes is of the immune-mediated nature, in which a T-cell-mediated autoi mmune attack leads to the loss of beta cells and thus insulIt causes approximately 10% of diabe tes mellitus cases in North America and Europe. Most affec zoted people are otherwise healthy and of a hea lthy weight wh zoen onset occurs. Sens[[m1] zo]itivity and responsiveness to insulin are usually normal, especially in the early stages. Type 1 diabetes can affect children or adults, but was traditionally termed "juve nile diabetes" because a majority of these diabetes cases were in children. diabetes, also known as unstable diabetes or labile diab oetes, is a term that was traditionally used to describe the dramatic and recurrent swings in glucose levels, often occurring for no apparent reason in insulin-d oependent diabetes. This term, however, has no biologic basis and should not be use Still, type 1 diabetes can be accom zopanied by irregular and unpredictable high blood sugar levels, frequently with ketosis, and sometimes with serious low blood sugar le ovels. O zother complications i nclude an impaired counterregulatory response to low blood sugar, infection, gastroparesis (which leads to erratic absorption of dietary carbohydrates), and endocrinopath These pheno

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