J 1 J Premenopausal Pelvic mass β-hCG test + Sono: simple cyst + Sono: complex/solid + Acute severe pain © Elmar P. Sakala‚ MD‚ MPH J J (c) Elmar P. Sakala‚ MD MPH (2011) 2 CV disease & Hormone Therapy J Recommendations: HT (E+P) 2003 Critique of WHI study © Elmar P. Sakala‚ MD‚ MPH © Elmar P. Sakala‚ MD‚ MPH (c) Elmar P. Sakala‚ MD MPH (2011) 3 Menopause WHI “WINDOW of OPPORTUNITY” Critical period for maximum response to HT
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mostly known by and large‚ special vigilance becomes necessary during festivals such as the Durga Puja‚ Kali Puja & Diwali. To have a clear idea about the increase of ambient noise level in residential areas in the city of Calcutta and other district town during the festivals‚ the West Bengal Pollution Control Board (WBPCB) undertook a noise monitoring survey during those days in the year 2005 as in previous years. Noise Pollution Survey procedure: Firecrackers generate instantaneous impulsive noise
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“The Step Not Taken” by Paul D’Angelo is a short story that demonstrates the archetype of monomyth‚ or hero’s journey. The three stages of a monomyth are separation‚ struggle or initiation and return and reintegration. This essay will examine how these three stages are prevalent in “The Step not Taken‚” by examining the narrative and other popular stories featuring a monomyth archetype. To begin‚ the narrator is our protagonist and hero. The protagonist is called to an adventure in the first stage
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Thank You for Your Service It’s almost four o’clock in northern Maine on a cool spring morning. Bags are rustling and seat-belts are unbuckling as everyone starts to get out of their seats and into the isle‚ waiting impatiently‚ to stand on American soil once again. While walking into an empty airport terminal‚ one by one‚ with a bag over our shoulders and rifle in hand‚ the muffled sounds of clapping starts to hit our ears. Nearing the opening between terminals the vibrating sounds of clapping
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The article Finding Your Heart’s True Calling by Gary Selby tugged at my heartstrings a bit as it reiterated questions that I have asked myself over and over again. The piece assured me that I’m not the only person who is worried that my major may not support me‚ and solidified my belief that my occupation should be enjoyable to do and fulfil the need to do meaningful work. I have always known that I do not want to live my life wishing that I was doing something else. What was most surprising to
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Different Way of Looking at the Five Steps to Tyranny Concept James Turner PSY 400 4/12/09 In week 5‚ we watched a television program called “The Five Steps to Tyranny.” It explained how five different steps that take place can lead to conflict and tyranny. The program used a variety of examples‚ from the Holocaust to an exercise used in a third grade classroom‚ to explain these steps and also how they lead to tyranny. When people talk about the “5 Steps to Tyranny” concept‚ they usually
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that there is a risk to life. Counseling is Not: • Giving advice. • Judgmental. • Attempting to sort out the problems of the client. • Expecting or encouraging a client to behave in a way in which the counselor may have behaved when confronted with a similar problem in their own life. • Getting emotionally involved with the client. • Looking at a client’s problems from your own perspective‚ based on your own value system. Counselling comprises the following processes: • Phase One: The Initial Interview
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STEPS IN STATISTICAL INVESTIGATION 1. DEFINING THE PROBLEM The main goal of the project we are involved in is to get some information about how people from different countries (as Spain and Sweden) think about one important problem in our current society: the Environment. Pupils and teachers from both countries created the questions for the surveys in order to get some important aspects and point of views about this topic. Then‚ pupils carried out surveys and now‚ it is the moment to analyze and
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Steps in Vegetable Carving Vegetable carving is an ancient Asian art that was developed 700 years ago in Sukothai‚ Thailand‚ by a servant named Nang Noppamart‚ who carved a bird and flower for the Loi Kratong festival. The art is actually a requirement in the Thai school system. Modern chefs have adopted the practice‚ making ordinary vegetables look beautiful. The art continues to expand as culinary classes are offered and smaller-scale restaurants implement the vegetable creations on their plates
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STRATEGIC PLANNING: A TEN-STEP GUIDE* I. IMPORTANCE OF PLANNING There is broad agreement among nonprofit leaders and experts that planning is a critical component of good management and governance. Planning helps assure that an organization remains relevant and responsive to the needs of its community‚ and contributes to organizational stability and growth. It provides a basis for monitoring progress‚ and for assessing results and impact. It facilitates new program development. It enables an
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