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رشاقة بلا جوع : العلم الحديث للتحكم في الشهية : أبلغ وزن جسمك المثالي
أسلوب جديد هين لتحقيق وزن جسمك المثالي وإبعاد الوزن الزائد مدى الحياة إن كتاب \"رشاقة بلا جوع\" سيريك كيف، تفقد الدهون بسرعة دون أن تفقد العضلات الصحية، تستخدم نتائج الأبحاث الحديثة كي تقلل بشكل كبير من الرغبات الملحة للطعام، مما يتيح لك خفض الطعام المتناول دون الشعور بالجوع، تحرق الدهون وتزيد عملياتك الأيضية، وتحسن كتلة العضلات، تحافظ على التحكم في الشهية عبر وصفات طعام سهلة التحضير وخطط طعام تناسب تماما نمط الحياة العصري السريع. نتحدث عن الكاتب مايكل ت. موراي : اختصاصي العلاج بالطبيعة ويعد أحد خبراء العالم المتقدمين في الطب الطبيعي ؛ وقد ظهر في العديد من برامج التلفاز، بما فيها برنامج ديتلاين. نتحدث أيضا عن الكاتب د مايكل ر. ليون، طبيب، وباحث طبي، ومحاضر معروف عالميا في مجال فقد الوزن يرأس حاليا مركز أبحاث طبيا مختصا بالسمنة والتحكم في الشهية.
BOOK
In-Office Tympanostomy Tube Placement Using Iontophoresis and Automated Tube Delivery Systems
Objectives
(1) To evaluate safety, tolerability, and technical success of lidocaine iontophoresis and a tympanostomy tube placement system for adults in an office setting and (2) to meet regulatory evidence requirements for new drugs and devices.
Study Design
Prospective, multicenter, single arm.
Setting
Patients were recruited in 8 community-based practices in the United States between June and September 2017.
Subjects and Methods
This study evaluated tympanic membrane anesthesia and tube placement in 30 adults. Anesthesia was achieved via iontophoresis of a lidocaine/epinephrine solution. Tube placement was conducted using an integrated myringotomy and tube delivery system. Tolerability of tube placement was measured using a patient-reported visual analog scale from 0 mm (no pain) to 100 mm (worst possible pain). Mean pain score was compared to a performance goal of 45 mm, where statistical superiority represents mild pain or less. Technical success and safety through 3 weeks postprocedure were evaluated.
Results
Twenty-nine (29/30, 96.7%) patients had tube(s) successfully placed in all indicated ears. One patient demonstrated inadequate tympanic membrane anesthesia, and no tube placement was attempted. The mean (SD) pain score of 9.4 (15.7) mm was statistically superior to the performance goal. There were no serious adverse events. Seven nonserious events were related to device, procedure, or drug: inadequate anesthesia (1), vertigo (1), and dizziness (1) at the time of procedure and ear discomfort (1), tube occlusion (2), and medial tube migration (1) postprocedure.
Conclusion
Lidocaine iontophoresis provides acceptable tympanic membrane anesthesia for safe, tolerable, and successful in-office tube placement using an integrated myringotomy and tube delivery system.
Journal Article
How a Bad Study Became Big News
\"There is really no evidence that taking dietary supplements is beneficial to health, and there is increasing evidence that taking high doses is harmful.\" Results showed that men who ate no fish had a two- to three-fold increase in the risk of developing prostate cancer compared with those who consumed large amounts of fish in their diet3; (2) Data from the Physicians Health Study, a study spanning 22 years, found that fish consumption (>5 x/wk) reduced the risk of dying from prostate cancer by 36%4; (3) A study conducted by the Harvard School of Public Health that involved 47 882 men over 12 years found that eating fish more than three times per week reduced the risk of prostate cancer but had an even greater impact on the risk of metastatic prostate cancer.
Journal Article
Enhancing Remote Legal Proceedings
Alcorn v. City of Chicago established a precedent of a deposition recorded on Zoom being inadmissible as court evidence. [...]people are involved in all of the aspects of virtual proceedings described above, from the videographer ensuring virtual depositions are court-admissible to the paralegal compiling and organizing the paperless exhibits in an intuitive structure to the deposition officer certifying a transcript. Roberts Jr, Chief Justice of the United States, who wrote in his 2023 year-end report, \"Machines cannot fully replace key actors in court...
Conference Proceeding
5 Ways Paralegals Can Streamline the Deposition Process
CENTRALIZE SCHEDULING AND DEPOSITION DETAILS The Challenge With the need to coordinate attorneys, witnesses, court reporters, and clients across multiple cases and jurisdictions, maintaining a clear, up-to-date deposition schedule can feel like herding cats. GO PAPERLESS WITH DIGITAL EXHIBIT MANAGEMENT The Challenge Toting around multiple binders or bankers boxes stuffed with potential exhibits is cumbersome and can lead to mistakes, including missing documents, disorganized tabs, or version control issues. The Solution Adopt automated legal calendaring tools that calculate filing and response deadlines based on court rules-factoring in weekends, holidays, and rule changes-and send proactive alerts as dates approach.
Trade Publication Article
Top Ways Paralegals' Jobs Have Changed
Whether the goal is to save money - with the travel costs for depositions greatly reduced or eliminated - greater access to remote witnesses, simplified scheduling, or just to avoid rush-hour traffic, remote and hybrid proceedings just make sense. A paralegal would normally look a few steps ahead, but as we heard, \"One must be at least five steps ahead in order to accommodate changes in the legal community, e.g., schedule of mail/delivery, lag time in getting hold of court clerks, realizing services that used to be at one's fingertips and taken for granted are no longer the norm\" In addition, 47% ofthe respondents said they are experiencing a higher volume of depositions or legal proceedings compared to just a year ago. \"Working from home, one must have not 'just' Wi-Fi; one must have good Wi-Fi or better than good in order to be efficient,\" recounted one paralegal.
Trade Publication Article
Top 9 Ways to Wrangle Electronic Exhibits
The PDF file format became an open standard all the way back in 1993, and the Electronic Court Filing technical specifications were agreed upon more than 20 years ago. When you install the application - for instance, CutePDF (www.cutepdf.com), a free PDF maker - it will create a virtual printer. Once the annotations are complete, the document can be finalized and added to the record or marked as an exhibit. Since the first introduction of electronic exhibits, and particularly in the last few years, many things have changed, often for the better.
Trade Publication Article
TOP 10 WAYS TO PREP YOUR ATTORNEYS FOR Remote Proceedings
[...]many attorneys say that remote proceedings will be an integral part of their practice moving forward, no matter the pandemic situation. [...]you need to give the reporter a list of every participant's name, phone number, and email address for contact purposes. 7. [...]recent opinions, such as Alcorn v. City of Chicago, have stated that, in order to use video from a remote proceeding as evidence, an official videographer must capture testimony as it needs to be presented for legal use - featuring only the witness and going officially on and off the record as necessary. [...]attorneys should log in 30 minutes prior to the start of the proceeding so you have time to troubleshoot any issues that arise. 9.
Trade Publication Article
Fire Ways Remote Work Has Impacted Paraleqals
LAW FIRMS POOLING RESOURCES AND SCHEDULING Another change is that some law firms are pooling the talents and time of paralegals, both in official and unofficial ways. Scheduling multiple proceedings in a day with one court reporter can be highly effective in both streamlining proceedings and ensuring coverage amid the current stenographer labor shortage. Paralegals supporting paper-loving attorneys have been continuing to print documents and meticulously prepare exhibit binders in addition to the work involved in facilitating virtual hearings, trials, and depositions.
Trade Publication Article
