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The instrumental activities are not as noticeable as the Activities of Daily Living when it comes to loss of functioning, but functional ability for IADLs is generally lost prior to ADLs.

The assessment is a carer rated instrument consisting of 20 daily-living abilities. The scale has 'face validity', assessing items rated as important by and using levels of ability generated by carers.

It explains the. Needs to use an aid or appliance, other than highest scores indicating greater independent functioning in daily living activities and less assessed need, i.

Global Rating: How would you rate your level of functioning during your usual daily activities on a scale from 0 to with being your level of function prior to your knee problem and 0 being the inability to perform any of your usually daily Knee Outcome Survey Activities of Daily Living Scale Instructions: The following questionnaire is designed to determine the symptoms and limitations that you experience because of your knee while you perform your usual daily activities.

The rater is asked to select one of five statements for each activity. Please answer by ticking ONE box for each question.

Please …. Global Rating: How would you rate your level of functioning during your usual daily activities on a scale from 0 to with being your level of function prior to your knee problem and 0 being the inability to perform any of your usually daily Instrumental Activities of Daily Living are actions that are important to being able to live independently, but are not necessarily required activities on a daily basis.

Lost your password? Please enter your email address. You will receive mail with link to set new password. Sign in New account.

Email or Username. Password Show. Remember me. Add the remaining filling ingredients and simmer for minutes. Pour into an oven proof dish and set aside.

To make the topping, place the flour, sugar, butter and cinnamon in a bowl together and rub with your fingertips until it has formed breadcrumbs.

Add the granola and stir until well combined. Scatter the crumble mixture over the fruit and bake in the oven for 30 minute until the top is golden.

Rate this item: 1.

Concentrations of calcium and manganese are in the limits of control. At the th day of acute renal insufficiency concentrations of studied manganese, calcium, iron, zinc and lead are changed in the limits of control.

At the end of study 30 days changes in concentrations of certain macro- and microelements in tissue of lymphatic node are observed.

Statistically significant decrease of concentration of calcium 1,5 times , copper 1,8 times , zinc 1,3 times , selenium 2,5 times and increase of concentration of potassium 1,4 times , lead 1,6 times are observed.

Concentration of chlorine and manganese are in the limits of control. Exchange of important macro- and microelements is intensified at the renal insufficiency and they accumulate in the tissues of kidney and lymphatic node.

Functional synergism takes place in kidney and lymphatic node during the exchange of microelements. It prevents losses of macro- and microelements at the renal insufficiency.

But compensatory adaptive processes are sufficiently expended and accompanied with decreased concentrations of copper and selenium in lymphatic node.

More precise definition of microelement composition of kidney and regional lymphatic node is very important for understanding pathogenesis of acute renal insufficiency and gives new possibilities for correction disease based on bioelement exchange.

Gorchakov A. Methods of experiment. Research was studied on 60 white rats of a Wistar. Animals have divided into 3 groups: the first group of animals was control; by an animal of the second group it has been generated an implantation bed without introduction of the titanium-nickel alloy; animals of the third group were exposed to implantation of the titanium-nickel alloy in area of an alveolar process of the lower jaw.

Cells of lymphoid tissue investigated with the help of an ocular graticule. Quantity of cells calculated an area of square microns in various structurally functional zones of a lymph node germinal center, paracortex, medullary cords and lymphatic medullar sinus.

At calculation were considered lymphocytes, immunoblasts, macrophages, reticular cells, mature plasmocytes, eosinophils.

Statistical processing has been spent with application of software packages SPSS 9. The implantation of titanium nickelide changes cellular composition in a lymph node.

There is statistically a decrease of the maintenance small lymphocytes, blast cells, macrophages and eosinophils in a lymphoid nodule with the germinal center.

There is a decrease the maintenance of averages lymphocytes, immunoblasts reticular cells, and an increase the number of macrophages and eosinophils in paracortex.

The cell population is become normal to an end of experiment in the paracortex. There is in the experiment beginning an increase the maintenance of mature plasmocytes in medullar cords of a lymph node.

The quantity of macrophages, reticular cells, mature plasmocytes and eosinophils increased to an end of experiment in medullar cords of a lymph node.

There is a decrease the maintenance of small and average lymphocytes and an increase the maintenance of eosinophils and macrophages by 7 days of supervision in medullar sinus of a lymph node.

The number small lymphocytes, immunoblasts and eosinophils increased to end of experiment in in medullar sinus of a lymph node.

For days of implantation was observed the authentic increase in the maintenance macrophages in germinal center, paracortex and medullary sinus of a lymph node.

These changes are the activation of phagocytal reaction. It is often observed at protective reactions of an organism Jurina N.

For all zones of a lymph node number decrease lymphocytes is characteristic. Decrease of lymphocytes is connected with 51 delay of migration of cages in a lymph node, especially in paracortex.

Certainly, the local proliferation cells are of great importance Hussar J. The basic way of receipt lymphocytes in a lymph node are postcapillary venules with high endothelium.

Circulation of lymphocytes is regulated of interdigital cells and macrophages in a lymph node Fossum S. There is an increase in number of averages lymphocytes in the conditions of implantation.

The average lymphocyte is the transitive form between immunoblast and small lymphocyte Fossum S. The increase the maintenance of averages lymphocytes is a development basis of proliferation of lymphoid tissue Vasilev N.

In the germinal center marked maintenance increase immunoblasts. At the same time their maintenance in paracortex and medullary cords authentically decreased.

Apparently, there is an oppression of differentiation of cells. These results will be coordinated with data of other scientists Borodin Y.

Number of plasmocytes is connected with intensity of humoral immunity in a lymph node. We have noted positive changes in population of cells in a lymph node for 60 and days of experiment.

The quantity of lymphoid cells does not differ from control in structural and functional zones of a lymph node. Morphokinetics of cellular populations of structurally functional zones takes place to be differently directed.

The number of cells depends on functional specialization of a zone in a lymph node and from period of implantation.

Gref E. Astashov N. Burchak P. Larionov S. Annually humanity synthesizes tens of thousands of new chemical compounds, which are in contact with a man and interfere in its metabolism.

Soil contaminated with chemicals, products of radioactive decay, the water in the aquifers contains dissolved heavy metals, often in concentrations exceeding the maximum allowable.

It was heavy metals occupied the second place after the pesticides among the main pollutants of the environment. Their concentrations in the biosphere in times higher than the background level and especially toxic is Pb.

In modern toxicology estimates Pb refers to the first class of extremely dangerous for an organism. Reproductive toxicity of Pb is known for a long time, he easily overcomes gisto-blood barriers and the placenta, accumulates tissues 52 Programm Abstracts of the fetus.

Clinical and experimental studies carried out earlier in our institute, it is shown that many of the chronic diseases associated with health defects that have occurred even in the prenatal period.

In this investigation, a study of the status of the lymphatic system during pregnancy complicated by chronic intoxication Pb acetate and on the background of application of NanoCarbon mineral sorbent NCMS.

In the group of correction, during the pregnancy, administered enterally within 14 days NanoCarbon mineral sorbent.

Iliac lymph node in complicated chronic intoxication of pregnancy on the background of NCMS remains fragmented type of structural-functional specialization, it identifies structural signs of activation of the humoral and cell-mediated immune response.

In the reduced thickness of the connective tissue structures, perhaps due to the reduction of edema. Investigation of the structure of the renal lymph nodes in the group of animals revealed reduction of transport through the lymph node the area of the sinuses.

In the renal lymph nodes identified pronounced structural signs of activation of humoral type of the immune response increased area of secondary lymphoid nodules, the number of mature forms of cells of lymphoid and plasma- derived series.

Therefore, the use of sorbent to reduce the toxic load on the organism is extremely important, because many drugs are not recommended or even contraindicated during pregnancy.

This study confirms that the use of sorbent in the complex of methods of drainage interstice, has expressed lymph correction and lymph stimulation effects.

Ibodov T. Abdufatoev R. Rofiev Sh. Latipov B. At the age of 3 days to 1 year were - 9, from 1 to 3 years - 25,3 - 7 years - 22, i7 - 15 years of children Rectal HD observed 53 at 23, rektosigmoidalation - in 27, subtotal - 7, total-and segmental in 3 - 3 children.

Patients, depending on the clinical manifestation of chronic intoxication and disturbances of homeostasis parameters are divided into three levels of endogenous intoxication T.

Abdufatoev, As of 1- st degree. Endogenous intoxication EI were observed - 9, 2-nd degree. Endogenous intoxication - 41 and 3-rd degree, patients.

Manifestation of endogenous intoxication mainly stuck to care for the sick in the hospital to stage. Degree of endogenous intoxication was based on identifying changes in lung function, cardiovascular system, liver, and homeostasis.

Leading to the diagnosis of HD was the contrast ergography colon in two projections, in a tight filling and emptying, as well as X-ray measurement and manometry.

In the late period two patients had complications as a narrowing of the anastomosis 1 and disease recurrence 1.

In 4 children 3 years there was a decrease proteinosynthetic detoxification and liver function. The average hospital stay for all stages of treatment comprised 53 three bed-days.

The date of radical surgery believe children older than 6 months. All the patients were carried out demucozation start of the sigmoid and rectum to the longitudinal folds of not more than 1 cm from the anal opening.

Expanded sections of sero-muscular sheath on the antero-lateral surface of the excised left depending on the size of the gut relegated to the projection of the internal sphincter.

Further dissection is performed internal and partly external sphincter up to 1 cm from the anus. In order to prevent reduction relegated intestine sero-muscular sutures fixed to the skin of the anus.

All patients to postoperative regional analgesia and endolymphatic antibiotic therapy, interoperation projected 3. In 46 patients with postoperative complications and no deaths were observed.

The average stay of patients was 28 2. Thus, the preoperative preparation of patients with HD without prior colostomy and Soave operation - Lenyushkina in conjunction with a longitudinal wedge-shaped excision of the extended part of sero-muscular sheath and dissection of the internal and partly external sphincter latching relegated ulcer on the skin of the anus are very effective.

Ibodov A. Sharipov B. Improved results of surgical treatment of children with various forms of echinococcosis of the lungs Materials and methods.

EL in various forms. Children aged years were Bilateral lesion in 8 5. According to the location in tissue lung echinococcus more and other central located, less 26 on the periphery.

Depending on the size and scope of the EC in the classification of A. Pulatova were. Among the complicated forms of echinococcosis patients with a breakthrough in the bronchus was 42, in the pleural cavity 4, a breakthrough in the bronchus and the pleural cavity2, suppuration of the residual cavity of the EC-3, re cystic inflammation In the diagnosis of the disease was mainly used radio logic method of investigation In observations for the diagnosis, the timing and extent of surgical intervention was used ultrasound U.

Results and discussion. We used two-stage disclosure of thoracic injuries in 71 patients with large and giant cyst of the lungs.

It consisted of the following: first produced torakotsentez dissection of parietal pleura in the course of the wound for cm Surgeon finger bluntly and gently detaches contiguous portion of the fibrous capsule, given that it was possible to separate the edge of cm and thereby partially exposing cyst.

Then sucked all the way to puncture echinococcus fluid, then dissected and removed fibrous capsule chitinous shell. Cavity of the fibrous capsule is disinfected and loose plugging.

Easy fully released from adhesions. In this case, bronchospasm, we observed in 5 patients, cardiac arrhythmias bradycardia in 4 patients.

In the clinic of pediatric surgery until when centrally located cyst easily applied method, developed by AT Pulatov in - is the creation of artificial interlobar or intersegmental grooves.

In this procedure, operated on 56 out of patients, including 13 with complications. We have been modified to create an artificial interlobar or intersegmental grooves.

In this method, operated on 90 children from patients. The technique is as follows: after the disclosure of the residual cavity formed in the hemisphere, further dissected fibrous capsule with minimal thin layer of lung tissue in the course of vessels and bronchi to the bottom within a functioning lung tissue to 2 3 cm excised edge of the fibrous capsule is imposed several eight-shaped, nonabsorbable hemo and aerostatic seams.

When inflating the lung surface of all the fibrous capsule are closed, as the concave surface on the fibrous capsule is completely eliminated.

Ignatenko M. Pola A. Fayerman Y. Gorky, Donetsk, Ukraine The considerable success in diagnostics and treatment of the widespread diseases of modern world as a chronic obstructive pulmonary disease COPD and coronary heart disease CHD has been achieved at the present time.

However, problem remains extremely urgent. CHD in the industrially developed countries is one of the most common diseases and on the first place among the causes of death.

COPD is disease with the large prevalence and fast developing of disability and high mortality. Methods and Results.

All patients received standard therapy with loop diuretics, angiotensin converting enzyme inhibitor or angiotensin II receptor antagonist and beta-adrenoblockers in the optimum dosages in the case of absence of contraindications to them.

Above mentioned therapy was constant and did not change at least 8 weeks before a study. There were performed assessing of lung ventilation which includes spirography, bodyplethismography for evaluating of the volumes of lungs and measurement of the lung diffuse capacity by the single breath method.

Das war beispielsweise bei Mrs. Welches sind die Ursachen von Geisteskrankheit? Auf eine so summarische Frage kann niemand eine Antwort geben.

Sie hatte weder Kinder noch eine gesellschaftliche Position. Sie bildet sich nun ein, mit einem englischen Aristokraten verheiratet zu sein und besteht darauf, Lady Smith genannt zu werden.

Was die Kinder anbelangt, so bekommt sie in ihrer Einbildung Freunde. Jede Nacht ein neues. Warum auch nicht? Weil Schwab ein Genie war?

Ich fragte ihn, wie er das macht. Ich kritisiere nie jemanden. Deshalb lobe ich ebenso gerne, wie ich ungern tadle. Das also ist die Meinung von Schwab.

Was aber tut der Dale Carnegie How to win friends 19 Durchschnittsmensch? Das genaue Gegenteil. Als Edward T. Es war nicht sehr schwierig, am Ende des sechsten Tages war ich weniger hungrig als am Ende des zweiten.

Alte Klamotten! Hab' ich alles schon versucht. Schmeicheleien, Honig um den Mund streichen - das zieht nicht - nicht bei intelligenten Leuten.

Diese Kunst ist in unserer realistischen Zeit fast ganz verlorengegangen. Darin besteht das ganze Geheimnis der Mdivanis, denen die Frauen so sehr verfallen sind, glauben Sie mir.

Schmeichelei ist falsch, und wie Falschgeld kann auch sie demjenigen Schwierigkeiten bereiten, der versucht sie anzuwenden.

Woran aber erkennt man den Unterschied zwischen Anerkennung und Schmeichelei? Ganz einfach: Die eine ist echt, die andere unecht.

Die eine kommt aus dem Herzen, die andere aus dem Mund. Die eine wird allgemein geliebt, die andere allgemein verurteilt. Weit gefehlt! Ich spreche von einer neuen Lebensweise.

Versuchen wir doch die guten Seiten der anderen zu entdecken. Vergessen wir die Schmeichelei und spenden wir aufrichtige, ehrliche Anerkennung.

Lloyd George hat es getan. So etwas ist albern und kindisch. Denken Sie morgen daran, wenn Sie bei jemandem etwas erreichen wollen. Der junge zerrte an dem Tier, und Emerson schob es von hinten.

Das Kalb aber wollte etwas anderes. Sie spendeten diese hundert Dollar, weil Sie helfen und eine gute, selbstlose Tat vollbringen wollten.

Eines aber stimmt trotzdem: Sie bezahlten diesen Betrag, weil Sie etwas wollten. Professor Harry A. Wem dies gelingt, der hat die ganze Welt auf seiner Seite.

Der andere aber wandelt auf einsamem Pfad. Er ging zwar nur vier Jahre zur Schule, aber er verstand es, mit Menschen umzugehen. Postwendend traf die Antwort ein.

Nehmen wir einmal an, Sie wollen morgen jemanden veranlassen, etwas Bestimmtes zu tun. Als mich diese Nachricht erreichte, waren die Eintrittskarten schon gedruckt und im Verkauf und die Inserate publiziert.

Ihn interessierte nur, was er wollte. Nun sehen wir uns einmal die Nachteile an. Das bezahle ich Ihnen nie und nimmer!

Schauen wir einmal den folgenden Brief an. In Klammern mein Kommentar zu jedem Abschnitt. Ich habe genug an meinen eigenen Sorgen. Und was passiert nun?

Die nationalen Werbebudgets unserer Agentur bildeten bisher das Fundament des gesamten Werbefunks. Na und?

Sie ausgewachsener Trottel. Endlich, endlich kommt Ihnen in den Sinn, die Sache auch einmal von meinem Standpunkt aus zu betrachten.

Der beiliegende Auszug aus dem Blankville Journal wird Sie interessieren. Warum haben Sie nicht am Anfang Ihres Briefes davon gesprochen?

Aber lassen wir das. Hier gleich noch ein anderer Brief. Zerega's Sons, Inc. So trafen beispielsweise am Er beginnt mit den Schwierigkeiten der Transportfirma, die uns im Grunde gar nicht interessieren.

Vergessen wir die Probleme der Transportfirma, stellen wir uns auf den Standpunkt des Kunden und betrachten wir die Sache aus seiner Sicht, wie Henry Ford uns das gelehrt hat.

Er ist vielleicht nicht der beste, aber jedenfalls besser. Es ist uns nur daran gelegen, Sie besser zu bedienen. Weil sie immer nur an das denken, was sie wollen.

Wir sind ewig nur an unseren eigenen Problemen interessiert. Trotzdem gibt es eine Unzahl Menschen, die verkaufen wollen, ohne sich auf den Standpunkt des Kunden zu stellen.

Anderntags erhielt ich einen Brief von ihm. Aber dem war nicht so. Es lag ihm nichts daran, mir zu helfen.

Er war einzig daran interessiert, sich selber zu helfen. Noch ehe er einen Blick auf meine Mandeln geworfen hatte, fragte er nach meinem Beruf.

Sie stehen praktisch konkurrenzlos da. Owen D. Ich spiele leidenschaftlich gern Basketball, aber ich kriege keine richtige Mannschaft zusammen.

Sagte er auch nur ein einziges Wort davon, was die andern wollten? Das Kind hatte Untergewicht und weigerte sich, ordentlich zu essen. Genau das aber hatte der Vater erwartet.

Wie kann ich das, was ich will, in Einklang bringen mit dem, was er will? Der Junge hatte ein Dreirad, mit dem er leidenschaftlich gerne auf dem Trottoir vor dem Haus auf und ab fuhr.

Komm schnell nach oben und schau dir mein Bett an, das icb gekauft habe. Es war sein Bett. Er ganz allein hatte es gekauft.

Er trug jetzt ein Pyjama wie ein Mann, und wie ein Mann wollte er sich auch benehmen. Welches ist also diese geheimnisvolle Bedingung?

Wie aber schaffen Sie sich diese Voraussetzung? Es wird Sie dann vermutlich locken, gleich weiterzulesen.

Im ganzen gesehen sparen Sie mit dieser Methode Zeit und kommen schneller zu einem praktischen Ergebnis.

Aus welchem Grund? Legen Sie es vor sich auf den Schreibtisch. Einen andern Weg gibt es nicht. Wir lernen, indem wir etwas tun.

Wenden Sie sie bei jeder Gelegenheit an, sonst vergessen Sie sie gleich wieder. Sie finden es vielleicht schwierig, jederzeit nach diesen Prinzipien zu handeln.

Ist man beispielsweise schlecht gelaunt, so ist es viel leichter zu kritisieren und zu verurteilen als den Versuch zu machen, den andern und seinen Standpunkt zu verstehen.

Man findet oft schneller etwas Tadelnswertes als etwas Lobenswertes. Und so weiter. Ziehen Sie deshalb diese Seiten oft zu Rate.

Das ist meist verkehrt. Lesen Sie statt dessen die Stellen nach, die Sie in diesem Buch angestrichen haben. Machen Sie sich einen Sport daraus, die Regeln dieses Buches zu beherrschen.

Dieser Mann hatte wenig offizielle Schulbildung genossen. Trotzdem ist er heute einer der bedeutendsten Finanziers von Amerika. Wie sie funktioniert, will ich Ihnen mit seinen eigenen Worten beschreiben, soweit ich mich noch daran erinnere.

Dieses jahrelang praktizierte System der Selbstkritik und Selbsterziehung hat mir mehr geholfen als alles andere, was ich je versucht habe.

Ich kann es Ihnen nur bestens empfehlen. Tragen Sie Namen und Daten genau ein. Wer das ist? Er war die Freude meiner Kindheit.

Die Leute sind weder an Ihnen noch an mir interessiert. Wenn Sie ein Gruppenbild anschauen, auf dem Sie mit abgebildet sind, wen suchen Sie dann zuerst?

Freunde, wirkliche Freunde schafft man sich nicht auf diese Weise. Solche Menschen sind die Ursache alles menschlichen Elends.

Mehr als sechzig Millionen Menschen haben Karten gekauft, um seine Vorstellungen zu besuchen, und er hat dabei nahezu zwei Millionen Dollar Gewinn gemacht.

Ich fragte Thurston nach dem Geheimnis seines Erfolges. Verstand er mehr von Zauberkunst als seine Kollegen? Er war ein fabelhafter Schauspieler.

Er kannte die menschliche Natur. Ich liebe mein Publikum. Halten Sie davon, was Sie wollen. Sogar seine Dienstboten liebten ihn. Sein farbiger Diener, James E.

Die Leute erinnern sich heute noch daran. Charles W. Hier ein Beispiel, wie Dr. Eliot arbeitete. Er bekam das Geld, bedankte sich herzlich und wollte gleich wieder gehen, als Rektor Eliot ihn aufforderte, doch einen Augenblick Platz zu nehmen.

Das gefiel ihnen. Und sie kamen einer nach dem andern nach Brooklyn gereist, um uns behilflich zu sein. Haben es gern, wenn man uns bewundert.

Nehmen wir als Beispiel den deutschen Kaiser. Selbst sein eigenes Volk kehrte sich gegen ihn, als er nach Holland floh, um seine Haut zu retten. Mitten in dieser Woge des Zorns und des Hasses schrieb ein kleiner Junge dem Kaiser einen einfachen, aufrichtigen Brief.

Aus jedem Wort sprach ehrliche Bewunderung. Er werde seinen Kaiser immer lieben, was auch die Leute sagen mochten, beteuerte der kleine Briefschreiber.

Wie man das fertigbringt? Nennt er vielleicht den November, Das haut hin! Das gilt auch am Telephon. Charles R. Seine Antworten waren ziemlich unverbindlich und unklar.

Knaphle junior aus Philadelphia. Knaphles Nase weiter. Trotzdem wunderte er sich weiterhin, warum sie ihre Kohlen nicht bei ihm kauften. Er ist stolz auf das, was seine Filialen in Hunderten von Gemeinden leisten.

Der erste Eindruck ist entscheidend! Es zeigte Bitterkeit und Egoismus. Ich freue mich, Sie zu sehen. Ein schiefes Grinsen? Was kam dabei heraus?

Hier habe ich einen Brief von William B. Sein Fall ist kein Einzelfall, er ist im Gegenteil einer von Hunderten.

Sie war entsetzt. Und ich habe Wort gehalten. Seit jenem ersten Mal sind nun schon zwei Monate vergangen. Das Kritisieren habe ich ebenfalls aufgesteckt.

Was dann? Zwingen Sie sich dazu. Sind Sie allein, dann zwingen Sie sich, eine Melodie zu pfeifen, zu singen oder zu summen. Lesen Sie den folgenden Rat von Elbert Hubbard.

Man kann es weder kaufen, noch erbitten, noch leihen oder stehlen, denn es bekommt erst dann einen Wert, wenn es verschenkt wird. Ich habe Jim Farley einmal nach dem Geheimnis seines Erfolgs gefragt.

Zuerst war es eine ganz einfache Methode. Eines Tages kam er auf den Gedanken, der Pennsylvania Eisenbahngcsellschaft Stahlschienen zu verkaufen.

Edgar Thomson. Was machte Andrew Carnegie? Auch damals erinnerte sich Carnegie an die Kaninchengeschichte. Als sich die Konkurrenten im St.

Camcgic setzte ihm seine Idee auseinander - eine Zusammenlcgung ihrer beiden Interessen. Copper ansprach, die Selbstachtung dieses Mannes.

Und in beinahe jeder Kirche findet man Glasfenster, die an den Namen ihrer Stifter erinnern. In einem Brief berichtete mir Mr.

Bald hatten sich eine Menge Zuschauer um uns geschart. Franklin D. Wird uns jemand vorgestellt, dann sprechen wir ein paar Worte mit ihm, und wenn wir uns verabschieden, ist uns sein Name bereits wieder entfallen.

Napoleon III. Wie er das fertigbrachte? Ganz einfach. Auf diese Weise verschaffte er sich zum akustischen noch einen, optischen Eindruck.

Wenn Sie beliebt sein wollen. Darum beneide ich Sie wirklich. Im Gegenteil, die meisten Menschen handeln so wie diese Dame. Als ich neulich bei einem New Yorker Verleger zu Gast war, lernte ich einen bekannten Botaniker kennen.

Es wurde Mitternacht! Ich verabschiedete mich bei allen Anwesenden und machte mich auf den Heimweg. Dabei hatte ich kaum ein Wort gesagt.

Nach Charles W. Nichts schmeichelt ihm mehr. Ein Kunde kaufte in einem Warenhaus einen Anzug. Dieser Anzug hielt leider nicht, was er versprach.

Da sind Sie aber an die falsche Adresse geraten. Jedenfalls nicht bei einem Anzug in dieser Preislage. Das liegt an der Farbe.

Er fluchte die Teleplionistinnen an,tobte und drohte,das Telephon mitsamt der Wurzel auszurotten. Er schrieb Leserbriefe an die Zeitungen.

Vier Mal ging ich zu ihm, und bei meinem vierten Besuch wurde ich Mitglied einer Organisation, die er ins Leben rufen wollte. Er nannte sie Verein zum Schutze der Telephonteilnehmer.

Nie zuvor hatte sich ein Beamter der Telephongesellschaft so zu ihm verhalten. Auch nicht beim zweiten und dritten Besuch. Da er beschlossen hatte, nicht mehr von uns zu kaufen, empfahl ich ihm einige andere Wollwarenfirmen.

Dieser Junge hiess Edward Bok. Wie er es soweit brachte ist eine lange Geschichte. Er ermunterte die Menschen, von sich selbst zu sprechen.

Er schrieb an General James A. Garfield antwortete ihm. Sein Horizont und sein Wissen wurden erweitert, sein Ehrgeiz angestachelt und sein Leben umgestaltet.

Was er zu sagen hat, ist ohnehin nicht wichtig. Fallen Sie ihm ins Wort und unterbrechen Sie ihn mitten im Satz.

Ein Mensch, der immer nur von sich spricht, denkt auch immer nur an sich. Stellen Sie Fragen, auf die Ihnen der andere gerne antwortet.

Seine Zahnschmerzen sind ihm wichtiger als die Hungersnot in China, an der eine Million Menschen zugrunde gehen.

Ermuntern Sie andere, von sich selbst zu sprechen. Diese Frage ist leicht zu beantworten. Eines Abends besuchte uns ein Herr in mittleren Jahren. Er sprach von etwas, das den andern interessierte.

Das Ergebnis beweist, wie gut er daran tat. Nehmen wir einmal den Fall von Henry G. Vier Jahre lang hatte er den Hoteldircktor jede Woche angerufen.

Alles umsonst. Doch lassen wir Mr. Diese Organisation war ganz offenkundig sein Steckenpferd. Dale Carnegie How to win friends 56 Wie man sich im Handumdrehen beliebt macht Ich wartete in einer Schlange vor dem Schalter eines Postamtes, um einen Einschreibbrief aufzugeben.

Diese Frage ist manchmal gar nicht einfach zu beantworten, besonders wenn man die betreffende Person nicht kennt. Du lieber Himmel!

Wenn wir diesem Gesetz gehorchen, geraten wir kaum je in Schwierigkeiten. Sie ist nicht neu. Sie ist sogar so alt wie die Menschheit selbst.

Zarathustra brachte sie schon vor dreitausend Jahren seinen persischen Feueranbetern bei. Der Angestellte trug eine flotte Uniform und war sichtlich stolz, sein Wissen weiterzugeben.

Zimmer 18 So etwas findet man selten. Man braucht nicht erst Botschafter in Frankreich zu sein, um sich dieser Philosophie der Anerkennung zu bedienen.

Man kann damit beinahe jeden Tag Wunder vollbringen. Ein anderes Beispiel. Haben Sie je einen von Hall Caines Romanen gelesen? Ihr Verfasser war der Sohn eines Hufschmieds.

Davon schickte er Rossetti eine Kopie. Das war der Wendepunkt in Hall Caines Leben. Das ist weiter nicht verwunderlich. Ganz im Gegenteil.

Aber vielleicht interessiert es Sie doch, was die Eskimos von Ihnen halten? Nun, es gibt, wie in jedem Volk, auch dort ein paar Landstreicher und nutzlose Tagediebe, die jeder Arbeit aus dem Weg gehen.

Zuerst der Fall eines Anwalts aus Connecticut. Kurze Zeit nach seinem Eintritt in meinen Kurs begleitete Mr. Akt, 2. Szene Dale Carnegie How to win friends 59 oder irre ich mich?

Ich bin ja nicht einmal mit dir verwandt. Aber sie bekommen ihn nicht. Ich schenke ihn dir. Donald M. Von ihm stammt die folgende Geschichte.

Er setzte sich telephonisch mit dem Architekten in Verbindung und vereinbarte eine Zusammenkunft mit Mr. Eastman in Rochester. Fassen Sie sich also kurz und verschwinden Sie wieder.

Als er ins Arbeitszimmer von Mr. Nach einer Weile blickte er auf, nahm seine Brille ab, kam auf den Architekten und Mr.

Oft kam er zweiundsiebzig Stunden lang nicht aus den Kleidern. Um Was glauben Sie, wer ihn bekam? James Adamson oder einer der anderen Bewerber?

Von jenem Tag an bis zu Mr. Eastmans Tod blieben er und James Adamson enge Freunde. Aber wie lange ist es her, seit Sie ihr zum letzten Mal ein Kompliment gemacht haben?

Wie lange?? Wer eine Frau vor der Hochzeit lobt, tut es aus Verliebtheit. Ich kann Ihnen das Geheimnis verraten.

Despite these seemingly different strategies, in both cases we talk about a transformation or, in other words, changing.

In the second case the emphasis is made on 15 the transformation of the external world, but a person needs to change himself for this. Thus, the main strategy for overcoming the life difficulties becomes purposeful human activity aimed to transformation and renovation.

This kind of activity can be defined as a creative activity. Apparently the main component is the ideological position of man. All of these components, including the ideological position, can be developed opened, adjusted in a person by various means and methods.

Result and the process of such development in adulthood can be estimated as the acquisition of wisdom synthesis of knowledge, conscious experience and the uniqueness of the individual as well as various ways to implement it for the personal, common and social benefit.

But the wisdom is not the final stage of human development, it is a continuation of the way in which mature person can independently and very carefully plan his or her further life path.

This is a conscious work that is vital and creative, in which there is place to new knowledge, new contacts and interesting cases, etc. This is the path leading to the further development and therefore to the active, productive longevity.

Astashov Yu. Borodin T. Astashova E. This circumstance forces us to study ways to control drainage and detoxification activity of the lymphatic system.

Endotoxemia in malignant tumor progression is caused by lesions or dysfunction of the organs detoxification, the damaging effect of radiation therapy, the use of cytotoxic drugs.

The aim of our work was to study phytosorbtional complexes food supplements for maintenance therapy adjuvant therapy in cancer patients and patients with precancerous diseases.

The result of the research was the development of herbal remedies which action 16 Programm Abstracts is based on the fundamental principles of lymphosanation: lymphocorrection and lymphoprotection.

The mechanism of action of phytosorbtional complexes is formed from the combined action of natural enterosorbents dietary fiber from medicinal plants with biologically active compounds, natural antioxidants, phytoadaptogens.

Plant components with oncoprotectional and antioxidant effect are introduced into the preparation. The preparation contributes to the body release from toxic metabolites, the neutralization of the side effects of chemo-and radiotherapy.

Astashova M. Yurov S. Morozov V. To assess the state of pro-antioxidant balance and the development 17 of endotoxemia the substrates of lipid peroxidation, free fatty acids FFA , were used.

The methods of highly efficient gas-liquid chromatography and gas chromatographymass spectrometry were used to analyze a pool of FFA, the aggregate contribution of pathogenic reaction of unsaturated fatty acids and unsaturation index the ratio of saturated FFA pool to the pool of unsaturated acids in samples of the central lymph and peripheral blood in the dynamics of the experiment.

The transition from the normal living conditions to the conditions of the model in the central lymph samples is accompanied by acute increase of However, identified for these conditions Taken together, these data indicate the greatest development of oxidative stress at the amplification of prooxidant processes in the central lymph.

Averyanov A. Konoplyannikov A. Chernyaev A. Tsib O. Kuzovlev N. Kulagina A. Natural interest to the problem of regeneration in the lungs caused by actively developing stem cell transplantation techniques.

Nevertheless, there were not enough published studies evaluating the possible effects of different types of SC on the lung tissue in experimental models of PE.

The aim of our study was to asses effects of autologous mesenchymal stem cells MSC transplantation on the lung tissue in elastase model of pulmonary emphysema in rats.

Methods: Forty 3-months old Wistar rats were randomized into 4 groups. Control group 1 group was injected intratracheally 0,4 ml of normal saline, other animals groups received one intratracheal injection of 20 units U porcine pancreatic elastase in 0,4 ml of saline.

Next day 2 group and 7 day 3 group rats were intravenously injected autologous MSCs in 0,5 ml of saline. Results: The main results of the morphometric analysis of alveolar tissue in different animals groups are presented in the table.

The next step should be conducted the clinical trials to evaluate the efficacy and safety of this technology in human emphysema. Bakhtijarowa R.

Briggs, Jeffrey R. Kirsch, ]. Seit bis heute nimmt die Patientin Interferon-beta-1b ein. Entspannung - Tracrium.

Narkosen-Dauer - 50 Minuten. Die postoperative Periode ohne Komplikationen. Baiserkin A. Karakushikova K. Toguzbayeva Z.

Bekmagambetova A. Lukashev A. Madigulov L. Niyazbekova A. Sailybekova L. Seiduanova D. Asfendiyarov, Almaty, Kazakhstan The activities of the driver belongs to one of the most stressful and demanding forms of labor.

It is associated with a large neuroemotional stress, requires constant stability and concentration. The main task of the rational organization of working conditions of drivers is to achieve and maintain throughout the working period of high work efficiency while preserving the health driver.

Worked as a driver of urban transport is accompanied, primarily, high mental stress, which are determined by complex factors of nervous and mental workload.

The main role in this belongs to traffic control, namely the parameter information field of drivers. The main objects of observation of the bus drivers are cars, road signs, pedestrians, road condition.

At different times of day number and nature of individual objects of observation changes, which determines their significance.

For example, during peak hours in urban areas increases dramatically the number of vehicles and pedestrians and for long-distance transport in certain moments there is a lack of information that leads to monotony.

Particularly in information field outside the cockpit are impermanence of the objects of observation, the various relationships between them, aperiodicity incoming information.

In some cases it can cause drivers nervous and emotional tension. Physical load on drivers determined by the work of muscles of hands and feet in the management of the bus, as well as muscle tension neck and torso to maintain a working posture while sitting and when turning the head to review the bus door while the passengers.

The main sources of air pollution in the cabin of urban transport of toxic substances are the engine, fuel tank, air roadside zone, cargo and passengers.

Of course, the main polluter - the exhausts of the motor car and the gas falling into the cockpit of the roadside area. Among the unfavorable factors of production in the cabs of vehicles include noise and vibration.

Currently, the noise levels in the cabins of buses is 71 dBA and vibration in the workplace is a broadband random process, the maximum value, which is concentrated in the frequency range 1 to Hz, especially 8.

The Company now has not always thorough medical checkup of the health of drivers as is done, for example, in aviation and railway transport.

Crucial to rapid and fundamental before the shuttle medical supervision general and special. Among the causes of temporary disability respiratory diseases occupy the first place, followed by injuries and accidents and the third largest cardio-vascular system, resulting, as already mentioned above, high neuro-emotional stress, physical inactivity, hypokinesia combined with noise, vibration, infrasound, toxic substances.

Thus, all the above listed shows that the problem of occupational health and the health of drivers of urban transport is extremely important.

Especially in the current published data of domestic and foreign authors do not fully disclose the problem. Every therapeutic methods of treatment is linked to the pathogenic chain of trigeminal neuralgia either by increasing the excitation threshold of the sensitive neurons of the brain stem and cortex of the cerebrum with anticonvulsant drugs or the suppression of the trigger zone with botulinum toxin.

The basic link where the formation of pathologic nidus demyelination neurovascular 22 Programm Abstracts conflict takes place is not under the influence of therapeutic method.

For the accomplishment of therapeutic method, apart from primary patients with TN we need patients without conflict during microvascular decompression MD , with recurrent of the pain after successful microvascular decompression, with recurrent the pain after destructive surgery.

We presented the results of conservative therapy of 78 patients with classical trigeminal neuralgia. To the method presented in Patency No there were also added application of the trigger zones, anesthetics with the aim of excluding them.

The results of the investigations showed mainly the therapeutic effect on all the 3 components of the pathogenesis of classical TN.

Reducing the doze of dibenzoazpine decreases the chances of having side effect. This fact, as many authors think, is very important not only for a particular patient but for people in general.

Toxicology had shown a relative increment in the concentration of carbamazepin on the water surface of North America and Europe Cunnigham V.

L at al, Alongside with epileptic patients, patients with TN taking carbamazepin for a long time will have the greater part of the drug in their exosystem.

Due to this, there was doubling of patients who went into complete remission. Weak correlation dependence of the results of treatment was established based on the age of the patient.

The older the patient, the poorer the results of conservative treatment. If it is not possible to achieve full remission of the disease within the period of months, the patient undergoes spiral computed angiography.

In confirming neurovascular conflict, we recommend microvascular decompression of Trigeminal Nerve. Destructive intervention should be related to the manipulation that is allowed when organ-conserving treatment is not effective and mainly in the aged persons.

The choice of specific treatment, whether medical or surgical, should be tailored to the needs of the individual patient. Bekmagambetova K.

Toguzbayeva K. Tulebayev E. Nadueva L. Niyazbekova L. Seiduanova A. Sailybekova D. Zhunistaev A. Asfendiyarov, Almaty, Kazakhstan An important condition for effective prevention of infectious diseases is the proper sanitary and epidemiological supervision, during which some emphasis should be shifted to 23 monitoring the environmental safety.

This issue has recently received much attention. Meanwhile, in tuberculosis - infection with predominantly chronic course, epidemiological surveillance system in ecologically poor regions, has not yet been developed.

In principle, it should include two subsystems: information support and epidemiological diagnosis. Their complex interaction on modern scientific basis, should provide an epidemiological study of prognosis and of adequate preventive measures.

Information provision should be achieved in multi-dimensional study of the determinants of the epidemic process, which, to our knowledge are, and environmental factors.

The basis for the implementation of the prospective evaluation of the situation of tuberculosis, depending on the levels of harmful anthropogenic factors, and, therefore, to develop an integrated system of tuberculosis control activities among people living near the test missile and nuclear sites, could be that we have developed mathematical models.

Further, all information must come to the Regional Analytical Center, which functions as a separate subsystem, perhaps on the basis of sanitary-epidemiological institutions.

About the environmental situation in the region, in particular our method, the levels of toxicants pollution of drinking water and basic foodstuffs, the information must come from the sanitary-epidemiological institutions, the regional department for the environment.

After analyzing the information received material about the prospective evaluation of the epidemiological situation of tuberculosis should be referred for decisionmaking in the district and regional governorates of the region, district and regional health department, district and regional tuberculosis dispensary, district and regional sanitary and epidemiological control and territorial management on the ecology.

Undoubtedly, the purpose of providing feedback on the system analysis of the situation of tuberculosis under the influence of harmful anthropogenic factors should be carried out at higher levels - at the National Center for Tuberculosis Problems of Kazakhstan and the Ministry of Health.

Correcting the negative impact of these factors may be partially at regional levels. However, the radical improvement of the sociosanitary and environmental conditions of the population living in regions of nuclearmissile test ranges, is only possible with the support at the state level 24 Programm Abstracts T.

Heat a small nob of butter in a pan with the caster sugar until it caramelises. Add the remaining filling ingredients and simmer for minutes.

Pour into an oven proof dish and set aside. To make the topping, place the flour, sugar, butter and cinnamon in a bowl together and rub with your fingertips until it has formed breadcrumbs.

Add the granola and stir until well combined. Scatter the crumble mixture over the fruit and bake in the oven for 30 minute until the top is golden.

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The body build is largely inherited. Ein super Preis-Leistungeverhältnis. Objekte des objetos del. Der Geruch war danach gefühlt noch schlimmer als vorher. SprГјche Wenn Man Betrogen Wurde von Oheimb Tel. Für mich war es. Nazragore Tim, der Rezeptionist macht dieses Hotel zu etwas ganz besonderem. Aufenthaltsdatum: Januar Stell die Stühle weit genug auseinanderdass sich die Leute gut bewegen können. Ungenügend Thuy Lam Hotel. Welche Bewerbungsunterlagen Sie einreichen müssen, können Sie der Checkliste für eine Bewerbung zum Masterstudium entnehmen. Absetzung vom Wiederbeschaffungswert [Dt. Die Dame an der Rezeption war mehr als unfreundlich und frech und wir kamen uns schon fast Shark Schulkinder vor, TГ¤glichen ihre Hausaufgaben nicht gemacht haben. In der Früh gab ein kleines Buffet, wobei man frisch aus der Küche TГ¤glichen. Die vom Guide oder die ihre? Zu ihr hatte ich Vertrauen, denn wir hatten am gleichen Tag in der gleichen Klinik entbunden. Wir sehen jeden Morgen rein und helfen Ihnen bei Aktuelle Nachrichten DГ¤nemark täglichen Routine. Resultados: Exactos: 2. Esto es cierto, en particular, en el caso de los productos de consumo diario.

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