Embryo quality

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  • Distinctions between levels one and two are based on the degree to which an organization is reactive and disorganized (level one) versus purposeful and proactive (level two). At level three, the practice is performed regularly, consistently across staff members, and has been performed enough that the organization has gained a certain level of proficiency at it. At level four, the organization has committed to tracking the practice for purposes of better understanding how to improve performance. The organization is monitoring the quality of the practice.

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  • For example, in the case of a multinational corporation, it might be reason- able to assume a high degree of control and coordination in the administration of the cluster of subnets of the corporation’s intranet. The administrators of this intranet might very well be able to design and manage the whole network of event servers deployed on their subnets, and thus it might be a good idea to adopt a hierarchical architecture within the intranet. Of course, the intranet would connect to other networks outside of the influence of the administrators.

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  • The probiotic bacteria must be viable to affect the health, but the non-viable bacteria could also affect the immunological status of the host. It is believed that the arrival of probiotic bacteria with food to different parts of intestine can increase probiotic bacteria adherence and the rate of colonization. Food products may contain many forms of probiotic bacteria, including culture concentrate that is added to a food (dried or deep-freeze form), the fermented or non-fermented food products, and dietary supplements in the form of drug products-powder, capsules or tablet.

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  • In my presidential address, I summarized our past and present status, and focused on a proposal for our future. You may read the full text, entitled “Strategies and Goals: The Future of the International Gynecologic Cancer Society” in the December 2010 issue of our International Journal of Gynecological Cancer. At the IGCS website, you may view a webcast of my address as well as those of many of the presenters from our 13th Biennial Meeting.

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  • Current practice guidelines for ventilatory management advocate protective lung strategies to prevent volutrauma, barotrauma, atelectrauma and biotrauma (3-5). The principles are to use low tidal volumes (Vt) (5-6 ml/kg ideal body weight), maintenance of low mean airway pressures ≤ 30 cmH2O, judicious use of positive end-expiratory pressure (PEEP) with Δ pressure ≤ 18 cmH2O, higher respiratory rates and permissive hypercapnia.

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  • Overweight and obesity in the United States among adults and children has increased significantly over the last two decades. Those following typical American eating and activity patterns are likely to be consuming diets in excess of their energy requirements. However, caloric intake is only one side of the energy balance equation. Caloric expenditure needs to be in balance with caloric intake to maintain body weight and must exceed caloric intake to achieve weight loss (see tables 3 and 4).

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  • Chronic lymphocytic leukemia (CLL) follows an extremely variable course with survival ranging from months to decades. Recently, there has been major progress in the identification of molecular and cellular markers that may predict the tendency for disease progression in CLL patients. In particular, the mutational profile of Ig genes and some cytogenetic abnormalities have been found to be important predictors of prognosis in CLL. However, this progress has raised new questions about the biology, prognosis and management of the disease, some of which are addressed here. ...

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  • The prominence of private health insurance has been buttressed by government interventions directed at PHI markets in several OECD health systems, although the effectiveness of policies aimed at increasing market size and fostering outcome quality has differed widely. Australia, Ireland, the Netherlands, Germany, Switzerland and the United States have promoted and maintained a large and viable private health insurance market because policy makers have concluded that mixed public-private coverage systems can better deliver desired health policy and social outcomes.

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  • Although at that point, the challenges of a potential Pandemic Influenza were not being considered, this risk is now also being addressed by the training. Avian Influenza has continued its march across Europe and remains a serious threat (Revill 2007; Shaikh 2007). In this survey, 91% of senior living (SL) and long term care (LTC) administrators felt ill-prepared to deal with public health emergencies and BT threats. Eighty percent of the respondents reported that their LTC communities did not have any training (either educational or exercise based) for their workforce in this area.

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  • Vernon Benignus reported having received remuneration for employment and consultancy from a commercial entity or other organization with an interest re- lated to the subject of air pollution. He also reported having provided an expert opinion or testimony for a commercial entity or other organization as part of a regulatory, legislative or judicial process. He equally stated having held an office or other position, paid or unpaid, where he was expected to represent interests or defend a position related to the subject of air pollution. Juana M.

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  • The Basics of Social Marketing is one of several social marketing resources available for public health professionals from Turning Point, and the Turning Point Social Marketing National Excellence Collaborative, funded by The Robert Wood Johnson Foundation. It is intended as a stand-alone tool to help you apply effective social marketing to your public health programs and practices. It may be integrated with other social marketing resources, many of which are available free of charge. Visit www.turningpointprogram.

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  • The continuity style deliberately sets out to make the camera, camerawork and editing invisible or, at the very least, unobtrusive. The events on screen seem to take place within a world of their own. They look as though they have simply been captured by some kind of unseen observer, who just happened to be watching and recording the action from convenient and suitable positions or angles. This is the key to the continuity style; its ability to tell a story whilst at the same time hiding the storytelling mechanisms themselves. ...

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  • Gonadotropin releasing hormone receptor (GnRHR) is secreted from hypothalamus and delivered to the anterior pituitary via the hypophyseal portal circulation where it binds to the GnRHR on the surface of gonadotropes triggering the synthesis and secretion of the gonadotropins, follicle stimulating hormone (FSH) and luteinizing hormone (LH). In the female, LH stimulates the production of androgens by the thecal cells that surround the growing ovarian follicle.

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  • The Affordable Care Act increases insurance company accountability by supporting States’ review of premium increases, setting standards for the amount of premiums spent on benefits versus overhead (i.e., medical loss ratios), and posting insurance price information for transparency. A Small Business Health Care Tax Credit, reinsurance for early retirees, and premium assistance for uninsured people with pre-existing conditions have already provided targeted relief for millions of insured and uninsured Americans, and these changes are making a difference.

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  • Europeans have also constituted an important migrant group with significant relationships with their home countries. Historically, Greeks, Portuguese, Spanish and Turkish are known to have close trans- national communities abroad. A large amount of funds are remitted to Portugal, while Greek and Turkish migrants send money from Germany and have established a banking system that allows for remittances to be more institutionalized.

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  • The nonholonomic nature of the car-like robot is related to the assump- tion that the robot wheels roll without slipping. This implies the presence of a nonintegrable set of rst-order di erential constraints on the con guration variables. While these nonholonomic constraints reduce the instantaneous mo- tions that the robot can perform, they still allow global controllability in the con guration space. This unique feature leads to some challenging problems in the synthesis of feedback controllers, which parallel the new research issues arising in nonholonomic motion planning.

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  • The sense of feeling can effectively be used to enforce virtual artistic activities like virtual sculpting or modeling. In this paper, we describe how a virtual sculpture system has been extended with haptical feedback. In practice, we use the scalar field defining the implicit surface being modeled to efficiently compute several type of force feedback. We present a method for combining these forces differently depending whether the user is just touching his artwork or editing it by adding virtual matter.

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  • Every organization should make sure that its board members know and understand what it expects from them as not-for-profit directors. It is not enough to put people on a board and expect them to do the right thing. Even if they have previous board experience, they need to know how things are done in this particular organization and the extent to which they will be expected to participate in operating activities in addition to their governance role.

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  • The benefits and risks inherent to food technology and food safety in Europe have brought these topics to the centre of public interest in the recent years. The challenge for the future is to maintain the food sector competitive and innovative at a global level, while increasing the safety of production processes along the food chain. Therefore research priorities have to be developed at the European level which integrate these requirements into a long term perspective.

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  • With increasing number of cores came the concept of saturation biopsy, a term coined by Stewart et al. (Stewart et al., 2001), in which 20 or more systematic cores were taken. Djavan et al. developed tables to recommend more cores for larger glands, but these met with little clinical acceptance (Djavan et al., 1999). These saturation biopsies have been offered to those who have had previous negative biopsies but continue to have clinical suspicion for prostate cancer.

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