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Osteopathic Technique

The Handbook of Osteopathic Technique is a compendium of photographs and full descriptions of osteopathic techniques. In its third edition this successful book has been fully revised, expanded and updated with new photographs for increased ease of interpretation when using the handbook. aid learning and development using descriptions and photographs

How this book is organized

To meet some of the children you will read about in this book, and to give you more places to find help for your cancer journey, I have included four appendixes for reference a photo gallery of children during and after treatment, blood counts and what they mean, resource organizations, and books and online sites. In addition, bound in the book is an indispensable health record to be filled out at the end of treatment and copied and given to each subsequent caregiver for the rest of your child's life. This personal long-term follow-up guide educates healthcare providers about the types of treatment given and the follow-up schedule necessary to maintain optimum health.

Preface To The Third Edition

I have renewed all the photographs, but the system of arrow notation remains the same. The arrows are designed to give some indication of general directions of force only. The text section has been enlarged to include more detail about methods other than pure structural technique. Various comments from colleagues and students have led me to include many more illustrations of soft tissue technique positions and holds.

Within Task Learning versus Previously Acquired Knowledge

An important issue regarding the category representations of infants is whether they are constructed (presumably on the basis of real-life experience) before the experiment began or whether the category representations are formed on-line, during the course of an experiment (Mareschal & Quinn, 2001). The former view would argue that infants recognize the photographs as representations of objects in the world with which they are already familiar and for which they have previous category knowledge. By this view, the familiarization phase of the familiarization novelty-preference procedure would serve to prime the knowledge that the infants have already acquired outside the laboratory.

Within Task Learning versus Previously Acquired Knowledge Revisited

Thus far in the chapter, it has been argued that the representation of humans by young infants is influenced by experience occurring prior to the experiment. In this section, direct evidence for this suggestion will be described. The experiments to be discussed investigate how infants categorize a human attribute, namely, the gender of human faces. In particular, Quinn, Yahr, Kuhn, Slater, and Pascalis (2002) used the familiarization novelty-preference procedure to examine the representation of the gender of human faces by 3- to 4-month-olds. The faces were color photographs of female and male models. The female and male faces had neutral to slightly positive emotional expression, were judged to be of comparable attractiveness, and matched for direction of gaze. Examples are shown in the left half of Figure 5.9. In the first experiment, infants were administered familiarization trials with 8 male or female faces and then given test trials with a novel male face paired with a novel...

Manipulating Expressions Directly

The subjects were recruited for an experiment on electromyographic (EMG) measurement of facial muscle activity. When they arrived at the laboratory, they were told about the small electrical impulses generated by muscle activity, and that we would be examining the effects of looking at different kinds of pictures on this EMG activity. The supposed recording machine was an old, actually useless piece of apparatus, but it looked persuasively scientific. Silver-cup recording electrodes appeared to be attached to the machine. The subjects were told that during the study I would record their facial muscle activity while they looked at photographs.

Exaggerating and Minimizing Expressions

A number of other studies of this general form were carried out, with consistent results (e.g., Kraut, 1982 Vaughan & Lanzetta, 1980, 1981 Zuckerman, Klorman, Larrance, & Spiegel, 1981). For example, in one study the subjects were induced to exaggerate or minimize their facial expressions in order to fool a supposed audience (Kleck et al., 1976). As we would expect, minimizing their facial expressions produced less intense feelings, and exaggerating them made the feelings more intense. In sum, it is quite clear that if people minimize their expressive behavior, they report feeling less intensely, and if they exaggerate their expressive behavior, their feelings are more intense. A somewhat similar procedure for inducing facial expressions also asked participants to communicate to an audience. In this case, the participants looked at photographs of happy or angry faces and then were asked to communicate as clearly as possible to some observers what the person in the photograph was...

University of Washington Medicinal Herb Garden

This Web site was developed by Michael Boer and staff of the National Network of Libraries of Medicine, Pacific Northwest Region (NN LM PNR), one of eight regional medical libraries sponsored by the National Library of Medicine (NLM). It is designed to be a hypertext tour of the garden, though it is only a partial catalog and some common herbs will not be found here. Records can be accessed by both common and botanical names. Each entry includes photographs of the plant, plus links to corresponding entries in other databases, such as the Plants Database (see entry in this chapter) and EthnobotDB, an ethno-botany database (see the corresponding entry in Chapter 7).

Research On The Effects Of Playing With Concrete Objects On Childrens Understanding Of The Symbolic Properties Of

At the end of the first testing session, we left a set of toys for the children to play with in the days between the sessions, and we demonstrated the games that children and parents could play. Children in the control group were assigned randomly to play with traditional toys and objects. For example, they blew bubbles with a bubble wand, they made simple jewelry with beads, and they played a simple basketball game with a suction-cup hoop and a sponge ball. Children in the experimental group were asked to play similar games but to use toy letters or numbers as the toys. For example, these children blew bubbles with letters (e.g., o and e) or with numbers (e.g., 6, 8, or 9). Likewise, they played basketball with letters and numbers. The parents were asked to encourage their children to play the different games, to keep a log of how often they played, and to take photographs of what they made with the toys or symbols, such as jewelry, towers, etc.

In Autism Spectrum Disorders

Structural imaging takes pictures of brain anatomy or structures to see if anything is grossly abnormal (that is, much smaller or bigger than average, in the wrong place, or missing altogether). Specific structural imaging techniques include computed tomography (CT) scans and magnetic resonance imaging (MRI) scans. These techniques differ in how they take pictures of the brain and how much detail they can provide. CT is an older technology that is less often used today. Postmortem or autopsy studies examine the brains of people who have died. This method permits scientists to look at the brain in a much more detailed manner than CT or MRI. Researchers are actually able to examine individual brain cells (called neurons) rather than the large structures, composed of millions of neurons, captured by CT and MRI. Autopsy work takes a long time and is very difficult for a number of reasons, but it provides important information that is not available through any other means....

Reinstatement in Infancy

Ers including a stationary mobile identical to the training mobile and a different moving mobile. They found that functional information (movement) was critical for reinstatement exposure to a different, moving mobile was effective in reinstating recall but exposure to the original, but stationary mobile was not effective. Additionally, for infants under 6 months, only the original training mobile acts as an effective retrieval cue if training and testing are separated by one day. A novel mobile will only cue young infants if training and cueing occur within a 24-hour period. However, for older infants between 9 and 12 months, a novel object can act to cue their memory for a learned task for up to 2 weeks, but not after longer delays (Rovee-Collier, 1999). Thus, with age infants become somewhat more flexible in that reinstatement can occur even when some of the information provided in the reminder session is slightly different from the original experience. Does this trend continue in...

Reinstatement in Toddlers and Preschool Children

Our research examines effects of different types of reminders on children's recall from 14 to 36 months of age children including live modeling, videos, photographs, and scale model demonstrations. Our research goals are twofold. We want to understand the memory mechanisms involved in reinstatement during this age period and we also want to know how reinstatement can impact event recall in real-world contexts. Because it is likely that in real-world contexts children's reexposure to event information takes the form of viewing photographs or home videos, we have studied how these types of symbolic or representational reminders reinstate children's event memories. This, in turn, requires that we investigate how children understand the representational functions of these media. Our research therefore brings together literatures on memory development, memory reinstatement, and children's understanding of symbolic media. What follows is a discussion of our research program and how it...

The Contribution of Context

The last factor that we examined had to do with the context in which the placement task occurred. Thus far, participants were provided with cutout photographs of real objects, and asked to perform a simple task that involved spatially relating the objects. On the basis of the functional bias, we have been inferring that participants were evaluating how the objects interacted, with this interaction making a particular part more salient, resulting in a bias toward that part. If this is the case, then one should not observe the effect with a located object that does not participate in this interaction, such as the beanbag. This was observed. Moreover, this effect should remain absent, even when providing a context in which the part of the reference object participates in a functional interaction, if the placement task involves an object that cannot fulfill this interaction. Carlson and Kenny (2004) tested this idea in the following manner. Prior to the placement task, participants were...

Childrens Use of Video Representations in Imitation Tasks

Research showing that 2-year-olds are unable to take advantage of location information represented in photographs and video when searching for hidden objects suggests that they have limitations in understanding how symbolic media represent real-world, real-time events. This lack of understanding about the relationship between a representation and its real-world event referent could also impede 2-year-olds' ability to use symbolic representations as reminders of past events. However, children's ability to use representational information may vary in terms of the specific task at hand. Several studies have shown that very young children can imitate action sequences shown on video. Meltzoff (1988b) found that 14-month-olds were able to imitate action sequences they view on video monitor 1 day later and Barr and Hayne (1999) found that 18-month-olds could imitate tasks presented over video 24 hours later. These findings indicate that 1-year-old children can video encode and store...

Photograph Reinstatement in 24 and 30Month Olds

Unable to use photographs as reminders (Sheffield & Hudson, 2004), could both be interpreted in terms of the amount of similarity between a reminder and the referent event. The first study (Sheffield, 2004, Experiment 2) suggests that deleting some information may not interfere with children's ability to notice a similarity between a reminder and their past experience, but changing information can prevent children from seeing the reminder as similar to their past experience. In the second investigation (Sheffield & Hudson, 2004), videos were effective as reminders for 18-month-olds, but photographs were not. Photographs may have been ineffective reminders for this age group because there was little event information provided in the photographs as compared to the video. However, results from Sheffield (2004) showing that videos that did not include action information but simply showed a person holding and describing target objects were effective as reminders suggests that differences...

Magic and Superstition

The law of similarity has been summarized as like produces like, like goes with like, or the image equals the object. Likeness is elevated to a basic, often causal principle the simplest example confounds likeness with identity, hence appearance equals reality. The adaptive value of this law is clear generally speaking, if it looks like a tiger, it is a tiger. For humans, this law becomes problematic because humans make artifacts that are imitations of entities in the world, as in drawings or photographs, or more abstractly, the words that represent them. A picture of a tiger does not justify fear. Similarity functions in nonhumans and in young children (presumably from birth) one feature of development is learning about situations in which appearance does not correspond to reality.

The specification of channel and flood plain roughness

The uniform flow equations require the specification of a roughness parameter. Roughness parameters, in fact, need to be specified everywhere in the flow domain because, as explained earlier, they are used in the calculation of the local friction slope. Classically, roughness is thought of as a way of representing the loss of energy due to friction at the local boundary. It is often estimated by measuring a velocity profile (or the mean velocity in a channel cross-section) and back-calculating a local roughness value. Tables of such values can be found in hydraulics text books and even now on a USGS web site13 where photographs of different types of channels are labelled with their measured roughness values. Estimates of roughness for different types of flood plain surface can also be found in the literature. In 1D flood routing models, most of the available packages require the form of the channel cross-section to be specified, with roughness values for both channel and flood plain...

And 2610 see previous page top left and top right Thrust to radiohumeral joint supine

26.12 and 26.13 Thrust to radio-humeral joint supine These operator viewpoint photographs show a complex technique for gapping the radio-humeral joint. Sit on the edge of the table and place the internally rotated arm across your lower thigh. Fix the medial epicondyle against your thigh and hold back on the distal end of the humerus. Your other hand grips the distal end of the radius and applies a force directly toward the floor. Vary the pronation and supination until tension is felt to accumulate. The thrust is performed by an accentuation of all three forces, the operator's thigh and upper and lower hand simultaneously.

Symmetrical composite faces from photographic stills

This method entails preparation of facial composites by cutting the original and mirror-reversed prints of each photograph along the vertical midline (e.g., Sackeim & Gur, 1978). The left-left (LL) composite is thus prepared by joining the left hemiface of normal orientation and its mirror image. Similarly, the right-right (RR) facial composite is prepared by assembling the right hemiface of normal orientation and its mirror image (see figure 1). Observers are asked to rate these composite photographs in terms of intensity of expression.

Hemiregional composite faces from photographic stills

To develop hemiregional composite photographs, first hemifacial composites are prepared. These composites are then cut along the horizontal mid-line bisecting the upper (forehead, brows, eyes and root of the nose) and lower (lower part of nose, cheeks, mouth and chin) regions of the face. The lower part of the left facial composite (LL) is then joined with the upper part of the right-right (RR) to produce the RR LL hemiregional composite and vice versa to get the LL RR composite. Observers are asked to rate rank these hemiregional composite photographs in terms of expressed intensity.

Digital Image Manipulation

Noise reduction filters remove the random pixel values that may be generated when, for example, a digital camera is working at maximum gain. Such noise is usually reduced during digital image collection by averaging successive images of the same field. If such real-time filtering is not practicable, or still leaves a noisy image, random intensity fluctuations can be filtered post hoc. Noise reduction filters take a block of pixels of a predetermined size, and replace the intensity value of the central pixel with a value based on the average or median pixel intensity within the block. This has the effect of eliminating rogue, high or low single pixel values. Algorithms based on averages may result in an unacceptable loss of contrast or even the appearance of pseudoresolution artifacts (3). However, such artifacts can be avoided using filters that rank rather than average pixel values, such as the median filter included in many software packages.

Reporter Transgene Design

Fig. 1. (A,B) Dynamic progression of myogenin gene expression during the development of the skeletal musculature. The embryos shown, stained with X-gal for P-galactosidase activity, are from a transgenic line carrying a nuclear localized lacZ reporter under the control of 1.1 kb of myogenin 5'-flanking sequence (Ashby and P. W. J. R., unpublished data see ref. 6). At 11.5 dpc (A) intense bars of staining can be seen within the myotomal component of the somitic mesoderm. By 13.5 dpc (B), specific muscle blocks are clearly distinct. (C) Use of dual reporter transgenes within the same embryo. A coronal section through the hindbrain of a 9.5-dpc embryo is shown (anterior is uppermost). Blue staining resulting from P-galactosidase activity is derived from expression of the lacZ gene under the control of a Hoxb-2 enhancer, which is active in rhombomeres 3 and 5. A second construct harbors the alkaline phosphatase gene under the control of an enhancer from Hoxb-2, which directs expression in...

Confidence And Appearance Stereotypes

Self-perception theory asserts that we know our own attributes in the same way that we know about the attributes of others. If that is the case, then stereotypes about appearance that affect our judgments of others should affect our judgments of ourselves as well. Certainly stereotypes are powerful determinants of our judgments of others. For example, more attractive people are routinely judged to be smarter and more humorous and to have performed better at a variety of tasks (Dion, Berscheid, & Walster, 1972). Tall people are more likely to be seen as leaders conversely, people who have achieved leadership positions are judged to be taller than they actually are (Jackson & Ervin, 1992 Montepare, 1995 Wilson, 1968). Unfortunately for experimental design purposes, most stereotypical aspects of appearance, such as attractiveness or height, are not easily manipulated. Fortunately, one is. This is the stereotype that people who wear glasses are more intelligent. To...

Physical Examination

In preadolescents and adolescents, assessment of sexual maturation (usually following the Tanner staging) is an important component of the physical examination, although it is not always feasible due to cultural and practical reasons. Alternatively, more limited information may be obtained in girls by self-reported menarcheal status. Self-assessment of Tanner stage by comparison with photographs is another useful alternative, but use of these photographs with children may not be acceptable in some communities.

Elisabeth von Wittelsbach Empress of Austria 183798

While her tiny waist and low weight contributed to her role as a nineteenth-century beauty icon, the measures she took to achieve her appearance were both physically demanding and unhealthy. The constant use of purgatives and laxatives as well as her restricted diet cost Sisi her health, leaving her with symptoms of sciatica and painful foot complaints. Sisi was so obsessed with attaining the highest levels of beauty, she refused to allow any photographs of her after she turned thirty, for it was said that she suffered from premature wrinkles. During the nineteenth century, thinness was not the standard of beauty, yet Sisi was nevertheless admired and loved by women and men around Europe for her dashing beauty and thinness. Like Diana, the circumstances of her separation from the Emperor after i860, for reasons of health, and her murder by the anarchist Luigi Lucheni on September 10, 1898 in Geneva made her the ideal beauty celebrity of her age.

Methodology Of Inspection

Magnifying lens used by dermatologists. In photography a ring-flash easily evidences more hidden areas and gives very good images. The flash may provoke reflex vasodilatation causing a significant change in the skin alterations, especially those of vascular type. Such vasodilatation may occur particularly when touching, lifting or bending the auricle, for example during examination of the posterior part of the auricle. It is therefore advisable first of all to fully inspect the lateral part of the auricle and then the medial part, keeping the hair away. Every skin alteration must be transcribed on the Sectogram according to type and topography before taking pictures, touching the ear or applying any other subsequent diagnostic method such as the pressure pain test or electrical detection.

Development of the Self Concept

Although very young children are fascinated with their reflections, it takes while for a child to be able to recognize photographs of him- or herself in a group. A child needs to be about 2 years old before he or she can pick his or her picture out of a crowd (Baumeister , 1991). Around this time, the second year of life, children begin to grasp the idea that other people have expectations for them. For example, this is about the time when children can follow rules set up by parents. Children learn that some behaviors are good and other behaviors are bad, and they evaluate their own behavior against these standards. They will smile when they do something good and frown when something bad occurs. They clearly are developing a sense of themselves relative to standards. This is the beginning of self-esteem.

Approaches to the Self

Why might we want to learn about the self To most people, the sense of self is their anchor, their starting point for interpreting everything around them. For example, when you pick up some group photos from the developer (or download them from your digital camera), whom in the group do you look at first If you are like mos people, you will say that you look at yourself first. And, when looking at the photo of yourself, you immediately engage in an evaluation. You might think the picture is not a good representation, that it does not show you in the best light. Maybe you think that you have a nicer smile than that and that you are, in fact, a happier person than this picture portrays. Or you might think that you have put on a few pounds lately , that you are heavier than your friends in the photo. Maybe you dislike the fact that you have gotten heavier , and a small blow to your self-esteem occurs when you look at the photo. Or maybe you wonder how certain other people would view this...

System Calibration with Tissue Simulating Phantoms

Table-top system (top) whose schematic is shown in Figure 3. In the three photographs at bottom, the first-generation clinical system (schematically similar to the table-top system) is shown with its fibers opened to three different diameters. Each fiber is adjusted one tooth at a time through a mechanical gearing system that simultaneously moves all fibers radially inwards or outwards. Figure 4. Table-top system (top) whose schematic is shown in Figure 3. In the three photographs at bottom, the first-generation clinical system (schematically similar to the table-top system) is shown with its fibers opened to three different diameters. Each fiber is adjusted one tooth at a time through a mechanical gearing system that simultaneously moves all fibers radially inwards or outwards. We have systematically examined the impact of the properties and size of the homogeneous calibration phantom on image quality by calibrating with different homogeneous phantoms before repeatedly...

Creativity and Left Hand Preference

We do not know why there is a higher proportion of creative visual artists who are right handed. As I mentioned, studies of brain-damaged people have revealed that damage to the right hemisphere impairs visual-spatial, visual-perceptual, and visual-constructive processes (see Benton & Tranel, 1993, for a review). For example, in a face-matching test, participants are asked to determine if two faces are the same or different. In this test the photographs of the two faces are taken at different angles such that the participant cannot determine if the two pictures are the same or different people by making point-to-point comparisons, but instead, the subject must develop an object-centered or face-centered perceptual representation. Patients with right-hemisphere injury are often impaired on this face-matching test. Patients with right-hemisphere disease are also impaired in a test where they are shown a series of cards with two line segments and are asked to study and recall the...

Techniques For The Foot33

Most positions used traditionally for thrust techniques are perfectly suitable for articulation procedures. This is not mentioned each time in the descriptions appended to the photographs to avoid repetition. Where a technique is declared a thrust, a repetitive articulation is usually performed as a preliminary, and if tension accumulates to a suitable sense of barrier, the thrust can be performed. If it does not, repeated articulation may deal with the dysfunction adequately. A suitable thrust barrier has a potential for the short amplitude movement that implies a quite characteristic 'crispness'. Without this the thrust is not liable to succeed as a specific technique and is best avoided, as the tissues may become traumatized. A successful short amplitude thrust performed well is rarely traumatic in the foot. An unsuccessful one may be uncomfortable, although rarely damaging.

Thrust meniscus supine Fix the femur3113 Thrust medial meniscus supine Firmly

31.14, 31.15 and 31.16 Thrust to medial meniscus supine This series of photographs shows the sequence of moves normally used in this technique. Flex and externally rotate the knee to break fixation in the medial meniscus. Gently repeat this a few times until nearly full flexion is attained. Maintaining the external rotation and some abduction of the knee, extend it until the position shown in photograph 15. At this point the final part of the technique takes over which is an extension, traction and internal rotation movement. At the end of the technique it is important to hold the knee firmly into extension, to avoid reflex muscle contraction into flexion that may dislodge the meniscus again.

Reinstatement With Representational Reminders

Our recent research has focused on children's ability to use information presented in various media as reminders of past events. With a video simulation reminder, children watch a video tape of an event instead of a live model. With photograph reminders, children view photographs of past events with or without accompanying verbal narration. Finally, in a model simulation experiment, children view an experimenter perform the actions using a small-scale model replica of the room and props used in the original event. Each type of reminder provides different kinds of information about events using different symbolic systems. Videos can provide action information whereas photographs are only static images. Model simulations provide action information via live events, however, children view actions performed on small-scale replicas, not the original objects. The small-scale objects are used to symbolize the original objects. By varying the type of reminder, we can examine the effects of...

Development of Representational Insight The Object Retrieval Task

Photographs Experiments by DeLoache and Burns (1993) examined young children's performance in the object retrieval task when they were to find hidden objects after viewing photographs of the hiding location. They found that 30-month-olds were able to use photographs to help them find the hidden toy, but that younger children were not successful. Younger children's failure to find the hidden toys using photograph information was attributed to a lack of understanding of representational specificity of photographs. That is, children under 30 months failed to understand that that the photographs representations a specific room at the current moment in time and not a generic room or a generic time. Because young children's initial experience with photographs typically consists of viewing generic photographs of objects in picture books, they interpret photographs as representations of generic, not specific, realities. It is not until approximately 30 months of age that children come to...

Reminders Symbolic Understanding And Memory Development

Memory Reminder Chart

This line of research has shown that well-timed reminders are highly effective in extending young children's event memory. We have also shown that a variety of types of reminders are effective for children from 14 to 24 months of age. Children at 18 months can be reminded of an event they experienced 8 to 10 weeks in the past by reenacting a subset of the same actions, by viewing someone perform some of the same actions, by viewing a video of someone else performing the actions, viewing a videotape of someone showing the objects used, or viewing a videotape of the same actions performed on new objects. By 24 months of age, reinstatement occurs when children view photographs of an event or observe someone demonstrating the actions using a small-scale model. The effectiveness of different kinds of reminders for young children, including the use of symbolic reminders such as videos and photographs indicates that 1- and 2-year-olds' are more flexible in the kinds of experiences that can...

Accepting the Enigma Moving Beyond the Cause

The pregnancy itself was uneventful, although Joan experienced quite a bit of morning sickness. The triplets were born early by C-section amid much joy and celebration. All three weighed under four pounds. After the birth, the babies did well in the neonatal unit and were off the respirators in twenty-four hours. They were in the hospital for only nine weeks and then were sent home. There was quite a lot of fuss among the nursing staff, and everybody was amazed at how well the babies had done. When the family left the hospital, they were showered with presents and given a big send-off. Even the local community newspaper was there taking pictures. At home, the parents tried to cope with the demands of caring for triplets. Joan read everything she could about multiple births, searched the family tree for other twins born to relatives, and enlisted the help of her parents and friends at the earliest opportunity.

Spatial Understanding Vantage Point

As one means of testing children's appreciation of the elements of vantage point shown in Figure 12.2, we (Liben & Szechter, 2001) prepared pairs of photographs with the same referent. Children were shown each pair of photographs and asked whether they were identical. Whenever children judged the photographs to be different, they were asked to say whether the photographs differed because something had changed in the scene itself, or because of something that had been done by the person who took the photograph. Irrespective of which attribution was given, the child was asked to explain what had happened, that is, what had changed, or what the photographer had done. Critical items were 15 pairs in which the photographer's vantage point had changed by altering viewing distance, viewing angle, or viewing azimuth (illustrated in Figure 12.4). To ensure that correct answers varied, there were also filler items in which either something in the scene had changed or in which the photographs...

Methods of getting feedback

7) Photographs Methods such as the mirror and photographs are useful, but they're also subject to the limitations of your own self-perceptions. Other people's opinions are useful if the feedback is honest, but they can also steer you in the wrong direction if they're just being nice to avoid hurting your feelings. All these methods have value, so use them. However, the best measurements of your progress must be objective measurements such as body fat percentage. The skinfold calipers and scale don't lie.

What is diabetic retinopathy

Although it has clearly been shown that the rate of progression of diabetic retinopathy is related to the control of the blood sugar, there are several other factors involved. There is a hereditary tendency, so that if a close relative with diabetes developed retinopathy, you are more likely to do so. You should inform your eye doctor, who will be especially vigilant. Control of blood pressure has been shown to delay worsening of retinopathy and control of cholesterol abnormalities also plays a role in preventing progression. Quitting smoking can slow the progression of diabetic retinopa-thy. Therefore, all of these factors must be carefully addressed to prevent retinopathy successfully. Finally, it is important to note that retinopathy is not the only form of eye damage that can occur in diabetes. Other disorders, including glaucoma (increased pressure inside the eye) and cataracts (opacity of the lens of the eye), are more common in diabetes. Therefore, a comprehensive specialist...

Dietary Intake Measurements

Of the individual methods weighed records, estimated food records, 24-h recalls (24-h), and dietary histories are more intensive. The quantity of food consumed may be weighed directly or estimated using household measures such as cups and spoons, photographs, standard units, or average portions (see Table 2). For all methods the amount consumed can be measured or described either including or excluding wastage material usually discarded during food preparation, e.g., outer leaves and peel from vegetables or bones from cuts of meat.

Where Do You Carry Your Weight

Where do you carry your weight Before you read any further, do a quick visual evaluation of your fat pattern. Put on a swimsuit, stand in front of a full-length mirror, and take a look at where your body stores fat. Be honest about what you see. Does your weight distribution follow the classic male or female pattern Or have you already crossed over into a high-risk reverse fat pattern Have someone take pictures of you from the front, back, and side. Put them up someplace where you can see them every day such as on your bathroom mirror or refrigerator door. These pictures will become your motivation to stick with this program, and you will use them to evaluate your amazing progress as you drop inches and lose body fat.

Sinclair Upton 18781968 American social reformist and author

Sinclair claimed that by the second day of his first fast, he no longer had headaches, by the third stopped feeling hungry and weak, and on the fifth began feeling mentally and physically strong again. He lost 14 pounds in the first four days and 2 pounds afterwards, believing this excess weight was a sign of the extremely poor state of his tissues (Sinclair 1911 21). He broke his fast on the twelfth day with fruit juice and Bernarr Macfadden's milk diet. After the fast, he gained the desire for physical activity, which resulted in the development of a more athletic build. Feeling the need to prove that fasting really worked, Sinclair included before and after photographs of himself in The Fasting Cure, and the efficacy of his diet was, therefore, based on his personal experience.

Preface to the fourth edition

We are grateful to many organisations and individuals for permission to use their line drawings and photographs. Each image is individually acknowledged within the associated figure caption. While we have illustrated the text on hydrological measurements with representative equipment that is currently available in the UK, it should be noted that equipment of similar or alternative design will be available from other companies and no specific endorsement by the authors is implied.

Requirements and Supplementation

Calcium supplements can help prevent osteoporosis, which is a condition that occurs when bone breaks down more quickly than it is replaced. In this illustration, the bone above is normal, but the bone below is more porous and therefore more susceptible to fracture. Custom Medical Stock Photo, Inc. Reproduced by permission. Calcium supplements can help prevent osteoporosis, which is a condition that occurs when bone breaks down more quickly than it is replaced. In this illustration, the bone above is normal, but the bone below is more porous and therefore more susceptible to fracture. Custom Medical Stock Photo, Inc. Reproduced by permission.

Scale Model Reinstatement in 24Month Olds

To further test children's ability to use representational reminders, in another experiment, we administered a reminder task to 24-month-olds using a scale model. The procedure for both the training and long-term retention test sessions was the same as for the 24-month-old reminder group described above (Deocampo & Hudson, 2003) except that the reminder treatment consisted of the children watching as an experimenter reenacted all of the previously trained and untrained activities inside a miniature model of the playroom using miniature replicas of the toys. DeLoache and colleagues' (e.g., DeLoache, 1990 DeLoache & Burns, 1994 DeLoache et al., 1996 Troseth & DeLoache, 1998) dual representation hypothesis would predict that understanding the symbolic nature of a scale model would be more difficult than understanding the symbolic nature of photographs because scale models are more salient as objects. However, we predicted that it might actually be easier for children to use a scale model...

And 3320 Articulation mid tarsus supine

These operator viewpoint photographs show a hold for applying general mobilization to the mid foot. The thumbs are aligned along the shafts of one or more of the metatarsals. A torsional force is introduced to direct the articulation forces to the joint to be mobilized. 33.21, 33.22, 33.23 and 33.24 (see next page) Articulation mid tarsus supine This series of photographs show the so-called 'figure of eight' technique in its various phases. Take the foot through an imaginary figure of eight, in a variety of planes, either vertically, horizontally or diagonally. Tension accumulates at the cross-over in the middle or at the outer edges of the figure as directions change. Visualize the eight as having a somewhat flat top and bottom. 33.29, 33.30 and 33.31 Thrust to middle or lateral cuneiform supine These three sequence photographs show the foot pulled into dorsiflexion to lock the ankle. The upper hand then fixes the tibia to the table. The thrusting hand is then very rapidly pronated,...

Cognitive Development

It does not take an expert to observe the many magnificent changes that take place in a human being from the time of birth through early childhood and beyond. Parents lovingly mark these changes in baby books and with photographs. Other relatives remark at the new abilities that babies seem to acquire daily. While parents may have just one or a few children to observe, developmental psychologists study many more. By studying many children over time, experts can chart the changes, and then begin to explain how they occur.

Use of photographic systems by nonphysician nonprofessional providers

5.1.4 Use of reference photographs to standardize direct observation Use by ancillary health care workers (and physicians) of a reference card or set of photographs in grading the severity of disease has been validated in the care of trachoma and other eye diseases, such as with the WHO trachoma grading card and primary eye care chart. The principle has also been used in numerous randomized controlled trals to achieve consistency in grading the presence and severity of other ocular features, such as lens opacities, corneal and conjunctival findings and optic disc damage (86-88). Use of such reference systems, however, requires careful training and regular monitoring, as performance reliability can vary (86).

What New Considerations Does The Privacy Rule Add To Research

Location smaller than a State or the first three digits of a zip code, dates except year, telephone number, fax number, e-mail address, social security number, medical record number, health plan beneficiary numbers, account numbers, certificate or license numbers, vehicle identifiers and serial numbers, device identifiers and serial numbers, URLs, Internet protocol (IP) address numbers, biometric identifiers, full face photographs, any other unique identifying number, characteristic or code (45 CFR 164.514(b)(2)(i) . Health information in this context includes biological specimens if they can be individually identified.

Principles for organizing an eye health system for the care of diabetic retinopathy

Use of specific photographic systems with expert interpretation could increase the ability of primafy care providers to detect diabetic retinopathy and it has been shown that the evaluations of trained readers of photographs can match or exceed those of physicians and optometrsts. The advent of digital photography and high-speed internet connections has made use of electronic images feasible, although issues associated with image compression are yet to be resolved. Appropriate follow-up intervals Significant problems have been encountered in ensurng regular follow-up of patients with diabetic retinopathy High rates of follow-up have, however, been reported with the use of vans and trained photographic readers using reference standard photographs to provide immediate feedback to patients. By directly addressing patient convenience, access and feedback, this system might serve as a model for a 'marketing' approach for patient-centred detection of eye disease associated with diabetes.

Nonophthalmic health professionals

In a study in Glasgow, Scotland, among junior physicians with no specialized education or training, one-third made appropriate referrals to a diabetic retinopathy clinic, but only 30 gave a 'correct' diagnosis (67). In a pre-test based on photographs among general practitioners in New South Wales, Australia, 44 made a correct diagnosis (68). Endocrinologists were able to identify microaneurysms correctly in 80 of patients, macular oedema in none, neovascularization on the disc in about 50 and neovascularization elsewhere in 30 (69). An important issue for diabetes eye care is the referral period or interval for additional eye care based on the findings of the screening or detection system. In this study of whether appropriate referral perods were determined relative to the results of analysis by the gold standard 7 field photographic system, diabetologists made appropriate referral recommendations 64 of the time, ophthalmologists 56 , and nonmydratic photographs 69 of the time....

Evaluate Your Health and Fat Patterns

Usually being overfat is something that creeps up gradually with age. One of the last things my team and I always do when we evaluate people who enroll in my Fat-Burning Metabolic Fitness Plan is take front-, back-, and side-view before photographs so that they can really and truly see what they look like and compare these images with their after photos. For most, it is a great surprise to suddenly perceive an overweight person on the film because our inner image of ourselves is usually much thinner, leaner, and younger. I have had clients express shock or even burst into tears when they really looked at these pictures. It is truly as if they were seeing themselves for the first time.

Eating Disorders and Body Image

I'd lost 15 pounds in less than a week on my already thin frame when I was diagnosed, and as I search through my photographs from those years, I try to see a change in my body size. I never became heavy but I began to write in my journal about wanting to be thin. The language in my writing begins to reflect a rapidly diminishing sense of self-worth.

Technical issues in the use of standard photographic images

In view of the interest in photographic systems, much work has been devoted to specific technical issues (72,75), including the number of photographs needed the fields to be used if the full seven-field set is not used whether photographs should be taken through dilated pupils and who should interpret the photographs.

Selfesteem Social Comparison And Response To Personal Cues

A very different kind of impact of our activities on our self-concepts was discovered by Kathy Wilcox, who noticed an interesting experience she frequently had while looking through one of the conventional women's magazines. Initially, she was interested in the advertising pictures that make up the bulk of the content. After a few minutes, however, she found that she was feeling uncomfortable and would stop looking at the magazine. She realized her reaction was to the pictures of superslender models in the photographs. As a number of previous studies have demonstrated, women are made uncomfortable by the standards embodied literally, if not very substantially, in the models who appear in the media (Crouch & Degelman, 1998 Pinhas, Toner, Ali, Garfinkel, & Stuckless, 1999 Posavac, Posavac, & Posavac, 1998). However, this observation contains an apparent paradox Why would these magazines still exist if all women reacted with discomfort One possibility is that the effects occur only among...

Observation of Your Child

Mosomes or levels of any particular chemicals to tell us if your child has Asperger syndrome or high-functioning autism. We can take pictures of his brain (for example, with magnetic resonance imaging MRI scans), but that won't tell us his diagnosis. As you will read in Chapter 3, we have found a few brain abnormalities in some people with autism and Asperger syndrome but nothing present in all (even most) AS-HFA people or not present in some non-AS-HFA people. So currently there are no specific biological tests for the autism spectrum disorders. Professionals rely on the presence of the specific behaviors described in this chapter to diagnose the conditions. But this is not necessarily the problem it may sound like. All disorders in the DSM-IV are diagnosed on the basis of behavior (rather than biology), and the autism spectrum disorders happen to have among the very highest reliability of these disorders. That means that if several different professionals were to see the same child...

Endings And Breaks In Communication Therapeutic Relationships

Experienced the ending as more abrupt due to their disabilities they may need the message repeated and reinforced (Emerson 1977, cited in Mattison & Pistrang 2000, 2004). The skill required here is at least to be aware when you are leaving, finishing or ending a communicative encounter with people with learning disabilities and to inform them as best you possibly can. Jackson and Jackson (1999) offer one possible alternative way of communicating with adults with limited abilities. They have produced a small piece of work demonstrating how they utilised photographs to help adults with learning disabilities communicate issues related to endings and losses.

Understanding your body type The theory of somatotyping

William H. Sheldon, a professor from Harvard, became engrossed with the study of human body types. As a psychologist, it was Sheldon's primary intention to discover how body types were related to temperaments such as introversion and extroversion. As a part of his extensive research on the subject, which included studying over 4000 photographs and interviewing hundreds of people, Sheldon developed a classification system for body types known as somatotyping.


Leif Zerkin, editor of the Journal of Psychoactive Drugs, came up with recommendations for additional reading and some good cartoons. Ken and Maria Robbins provided photographs, food, and information. Dody Fugate of the University of Arizona gave us outstanding photographic service.


I am indebted to several people who have helped me enormously in the preparation of this third edition of Handbook of Osteopathic Technique. Firstly, my wife, Susan, who not only did a great deal of the typing, but made numerous constructive suggestions as to better ways of expressing many of the ideas. She also modelled for the photographs, which required much fortitude. The photographs were ably and sympathetically taken by Emmy Anderson. My friend, colleague, and fellow teacher of osteopathic technique Clive Standen currently the Principal of the British School of Osteopathy in London helped me a great deal with constructive criticisms of the text, and Steven Lusty helped model the two-man techniques.


PET scans can be used to show localisation of function within the brain. This three-dimensional PET scan shows the metabolic activity within the brain during a hand exercise. The exercise involved moving the fingers of the right hand. The front of the brain is at the left. The most active area appears white this is the motor cortex in the cerebral cortex where movement is coordinated. Photo credit Montreal Neurological Institute McGill University CNRI Science Photo Library.

How To Use This Book

The main body of the work is the photographs that are divided by regions of the body rather than methods of approach. The arrows on the photographs relate to a general direction of the forces rather than an exact specific path as it is impossible in the static photograph to show a moving procedure. In some cases a series of photographs should aid clarity, and in others the hands are away from the body to show the hold more clearly. It is suggested that the sections relating to classifications of technique and the modifying factors be read first to avoid problems of terminology. Thrust techniques when poorly applied are potentially dangerous in certain cases and it is suggested that no attempt be made to use these without the benefit of personal instruction. Those experienced in this particular category of technique and the ability to perceive joint motion barrier objectives may be able to acquire some new useful holds from careful study of the photographs.

Behavioral Evidence

Microaffordances are not only elicited as a response to the size of an object. Tucker and Ellis (1998) conducted an experiment in which they presented participants with photographs of objects with handles, such as cups. The cups were presented upright or upside down, with the handle extending to the left or to the right of the object. Participants had to indicate whether the object was upright or reversed by pressing a left or a right key. Results showed a clear effect of the compatibility between the position of the handle and the orientation of the key, indicating that seeing an object can potentiate a certain response. In a further study, Phillips and Ward (2002) presented participants with a visual objects prime such as a frying pan with a handle. Its handle could be on the left, on the right, or in the middle, and it could be placed nearer to or further from the participant. The prime was followed after a varying stimulus onset asynchrony (SOA) by an imperative target requiring a...


Although most great artists have never studied the brain and how it functions, they appear to have implicit knowledge about how the brain functions and they use this knowledge when painting, allowing the people who view their art to obtain closure. For example, Banich, Heller, and Levy (1989) noticed that most paintings are right-left asymmetrical. These investigators wanted to learn if the right-left position of the objects in the painting made a difference in how people would judge the quality of the painting. They photographed many paintings by respected artists. These painting, however, were not well-known to the general population. They made slides from these photographs and showed them to people who had never seen these paintings before the study. They showed one half of the participants a slide of each painting as portrayed by the artist and the other half of the participants saw a mirror image of each painting, so the right-left was

Figure 216

PET scans use radioactively-labelled substances introduced into the blood to view metabolic activity in three-dimensions, and this is a PET scan of the brain seen from below during visual activity. The frontal lobe is at lower centre. The most active area is the visual cortex within the occipital lobe at the back of the brain (at upper centre), showing the brain's visual centre. Photo credit Montreal Neurological Institute McGill University CNRI Science Photo Library.


One of the authors of this paper had the role of carrying out participant observation 5 and of capturing the workshop by video recording 6 . Several student assistants supported the process by taking pictures from the workshop and video recording the final models prepared by the seven groups and providing formal feedback to the audience. This ensured that the activities that were simultaneously being carried out were sufficiently documented.


These results led us to consider how other kinds of reminders could be effective in reinstating toddlers' event memories. In real-world situations, children may regularly encounter reminders that simulate or represent their experiences in different media such as watching videos or viewing photographs in a family album. The question remained do these reminder situations actually reinstate children's memories


Do not understand the representational nature of photographs to the degree necessary to use photographs as reminders of past events. The result also suggest that children are able to understand the representational nature of videos before they can appreciate photographs as representations of the past. However, because photographs include less event information than videos, it is not clear if the paucity in event information, particularly the absence of action information, can account for their ineffectiveness as reminders. To examine effects of partial event information, 18-month-olds in this experiment (Sheffield, 2004, Experiment 1) participated in a reminder session in which they viewed a video containing only object information about the activities they had learned 10 weeks prior (the objects only video condition). The video showed an experimenter displaying all of the props used in the activities and commenting on the props, for example, Look, here's Mickey Mouse. He has a shirt...

The Roots Of Disease

His photographs capture the suffering caused by these foodstuffs chiefly rampant tooth decay. Even more startling, they show the change in facial development that occurred with modernization. Parents who had changed their diets gave birth to children who no longer exhibited the tribal patterns. Their faces were more narrow, their teeth crowded, their nostrils pinched. These faces do not beam with optimism, like those of their healthy ancestors. The photographs of Dr. Weston Price demonstrate with great clarity that the edisplacing foods of modern commerce' do not provide sufficient nutrients to allow the body to reach its full genetic potential neither the complete development of the bones in the body and the head, nor the fullest expressions of the various systems that allow humankind to function at optimal levels immune system, nervous system, digestion, and reproduction (Nasty, Brutish, and Short 8). As noted earlier, the major infectious disease at Price's time was tuberculosis,...

Performance levels

While studies on the technical features necessary for best care have been published, no study has provided compete technical specifications for image analysis on the basis of the findings of a large number of observers with approprate numbers of nondiabetes retinal findings. The practical issues of implementation (73) include the number of photographs needed and deciding whether non-mydratic photos are sufficient or whether dilatation is needed. Even in the two fields in which there are image standards, radiology and dermatology, the standards were often determined arbitrarly and then tested empmcally (74). All publications in telemedicine should, as a matter of course, specify both the technical standards used to capture, process and display the image, the interpretation of the gold standard and the actual methods of fundus image capture. Nevertheless, a recent review suggested that photographic systems are appropriate for use in daily care of patents outside the research environment...


Intraoral pre-treatment (initial) and post-treatment (final) photographs of each patient were taken as part of standard orthodontic recordkeeping procedures. All photographs, stored as 35 mm slides, were taken in the Clinical Photography Department at the UMSD by two professional photographers utilizing a standardized intraoral photography procedure.

Probe Detectors

But in March of last year, the paper was retracted from Nature, after its authors were unable to replicate their earlier findings. What's more, there were calls for a fraud investigation, after allegations that photographs purporting to show brain damage in transgenic mice were actually photographs of brains autopsied from Alzheimer's patients.

Cross Country skiing

You now know everything you need to know about goal-setting, nutrition and cardio to get as lean as you want to be. But we're not finished yet - there's one final piece to the fat loss puzzle Weight training. It would be far beyond the scope of this single volume to teach you everything there is to know about weight training. Case in point Arnold Schwarzenegger wrote a book about weight training called, The Encyclopedia of Modern Bodybuilding and it's 736 pages long with 850 photographs Former Mr. Universe Bill Pearl also wrote a hefty volume on the subject with 638 pages called, Keys to the Inner Universe. Pearl's book is so detailed, it has 151 exercises for the biceps alone

Gunk Free Fiber

Virgin pulp is rich in water, which provides for ample hydrogen bonding that holds fibers together when made into paper. But each time a fiber is cleaned, de-inked and dried in a reprocessing plant, only 80 percent of the bonds recover, explains Yulin Deng, associate professor of chemical and biomolecular engineering at the Georgia Institute of Technology. After four or five recyclings, he says, a fiber can no longer make strong enough bonds and becomes waste see photographs at right .

Review Of Literature

Asymmetry in facial expressions has been studied from still photographs and videotapes (see Table 1), and investigators have attempted to examine hemifacial asymmetry during posed facial emotion. Campbell (1978) used composite faces of nine different expressors depicting the happy (smile) emotion. He found that the left hemiface was judged to be expressing happiness more intensely than the right hemiface. Sackeim and Gur (1978) used composite faces posing six different emotions and a neutral expression. Participants rated each composite photograph on a 7-point scale of expressed intensity. The left-side composites were judged as expressing emotion more intensely than the right composites. In a somewhat different methodology, observers were asked to rate left-left and right-right facial composites with bipolar adjectives. Results revealed that left-left composites were rated as 'healthier, stronger, harder, more active, more excitable'. In contrast, right-right composites were rated as...


Photographs of two- to three-week-old infants imitating facial acts demonstrated by an adult. From A. N. Meltzoff and M. K. Moore (1977). Science 198 75-78. Figure 1. Photographs of two- to three-week-old infants imitating facial acts demonstrated by an adult. From A. N. Meltzoff and M. K. Moore (1977). Science 198 75-78.

Getting medical help

Another machine uses x-rays to take pictures of a person's bones inside of her body. This can show you if a bone is broken . X-rays cause damage to cells inside the body A few x-rays will probably not cause problems, but being x-rayed many times can lead to cancer. Pregnant women should never be x-rayed unless it is absolutely necessary. If a pregnant woman needs an x-ray, her belly must be covered by a lead apron to protect the baby

Glisson Francis

Francis Glisson was a major contributor to an early pediatric text titled A Treatise of the Rickets. His work accurately described both rickets and infantile scurvy, but did not recognize the dietary causes of the diseases. Science Photo Library Photo Researchers, Inc. Reproduced by permission. Francis Glisson was a major contributor to an early pediatric text titled A Treatise of the Rickets. His work accurately described both rickets and infantile scurvy, but did not recognize the dietary causes of the diseases. Science Photo Library Photo Researchers, Inc. Reproduced by permission.

Visual agnosia

Warrington and Taylor (1978) argued that the key problem in apperceptive agnosia is an inability to achieve object constancy, which involves being able to identify objects regardless of viewing conditions. They tested this hypothesis using pairs of photographs, one of which was a conventional or usual view and the other of which was an unusual view. For example, the usual view of a flat-iron was photographed from above, whereas the unusual view showed only the base of the iron and part of the handle. When the photographs were shown one at a time, the patients were reasonably good at identifying the objects when they were shown in the usual or conventional view, but were very poor at identifying the same objects shown from an unusual angle. Warrington and Taylor (1978) obtained more dramatic evidence of the perceptual problems of these patients when they presented pairs of photographs together, and asked the patients to decide whether the same object was depicted in both photographs....

MUGA scan

My 3-year-old daughter had a MUGA scan before she started chemotherapy. They gave her an injection, and she fell asleep. They laid her on her back on a big table and moved a huge contraption around her to take pictures of her heart beating. We watched on a screen, and they printed out a copy on paper for the doctors.

Food Sources

A diabetic child injects herself with insulin. Composed of 51 amino acids, insulin is a small protein used by the body to regulate glucose levels in the blood. Custom Medical Stock Photo. Reproduced by Permission. A diabetic child injects herself with insulin. Composed of 51 amino acids, insulin is a small protein used by the body to regulate glucose levels in the blood. Custom Medical Stock Photo. Reproduced by Permission.

High Risk Groups

This illustration shows a healthy liver above, and a diseased liver below. Liver disease in alcoholics progresses from an enlargement of the liver to cirrhosis, which is characterized by liver scarring and is usually fatal unless alcohol consumption ceases. Custom Medical Stock Photo, Inc. Reproduced by permission. This illustration shows a healthy liver above, and a diseased liver below. Liver disease in alcoholics progresses from an enlargement of the liver to cirrhosis, which is characterized by liver scarring and is usually fatal unless alcohol consumption ceases. Custom Medical Stock Photo, Inc. Reproduced by permission.

Get Organized

A special class of software, known as the personal information manager (PIM), can help you use the computer as an organizational tool. PIMs come in many varieties, although this type of software has largely been replaced by the PDAs. PDAs range tremendously in price and complexity. Some are relatively simple, with a calculator, phone list, and one or two other functions. The more expensive models are fully functional computers, with word processing, spreadsheet, database, wireless Web access, a digital camera, etc. Cellular phones are also available that include many of the same functions as PDAs, such as appointment calendars, along with address books.


Since microscope cameras have a fixed aperture, exposure times depend only on lighting levels and the sensitivity of the digital collection device or photographic media. Long exposure times, particularly in fluorescence photomicrography, are usual. For digital cameras, long exposure times result in problems related to thermal noise. Consequently, images are usually averaged (see Subheading 3.7.1.), and highly sensitive CCD chips are used at low temperatures. For film, extended exposures (beyond as little as perhaps 2 s) result in particular problems for color photomicrography relating to reciprocity failure (see Subheading 3.9.1.).

Sexual Development

Straightforward manner, perhaps referring to a book with illustrations. For example, set up a concrete system and schedule for hygiene related to menstruation. In addition to showing your daughter the materials she will need to use and how to use them, you might also want to furnish her with pictures or photographs showing the order in which each step is carried out. Be specific about how often she will need to change her pad or tampon. Allow her to use a watch with a timer, if necessary, or mark in her day planner when she needs to visit the bathroom. If your daughter's menstrual cycle is regular, mark the days on the calendar each month that she will need to carry supplies with her. Write out a script that she can use in class to ask to use the restroom.

Digital Cameras For Beginners

Digital Cameras For Beginners

Although we usually tend to think of the digital camera as the best thing since sliced bread, there are both pros and cons with its use. Nothing is available on the market that does not have both a good and a bad side, but the key is to weigh the good against the bad in order to come up with the best of both worlds.

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