静かな青

静かな青

夏の空から秋の空の境目。
とても静かです。

コメント:30

はぐれ雲 09-09-16 (水) 8:42

うわーっ!!空にはいろんな顔があるもんですねぇ!紺碧

murakumo 09-09-17 (木) 16:34

これなに?!?!?! めちゃくちゃ綺麗なんですけどっ!!!

こうめ 09-09-17 (木) 19:37

ずっと眺めていたい空の色で、すてきです♪

はぐれ雲 09-09-18 (金) 15:20

どうやったらこんな紺碧が撮れるんですか?

教えてください。投稿者さん。

投稿者 09-09-19 (土) 10:44

皆さん、コメントありがとうございます。
嬉しいです。

はぐれ雲さん
実はこれ映ってる写真より実際はもっと暗いんです。
ホワイトバランスとシャッタースピードを少しあげて撮りましたよ。

はぐれ雲 09-09-22 (火) 6:44

ホワイトバランスを?バランスを?どうしたら?

シャッターはスピードをゆっくりにするんですか?

三脚ありでいいですか?

シャッターボタンはケーブル? それともシャッターセット?

そーッと教えてください。

投稿者 09-09-24 (木) 10:32

そ縲懊€怎bと言いますね。
ホワイトバランスは数字を上げて、シャッタースピードは、遅くすると光がより入って明るく撮れますよ。
これはそこまで遅くないから手押しです。でも基本、感覚でやった方が早い気がするのでいろいろと試して撮ってみて下さい。僕もまだあまりカメラの性能に詳しくなくて手探りなんですよ。
すいません縲怩ꀀまり参考にならなくて。

はぐれ雲 09-09-24 (木) 18:16

ものすげぃ
さんこうに
なりました

鼻息(ぷしゅ
よし技術をぬすむんだ!

コ・ベン2 09-09-25 (金) 2:42

凄いですね・・・ ★*゚*(感´∀`動)*゚*★

これ、日本の空ですか? と言う色ですね。

そして遠くの空から秋の訪れ・・・。

音もなく・・・。

ありがとうございます。

投稿者 09-09-26 (土) 22:09

ありがとうございます。
日本の空は綺麗ですよ。。

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Mild Steroids 25-05-19 (月) 9:49

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Elle a montré que des souris diabétiques avaient moins d’insuline et plus de sucre dans le sang sans son récepteur.
Par ailleurs, la diminution de la testostérone avec l’âge
favorise l’obésité autour des organes et perturbe la régulation du glucose,
même sans surpoids. La testostérone augmente la densité osseuse et indique à la moelle
osseuse de fabriquer des globules rouges. Les hommes ayant de
très faibles taux de testostérone sont plus susceptibles
de souffrir de fractures et de fractures osseuses. Chez la femme, les niveaux de testostérone
peuvent augmenter pendant la grossesse et diminuer pendant la ménopause.

Chez la femme, l’hormone est produite en plus faibles quantités par les ovaires
et les glandes surrénales. Chez l’homme comme chez la femme, la testostérone influence la santé et tout particulièrement la densité osseuse, la santé cardiovasculaire, le métabolisme, le bien-être psychological
et la libido. Il y a des diminutions de l’hormone
de croissance et du facteur de croissance analogue à
l’insuline -I avec l’âge chez les hommes et les femmes.
Certaines de ces améliorations sont dans les domaines de la santé similaires à ceux affectés par la testostérone.

Cet affaiblissement soudain des os survient lorsque la testostérone diminue et ne vient plus aider la manufacturing et le
renforcement osseux, entrainant un risque accru de fractures osseuses chez les femmes.
Les insuffisances testiculaires et hypophysaires ont pour conséquence une diminution du taux de testostérone.
La production de testostérone peut ralentir avec l’âge et de nombreux hommes âgés présentent des symptômes de faible taux de testostérone.
Le niveau d’œstrogène d’une femme baisse
après son entrée en ménopause. Cela peut rendre ses taux d’hormones mâles, aussi connues sous
le nom d’androgènes, un peu plus élevés. Des maladies comme le syndrome des ovaires polykystiques (SOPK) peuvent aussi faire
augmenter le taux de testostérone.
Un faible taux de testostérone, communément appelé Low-T, est une situation qui
suscite l’intérêt et l’inquiétude chez de nombreuses personnes à mesure qu’elles vieillissent.
Elle se caractérise par une diminution des niveaux de testostérone, l’hormone vitale responsable de définir
de nombreux aspects de la santé et du développement
masculin. Les hommes chinois qui ont des taux de vitamine D plus faibles ont également des taux de testostérone
plus faibles, selon une étude publiée en juillet 2015 dans la revue Reproductive Biology and Endocrinology.
Les bonnes sources de vitamine D sont les poissons gras,
les champignons et les aliments enrichis comme les céréales.

Des niveaux de testostérone anormalement bas peuvent provoquer
de la fatigue, la perte de libido et la perte de masse musculaire.
Au contraire, des niveaux élevés de testostérone peuvent entraîner l’acné,
l’agressivité et une diminution de la production de spermatozoïdes.
Cette hormone est produite dans les glandes surrénales qui créé aussi l’adrénaline.
Un excès de poids peut perturber l’équilibre hormonal et diminuer
le taux de testostérone.
Il est essentiel de garder à l’esprit que ces symptômes peuvent ne pas
indiquer uniquement un faible T, automotive ils peuvent se chevaucher avec d’autres problèmes de
santé. Cependant, si vous présentez une combinaison de
ces signes, il est conseillé de consulter un professionnel de la
santé pour un diagnostic approprié. Ils peuvent suggérer un simple
take a look at sanguin pour mesurer votre taux de testostérone, garantissant ainsi une évaluation précise et un plan de traitement approprié.

Cela signifie que nous ne savons pas et ne pouvons
pas nous prononcer sur l’efficacité et la sécurité
du traitement à la testostérone à lengthy terme. Il convient également de noter que le degré de certitude des données
probantes des avantages et des inconvénients varie de modéré à très faible.
À ce titre, les recherches futures auront probablement un influence sur les résultats discutés ici (3).

Ensuite, sous l’action de certaines enzymes, elle est transformée en estradiol dans les cellules de la granulosa, la principale hormone
sexuelle féminine. La testostérone est une hormone stéroïde sexuelle dérivée du cholestérol et classée dans le groupe
des androgènes. C’est la principale hormone des testicules et elle est synthétisée principalement par les cellules de Leydig, mais elle est également sécrétée par les
glandes surrénales. En présence de tels symptômes, une prise de sang avec dosage de la testostérone totale peut être réalisée.
Cela peut entraîner une hypertension, un gonflement des
jambes ou une aggravation de l’insuffisance cardiaque.

girls on steroids Before and after 25-05-22 (木) 3:48

It is essential for healthcare providers to familiarize themselves with Medicare’s pointers and requirements to make sure correct billing and
reimbursement for testosterone injections and other services.
When submitting Medicare claims for testosterone injections, it is crucial that healthcare
providers follow these necessities and supply all
needed documentation. It is also essential for healthcare suppliers
to stay up to date with Medicare’s pointers and necessities to ensure
compliance and correct billing. The acceptable use of ICD-10-CM code E29.1 for billing
purposes involves guaranteeing that the diagnosis of testicular hypofunction is documented by the provider within the
assessment portion of the notice. This code should be used
when the first reason for the affected person’s go to or treatment is said to the underproduction of hormones by the testes.
Testosterone deficiency is kind of widespread amongst both older males
and younger people alike.
In males, manufacturing of this hormone begins to fall after age 30 and continues
to decline (about 1% per year) all through their life.
An algorithm outlining an method to the analysis of testosterone deficiency is
on the market in Determine 1. The task drive used an evidence-based
method to acknowledge limitations in the revealed
literature before producing recommendations. The grade was then adjusted after consideration of the risk of bias, study limitations, consistency of results, directness of the evidence, precision of the results and
publication bias throughout the body of related literature.
Reviews from meta-analyses, practice guidelines, scientific conferences and main evaluations
were additionally examined, and papers have been manually searched for added references.

Researchers at St. Louis College created the Androgen Deficiency within the Aging Male (ADAM) questionnaire,
which has been proven to be a highly sensitive (88%) instrument however
with low specificity (66%), largely as a end result of questions that identify patients with depression. Nevertheless, as a result of many
men with hypogonadism don’t seek medical consideration, devices such because the ADAM questionnaire is often a helpful method to screen for clinical symptoms
of androgen deficiency. As Soon As testosterone deficiency
is confirmed, we then think about testosterone
alternative remedy. The FDA convened an advisory committee assembly in September 2014 to debate the utilization of
testosterone for age-related hypogonadism and the latest sign of cardiovascular risk.
In addition, as a end result of there is no
evidence of laboratory testing earlier than the preliminary testosterone prescription for
some men, committee members recommended including a
press release to drug labels about the want to affirm low serum testosterone concentrations earlier than initiating therapy.
The committee acknowledged the constraints of the obtainable data on adverse cardiovascular occasions however concluded that the totality of the proof
suggests a weak signal of cardiovascular danger and really helpful updating
drug labels to mirror this info. The FDA agreed with the advisory committee’s suggestions and subsequently required revisions
to the labels of all testosterone merchandise.
Examples could embody however are not restricted to Response to Comments
and some Billing and Coding Articles.
These limitations hamper the ability to elucidate
the exact position of testosterone in urinary stones.

Therefore, we performed this examine to deal with a few of these limitations and to analyze whether serum testosterone levels range according to the presence of
nephrolithiasis. Understanding the particular ICD-10 code E29.9 is essential for correct medical coding and recording of testicular circumstances that wouldn’t have particular
codes.
You ought to focus on potential tests with your doctor if you imagine you might suffer from an undiagnosed endocrine system disorder.
Many veterans remain undiagnosed or are recognized years after growing
a service-related endocrine system concern,
similar to low testosterone. Though the above environments and experiences might lead to disorders of the endocrine system, everyone is totally different.
Some veterans could not undergo long-term detrimental well being results from their intense training routines, whereas others might
experience vital consequences. You may be eligible to
file for Veterans Affairs (VA) advantages if you endure from endocrine conditions associated to your service in the
united states navy. Aetna – considers implantable testosterone
pellets experimental and investigational for hypogonadism as a outcome of aging (also generally known as “late-onset hypogonadism”).
This LCD outlines restricted protection for this service with specific details under Coverage Indications, Limitations and/or
Medical Necessity.
Correct coding and documentation of E29.1 not only facilitate correct reimbursement but also enhance patient care by way of targeted interventions.

One of essentially the most vital contributors to testicular hypofunction is hormonal
imbalance, significantly low testosterone levels.
Testosterone is essential for the development of male
reproductive tissues and the maintenance of secondary sexual
characteristics.
It is important for all males considering testosterone replacement remedy to speak
to their healthcare suppliers and bear prostate screening before beginning this remedy.
The conventional belief that testosterone substitute therapy is
contraindicated in the presence of superior prostate most cancers is supported
by robust evidence,25 thus meriting a robust recommendation in opposition to its use (Box 2).
Conversely, considerations about testosterone supplementation selling the development and
development of prostate most cancers and benign hyperplasia
have long been based mostly on extrapolations more
so than on actual proof or verification. After affirmation of the prognosis, exclusion of any revers­ible causes, or contraindications to the utilization of testosterone, substitute therapy may be provided.
Methods of substitute embody injectable tes­tosterone esters, transdermal tes­tosterone (gels or patches), or oral
testosterone in the form of testosterone undecanoate.
In some cases, doctors could select to refer patients
to a specialty clinic for testosterone injections.
However, hypogonadal men with efficiently treated prostate
cancer may be candidates for testosterone supplementation. These patients require referral
to a specialist, as a outcome of treatment entails shut monitoring by a physician with experience in the dangers and advantages of
testosterone therapy. Once testosterone deficiency is diagnosed,
therapy involves testosterone supplementation generally.
Notable exceptions include secondary hypogonadism
amenable to remedy geared toward enhancing pituitary perform, metabolic alterations which will reply to different measures (see the
part on Different and Complimentary Therapy in Appendix 1) and potential contraindications.
The population addressed on this article comprises males with
medical manifestations compatible with testosterone deficiency syndrome and laboratory confirmation of testosterone deficiency in Canada.

historydb.date 25-05-23 (金) 5:18

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LB, EL, SB, RJL, MF, MD, AM, CS carried out the statistical analyses. All authors contributed to the conduct of the examine, participant recruitment and follow-up, and to the interpretation of examine knowledge. NH, DCA wrote the primary draft of the paper with enter from LB, EL, SM, SB, TH, CG and RJL. In particular, people who haven’t had chickenpox or measles prior to now (and so aren’t immune) may be advised to keep away from people with chickenpox, shingles or measles.
The most recent animal studies, utilizing a wide range of experimental paradigms, assist that each female and male animals are delicate to the anxiogenic effects of AASs [87-89], the latter extra so [90]. These studies, carried out on rodents, used subchronic administrations of either 5 mg/kg nandrolone decanoate or 7.5 mg/kg of a mix containing testosterone cypionate, nandrolone decanoate, and methandrostenolone. However, research administering 3.5-5 mg/kg testosterone in rodents discovered anxiolytic results [91-93]. These research used along with the elevated plus maze test, the open-field and the Vogel battle paradigms [94]. One Other examine that found anxiolytic effects for AASs employed 17-β-hydroxy-1-methyl-5α-androstan-3-one in male rats [95]. From each electronic database we read all titles and chosen those promising to be related, which were sixty four.
Testosterone and several of its esters, as nicely as methyltestosterone, nandrolone decanoate, and oxandrolone, are the primary anabolic-androgenic steroids at present prescribed in the U.S. Some folks use AASs constantly, but others try to minimize their possible opposed results by way of different patterns of use. Stopping prednisone abruptly is never a good suggestion, especially if you are taking more than 10 milligrams (mg) a day or have been on it for greater than three weeks. This is because your physique may have turn out to be accustomed to having the cortisol substitute in your system and not produce cortisol on its own.
Tamoxifen or aromatase inhibitors may also be used to forestall or treat gynaecomastia. Sildenafil or other phosphodiesterase inhibitors are used to enhance erectile perform. Diuretics are sometimes utilized by aggressive bodybuilders days earlier than a contest to minimize back physique water and improve muscle definition. In some instances, healthcare suppliers might consider prescribing momentary supportive medications to ease withdrawal signs. These may embody short-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) for ache reduction or anti-nausea drugs to manage stomach upset. Despite bettering anti-tumor outcomes for previously untreatable malignancies, the benefit of ICIs is constrained at times by extreme antagonistic results. Immune checkpoints, within the physiologic state, preserve immune tolerance; thus, their blockade ends in autoreactive T cells (1).
John C. Umhau, MD, MPH, CPE is board-certified in habit medicine and preventative drugs. For over 20 years Dr. Umhau was a senior medical investigator on the National Institute on Alcohol Abuse and Alcoholism of the Nationwide Institutes of Well Being (NIH). A first synthesis of the work on the endocrine controls of reproductive conduct was already printed in 1948 by Frank Seashore (Beach, 1948), which in many respects marks the foundation of Behavioral Endocrinology (Etgen and Pfaff, 2009a).
If you’ve a question about whether or not you may profit from a different routine, talk along with your physician earlier than making changes. Oral corticosteroids (sometimes known as oral steroids or by a generic name like prednisone) are a group of powerful anti-inflammatory medications. As A Outcome Of patients can be randomized to a number of interventions, REMAP-CAP has primarily used an open-label design, avoiding complicated a quantity of placebo regimens. When a affected person was randomized to one of many non-control arms, the medical team was offered prescribing instructions for the intervention. Different aspects of care were offered as per every website’s standard of care.
Topical calcineurin inhibitors work by stopping certain cells of the immune system from “switching on,” preventing eczema symptoms, corresponding to redness, itch and irritation. Sure areas or kinds of skin — the face, genitals, skin folds, uncooked or skinny skin and areas that rub together, such as beneath the breasts or between the buttocks or thighs — take up extra medication and care have to be taken when utilizing steroids in these areas. If this side-effect occurs, it tends to occur within a couple of weeks of beginning therapy and is extra probably with greater doses. Occasionally individuals even turn into confused; they may develop delusional and suicidal ideas.
You’ll in all probability need to wait no much less than three months between rounds of steroids. Your supplier will inject cortisone directly into the area of your physique that’s experiencing irritation. This will deliver the dose of corticosteroid proper the place it’s needed. These indirect results clarify why it is more accurate to refer to ‘non-classical’ and membrane-initiated effects quite than non-genomic results of steroids. It is necessary to notice that the ‘non-classical’ actions of steroids on neural circuits involve intracellular signaling cascades and transduction pathways that could be both rapid as nicely as impartial of particular actions at membrane steroid receptors. In the 1980’s, studies in home chicks also showed that testosterone modulates memory processes with latencies of 10 to 20 min (Clifton et al., 1982) (reviewed in (Andrew, 1983)). One candidate mAR, the zinc transporter ZIP9 coupled to an inhibitory G protein, was recognized in a fish species in 2004 ((Thomas et al., 2017a) for review) and shown to be expressed and functional in human prostate most cancers cells (Thomas et al., 2017b).

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