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Jeffrey A Brinker, M.D.

Jeffrey A Brinker, M.D.

  • Professor of Medicine
  • Joint Appointment in Radiology and Radiological Science


Rather cheap deltasone 5 mg otc allergy symptoms eyes pictures, they [20] are more likely to purchase deltasone with mastercard allergy medicine ok for breastfeeding take a tend-and-befriend response (Taylor et al buy deltasone 20mg line allergy kiosk animal kingdom. The tend-and befriend response is a behavioral reaction to stress that involves activities designed to create social networks that provide protection from threats. This approach is also self-protective because it allows the individual to talk to others about her concerns, as well as to exchange resources, such as child care. The tend-and-befriend response is triggered in women by the release of the hormone ocytocin, which promotes affiliation. This may help explain why women, on average, have less heart disease and live longer than men. Managing Stress No matter how healthy and happy we are in our everyday lives, there are going to be times when we experience stress. But we do not need to throw up our hands in despair when things go wrong; rather, we can use our personal and social resources to help us. You probably know people who seem to be stressed, depressed, or anxious, but they cannot or will not see it in themselves. Perhaps you tried to talk to them about it, to get them to open up to you, but were rebuffed. They seem to act as if there is no problem at all, simply moving on with life without admitting or even trying to deal with the negative feelings. Have you ever had an important test to study for or an important job interview coming up, and rather than planning and preparing for it, you simply tried put it out of your mind entirely? Research has found that ignoring stress is not a good approach for coping with it. If we experience so much stress that we get sick, these events will be detrimental to our life even if we do not or cannot admit that they are occurring. Suppressing our negative emotions is also not a very good option, at least in the long [21] run, because it tends to fail (Gross & Levenson, 1997). For one, if we know that we have that big exam coming up, we have to focus on the exam itself to suppress it. We can?t really suppress or deny our thoughts, because we actually have to recall and face the event to make the attempt to not think about it. Suppressing our emotions might work out for a short while, but when we run out of energy the negative emotions may shoot back up into consciousness, causing us to reexperience the negative feelings that we had been trying to avoid. He asked them to not think about a white bear for 5 minutes but to ring a bell in case they did. The white bear kept popping into mind, even when the participants were instructed to avoid thinking about it. You might have had this experience when you were dieting or trying to study rather than party; the chocolate bar in the kitchen cabinet and the fun time you were missing at the party kept popping into mind, disrupting your work. James Pennebaker and his colleagues [23] (Pennebaker, Colder, & Sharp, 1990; Watson & Pennebaker, 1989) have conducted many correlational and experimental studies that demonstrate the advantages to our mental and physical health of opening up versus suppressing our feelings. This research team has found that simply talking about or writing about our emotions or our reactions to negative events provides [24] substantial health benefits. For instance, Pennebaker and Beall (1986) randomly assigned students to write about either the most traumatic and stressful event of their lives or trivial topics. Although the students who wrote about the traumas had higher blood pressure and more negative moods immediately after they wrote their essays, they were also less likely to visit the student health center for illnesses during the following six months. Other research studied individuals whose spouses had died in the previous year, finding that the more they talked about the death with others, the less likely they were to become ill during the subsequent year. For one, expressing our problems to others allows us to gain information, and possibly support, from them (remember the tend-and-befriend response that is so effectively used to reduce stress by women). People who viewed stress as a challenge had fewer physiological stress responses than those who viewed it as a threat?they were able to frame and react to stress in more positive ways. However, we also need to learn how to control our emotions, to prevent them from letting our behavior get out of control. In their studies, they had 4 and 5-year-old children sit at a table in front of a yummy snack, such as a chocolate chip cookie or a marshmallow. However, they were also told that if they could wait for just a couple of minutes, they?d be able to have two snacks?both the one in front of them and another just like it. However, if they ate the one that was in front of them before the time was up, they would not get a second. Mischel found that some children were able to override the impulse to seek immediate gratification to obtain a greater reward at a later time. Furthermore, the inability to delay gratification seemed to occur in a spontaneous and emotional manner, without much thought. The children who could not resist simply grabbed the cookie because it looked so yummy, without being able to stop [28] themselves (Metcalfe & Mischel, 1999; Strack & Deutsch, 2007). Thus effective self-regulation can be recognized as an important key to success in life (Ayduk et al. Emotion regulation is influenced by body chemicals, particularly the neurotransmitter serotonin. Research Focus: Emotion Regulation Takes Effort Emotion regulation is particularly difficult when we are tired, depressed, or anxious, and it is under these conditions [32] that we more easily let our emotions get the best of us (Muraven & Baumeister, 2000). If you are tired and worried about an upcoming exam, you may find yourself getting angry and taking it out on your roommate, even though she really hasn?t done anything to deserve it and you don?t really want to be angry at her. It is no secret that we are more likely fail at our diets when we are under a lot of stress, or at night when we are tired. They speculated that self-control was like a muscle; it just gets tired when it is used too much.

These techniques take advantage of changed soft tissue elasticity in various pathologies to order generic deltasone line allergy shots sleepy yield qualitative and quantitative information that can be used for diagnostic purposes purchase generic deltasone on-line allergy shots not refrigerated. Measurements are acquired in specialized imaging modes that can detect tissue stiffness in response to discount deltasone 40mg allergy nasal spray an applied mechanical force (compression or shear wave). Ultrasound-based methods are of particular interest due to its many inherent advantages, such as wide availability including at the bedside and relatively low cost. Several ultrasound elastography techniques using different excitation methods have been developed. In general, these can be classified into strain imaging methods that use internal or external compression stimuli, and shear wave imaging that use ultrasound-generated traveling shear wave stimuli. While ultrasound elastography has shown promising results for non-invasive assessment of liver fibrosis, new applications in breast, thyroid, prostate, kidney and lymph node imaging are emerging. Here, we review the basic principles, foundation physics, and limitations of ultrasound elastography and summarize its current clinical use and ongoing developments in various clinical applications. Key words: Elastography; Ultrasound; Strain Imaging; Shear Wave Imaging; Liver; Breast; Thyroid; Kidney; Prostate; Lymph nodes. It has been further of being an inexpensive, versatile, and widely developed and refined in recent years to enable available modality that can be used at the bedside, quantitative assessments of tissue stiffness. For applications such as liver fibrosis assessment or breast instance, many solid tumors are known to differ lesion characterization. This is applied to normal (perpendicular to surface, first column), shear (tangential to surface, second column), and bulk (normal inward or pressure, third column) forces used in ultrasound elastography. In shear wave imaging (b), particle motion is perpendicular to the direction of wave propagation, with shear wave speed cS related to shear modulus G. In B-mode ultrasound (c), particle motion is parallel to the direction of wave propagation, with longitudinal wave speed cL related to bulk modulus K. While it is G as: technically easy to convert between E and G via equation 9, estimations of these values depend on the =? A S giving suitable tissue contrast for elastography recent consensus advocates reporting results as shear measurements. Excitations methods include quasi-static mechanically-induced displacement via active external compression or passively-induced physiologic motion (orange), dynamic mechanically-induced compression via a thumping? transducer at the tissue surface to produce shear waves (green), and dynamic ultrasound-induced tissue displacement and shear waves by acoustic radiation force impulse excitation (blue). Since this the excitation are measured perpendicular to the method is not dependent on superficially applied acoustic radiation force application or parallel to the compression, it may be used to assess deeper located 1D transient elastography excitation; the shear wave organs [1]. It is the most widely the manually or physiologically applied stress is used and validated technique for assessment of liver not quantifiable, but by assuming uniform normal fibrosis, and it is often used by clinicians in the office. Typically, using time-motion ultrasound (based on multiple low strain (stiff tissue) is displayed in blue, and high A-mode lines in time at different proximal locations strain (soft tissue) is displayed in red, although the assembled to form a low quality image) to locate a color scale can vary depending on the ultrasound liver portion 2. The examiner takes repeated this is an alternative approach for measuring measurements with the following criteria for strain. Measurement of the shear wave speed and reported to provide a quantitative estimate of results in qualitative and quantitative estimates of tissue elasticity. This creates a near cylindrical shear wave without large vessels or dilated bile ducts. A number of these can be traced back to general sonography limitations such as shadowing, reverberation, and clutter artifacts, or the operator-dependent nature of free-hand ultrasound systems [6, 21]. Similarly, tissue attenuation decreases ultrasound signal as a function of depth, limiting accurate assessment of deeper tissue or organs. Fluid or subcutaneous fat also attenuates propagation of the external stimulus applied at the skin surface. In principle, these manufacturer system to another a difficult task [4, 6, assumptions violate conventional models that 19, 21, 22]. The assumption that tissue is isotropic stimuli, such as strain elastography, are the most (homogeneous) is violated at tissue interfaces, where challenging to reproduce. Measurements in these shear wave reflection at structural interfaces may lead modes are highly subjective since the magnitude of to incorrect speed estimates [2]. Similarly, the applied stress is difficult to control with operator incompressibility is incorrect since tissues can lose dependent manual compression and the inherent volume when compressed (usually in the form of variability of physiologic motion when used as a fluids). In which introduces a dependency of shear wave speed addition, the extent of stress induced by an operator on excitation frequency. The in general is also susceptible to internal sources of adoption of elastography to new clinical applications, stress. For example in liver such as characterizing highly heterogeneous tumor applications, it is preferable to measure stiffness in the masses or organs, will likely require the adoption of right lobe over the left lobe to minimize internal more complex modeling that accounts for tissue stimulations generated by the nearby palpating heart viscoelasticity [25, 26]. In the highly heterogeneous microenvironment, which case of elastography modes that utilize internal contains stiff elastic regions. Since cardiac motion score being the most widely used histopathologic can confound elastography measurements, it is grading system. According to this system, the fibrosis recommended to sample measurements in the right stages are: F0= normal liver, F1= minimal fibrosis, F2= liver lobe, which has shown the most reliable results significant fibrosis, F3= severe fibrosis and F4= [38, 39]. Major complications, liver capsule, with measurements obtained 4-5 cm such as bleeding, hemobilia, bile peritonitis, deep to the skin and within a minimum 1-2 cm of liver bacteremia, sepsis, pneumothorax, hemothorax and parenchyma to limit refraction of the pulse. Furthermore, the patient needs to be Inter-observer agreement among pathologists in coached in breathing (to stop breathing at the end of grading liver fibrosis/cirrhosis is also not perfect, normal expiration or inspiration) so measurements with kappa statistic ranging from 0. In phase 1 of the high but lesser priority for treatment owing to study optimal stiffness cut-off values for identification relatively lower risk of complications [36].

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The Solutionof the Law of Time Now the default of the Christian program of the Gregorian calendar and its system of social organization discount deltasone online mastercard allergic shiners, global civilization 10mg deltasone fast delivery allergy forecast bloomington il, is erupting in an entropic black hole of time purchase deltasone 5 mg without prescription allergy symptoms vs infection. The result of this black hole of time is an entropic harmonic conver gence, where all of the conflicting points of the differing timing programs that the Gregorian calendar attempted to synchronize, come into a common point of hostile impact. Seen in this light, the Final War is really the final battle in a long saga that we can properly call the Time Wars. Since this measure does not correspond to the reality of time as the universal (13 :20) frequency of synchronization, it creates a mental dissynchronization that manifests as the battle of the mind against itself, and against nature. The gradual encroachment of civi lization into all aspects of human society and the biosphere increases the incidence of dissynchronization. The resulting aphasic mental states lead to belligerence and various attitudes of dominance over others and nature-but never to any satisfaction. Viewed by the Law of Time, civilization is the institutionalization and embodi ment of the dissynchronous artificial timing frequency. The dynamic of dis synchronization results in increasingly artificial technological means and reliance on the artificial medium of money to replace the biological or organic functions of our nature and of the biosphere in general. Not only does this process tend toward an "improvement" in the accuracy of the means of war, but also in the capacity of the latter for greater mass destruction. Set apart from the natural cycles by the dissynchronous frequency of mechanization, the Time Wars are also waged against the biosphere, which is viewed as a hostile force to be overwhelmed and plundered. The 56-year cycle of the technosphere witnessed the greatest creation and stock piling of lethal weapons, more than in all the previous history put together, enough to destroy the Earth many times over. The 56-year cycle of the techno sphere also witnessed the greatest plundering thus far of the biosphere, more than in all the previous cycles of history put together. Continued at the current rate, the biospheric plunder would bring extinction to virtually all life within another generation. These two facets of self-destruction-technospheric and biospheric-point again to the Inevitable Event. It is the Pentagon that has led in military spending and strategizing, just as it was the activity within the World Trade Center Twin Towers that domi nated and coordinated from afar the plunder of the biosphere-both precedents for the consequent construction and expansion of the technosphere. The Solution of the Lawof Time back together, nor will all the bombs in the world salvage it against its enemies. Who are the enemies of the technosphere, and what would cause thereto be enemies against the technosphere? For if the biosphere is to become the noosphere, it must come about from an under standing of the intelligence of harmony. Clearly, such understanding of harmonic intelligence has not been nor will it be forthcoming from the technosphere-or from the Gregorian calendar that programs it. Only the Law of Time can supply the harmony necessary to complete this great movement from biogeochemical combus tion to noospheric mind. The Law of Time replaces all that is artificial, while con firming all that is true, whether in human history or the universe. The Twin Towers were the absolute triumph of the artificial 12:60 timing frequency, whose program is embedded in the Gregorian calendar and paced by the mechanical clock. And what are the religious backgrounds of the twenty-two most-wanted terrorists in the world? In the noospheric analysis, the Inevitable Event was the suicide of the technosphere unable to sustain two clashing time programs. It was a program of the strict Islamic twelve-month lunar calendar that drove its belief system into the Twin Towers and the Pentagon, the two supreme monuments of the program of the twelve unevenly measured months of the Gregorian pseudosolar calendar. We know where the Vatican, the bastion of Christendom, is and who ordained the Gregorian calendar, but what do we know about Islam? It is the last whole revealed text for all hu manity, received and recorded over a 23-year period by a single human being, Muhammad the prophet (570-632). While militant Muslims and terrorists have dominated the mass media image ofIslam for the past few decades, what is the Quran and what does it actually teach? It is also a function of the Gregorian program that scarcely anyone in the West really knows or is familiar with the Quran, since the West has been at odds with Islam since the time of Muhammad. As the supreme text of monotheism, the Quran is actually a psychoactive book that upholds Islam as the final religion for humanity. I 03 guidance and the religion of truth, to make it prevail over all other religions. The biosphere is Islam, or "peace, which is submission to the will of God," understood as the divine law of nature. In the creation of the heavens and the earth, the alternation of night and day, the ships that roam the ocean for the benefit of the people, the water that God sends down from the sky to revive dead land and to spread in it all kinds of creatures, the manipulation of the winds, and the clouds that are placed between the sky and the earth, there are sufficient proofs for people who understand. And he created the livestock for you, to provide you with warmth and many other ben efits as well as food. And they carry your loads to lands that you could not reach with out a great hardship. With it, He grows for you crops, olives, date palms, grapes, and all kinds of fruits. And you see the ships roaming it for your commercial ben efits, as you seek His bounties, that you may be appreciative. The Solution of the Law of Time ers (mountains) on earth lest it tumbles with you, as well as rivers and roads that you may be guided. And we send the winds as pollina tors, and cause water to come down from the sky for you to drink. From the Quranic perspective, human freedom of choice is at the root of the bio spheric destruction. Choosing anything but to be submissive to God, the human is in rebellion against nature-both his own and that of the biosphere.

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For general information on the Law of Time or the Campaign for the New Time and its educational programs contact: Foundation for the Law of Time buy deltasone 20mg amex allergy shots vacation, World Headquarters Post Office Box 513 Brightwood purchase 40mg deltasone fast delivery allergy symptoms puffy eyes, Oregon 97011 U order cheapest deltasone allergy testing types. Tel: +1 (208) 255-1172 Fax: +1 (208) 265-9107 the official Web site for the Foundation for the Law of Time, Planet Art Net work, World Thirteen Moon Calendar Change Peace Movement and Campaign for the New Time is: A major aspect of the Campaign for the New Time is the development of a program of "strategic alliances," information about which is also available at If you belong to an organization that you feel could be in align ment with the goals of the Campaign you can check out the Strategic Alliance page of the Web site or directly contact the Foundation for the Law of Time, World 198. The goal of the Strategic Alliances is to establish a "synchronization for peace force"-a coalition of a wide spectrum of organizations that are in align ment with the calendar change and are willing to help organize local events and information dissemination for the Great Calendar Change of 2004. The Law of Time asserts that the actual nature of time is synchronic; hence the purpose of calen dars is to synchronize us in time according to various cycles whose harmonic num bers extend from and return us to a higher mental order of reality. It is a fatal error to dismiss a mathematics of harmonic perfection when it is allied with the ordering and comprehension of cycles. The pursuit of a true and accurate year totally subordi nates the cyclic nature of time to the ceaseless imperfection and change that charac terize the phenomenal world when it is considered as the sole factor of existence. In order to prepare the ground for a proper consideration of the Law of Time and the evolutionary necessity of the synchronic order of time as the harmonic reor ganizing factor of humanity in its post-historic phase, it is necessary to expunge from the mind the error known as the Gregorian calendar. To demonstrate and expose the illogical and irrational nature of the Gregorian calendar as a standard of 200. Summary Critique measure, the following seven points are presented as a simple appeal to the intrinsic logic and intelligence of any human being. We require of a standard of measure that its units of measure are regular and equal with one another. This is not the case with the Gregorian calendar, whose base unit of measure, the month, proceeds in an irregular and uneven manner: 31 days, 28 days, 31 days, 30 days, 31 days, 30 days, 31 days, 31 days, 30 days, 31 days, 30 days, and 31 days. Do you know what results when a crooked standard of measure is employed consistently for millennia? It might be noted that at the time of Augustus Caesar, August was called Sextile and had thirty days, while February then had twenty-nine days. In order to honor Augustus and make him the equal ofJulius Ouly) which had thirty-one days, the twenty-ninth day was taken from February and added on to Sextile, whose name was then changed to Augustus (August). By harmonic contrast, the Thirteen Moon calendar is per petual in that all of its units of measure are equal-28 days each. January is derived from the God of the doorway; February is an obscure word refer ring to an animal divinatory rite; March refers to Mars, the planet and the god of war; April and May refer to goddesses of the spring; June to the wife of Jupiter; July and August are named after the two most prominent Roman Emperors, Julius and Augustus Caesar. As for the remaining months, September, the ninth month, means seven; Oc tober, the tenth month, means eight; November, the eleventh month, means nine; and December, the twelfth month, means ten. Of course, having grown habituated to the crooked standard of measure, it is easy to overlook and dismiss as innocuous the irra tional naming of the months. What do the names of these months have to do with an order of time, or even a cosmology or culture of time, which we assume a calendar might reflect? By blindly accepting this irrational disorder of names, do we not predispose ourselves to accept irrational disorder in common place things around us, and even within the fabric of our society, thus reinforcing in us a tendency to accept a superficial treatment of the symptoms, while ignoring the roots? Leap year and leap day is the most highly touted aspect of the Gregorian calendar. Structurally, the Gregorian calendar is indistinguishable from the Julian calendar. The only thing that separates the Gregorian from the Julian calendar is the correction Summary Critique. Leap day is the extra day that accumulates every four years due to the length of the astronomical year being 365. The Julian calendar did nottake this into account, hence an error crept in that caused the spring equinox on the calen dar to fall some ten days behind the solar moment of the spring equinox-a fact noted by the conquistadors when they encountered the Mayan calendar, which had no such discrepancy. Hence, there was no leap day in the year 1900, but in the year 2000, a multiple of four, there was. What is not well known is that the Vatican does not recognize the leap day in its ceremonial calendar. In most countries where Latin-derived languages are spoken, leap day and leap year are referred to as bisiesto, or "bisextile" day and "bisextile" year. If leap year is every four years, why is it referred to by a word that connotes six, sextile? If there were to be an extra day that was counted, then the system of fixed feast days would be thrown off. And since in the Church tradition derived from the Romans the days are counted from the first of the next month, the first always being known as the calends, the date February 24 is technically referred to as the "sixth of the calends of March" (February 24 = sixth calends of March, February 25 = fifth calends, February 26 = fourth calends, February 27 = third calends, February 28 = second calends, and March 1 = calends of March). For this reason, the leap year is known as bisiesto because the sixth (siesto) calends of March is doubled, hence "bi. Febru ary 29 only arose out of popular tradition in the sixteenth and seventeenth centuries. In the end, it is the mystique surrounding leap day that further con tributes to the numbing of the sensibility of time accumulated in the instrument known as the Gregorian calendar, "the little grid of boxes that rules so much of our lives. Calends is the name of the account book, the book of payments recording the monthly debts and bills to be paid! A more accurate word for time reckoning might be "chronometer," or even better, "synchronometer.

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The ionosphere is capable of strong interaction with radio waves - distorting them buy discount deltasone 40mg allergy medicine reviews, totally reflecting or absorbing them cheap 40 mg deltasone allergy warning. Roland buy deltasone 20 mg low price allergy weight gain, expert in beam and plasma physics at the Naval Research Laboratory in Washington D. This ionospheric modification technique can provide such waves for probing both the Earth and the ionosphere magnetosphere. The modification occurs in the lower D-region and can provide information about the ambient conditions in one of the least diagnosed regions of the ionosphere. It heats the upper atmosphere with a focused and steerable electromagnetic beam designed to simulate and control ionospheric process. Gigawatts of effective radiated power of high frequency radio energy are pumped into the ionosphere. The transmitter (a particle injection device) can produce a beam anywhere from several miles to several tens of miles in radius, using the 2. In 1998 input power was raised to 10 gigawatts, transmittable in the the north-south or east-west direction. It makes ions in the upper atmosphere move in big circles with a one second lap time. Optimum lap time is dictated by the plasma density related to the temperature, number of ions and neutral atoms in the ionosphere. We can only conjecture at this point about its effects on the foundations of human electromagnetic function. Paul Schaefer, electrical engineer, alleges that radiation excites large numbers of tiny unstable particles, high-velocity particles in the atmosphere and Van Allen Belts and can be the villain in weather disruption as Earth discharges the buildup of heat, relieving stress and tectonic strain through earthquakes and volcanic action. Ionospheric heaters deliberately create instabilities in the plasma layer of the ionosphere to rev up the the energy level of charged particles. This results also in electronic rain from the sky - electron precipitation from the magnetosphere. The precipitated particles can produce secondary ionization, emit X-rays, and cause significant perturbation in the lower atmosphere, potentially affecting human brainwaves, and even our evolution, if Hainsworth is correct. An electronic beam can ionize or de-ionize the atmosphere over a given area, including military targets. Thus, the key to geophysical warfare is the identification of environmental instabilities where adding a small amount of energy can release vastly greater amounts of energy. We must become more aware, as are scientists that global weather is a complex system, including air pressure and thermal systems, but also an electrical system. Power line harmonic resonance causes fallout of charged particles from the Van Allen (radiation) belts, and the falling ions cause ice crystals which precipitate rain clouds. Non-linear effects mean small input with multi-gigawatt pulsing leads to exponentially larger output. A "non-linear reaction" results from a small input of energy entering an environmental instability and producing a vastly increased energy output. Early ionospheric heaters began as ground-based antennae that would focus a cone-shaped beam of energy over a relatively large portion of the ionosphere, to heat it sufficient to get the desired energy gain. When physicist Eastlund reversed the cone of the radio beam, a much smaller spot on the ionosphere was pulsed with radio waves to superheat it. When antennas fire in sequence, they produce a pulsed beam, up to 1,000-fold increase. One way to obtain very large beat wave amplitudes is to trap the beat waves as an eigenmode. We use a numerical algorithm to determine the three wave matching point and use analytic formula to launch pump waves at this point. Normally randomly moving particles in the near-vacuum of space become part of the atmosphere. In Part C there is continuous tone signal at 2100 Hz remaining throughout the whole pulse, with a weaker tone around 2500Hz. Representative Dennis Kucinich told Alive that Vision 2020 is already an ongoing military program to experiment with directed energy. Schuster explained, Joint Vision 2020 also emphasizes the importance of experimentation to identify innovations in warfighting. Joint Forces Command conducts experiments on new warfighting concepts and operations. Joint Forces Command began to implement a joint experimentation program to test new warfighting concepts that now support Joint Vision 2020, Schuster reported. Liasons need to be made with various sources monitoring the important dimensions for whatever reasons, and the data applied to this research direction. Parameters of influence include human aggression, violence, and wars over the past couple of hundred years, stock market and food production, etc. Sunspot and ejecta activity for this 23rd solar cycle is expected to abate, as of April-May, 2003. Additional data concerning the nature and severity of the ionospheric disturbance can be found through analysis of the three components of the field. Magnetic models of the annual magnetic means of global magnetic field changes (field strength, direction, vector-magnetic-field components) are also available geomag. The seven magnetic components include declination, inclination, horizontal intensity, vertical intensity, north-south intensity, east-west intensity and total intensity.


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