Download The Lotte Berk Method by Lydia Bach / Лидия Бах PDF
By Lydia Bach / Лидия Бах
Метод Лотты Берк был усовершенствован Лидией Бах и представляет собой программу упражнений, основанную на философии, призывающей жить энергично и с энтузиазмом. Метод Лотты Берк выходит за пределы традиционной йоги и пилатеса. В своей основе он состоит из ортопедических упражнений, к которым позднее были добавлены некоторые позы из хатха-йоги.Через две недели выполнения представленных упражнений объём вашей талии уменьшится, живот станет более плоским, бедра и ягодицы более упругими, а вы заметите, что ваша походка стала легче, а вы сами - увереннее в себе и энергичнее. Книга включает следующие разделы:•Разминка•Бедра•Ягодицы•Растяжка•Живот•Секс
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Sample text
They generally represent old granulomatous disease that retracts the esophageal wall. They are usually diagnosed incidentally during a contrast esophagram (Fig. 3). Epiphrenic diverticula are often associated with esophageal motility disorders such as achalasia or diffuse esophageal spasm. Such diverticula can also develop proximal to esophageal strictures (Fig. 4). 2 Postsurgical scarring adjacent to the lumen of the esophagus, allowing the diversion of some food into the pouch. 3 An asymptomatic epiphrenic diverticulum seen during esophageal screening in a patient with gastroesophageal and laryngopharyngeal reflux.
5A,B). In addition, the esophageal mucosa will often be friable and notable for an area of central ulceration with surrounding raised edges. The changes in the esophageal mucosa may appear more subtle, with color change or change in elevation of a segment of the tissue relative to the surrounding mucosa (20). 5 A. Advanced esophageal squamous cell carcinoma. B. Size of the tumor seen with retroflexion. Adenocarcinoma Adenocarcinoma of the esophagus has had a marked increase in incidence in the United States and Western Europe over the past three decades.
There is salmon-colored mucosa with raised nodules and without ulceration. 8 A. Ulcerated esophageal adenocarcinoma. There is no evidence of Barrett's epithelium; what is seen is frank ulceration and esophageal narrowing. Contrast with (B), showing submucosal spread of a squamous cell carcinoma. 68 References 1. Fleischer DE, Haddad NG. Neoplasms of the esophagus. In: Castell DO, Richter JE, eds. The esophagus. 3rd ed. Philadelphia: Lippincott Williams & Williams; 1999:239â 252. 2. Rice TW. Benign esophageal tumors: esophagoscopy and endoscopic esophageal ultrasound.