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Seasonal Forcing In Stochastic Epidemiology Models, Lora Billings, Eric Forgoston Nov 2017

Seasonal Forcing In Stochastic Epidemiology Models, Lora Billings, Eric Forgoston

Lora Billings

The goal of this paper is to motivate the need and lay the foundation for the analysis of stochastic epidemiological models with seasonal forcing.We consider stochastic SIS and SIR epidemic models, where the internal noise is due to the random interactions of individuals in the population. We provide an overview of the general theoretic framework that allows one to understand noise-induced rare events, such as spontaneous disease extinction. Although there are many paths to extinction, there is one path termed the optimal path that is probabilistically most likely to occur. By extending the theory, we have identified the quasi-stationary solutions …


Seasonal Forcing In Stochastic Epidemiology Models, Lora Billings, Eric Forgoston Nov 2017

Seasonal Forcing In Stochastic Epidemiology Models, Lora Billings, Eric Forgoston

Eric Forgoston

The goal of this paper is to motivate the need and lay the foundation for the analysis of stochastic epidemiological models with seasonal forcing.We consider stochastic SIS and SIR epidemic models, where the internal noise is due to the random interactions of individuals in the population. We provide an overview of the general theoretic framework that allows one to understand noise-induced rare events, such as spontaneous disease extinction. Although there are many paths to extinction, there is one path termed the optimal path that is probabilistically most likely to occur. By extending the theory, we have identified the quasi-stationary solutions …


Sustainable East Africa Research In Community Health (Search): A Community Cluster Randomized Study Of Hiv "Test And Treat" Using Multi-Disease Approach In Rural Uganda And Kenya, Laura Balzer, Diane V. Havlir, Joshua Schwab, Mark J. Van Der Laan, Maya Petersen Nov 2017

Sustainable East Africa Research In Community Health (Search): A Community Cluster Randomized Study Of Hiv "Test And Treat" Using Multi-Disease Approach In Rural Uganda And Kenya, Laura Balzer, Diane V. Havlir, Joshua Schwab, Mark J. Van Der Laan, Maya Petersen

Laura B. Balzer

This document provides the analytic plan for evaluating adult HIV incidence, health, and implementation outcomes for the first phase of the SEARCH Study. Locked: November 27, 2017. Embargoed until July 25, 2018.


300-X-250-7.Jpg, Susunqq Online Oct 2017

300-X-250-7.Jpg, Susunqq Online

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Dengan serunya permainan bandarq ini, ada …


Causal Inference In A Big Data World: The Roadmap, Laura Balzer Sep 2017

Causal Inference In A Big Data World: The Roadmap, Laura Balzer

Laura B. Balzer

No abstract provided.


Vetcompass Australia: A National Big Data Collection System For Veterinary Science, Paul Mcgreevy, Peter Thomson, Navneet K. Dhand, David Raubenheimer, Sophie Masters, Caroline S. Mansfield, Timothy Baldwin, Ricardo J. Soares Magalhaes, Jacquie Rand, Peter Hill, Anne Peaston, James Gilkerson, Martin Combs, Shane Raidal, Peter Irwin, Peter Irons, Richard Squires, David Brodbelt, Jeremy Hammond Sep 2017

Vetcompass Australia: A National Big Data Collection System For Veterinary Science, Paul Mcgreevy, Peter Thomson, Navneet K. Dhand, David Raubenheimer, Sophie Masters, Caroline S. Mansfield, Timothy Baldwin, Ricardo J. Soares Magalhaes, Jacquie Rand, Peter Hill, Anne Peaston, James Gilkerson, Martin Combs, Shane Raidal, Peter Irwin, Peter Irons, Richard Squires, David Brodbelt, Jeremy Hammond

Paul McGreevy, PhD

VetCompass Australia is veterinary medical records-based research coordinated with the global VetCompass endeavor to maximize its quality and effectiveness for Australian companion animals (cats, dogs, and horses). Bringing together all seven Australian veterinary schools, it is the first nationwide surveillance system collating clinical records on companion-animal diseases and treatments. VetCompass data service collects and aggregates real-time, clinical records for
researchers to interrogate, delivering sustainable and cost-effective access to data from hundreds of veterinary practitioners nationwide. Analysis of these clinical records will reveal geographical and temporal trends in the prevalence of inherited and acquired diseases, identify frequently prescribed treatments, revolutionize clinical …


Jessicahlawrencemastersportfolio.Pdf, Jessicah Lawrence Jul 2017

Jessicahlawrencemastersportfolio.Pdf, Jessicah Lawrence

Jessicah Lawrence

No abstract provided.


Dengue Virus Ns2b/Ns3 Protease Inhibitors Exploiting The Prime Side, Kuan-Hung Lin, Akbar Ali, Linah Rusere, Djade I. Soumana, Nese Kurt Yilmaz, Celia A. Schiffer Jul 2017

Dengue Virus Ns2b/Ns3 Protease Inhibitors Exploiting The Prime Side, Kuan-Hung Lin, Akbar Ali, Linah Rusere, Djade I. Soumana, Nese Kurt Yilmaz, Celia A. Schiffer

Celia A. Schiffer

The mosquito-transmitted dengue virus (DENV) infects millions of people in tropical and subtropical regions. Maturation of DENV particles requires proper cleavage of the viral polyprotein, including processing of 8 of the 13 substrate cleavage sites by dengue virus NS2B/NS3 protease. With no available direct-acting antiviral targeting DENV, NS2/NS3 protease is a promising target for inhibitor design. Current design efforts focus on the nonprime side of the DENV protease active site, resulting in highly hydrophilic and nonspecific scaffolds. However, the prime side also significantly modulates DENV protease binding affinity, as revealed by engineering the binding loop of aprotinin, a small protein …


A Pilot Study Of Computerized, Tailored Intervention To Promote Hpv Vaccination In Mexican-Heritage Adolescents, Angaela Chia-Chen Chen, Michael Todd, Ashish Amresh, Usha Menon, Laura Szalacha Jun 2017

A Pilot Study Of Computerized, Tailored Intervention To Promote Hpv Vaccination In Mexican-Heritage Adolescents, Angaela Chia-Chen Chen, Michael Todd, Ashish Amresh, Usha Menon, Laura Szalacha

Ashish Amresh

This study examined feasibility, acceptability, and preliminary effect of a computer-tailored intervention aimed at promoting HPV vaccination in Mexican-heritage adolescents aged 11-17. Among 46 Mexican-heritage parents who had one or more eligible children who had not received HPV vaccines, 91% (n = 42) completed the intervention and assessments via tablets in a vaccine clinic. Mean knowledge scores increased significantly from pre- to post-intervention. After the intervention, 95% (n = 40) of parents intended to get their children vaccinated; 50% (n = 21) of them consented to vaccination immediately, resulting in 24 adolescents being vaccinated at that time. All parents reported …


Mhealth Games As Rewards: Incentive Or Distraction?, Kevin Gary, Ryan Stoll, Pooja Rallabhandi, Mandar Patwardhan, Derek Hamel, Ashish Amresh, Armando Pina, Kevin Cleary, Zenaide Quezado Jun 2017

Mhealth Games As Rewards: Incentive Or Distraction?, Kevin Gary, Ryan Stoll, Pooja Rallabhandi, Mandar Patwardhan, Derek Hamel, Ashish Amresh, Armando Pina, Kevin Cleary, Zenaide Quezado

Ashish Amresh

Games may be employed for delivery of a clinical protocol, or as an incentive for protocol tasks. We focus on serious games in mHealth apps for pediatric patients with a chronic disease as an incentive for behavior modification. A patient is rewarded with enhanced gameplay in proportion to her/his compliance with a clinical protocol. The game-as-reward prevents fatigue and sustains patient engagement as the mHealth apps are used on a frequent basis when the affliction is a chronic disease. However, our experience shows a fine line between games that encourage engagement and ones that distract patients from protocol tasks.


Interdependence Of Inhibitor Recognition In Hiv-1 Protease, Janet L. Paulsen, Florian Leidner, Debra A. Ragland, Nese Kurt Yilmaz, Celia A. Schiffer Jun 2017

Interdependence Of Inhibitor Recognition In Hiv-1 Protease, Janet L. Paulsen, Florian Leidner, Debra A. Ragland, Nese Kurt Yilmaz, Celia A. Schiffer

Celia A. Schiffer

Molecular recognition is a highly interdependent process. Subsite couplings within the active site of proteases are most often revealed through conditional amino acid preferences in substrate recognition. However, the potential effect of these couplings on inhibition and thus inhibitor design is largely unexplored. The present study examines the interdependency of subsites in HIV-1 protease using a focused library of protease inhibitors, to aid in future inhibitor design. Previously a series of darunavir (DRV) analogs was designed to systematically probe the S1' and S2' subsites. Co-crystal structures of these analogs with HIV-1 protease provide the ideal opportunity to probe subsite interdependency. …


Enhancing Informative Frame Filtering By Water And Bubble Detection In Colonoscopy Videos, Ashok Dahal, Junghwan Oh, Wallapak Tavanapong, Johnny S. Wong, Piet C. De Groen Jun 2017

Enhancing Informative Frame Filtering By Water And Bubble Detection In Colonoscopy Videos, Ashok Dahal, Junghwan Oh, Wallapak Tavanapong, Johnny S. Wong, Piet C. De Groen

Johnny Wong

Colonoscopy has contributed to a marked decline in the number of colorectal cancer related deaths. However, recent data suggest that there is a significant (4-12%) miss-rate for the detection of even large polyps and cancers. To address this, we have been investigating an ‘automated feedback system’ which informs the endoscopist of possible sub-optimal inspection during colonoscopy. A fundamental step of this system is to distinguish non-informative frames from informative ones. Existing methods for this cannot classify water/bubble frames as non-informative even though they do not carry any useful visual information of the colon mucosa. In this paper, we propose a …


Cable Footprint History: Spatio-Temporal Technique For Instrument Detection In Gastrointestinal Endoscopic Procedures, Chuanhai Zhang, Wallapak Tavanapong, Johnny S. Wong, Piet C. De Groen, Junghwan Oh Jun 2017

Cable Footprint History: Spatio-Temporal Technique For Instrument Detection In Gastrointestinal Endoscopic Procedures, Chuanhai Zhang, Wallapak Tavanapong, Johnny S. Wong, Piet C. De Groen, Junghwan Oh

Johnny Wong

We propose a new fast spatio-temporal technique that detects an operation scene---a video segment corresponding to a single purpose diagnosis action or a single purpose therapeutic action. The technique utilizes (1) color contrast of the cable region and the background, (2) the new area-based coordinate system to compute spatial features, and (3) the history of locations of detected cables of the instrument in a video to discard false regions. The proposed technique and software are useful for (1) automatic documentation of diagnostic or therapeutic operations at the end of the procedure, (2) a second review for causes of complications due …


Vitamin D Status And Demographic And Lifestyle Determinants Among Adults In The United States (Nhanes 2001-2006), Yan Cao, Katie L. Callahan, Sreenivas P. Veeranki, Yang Chen, Ying Liu, Shimin Zheng May 2017

Vitamin D Status And Demographic And Lifestyle Determinants Among Adults In The United States (Nhanes 2001-2006), Yan Cao, Katie L. Callahan, Sreenivas P. Veeranki, Yang Chen, Ying Liu, Shimin Zheng

Shimin Zheng

This study looked at risk factors associated with vitamin D levels in the body among a representative sample of adults in the U.S., NHANES III (2001-2006) data were used to assess the relationship between several demographic and health risk factors and vitamin D levels in the body. The Baseline-Category Logit Model was used to test the association between vitamin D level and the potential risk factors age, education, ethnicity, poverty status, physical activity, smoking, alcohol, obesity, diabetes and total cholesterol with both genders. Vitamin D insufficiency and deficiency were significantly associated with age, race, education, physical activity, obesity, diabetes and …


The Use Of Vital Statistics Data For Research Of Consequence: Birth Outcomes And Population Health In A Rural Region, Claudia Kozinetz, Shimin Zheng, Eunice Mogusu May 2017

The Use Of Vital Statistics Data For Research Of Consequence: Birth Outcomes And Population Health In A Rural Region, Claudia Kozinetz, Shimin Zheng, Eunice Mogusu

Shimin Zheng

Objective: The Affordable Care Act (ACA) has influenced increasing interests in population health and population health outcomes. The purpose of this study was to exemplify the importance of using existing vital statistics data for understanding and monitoring health outcomes and consequentially health disparities at the population level. Data from birth records for two geographic regions from 2009-2014 were compared; low birth weight (LBW) and preterm delivery (PD) were used as surrogates for population health outcomes. Methods: A population-based, multi-year, cross-sectional study design using a pooled dataset of birth records from Tennessee (TN) was the framework for the analyses. A sub-population …


Trends And Determinants Of Up-To-Date Status With Colorectal Cancer Screening In Tennessee, 2002-2008, Sreenivas P. Veeranki, Shimin Zheng May 2017

Trends And Determinants Of Up-To-Date Status With Colorectal Cancer Screening In Tennessee, 2002-2008, Sreenivas P. Veeranki, Shimin Zheng

Shimin Zheng

BACKGROUND: Screening rates for colorectal cancer (CRC) are increasing nationwide including Tennessee (TN); however, their up-to-date status is unknown. The objective of this study is to determine the trends and characteristics of TN adults who are up-to-date status with CRC screening during 2002-2008. METHODS: We examined data from the TN Behavioral Risk Factor Surveillance System for 2002, 2004, 2006 and 2008 to estimate the proportion of respondents aged 50 years and above who were up-to-date status with CRC screening, defined as an annual home fecal occult blood test and/or sigmoidoscopy or colonoscopy in the past 5 years. We identified trends …


The Association Of Calcium Intake And Other Risk Factors With Cardiovascular Disease Among Obese Adults In Usa, Yang Chen, Sheryl Strasser, Katie Callahan, David Blackley, Yan Cao, Liang Wang, Shimin Zheng May 2017

The Association Of Calcium Intake And Other Risk Factors With Cardiovascular Disease Among Obese Adults In Usa, Yang Chen, Sheryl Strasser, Katie Callahan, David Blackley, Yan Cao, Liang Wang, Shimin Zheng

Shimin Zheng

In this study, we used a cross-sectional study design to examine the relationship between the calcium intake and risk factors for CVD among obese adults by using continuous waves of National Health and Nutrition Examination Survey (NHANES) data 1999-2010. The association between calcium intake and risk factors of CVD (hypertension, total cholesterol, HDL, glycohemoglobin), CRP, albuminuria) is assessed among obese adults in USA. The incidence of Cardiovascular Disease (CVD) is high among obese people. The potential effects of inadequate calcium intake on CVD are receiving increased epidemiologic attention. Understanding the association between risk factors for CVD and calcium intake among …


Screening For Elder Mistreatment Among Older Adults Seeking Legal Assistance Services, Sheryl M. Strasser, Megan Smith, Scott Weaver, Shimin Zheng, Yan Cao May 2017

Screening For Elder Mistreatment Among Older Adults Seeking Legal Assistance Services, Sheryl M. Strasser, Megan Smith, Scott Weaver, Shimin Zheng, Yan Cao

Shimin Zheng

Introduction: The aging population is a rapidly growing demographic in the United States. Isolation, limited autonomy, and declining physical and mental health render many older adults vulnerable to elder mistreatment (EM). The purpose of this study was to assess the prevalence and correlates of EM among a sample of older adults using legal assistance services in Atlanta, Georgia. Methods: Researchers administered surveys to consenting older adults (aged 60þ) in 5 metro Atlanta community centers that hosted legal assistance information sessions as part of the Elderly Legal Assistance Program. The surveys screened for risk factors and prevalence of EM risk using …


Predictors Of Neonatal Abstinence Syndrome In Buprenorphine Exposed Newborn: Can Cord Blood Buprenorphine Metabolite Levels Help?, Darshan Shah, Stacy Brown, Nick Hagemeier, Shimin Zheng, Amy Kyle, Jason Pryor, Nilesh Dankhara, Piyuesh Singh May 2017

Predictors Of Neonatal Abstinence Syndrome In Buprenorphine Exposed Newborn: Can Cord Blood Buprenorphine Metabolite Levels Help?, Darshan Shah, Stacy Brown, Nick Hagemeier, Shimin Zheng, Amy Kyle, Jason Pryor, Nilesh Dankhara, Piyuesh Singh

Shimin Zheng

Background

Buprenorphine is a semi-synthetic opioid used for the treatment of opioid dependence. Opioid use, including buprenorphine, has been increasing in recent years, in the general population and in pregnant women. Consequently, there has been a rise in frequency of neonatal abstinence syndrome (NAS), associated with buprenorphine use during pregnancy. The purpose of this study was to investigate correlations between buprenorphine and buprenorphine-metabolite concentrations in cord blood and onset of NAS in buprenorphine exposed newborns.

Methods

Nineteen (19) newborns who met inclusion criteria were followed after birth until discharge in a double-blind non-intervention study, after maternal consent. Cord blood and …


Prevalence Of And Risk Factors For Adolescent Obesity In Tennessee Using The 2010 Youth Risk Behavior Survey (Yrbs) Data: An Analysis Using Weighted Hierarchical Logistic Regression, Shimin Zheng, Nicole Holt, Jodi L. Southerland, Yan Cao, Trevor Taylor, Deborah L. Slawson, Mark Bloodworth May 2017

Prevalence Of And Risk Factors For Adolescent Obesity In Tennessee Using The 2010 Youth Risk Behavior Survey (Yrbs) Data: An Analysis Using Weighted Hierarchical Logistic Regression, Shimin Zheng, Nicole Holt, Jodi L. Southerland, Yan Cao, Trevor Taylor, Deborah L. Slawson, Mark Bloodworth

Shimin Zheng

Background: The rate of adolescent overweight and obesity has more than quadrupled over the past few decades, and has become a major public health problem [1]. In 2011, 55% of 12-19 year olds in the United States (U.S.) were overweight or obese [2]. Adolescence is a pivotal time in which many health risk behaviors such as tobacco, alcohol, and drug use are initiated. Such health risk behaviors have been significantly associated with overweight and obesity among adolescents. Objective: The purpose of this study is to evaluate the relationship between obesity and the health risk behaviors most commonly associated with premature …


Predictors Of Treatments Acceptable To Patients For Late-Life Depression, Gerald J. Jogerst, Shimin Zheng, Erik Vanderlip May 2017

Predictors Of Treatments Acceptable To Patients For Late-Life Depression, Gerald J. Jogerst, Shimin Zheng, Erik Vanderlip

Shimin Zheng

Objectives. Describe older patients’ perceptions about depression and characteristics associated with acceptance of treatments. Design. Cross-sectional study. Setting. Three primary care clinics in Iowa. Participants. Consecutive sample of 529 primary care patients. Measurements. Depression screening tool (a 9-item patient health questionnaire [PHQ-9]) and questionnaire including sociodemographic data, patient attitudes about depression, and acceptability of different treatments. Results. Mean age was 71.9 years (range 60–93 years), 314 (59%) female. Among the 529 participants, 93 (17.5%) had history of depression and 60 (11.3%) had PHQ-9 scores of 10 or greater. Participants believed depression is a disease for which they would use medication …


Associations Of Smoking Status And Serious Psychological Distress With Chronic Obstructive Pulmonary Disease, Ke-Sheng Wang, Liang Wang, Shimin Zheng, Long-Yang Wu May 2017

Associations Of Smoking Status And Serious Psychological Distress With Chronic Obstructive Pulmonary Disease, Ke-Sheng Wang, Liang Wang, Shimin Zheng, Long-Yang Wu

Shimin Zheng

Background: Chronic obstructive pulmonary disease (COPD) has been a major public health problem due to its high prevalence, morbidity, and mortality. Smoking is a major risk factor for COPD, while serious psychological distress (SPD) is prevalent among COPD patients. However, no study focusing on the effect of SPD on COPD has been so far conducted, while few studies have focused on the associations of SPD and behavioral factors with COPD by smoking status. Objectives: This study aimed to examine the associations of SPD and behavioral factors (such as smoking and physical activity) with COPD. Materials and Methods: Weighted logistic regression …


A Few Notes On Nabokov's Childhood Entomology, Victor Fet Apr 2017

A Few Notes On Nabokov's Childhood Entomology, Victor Fet

Victor Fet

Nabokov's lepidoptery long posed a question: Was he an amateur or a professional entomologist? Today, it has been amply demonstrated that he was a professional. Kurt Johnson says, "For Nabokov, as with many, fascination with the big picture books of butterflies as a young child grew to concerted collecting as a youngster. As with many scientists, these impressions of youth become a driving life force."3 Nabokov started collecting butterflies in 1906, at age seven, and never ceased; he published his first book of poems ten years later, at age seventeen; his first research paper on butterflies, at age twenty; …


Electron Penetration Range For Diverse Materials, Anne C. Starley, Lisa M. Phillipps, Jr Dennison Mar 2017

Electron Penetration Range For Diverse Materials, Anne C. Starley, Lisa M. Phillipps, Jr Dennison

Anne Starley

The penetration range of energetic electrons into diverse materials can be modeled approximately with a simple fit. This fit is a function of a single parameter, Nv, which describes the effective number of valence electrons. Using the Continuous-Slow-Down-Approximation (CSDA) for energy deposition in a material, a composite analytical formula has been developed which estimates the range or maximum penetration depth of incident electrons for energies from10 MeV with an uncertainty of


Predictive Formula For Electron Range Over A Large Span Of Energies, Anne C. Starley, Gregory Wilson, Lisa Montierth Phillipps, Jr Dennison Mar 2017

Predictive Formula For Electron Range Over A Large Span Of Energies, Anne C. Starley, Gregory Wilson, Lisa Montierth Phillipps, Jr Dennison

Anne Starley

A model has been developed to predict the approximate penetration depth into diverse classes of materials for a broad range of energetic incident electrons (<10 eV to >10 MeV, with better than 20% accuracy). The penetration depth—or range—of a material describes the maximum distance electrons can travel through a material, before losing all of its incident kinetic energy. This model leads to a predictive formula that estimates the penetration depth for materials without the need for supporting data, but rather using only basic material properties and a single fitting parameter (Nv, described as the effective number of valence electrons). Nv …


Constrained Binary Classification Using Ensemble Learning: An Application To Cost-Efficient Targeted Prep Strategies, Wenjing Zheng, Laura Balzer, Mark J. Van Der Laan, Maya Petersen, Search Collaboration Feb 2017

Constrained Binary Classification Using Ensemble Learning: An Application To Cost-Efficient Targeted Prep Strategies, Wenjing Zheng, Laura Balzer, Mark J. Van Der Laan, Maya Petersen, Search Collaboration

Laura B. Balzer

Binary classification problems are ubiquitous in health and social sciences. In many cases, one wishes to balance two competing optimality considerations for a binary classifier. For instance, in resource-limited settings, an human immunodeficiency virus prevention program based on offering pre-exposure prophylaxis (PrEP) to select high-risk individuals must balance the sensitivity of the binary classifier in detecting future seroconverters (and hence offering them PrEP regimens) with the total number of PrEP regimens that is financially and logistically feasible for the program. In this article, we consider a general class of constrained binary classification problems wherein the objective function and the constraint …


Evaluation Of Progress Towards The Unaids 90-90-90 Hiv Care Cascade: A Description Of Statistical Methods Used In An Interim Analysis Of The Intervention Communities In The Search Study, Laura Balzer, Joshua Schwab, Mark J. Van Der Laan, Maya L. Petersen Feb 2017

Evaluation Of Progress Towards The Unaids 90-90-90 Hiv Care Cascade: A Description Of Statistical Methods Used In An Interim Analysis Of The Intervention Communities In The Search Study, Laura Balzer, Joshua Schwab, Mark J. Van Der Laan, Maya L. Petersen

Laura B. Balzer

WHO guidelines call for universal antiretroviral treatment, and UNAIDS has set a global target to virally suppress most HIV-positive individuals. Accurate estimates of population-level coverage at each step of the HIV care cascade (testing, treatment, and viral suppression) are needed to assess the effectiveness of "test and treat" strategies implemented to achieve this goal. The data available to inform such estimates, however, are susceptible to informative missingness: the number of HIV-positive individuals in a population is unknown; individuals tested for HIV may not be representative of those whom a testing intervention fails to reach, and HIV-positive individuals with a viral …


(Wa: 085755475693) Jual Obat Aborsi Di Pariaman, Aborsi Cytotec, Aborsi Cytotec Feb 2017

(Wa: 085755475693) Jual Obat Aborsi Di Pariaman, Aborsi Cytotec, Aborsi Cytotec

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(Wa: 085755475693) Jual Obat Aborsi Di Bengkulu, Aborsi Cytotec, Aborsi Cytotec Feb 2017

(Wa: 085755475693) Jual Obat Aborsi Di Bengkulu, Aborsi Cytotec, Aborsi Cytotec

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PERCAYAKAN pada saya maka anda tidak akan menyesal. jangan pernah coba coba dalam hal obat yg di minum karena obat yg sudah masuk ke dalam tubuh bekerja langsung ke dalam organ dan syaraf tubuh jadi pilihlah obat yg pasti, ambil obat yg berkualitas tinggi dan tentunya harga juga sedikit tinggi karna memang teruji keaslianya dan kualitas nya


Alamat Klinik Aborsi Di Asahan-Jual Obat Aborsi Tuntas 082295374972, Mutiara Klinik Dec 2016

Alamat Klinik Aborsi Di Asahan-Jual Obat Aborsi Tuntas 082295374972, Mutiara Klinik

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KLINIK ABORSI-JUAL OBAT ABORSI AMPUH-OBAT PENGGUGUR KANDUNGN-OBAT TELAT BULAN
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Kami beri jasa Aborsi dengan bantuan obat Cytotec melalui metode terpadu kami terbukti selama 3 tahun sejauh ini HANYA mampu mencapai keberhasilan aborsi sampai 97%. Tidak ada keberhasilan 100% atau mutlak karena ditentukan oleh beberapa parameter, kondisi badan setiap individu sengat berbeda satu sama lain. Tidak ada 1 pun orang di dunia ini bahkan pemenang NOBEL biologi sekalipun bisa menggaransi hasil dan reaksi yang sama persis pada setiap individu (tehnik sampling dan statistik), setiap obat yang diluncurkan di pasaran sudah melewati ribuan tes dan percobaan …