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The I allele was similarly associated with greater increases in adductor pollicis muscle strength gain in response to hormone replacement therapy (HRT) in postmenopausal women (Woods et al 2001) In young Caucasian military recruits, the maximum duration of standardized repetitive elbow exion with a 15kg barbell was studied before and after 10 weeks of military training While pre-training performance was independent of ACE genotype, exercise duration increased signi cantly for the 66 individuals of either II or DD genotype (794 252 and 247 88 s; P = 0005 and 0007, respectively) but not for the 12 DD homozygotes (71 149 s; P = 0642), showing an 11-fold greater improvement for the II homozygotes compared to those with the DD genotype (P = 0001) (Montgomery et al 1998).

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Area 0 should have high reliability, throughput, and bandwidth and should be easy to manage and troubleshoot A set of routers and switches in a rack connected via a highspeed LAN makes a good Area 0 In addition to ABRs, an OSPF network may include one or more Autonomous System Boundary Routers (ASBRs) An ASBR connects an OSPF network to a different autonomous system or to a network that uses a routing protocol other than OSPF For example, an ASBR could connect an internal OSPF campus network to the Internet According to RFC 2328, a network that has only one connection to the rest of the internetwork is called a stub network For an example, refer to Figure 86 With the exception of Network 101000, all the LANs in Figure 86 are stub networks.

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The Path of Least Resistance 136 It s Easier If You Don t Ask 137 So Why Look 139 Did McVeigh Do It 140 The Necessary Knowledge Is That of What to Observe What Do You See 142

An ABR that connects a stub network can be configured to inject a default route into the stub area for all external networks that are outside the autonomous system or that are learned from other routing protocols The router can also be configured to inject a default route for routes to other areas within the autonomous system If an ABR router injects a default route for both external and inter-area routes, Cisco calls the area a totally stubby area Cisco also supports not-so-stubby areas (NSSAs), which allows the redistribution of some external routes into an otherwise totally stubby area (In most cases, you won't need to know about NSSAs They are typically used on a stub network that includes a legacy link to another routing protocol or autonomous system that is different from the link used by the rest of the internetwork to reach the outside world).

demonstrating accountability to payers For example, some funding agencies require the demonstration of fidelity of the services they fund (assessments of whether the treatment is being conducted as intended) in addition to demonstrations of outcome Although adhering to the fidelity of some EBPs seems important to achieving their outcome (eg, assertive community training), others allow more flexibility as long as the principle of the treatment is honored (eg, exposure-based therapies) The principles approach described earlier is inherently broader and more flexible in application than a specific EBP protocol Some complex field-developed interventions may be as well Fidelity requirements would also need to be flexible As much as the EBP identification process has stirred controversy and debate, efforts to acknowledge, depolarize, and integrate science and practice perspectives are being seen as a result.

Delta ef ciency (DE) is the ratio of external mechanical work to internal work performed by skeletal muscle, which increased signi cantly over a period of training for young Caucasian military recruits of II genotype when compared to those of DD genotype (Williams et al 2000) Meanwhile, quadriceps muscle strength is Dallele-associated in patients with chronic obstructive pulmonary disease (Hopkinson et al 2004), and gains in quadriceps muscle strength in response to strength training seem D-allele-associated in young adult men (Folland et al 2000)..

A managed service is ideally aligned with ongoing maintenance of the system. All things being equal, the buyer should look for the supplier to increase efficiencies over time, potentially reducing the cost of the service. As in the deliverables-based project, the managed service places ownership, management, and control with the supplier.

Another arena in which this integration is possible is in the development of treatment guidelines Although a representative task force within the APA has defined criteria for good treatment guidelines, there have been no direct attempts to contribute a set of working treatment guidelines based on them Whether such an effort will be witnessed in the near future is unknown, but it could advance current conceptualizations of psychosocial treatment beyond the specific treatment approach Empirically and clinically informed guidelines such as these might be as educational to the systems that might misuse EBPs as they would be practical to interested providers Translating evidence-based treatment recommendations into practice requires acceptance and training of practitioners as well as acceptance by patients.

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