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cukup sekian penjelasan dari saya
enough of my explanation
最后更新: 2020-08-27
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sekian dari saya
that's all from me
最后更新: 2023-09-13
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cukup sekian dari saya dan terima kasih
that's all and thank you
最后更新: 2020-11-01
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cukup sekian dan terima kasih
that's all and thank you
最后更新: 2023-08-14
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sekian dari saya,saya akhiri wassalam
from the psp b class, here
最后更新: 2020-12-10
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sekian vidio dari saya, mohon maaf jika ada kata kata yang salah
so many vidio from me, sorry if there are wrong words
最后更新: 2024-04-19
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sekian cerita dari saya dan terimakasih telah mendengarkan cerita saya ini.
that's my story and thank you for listening to my story.
最后更新: 2022-05-11
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sekian cerita dari saya maaf jika ada salah kata mau pun salah ucapan🙌🏻
at ten o'clock we left, and at one o'clock we arrived.
最后更新: 2023-05-02
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masih ada yang ditutupi dari saya
the most potent suppressors of gastric acid secretion are inhibitors of the gastric h+,k+-atpase (proton pump) (figure 36–2a). in typical doses, these drugs diminish the daily production of acid (basal and stimulated) by 80% to 95%. five proton pump inhibitors are available for clinical use: omeprazole (prilosec, rapinex, zegerid) and its s-isomer, esomeprazole (nexium), lansoprazole (prevacid), rabeprazole (aciphex), and pantoprazole (protonix). these drugs have different substitutions on their pyridine and/or benzimidazole groups but are remarkably similar in their pharmacological properties (see appendix ii). omeprazole is a racemic mixture of r- and s-isomers; the s-isomer, esomeprazole (s-omeprazole), is eliminated less rapidly than r-omeprazole, which theoretically provides a therapeutic advantage because of the increased half-life. despite claims to the contrary, all proton pump inhibitors have equivalent efficacy at comparable doses. proton pump inhibitors are prodrugs that require activation in an acid environment. after absorption into the systemic circulation, the prodrug diffuses into the parietal cells of the stomach and accumulates in the acidic secretory canaliculi. here, it is activated by proton-catalyzed formation of a tetracyclic sulfenamide (figure 36–2), trapping the drug so that it cannot diffuse back across the canalicular membrane. the activated form then binds covalently with sulfhydryl groups of cysteines in the h+,k+-atpase, irreversibly inactivating the pump molecule. acid secretion resumes only after new pump molecules are synthesized and inserted into the luminal membrane, providing a prolonged (up to 24- to 48-hour) suppression of acid secretion, despite the much shorter plasma half-lives (0.5 to 2 hours) of the parent compounds. because they block the final step in acid production, the proton pump inhibitors are effective in acid suppression regardless of other stimulating factors. the most potent suppressors of gastric acid secretion are inhibitors of the gastric h+,k+-atpase (proton pump) (figure 36–2a). in typical doses, these drugs diminish the daily production of acid (basal and stimulated) by 80% to 95%. five proton pump inhibitors are available for clinical use: omeprazole (prilosec, rapinex, zegerid) and its s-isomer, esomeprazole (nexium), lansoprazole (prevacid), rabeprazole (aciphex), and pantoprazole (protonix). these drugs have different substitutions on their pyridine and/or benzimidazole groups but are remarkably similar in their pharmacological properties (see appendix ii). omeprazole is a racemic mixture of r- and s-isomers; the s-isomer, esomeprazole (s-omeprazole), is eliminated less rapidly than r-omeprazole, which theoretically provides a therapeutic advantage because of the increased half-life. despite claims to the contrary, all proton pump inhibitors have equivalent efficacy at comparable doses. proton pump inhibitors are prodrugs that require activation in an acid environment. after absorption into the systemic circulation, the prodrug diffuses into the parietal cells of the stomach and accumulates in the acidic secretory canaliculi. here, it is activated by proton-catalyzed formation of a tetracyclic sulfenamide (figure 36–2), trapping the drug so that it cannot diffuse back across the canalicular membrane. the activated form then binds covalently with sulfhydryl groups of cysteines in the h+,k+-atpase, irreversibly inactivating the pump molecule. acid secretion resumes only after new pump molecules are synthesized and inserted into the luminal membrane, providing a prolonged (up to 24- to 48-hour) suppression of acid secretion, despite the much shorter plasma half-lives (0.5 to 2 hours) of the parent compounds. because they block the final step in acid production, the proton pump inhibitors are effective in acid suppression regardless of other stimulating factors.
最后更新: 2014-04-24
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apa jawaban dari saya akan selalu mencintaimu selamanya
apa jawaban dari i will always love you forever
最后更新: 2018-05-02
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di mulai dari saya bangun sampai saya tidur kembali
i pray maghrib and isha prayer
最后更新: 2023-09-28
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hanya satu foto yang jelas dari vagina anda atau tunjukkan saya di video call
just one clear photo of your pussy or show me in video call please
最后更新: 2021-01-07
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hay selamat malam.. sudah baca kisah dari saya belum?
indonesian translation into english idioms
最后更新: 2014-03-27
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mungkin hanya demikian yang bisa kami sampaikan tentang compliment, mohon maaf apabila masih terdapat banyak kekurangan dalam pengucapan kata. cukup sekian wassalamu'alaikum
maybe that's all we can say about compliment, sorry if there are still many shortcomings in the pronunciation of words. just so wassalamu 'alaikum
最后更新: 2023-11-01
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selesai sembahyang hajannya deras lagi dan akhirnya kita pulang sambil hujan hujanan walaupun kehujanan tapi menyenangkan karna dapat sembahyang dan bermain huwan karna ini momen langkah.. sekian cerita dari saya terima kasih atas waktunya
finished praying the hajannya was heavy again and finally we went home while raining even though it was raining but it was fun because we could pray and play huwan because this was a step moment. that's all the story from me thank you for your time
最后更新: 2024-04-22
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kepada bela saya mengundang anda ke acara ulangtahun saya , saya harap anda datang ke acara saya , salam dari saya nanda permata sari
dear friends, i invite you to my birthday party, i hope you come to my event, greet me nanda gem sari
最后更新: 2023-03-16
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saya anak ke 2 dari 2 bersaudara, kaka saya 8 tahun lebih tua dari saya sekarang berusia 28 tahun, kaka saya bekerja sebagai pegawai bank dari tahun 2014
i am the 2nd child of 2 siblings, my brother is 8 years older than i am now 28 years old, my brother worked as a bank employee from 2014
最后更新: 2020-09-17
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beruntung bisa melanjutkan pendidikan di mercubuana,saya minta maaf kepada dosen miss ambar apabila ada sikap buruk saya yang membuat miss tidak suka, kepada teman saya minta maaf kalau ada sikap atau chat grup yang tidak saya tanggapi,sekian dari saya terimakasih,tetpa sehat dan aman
lucky to be able to continue my education at mercubuana, i apologize to the lecturer miss ambar if there is my bad attitude that makes miss don't like it, to my friends sorry if there is an attitude or group chat that i don't respond to, that's all from me thank you, stay healthy and safe
最后更新: 2021-07-13
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selama pelatihan dan pembelajaran selama p5. saya mendapatkan banyak pengalaman yg terjadi di kegiatan p5 , dari saya mengetahui apa arti usaha, tujuan nya dan dampak negatif
during training and learning during p5. i gained a lot of experience that happened in p5 activities, from me knowing what the meaning of the effort, its goals and negative impacts
最后更新: 2023-10-09
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