Humane Society of Citrus County FL, Inc.

    Super Avana

Trusted 160 mg super avana

Removal of the complete system plus systemic antibiotics is the best approach to eradicate an infection erectile dysfunction drugs class order super avana australia. Use of parenteral and intraventricular instillation of antibiotics with out hardware removal has demonstrated variable success, and recurrence of an infection is frequent, significantly those attributable to S erectile dysfunction when drugs don't work discount super avana online mastercard. In acutely unwell patients with meningitis suspected to be related to prior neurosurgery, empiric therapy with parenteral vancomycin should be administered to cover Staphylococcus, Streptococcus, and Propionibacterium species together with an agent with exercise in opposition to Enterobacteriaceae and P. Central nervous system toxoplasmosis: magnetic resonance imaging study of the mind before remedy (A) and after remedy (B) with pyrimethamine and sulfadiazine. The differential analysis consists of bacterial an infection, invasive aspergillosis, nocardiosis, and malignancy. Differentiating toxoplasmosis from lymphoma is especially troublesome; [18F] fluorodeoxyglucose positron emission tomography sometimes shows elevated metabolism in lymphoma. Folinic acid (10 to twenty mg daily) should be administered to reduce myeloid toxicity. At four to six weeks after decision of signs and indicators of infection and radiologic improvement, switching to a maintenance regimen (sulfadiazine zero. Maintenance remedy ought to be continued during immunosuppression and till radiologic decision. Clindamycin and primaquine could also be used as a substitute, after verifying regular glucose-6-phosphate dehydrogenase exercise in sufferers illiberal of sulfonamides. During the course of therapy for hematologic malignancy these barriers often are compromised and expose patients to infections and invasions by local flora, leading to bacteremia and candidemia. Cytotoxic chemotherapy, corticosteroids, and antibiotics predispose to oral candidiasis. The most typical presentation is white adherent plaques on the palate, buccal mucosa, tongue, or gingiva. Therapy contains local treatments similar to clotrimazole troches or oral fluconazole. Esophageal candidiasis may current as odynophagia and initial therapy with fluconazole is advised. Therapeutic options for fluconazole-resistant mucosal candidiasis embrace an echinocandin, voriconazole, posaconazole, or amphotericin B. Most fluconazole-resistant Candida isolates are susceptible to voriconazole and posaconazole, however cross-resistance might occur. Treatment of sinusitis in immunocompetent patients entails normal antibiotic regimens, similar to amoxicillin-clavulanate, azithromycin, clarithromycin, or a cephalosporin with activity towards respiratory pathogens. Periorbital swelling and diplopia may be noticed late in the course of an infection.

Buy 160 mg super avana otc

Discordant histology refers to figuring out different histologic grades of lymphoma in the identical affected person erectile dysfunction vacuum super avana 160 mg lowest price. The mostly recognized discordant histology is a peripheral node with predominantly large cells and a marrow with small cleaved cells (see part on "Prognostic Factors") hcpcs code for erectile dysfunction pump order cheap super avana on-line. The finest outcomes have been in young patients (less than 50 years), with stage I and nonbulky illness (less than 2. Risk and medical implications of transformation of follicular lymphoma to diffuse giant B cell lymphoma. Nucleoside analogs, bendamustine, and mitoxantrone are all being utilized in completely different upfront regimens as nicely. By reducing the field of radiation, there was no difference within the recurrence price. The decisions of remedy are a number of and vary extensively from no initial therapy, rituximab alone, to various chemotherapy agents (single or in combination) with or with out monoclonal antibody therapy, to radioimmunotherapy, and to transplantation. Because indolent lymphomas usually have long median survivals, extended follow-up is required and randomized trials are wanted to determine optimum remedy. Watchful ready can be psychologically tough for both affected person and physician, however remains a legitimate method based on preliminary observations and randomized trials before the supply of rituximab. There are three randomized trials that compared watchful ready to some type of initial therapy. There was no difference in overall survival between observation and remedy in all these stories. In the latter study, the median follow-up was 16 years; and the median length of time until chemotherapy was began in the remark group was 31 months. Rituximab is uniformly included with chemotherapy at the time of remedy initiation. Multiple ChaPtEr 88 non-Hodgkin Lymphoma in adults 1849 Immunotherapy Immunotherapy for lymphoma features a broad and increasing variety of approaches. Rituximab is an integral element as a single agent or together with chemotherapy in the remedy of all subtypes of Bcell lymphomas. Randomized trials almost uniformly have favored the rituximab-plus-chemotherapy arms over chemotherapy alone for both indolent and diffuse giant Bcell lymphomas. A number of novel next-generation antibodies have been developed to better engage hostresponse mechanisms, many being examined on ongoing scientific trials. Vaccination with anti-idiotype vaccines distinctive to particular person affected person lymphomas was pioneered by Levy and colleagues at Stanford University. Response rates of 80% and better have been achieved in relapsed or refractory sufferers, a few of whom have then been capable of proceed to consolidative and potentially curative stem cell transplantation.

Syndromes

• Whether the cancer is sensitive to certain hormones
• Heavy infestation (many parasites) may cause fever, chills, lymph node enlargement, and liver and spleen enlargement.
• National Diabetes Information Clearinghouse - www.diabetes.niddk.nih.gov
• Observe water safety rules.
• Certain diabetes drugs (taken by mouth)
• Rapid heartbeat (tachycardia) or other heart problems

Discount super avana american express

Other therapies may include monoclonal antibodies that reduce inflammation and genetically engineered immunosuppressive drugs that decreases the activity and number of T cells erectile dysfunction treatment acupuncture cheap 160 mg super avana with mastercard. A dysplastic nevus, additionally referred to as an atypical mole, is generally bigger than frequent nevi and has an irregular border erectile dysfunction louisville ky 160mg super avana with visa. Examining Your Skin A monthly skin self-exam helps discover any suspicious pores and skin problems early. O Follow these step-by-step directions to examine your skin: Look at your face, neck, ears, and scalp. You could need to use a comb or blow dryer to move your hair so that you just can see better. Sit down and look at your toes, including your toenails, soles, and areas between your toes. Risk elements for hemangiomas embrace being feminine, low birth weight, and being Caucasian. Of hemangiomas, about 30% are seen at birth and the remainder turn out to be visible inside 1�4 weeks of start. Port-wine stain may be flat or slightly raised, is often permanent, and might appear anyplace on the body but usually seems on the face, neck, scalp, arms, or legs. Strawberry hemangiomas are the commonest kind, accounting for 65% of hemangiomas. Strawberry hemangioma will grow, start to fade, and turn grey, often disappearing between the ages of 5 and 10. Cherry hemangiomas seem practically anyplace on the skin, however most commonly on the torso, with many concerning the dimension of a pinhead. Treatment may embrace laser therapy to reduce color of the hemangioma and improve pores and skin texture, corticosteroids to control or stop the expansion of the hemangioma, and surgical excision. About one in 5 individuals within the United States will develop pores and skin most cancers of their lifetime. Additional threat factors for particular skin cancers might be listed within the following sections. The primary risk elements for nonmelanoma pores and skin cancer embrace sun exposure; having old scars, burns, ulcers, or areas of inflammation on the skin; exposure to arsenic at work; and having radiation therapy. Diagnosis requires visible examination and pores and skin biopsy to determine the character of the cellular changes in the tumor. In photodynamic therapy a photosensitizing agent is utilized to the tumor and is taken up by the most cancers cells. Additional therapies embrace chemotherapy drugs and immunomodulators to stimulate the immune system. The drug blocks a defective biological signaling pathway that ends in abnormal cell progress. Melanomas may be tiny, however most are larger than the size of a pea (larger than 6 millimeters or about 1/4 inch). Risk components for melanoma embody having an atypical mole, and having more than 50 widespread nevi.

Super avana 160 mg online

The lateral tract originates within the lateral vestibular nuclei and projects ipsilaterally to neurons at all spinal levels erectile dysfunction treatment boston medical group discount 160mg super avana free shipping. They are involved within the upkeep of posture and in modulating muscle tone, especially via an input to -motor neurons erectile dysfunction guide generic 160 mg super avana otc. Pontine reticulospinal neurons are primarily excitatory and medullary reticulospinal neurons are primarily inhibitory. It tasks to the contralateral cervical spinal twine to control head and eye movements. In addition to offering fibers that run in the corticospinal and corticobulbar tracts, the somatic sensory area and parts of the posterior parietal lobe project to the premotor area. A) Medial pathways (reticulospinal, vestibulospinal, and tectospinal) terminate in ventromedial space of spinal grey matter and management axial and proximal muscular tissues. B) Lateral pathway (rubrospinal) terminates in dorsolateral area of spinal grey matter and controls distal muscle tissue. This rubrospinal tract excites flexor motor neurons and inhibits extensor motor neurons. The caudate nucleus and putamen are collectively referred to as the striatum; the putamen and globus pallidus kind the lenticular nucleus. There is also a projection from intralaminar nuclei of the thalamus to the striatum (thalamostriatal pathway). This lesion interrupts all enter from the cortex and red nucleus to distal muscles of the extremities. The excitatory and inhibitory reticulospinal pathways (primarily to postural extensor muscles) stay intact. The dominance of drive from ascending sensory pathways to the excitatory reticulospinal pathway leads to decerebrate rigidity, which is characterised by hyperactivity in extensor muscle tissue in all four extremities. This resembles what ensues after uncal herniation resulting from a supratentorial lesion as seen in patients with giant tumors or a hemorrhage in the cerebral hemisphere. The excitatory input from the reticulospinal pathway activates -motor neurons that not directly activate -motor neurons (via Ia spindle afferent exercise; see Chapter 14). This cut eliminates cortical inhibition of the cerebellar fastigial nucleus and secondarily will increase excitation to vestibular nuclei. The flexion can be explained by rubrospinal excitation of flexor muscular tissues within the higher extremities; the hyperextension of lower extremities is due to the similar adjustments that happen after midcollicular decerebration. Decorticate rigidity is seen on the hemiplegic facet in people after hemorrhages or thromboses within the inner capsule.

Discount super avana 160mg otc

Prolactin Prolactin produced by the anterior pituitary stimulates breast growth and formation of milk during being pregnant and after supply erectile dysfunction shakes menu quality 160mg super avana. Oxytocin the goal organ of oxytocin is the graceful muscle of the uterus, the place it stimulates uterine contractions; the mammary glands, where in response to suckling it triggers the release of milk from the breasts; and the prostate gland, the place it causes ejection of prostate gland secretions best erectile dysfunction pills over the counter purchase discount super avana. A small quantity of T3 is produced by the thyroid gland; nonetheless, most T3 is formed by conversion of T4 to T3. Parathyroid Glands the parathyroid glands are 4 tiny glands situated posterior to the thyroid gland. Before the operate of the parathyroid glands was understood, they were typically eliminated with a thyroidectomy. Calcium is important to the blood-clotting mechanism, together with nervous conduction. It will increase coronary heart muscle tone and performs a major function in muscle contraction. Each of the glands consists of two distinct components: an outer adrenal cortex and an inner adrenal medulla. Chapter Twelve Diseases and Disorders of the Endocrine System � 271 Aldosterone causes sodium retention and potassium secretion by the kidneys. The intercourse hormones: androgens, the male hormones, and estrogens, the feminine hormones. The adrenal medulla secretes epinephrine, generally called adrenalin, and norepinephrine. These hormones are secreted in stress situations when further energy and power are needed. Epinephrine causes vasodilation and increases coronary heart price, blood stress, and respiration. Together, epinephrine and norepinephrine assist shunt blood to very important organs when required. Endocrine Pancreas the pancreas is a fish-shaped organ that lies across the center of the abdominal cavity, below the stomach. It is split right into a head, body, and tail, with the head nearest to the duodenum and the opening of the pancreatic duct. The endocrine functions of the pancreas encompass synthesis, storage, and release of insulin, glucagon, and somatostatin. Insulin is secreted by certain cells of the pancreas known as beta cells, positioned in patches of tissue named the islets of Langerhans or pancreatic islets.

Generic super avana 160mg on-line

If community-acquired pneumonia is suspected, a macrolide or fluoroquinolone must be given to cover for atypical pneumonia organisms impotence lipitor quality super avana 160 mg. If medical enchancment happens inside forty eight to seventy two hours of remedy, the antibiotic routine ought to be tailored based on available tradition data and continued for at least 10 to 21 days and until neutropenia resolves erectile dysfunction treatment by injection best purchase super avana. In the absence of scientific enchancment, resistant bacterial and nonbacterial pathogens including filamentous fungi must be considered. Pulmonary Infiltrates in Patients with Defects in Cell-mediated Immunity In addition to the frequent bacterial causes of pneumonia, sufferers with defects in cell-mediated immunity are in danger for infections with P. Numerous noninfectious processes should also be considered in patients with pulmonary infiltrates: malignancy, its therapy (drug toxicity, radiation pneumonitis), congestive heart failure, pulmonary hemorrhage, pulmonary embolism with infarction, cryptogenic organizing pneumonia (also often known as bronchiolitis obliterans organizing pneumonia), and acute respiratory misery syndrome. It is imperative that immediate empiric therapy should be initiated when an infectious trigger is suspected. The differential analysis of pulmonary infiltrates in patients with hematologic malignancies is proven in Table 69. Pulmonary Infiltrates in Neutropenic Patients Diagnosing the etiology of pulmonary infiltrates in neutropenic sufferers could be difficult for many clinicians. Physical findings of consolidation and sputum production could also be absent on account of the neutropenia. General work-up for suspected pneumonia ought to include routine blood cultures, a chest radiograph, and if potential, sputum culture and Gram stain. Respiratory viral pathogens ought to be thought of throughout peak season and native pattern of infections. May be preceded by rhinorrhea, sore throat, and cough; diffuse interstitial pattern. Disseminated illness happens in one-third of patients, with brain abscess as the most typical website. Older age and prior chemotherapy, particularly with anthracyclines, are contributing factors. Lung biopsy showing nonspecific irritation and variable fibrosis with no proof of lung an infection, and with out different clinical diagnosis. These dimorphic fungi exist in nature in the fruiting mycelial stage and then convert to the yeast stage at physique temperature. Endemic mycoses within the central United States embrace histoplasmosis and blastomycosis. Immunocompetent hosts are sometimes asymptomatic following inhalation of Histoplasma microconidia but could manifest acute fever, pulmonary infiltrates, and hypoxia. Chest radiographs may present a miliary reticulonodular look similar to that seen with tuberculosis. High rates of treatment failure and dying have been reported in patients with hematologic malignancies.

Chinese Mallow. Super Avana.

• Dosing considerations for Chinese Mallow.
• What is Chinese Mallow?
• Kidney disorders, stimulating breast milk flow, constipation, and other conditions.
• Are there any interactions with medications?
• Are there safety concerns?
• How does Chinese Mallow work?

Source: http://www.rxlist.com/script/main/art.asp?articlekey=97094

Cheapest super avana

Some transmitters are small polypeptides which are synthesized on rough endoplasmic reticulum close to the nucleus, packaged by the Golgi apparatus, after which transported in vesicles the size of the axon by an energetic course of known as axoplasmic transport erectile dysfunction treatment with homeopathy super avana 160 mg free shipping. Recently Botox injections have been used to deal with dystonia, a movement dysfunction characterised by involuntary muscle contractions, and cosmetically to regionally block facial muscular tissues that wrinkle the skin guaranteed erectile dysfunction treatment generic super avana 160mg on-line. Excessive doses or systemic toxin supply from contamination throughout food canning can lead to death. The battlefield countermeasures are to block the postsynaptic receptors on the center with atropine. Inside the glia, glutamate may be converted to glutamine, released, and taken up by the presynaptic terminal by a Na/Cl-coupled cotransporter and eventually reconverted into glutamate. In addition to the reuptake and packaging transporters, glutamate synapses have uptake transporters within the postsynaptic and glia cell membranes. There can be a glutamine (gln) pathway to move glutamate in the glial cell again to the presynaptic terminal. The beta receptors are primarily within the coronary heart and can make it beat quicker and harder. Muscle relaxation through adrenergic receptor activation happens in smooth muscle cells in the intestine and the lungs. Drugs that block dopamine receptors have been used to deal with schizophrenia; generally they induce Parkinson-like tremors. Many over-the-counter cures for nasal congestion, corresponding to neosynephrine, activate catecholamine receptors. Neuropeptides are released from massive dense-core vesicles, while other neurotransmitters are secreted from smaller, clearer vesicles. Three opiate receptors have been identified, initially because the sites that bind artificial opiates similar to morphine. Serotonin was initially recognized as a substance in blood serum that constricted blood vessels, therefore the name. Selective serotonin reuptake inhibitors corresponding to fluoxetine hydrochloride (Prozac) are generally prescribed as antidepressants. Histamine is also a regulator of acid secretion within the intestine and acts as a neurotransmitter in the central nervous system. Histamine release is related to allergic reactions; it initiates inflammatory responses, dilates blood vessels and will increase capillary permeability, decreases heart fee, and contracts clean muscle tissue in the lung. Enterochromaffin-like cells in the gastric mucosa also release histamine, which promotes acid manufacturing.

Best buy for super avana

Male Age-Related Diseases In older males, pubic hair thins and grays and the external reproductive genitalia acquire a wrinkled and sagging look due to a decrease in elasticity erectile dysfunction prevalence age 160 mg super avana sale. Risk elements for testicular cancer embody cryptorchidism, abnormal testes improvement, and a household or personal history of testicular cancer erectile dysfunction age young buy super avana online pills. Diagnosis might embrace a medical historical past, physical examination, ultrasound, serum tumor marker exams (alpha-fetoprotein, lactate dehydrogenase, beta-human chorionic gonadotropin), radical inguinal orchiectomy (surgery to take away a testicle), and biopsy. Treatment might embrace surgical procedure, radiation therapy, chemotherapy, and stem cell transplant. The 5-year relative survival fee is 95%; if the Prostate Cancer Prostate most cancers is a malignant tumor that forms in the tissue of the prostate gland. Prostate most cancers is the second leading explanation for cancer dying in men, behind only lung most cancers. Risk components for prostate cancer embrace age (most males with prostate most cancers are over age 65), a family historical past of prostate most cancers, race (prostate most cancers is more frequent amongst African American men than amongst males of other races), certain prostatic adjustments (prostatic intraepithelial neoplasia), and sure genome adjustments. Men with prostate most cancers could also be asymptomatic; signs and symptoms could embrace not having the ability to pass urine; having a tough time starting or stopping the urine circulate; needing to urinate typically, particularly at night; weak flow of urine; urine circulate that starts and stops; pain or burning during urination; problem having an erection; blood in the urine or semen; and frequent pain in the lower again, hips, or higher thighs. Treatment of prostate cancer may include surgery, radiation remedy, and chemotherapy. Other medications could also be used to decrease testosterone manufacturing by the testes, block uptake of testosterone by tumor cells, or cease production of testosterone by the adrenal glands. The 5-year relative survival rate is 100% for native and regional prostate most cancers and 31% for distant prostate cancer. The dilation of penile arteries that results in engorgement of the erectile tissue of the penis after which erection is under the control of the autonomic nervous system, which is affected by stress, nervousness, and worry. Treatment could embrace medicine to increase blood move to erectile tissue by relaxing easy muscle of the penis. Other treatments embody surgical procedure, penis pump or implant, therapy, and therapy for underlying situations. A dental dam is a rubbery material that might be placed over the anus or the vagina earlier than sexual contact. Drinking an excessive quantity of and utilizing drugs are linked to sexual risk-taking, corresponding to having intercourse with multiple associate and not using condoms. If they happen, signs and signs embody a burning sensation when urinating; a white, yellow, or green discharge from the penis; or painful or swollen testicles. When they happen, signs and symptoms embrace a painful or burning sensation when urinating, increased vaginal discharge, or vaginal bleeding between intervals. Untreated gonorrhea may cause critical and permanent health problems in each men and women. In men, gonorrhea may cause epididymitis, which can lead to infertility if left untreated. Gonorrheal an infection in a newborn could cause blindness, joint infection, or a life-threatening blood infection.

Order super avana without prescription

The general assumption is that polycythemia antedates the enlargement of the spleen and that engorgement of this organ with blood and extramedullary hematopoiesis are the most important contributors to splenomegaly erectile dysfunction while drunk cheap 160mg super avana visa. BlooD anD laBoratory finDings hematologic Findings Erythrocytes Hemoglobin focus usually is in the vary of 18 to 24 g/dl erectile dysfunction doctors san francisco order 160mg super avana fast delivery. Red cell counts of seven to 10 � 1012/L are widespread when sufferers with this illness are first evaluated, and values as excessive as 12 and even 15 � 1012/L have been recorded. After hemorrhage, however, the reticulocytes may be elevated, and a selection of other immature forms of the purple cell series may be encountered. This raises an fascinating semantic level: these patients are iron poor in that iron stores are absent, however the total physique iron content, including the iron present as hemoglobin in purple cells, could also be normal. The enormous improve in blood quantity, which distends even the smaller vessels of the entire physique, little question accounts for lots of the symptoms of this illness. It has been proposed that a red cell quantity > 125% of predicted is an acceptable criterion for polycythemia. Basophil, eosinophil, or monocyte concentrations could additionally be elevated and provide a marker of an underlying myeloproliferative dysfunction. T�rk, in 1904, referred to as attention to this significant finding, which advised that the entire bone marrow, quite than the erythropoietic tissue alone, was hyperactive. In bigger series, leukocytosis is seen in more than 80% of sufferers, and counts higher than 12. Erythrocyte survival may be normal114 or shortened,one hundred fifteen and splenic sequestration might or may not be present. As measured by the 15N-glycine method, the rate of hemoglobin manufacturing was approximately two instances the traditional rate. Platelets the platelet count frequently is elevated, often within the 500 to 1,000 � 109/L range, but counts as excessive as 3,000 and even 6,000 � 109/L have been reported. An artifactual elevation of protime and activated partial thromboplastin time could also be observed in patients with erythrocytosis. The commonplace citrated tube used for coagulation research incorporates a set amount of anticoagulant for a fixed volume of blood. This prolongation has no medical significance apart from provoking panic on the part of the person reviewing the laboratory outcomes. Platelets could seem like abnormally massive, and even bizarre-shaped, and megakaryocyte fragments typically are seen within the blood smear. The hemorrhagic complications of this disease suggest that a hemostatic defect could additionally be present, though bodily distention of the vascular mattress undoubtedly contributes to bleeding when it occurs. The blood neutrophil turnover rate (effective neutrophil production) normally was elevated and varied from normal to five occasions regular mean values. Cellularity can be estimated with considerable accuracy by low-power examination of clot sections and needle or trephine biopsies. In a quantity of series, the mean cellularity of the marrow was 80% to 90% compared to approximately 30% in regular subjects and 40% in sufferers with secondary erythrocytosis. When the variety of megakaryocytes was expressed in phrases of fat-free marrow, nevertheless, the megakaryocyte hyperplasia was proportional to general marrow cellularity.

Discount super avana

The kinocilium is lost from the hair cells of the cochlea in adults; nevertheless, the other processes (stereocilia) are found in all hair cells erectile dysfunction question cheap super avana 160 mg visa. Along an axis toward the kinocilium, the stereocilia improve progressively in top; along the perpendicular axis, all stereocilia are the identical height valsartan causes erectile dysfunction purchase super avana 160mg fast delivery. Bottom: Structure of the organ of Corti, as it seems in the basal turn of the cochlea. A receptor construction (crista ampullaris) is located within the expanded finish (ampulla) of each of the membranous canals. The processes of the hair cells are embedded in the cupula, and the bases of the hair cells contact the afferent fibers of the vestibular division of the eighth cranial nerve. The nerve fibers from the hair cells be a part of those from the cristae in the vestibular division of the eighth cranial nerve. When the stereocilia are pushed towards the kinocilium, the membrane potential is decreased to about �50 mV. The hair processes provide a mechanism to generate adjustments in membrane potential proportional to the path and distance the hair strikes. When the bundle of processes is pushed in the opposite direction, the cell is hyperpolarized. If shorter stereocilia are pushed towards larger ones, the open time of the channels will increase. A molecular motor within the larger neighbor then might transfer the channel toward the bottom, releasing rigidity within the tip link. Depolarization of hair cells causes them to release a neurotransmitter that initiates depolarization of neighboring afferent neurons. Except within the cochlea, one of these, kinocilium (K), is a true however nonmotile cilium with 9 pairs of microtubules round its circumference and a central pair of microtubules. When a stereocilium is pushed toward a taller stereocilium, the tip link is stretched and opens an ion channel in its taller neighbor. The channel subsequent is moved down the taller stereocilium by a molecular motor, so the strain on the tip hyperlink is launched. When hairs return to their resting place, the motor strikes back up the stereocilium. The sound frequencies audible to humans vary from about 20 to twenty,000 cycles per second (cps, Hz). The vary decreases with age, particularly issue detecting larger frequency sounds. The threshold of the human ear varies with the pitch of the sound; the best sensitivity is within the 1,000�4,000-Hz vary.