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that most maybe even all of those people we celebrate for their effortless achievements have actually put a whole lot of time and sweat into preparing for their moment of victory Yes, they make it look easy (That s one of the by-products of preparation) They may even talk in a way that makes their success seem almost inevitable But if you listen carefully to them, you ll usually find that they are describing their pursuit of a compelling goal It s the clarity of that goal vivid, precise, energizing that makes their success seem predestined What they re not necessarily talking about in the flush of victory up there on the stage or in the postgame interview are the long, lonely hours of practice they subjected themselves to or the many, many doubts they experienced along the way

to the filtered load From the end of the thin limbs to the inner medullary collecting ducts, little urea transport occurs, so whatever urea arrives at the thick ascending limb is still there at the start of the inner medullary collecting ducts Because the vast majority of water has been reabsorbed before the inner medullary collecting ducts (by the cortical and outer medullary collecting ducts), the luminal urea concentration has risen up to 50 times its plasma value (ie, 500 mmol/L or more) In the inner medullary collecting ducts, some urea is reabsorbed via specialized urea uniporters and the rest (typically about half the filtered load) is excreted Because blood flow in this region is low, the reabsorbed urea accumulates and raises the interstitial concentration close to that in the lumen, ie, 500 mmol/L or more depending on conditions (It is this high interstitial concentration that drives secretion in the thin limbs) The combination of high urea, along with the high sodium and chloride, brings the medullary osmolality to a value exceeding 1000 mOs/kg The importance of urea in contributing to the medullary osmotic gradient is emphasized in the case of low protein intake, which results in a greatly

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Before the year 2000, COUNTRY Insurance and Financial Services had been using an award-winning PenPro mobile estimating system to enable appraisers to do their work on-site," pulling up extensive information The majority of the estimates generated by appraisers out in the field would then be sent back to the home office via a modem for processing That changed when ADP Claims Solutions Group (CSG) incorporated a new element to PenPro s estimate process with ADP ClaimsFlo Wireless, which allows appraisers to transmit claims information from the field in real-time, significantly

I ve never known a successful man who deep down in his heart did not appreciate the discipline it takes to win There is something in great men that needs discipline, that really yearns for and needs head-to-head combat

BasiC renal proCesses for sodium, Chloride, and Water / 97

Hard work isn t simply the number of hours invested or the number of blisters or bruises incurred Hard work is also discipline: the kind of focused training that develops self-control Discipline helps you make the hard decisions It helps you embrace and endure the pain associated with change It helps you stay on track despite stress, pressure, and fear Study the great performers in any field music, theater, sport, or whatever and you ll find that they all possess an enormous degree of discipline, a sense of duty They have learned self-control, and they exercise it Fortunately, discipline is not limited to the tiny number of people who work at the peak of their artistic pursuits Leaders are

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increasing the levels of customer service and shortening response times and turnarounds for claim checks and repairs Bypassing traditional modem communication, appraisers save approximately one hour in paperwork and drive time each work day to complete and receive assignments, estimates, and total loss evaluations wirelessly ClaimsFlo Wireless integrates all of the ADP mobile estimating systems together, enabling insurance adjusters to disseminate and receive data instantly from trade partners and staff adjusters The insurance appraisers now use wireless IP to settle claims on the spot

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