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This article examines the signification of the principle of constancy in Freud's pre-psychoanalytic drafts and papers and in . It is argued that Freud's principle differs from seemingly similar principles proposed by Breuer and Fechner, and that it constitutes an assumption about the maintaining of a constant amount of mobile biophysical energy whose purpose is to return to equilibrium, but, proceeding from the primary functions of discharge (principle of inertia) and accumulation (exigencies of life), to consolidate an asymmetry within the nervous system. This gives rise to a set of quasi-psychological dualisms: an energetic dualism between kinetic and tonic energy; a systemic dualism between impermeable and permeable neurons; and a processual dualism between courses of the excitation with and without the inhibiting influence of the ego.

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Manual wheelchairs can promote independence among users. However, the user's level of disability, strength, stamina, and the environmental conditions within which the wheelchair is used may limit manual wheelchair functionality. The use of power assist add-ons may mitigate these limitations and help individuals to age in place.

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Background: Early childhood caries (ECC) is a multifactorial disease with known etiologic factors and can be very devastating to the oral and general well-being of a child, including psychological impacts on a growing child. Young children constitute a vulnerable population because of their dependence and inability to communicate their needs. Oral health disparities continue to pose critical challenges, as ECC is the most common chronic disease of childhood.

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Background: Intrauterine insemination (IUI) is an effective and inexpensive method of managing patients with unexplained and male factor infertility. It is attempted before proceeding to more invasive assisted reproductive techniques such as fertilisation and intracytoplasmic sperm injection. Numerous semen parameters have been assessed to indicate successful outcomes with IUI.

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Background: As induction of labor increases in the United States, safe, effective outpatient cervical ripening has been explored as a method to decrease the inpatient time burden. The most effective method of outpatient mechanical cervical ripening remains unclear.

Objective: To evaluate if Dilapan-S is non-inferior to cervical balloon for outpatient cervical ripening (CR) based on change in Bishop score.

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