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    Moreover, scenario design in VR settings where to buy herbal viagra online has been ad hoc and unfocused. De Waard & Rooijers, 1994. Yet the high cost and technical complexity of operating and maintaining these systems, including software provenance, legacy, and updates, limits their use to large university, government, or corporate research settings, and they cannot be practically deployed in physicians’ or psychologists’ offices for clinical applications (e.g., the use of VR to assess drivers who are at risk for crashes due to cognitive impairments). Replicating key portions of a task convincingly and with enough fidelity to immerse, engage, interest, and provide presence may matter more than reproducing exactly what is out there in the real world.

    Dingus, Hardee, & Wierwille, 1988. Yet, despite modest degrees of realism, such simulations successfully showed how operators in the loop, such as pilots and drivers running hand and foot controls, are affected by secondary task loads, fatigue, alcohol intoxication, aging, and cognitive impairments (Brouwer, Ponds, Van Wolffelaar, & Van- Zomeren, 1985. A common approach to VR strives for computer-generated photorealistic representations (Brooks, 1997) using multiple large display screens or HMDs yielding 160- to 440-degree fields of view and providing optical flow and peripheral vision cues not easily achieved on a single small display. Early driving simulators created video game– like scenarios, and some operators felt discomfort, possibly because low microprocessor speeds introduced coupling delays between visual motion and driver performance.

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    He further highlighted where to buy herbal viagra online the prevalence of the metabolic alteration over the venous–lymphatic impairment. Braun and Falco made references to the predominantly vascular disease describing it as a lymphedema with various manifestations, 14 & BACCI AND LEIBASCHOFF In 1973. & CLASSIFICATION Today the term ‘‘cellulite’’ includes unaesthetic conditions that, despite involving a volumetric alteration in the limbs and irregularities in the outer cutaneous appearance, correspond to different etiologies and require, therefore, specific corrective or therapeutic treatment. Their insightful observations led them to associate this unaesthetic condition with a possible pathology accurately described a little later by Lagueze as a subcutaneous pathology characterized by ‘‘interstitial edema associated with an increase in fat content.’’ In 1941, Allen described cellulite mainly as a typical lipedema not accompanied by edema of the foot.

    In cosmetic medicine, as in everyday language, the term ‘‘cellulite’’ has a long history and refers to a frequent unaesthetic condition in women. Consequently, an adequate clinical–instrumental categorization is essential before starting either physical therapy or medical, surgical, or cosmetic treatments. The term ‘‘cellulite’’ was first used by Alquin and Pavot in France in 1910. Histopathological alterations may be attributed to several different disorders and have been studied using different approaches through time.

    If the word ‘‘cellulite’’ is not applied to a mere feminine whim but refers to different pathologies of the subcutaneous tissue, we believe it is necessary to use it for understanding conditions such as ‘‘cellulite hypodermosis xx’’ where xx stands for the associated disease, for example, ‘‘cellulite hypodermosis with lymphedema’’ or ‘‘cellulite hypodermosis with hyperplastic lipodystrophy,’’ and also ‘‘cellulite hypodermosis with localized adiposity.’’ The conclusion is that, in the future, the various cellulite syndromes should be defined more accurately.

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