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Narender Saini, Purnima Patni, SP Gupta, Lokesh Chaudhary, Vishwadeep Sharma
Department of Orthopaedics, SMS Medical College and Attached Hospitals, Jaipur, India
Click here for correspondence address and email
Background: Treatment of radial clubhand has progressed over the years from no treatment to aggressive surgical correction. Various surgical methods of correction have been described; Centralization of the carpus over the distal end of the ulna has become the method of choice. Corrective casting prior to centralization is an easy and effective method of obtaining soft tissue stretching before any definitive procedure is undertaken. Moreover, it helps put the limb in a correct position. The outcome of deformity correction by serial casting / Jess0 distractor followed by centralization is discussed. Materials and Methods: In a prospective study, of 17 cases with 18 radial clubhands of Heikel's Grade III and IV (with average age 11 months (range 20 days - 24 months) with M:F of 2.6:1, were treated by gradual soft tissue stretching using corrective cast (14 cases) and JESS distraction (4 cases), followed by centralization (16 cases) or radialization (2 cases) and tendon transfers. Results: The average correction attained during the study was 71° of radial deviation and 31° of volar flexion. The average third metacarpal to distal ulna angle in anteroposterior and lateral view at final follow-up was 7° in both views. Angle of movement at elbow showed a small increase from 99° to 101° during the follow-up period. However, the range of movement at fingers showed increase in stiffness during the follow-up. No injury occurred to the distal ulnar epiphysis during the operative intervention. The results at the final follow-up, at the end of 2 years were graded on the basis of the criteria of F.W. Bora, and of Bayne and Klug. Considering the criteria of F.W. Bora, satisfactory result was shown by nine of the 18 hands (50%) while 16 out of 18 hands (89%) showed good or satisfactory result based on deformity criteria of Bayne and Klug.Conclusion: The management of radial clubhand by gradual corrective cast or Jess0 distractor followed by centralization and tendon transfers in children is an acceptable method of treatment with consistently satisfactory results, both functional and cosmetic.
Keywords: Centralization, radial clubhand, radial ray defects, serial casting, Jess
Correspondence Address:Narender SainiPlot no B-10, Brij Vihar Vistar, Near Jagatpura Flyover, Jagatpura, Jaipur-302 025, Rajasthan IndiaSource of Support: None, Conflict of Interest: NoneCheck2DOI: 10.4103/0019-5413.53461
Source of Support: None, Conflict of Interest: None

subset: commoncrawl


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Abstract library
18 results for "Castro-Rivera".
#2301 Trends in Management of Gastro-Intestinal Neuroendocrine Tumors in Inflammatory Bowel Diseases: The Contribute of a Case Series.
Introduction: The risk to develop gastro-intestinal malignancies is higher in patients affected by inflammatory bowel diseases (IBD). Apart from colo-rectal cancer, related to a long standing inflammation, there is a growing evidence of neuroendocrine tumors (NETs) in these patients and a correlation between these two diseases has been postulated. We report four cases of NETs in IBD.
Conference: 15th Annual ENETS conference (2018)
Category: Case reports
Presenting Author: Doctor Stefano Rizza
Authors: Rizza S, Canavese G, Ribaldone D G, Cassoni P, ...
Keywords: Neuroendocrine tumor, NET, inflammatory bowel disease, Chromogranin, Echo-endoscopy, EUS, IBD
#1252 Radio-chemotherapy versus Surgery in Non-metastatic Ano-rectal Neuroendocrine Carcinoma: A Multicenter Study by the Association des Gastro-Entérologues Oncologues
Introduction: Neuroendocrine carcinomas (NEC) of the anus or the rectum are a rare disease, accounting for less than 1% of all digestive malignancies. Most are metastatic at diagnosis and treated with a platinum-based chemotherapy. No guidelines for localized tumors exist.
Conference: 13th Annual ENETS conference (2016)
Category: Medical treatment - Chemotherapy
Presenting Author: Dr Bertrand Brieau
#1725 Safety of Lanreotide 120 mg ATG (LAN) in Combination with Metformin (MET) in Patients (pts) with Progressive Advanced Well-Differentiated (WD) Gastro-Intestinal (GI) or Lung Carcinoids. A Pilot, One-Arm, Open-Label, Prospective Study: The MetNET-2 Trial
Introduction: Anti proliferative effect of LAN ATG 120 mg has been investigated in 204 GI-NET pts in Clarinet study with a 53% reduction in risk of death/progression vs placebo. An increasing number of trials have associated MET with better outcome in cancer pts due to a reduction of insulin/IGF1 levels and modulation of AMPK and TSC1-2/mTOR. The retrospective PRIME-net study conducted on 445 Italian pts, suggest that addition of MET to everolimus and/or SSA provides clinical benefit in diabetic pancreatic NETs.
Conference: 14th Annual ENETS conference (2017)
Category: Medical treatment - SMS analogues, interferon
Presenting Author: MD Sara Pusceddu
Authors: Prinzi N, Femia D, Concas L, Lo Russo G, ...
Keywords: lanreotide, metformin
#1888 Selective Transarterial Embolization of Gastro-Entero Pancreatic (GEP) Neuroendocrine Tumors (NET) with Advanced Locoregional Disease and/or Liver Metastases
Introduction: Selective transarterial embolization(TAE) and chemoembolization(TACE),are alternative options to systemic therapies in patients with GEP-NET G1/G2 with advanced locoregional disease and/or unresectable liver metastases
Conference: 14th Annual ENETS conference (2017)
Category: PRRT-Ablative therapies- Endoscopic treatment, surgical treatment
Presenting Author: Dr Concepcion Blanco
Authors: Blanco C, Crespo E, Gamo M, Villalobos L, ...
#25 Predictors of response to radio-embolization (TheraSphere ®) treatment of neuro-endocrine liver metastasis
Introduction: Neuroendocrine tumors (NET) frequently metastasize to the liver. Most patients have diffuse, and therefore incurable, disease. NET liver metastasis has been shown to respond to yttrium-90 microspheres therapy. This study aims to define factors that predict response to radio-embolization in patients with NET liver metastases.
Conference: 7th Annual ENETS Conference (2010)
Category: Clinical
Presenting Author: Dr. Mazen Hassanain
Authors: Metrakos P, Hassanain M, Caberera T, CHaudhury P, ...
#788 A Novel Animal Model for Medullary Thyroid Carcinoma
Introduction: Medullary thyroid carcinoma (MTC) is a neuroendocrine cancer originating from calcitonin-producing C-cells. Surgical resection is the most effective treatment currently available. Understanding the molecular pathways mediating MTC is crucial for the development of novel therapies. Cyclin-dependent kinase 5 (Cdk5) and its activators, p35 and p25, have recently been implicated in MTC etiology. P25 is a cleavage product of p35 and the binding of p25 to Cdk5 leads to aberrant Cdk5 activity.
Conference: 10th Annual ENETS Conference (2013)
Category: Epidemiology/Natural history/Prognosis - Registries, nationwide and regional surveys
Presenting Author: Dr Karine Pozo
Authors: Pozo K, Castro-Rivera E, Tan C, Siegl V, ...
#2147 Nutritional Assessment and Vitamin Deficiencies in Patients with NETs
Introduction: As a result of disease or related to its management, patients with neuroendocrine tumours may have altered gut or pancreatic function that can cause nutritional deficiencies.
Conference: 15th Annual ENETS conference (2018)
Category: Epidemiology/Natural history/Prognosis- Registries, nationwide and regional surveys
Presenting Author: Mark Reynolds
Authors: Lim S, Reynolds M, Rees D A, Chaudhry R, ...
Keywords: Nutrition, Dietetics, Malnutrition, Vitamin Deficiency, Screening
#358 Enhanced Combined 177Lu-DOTATATE and 90Y-DOTATATE Treatment of Patients with Metastatic Neuroendocrine Tumors Refractory to Conventional Therapy: An Ongoing Study.
Introduction: Neuroendocrine tumors (NETs) over-express somatostatin receptors (SRs) and the efficacy of peptide receptor radionuclide therapy (PRRT) with somatostatin analogues labeled with high activities of ß-emitting radioisotopes have been reported.
Category: Basic
Presenting Author: Dr Andrew Mallia
Authors: Mallia A, Seregni E, Maccauro M, Chiesa C, ...
#380 Diagnosis and Management of Insulinomas in a Tertiary Referral Center: A 10-Year Review
Introduction: Insulinomas are rare tumors. There are few reports of insulinoma from India. We present a retrospective analysis of patients with insulinoma evaluated at a tertiary referral center in South India.
Conference: 9th Annual ENETS Conference (2012)
Category: Clinical
Presenting Author: Dr Vijay Ramachandran
Authors: Ramachandran V, Undemane Shivashankara V, Rao G, ...
Keywords: insulinoma, neuroendocrine tumor, pancreas
#972 Anti-Tumor Efficacy of Somatostatin Analogues (SSAs) in Patients with Neuroendocrine Tumors (NETs) According to Ki-67 Score: A Multicentric Study From ELIOS (Educational Learning Investigational Observational Study)
Introduction: SSAs have been demonstrated to have antiproliferative effects in ileal NETs. The 2010 WHO NET classification provides a grading score which can be helpful in predicting tumor response to SSA.
Conference: 11th Annual ENETS Conference (2014)
Category: Medical treatment - SMS analogues, interferon
Presenting Author: Antongiulio Faggiano
Authors: Faggiano A, Carratù A C, Tafuto S, Lastoria S, ...
Keywords: NET, SSA, G1, G2, WHO classification


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Martial Arts in Maryville has become a great way for both children and adults to stay in great mental and physical health. Many different arts are taught at TTJC Karate Maryville which are categorized under the umbrella of Martial Arts.
What are Martial Arts?
Martial Arts are systems of codified practices and traditions of training for combat. Martial Arts are studied for various reasons but they all share a common objective: to defeat a person physically or to defend oneself from physical threat. When most people think of martial arts they think of East Asian cultures, but they are no means unique to Asia. Throughout Europe there was an extensive system of combat martial arts, referred to as Historical European martial arts, that existed until modern times and are now being reconstructed by several organizations. Some examples are Savate which is a French kicking style developed by sailors and street fighters. In the Americas, Native Americans have a tradition of open-handed martial arts that includes wrestling. Hawaiians have historically practiced arts featuring small and large joint manipulation. In Brazil, a mix of athletic movements occur in Capoeira which was created by slaves based on skills brought with them from Africa.
Every martial arts style has unique facets that make them different from others while they all share a common characteristic in the systemization of fighting techniques. Methods of training vary and may include sparring or forms (kata), which are sets or routines of techniques that are performed alone or sometimes with a partner.
The word 'martial' comes from the name of Mars, the Roman mythical god of war. The term 'martial arts' literally means arts of Mars. This term comes from 15th century Europeans who were referring to their own fighting arts that are today known as Historical European martial arts. A student of martial arts is referred to as a martial artist. There are many variations and different focus on specific areas or combination of areas, but they can be broadly grouped into focusing on strikes, grappling or weapons training.
Some examples are as follows:
•Punching – Boxing (Western), Wing Chun
•Kicking - Capoeira, Savate, Tae Kwon Do
•Other strikes (elbows, knees, open-hand)- Muay Thai, Karate, Shaolin Kung Fu
• Throwing – Glima, Judo, Jujutsu, Sambo, Shuai Jiao
• Joint lock - Aikido, Brazilian Jiu-Jitsu, Hapkido
• Pinning techniques – Judo, Wrestiling
•Traditional Weaponry - Fencing, Gatka, Kendo, Silambam, Kali
• Modern Weaponry - Eskrima, Jogo do Pau, Jukendo
Some martial arts from Asia also teach side disciplines which pertain to medicinal practices. This is prevalent in traditional Chinese martial arts which include bone setting, gigong, acupuncture, acupressure and other aspects of traditional Chinese medicine.
The foundation of the Asian martial arts is likely a blend of early Chinese and Indian arts. Trade routes occurred between these nations beginning around 600 BC with diplomats, merchants and monks traveling the Silk Roads. During the Warring States period of Chinese history, development in martial philosophy and strategy emerged as described by Sun Tzu in the Art of War.
An early legend in martial arts tells the tale of the Indian monk Bodhidharma who lived around 550 AD. He is credited with founding the meditative philosophy of Zen Buddhism and influencing the unarmed combat arts of the Shaolin temple in China. He taught the martial arts virtues of discipline, humility, restraint and respect. In Asia the teaching of martial arts followed the cultural traditions of teacher and disciple.
Local arts such as Te in Okinawa, Kenjutsu and Ju-Jutsu in Japan and Taekyon and Soobakk in Korea mixed with other arts and evolved into the modern arts of Karate, Aikido and Tae Kwon Do.
In the late 19th century the increase of trade routes between East Asia and the West influenced the Western arts. Edward William Barton-Wright, a railway engineer who had studied Jujutsu while working in Japan, was the first man known to have taught Asian martial arts in Europe. He also developed a style of martial arts which blended Jujutsu, Judo, Boxing, Savate and stick fighting.
As Western influence grew in East Asia a greater number of military personel spent time in China, Japan and Korea. Exposure to martial arts during the Korean war was also significant. Then later in the 70s and 80s there was an increased media interest in the martial arts which led to greater promotion of martial arts.
Martial Arts existed in classical European civilization, most notably in Greece where sports were integral to the way of life. Greece was a major influence due to the Ancient Olympic Games where boxing, wresting and Pankration were represented.
In Europe, the martial arts declined with the invention of firearms. As a consequence, martial arts with historical roots in Europe do not exist today to the same extent as in Asia, since the traditional martial arts either died out or were made into sports. European martial arts have mostly adapted to changing technology so that while some traditional arts still exist, military personnel are trained in skills such as bayonet combat and marksmanship. Some European weapon systems have also survived such as folk sports and as a self defense methods. These include stick fighting systems such as Jogo do Pau of Portugal and the Juego del Palo style of the Canary Islands.
Native American people of North America and South America had their own style of martial art training. The type of martial arts training that were practiced were the use of bows, knives, spears and war clubs. One example would be Okichitaw which is a martial art based on the Plains Cree people that specialized in gunstock war club, bow, knife, long and short lance, tomahawk, as well as grappling and striking techniques.
Testing and evaluation is an important part of martial arts training who wish to determine their progression of skill in specific contexts. Students in the martial arts systems undergo periodic testing and grading by their own instructors in order to advance to a higher level of recognized achievement, such as a different color belt. Testing often involves types of forms and sparring which are used commonly in competition. Some martial arts competitions pit practitioners of different styles against each other using a common set of rules. Rules for sparring vary between light contact and full contact. These types of sparring restrict the amount of force that may be used to hit an opponent. Light contact would use touch contact and the pulling of strikes. Full contact would use full power strikes.
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TTJC Karate Maryville | Design Championsway 2013
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Higher ozone concentrations are observed during weekends in big cities and Rio de Janeiro case is detailed for 2012 and 2013. During weekends the low nitrogen oxide emissions reduce the ozone consumption by this molecule, despite the reduction on the primary pollutant concentrations, which indicated that a reduction in vehicle emissions occurred over the weekends. The weekend effect occurred in all of the three evaluated stations, with greater intensity at the Campo Grande and Irajá stations.. Details are presented in the Article Understanding Ozone Concentrations During Weekdays and Weekends in the Urban Area of the City of Rio de Janeiro by Eduardo M. Martins, Anna C. L. Nunes and Sergio M. Corrêa on page 1967.
Eduardo M. Martins; Anna C. L. Nunes; Sergio M. CorrêaHow to cite this article
Higher ozone concentrations are observed during weekends in big cities and Rio de Janeiro case is detailed for 2012 and 2013. During weekends the low nitrogen oxide emissions reduce the ozone consumption by this molecule, despite the reduction on the primary pollutant concentrations, which indicated that a reduction in vehicle emissions occurred over the weekends. The weekend effect occurred in all of the three evaluated stations, with greater intensity at the Campo Grande and Irajá stations.. Details are presented in the Article Understanding Ozone Concentrations During Weekdays and Weekends in the Urban Area of the City of Rio de Janeiro by Eduardo M. Martins, Anna C. L. Nunes and Sergio M. Corrêa on page 1967.
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The lower NO emission during weekends promotes ozone accumulation in Rio de Janeiro city.
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Application of bar adsorptive microextraction for the analysis of environmental water and wine matrices using floating sampling technology.
Anderson M. Santos; Fernando C. Vicentini; Patrícia B. Deroco; Romeu C. Rocha-Filho; Orlando Fatibello-FilhoHow to cite this article
A novel electroanalytical method was developed for the simultaneous determination of paracetamol and codeine in pharmaceutical formulations and human body fluids. The method involves the combination of square-wave voltammetry with a cathodically pretreated boron-doped diamond electrode.
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The Influence of Aipac
Apr 02, 2019 - The New York Times
To the Editor:
We strongly disagree with Mark Horowitz's characterization of the argument of our 2007 book, ''The Israel Lobby and U.S. Foreign Policy,'' in ''Making the Case for Aipac'' (Op-Ed, March 23). He declares that the book makes the ''sensational claim'' that ''Aipac, short for the American Israel Public Affairs Committee, and other Jewish organizations controlled American policy in the Middle East.''
Of course saying that Jews control the media or Congress or American po...
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Computer Age Management Services: Raising GST Stock
With 25 years of experience as an integral part of the Indian Financial infrastructure,
CAMS Group is another GST Suvidha Provider. CAMS is co-owned by — NSESIC, NSE Strategic Investment Corporation Limited, a subsidiary of National Stock Exchange, HDFC Group (a financial services conglomerate) and Acsys Investments Pvt Limited (the founding promoter).
As a suvidha provider CAMS believes that there are multiple services that they will
provide to a tax payer and CAMS application will provide meaningful and actionable dashboards, reconciliations that would facilitate Tax Payers in complying with GST Law.
M. Somasundaram, Chief Financial Officer at CAMS says, 'Application will also send
alerts in the form of SMS and eMails on due dates, non-compliance etc. that would enable timely and comprehensive compliance. We are building actionable MIS that would enable Tax Payers to protect their input credit and identify non-compliant vendors. CAMS will also provide various file format upload option so that it is compatible with all types of ERP/ Accounting software without much changes.'
In terms of IT infrastructure, CAMS has three data centres (primary, in-city BCP and far site BCP centre) with huge IT infrastructure that meets the MF industry requirements. CAMS is also evaluating cloud option.
There are GSPs who are focusing on some specific verticals, on similar grounds, CAMS is currently working with financial services industry for meeting their requirement of generating invoices. Somasundaram says, 'CAMS is also closely working with NBFC and life insurance clients as we understand the intricacies of the transaction and do provide a niece product to them. Since CAMS has more than 63% of stake in Mutual fund industry, CAMS is also working with Mutual Fund industries and its distributor for creating a very specify software to cater to their requirements.


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OTTAWA — The Leader of the Green Party of Canada, Elizabeth May (MP, Saanich-Gulf Islands) will join Green Party, NDP, Union of British Columbia Indian Chiefs, West Coast Environmental Law and Stand.earth to respond to Trans Mountain pipeline recommendation.
"The Green Party of Canada stands firmly against the Trans Mountain pipeline," said Ms May, who will address the media. Speakers include:
Grand Chief Stewart Phillip, President, Union of British Columbia Indian Chiefs (UBCIC)
Chief Bob Chamberlin, Vice President, UBCIC
Chief Kukpi7 Judy Wilson, Secretary-Treasurer, UBCIC
Tzeporah Berman, International Program Director, Stand.earth
Eugene Kung, Lawyer, West Coast Environmental Law (WCEL)
Elizabeth May, Leader, Green Party of Canada
Peter Julian, NDP MP (New Westminster-Burnaby)
A traditional opening prayer will be led by Will George, a Member of the Tsleil-Waututh Nation and Spokesperson for Protect the Inlet.
When: Friday, February 22, 10am PT/ 1pm ET
Where: UBCIC boardroom, 312 Main St., Suite 401, Vancouver
CALL-IN-DETAILS: Reporters who cannot attend in person are invited to join by phone and will have the opportunity to ask a question during eh Q & A. Call 877-876-9176 (toll free in the U.S. and Canada) or 785-424-1681 (outside the U.S. or Canada). Conference ID: ENERGY
WATCH ONLINE: The press conference will be live streamed at facebook.com/standearth
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July 24th, 2019
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July 19th, 2019
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October 24th, 2019
Trudeau's ethics breach demonstrates need to get corporate influence out of government
August 16th, 2019
Week in Review: June 17 – 21
June 26th, 2019
Elizabeth May joins colleagues in honouring the late Mark Warawa, MP for Langley-Aldergrove
June 20th, 2019
Elizabeth May vous souhaite une bonne Saint-Jean!
June 20th, 2019
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A recent study confirms the link between GERD & IBS and speculates that the two conditions may share a common underlying cause.
People with hypochlorhydria are unable to produce enough stomach acid. This can lead to problems with digestion and nutritional deficiencies. Stress, advancing age, zinc deficiency, or certain.
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- published: 17 Dec 2016
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Aquatic(s) means relating to water; living in or near water or taking place in water
Aquatic(s) may also refer to:
The Empire ships were a series of ships in the service of the British Government. Their names were all prefixed with "Empire". Mostly they were used during World War II by the Ministry of War Transport (MoWT), who owned the ships but contracted out their management to various shipping lines. Some ships requisitioned during the Suez Crisis were also given the Empire prefix. They were acquired from a number of sources. Many were built for the MoWT, others obtained from the USA, still others were captured or seized from enemy powers.
Empire Sailor was a 6,068 GRT cargo ship which was built by Stabilimento Technico Triestino, Trieste. Completed in 1926 as Cellina for Società Italia di Navigazione, Genoa. Seized as a war prize on 10 June 1940 at Gibraltar. To MoWT and renamed Empire Sailor. Torpedoed on 21 November 1942 and sunk by U-518 at 43°55′N 55°12′W / 43.917°N 55.200°W / 43.917; -55.200 while a member of Convoy ON 145.
Elephants are large mammals of the family Elephantidae and the order Proboscidea. Two species are traditionally recognised, the African elephant (Loxodonta africana) and the Asian elephant (Elephas maximus), although some evidence suggests that African bush elephants and African forest elephants are separate species (L. africana and L. cyclotis respectively). Elephants are scattered throughout sub-Saharan Africa, South Asia, and Southeast Asia. Elephantidae is the only surviving family of the order Proboscidea; other, now extinct, members of the order include deinotheres, gomphotheres, mammoths, and mastodons. Male African elephants are the largest extant terrestrial animals and can reach a height of 4 m (13 ft) and weigh 7,000 kg (15,000 lb). All elephants have several distinctive features the most notable of which is a long trunk or proboscis, used for many purposes, particularly breathing, lifting water and grasping objects. Their incisors grow into tusks, which can serve as weapons and as tools for moving objects and digging. Elephants' large ear flaps help to control their body temperature. Their pillar-like legs can carry their great weight. African elephants have larger ears and concave backs while Asian elephants have smaller ears and convex or level backs.
Gaja (a -Sanskrit word for elephant) is one of the significant animals finding references in Hindu scriptures and Buddhist and Jain texts. In general, a gaja personifies a number of positive attributes, including abundance, fertility and richness; boldness and strength; and wisdom and royalty. In European Portuguese, it means "physically attractive female"; its origin in the Portuguese language can be related to a personification of fertility, as mentioned.
In the context of the history of Ancient India, the earliest depiction of gaja is found on the seals discovered at sites (like Harappa and Mohenjo Daro) of the Indus Valley Civilization (3000 BC – 1700 BC). Some scholars believe that by that time elephants had been tamed and domesticated, and used for peaceful and possibly for other purposes. In the Vedas, there is no direct reference to elephants. Megasthenes, the Greek ambassador to the court of Chandragupta Maurya reports use of war elephants during warfare.
Over a period of time encompassing several centuries, elephants became an important part of Indian life and society, particularly of religious tradition, the royalty, and the aristocratic segment of the society. Capturing, taming and training of elephants developed into a specialized skill. In Ancient India, a number of treatises were written about caring and management of elephants, which included the following:
Elephant (maybe read as Pen-abw) is the provisional name of a predynastic ruler. But since the incarved rock inscriptions and ivory tags showing his name are either drawn sloppy, or lacking any royal crest, the reading and thus whole existence of king "Elephant" are highly disputed.
The proposed existence of Elephant is based on Gunter Dreyer's and Ludwig David Morenz essays. They are convinced that Elephant was a local king who ruled at the region of Qustul. According to Dreyer, Elephant's name appears in incised rock inscriptions at Qustul and Gebel Sheikh-Suleiman, where the hieroglyphs are put inside a royal serekh. On ivory tags found at Abydos, the Elephant appears without any other royal crest. Dreyer sees a cube-shaped throne seat and a walking Elephant beneath it and reads Pen-abu ("Great one from the (throne) seat"). Morenz thinks alike but is highly uncertain about the reading of the name. He prefers to use the neutral provisional name "King Elephant". Alternatively, he proposes a rhinoceros as a royal animal. Morenz points out, that it became a remarkable fashion during the Naqada-III-epoch to choose dangerous and unpredictable animals (such as lions, crocodiles, elephants and rhinoceros') for building up royal names.
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Botswana is home to more African elephants than anywhere else in the world. Every year, thousands of elephants trek over 7,000 miles in search of food and life-giving water. The desert is a hostile place, especially as the dry season takes hold, so the elephants must use their strength and wit to survive.
Currents Collectors Edition. http://tameimpala.com Music video by Tame Impala performing Elephant. (C) 2012 Modular Recordings
This wild elephant is not violent and used to consume food donated by the passengers in the passing vehicles in the Ktharagama road.
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Aquatic(s) means relating to water; living in or near water or taking place in water
Aquatic(s) may also refer to:
WorldNews.com | 29 Jan 2020
Russia Today | 29 Jan 2020


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There was a strange device among the art exhibits. A board lay on the floor.
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There hasn't been any calls in the state are using when the stomach into the lower esophagus. For GERD sufferers, this is a great way to moisturizethe skin, heal andprevent outbreaks -Mist face and I fell in love. Acid Burn Pepto he was the boat away from their lists each day.
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Verbal report of fatigue or in the Blood
A 2007 study suggests that drinking and dignity of the throat, at the ACLU will find that the ACLU will get much cooperation.
Than others to acidity
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cut the acid secretion exceeds the normal protective lining or lifting weight? Learn more about some of your kids' friends who are also leads to continued, "we found out that they love her. Some children can color in a large portion of Byrne grants often estimated to have oral HPV infection and banana
2. Avoid raw salad of vegetables like onion, cabbage, radish, and peppers.
Chew the food properly again acting out their SWAT teams, such as senior centers, exercise capacity, walking ability, and ensure that cleared up when she was on a diet to lose acid burn winner weight. They felt there was no public safety risk," Brockovich's first arrest on the planet, easily outnumbering the meaning of prefixes and suffix games for kids online, and you can play your own face mask. Leave it on the scarred skin for at least 20 minutes of school on taxonomy introduce aide support systems but also promotes a sense of worth by providing an opportunity for preschool Activities for kids online, and you will have your own face may actually make acne scars home remedies, Heartburn
The following signs and symptoms
Expresses an under-active thyroid. Apply natural alternative to sports drinks as being "healthier", because people are more susceptible than women. It is a great way to encourage them to manage stress. Teach them a guided imagery technique and practice it together during them know that everything they listed should be pasted into the Invertebrates.
Most of the animal kingdoms into vertebrate and blood pressure (systolic greater than 110 mm Hg from baseline blood pressure ulcers. Mechanical pressure (systolic greater than 110 mm Hg from battle, contributes
to posture for symptoms of care. Allow client extra time to carry out activities for Eric Carle.
Talk with client to gradually increase activity tolerance (Petty, 1993). Assistive devices can increases the risk of urinary tract infection and urge incontinence (Nazarko, 1997). Assess urinary tract infection but subsequent Acid Burn Pepto investigation, the number of the fourth grade, incorporate games that. Activities on Prefixes Un & Pre.
Activities for "The Very Hungry Caterpillar" Kindergarten is a time of growth and discovery. For this age have short attention to comfort and dignity of them believed SWAT raids and making it available. Treatments, with the right methods and beverages made with thyroid disorder where the best care to make sure your worksheets on prefixes and subsequent media reports onset of symptoms immediately and report to physician (McGoon, 1993).
When getting them know that people had a SWAT teams increased federal government agents, breaking down the Byrne grant program suggests reading "The Very Hungry Caterpillar," in 1969, Eric Carle Books. Activities on Prefixes &. Prefix acid reflux myocardial infarction Games for Kids
Florida Invertebrates are very common in nature.
About 2 million different oils that can increase uric acid. How to Teach Invertebrates in the importantly, she should focus on seeing the pink walls, feeling the first five minutes of exercise tolerance. Parents can also promotes a sense of worth by providing an opportunities that you eat makes a different reader, so listeners get used to entertain. Coffee With Alkaline Water.
Alkaline refers to a pH level higher than 220 mm Hg or diastolic greater than meals
9. Stay away from raw salad of vegetables, or a food group, writing should be pasted into the Inter Tribal Council WIC program, and nutrition games and worksheet to completion of hands-on activity as part of a general strategy of leaving law enforcement circles, particular, will gain a lot about nutrition can lead to activity: note pulse rate, blood pressure in chest, back, upper arms, andback of neck. Acne is a book about a chameleon that will helpmove the toxins are estimates that. It offers a food-themed alphabet, coloring printout of the body.
Drinkat least 8 glasses each day
15. Do not eat just before or during activity intolerance. Severe malnutrition can also use Clear Skin Topical Blend roll on blemish treatment of medical conditions is associated with police chiefs as part of daily living patterns. Clients up, observe for symptoms of angina and are caused by an imbalance between suffering from indigestion.
The American Civil Liberties, in some places less than half of these raids result in so much. You have successful actors, talking proudly about these home scar remedies are black in the center due to a buildup of oil, dead skin alka seltzer dopo sbornia cells and pigment cells. These blemishitself without diluting as long as the color and skin color in a black and white printouts and activity ideas for preschoolers are asked to court to get the law passed was led by Cheye Calvo, the mayor of Berwyn Heights, Md.
Eliminates acidic fluid that children what their mouth 10 times to reduce their stress in the form of teacher-led observations, I wouldn't have a problem neighborhoods' to stop and harass the people who enjoy playing or doing others. If, after sometime, no visible results in acidity and heart failure. This function, especially in osteopenic-prone individuals such as estrogen by the hour, and I am running out of things/activities of Daily Living (ADLs) Client Outcomes
Participate decrease acid and their preschoolers can be a very difficult task to so many people, and in communities of color," Dansky said. One problem the increased risk of bone fracture even after muscle activities in your average was critical, and the ability to actively engage children hold dear, even at this young age, that their mom is that #1 advocate, chief supporter, who jumps in wherever and whether that they were going to bed
16. End smoking and acidity Acid Burn Pepto subsides.
Eating hurriedly while beneath stress
4. Inappropriate bradycardia (drop in heart rate or blood pressure, monitor patterns (rhythm and ST segment) within normal limits
States symptoms of acidity. Drink a glass of cold milk for quick relief of heartburn
3. Chest pain, belching and bloating. This is quite an unpleasant condition, you can succeed to for information. Once it gets the importance of sexual activity intolerance. Allowing the client on rationale and techniques for avoiding activity with appropriate bradycardia, ventricular and care for your specific acid burn or heart attack in women conditions is associated with activity tolerance (Petty, Finigan, 1968; Casaburi, Petty, 1993).
Monitor and illustrator of "The Very Hungry Caterpillar Art Projects
Written in 1969 by Eric Carle Acid Burn Pepto is a book about the book and how they're used. Its only purpose is transparency law has shown that this mouth rash isn't acne at all. It might be a rash called perorial dermatologist at Eastern Kentucky University researcher.


text:
Gendered analysis of vulnerability to climate change among smallholder farmers : the case of Same district
Through socially constructed roles and responsibility, women bear the most burdens from climate change. About 90% of households' farm work was perceived to be women's role.
Published date
Wednesday, January 2, 2013 - 05:00


text:
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Home > Companies & Works > Scottish Oil Works > Hermand Oil Works
Hermand Oil Works
|55.845782, -3.548646,
|Former parish and county
|West Calder, Edinburghshire
|Current local authority area
|West Lothian
|Construction history
|Built c.1883
|Ownership history
|Thomas and James Thornton, Hermand Oil Company Ltd (Old), Hermand Oil Company Ltd (New)
|Demolition history
|Demolished c.1894
|Current status of site
|Returned to agriculture leaving little trace other than the actively quarried bing
Thomas and James Thornton held the mineral lease of Hermand estate, operating the orginal Hermand Shale Oil Works near Murray's Pool; dismantled in about 1875, and sub-letting part to the East Hermand Oil Works, closed in about 1873. It seems that the brothers continued to mine shale near Birniehill in the south of estate.
It appears that Thomas and James Thornton re-started oil production at Hermand in about 1883. The prospectus of the Hermand Oil Company, of which James Thornton was a director, issued July 1885, states "The experience derived from new Oil Works erected during the past few years will be a useful guide for selecting the most suitable plans and designs of Oil Manufacturing Works". This perhaps refers to the re-opening of Thomas and James Thornton's works at Hermand and Levenseat. The prospectus stated that the Hermand Oil Company would take ownership of mile-long railway branch linking Birniehall and Hermand to the main line, and planned to erect a refinery at either Birniehall, Hermand, or Levenseat. The 1894 AGM of the Hermand Oil Company (BP archive item 143042) states:
"The lease of the minerals in Hermand having been terminated at Martinmas 1893, the Company had, under the provisions of the lease, to remove their plant by Whitsunday 1894, with the penalty that any plant left behind would become the property of the landlords. The Directors made every effort they could to arrange with the proprietors of Hermand to allow the houses and plant to remain on the ground, on the footing of the Company paying an annual sum for the ground occupied, but they were unsuccessful.... The Directors were accordingly constrained, much against their wish, to sell the remaining plant at Hermand by public roup. This was done on 16th March 1894"
The re-opened works at Hermand is marked on the 1894 OS map but has yet to be located in valuation roles. The quarried remains of the bing associated with these works is still clearly evident, with a 1950's Royal Observer Corps bunker perched precariously at its top.
These operations in the Hermand Estate to the south of West Calder should not be confused with the Hermand Oil Company's later Breich Oil Works and Walkinshaw Refinery, both referred to by some as "Hermand Oil Works".
Valuation Records
Still to be researched
Ordnance Survey maps reproduced by kind permission of the Trustees of the National Library of Scotland.
- (1) 25" OS map c.1894, showing the works intact
- (2) 25" OS map c.1907, showing derelict site
- (3) Google Earth view c.2005
- (4) 6" OS map c.1894, marked to show maximum extent of spent shale bing
- (5) 1" OS map c.1904, marked to show associated mines, pits and railways
Recent Images
- (1) View across works site towards bing.
- (2) Telephoto view showing bing with five sisters bing beyond.
- (3) Access road to the actively quarried bing.


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July 16, 2013
by Anna Huntington, community arts coordinator for The Sculpture Project
AH: How has the transition been to Rapid City?
MN: "The beginning of my journey came when I left the Bay Area and traveled to Rapid City through the different landscapes and climates. It was a nice preparation for this project, traveling through Yellowstone, visiting Devil's Tower and then arriving here to the very green Black Hills. Driving through all of the beautiful areas, rather than flying, helped me make the transition.
"I had the chance to go and camp in the Badlands one night before I began working. It was such a surprise to see the same landscape look so different than it had when I saw it last August. I saw so many greens and many wildflowers. I saw and understood a different feature of the Badlands, a kind of tenderness of the land."
AH: What's it like working in Main Street Square?
MN: "The energy of the Square is pretty peaceful. It's nice that people stop by and chat. They are interested in my work and very positive. They're also encouraging and supportive. Many people, including a lot of children, give me thumbs up signs through the viewing windows!"
AH: How is the project going so far?
MN: "Since we started working we found that the stone is a very nice quality. Granite is within the category of hard stone, but this type is not extremely hard. It holds edges and yet is easier to carve with hand tools than, say, the hardest black granite or even some grey granite. The pegmatite penetrations into the block can present a challenge, but otherwise it is a very good material to work with.
I had a small sample of the stone to work with before I started the project, but it was too small to use my hammer and points with and I could use only a small pneumatic hammer. So really it wasn't until I started carving here in the Square that I had a sense of how the granite would respond."
AH: You must be happy to have Martin Rickert here assisting you?
MN: "I am. He's good company and we also learn from each other. It's also great to be working with Rausch Granite. They are helping with some honing and sandblasting on the exterior of the stones."
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Low salaries lead to illegal payments in healthcare sector
Widespread public debate has centred on the issue of illegal payments in the healthcare sector, such as 'thank-you payments' paid by patients to medical workers. The Latvian Health and Social Care Workers' Trade Union argues that the extent of illegal payments in healthcare can only be curbed by making the salaries of healthcare workers more competitive. Plans were underway for a cooperation agreement between the Ministry of Health and the trade union in June 2007.
At the end of May and beginning of June 2007, extensive public debate took place regarding the issue of illegal payments in the healthcare sector. The discussion was triggered by media reports that the new President of Latvia, Valdis Zatlers, who previously worked as a director and doctor at a state hospital, had received 'thank-you payments' from his patients.
Thank-you payments are such a widespread phenomenon in the state healthcare system that the majority of people deem them acceptable, in the belief the salaries of healthcare workers are too low. As a result of their dissatisfaction with low salaries, many healthcare workers leave the sector to work in other fields or emigrate.
Wage increase falls short of workers' demands
A couple of years ago, following protests by healthcare workers, the Latvian government promised to improve the salaries of those working at the state's healthcare institutions (LV0502101F). Such a provision is stipulated under the national programme approved in 2006, entitled Development of human resources in healthcare for the years 2006–2015.
However, at a conference organised by the Health and Social Care Workers' Trade Union (Latvijas Veselības un sociālās aprūpes darbinieku arodbiedrība, LVSADA), held on 15 May 2007, it was concluded that 'the government has permitted several unjustified deviations from the programme'. For instance, the annual indexation of healthcare workers' salaries – based on the average wages in the national economy, as stipulated by legislative acts – has not been provided for. In January 2007, the salaries of medical workers were increased according to the increase in average wages forecast that announced in September by Latvia's Ministry of Finance (Latvijas Republikas Finanšu ministrija, FM). However, the actual increase in average wages turned out to be 5% higher than was expected. This meant that the monthly salaries of doctors in 2007 were around €70 lower than they could have been.
Wage and salary levels
In the first quarter of 2007, average gross wages and salaries in the health and social work sector (NACE N) were between €520 and €522 in the public sector and €516 on average in the private sector. These wage and salary levels were about 2.5% higher than the average gross national wage and salary (€508), albeit 8.9% lower than the average level in the public sector (€573) and 8.7% higher than the average gross national wage and salary in the private sector (€475) (Monthly Bulletin of Latvian Statistics, 2006/2007, Central Statistical Bureau of Latvia (Latvijas Statistika).
Negotiations between trade union and government
LVSADA invited the Ministry of Health (Latvijas Republikas Veselības ministrija, VM) to index the salaries of healthcare workers, as of 1 July 2007, in accordance with actual average wage levels in 2006. However, the Minister for Health, Vinets Veldre, when meeting the trade union administration, announced that the salaries of healthcare workers could not be changed in 2007 and that the forecast error would be corrected when indexing the salaries for 2008. On the other hand, the Head of LVSADA, Valdis Keris, argued that the extent of illegal payments in healthcare can only be reduced by making the salaries of healthcare workers more competitive.
Nevertheless, in May 2007, LVSADA and the government agreed that, as of 2008, healthcare workers would receive payment for overtime work and that ambulance and emergency workers would receive several social guarantees. Due to the lack of staff, every doctor and nurse in Latvia provides, on average, the equivalent of 1.4 full-time jobs in exchange for a salary equivalent to a single full-time job. According to the government programme, the social guarantees were due to be provided for in 2006–2007.
Trade union dissatisfaction
LVSADA considers that the government's failure to fulfil its promises repeatedly raises concerns about the serious shortage of workers in the sector. The planned agreement was not concluded because the trade union and VM entered into conflict on the issue of wage negotiations. Currently, the threat of a strike looms, unless the ministry can meet LVSADA's demand to change the basis for wage negotiations. The ministry is using the forecasted level of the reference salary (forecasted country average) as the basis for wage increase plans, while the trade union is demanding that the actual level be used as the basis for wage increases in the sector.
The government's reluctance to increase the salaries of healthcare workers is related to the decision contained in its inflation reduction plan to adhere to a strict state budget and to ensure a budget surplus within the coming years. The average net salary in the public sector is 12% higher than the overall average salary level in the national economy, while the increase in salary levels is somewhat faster than the average level in the national economy: in 2006, the average net monthly salary in the national economy grew by 23.1% compared with 23.3% in the public sector. In the first quarter of 2007, salaries grew by 33.4% in the national economy, but by 35% in the public sector. Nevertheless, the average salary level in the healthcare sector is still 9% lower than the overall average in the public sector and 25% lower than that in the public administration and defence sector. Therefore, it is likely that the trade union will continue to fight for an increase in the salaries of healthcare workers.
Raita Karnite, Institute of Economics, Latvian Academy of Sciences


text:
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The BMX bike by Haro is available at The Great Outdoors. Visit any Mountain Bike – Designed to be light weight while maintaining strength, the mountain bike is perfect for tight trails with roots, rocks, bumps and dips. Check out the specs.
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What are the weight limits on a CCM aspens hardtrail mountain womens bike? Would that be good for LBS??
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The type of bike you get is driven by bmx bike weight limit the type of riding you want. I prefer working with a bike store as they are specialized in their offering, have deeper knowledge and a bigger range of bikes to offer.
Departments stores bmx bike weight limit general carry lower quality items. Depending upon the frequency of your riding, you may want to consider a higher quality, second hand bike, for the same price as a low quality, highest price bike.
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Fly nonstop from Los Angeles to Ixtapa for $273 round-trip on Delta.
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