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Henoch-Schonlein purpura is a multisystem vasculitis that primarily affects children. Characteristic symptoms include purpura of the lower extremities and buttocks, abdominal pain, arthralgias, and hematuria. Gastrointestinal bleeding occurs in ∼50% of children and, although often self-limiting, can be significant. Wireless capsule endoscopy has been found to be safe and effective for children over 10 years of age. It is now the preferred imaging modality for evaluating gastrointestinal bleeding from the small intestine. Here we report an unusual case of chronic Henoch-Schonlein purpura vasculitis, primarily affecting the gastrointestinal tract, in which wireless capsule endoscopy was helpful in evaluating and directing treatment options.
- Accepted April 10, 2006.
- Copyright © 2006 by the American Academy of Pediatrics
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3,50/5 (votes: 6)
Cheap Flights to El Salvador
El Salvador
Best offers to El Salvador cities
Low Prices Calendar
Useful advice for travelling to El Salvador (SV)
El Salvador is the smallest Central American country famous for its coffee plantations. The country's natural landscape is worth as much attention: majestic mountains, volcanoes, and dark sandy beaches fill the country. Locals are poor but happy; it's obvious after feeling the perfect climate and looking at the gorgeous landscape. Cheap flights to El Salvador are a perfect choice for those who value uniqueness and natural beauty above all.
Preparing for the trip
There are no particular vaccination requirements for entering the country. However, you should consider getting vaccinated against malaria, typhoid fever, hepatitis A and B, diphtheria, and tetanus. Naturally, you should comply with general hygiene provisions during your trip.
The main travel requirement is your passport. You will not require a visa to visit La Libertad, San Miguel, and other local cities.
Transportation and travel charges
Salvador offers a well-developed and reliable bus transport network. Salvadoran buses bare similarity to old American school buses. There are no railroads in the country, while rental cars are not very popular travel choices.
Official currency is the USA dollar (USD). Living costs in El Salvador are similar to those in Lithuania, but the standard of living in El Salvador is lower by almost 9%. Akaraje bread snacks prepared in palm oil cost approximately 2.50 dollars. This snack is usually consumed with beer by the locals; it costs 1.20 dollars. The drink is usually stored in small thermos flasks. Most common local exotic dish is iguana steak, which will cost you up to 40 dollars. Locals' preferred strong black coffee is a high quality product that will cost you approximately 2.50 dollars.
Additional information:
Best return gifts choices
Locals are best advisers on what return gifts ideas will be the best for creating long-lasting memories of El Salvador. They will also show you the local wonder of several millennia old volcanic rocks, obsidians. Your friends and loved ones will be charmed with these pitch black and glass-smooth rocks that are believed to have protective powers. Local beer of three types (Regia, Pilsner, Suprema) and Aguardiente sugarcane rum will also make great return gifts.
In the Low Price Calendar you can see lowest prices for flights to El Salvador cities found within past 48 hours.
Click on the price to see flight details
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Here you go, it does look quite clean. You should be able to find some discs easy enough.
Thanks mate.
Thanks Rick, Our lockdown is pretty much over now but we are still wearing masks. No cases in 15 days, it looks a lot worse over your way so hope you are staying safe yourself. Just had a quick look at what you have been up to. The platforms look great. The layout is certainly coming together. I guess having a deadline for a show keeps you at it.
Hi Stu, the layout and recent additions are looking great. I am sure i have a pic of 31117 somewhere I will dig it out. Cheers Peter.
The second pics shows a colourful Trans Pennine rake with Scotrail intercity and trans peninne coaches together. Some years back someone on another thread posted a pic showing this combination at Manchester vic so rhought I would model it.
08733 numbered up driver fitted and back in one piece. Weathering next.
A few pics from a running session. First tome since April. 20121 and 20169 sit in the holding siding afternbringing in a tain from Stoke. 25059 has replaced a class 33 at Crewe and is seen leaving Llanbourne on its way to Bangor.
North Mersey Diesel
P.C.M replied to PjKing1's topic in 7mm+ modellingLook forwards to seeing how you weather this one up. Cheers Peter.
Railtec transfers added and one side weathered today. Cheers Peter
A couple of new additions to the Llanbourne coaching stock fleet. A blue grey NEX and a Scotrail NEA. Both coaches have been lowered as the Bachmann MK1 s that run on B4 bogies sit a bit higher than the others, also end steps have been removed along with the roof and end handrails which have been replaced with handrails to suit these coaches as they were running with in the mid 80s.
Morning Ian, The new Camera seems to be working well the picture and sound quality seems better too. I notice you use enamel and acrylic paints together, what do you use to thin the Acrylic and what do you normally use when spraying? Cheers Peter.
Hi Andy, No 73 but another class 26 and maybe a class 27 when they come out. Cheers Peter.
Slow progress on the OBA but it's getting there.
Ian's 7mm workbench - china clay wagons
P.C.M replied to Hal Nail's topic in 7mm+ modellingHi Guys, Hope you don't mind but a few pics for you. Class 33s did work down to Fawley a bit and the Holybourne service was booked for a class 47 but 33s did turn up. later on the class 37s were common too. Cheers Peter.
Thats Good, Banko rings a bell can't say I knew him though. Cheers Peter.


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Police Department Accepting Applications for Police Officer Positions from September 1, 2020 – January 7, 2021
Police Department Accepting Applications for Police Officer Positions from September 1, 2020 – January 7, 2021
September 1, 2020
The Cedar Rapids Police Department, which has achieved full advanced accreditation from the Commission on Accreditation for Law Enforcement Agencies, is accepting applications for the position of Police Officer. If you are interested in joining the Police Department's mission to actively involve everyone in a team effort to serve, protect, and prevent crime and disorder, as well as provide a safe and secure community in an effective and efficient manner, you are encouraged to apply. Police Officer positions are full-time and offer an opportunity to serve the community.
The Cedar Rapids Police Department is taking applications from Tuesday, September 1, 2020 through Thursday, January 7, 2021, at 4:00 p.m. Applications can be accessed by visiting the Cedar Rapids Police website at www.cedar-rapids.org/police. There is a computer available at the Cedar Rapids Police Department for those interested in applying who do not have access to a computer.
The hiring process is an intense and competitive process and the Cedar Rapids Police Department is seeking the best, most qualified candidates to join our organization.
Starting salary for Police Officer positions is $56,514 annually, along with a City of Cedar Rapids benefit package that includes medical, dental, vision, and retirement benefits.
The Cedar Rapids Police Department is looking for those interested in serving and making a difference in the community. Please visit the Police Department's website at www.cedar-rapids.org/police for a comprehensive list of required qualifications, salary and benefit information, and the application.
The application and all documents must be received by the Cedar Rapids Police Department no later than 4:00 p.m. on Thursday, January 7, 2021. No exceptions will be made.


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60ct Burgundy Red Shatterproof 4-Finish Christmas Hanging Ball Ornaments 2.5" (60mm)
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The nationwide protests over the killing of George Floyd are forcing many state and local government officials to closely examine their law enforcement agencies and practices. Los Angeles Mayor Eric Garcetti announced Thursday his proposal to cut $150 million from the city's police budget and put that money toward helping communities of color. He joins Judy Woodruff to discuss accountability.
Read the Full Transcript
Judy Woodruff:
The nationwide protests over the killing of George Floyd are forcing many state and local government officials to closely reexamine their law enforcement agencies.
Los Angeles Mayor Eric Garcetti announced yesterday his proposal to cut $150 million from the city's police budget and to put that money toward helping communities of color.
And Mayor Garcetti joins us now.
Welcome back to the "NewsHour," Mr. Mayor.
So, I think a lot of people could understand why you would want to put this money into communities that are hurting, but why take it from the police department, and particularly just a few weeks after you were calling for an increase in the police department budget?
Mayor Eric Garcetti:
It's a fair question to ask, Judy.
And good to be with you again.
Look, budgets are moral documents. And we knew in COVID-19 that we would have to make cuts almost everywhere. Myself, our civilian departments took a 10 percent cut. So I want to be very clear with my police officers and anybody else listening, this is shared sacrifice.
But no one department can be completely immune. We have to, in tough economic times and in a moment of racial justice, where we have the opportunity — any police officer out there I have ever talked to said, please, can you invest in education and in health care and the things that might prevent crime before I have to deal with it?
We give them so much to shoulder on their backs, that they're supposed to solve homelessness, and mental health, deal with a lack of education in communities of color.
Let's, in a very difficult moment, start going down a road where we say that those things, too, are priorities. It's not an either/or. It's a yes/and. We have all squeezed our budgets. It was something that, in our largest department, we can do and still keep our police officers well-protected, invested in their training, making sure that they're compensated in the right way.
But if we don't start walking through this door today, when will we? And if we don't take this action, who will?
So, I hear what people are saying out there, as well as what my officers say too. We have to find a better way. It can't just be on the back of policing. It has to be in the reflections of society that says, long before a criminal justice system intervenes, we can do things to give people the lives that they deserve, and not have the racial disparities that for so long we have had in America.
Judy Woodruff:
But you're acknowledging the impetus for this, the turnaround, was because of the killing of George Floyd?
Mayor Eric Garcetti:
It certainly should be an accelerant for all of us, but, no, it's not when it started.
I, as mayor, for instance, over the last seven years, the largest thing that's increased has been our investments in housing and to house people who are experiencing homelessness, about $700 million that we didn't have before.
When we look at the growth of our budget, we have increased our gang reduction youth development workers, people who have been criminally justice involved who now work as mentors, keep our parks open late. That's increased 50 percent, while the number of police officers we have had has stayed the same.
Do budgets go up? All budgets do because of more receipts and the cost of living. But we have put our priority overwhelmingly long before today in trying to invest in those things that can help our officers be safer and help our communities be safer.
You don't have to choose between those two. And I know that's a tough message. People right now are listening with the ears that either characterize all police officers as terrible human beings or, vice versa, that have for too long characterized people of color, especially African-American men and women, as threats.
We can't stand for either of those things. And the second results in the loss of life based on your skin. And the other one puts police officers in danger. We have to move forward in the momentum that built long before today, but certainly that today demands an acceleration of.
And I'm proud L.A. is taking those steps.
Judy Woodruff:
Well, just — we should just point out, though, that the Black Lives Matter group and others are saying this — these cuts aren't nearly enough in the police department. They're saying there should be a 90 percent cut below what the city was already spending there in Los Angeles.
They want to cut the number of police. In fact, some are saying get rid of the department altogether, virtually.
But I'm assuming you're saying, this is as far as you're going to go?
Mayor Eric Garcetti:
No, there's always more. And as we have a stronger economy, let's continue investing in those things.
How do we have so many people without health care? How is it that you can live 12 years less if you're growing up in Watts than Bel Air here, that women who are black have a four to six times higher rate of dying in childbirth? That's something we can all embrace together.
But I want to be very clear, too, that this is something in which folks who would say, let's get rid of our police departments, I respectfully disagree. I have seen police officers intervene to break up sex trafficking rings, to make sure that a woman experiencing domestic violence has safety, who have mentored young people.
We have to change models and cultures, but not get rid of the idea of having peace officers. I want to have heroes all over our communities and investments in our young people.
And the idea that we have to choose between those two is the wrong dichotomy.
Judy Woodruff:
In that connection, you said just in the last few days — and I'm quoting — "The vast majority do this job selflessly and with the honor and dignity befitting the badge."
But we know, Mayor Garcetti, in the last few days, there have been a number of incidents involving Los Angeles police and these protesters. We have some video to show, in fact, some we showed earlier in the "NewsHour." These are scenes that have played out on social media.
One of them, in one case, there was a youth — the police used a baton on someone who was standing there peacefully. In other cases, a police car drove into people in the street. There was another instance where officers smashed the windows of a car that was sitting there, dragged the person out of the car.
How does all this square with your description of police officers, most of whom you say are acting with the dignity that befits the badge?
Mayor Eric Garcetti:
Yes, we have hundreds of thousands of incidents that happen in any given year, and even in the toughest times.
And there should be accountability always. We have an independent inspector general, a police commission made up of citizens, not the police officers, who investigate these, and those should be investigated and should trouble us, although I always caution people, one angle, one camera thing may tell not the entire story.
For instance, the car that was backing away was taking projectiles. And we had seen an officer get a cracked skull and nearly die.
That said, I know that policing is an extremely tough job, but protesters should be protected. We should always have accountability. And I hope that we lift up the stories of the amazing moments we saw where folks had dialogue, where they hugged, where they took knees, where they engaged, as well as holding anything that violates policy in our city and holding those individuals accountable.
Judy Woodruff:
But are these incidents and any others — any other questionable incidents like them, are they all being investigated?
Mayor Eric Garcetti:
Yes, 100 percent.
And our inspector general is available for anybody else who has ones that need investigation. It's something that is not new now. I know a lot of people may be having these interactions for the first time in their life. That is something that we set up, not only years ago, but decades ago, in our police department here.
And that accountability has to be for anybody, whether they're a government employee, member of the public. And no badge should hide that. No title should hide that, as well as for the public as well.
Judy Woodruff:
Mayor Garcetti, I'm sure you know that a number of the folks who are involved in the protests, though, are saying, investigating isn't good enough.
They're calling on the police chief, your police chief, Michel Moore, to step down, to be fired, some of them, I even heard today on the steps of city hall calling for you to step down.
How do you answer this?
Mayor Eric Garcetti:
Well, that's part of being a leader. I don't think I have been in office a day when somebody either from this direction or that direction doesn't want me to step down.
But I think we're called to these moments to define with action and not with words what we do. I'm very proud of the things we have done in this city, whether it's together raising a minimum wage, making college free, making sure that we can have a system that invents in young people who are most at risk in our communities.
This is a moment where we either will meet the moment or we will miss the moment. I don't intend to miss the moment. I know that this is excruciatingly difficult work. It's excruciatingly difficult to be a protester calling for justice through the rage, to be a police officer exercising restraint and to be a guardian on the line.
To be a police chief right now, there is nothing you can do right. But I do believe there are actions we can take that, in the face of criticism, 20 years from now, when we look back, say changed the paradigm, opened the door, built a more just society.
These are the birth pangs of finally birthing a true racial — multiracial democracy in America. And there are things you can do. If you're a mayor out there, do the eight things that will reduce police killings by 72 percent statistically. We have done all eight. And we pledge to do a number more.
Help police officers have the mental health care. Compensate them well enough to make sure you're getting the people that you want. Demand that there's accountability, and engage in not just the criminal justice system, but so much more, because structural racism lives in the heart of so many people in America. We have to own that.
And we have to say too that it manifests not just in the criminal justice system, but we have to say that it manifests in our health care system, our jobs and economy, in our education.
And it is time for us finally to seize this moment, to make sure George Floyd didn't die in vain, that Breonna Taylor, whose birthday is today, that we learn the lessons that people should not die because of the color of their skin, and that we must find a common humanity between us all, whether it's a police officer and somebody who pays their salary, whether it's a young person of a different color, or whether it's people who live in different parts of this country.
It is time for us to finally heal America.
Judy Woodruff:
And just in a word, you are standing by your police chief right now?
Mayor Eric Garcetti:
Oh, our police chief made one comment that I said, if it was in his heart, he would no longer be police chief. He corrected himself within seconds. But I know that often doesn't make the second part of the news.
There is no moral equivalent of looting and murder. He knows that. I know that. He is a reformer who came in after the Rampart scandal as the captain to clean up Rampart, did a tremendous job. And we all are called to leave. We don't have time right now to late-night comments that are made when you're tired.
If you have that in your heart, you're not working for me. I know that's not his heart.
Judy Woodruff:
Los Angeles Mayor Eric Garcetti, we thank you very much.
Mayor Eric Garcetti:
As always. Strength and love to you.


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Showing most recent first, in descending order
3 images in cluster Near Kells Priory in S4943
Image clustering - assigning images labels - is an automated process, based on the image title/description. It's not totally accurate, and can sometimes assign images to odd clusters
in S4943, near Ceanannas/S4943
When: 3 September, 2014
By: Humphrey Bolton
When: 29 August, 2013
By: Eirian Evans
When: 29 August, 2013
By: Eirian Evans
Explore these images in the Browser or Explore matching images including in surrounding squares (if any!)
Other Automatic clusters in S4943
- Near Kells Priory
- King's River (of which 2 shown above)
- Kells Priory Ruins
- Kilkenny
- Mullin's Mill
- Kells Bridge
- Towers and Wall
- Founded by Geoffrey FitzRobert
- Bridge over the King's River
- Car Park
- Hutchinson's Mill
- James Butler 9th Earl of Ormonde
- Castles of Leinster
- Kells Flour Mill
- Shirley's Bar
- Water
- County Kilkenny
- Outer Walls
- Road Junction
- School
- Ruined Outlier Building
- Catholic Church


text:
Accession Number:
Explaining Meiji Japans Top Down Revolution
Descriptive Note:
Technical Report
Corporate Author:
Naval Postgraduate School Monterey United States
Personal Author(s):
Report Date:
Pagination or Media Count:
Meiji Japanese leaders consisted of an oligarchy that strived to overcome Western imperialist pressures in Asia. They did so by overturning some deeply rooted Tokugawa-Era traditions in Japanese society and replaced them with Western ones. They understood that Western norms dictated world affairs, so they sought to make Japan strong along Western norms. Modeling the West provided enough traction for Japan to meet Western threats and maintain its sovereignty. Meiji leaders reshaped Japans foreign policies by emphasizing foreign affairs, emulating Western boundary-making, revising the unequal trade treaties, and asserting themselves regionally with Korea. They simultaneously created a centralized military to support new foreign policies by conscripting soldiers from across the country equipping, training, organizing them in a Western fashion instilling self-discipline and creating a symbiotic relationship between domestic industries and the military. Meiji Japans foreign policy evolution and military reforms enabled Japan to not only maintain its sovereignty, but also challenge the regional hierarchy. This paper thus focuses on Meiji Japans foreign policy and military.


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Course Smoothie Prep Time 5 minutes Total Time 5 minutes Servings 1 Author Rachael DeVaux Ingredients 1/2 unripe banana source of prebiotic fiber 1/2 cup frozen raspberries…… Read more "Gut Healthy Smoothie"
Tag: Microbiome
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Real Estate Agent Training has been one of the few substantial elements of most of the effective Realtors business for several years. As a result of the complexity that Realtors face in running their realty methods properly, they quite frequently seek outside resources to book and trainer them. To be a successful Realtor, there needs to be a true "company owner" attitude covering all elements of business from monetary investment, back right into their businesses for advertising and marketing, customer adhere to up, marketing and marketing the houses they represent available, the destination of potential customers to use their services, etc. Then the accounting that is should track various business advancement tasks. The hiring of staff, such as aides and also other team members. All of these components stand for threat and assets on gross incomes. That threat needs to be carefully monitored to remain on the successful side of the annual report. It is quite easy to get or subscribe to an endlessing list of devices, software application, applications, devices, photography, video clip manufacturing, etc. that ALL provide the pitch of "You will just have to make one extra sale to cover the expense of this!" You see, having Real Estate Agent Training in Los Altos California isn't really a task, it is a profession that if done right, looks like a company with in a company. The smart and also wise agents use a strategy to assist their business and also to determine which devices they truly do need. Nobody could run an effective real estate company technique without tools and also systems, the challenge is knowing which tools, at exactly what time and in what sequence. The Realty Agents that I have studied, coached as well as worked very closely with comprehend that having the ideal instructor is quite important in accomplishing as well as keeping these pillars of company with uniformity and eventually a healthy and balanced net profit.
One of the most efficient Real Estate Agent Training in California Los Altos - Coach is not always the least expensive or one of the most pricey. The Leading 3 Tips in using the "Right" Coach:
1.) Begin with a practical evaluation of where you are presently at in your business. i.e. You're a more current Realty expert (very first 2 -3 years) or You are presently established and searching for aid on expanding your company with a group, aides etc, to "Developing a Salable Realty Technique" that is able to be marketed when you desire to leave and also retire.
2.) Meeting 3 feasible Instructors. Look for an outstanding link, power, do they in fact hear your demands and also can you see on your own taking directions in addition to improvements from she or he.
3.) Money is not the most effective overview of usage in picking the optimal train. Keep a longer term attitude, identifying that you will likely have several wonderful trainers throughout your line of work. With this sort of point of view, do not check out extremes by being stingy with your dollars and do not merely thoughtlessly work with among one of the most expensive instructor either.
Try to find my next collection of suggestions on "How you can acquire optimize YOUR growth and development from your mentoring partnership".
Specifically just what is the difference between Real estate Brokers Sales Enlightening and Residential property Agent Mentoring, you ask? Usually, the Real Estate Agent Training Los Altos is focused on the more technical aspects of the trading of family real estate. Points like, the best methods to produce in addition to carry out a bargain, an agreement, the myriad of disclosures, getting the information entered correctly as well as trigger into the MLS systems, purchasing analyses, visiting the evaluations, joining the closing, and so forth. These are the crucial attributes of taking care of acquisitions, keeping within the consistency treatments and getting individuals moved in and also from the residences. Whereas Real estate agent Mentoring is intended to develop the Property Representatives company to higher degrees, boost and also include in the size of data sources for past customers, round of impact get in touches with, accomplishing countless company generation techniques and methods. Property broker training is more the science of the business and the Property professional coaching is the fine art of business. Both are crucial nonetheless the last is exactly what splits the pastime, part-time Real estate Agents Los Altos California from the high earnings earning, extremely affordable real specialists.
Serving Los Altos 94022,94023,94024
These are the critical functions of taking care of acquisitions, preserving within the consistency procedures as well as also getting people transferred in and likewise out of the houses. Whereas Realtor Training is intended to build the Real Estate Agents company to better levels, boost and also consist of in the dimension of databases for past clients, round of influence get in touches with, lugging out numerous business generation methods as well as also methods. Genuine estate representative training is more the scientific research of the company as well as likewise the Actual estate expert training is the art of business.
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