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Reprinted with permission from the IFFGD. Originally printed in Participate -- Vol 7 No 1, Spring 1998. Go to the IFFGD website for Information on subscribing to Participate (and becoming an IFFGD member). People with functional gastrointestinal (GI) disorders can have a variety of symptoms that range from painless diarrhea or constipation, to pain associated with diarrhea and/or constipation (usually called irritable bowel syndrome). There is another, less common condition of abdominal pain that is chronic or frequently recurring; it is not associated with changes in bowel pattern. This condition is called chronic functional abdominal pain (CFAP). CFAP is a functional GI disorder. There are no abnormal x-rays or laboratory findings to explain the pain. It occurs because of altered sensitivity to nerve impulses in the gut and brain, and it is not associated with altered motility in the intestines. For people with CFAP, the pain can be so all-consuming that it becomes the main focus of their lives. Not only does it impact on quality of life, but it has a major economic impact as well. The US Householders Survey of Functional GI Disorders published in 1993 found that people with CFAP missed an average of 12 days of work annually due to illness compared to 4 missed days for people without gastrointestinal symptoms. Also, the number of doctor visits in a year averaged 11 for those with CFAP compared with only 2 for those without CFAP.
A 4-year-old boy was brought to the emergency department with a long history of constipation and recent onset of abdominal pain. His mother stated that he did not have diarrhea, vomiting, or fever, but noted that “his belly is getting hard.” He had a small bowel movement 2 days previously. On the day of presentation, he woke up with abdominal pain. The patient previously had been in good health and had regularly seen his pediatric primary care physician. He had never had surgery or an illness requiring hospitalization. Physical Examination On examination, the following vital signs were obtained: oral temperature, 98.5°F; heart rate, 145 bpm; respiratory rate, 30 breaths/min; blood pressure, 108/59 mm Hg. He was pale and appeared to be uncomfortable due to the abdominal pain. The abdominal examination revealed a large mass in the right side of his abdomen. The mass was firm and slightly tender. He also had guarding. He had bilaterally descended testicles and no evidence of inguinal hernias. His musculoskeletal and neurologic examinations showed normal results, and skin examination revealed decreased turgor and coolness of peripheral extremities, with no rashes, bruising, or petechiae.
“We will drive year on year improvements to deliver sustainable packaging with the smallest environmental footprint by 2015.” Andy Fennell, Chief Marketing Officer, and David Gosnell, President Global Supply and Procurement. P ackaging plays an essential role in protecting, delivering and presenting our products and brands to our consumers around the world. It adds value by creating consumer convenience, providing product information, safeguarding public health and protecting the products throughout the supply chain to ensure the consumer receives the optimum quality. However, in an era of increasing energy costs, heightened social and environmental consciousness, strict regulation on pollutants and disposal of solid waste, packaging design should aim to not only add value to our products and brands but also reduce our impact on the environment Diageo defines sustainable packaging as the packaging design with the lowest possible environmental footprint while ensuring the required functionality to protect, deliver and present our products and brands. Our Sustainability & Responsibility Strategy lies at the heart of our commitment to sustainable packaging. This is entirely consistent with and rooted in our core values of being proud of what we do, being the best and value each other.
Oracle NoSQL Database and MongoDB server are both licensed under AGPL while MongoDB has certain client drivers under the Apache 2.0 license. Oracle NoSQL Database is in many respects, as a NoSQL Database implementation leveraging BerkeleyDB in its storage layer, a commercialization of the early NoSQL implementations which lead to the adoption of this category of technology. Several of the earliest NoSQL solutions were based on BerkeleyDB and some are still to this day e.g. LinkedIn’s Voldemort. The Oracle NoSQL Database is a Java based key-value store implementation that supports a value abstraction layer currently implementing Binary and JSON types. Its key structure is designed in such a way as to facilitate large scale distribution and storage locality with range based search and retrieval. The implementation uniquely supports built in cluster load balancing and a full range of transaction semantics from ACID to relaxed eventually consistent. In addition, the technology is integrated with important open source technologies like Hadoop / MapReduce, an increasing number of Oracle software solutions and tools and can be found on Oracle Engineered Systems.
http://sharktrucking.com/newsletters/ | Learn the tricks of the trade before you take to the open road. Many find a profession in trucking very rewarding, however, taking these seven pieces of wisdom from those with experience can make a good career great.
Rise in the population, increasing consumer awareness, and the growth in availability of vitamins at extremely low prices, to drive the global vitamin market. The North American vitamins (Nutraceuticals) market constituted 25.4% of the global Nutraceutical market in the year 2013, and its share is estimated to be 25.3% by the end of year 2018. http://www.micromarketmonitor.com/market/north-america-vitamins-nutraceuticals-3919030976.html
Presbyterians Join the Anti-Israel Choir Divesting from companies like Motorola Solutions to show solidarity with the Palestinians. By Jonathan Marks June 22, 2014 6:34 p.m. ET The Presbyterian Church (U.S.A.) is bleeding members. Between 2000 and 2013, almost 765,000 members left the organization, a loss of nearly 30%. Last week the church's leadership met in Detroit for crisis talks. No, not about the emptying-pews crisis. The Israel-Palestinian crisis. On Friday, in a close vote (310-303), the General Assembly of the Presbyterian Church (U.S.A.)— the largest of several Presbyterian denominations in America—resolved to divest the organization's stock in Caterpillar, Hewlett-Packard and Motorola Solutions. The church's Committee on Mission Responsibility Through Investment said the companies have continued to "profit from their involvement in the occupation and the violation of human rights in the region," and have even "deepened their involvement in roadblocks to a just peace." Israel's counterterrorism and defense measures have included razing Palestinian houses (with Caterpillar equipment), operating Gaza and West Bank checkpoints (with Hewlett-Packard technology), and utilizing military communications and surveillance (with Motorola Solutions technology). The church signaled its antipathy for Israel earlier this year by hawking a study guide called "Zionism Unsettled" in its online church store. In the 76-page pamphlet, Zionism—the movement to establish a Jewish homeland and nation-state in the historic land of Israel—is characterized as a "a struggle for colonial and racist supremacist privilege." In a postscript to "Zionism Unsettled," Naim Ateek, a Palestinian priest and member of the Anglican Church, explains the meaning of the charges in the pamphlet.
Setting up Charging the rechargeable battery pack Setting up the rechargeable battery pack 1 Press the tab on the top of the controller’s battery compartment cover, then and pull down to detach the original battery from the controller. Charge your battery pack before its first use and whenever it is drained. 1 Insert the charging plug into the charge port on the front of your wireless controller. 2 Connect the USB plug to any USB port of your Xbox 360. 3 Turn on your console. The charge indicator on the front of the plug glows red as the battery pack charges. When the light glows green, the battery pack is fully charged. Rechargeable battery safety Incorrect battery use may result in battery leakage, overheating, or explosion. When using batteries, make sure that you follow these instructions: • Keep batteries out of reach of children. • Do not heat, open, puncture, mutilate, or dispose of batteries in fire. • If a battery leaks, remove the battery, taking care to keep the leaked fluid from touching your skin or clothes. If fluid from the battery comes into contact with skin or clothes, flush skin with water or remove the clothing immediately. Before inserting a new battery, thoroughly clean the controller with a damp paper towel. • Do not allow metal objects to touch the battery terminals, because they can become hot and cause burns. For example, do not carry the battery in a pocket with keys or coins. • Remove the battery when the product will not be used for an extended period of time.
As the ranks of vegetarians in the United States and around the world grow in number, many are applying the same ethical considerations and health benefits to their companion dogs who are omnivores just as we are. The ethical advantages are no different than for human vegetarians — a break with the slaughterhouse and with cruelty to animals raised for food. The health benefits would appear to be equally compelling, since the meat found in dog food generally consists of that deemed unfit for human consumption. Yet a cloud of controversy hangs over the issue of whether a dog can live healthfully on a vegetarian (meatless) or vegan (animal product-free) diet. Though discussed at length in the popular media, no one seems able to offer more than anecdotal evidence to support one view or the other. In an effort to settle the question and quell the nagging doubts of those who choose to provide their companion dogs with a vegetarian diet, a survey was initiated to gather and analyze data on the diet and health status of a large number of vegetarian dogs. Participants were solicited through PETA's newsletter, and data on 300 dogs over a period of one year were received. The survey included questions on the dogs' diets and health history, as well as general information, such as age, breed, and sex.
W elcome to Banfield Pet Hospital’s State of Pet Health 2012 Report—the only report of its kind to capture and analyze the medical data from more than 2 million dogs and nearly 430,000 cats. As the largest veterinary practice in the world, Banfield operates more than 800 hospitals in 43 states, and more than 13,000 associates—including 2,600 licensed veterinarians—work at Banfield. As such, Banfield has a unique understanding of the health of companion animals. Through our extensive commitment to innovation, our practice has created this ground-breaking report, now in its second year. Our commitment to ongoing preventive care and early disease diagnosis was the driving force behind our focus on the chronic diseases and conditions highlighted in this year’s report, including: overweight and obesity, arthritis, kidney disease, thyroid disease and heart disease. Over the past five years, many chronic conditions have continued to increase, in some instances, at an alarming rate. In this report, the overweight and obesity findings are some of the most concerning—since 2007, overweight and obesity have increased by 37 percent in dogs and 90 percent in cats. When pets are diagnosed as overweight, their waistline is not the only concern; the condition is associated with other serious diseases such as arthritis, diabetes mellitus, heart disease and hypothyroidism.