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Abdominal Complaints in School Age Children Michael A. D’Amico, MD Pediatric Gastroenterology and Nutrition May 16, 2012 Objectives • Become familiar with common causes of abdominal complaints in school age children • Understand the therapeutic approach to these conditions • Know when to make appropriate referrals • Explore presentation content further with Q & A’s Statements • No financial disclosures • I may be discussing off-label use of some medications Common Abdominal Complaints • Developmental level of child – introspection • Comfort level • Social context Often difficult to express or verbalize precise sensation Common Complaints (symptoms) • Pain – Most common – Vague • Don’t feel well, My tummy hurts, Hunger, Nausea • Upset stomach • Constipation – Hard to go, takes a long time going • Diarrhea
Diagnostic Laparoscopy for Chronic Abdominal Pain Richmond University Hospital, July 2012 David A Vivas, MD www.downstatesurgery.org Case Presentation HPI • 25 y/o female with no significant PMH who was seen in clinic c/o intermittent, moderate to severe, dull abdominal pain, located in epigastric area and right abdomen for the last 3 years. Patient denied any other symptoms (N/V, weight loss) • PMH: None • PSH: None www.downstatesurgery.org Case Presentation • Work up: • EGD: No pathologic findings • RUQ US: No gallstones or other biliary or liver pathology • Pelvic US: No GYN pathology www.downstatesurgery.org Case Presentation • Work up: • CT scan abdomen and pelvis with PO/IV contrast: • Probable diverticulum in the ascending colon • Otherwise unremarkable www.downstatesurgery.org Case Presentation • Work up: • Colonoscopy: • 0.5 cm sessile, friable mass in the distal ascending colon • Mass was removed with cold technique • Area was tattooed with India ink and sent to pathology • Rest of the study was unremarkable for any pathology
New Packaging Design 2012 What girls do in Girl Scouting Our sustainability efforts Girls’ voices Learn more online Reconnect with Girl Scouts Help her build a lifetime of skills and conﬁdence. Find your cookies at girlscoutcookies.org. The real Girl Scout story The cookie’s deliciousness The 5 skills girls learn from the product sale New Packaging Design 2012 What girls do in Girl Scouting Our sustainability efforts Girls’ voices Learn more online Reconnect with Girl Scouts Help her build a lifetime of skills and conﬁdence. Find your cookies at girlscoutcookies.org. The real Girl Scout story The cookie’s deliciousness The 5 skills girls learn from the product sale New Packaging Design 2012 What girls do in Girl Scouting Our sustainability efforts Girls’ voices Learn more online Reconnect with Girl Scouts Help her build a lifetime of skills and conﬁdence. Find your cookies at girlscoutcookies.org. The real Girl Scout story The cookie’s deliciousness The 5 skills girls learn from the product sale ...
The global wearable technology ecosystem’s value was estimated to more than $4 billion as of 2012, and is expected to reach cross $14 billion by 2018, growing at a CAGR more than 18% from 2013 to 2018. The total addressable market (TAM) for wearable technology is estimated to be more than $14 billion, as of 2012, and the current level of penetration for wearable technology was estimated to be roughly 18%.
Hibernia Atlantic announced plans Thursday to build a new trans-Atlantic communications cable aimed at high-frequency Traders at the NYSE on May 6. stock traders, shaving 310 miles from the shortest existing route and cutting execution times by about 8%. The cable group's plan is the latest effort to link financial centers with new infrastructure, providing ever-faster trading times, and would be the first new line across the Atlantic in more than a decade. The trans-Atlantic market is WASl-IINGTON--/\ ruport Oil th\' world's second-busiest for fiIhl' May (j "Ilaxh cr.tsh' in II\(' u.uuial trades after LondonIIX stock m.ukct ~lilllS 10 giv(' ;1 Frankfurt. 1\ lWW, shorter cable route developed by Spread Netdefinitive, second-by-second account of the sudden plunge and works recently was opened on is likely to blame a confluence of the third-ranked New York-Chifactors rather than a single cul- cago corridor. prit, people familiar with the reClosing the Gap port said. "There has been a gap in the Atlantic market," said Mike By Jessica Holzer, Saunders, Hibernia Atlantic's Sarah N. Lynch vice president for business deAnd Kara Scannell velopment. Hibernia Atlantic has yet to The report by the staff of the Securities and Exchange Com- sign any definitive customer mission and the Commodity Fu- contracts for the project. It is tures Trading Commission is set targeting high-frequency traders and related financial firms with to be released within days. A draft of the report circuround-trip speeds of less than 60 milliseconds, compared with 65 lated to SEC commissioners didn't call for any specific policy milliseconds using the existing changes, said a person who has AC-1 trans-Atlantic network. Mr. Saunders said the comseen it. Rather, the report attempts to pany aims to start construction explain how market conditions next spring and complete the led to a sudden plunge in the 3,720-mile cable running from Dow Jones Industrial Average of Somerset in southern England to nearly 1,000 points, wiping out Halifax on Canada's eastern searoughly $862 billion in equityboard by mid-2012.
Xbox Red Light Issue $79. - PS3 Yellow Light issue $99 ... IPOD REPAIR SERVICE. IPod Video and IPod classic. Parts. Labor. Total. Audio Jack. 19. 29. $ 48. Game System Repair Service Nintendo Wii -Not reading games or drive issues -Any repair without replacing parts $49 -laser replacement $69 -drive replacement $89 Xbox 360 Regular -Not reading games or drive issues - Any repair without replacing parts $49 - Laser Replacement $69 - Drive replacement $89 -3 red lights, no video, e74, or any display issue - Motherboard Repair $79 Xbox 360 Slim -Not reading games or drive issue -Any repair without replacing parts $49 -laser replacement $79 -Drive replacement – will call with price PS3 -Not reading or drive issues -Any repair without replacing parts $49 -laser replacement $99 -Drive replacement – will call with price -red light or display issues -Motherboard repair $99 Any other issue PCW Computer will Call
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.
Features -- Designed to be used for the Kincrome 1800Kg Hydraulic Trolley Jack. -- Optional Skid Pan supplied incase jacking is required on uneven ground. -- Securely houses the complete Trolley Jack assembly including handle. -- Can be padlocked to prevent theft. Securing any item in a vehicle is important so accidents don’t occur. The Minecorp trolley jack mounting bracket is designed to hold the Kincrome 1800Kg Hydraulic Trolley jack securely even on the roughest roads. It includes holes for easy mounting to multiple vehicle locations such as in a tray or tub body. The added benefit to fitting this bracket is to help organise the vehicle so space is not compromised. Manufactured from 2.5mm mild steel and powder coated for extra corrosive protection, this Minecorp bracket is made to last tough conditions. Included in the kit is a tensioning bolt which prevents the Trolley Jack rattling whilst being stored in the holder. bracket net Weight: -- 4.7 Kg Trolley Jack net Weight: -- 11.2 Kg optional Skid pan net Weight: -- 1.6 Kg orders & Enquiries National Sales: firstname.lastname@example.org International Sales: email@example.com Head Office Ph +61 1300 922 881 37 Murdoch Circuit Acacia Ridge Qld 4110 Brisbane Australia minecorp.com.au © Minecorp 2012
The following procedures are to be followed for scoring student answer papers for the Regents Examination in Algebra 2/Trigonometry. More detailed information about scoring is provided in the publication Information Booklet for Scoring the Regents Examinations in Mathematics. Do not attempt to correct the student’s work by making insertions or changes of any kind. In scoring the open-ended questions, use check marks to indicate student errors. If the student’s responses for the multiple-choice questions are being hand scored prior to being scanned, the scorer must be careful not to make any stray marks on the answer sheet that might later interfere with the accuracy of the scanning. Unless otherwise specified, mathematically correct variations in the answers will be allowed. Units need not be given when the wording of the questions allows such omissions. Each student’s answer paper is to be scored by a minimum of three mathematics teachers. No one teacher is to score more than approximately one-third of the open-ended questions on a student’s paper. On the student’s separate answer sheet, for each question, record the number of credits earned and the teacher’s assigned rater/scorer letter. Schools are not permitted to rescore any of the open-ended questions on this exam after each question has been rated once, regardless of the final exam score. Schools are required to ensure that the raw scores have been added correctly and that the resulting scale score has been determined accurately. Raters should record the student’s scores for all questions and the total raw score on the student’s separate answer sheet. Then the student’s total raw score should be converted to a scale score by using the conversion chart that will be posted on the Department’s web site at: http://www.p12.nysed.gov/apda/ on Tuesday, June 19, 2012.