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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
A l-Qa’ida seems to be on its heels. The death of Osama bin Laden and the fall of Arab dictators have left its leadership in disarray, its narrative confused, and the organization on the defensive. One silver lining for al-Qaida, however, has been its affiliate organizations. In Iraq, the Maghreb, Somalia, Yemen, and elsewhere, alQa’ida has used local groups to expand its reach, increase its power, and grow its numbers. This string of mergers is not over. In places as diverse as the Sinai Peninsula and Nigeria, al-Qa’ida-linked organizations are emerging. However, the jihadist world is more fractured than it may appear at first glance. Many Salafi-jihadist groups have not joined with al-Qa’ida, and even if they have, tensions and divisions occur that present the United States and its allies with opportunities for weakening the bond. at the same time, several Salafi-jihadist groups chose not to affiliate with al-Qa’ida, including Egypt’s Gamaat al-Islamiyya and Libyan Islamic Fighting Group (LIFG), and fighters in Chechnya, Gaza, and Pakistan maintained their distance as well. Motivations to the Affiliate for Joining There are a number of reasons why a group may choose to affiliate with al-Qa’ida, some practical, some ideological, and some personal: • • Al-Qa’ida has always been both a group with its own agenda and a facilitator of other terrorist groups. This meant that it not only carried out attacks on U.S. targets in Kenya, Tanzania, and Yemen throughout the 1990s, but it helped other jihadist groups with funding, training, and additional logistical essentials. Toward the end of the 1990s, alQa’ida incorporated Egyptian Islamic Jihad into its structure. After September 11, 2001, this process of deepening its relationship with outside groups took off, and today a number of regional groups bear the label “al-Qa’ida” in their name, along with a more local designation.
Garmin is voluntarily recalling certain nüvi devices that contain a specific battery that was manufactured by the battery supplier within a limited date code range. Garmin has identified potential overheating issues when certain batteries manufactured by the third-party battery supplier within a limited date code range are used in certain Garmin nüvi models with a specific printed circuit board (PCB) design. It appears that the interaction of these factors can, in rare circumstances, increase the possibility of overheating, which may lead to a fire hazard. Although there have been no injuries or significant property damage caused by this issue, Garmin is taking this action out of an abundance of caution. AFFECTED PRODUCTS The recalled devices include a small subset of the following nüvi model numbers:Determine your nüvi model and serial number by looking at the label on the back or bottom of your nüvi. You must provide this and other information to determine whether your nüvi is affected by this recall. To easily and quickly determine whether your nüvi is affected, go to www.garmin.com/nuvibatterypcbrecall Service Alert 1035 25 August 2010
A.S.M.E. Construction: Built in accordance with the ASME Code, ensures design integrity for long life. Ensures safety and reliability with third party inspection of standards compliance. Underwriters Package Label [UL/cUL]: Ensures the complete package [burner/boiler] has been tested and certified to the UL standards of safety and controls requirements. High Turndown Burner: For standard emissions [uncontrolled], up to 10:1 turndown on Gas firing, reduces inefficient on/off operation, reducing fuel consumption. Boiler stays on line during low load conditions for optimum efficiency and performance. Airfoil damper design eliminates low fire excess air spikes, increasing combustion efficiency. Boiler/burner by single manufacturer eliminating divided responsibility. Hinged Burner Design: Standard for all sizes of the Elite series and sizes 400 and greater on the Premium series, optional for Premium series sizes 350 and less. Burner assembly is attached to the front boiler wall with integral hinges, permits burner swing out for ease of service, maintenance, and inspection. Swedge-Fitted Tube Attachment: Eliminates welded tube attachment to each drum providing ease of tube replacement. Eliminates rolling or welding of tube replacement, reduces maintenance costs. Thermal Stress Protection: 25 Year Thermal Shock Warranty ensures tube integrity against thermal stress, associated with hydronic heating systems. Bent tube design provides ability to withstand thermal stress of tubes during rapid load swings and cold water returns.
Doc. Name: SBMPTN2013BIO999 Doc. Version : 2013-10 | 01. Contoh keberadaan satwa pada suatu habitat yang dijaga dengan baik sebagai upaya pelestarian ex situ adalah… (A) Orang utan di hutan Kalimantan. (B) Cendrawasih di hutan Papua. (C) Rusa di Kebun Raya Bogor. (D) Pesut diSungai Mahakam. (E) Anoa di Pulau Sulawesi 02. Komunitas mikroba yang melekat pada suatu substrat/benda sehingga dapat merusak substrat/benda tersebut disebut… (A) Biodegradator. (B) Bioaktivator. (C) Biokatalis. (D) Biodeposit. (E) Biofilm. 03. Bagian sistem pencernaan yang berperan dalam memecah polipeptida menjadi oligopeptida adalah… (A) Duodenum. (B) Usus besar. (C) Lambung. (D) Jejunum. (E) Ileum. 04. Asam absisat melindungi tanaman yang mengalami kekurangan air melalui mekanisme… (A) Peningkatan pembentukan kutikula. (B) Penurunan tekanan turgor sel penjaga. (C) Peningkatan kecepatan pembelahan sel. (D) Penurunan kecepatan pembentangan sel. (E) Penghambatan pemanjangan sel epidermis. halaman 1 05. Pernyataan yang salah mengenai fotofosforilisasi siklik dan non siklik adalah… (A) Pada fotofosforilisasi non siklik sumber elektron yang memasuki Fotosistem II adalah molekul air, pada fotofosforilisasi siklik, sumber dari elektron adalah Fotosistem I. (B) Pada fotofosforilisasi non siklik penerima elktron terakhir adalah NADP, pada fotofosforilisasi siklik, penerima elektron terakhir adalah Fotosistem I. (C) Hasil dari fotofosforilisasi non siklik adalah ATP, NADPH, dan O2, sedangkan hasil dari fotofosforilisasi siklikhanya ATP. (D) Fotofosforilisasi non siklik melibatkan Fotosistem I dan II, fotofosforilisasi siklik hanya melibatkan Fotosistem II. 06. Perhatikan diagram saluran kreb berikut! Tahap dimana berlangsung hidrasi adalah (A) 1 dan 4 (B) 1 dan 5 (C) 2 dan 6 (D) 3 dan 7 (E) 3 dan 8 Kunci dan pembahasan soal ini bisa dilihat di www.zenius.net dengan memasukkan kode 3117 ke menu search. Copyright © 2013 Zenius Education SBMPTN 2013 Biologi, Kode Soal doc. name: SBMPTN2013BIO999 halaman 2 doc. version : 2013-10 | 07. Perhatikan gambar tahapan mitosis berikut! 10. Grafik berikut menunjukan kinerja insulin sintetis. Tahap telofase, metaphase, anaphase dan profasen ditunjukan oleh urutan angka…
To avail spring water delivery services in Texas, consider Samantha Springs. The Keller based company also offers bulk water delivery, hot & cold water dispensers and custom label bottles. The water bottles delivered by Samantha Springs are available in five-gallon or three-gallon bottles and 24-bottle in 20 oz., 16.9 oz. or 10 oz. cases. To order spring water in Texas, visit - www.samanthasprings.com
Welcome & Congratulations Thank you and congratulations for choosing to purchase an electric fireplace from Dimplex, the world leader in electric fireplaces. Please carefully read and save these instructions. CAUTION: Read all instructions and warnings carefully before starting installation. Failure to follow these instructions may result in a possible electric shock, fire hazard and will void the warranty. Please record your model and serial numbers below for future reference: model and serial numbers can be found on the Model and Serial Number Label of your fireplace. Bottom of fireplace Model Number Serial Number NO NEED TO RETURN TO THE STORE Questions with operation or assembly? Require Parts Information? Product Under Manufacturer’s Warranty? Contact us at: OR www.dimplex.com/customer_support For Troubleshooting and Technical Support Toll-Free 1-888-DIMPLEX (1-888-346-7539) Monday to Friday 8:00 a.m. to 4:30 p.m. EST Please have your model number and product serial number ready. (See above) 3 Important Instructions When using electrical appliances, basic precautions should always be followed to reduce the risk of fire, electric shock and injury to person, including the following: ① Read all instructions before using this fireplace. ② The heater is hot when in use. To avoid burns, do not let bare skin touch hot surfaces. The trim around the heater outlet becomes hot during heater operation. Keep combustible materials, such as furniture, pillows, bedding, papers, clothes, and curtains at least 3 feet (0.9 m) from the front of the unit. ③ Extreme caution is necessary when any heater is used by or near children or invalids and whenever the unit is left operating and unattended. ④ Always unplug the fireplace when not in use.
By George Seddon The Beginners Guide to Indoor Light Gardening The Beginners Guide to Indoor Light Gardening Page 1 Light N’Grow™ Indoor Gardening Centre We are happy to provide the following material to help in starting your indoor light garden. www.asylumresource.com/Images/LightNGrow/LightNGrow%20... Indoor Gardening Secrets Indoor Gardening Secrets Maxx Publishing ***** Visit Our Websites Listed Below! ***** Maxx Family Life Lawn and Garden Magic www.survivalandbeyond.net/.../Indoor-Gardening-Secrets.pdf How to Create Basic Signage Classroom Activity How to Create Basic Signage Indoor Signage • If you are using pre-made garden labels, use the pliers to remove the label portion from the wire holder. www.kidsgardening.org/.../Garden%20Signage%20How-To.pdf How to Create an Indoor Hea eHow Blog: Additional notes on eHow's writing platform change Login Register Member sunflowers Difficulty: Easy User-Submitted Article How to Create an Indoor Healing Garden www.currierdesigns.com/newsletter/apr10/images/indoor... variety of plants you can grow! do without this stu?. Your ... So you want to start growing indoors? Great! But, before you set up your indoor garden, please take a few moments to read through this time-tested advice. www.just4growers.com/media/9788/final_indoorgardendesign... Base your indoor garden on coco coir - All about flowers in ... Base your indoor garden on coco coir - All about flowers in one place, wallpapers, pictures, origami, planting guides - aboutflowershome.com Written by Goran www.aboutflowershome.com/base-your-indoor-garden-on-coco... Starting your indoor garden Dear Spring clean your financial records Advantage CCS challenges you to ... Update the agency if you are a customer on a Debt Management Plan. It’s important for our clients www.advantageccs.org/wp-content/uploads/newsletter_april... Me and My Job - ID Me and My Job Ian Drummond, creative director, Indoor Garden Design, London What is your typical day? I have no set working hours but generally start in the office at around 8.30am to www.indoorgardendesign.com/companyinfo/Me_and_My_Job.pdf
1. PRIOR TO ORDERING VACCINE • Ensure that the vaccine storage unit will continuously maintain temperatures between 35°- 46°F (2°- 8°C). • Document the vaccine storage unit temperature readings twice daily for 5 days prior to placing vaccine in the unit. Temperature logs are available at: http://www.kdheks.gov/immunize/vfc_reporting.htm 2. UPON RECEIPT OF VACCINE, IMMEDIATELY • Unpack the vaccine shipment a) Match the boxes of vaccine with the cold and warm temperature monitors that accompanied the vaccine. This will allow for identification of any vaccine compromised during shipment • Inspect the contents for damage a) Report concerns about the vaccine integrity Call McKesson Customer Service at 877-836-7123. Report the affected Vaccine Type, Vaccine Lot # and Expiration date • Count the vaccine a) Count the doses of vaccine in shipment and compare this amount with the number of doses on the packing slip. If there is a discrepancy with the number of Doses, Lot #, or Expiration Date contact: KDHE Immunization Program 785 296-5592. Be prepared to report the Vaccine Type, Lot No. and Expiration Date of the vaccine package, not the packing slip. • Label all H1NI vaccine a) To easily distinguish H1N1 vaccine from seasonal influenza vaccine. Properly label all containers that hold the H1N1 vaccine and place the vaccine in a refrigerator that will maintain proper storage temperature at all times until vaccine is administered. 3. STORE THE VACCINE AT A CONSTANT TEMPERATURE of 35°- 46°F (2°- 8°C). • Caution: DO NOT FREEZE • Document temperatures twice daily • Refrigerator should be: a) Large enough to hold the largest number of vaccine doses expected at one time b) Used only for storage of biologics
All Rights Reserved. TravelMate 2310 Series User's Guide Original Issue: March 2005 Changes may be made periodically to the information in this publication without obligation to notify any person of such revisions or changes. Such changes will be incorporated in new editions of this manual or supplementary documents and publications. This company makes no representations or warranties, either expressed or implied, with respect to the contents hereof and specifically disclaims the implied warranties of merchantability or fitness for a particular purpose. Record the model number, serial number, purchase date, and place of purchase information in the space provided below. The serial number and model number are recorded on the label affixed to your computer. All correspondence concerning your unit should include the serial number, model number, and purchase information. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronically, mechanically, by photocopy, recording, or otherwise, without the prior written permission of Acer Incorporated. TravelMate 2310 Series Notebook Computer Model Number: __________________________________ Serial Number: ___________________________________ Purchase Date: ___________________________________ Place of Purchase: ________________________________ Acer and the Acer logo are registered trademarks of Acer Incorporated.