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Emergency Department Visits for Chest Pain and Abdominal Pain: United States, 1999–2008 Farida A. Bhuiya, M.P.H.; Stephen R. Pitts, M.D., M.P.H., F.A.C.E.P.; and Linda F. McCaig, M.P.H., Division of Health Care Statistics Key findings Data from the National Hospital Ambulatory Medical Care Survey: 1999–2008 • The number of noninjury emergency department (ED) visits in which abdominal pain was the primary reason for the visit increased 31.8%. • The percentage of ED visits for which chest pain was the primary reason decreased 10.0%. • Use of advanced medical imaging increased strongly for ED visits related to abdominal pain (122.6%) and chest pain (367.6%). Chest and abdominal pain are the most common reasons that persons aged 15 years and over visit the emergency department (ED) (1). Because EDs provide both emergency and nonemergency care (2,3), visits for these symptoms may vary in their acuity. Advanced medical imaging is often ordered to assist in both diagnosing and ruling out serious illness associated with these symptoms (4,5). This report describes trends in visits for chest and abdominal pain in adults and the seriousness of illness and use of imaging in these visits. All data shown are for persons aged 18 and over whose visit was not injury related. Keywords: National Hospital Ambulatory Medical Care Survey • advanced medical imaging • reason for visit Are ED visits for chest or abdominal pain increasing?
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
In the Details The appearance of any packaging solution is driven by a variety of factors, the most significant of which have a direct impact on the safety and usability of a product. On top of this, commercial motivations must also be taken into account, so the final design must strike a balance between a surprisingly wide range of considerations Packaging can be a major factor in what brings a product to life. With the ever-increasing expansion of the pharmaceutical industry, there is continuous pressure for biopharmaceutical companies to develop and launch new drug products. Coupled with the increasing number of drug products coming off patent, greater importance is being placed on the use of packaging for product differentiation. Packaging is therefore fast becoming one of the most important considerations in the growth and success of any drug product. This is evident from the global healthcare packaging component market being currently valued at $87.3 billion (£54.6 billion) (1). Function of Packaging Packaging can be considered from various aspects, but for many within the pharmaceutical industry, its main purposes are:...
STAFF DIRECTORY Editors Bill Eichenberger Sports Editor Alex Martin News Editor John Seeley Editor Mitra Kalita Senior Deputy Editor Matt Oshinsky News Editor - Arts, Sports Nikki Waller Web Editor Wade Lambert Deputy Editor Aaron Rutkoff Web Deputy Editor James A. White News Editor - Property Monica Williams News Editor - Sports Columnists Ralph Gardner, Jr. Jason Gay Ross Schneiderman Marshall Heyman STAFF DIRECTORY Reporters Devlin Barrett Washington, D.C. Delegation Erica Orden Arts Maya Pope-Chappell Web Producer Paul Glader Education, Courts, General Assignment Josh Barbanel Real Estate Sean Gardiner Crime Jacob Gershman Albany Russell Adams Media, Marketing, Technology, Sports Sumathi Reddy Food, General Assignment David Biderman General Assignment Andrew Grossman Transportation, General Assignment Scott Cacciola Knicks Chris Herring General Assignment Pia Catton Arts Sophia Hollander General Assignment Kevin Clark Jets Craig Karmin Property Joseph De Avila Technology, Small Business, Economics Aditi Kinkhabwala Giants Barbara Martinez Education Jon Rockoff Health Suzanne Sataline Health, Hospitals Michael Howard Saul City Hall Mike Sielski Mets Joel Stonington Crime Melanie West Lunchbox, General Assignment Photo/Graphics Rubina Madan Graphics Tracy Armstead Photo Brett Taylor Graphics Noah Rabinowitz Photo Taylor Umlauf Photo
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.
This paper examines the complex, often misunderstood, relationship between al-Qaeda, the Taliban and the various militant groups found in FATA (the Federally Administered Tribal Areas) in Pakistan, including the TTP (Tehrik-i-Taliban Pakistan). Much of what is commonly assumed about the Taliban, the TTP and al-Qaeda is based on misinformation, misunderstanding or a misrepresentation of historical events. The Taliban and alQaeda can in many ways be seen as sharing common values, although their ultimate goals remain very different. The Taliban were not part of the mujahedeen fighting against the Soviets in Afghanistan, and emerged only in 1994. Al-Qaeda, for all the conspiracy, did not receive money from the CIA during the 1980s, and was only officially formed as an organisation in 1988. The creation of the TTP in 2007 is another matter, and was created as an umbrella organisation for various Pakistani militant groups, and maintains close ties with al-Qaeda. However, the Pakistani Taliban is not the same Taliban as the one formed in 1994, and although it swears its loyalty to Mullah Omar, its goals differ from that of the Afghani Taliban. We can speak of al-Qaeda and the Taliban in two broad strokes – pre 9/11 and post 9/11. The attacks on the Twin Towers and the Pentagon (as well as the failed attack on Washington DC with the hijacked flight 93), was the culmination of al-Qaeda as a tightly knit, hierarchical organisation. The subsequent “War on Terror” and the invasion of Afghanistan in October 2001 destroyed much of its organisational capacity; it also left the Taliban severely weakened. However, they both regrouped in the FATA region over a period of years, and al-Qaeda spread its ideology throughout northern Pakistan, coalescing with militant groups and local warlords. Before 9/11, al-Qaeda and the Taliban were very much two different organisations; today, it is not so simple, and in 2010, General David Petreus claimed that there is “a symbiotic relationship between all of these different organizations: al-Qaeda, the Pakistani Taliban, the Afghan Taliban ... They support each other, they coordinate with each other, sometimes they compete with each other, [and] sometimes they even fight each other.” (cfr, 2010, http://www.cfr.org).
The Microsoft Xbox 360 is a stunning example of globalization and Globalization; the processes of both global interconnections (through production and access to the video game console) and also through the use of Globalization as a political buzz word (to generate an image of the Xbox 360 as the brand connecting users worldwide) (Sparke 2005a, 3). These two definitions of globalization; as a physical process of interconnections and as a political buzz word, can aid in understanding the systems at work when examining how Xbox is attempting to go 360. Microsoft’s Xbox as a technology can be seen as a computer with access to very specific content; all that is needed is the video game console and a connection to broadband Internet. When considering the qualifications to gain access to the Xbox 360 ‘experience,’ one must consider how to get an Internet connection and to the Xbox 360 console. While most citizens in the Xbox 360’s major markets, US, EU and Japan, may not consider these systems hard to obtain, many millions of people globally do not have the luxury of high-speed access to the Internet and the Xbox 360 console. Through understanding the impacts of creating a virtual community based on access to technology, which Microsoft states it hopes to do with the new Xbox 360 console, the inequality of the situation starts to be clarified. Introduction to Microsoft as a Global Company Microsoft is a well-known company in the computer software industry. It continues to expand to new markets with such assets as the Xbox and other offshoots of its original products. In the last two decades the company's large profits and dominance in general use computer software have propelled the company to an industry leader, if not the controller of a large monopoly with its Windows operating system and Office application products.
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.
Medium-Sized Mixed Breeds: They’re Unique! Your dog is special! She’s your best friend and companion and a source of unconditional love. Chances are that you chose her because you like medium-sized dogs, and you expected her to have certain traits that would fit your lifestyle: • • • • • Well suited as a family dog Intelligent and easy to train People-oriented and eager to please Brave and ready for adventure Lively, with a friendly personality No dog is perfect, though, and you may have noticed these characteristics, too: • • • • Easily bored and can find trouble Determined and has a mind of her own Needs regular exercise and diet regulation to avoid weight gain Prone to separation anxiety and associated chewing and digging behaviors Is it all worth it? Of course! She’s got her own personality, and you love her for it. Your Mixed-Breed Dog’s Health We know that because you care so much about your dog, you want to take good care of him. That’s why we’ll tell you about the health concerns we’ll be discussing with you over the life of your friend. Knowing your pal’s genetic make-up is an important Northwest Neighborhood Veterinary Hospital (503) 227-6047 www.nwneighborhoodvet.com for lumps and bumps when we examine your pet. If she is overweight, we’ll discuss exercise and diet because obesity is a risk factor for some types of cancer.
http://www.prudentialonlinestore.com/medical-uniforms | The transition from nursing school into a hospital environment can be both daunting and exciting. Build yourself an arsenal of resources that will assist in efficient care and ultimately aid in your success. From your healthcare uniforms to your administrative duties, be prepared.