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A 4-Year-Old Boy with Constipation and Abdominal Pain

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.

History Repeats Itself - EDBT
by prolato 0 Comments favorite 4 Viewed Download 0 Times

In this paper, I describe some of the recent developments in the database management area, in particular the NoSQL phenomenon and the hoopla associated with it. The goal of the paper is not to do an exhaustive survey of NoSQL systems. The aim is to do a broad brush analysis of what these developments mean - the good and the bad aspects! Based on my more than three decades of database systems work in the research and product arenas, I will outline what are many of the pitfalls to avoid since there is currently a mad rush to develop and adopt a plethora of NoSQL systems in a segment of the IT population, including the research community. In rushing to develop these systems to overcome some of the shortcomings of the relational systems, many good principles of the latter, which go beyond the relational model and the SQL language, have been left by the wayside. Now many of the features that were initially discarded as unnecessary in the NoSQL systems are being brought in, but unfortunately in ad hoc ways. Hopefully, the lessons learnt over three decades with relational and other systems would not go to waste and we wouldn’t let history repeat itself with respect to simple minded approaches leading to enormous pain later on for developers as well as users of the NoSQL systems! Caveat: What I express in this paper are my personal opinions and they do not necessarily reflect the opinions of my employer.

The origins and strategic objectives of the al-Qaeda organization in ...

In 2007, the Al-Qaeda Organization in the Islamic Maghreb (AQIM) emerged after the Salafist Group for Preaching and Combat (GSPC) aligned itself with Al-Qaeda. This development captured the world’s attention and led several scholars and policymakers to ask the question: Why did this merger take place and what does it say about the motivations of GSPC? This research investigates three hypotheses: (1) This merger is merely an ideological one without operational implications; (2) this merger is ideological, operational, and logistical; or (3) this merger is merely a rebranding of a failing organization that needed to survive and, therefore, is not a genuine threat to the United States and its European allies. Exploring the evolution of Algerian Islamism, from the rise of the Islamic Salvation Front (FIS) and the Armed Islamic Group (GIA) to the GSPC and AQIM, this study concludes that hypothesis 3 is the best explanation of the merger between GSPC and Al-Qaeda. Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188) Washington DC 20503.

Download PDF - The Washington Institute for Near East Policy

Both Abu Musab al-Zarqawi, who founded Jamaat al-Tawhid wa-l-Jihad ( JTWJ) in 1999 (see Table 1 for the history of ISIS names), and al-Qaeda head Usama bin Laden came of age during the Afghan jihad against the Soviet Union in the 1980s, but their respective organizations have distinct genetic material, attributable in part to their different backgrounds, leadership styles, and aims. This is the case even though the two groups formed a marriage of convenience beginning in 2004. One key difference involves the socioeconomic background of the groups’ founders. Whereas bin Laden and his cadre grew up in at least the upper middle class and had a university education, Zarqawi and those closest to him came from poorer, less educated backgrounds. Zarqawi’s criminal past and extreme views on takf ir (accusing another Muslim of heresy and thereby justifying his killing) created major friction3 and distrust with bin Laden when the two first met in Afghanistan in 1999.

Case Study Political Geography and Al Qaeda Terrorism - Cengage ...

Why do the Islamic fundamentalists in general—and followers of al Qaeda in particular—resort to terrorist tactics against Americans and other Westerners around the globe? This question has haunted Americans since 9/11 and prompted a host of antiterrorist policies throughout the world. Much has been written and spoken on the subject, and more will be written and spoken in the years ahead. Political geography offers a frame of reference to learn about al Qaeda and other militant Islamic groups and their anti-West, anti–U.S. posture. To explore the point of view propounded by Osama bin Laden and others, this case study uses the five levels of analysis introduced in chapter three, examined here from a geopolitical perspective. The five levels of analysis are the: 1) international system, 2) regional, 3) state, 4) substate (tribal groups), and 5) individual. INTERNATIONAL SYSTEM LEVEL From the international system perspective, consider the following historical context of al Qaeda’s militant Islam. Militant Islamic fundamentalists and followers of Islam are heirs to one of the great civilizations of the world. While...

Al-Qaeda and the Nature of Religious Terrorism - Webs

Department of History, American University in Cairo, Cairo, Egypt This article examines the nature of religious terrorism, principally with reference to al-Qaeda. It argues that a distinction must be made between the ultimate aims and the immediate objectives of ‘religious’ terrorists, and that while the ultimate aims will be religiously formulated, the immediate objectives will often be found to be almost purely political. This distinction is illustrated with reference to such premodern religious terrorists as the Assassins and Zealots. Immediate objectives, are for many purposes more important than ultimate aims. Although the immediate objectives of al-Qaeda on 9=11 cannot be established with certainty, it is highly probably that the intention was to provoke a response from the US that would have a radicalizing impact on al-Qaeda’s constituency. Reference to public opinion in the Middle East, especially in Egypt, shows that this is indeed what has happened. Such an impact is a purely political objective, familiar to historians of terrorism from at least the time of Errico Malatesta and the ‘propaganda of the deed’ in the 1870s. While no direct link between Malatesta and al-Qaeda exists, al-Qaeda was certainly in contact with contemporary theories that Malatesta would have recognized, and seems to have applied them. Even though its immediate objectives are political rather than religious, al-Qaeda is a distinctively Islamic group. Not only is its chosen constituency a confessional one, but al-Qaeda also uses—and when necessary adapts—well-known Islamic religious concepts to motivate its operatives, ranging from conceptions of duty to conceptions of ascetic devotion. This is demonstrated with reference to the ‘Last Night’ document of 9=11. The conclusion is that terrorism which can be understood in political terms is susceptible to political remedies.

Breaking the Bonds between Al-Qa'ida and Its Affiliate Organizations

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.

Just Cause 2 - Microsoft Xbox 360 - Manual ... - Games Database

A very small percentage of people may experience a seizure when exposed to certain visual images, including flashing lights or patterns that may appear in video games. Even people who have no history of seizures or epilepsy may have an undiagnosed condition that can cause these “photosensitive epileptic seizures” while watching video games. These seizures may have a variety of symptoms, including lightheadedness, altered vision, eye or face twitching, jerking or shaking of arms or legs, disorientation, confusion, or momentary loss of awareness. Seizures may also cause loss of consciousness or convulsions that can lead to injury from falling down or striking nearby objects. Immediately stop playing and consult a doctor if you experience any of these symptoms. Parents should watch for or ask their children about the above symptoms— children and teenagers are more likely than adults to experience these seizures. The risk of photosensitive epileptic seizures may be reduced by taking the following precautions: Sit farther from the screen; use a smaller screen; play in a well-lit room; do not play when you are drowsy or fatigued. If you or any of your relatives have a history of seizures or epilepsy, consult a doctor before playing.

MX vs ATV Reflex - Microsoft Xbox 360 - Manual - gamesdbase.com

WARNING Before playing this game, read the Xbox 360® console and accessory manuals for important safety and health information. Keep all manuals for future reference. For replacement console and accessory manuals, go to www.xbox.com/support. Important Health Warning About Playing Video Games Photosensitive seizures A very small percentage of people may experience a seizure when exposed to certain visual images, including flashing lights or patterns that may appear in video games. Even people who have no history of seizures or epilepsy may have an undiagnosed condition that can cause these “photosensitive epileptic seizures” while watching video games. These seizures may have a variety of symptoms, including lightheadedness, altered vision, eye or face twitching, jerking or shaking of arms or legs, disorientation, confusion, or momentary loss of awareness. Seizures may also cause loss of consciousness or convulsions that can lead to injury from falling down or striking nearby objects. Immediately stop playing and consult a doctor if you experience any of these symptoms. Parents should watch for or ask their children about the above symptoms— children and teenagers are more likely than adults to experience these seizures. The risk of photosensitive epileptic seizures may be reduced by taking the following precautions: Sit farther from the screen; use a smaller screen; play in a well-lit room; do not play when you are drowsy or fatigued. If you or any of your relatives have a history of seizures or epilepsy, consult a doctor before playing.

Warning - Activision Support
by JonyB 0 Comments favorite 2 Viewed Download 0 Times

A very small percentage of people may experience a seizure when exposed to certain visual images, including flashing lights or patterns that may appear in video games. Even people who have no history of seizures or epilepsy may have an undiagnosed condition that can cause these “photosensitive epileptic seizures” while watching video games. These seizures may have a variety of symptoms, including lightheadedness, altered vision, eye or face twitching, jerking or shaking of arms or legs, disorientation, confusion, or momentary loss of awareness. Seizures may also cause loss of consciousness or convulsions that can lead to injury from falling down or striking nearby objects. Immediately stop playing and consult a doctor if you experience any of these symptoms. Parents should watch for or ask their children about the above symptoms – children and teenagers are more likely than adults to experience these seizures. The risk of photosensitive epileptic seizures may be reduced by taking the following precautions: Sit farther from the screen; use a smaller screen; play in a well-lit room; do not play when you are drowsy or fatigued. If you or any of your relatives have a history of seizures or epilepsy, consult a doctor before playing.

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