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Chronic Abdominal Pain in Children
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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

Sustainable Packaging Guidelines - Diageo

“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.

Will NoSQL Databases Live Up to Their Promise? - Leavitt ...

Organizations that collect large amounts of unstructured data are increasingly turning to nonrelational databases, now frequently called NoSQL databases. M any organizations collect vast amounts of customer, scientific, sales, and other data for future analysis. Traditionally, most of these organizations have stored structured data in relational databases for subsequent access and analysis. However, a growing number of developers and users have begun turning to various types of nonrelational—now frequently called NoSQL—databases. Nonrelationa l dat a ba ses— including hierarchical, graph, and object-oriented databases—have been around since the late 1960s. However, new types of NoSQL databases are being developed. And only now are they beginning to gain market traction. Different NoSQL databases take different approaches. What they have in common is that they’re not relational. Their primary advantage is that, unlike relational databases, they handle unstructured data such as word-processing files, e-mail, multimedia, and social media efficiently. They are also easier to work with for the many developers not familiar 12 r2tec.indd 12 computer with the structured query language. SQL is the programming language used for querying and updating relational databases. Some NoSQL databases can function in a distributed setting. Users could thus scale a single database by running it across additional inexpensive machines rather than by having to run it on a single more powerful and costly machine.

Dogs' Social Lives and Disease Risks - American Veterinary ...

Whether it’s the dog park, doggie day care, boarding, competitions or training classes, mingling dogs with varied or unknown health histories can present health problems for dogs as well as their owners. The very reason you take your dog to a dog gathering – social mixing with other dogs – is the same thing that can put them at risk. Diseases can be spread through direct contact between dogs, shared bowls and equipment, contaminated water, stool, insects and other methods. People who visit these areas and interact with the dogs may also become infected with zoonotic diseases, which are diseases that can be spread from animals to people. In addition, any gathering that puts people and dogs together introduces the risk of dog bites. As always, your veterinarian is your best source for animal health information. If your dog is showing signs of illness, consult your veterinarian for diagnosis and treatment. If you feel you have been exposed or made ill by any of the conditions listed below, consult a physician. This document isn’t intended to scare dog owners away from participating in and enjoying social events involving dogs; rather, it is intended to inform you of the risks and some common sense measures that can decrease the disease risks for you and your dog(s). Disease risks for dogs Disease risks for people Common sense measures to protect your dogs, yourself and others Disease Risks for Dogs The following is a list of the most common diseases to which your dog(s) may be exposed at a dog gathering. There may be specific risks in your area that are not listed.

The Itchy Manhood and Public Places   Useful Precautionary Measures

It's inevitable that an itchy manhood will pop up at the worst possible moment in a public situation. Learning how to handle the situation is crucial for these awkward social moments.

How To Reach Non-English Speaking Customers

http://www.aptranslation.com/ | Whether your customers are domestic or throughout the global, every business wants to grow their customer base. We will quickly show you how simply utilizing foreign language translators for your website, social media, and marketing campaigns will help your business to grow.

SPIEGEL ONLINE - Druckversion - A Would-Be Role Model Hits a ...

Criticism of First Turkish-German Minister Grows By Anna Reimann Aygül Özkan was meant to be the hope of a new generation of politicians in Germany. In April she became the first politician with German-Turkish roots to become a minister in a state government. But her first months in office have proven to be a disaster and what could have been a public relations coup for her conservative party has backfired. Aygül Özkan, 38, was meant to be the next great hope for a new generation of German politicians. In April, she became the first person of Turkish origin to be appointed as a government minister at the state level . Indeed, it was rare that a politician had been given as much advance praise or had been saddled with such great expectations. "She's a major role model, with her competence and her character and she will get off to a good start and do a good job," Christian Wulff, then the state governor of Lower Saxony and now Germany's president, said at the time. He said she would also help to "prevent parallel societies" from forming, a reference to immigrant ghettos many politicians fear are developing in German cities. At the time of her appointment as social minister, Özkan was feted not just by her party, Chancellor Angela Merkel's conservative Christian Democratic Union (CDU), but across the political spectrum. But Özkan's time in office so far has been marred by controversy. Only days before taking up her job, Özkan said in an interview that "Christian symbols" -- specifically crucifixes, "do not belong in state-run schools." She added that Muslim headscarves don't, either -positions that had even been backed by Germany's highest court. But pressure from within her party was tremendous and Wulff reprimanded his protégé, who in turn apologized. Later, Özkan sparked controversy because of employee contracts she had signed as a manager at TNT, a postal services company. At the company, some workers received wages of only €7.50 ($9.80) per hour. Employment lawyers accused her of having created "working conditions that were at the legal limits." The politician responded by describing the criticism as "absurd" and "unfounded." A Controversial Charter for the Media And last week, she caused an outcry when she called on journalists to sign a so-called "media charter for Lower Saxony," in which they were supposed to agree to common standards for reporting about integration efforts in the state.

Fourth meeting of the EUROPEAN INTEGRATION FORUM - EESC European ...

Fourth meeting of the EUROPEAN INTEGRATION FORUM Brussels, 6-7 December 2010 European Economic and Social Committee – rue Belliard 99, room JDE 52 Programme Monday 6 December – room JDE 521 8.30 – 9.20 R  egistration of participants 9.30 – 10.00 Opening session Chaired by Staffan Nilsson, President of the European Economic and Social Committee (EESC) Opening speeches • Stefano Manservisi, Director General of DG Home Affairs, European Commission • Mercedes Bresso, President of the Committee of the Regions 10.00 – 11.00 Dialogue speakers-participants 11.00 – 11.30 Coffee break 11.30 – 12.30 P  lenary session ‘ Active participation of migrants and strong commitment by the host society: The two-way process beyond words’, chaired by Marta Cygan, Director of Immigration and Asylum, DG Home Affairs, European Commission • Aygül Özkan, Minister for Social Affairs of Lower Saxony, Germany • Peter Bossman, Mayor of Piran, Slovenia • P  resentation of the EESC study on national integration forums, by Thomas Huddleston, Migration Policy Group 12.30 – 13.00 Debate 13.00 – 14.30 Lunch nterpretation available from EN, FR, DE, ES, NL, SV into EN, FR, DE, ES I 1 14.30 – 18.30 Roundtables Roundtable A (room JDE 52) Roundtable B (room JDE 53) Moderator: Eva Schultz, European Moderator: Sukhdev Sharma, EESC Commission Roundtable C (room JDE 60) Moderator: Xavier Verboven, EESC Roundtable D (room JDE 61) Moderator: Brenda King, EESC Rapporteur: Eva-Maria Asari, Estonian Cooperation Assembly Rapporteur: Issah Huseini, New Communities Partnership, Ireland Rapporteur: Tarafa Baghajati, Platform for Intercultural Europe Rapporteur: Marco Perolini, European Youth Forum Facilitator: Josep Maria Felip, Valencian Region, Spain Facilitator: Doris Peschke, Churches’ Facilitator: Said Darwane, Union Commission for Migrants in Europe nationale des syndicats autonomes, France Facilitator: Michael Van der Cammen, German Employment Agency Interpretation: From EN, FR, ES, IT, DE into EN FR DE Interpretation: From EN, FR, ES, IT, DE into EN FR ES Interpretation: From EN, FR, ES, IT, DE into EN FR Interpretation: From EN, FR, ES, IT, DE into EN FR IT Topics for discussion (same topics for all roundtables): 14.30 – 16.15 First session: ‘Strong commitment by the host society’ 16.15 – 16.45 Coffee break 16.45 – 18.30 Second session ‘Active participation of migrants’ (including preparation of conclusions by each roundtable – 30 min) 18.30 Reception hosted by the European Economic and Social Committee Tuesday 7 December – room JDE 522 9.15 – 10.00 P  resentation of the new platform on the European Web Site on Integration for information exchange between Forum participants 10.00 – 11.00 Conclusions session, chaired by Ann Singleton, University of Bristol Presentation of conclusions by the four rapporteurs.

Invitation, PDF (6,1MB) - Lebendige Stadt

Lebendige Stadt Foundation Saseler Damm 39 | 22395 Hamburg Phone +49 (0)40/60876172 Fax +49 (0)40/60876187 events@lebendige-stadt.de www.lebendige-stadt.de We thank our supporters and joint organizers as well as the sponsors! Chairman: Dr. Hanspeter Georgi Former Minister for Economic Affairs and Employment, Saarland Further members: Dr.-Ing. Daniel Arnold CEO Deutsche Reihenhaus AG Dr. Gregor Bonin Councilor, City of Düsseldorf Heinz Buschkowsky District Mayor, Berlin-Neukölln Dr. Karl-Heinz Daehre Former Minister for Federal Development and Traffic, Saxony-Anhalt Raimund Ellrott Branch Manager Hamburg, GMA Gesellschaft für Markt- und Absatzforschung mbH Dr. Alexander Erdland CEO Wüstenrot & Württembergische AG Arved Fuchs Polar explorer Dr. Roland Gerschermann Managing Director F.A.Z. GmbH Dr. Herlind Gundelach Former State Councilor of the Department of Science and Research of Hamburg Michael Hahn Member of the Management Board DB Regio AG Joachim Herrmann, MdL Bavarian Minister of State of the Interior Susanne Heydenreich Director, Theater der Altstadt, Stuttgart Dr. Eckart John von Freyend Honorary President ZIA Burkhard Jung Lord Mayor of Leipzig Folkert Kiepe Associate Director, German Association of Cities and Towns Maik Klokow Managing Director Mehr! Entertainment GmbH Matthias Kohlbecker Kohlbecker | Architects & Engineers Prof. Dr. Rainer P. Lademann Managing Director, Dr. Lademann & Partner Hermann-Josef Lamberti Member of the Management Board, Deutsche Bank AG Lutz Lienenkämper, MdL Deputy Leader of the CDU state parliamentary group North Rhine-Westphalia Dr. Eva Lohse Lord Mayor of Ludwigshafen Prof. Dr. Engelbert Lütke Daldrup Agency for urban development, Urban Stakeholder Consulting, Former State Secretary Johannes Mock-O’Hara Managing Director Stage Entertainment GmbH Ingrid Mössinger General Director, Kunstsammlungen Chemnitz Klaus-Peter Müller Chairman of the Supervisory Board, Commerzbank AG Michael Müller Mayor and Senator for Urban Development and Environment, Berlin Helma Orosz Lord Mayor of Dresden Aygül Özkan Minister for Social Affairs, Women, Family, Health and Integration, Lower Saxony Reinhard Pass Lord Mayor of Essen Gisela Piltz, MdB Interior and Municipal Affairs Spokesperson, FDP Parliamentary Party Matthias Platzeck, MdL Prime Minister of Brandenburg Jürgen Roters Lord Mayor of Cologne Dr. Dieter Salomon Lord Mayor of Freiburg Dr. Thomas Schäfer Minister of Finance, Hessen Prof. Dr. Wolfgang Schäfers CEO IVG Immobilien AG Bärbel Schomberg CEO and shareholder, Schomberg & Co. Real Estate Consulting Dr. Albrecht Schröter Lord Mayor of Jena Edwin Schwarz Former Chief Economic Affairs and Planning Officer of Frankfurt/Main Prof. Dr. Burkhard Schwenker CEO Roland Berger Strategy Consultants Ullrich Sierau Lord Mayor of the city of Dortmund Dr. Johannes Teyssen Chairman of the Management Boad E.ON AG Prof. Christiane Thalgott Former Civic Planning Officer of Munich Dr. Bernd Thiemann Chairman of the Supervisory Board Hypo Real Estate Markus Ulbig State Minister of the Interior, Saxony Prof. Jörn Walter Chief Planning Director of Hamburg Prof. Dr. Martin Wentz Managing Director Wentz & Co. GmbH Dr. Joachim Wieland Speaker of the Management Board, Aurelis Real Estate GmbH & Co. KG.

Press Release Hong Kong Economic and Trade Office Berlin News ...

Hong Kong Economic and Trade Office Berlin News: Hong Kong’s Secretary for Food and Health Visited Germany Dr York Chow, Secretary for Food and Health of the Hong Kong Special Administrative Region (HKSAR) Government, visited Germany to inform himself about the latest developments in the country’s health care sector. Dr Chow met with Mrs Aygül Özkan, Minister for Social Affairs, Women, Family, Health and Integration in Lower Saxony on 19 May. They briefed each other on health policy in Hong Kong and Germany respectively. Both health care systems are challenged by an aging population and thus, increasing costs in the future. The ministers emphasised that new technologies have to be introduced in the health sector to guarantee a high standard of medical treatment and efficiency without placing excessive burden on government expenditure. Hong Kong Economic and Trade Office, Berlin Address: Jägerstrasse 33, 10117, Berlin Telephone: +49 (0) 30 22 66 77 22 8 Fax: +49 (0) 30 22 66 77 2 88 E-mail: cee@hketoberlin.gov.hk Website: www.hketoberlin.gov.hk Visit Hong Kong and its pavilion in the World Expo 2010 Shanghai! www.hkexpo2010.gov.hk Dr Chow also visited the Hannover Medical School. He met with the School’s President Professor Dr Dieter Bitter-Suermann. Dr Chow also visited a number fo research units of the School. He met with Professor Heiko von der Leyen, Chief Executive Officer of the Hannover Clinical Trial Centre (HCTC) and received a briefing on clinical trial and stem cell therapy. He further met with Mr Tilman Fabian, Chief Executive Officer of the Cluster of Excellence in Regenerative Biology and Reconstructive Therapies (REBIRTH) and was briefed on REBIRTH’s training programmes and its interdisciplinary approach. Apart from Hannover, Dr Chow also visited Bad Kötzting in Bavaria on 15 May. He visited the TMC Clinic Kötzting. It is the first German clinic for traditional Chinese medicine. The clinic, with 80 hospital beds, was set up in 1991 under a joint project by the cooperation between Beijing University of Traditional Chinese Medicine and a German entrepreneur. The clinic renders therapeutical services in the form of hospital treatment.

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