text:
|Year : 2021 | Volume
| Issue : 6 | Page : 2284-2292
Knowledge & Awareness regarding colorectal cancer among health and allied students of King Saud Bin Abdulaziz University for Health Sciences, Jeddah
Syed Sameer Aga1, Muhammad Anwar Khan1, Enad Fahd Alsulimani2, Mahmoud Ali Fallatah2, Abdulrahman Suliman Alquzi2, Rakan Ahmed Alzahrani2, Mohammad Tarek Binyamin2
1 Department of Basic Medical Sciences, College of Medicine, King Saud Bin Abdul Aziz University for Health Sciences (KSAU-HS); King Abdullah International Medical Research Centre (KAIMRC), National Guard Health Affairs (NGHA), King Abdulaziz Medical City, Jeddah, Saudi Arabia
2 Department of Basic Medical Sciences, College of Medicine, King Saud Bin Abdul Aziz University for Health Sciences (KSAU-HS), Jeddah, Saudi Arabia
|Date of Submission||09-Dec-2020|
|Date of Decision||18-Feb-2021|
|Date of Acceptance||23-Feb-2021|
|Date of Web Publication||02-Jul-2021|
Dr. Syed Sameer Aga
Assistant Professor of Biochemistry, Basic Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Jeddah
Source of Support: None, Conflict of Interest: None
Background: Colorectal cancer (CRC) is one of the pivotal public health issues in Saudi Arabia currently. There is a need to examine the knowledge and awareness of the health professions' students who are going to be the caretakers of the public in years to come. Objectives: The aim of this study was to investigate the knowledge and awareness of CRC in health and allied students of our Health Sciences University in Saudi Arabia. Materials and Methods: An online predesigned and validated and self-administered Survey/Questionnaire was dispensed to all health and allied students. Descriptive statistics was performed using SPSS. Data were analyzed by demographic distributions to determine if students of these groups displayed any differential awareness and knowledge for CRC. Results: A total of 372 of students answered the online questionnaire with a mean age of 20 + 7.3 (SD) years. There was almost an equal distribution of male (47.8%) and female (52.2%) students and majority of them were single (97.3%). In this study, we found that the students were not having any knowledge of the epidemiology of CRC in Saudi Arabia. The knowledge about the various risk factors of CRC was also very dismal; only a minority of them (34.4%) was able to identify 5 out of 12 CRC risk factors correctly. However, 59.7% of students had no idea about the test/examination methods that are used in screening and detection of CRC, but majority (76.1%) of them were aware that people should get screened for CRC. Conclusions: A very low level of awareness and knowledge about CRC was observed in this study among all health and allied students. We strongly recommend that there is a dire need of proactive aggressive preventive medicine campaigns, educational programs, and curricular modifications for the students to prepare them for the challenges posed by increasing burden of cancer in the kingdom.
Keywords: Colorectal cancer, early detection, health education, preventive medicine, risk factors, Saudi Arabia
|How to cite this article:|
Aga SS, Khan MA, Alsulimani EF, Fallatah MA, Alquzi AS, Alzahrani RA, Binyamin MT. Knowledge & Awareness regarding colorectal cancer among health and allied students of King Saud Bin Abdulaziz University for Health Sciences, Jeddah. J Family Med Prim Care 2021;10:2284-92
|How to cite this URL:|
Aga SS, Khan MA, Alsulimani EF, Fallatah MA, Alquzi AS, Alzahrani RA, Binyamin MT. Knowledge & Awareness regarding colorectal cancer among health and allied students of King Saud Bin Abdulaziz University for Health Sciences, Jeddah. J Family Med Prim Care [serial online] 2021 [cited 2021 Aug 3];10:2284-92. Available from: https://www.jfmpc.com/text.asp?2021/10/6/2284/320480
Enad Fahd Alsulimani, Mahmoud Ali Fallatah, Abdulrahman Suliman Alquzi, Rakan Ahmed Alzahrani, Mohammad Tarek Binyamin: All students have contributed equally to the data collection
| Introduction|| |
Colorectal cancer (CRC) is one of the important solid cancers, characterized by malignancy of colon or rectal lumen cells. CRC incidence rates vary widely according to region, but lately have been rising on a yearly basis since last decade; in 2018, it has become third common cancer and second most deadly cancer in the world, after lung and breast cancer in both genders. However, there is a lot of disparity in CRC incidence geographically, Western countries happen to have highest incidences of CRC in comparison to the Asian and middle-east countries.,,,
In the Kingdom of Saudi Arabia (KSA), CRC ranks first among males (10.6%) and third in females (8.9%). In 2014, there were 1,347 cases of CRC, which accounted for 11.5% of all newly diagnosed cases, posing a significant health risk to Saudi nationals., It has been reported that the median age for the development of CRC in Saudi population is 60 years (95% CI: 57–61 years) for men and 55 years (95% CI: 53–58 years) for women. Furthermore, in Saudi Arabia, CRC tends to affect younger people more and the five-year survival rates have been reported to be lower (about 44.6%) than those expected for matching stages in other populations.,
In the KSA, it has been reported, by SEER Cancer Statistics Review 1975–2014, that there are huge variations in CRC incidence with Eastern region having the highest rates followed by Riyadh, Makkah, Qassim, and Tabuk. The median age at diagnosis in Saudi Arabia is 60 for men and 57 for women, as compared with worldwide figures of 68 for men and 72 for women (for colon cancer) and 63 for both men and women (for rectal cancer).,
With the increasing burden of CRC and its direct association of the family heredity, various lifestyle risk factors especially consumption of red meat, presence of precancerous polyps, and smoking, there is a dire need of having a preventive screening programs in KSA. Regular screening of the population, especially the individuals at risk, helps in identification of tumors thereby facilitating the intervention before it develops into full blown cancer. Since in Saudi Arabia, CRC is known to affect young people more avidly than in western countries; therefore, targeting the younger population and educating them about the appropriate lifestyle, screening techniques, and signs and symptoms of the malignancy would eventually prove beneficial in decreasing the rate of mortality and morbidity because of cancer.,,
The new clinical practice guidelines, for the screening of CRC as put forth by Alsanea et al., are an excellent first step in controlling the incidence of CRC. However, in order to curb the disease at its foundations, there is a need for a robust and mandatory national policy for CRC screening, which not only will guide the best clinical practices but also will instill a sense of urgency in the medical profession to work proactively for the better screening of the CRC in KSA, taking care of population demand, development of sector, and need to alleviate the burden of society. Aljumah and Aljebreen in their paper vehemently advocated for the compulsory healthcare policy for screening of CRC in KSA, which needs to be administered, endorsed, and monitored by the Ministry of Health (MoH).
The main concept behind the screening program is to be able to identify patients at risk by detection of precancerous and small cancers at the early stages even before their advancements into nontreatable carcinomas.,, Much of this is directly dependent upon the level of awareness and knowledge of the disease itself among the masses in general. Since we are a specialized health-centric university catering the medical needs of the kingdom, producing graduates who are proactive in implementation of the learned knowledge and skills at ground level, it is imperative that our graduates are more aware of the CRC, its burden in the kingdom, its risk factors, and the screening strategies available currently.
This study was therefore designed to measure the level of knowledge and awareness among the students and concomitantly by the help of a questionnaire to increase the awareness as a strategy to help in the reduction of CRC prevalence. Secondarily, this study will also identify the source of information from which the students usually get their information.
| Materials and Methods|| |
The current cross-sectional study was conducted at King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS) between August and October 2019. The study was carried out on students at different colleges (medicine, applied medicine, health professions, and nursing) in KSAU-HS, National Guard Health Affairs, Jeddah Campus, Saudi Arabia. The study was approved by Institutional Research Board, KAIMRC, KSAU-HS, Riyadh (SP19-199-J; Dated: 26/05/2019).
An informed consent was taken from all the participants before participation in this study. All participants were given a self-administered, predesigned, and validated questionnaire (already used by other studies) containing structured questions divided in three sections: basic information, awareness, and knowledge of CRC. Basic Information section contained individual's sociodemographic characteristics, such as age, gender, marital status, college, and education level, at KSAU-HS. The awareness section contained questions focusing on signs and symptoms of CRC and knowledge sections contained questions on risk factors of CRC.
Our questionnaire was developed after rigorous literature search and adopting the various published studies of a similar kind.,, However, we also conducted a pilot study on 25 students to assess the reliability and validity of our developed questionnaire, none of the students involved in pilot test were included in the study later on. The final survey was conducted online using Google Forms (Questionnaire Available on Request). None of the names and IDs was taken from the participants and the data were stored within 64-bit encrypted software that was not prone to be breached by nonauthorized persons. The required sample size was calculated at the 95% confidence level with an estimated 40.0%, prevalence of awareness regarding CRC and a margin of error ± 5%. The necessary determined sample size must be 206 of the 2546 population of students within KSAU-HS, Jeddah Campus.
The results of this study were expressed in frequencies and percentages for qualitative variables. Independent t-test was conducted to compare the awareness and knowledge scores between male and female student participants, and between the students at various colleges in KSAU-HS. The data were entered in MS Excel and before the analysis; the dataset was prepared and checked for missing data. SPSS software was used for the analysis. Chi-square test was used for analysis of data. Descriptive statistics (e.g., mean and standard deviation) were used to describe continuous variables, whereas categorical variables were presented in frequencies and percentages. Independent sample t-test was used to determine the mean score differences of the awareness and knowledge sections between genders and medical and nonmedical faculties. The confidence was set at 95%, and statistical significance was determined at P < 0.05.
| Results|| |
Demographic Profile of Participating Students
A total of 375 students responded to the survey; however, 3 of the students did not agree to participate in the study. So, 372 of the students answered the online questionnaire with a mean age of 20 + 7.3 (SD). There was almost an equal distribution of male (47.8%) and female (52.2%) students and majority of them were single (97.3%). Of the 372 students, 117 (31.5%) were from College of Medicine, 46 (12.4%) from Applied Medical Sciences (AMS), 41 (11%) from Nursing, and 168 (45.2%) from Health Professions (COSHP). A majority of respondents (52.2%) were studying in first year in KSAU-HS, Jeddah Campus [Table 1].
Awareness About CRC and Associated Symptoms
In this study, we found that the majority of the students were unaware of the CRC (54.3%) and it being among the top cause of mortality in world (46.2%); however, 39% of the respondents were aware that CRC is a preventable disease. Furthermore, 59.7% of students had no idea about the test/examination methods that are used in screening and detection of CRC, but majority (76.1%) of them were aware that people should get screened for CRC, which could help in its early detection for its cure (73.7%) [Table 2].
|Table 2: Response rate of the awareness of the CRC and its associated signs and symptoms|
Click here to view
Furthermore, almost 54%–68% of the participants had good awareness level regarding signs and symptoms of CRC; majority of them were able to identify five out of eight CRC symptoms correctly. However, overall awareness of the CRC was measured to be low, as only 41.1% of the respondents were able to answer more than 60% of the questions (9/16) correctly [Table 3].
Knowledge About CRC and Associated Risk Factors
In this study, we found that the students were not having any knowledge of the epidemiology of CRC in Saudi Arabia (39.2%) [Table 4]. However, a minority of the respondents had a family history of one or other cancer (31.7%) and also a small fraction of the participants did have direct relation with CRC patient (7.5%). 64.0% of the participants had knowledge that family history influences the risk of CRC and 62.9% had knowledge that CRC is influenced by persons genetics.
|Table 4: Response rate of the knowledge of the CRC and its associated risk factors|
Click here to view
Furthermore, the knowledge about the various risk factors of CRC was very dismal among the participants; only a minority of them (34.4%) was able to identify 5 out of 12 CRC risk factors correctly. Additionally, overall adequacy of knowledge for the CRC was measured to be very low, with majority 65.6% of the respondents failing to identify the risk factors correctly [Table 5].
We also found that female respondents had better awareness for many questions in this survey like cancer being the top cause of mortality in world (P < 0.001), half emptying Gastrointestinal track (GIT), and being important symptom of CRC (P = 0.06) [Table 6].
|Table 6: CRC-related awareness and knowledge among respondents with different gender and different colleges|
Click here to view
Female respondents had significantly better knowledge for many questions in this study. A significant differences of opinions were evident for two important questions—family history of cancer (P = 0.04) and family history influencing CRC predisposition (P = 0.01). Also, there was significant difference between male and female in identification of the risk factors of CRC (P < 0.05) [Table 6].
The proportion of respondents with significantly adequate awareness and knowledge was observed to increase with education level for almost all the items studied [Table 6]. Awareness of the following items was significantly (P < 0.001) greater among College of Medicine students compared with other participants: awareness of CRC, CRC being preventable, availability of screening tests for CRC, and for identification of symptoms of CRC correctly like presence of blood in stool, sudden weight loss, and anemia. However, medicine students failed to be aware of the fact that CRC being among the top cause of mortality in world (P < 0.001) in contrast to nursing students who were aware of this fact with 61.0% of them responding affirmatively to the question.
With regard to the knowledge, we found that medicine students were significantly more knowledgeable than their counterparts in other colleges for the following questions: CRC predisposition, family history, and genetics role in CRC risk, and for correct identification of various risk factors of CRC like age, gender, and lack of dietary fiber. However, for most of the question related to identification of risk factors of CRC, there was no significant difference between the various streams students.
Furthermore, most of the participants responded with negative (85.8%) to the question “Has anyone in family been diagnosed with CRC?” Questions wise scores of awareness and knowledge among respondents have been provided in [Table 6].
| Discussion|| |
In the current study, we attempted to evaluate the awareness and knowledge of CRC including symptoms, risk factors, and incidence, among health and allied students of KSAU-HS in KSA and to correlate these findings with students' gender and their college.
We found some significant differences among respondents based on their gender as well as education. Contrary to expectations, majority of the respondents were not aware of the four main statements of the awareness questionnaire: fact that cancer is among the topmost cause of mortality (59.9%), of CRC per se (67.5%), of CRC being preventable disease (68%), and lastly of diagnostic tests available for CRC (61%). Furthermore, there existed large awareness gaps when it came to identification of correct symptoms of CRC [Table 6], in which majority of respondents failed to identify most risk factor of CRC. However, 73.7% of respondents agreed to the facts that CRC can be cured if detected at an early stage. These results are consistent with many studies carried out in Asian and Saudi populations.,,,,
Among the eight main symptoms of the CRC as listed in [Table 2]; participants were more or less aware about the five of them with a variance of 55.9% to 68.3% [Table 2]. However, this awareness was significantly (P < 0.05) reflected in only medicine students for just three questions: presence of blood in stool, sudden weight loss, and anemia [Table 6]. Furthermore, of the main risk factors for developing CRC as listed in [Table 4], the participants were able to correctly identify only 5 out of 12 provided in the questionnaire. With respect to level of education, medical students answered that they knew that genetics and family history predisposes an individual to developing CRC, with significant majority (P < 0.01) [Table 6].
Similarly, medical students' level of awareness about the CRC, its preventability, and the availability of the test for its screening was significantly higher than those of other participating students (P < 0.01), but they were only knowledgeable about CRC being common in Saudi Arabia (P < 0.01) while other students were not. However, overall awareness about the CRC and its various symptoms was dismal, with only 41.1% of the participants aware of all questions (9 out of 16); and overall knowledge about the CRC and its various symptoms was dismal, with only 34.4% of the participants aware of all questions (10 out of 17) [Table 3] and [Table 5]. These results are comparable to other studies carried out in Saudi Arabia.,,, Zubaidi et al., in a study on general population in Saudi Arabia, reported that awareness and knowledge about CRC were inadequate. But, they reported that females were more aware and knowledgeable than males. These results are same what we have found in our current study.
Moreover, in this study, there were only a fewer significant differences in the answers between gender and on educational levels of students. Thus, there is dire need of targeted educational programs or workshops which should aim both males and females across all educational programs to improve both awareness and knowledge of the cancer, and in particular CRC, its symptoms, and risk factors as also identified by others.,
In the present study, the majority (59.7%) of the respondents were not aware of any CRC screening test or examinations used in detection of CRC. A possible explanation for this is kind of poor knowledge toward CRC screening among health profession students can be explained only because of the gaps and inadequacy in the curriculum in imparting the community-based health education. This in turn also leads to the absence of any effective promotional activities and workshops targeting students to familiarize them for various screening methods available for CRC. Furthermore, the lack of information and promotion from the public media campaigns also leads to poor knowledge about CRC screening. These results are in concordance with the studies already reported in which a majority of respondents were not aware of various screening tests for early detection of CRC.,,, Furthermore, in one of the reported studies, in order to increase the public awareness, the role of television was established to be of pivotal importance in raising the awareness about a disease.
About 32% of the participating students identified Internet as the main source of information for CRC for domains, awareness, and knowledge, of our survey. Only about 18% of the students identified curriculum as the second source of information, while the role of TV was not identified as the modulator of their knowledge or awareness [Figure 1], [Figure 2], [Figure 3]. These results are similar to the reported one by Imran et al. from Saudi Arabia but in contrast to study of Sedrak et al. in Egypt. This study therefore identifies a critical gap in our current curriculum for preventative medicine modules, and hence recommends for making the preventative medicine an integral part of the education, training, and practice to the students' of the health profession especially to the medicine students. In addition, specific instruction regarding cancer, especially CRC, screening should also be offered during their senior years and in oncology blocks in a similar manner as done in the USA.,,
As already mentioned, a number of clear guidelines for CRC screening in Saudi Arabia does exits,,, however there is neither any compulsion to follow them nor any organized national level program operated by the MoH for screening of the general population. Therefore, as suggested by many authors, we also recommend that policymakers need to have a proactive attitude in implementing a unified national program for not only educating the population but also carry out preventive screening, medicine seminars, workshops, and awareness campaigns for the public about cancers in general and CRC in specific.,,,
In conclusion, it is disconcerting to report that awareness and knowledge of KSAU-HS health and allied students about CRC is not as good as what is required. However, medical students had somewhat better knowledge than their peers in other colleges of KSAU-HS, Jeddah Campus. Also, female students had better awareness and knowledge about CRC symptoms and risk factors than their male counterparts. There is dire requirement of proactive aggressive preventive medicine campaigns, educational programs, and curricular modifications for the students in particular and for Saudi population in general. This need gets more important with the fact that the incidence of CRC in the KSA has been on a constant rise over the past few years and more so it has been reported that more young people are affected with CRC in contrast to the western population.,,
- This study was carried out in Jeddah Campus of KSAU-HS, Saudi Arabia and hence does not necessarily reflect the general population.
- Study design (cross-sectional) is very sensitive to a variety of biases.
- Data collection questionnaire was an online self-administered one and hence has an inherent risk of recalling bias or contamination by the participating students.
The authors would like to express their deep gratitude toward all students of the KSAU-HS, Jeddah Campus who proactively participated in this study.
This study was approved by the Institutional Review Board of King Abdullah International Medical Research Centre, a research wing of KSAU-HS, Jeddah Campus (Reference No: SP19-199-J; Dated: 26/05/2019).
Declaration of Participant Consent
The authors certify that they have obtained all appropriate participant consent forms. In the form, the participant(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The participants understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial Support and Sponsorship
Conflicts of Interest
The authors have no conflict of interests to declare regarding the publication of this paper or the data thereof.
| References|| |
Sameer AS. Colorectal cancer: Molecular mutations and polymorphisms. Front Oncol 2013;3:114.
Weinberg BA, Marshall JL, Salem ME. The Growing challenge of young adults with colorectal cancer. Oncology (Williston Park) 2017;31:381-9.
Siegel RL, Miller KD, Fedewa SA, Ahnen DJ, Meester RG, Barzi A, et al
. Colorectal cancer statistics, 2017. CA Cancer J Clin 2017;67:177-93.
Kuipers EJ, Grady WM, Lieberman D, Seufferlein T, Sung JJ, Boelens PG, et al
. Colorectal Cancer. Nat Rev Dis Primers 2015;1:15065.
Al-Ahwal MS, Shafik YH, Al-Ahwal HM. First national survival data for colorectal cancer among Saudis between 1994 and 2004: What's next? BMC Public Health 2013;13:73.
Zubaidi AM, AlSubaie NM, AlHumaid AA, Shaik SA, AlKhayal KA, AlObeed OA. Public awareness of colorectal cancer in Saudi Arabia: A survey of 1070 participants in Riyadh. Saudi J Gastroenterol 2015;21:78–83.
] [Full text]
Alsanea N, Abduljabbar AS, Alhomoud S, Ashari LH, Hibbert D, Bazarbashic S. Colorectal cancer in Saudi Arabia: Incidence, survival, demographics and implications for national policies. Ann Saudi Med 2015;35:196–202.
Howlader N, Noone AM, Krapcho M, Miller D, Bishop K, Kosary CL, et al
. SEER cancer statistics review, 1975-2014. National cancer institute; based on November 2016 SEER data submission, posted to the SEER web site, April 2017.
Al-Hajeili M, Abdulwassi HK, Alshadadi F, Alqurashi L, Idriss M, Halawani L. Assessing knowledge on preventive colorectal cancer screening in Saudi Arabia: A cross-sectional study. J Family Med Prim Care 2019;8:3140-6.
] [Full text]
Alsanea N, Almadi MA, Abduljabbar AS, Alhomoud S, Alshaban TA, Alsuhaibani A, et al
. National Guidelines for Colorectal Cancer Screening in Saudi Arabia with strength of recommendations and quality of evidence. Ann Saudi Med 2015;35:189-95.
Almadi MA, Alghamdi F. The gap between knowledge and undergoing colorectal cancer screening using the Health Belief Model: A national survey. Saudi J Gastroenterol 2019;25:27-39.
] [Full text]
Aljumah AA, Aljebreen AM. Policy of screening for colorectal cancer in Saudi Arabia: A prospective analysis. Saudi J Gastroenterol 2017;23:161–8.
] [Full text]
Imran M, Sayed alamin Z, Alsulami SS, Atta M, Baig M. Knowledge and awareness of colorectal cancer among undergraduate students at King Abdulaziz University, Jeddah, Saudi Arabia: A survey-based study. Asian Pac J cancer Prev 2016;17:2479-83.
Al-Naggar RA, Bobryshev YV. Knowledge of colorectal cancer screening among young Malaysians. Asian Pac J Cancer Prev 2013;14:1969-74.
Almutlaq BA, Bokhari BE, Alharbi HH, Alzayed AS, Abouhamda AS, Alturkstani, et al
. Assessment of awareness levels toward colorectal cancer. Early detection and prevention in Saudi Arabia. Gastroenterol Hepatol Open Access 2017;6:00195. doi: 10.15406/ghoa. 2017.06.00195.
Koo JH, Leong RW, Ching J, Yeoh KG, Wu DC, Murdani A, et al
. Knowledge of, attitudes toward, and barriers to participation of colorectal cancer screening tests in the Asia-Pacific region: A multicenter study. Gastrointest Endosc 2012;76:126-35.
Khayyat YM, Ibrahim EM. Public awareness of colon cancer screening among the general population: A study from the Western Region of Saudi Arabia. Qatar Med J 2014;2014:17-24.
Othmani MA, ALenzi SM, Atawi FA, Omairi WA, Shehri MA, Merghani TH, et al
. Awareness of colorectal cancer in Tabuk City, Saudi Arabia. Int J Med Res 2017;3:112-5.
Almadi MA, Mosli MH, Bohlega MS, Al Essa MA, AlDohan MS, Alabdallatif TA, et al
. Effect of public knowledge, attitudes, and behavior on willingness to undergo colorectal cancer screening using the health belief model. Saudi J Gastroenterol 2015;21:71-7.
] [Full text]
Mosli M, Alnahdi Y, Alghamdi A, Baabdullah M, Hadadi A, Khateery K, et al
. Knowledge, attitude, and practices of primary health care physicians toward colorectal cancer screening. Saudi J Gastroenterol 2017;23:330-6.
] [Full text]
Harmy MY, Norwati D, Noor NM, Amry AR. Knowledge and attitude of colorectal cancer screening among moderate risk patients in West Malaysia. Asian Pac J Cancer Prev 2011;12:1957-60.
Sedrak AS, Galal YS, Amin TT. Cancer screening knowledge and attitudes of under- and post-graduate students at Kasr Al Ainy School of Medicine, Cairo University, Egypt. Asian Pac J Cancer Prev 2016;17:3809-16.
Hazreen AM, Myint MS, Farizah H, Abd Rashid M, Chai CC, Dymna VK, et al
. An evaluation of information dissemination during the severe acuterespiratory syndrome (SARS) outbreak among selected rural communities in Kuala Kangsar. Med J Malaysia 2005;60:180-7.
Boehler M, Advani V, Schwind CJ, Wietfeldt ED, Becker Y, Lewis B, et al
. Knowledge and attitudes regarding colorectal cancer screening among medical students: A tale of two schools. J Canc Educ 2011;26;147-52.
Mosli MH, Al-Ahwal MS. Colorectal cancer in the Kingdom of Saudi Arabia: Need for screening. Asian Pac J Cancer Prev 2012;13:3809-13.
Alshammari SA, Alenazi HA, Alshammari HS. Knowledge, attitude and practice towards early screening of colorectal cancer in Riyadh. J Family Med Prim Care 2020;9:2273-80. [Full text]
[Figure 1], [Figure 2], [Figure 3]
[Table 1], [Table 2], [Table 3], [Table 4], [Table 5], [Table 6]

domain: biology


What fake is about:
A Ukrainian drone allegedly damaged the Russian ship Ivan Khurs on May 24, Ukrainian Telegram channels reported.
What is really going on:
This information is not true. All three enemy drones were detected visually, by radio and hydroacoustic means and guaranteed destroyed. This is evidenced by video footage from the scene.
According to a source in the General Staff of the Navy, the video distributed by Ukrainian Telegram channels captures the moment before the Ivan Khursa crew hit the drone with small arms. The drone did not have time to touch the hull of the Russian ship and sank without detonation after being destroyed by the Khursa crew. For this reason there is no fragment of the drone explosion on the video. No traces of smoke or burning of the Russian ship were seen by anyone and no SOS signal was given by the ship’s crew either.
At the moment the Ivan Khurs ship, which sustained no damage, continues to perform its patrol tasks, said a source in the General Staff of the Navy.


Anticipatory Design – It’s Back To Help With UX!
Positive user experience is the main goal in web design today because it is understood that better UX means a more effective website. Offering visitors options is good; however, as the amount of available preferences skyrockets along with increased daily options, choices can become overwhelming.
By taking this phenomenon into consideration, anticipatory design improves UX in an unexpected way by providing fewer, yet more relevant selections. Although it may seem like more selections are better, a web development company will usually see better results and happier users by anticipating a vistor’s wants and needs.
When Choice Becomes Too Much
Before there was a focus on offering more user control in web design , there were only certain things that both visitors and websites could do. Function was geared to achieve goals more simply. Choice and more user control became an important element in providing great UX. Unfortunately, all of these selections have become somewhat problematic. Since visitors now have so many options on every site they visit, studies are finding that UX is decreasing rather than increasing if there are too many choices.
What Is Anticipatory Design?
Anticipatory design is a form of intuitive web design where target audiences are carefully studied, then site function is created according to the way that will best serve those audiences as simply as possible. It removes unnecessary choices and options that can complicate user experience, leaving only those choices that are important.
It makes decisions for the audience based on what is known about them, browsing or search history, perceived wants, needs and emotions, and other data that defines the audience, removing the selections that are not likely to be relevant for them. In doing so, a web design company is catering to what each visitor wants to do on the site, without overwhelming or confusing them with too many choices.
Anticipatory Design In Action
The best way to understand effective use of anticipatory design is to examine how this function can better serve the user and provide a more positive experience. Suggestions based on browsing history or past interactions with a website can anticipate what the visitor may want, helping the audience to find things more easily. Options offered based on the visitor’s location, past purchases, and even information gained via their calendar are considered anticipatory as well. Special offers and discounts based on data collected, reminders for local events happening nearby, and suggestions of additional items or services that correlate with user purchase are all examples of anticipatory design.
In all of these situations, the website is prompted by data that is intended to think like the user in an attempt to be more helpful, rather than the visitor having to search individually for these things. When used effectively, this function will help reduce decision fatigue and can be instrumental in improving UX, which is a known factor in higher conversion rates.
Anticipatory design is web development that attempts to think ahead for what the user might want to do on a website, then readily offer those choices. A company seeking to improve UX should consider how to implement a more intuitive design that offers suggestions and guides visitors to what is important to them as simply as possible. Including the right actions and functions reduces confusion and decision fatigue, creating a more functional and effective website!


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Case Interview Secrets
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|Author||: Taylor Warfield|
|Editor||: Createspace Independent Publishing Platform|
To land a management consulting job at any of the top firms, including McKinsey, Bain, BCG, Deloitte, Oliver Wyman, and Accenture, you must get through several rounds of case interviews. Whether your interview is in a few weeks or even tomorrow, this book is written to get you the maximum amount of knowledge in the least amount of time. Think of this book as taking the express lane towards beginning to master consulting case interviews. I cut out all of the filler material that some other consulting books have, and tell you everything that you need to know in a clear and direct way. With this shortcut guide, you will: Understand and become proficient at the nine different parts of a case interview, and know exactly what to say and do in each step Learn the only framework strategy that you need to memorize to craft unique and tailored frameworks for every possible case scenario Gain knowledge of basic business terms and principles so that you can develop an astute business intuition Acquire the skills to solve any market sizing or other quantitative problem Uncover how to differentiate yourself from the thousands of other candidates who are fighting to get the same job you are Practice your case interview skills with included practice cases and sample answers
|Author||: Marc Cosentino|
The Wall Street Journal calls Case in Point the MBA Bible! Cosentino demystifies the consulting case interview. He takes you inside a typical interview by exploring the various types of case questions and he shares with you the acclaimed Ivy Case System which will give you the confidence to answer even the most sophisticated cases.
|Author||: David Ohrvall|
|Editor||: Turtle Hare Media|
Crack the Case System is a complete training program, covering every aspect of the infamous "case interview" favored by top management consulting firms and a growing number of Fortune 500 companies. David Ohrvall's step-by-step approach combines practical instruction on structuring, analytics and communication, as well as insider tips and insights gained from training thousands of candidates. CTCS includes over 150 bonus videos on mbacase.com, 42 practice cases, homework and drills. About the author: David Ohrvall is the global expert on the topic of case interviews. A dynamic and sought-after speaker, he trains several thousand MBAs and undergraduates each year at premiere business schools around the world, including Wharton, Stanford, Harvard Business School, Chicago Booth, Duke's Fuqua School of Business, INSEAD, Oxford and Cambridge. David also has an extensive private coaching practice that has helped launch hundreds of candidates into consulting, venture capital, and a variety of industries. David is a former management consultant (Bain & Company), and a graduate of the Wharton School (MBA & undergrad). Learn more about David at www.mbacase.com.
|Author||: Jonathon Yarde,Max Serrano|
Top consulting firms like McKinsey, BCG, and Bain only hire about 1% of their job applicants. Becoming a management consultant is difficult, but it is possible if you use a proven approach at each stage of the process.Cracking Case Interviews is a comprehensive "one-stop shop" for landing a job in consulting. This book will help you: Write the perfect consulting resume and cover letter that gets multiple interview invitations from top consultancies Learn the 7 different parts of a case interview and exactly what you need to do in each step Master maths tips and tricks to solve market sizing and other case interview questions quickly and accurately Discover the most commonly used frameworks in consulting and how you can use them for inspiration, without over-relying on them Practice with 5 full-length sample cases that are based on McKinsey, BCG, and Bain case interviews Prepare answers to behavioural interview questions, like "Why consulting?", "Why McKinsey?", or "Tell me about a time you led a team." Max Serrano and Jonathon Yarde are former consultants and instructors at IGotAnOffer, the #1 website for case interview preparation, which has helped place over 2,000 applicants in consulting careers since 2015. This book translates the countless hours the authors have spent coaching undergraduates, MBAs, PhDs, MDs, JDs, and experienced hires on their consulting applications.
|Author||: Destin Whitehurst,Robinson Erin|
|Editor||: Tycho Press|
Game-changing tips and tricks to nail the case interview and launch your consulting career. Management consultants Destin Whitehurst and Erin Robinson give you need-to-know techniques for polishing your poise and tightening your case interview skills. 20 Days to Ace the Case Interview preps you with the nuts and bolts of the case interview process with daily exercises, mock interviews, and industry know-how designed to help you ace your interview. Think of this book as your twenty-day intensive, management consulting boot camp, the perfect supplement to your arsenal of case interview lessons and material. With this guidebook, you will: Gain day-by-day structure: Daily case interview exercises progressively prep you Ask the right questions: Fundamental frameworks teach you exactly what to ask under pressure Learn from the pros: Review real-life stories from consulting experts Uncover unique strategies: Discover custom-developed case interview tips straight from the authors Go off script: Adapt what you've learned with our bonus case interview guides
|Author||: Mark Asher,Eric Chung,Vault (Firm)|
|Editor||: Vault Reports Incorporated|
Professional career guide from the Vault Career Library providing detailed case-by-case explanations of the consulting interview and strategies for cracking it.
|Author||: Robert Mellon|
|Editor||: Independently Published|
The Case Interview Workbook contains 60 case questions for management consulting interviews, with complete solutions. Every case is compiled and edited by a team of ex-consultants from McKinsey & Company, the Boston Consulting Group, and Bain & Company. This book fills the gap left by others by providing you with plenty of high-quality cases to practice on before your interview. Many cases are from actual interviews at the top-tier firms and cannot be found elsewhere. After working through this book, you will be prepared for every type of case question you may encounter: market sizing, estimation, operations, industry analysis, pricing, growth strategy, marketing, investment, M&A, market entry, customer segmentation, profitability, valuation, logic, issue identification, cost analysis, market expansion, and brainteasers, to name a few. These cases will help you prepare for interviews at leading management consulting firms, including McKinsey & Company, The Boston Consulting Group, Bain & Company, Oliver Wyman, Strategy& (formerly Booz & Company), A.T. Kearney, Roland Berger, and L.E.K, as well as for consulting roles at large firms such as Accenture, Deloitte, PwC, EY, and KPMG. Note that is a workbook, designed to complement other preparation books. You will have a hard time solving these cases without learning first elsewhere how to do so, e.g. which frameworks to use, how to use them, and how to structure a solution.
|Author||: Taylor Warfield|
In "The Ultimate Case Interview Workbook," you'll sharpen your case interview skills to dominate your upcoming interview and land your dream consulting job. Taylor Warfield, a former Bain management consultant and interviewer, provides essential practice problems and challenging cases to develop the skills needed to get multiple job offers. Use this workbook to access: 65+ problems tailored towards each type of question in case interviews Feel confident across a range of interview questions including framework questions, market sizing problems, profitability assessments, breakeven analysis, charts & graphs analysis, brainstorming questions, and other qualitative questions 15 full-length cases based on McKinsey, BCG, and Bain interviews Build business acumen across a variety of industries (e.g., technology, retail, healthcare, energy, finance, non-profit) and functions (e.g., strategy, operations) Efficient practice that can be done individually or with a partner Save yourself time by working through carefully crafted practice problems and cases that teach you a new concept, strategy, or takeaway each time Warfield's former students include undergraduates, MBAs, advanced degree holders, and experienced hires. They have landed job offers at top consulting firms, including McKinsey, BCG, Bain, Deloitte, L.E.K., Oliver Wyman, and Accenture as well as at Fortune 500 strategy groups. "I felt really confident after my McKinsey interview - this book's cases prepared me perfectly! They were very similar to the ones I received in my first and final round interviews." -McKinsey Consultant, Wharton MBA Candidate "I had very little time before my next BCG interview. This book provided me with plenty of practice that I could do by myself. After working through these cases, I felt excited going into my interviews." -BCG Associate, Experienced Hire "These cases were much higher quality than those found in other case books. The explanations were detailed and thorough and I got to practice thinking like a true consultant." -Bain Consultant, Stanford Undergraduate Also visit HackingTheCaseInterview.com for a one-week online crash course to pass your upcoming interview.
|Author||: James Surowiecki|
In this fascinating book, New Yorker business columnist James Surowiecki explores a deceptively simple idea: Large groups of people are smarter than an elite few, no matter how brilliant—better at solving problems, fostering innovation, coming to wise decisions, even predicting the future. With boundless erudition and in delightfully clear prose, Surowiecki ranges across fields as diverse as popular culture, psychology, ant biology, behavioral economics, artificial intelligence, military history, and politics to show how this simple idea offers important lessons for how we live our lives, select our leaders, run our companies, and think about our world.
|Author||: David Priess|
Every president has had a unique and complicated relationship with the intelligence community. While some have been coolly distant, even adversarial, others have found their intelligence agencies to be among the most valuable instruments of policy and power. Since John F. Kennedy's presidency, this relationship has been distilled into a personalized daily report: a short summary of what the intelligence apparatus considers the most crucial information for the president to know that day about global threats and opportunities. This top–secret document is known as the President's Daily Brief, or, within national security circles, simply “the Book.” Presidents have spent anywhere from a few moments (Richard Nixon) to a healthy part of their day (George W. Bush) consumed by its contents; some (Bill Clinton and George H. W. Bush) consider it far and away the most important document they saw on a regular basis while commander in chief. The details of most PDBs are highly classified, and will remain so for many years. But the process by which the intelligence community develops and presents the Book is a fascinating look into the operation of power at the highest levels. David Priess, a former intelligence officer and daily briefer, has interviewed every living president and vice president as well as more than one hundred others intimately involved with the production and delivery of the president's book of secrets. He offers an unprecedented window into the decision making of every president from Kennedy to Obama, with many character–rich stories revealed here for the first time.
|Author||: Marc Cosentino,Mukund Jain|
|Editor||: Createspace Independent Publishing Platform|
The use of complex graphs in case interviews has exploded. You have a very short time to look at the graph, analyze it, extract what s important and apply it to your answer. This book was designed to help you understand the role of graphs in consulting (both during an interview and on the job). The authors introduce the Ivy Graph Framework, which will allow you to analyze 11 of the most popular graphs quickly, completely, and with great confidence. In addition the book provides ten sophisticated cases with numerous graphs per case and allows you to see how these cases unfold. There is nothing else out there like it!
|Author||: Jay Anson|
|Editor||: Gallery Books|
“A fascinating and frightening book” (Los Angeles Times)—the bestselling true story about a house possessed by evil spirits, haunted by psychic phenomena almost too terrible to describe. In December 1975, the Lutz family moved into their new home on suburban Long Island. George and Kathleen Lutz knew that, one year earlier, Ronald DeFeo had murdered his parents, brothers, and sisters in the house, but the property—complete with boathouse and swimming pool—and the price had been too good to pass up. Twenty-eight days later, the entire Lutz family fled in terror. This is the spellbinding, shocking true story that gripped the nation about an American dream that turned into a nightmare beyond imagining—“this book will scare the hell out of you” (Kansas City Star).
|Author||: Lewis Lin|
Case Interview Questions for Tech Companies provides 155 practice questions and answers to conquer case interviews for the following tech roles: Marketing Operations Finance Strategy Analytics Business Development Supplier or Vendor Management ...and Product Management -- QUESTIONS COVERED IN THE BOOK Here are some of the questions covered in the book: Marketing Create a marketing campaign for Microsoft Office 365. Write a media statement to respond to Uber mischaracterizations voiced in a taxi leader's newspaper op-ed. Operations Describe how Apple's supply chain works. What challenges does Apple face on a day-to-day basis? What's the bottleneck for an Amazon Robot Picker? And what is the capacity of the assembly line, in units per hour? During the holiday season, Amazon customers shipped 200 orders per second. Amazon's data science team discovered that the average number of orders waiting to be shipped was 20,650. How long did the average Amazon order wait to be shipped? Finance What should Apple consider before implementing a shop-in-shop store inside Best Buy? If you projected a $500M expense and the variance came in at $1M, what are some of the explanations for why that is happening? Be prepared to give more than three scenarios. Business Development A car dealer partner wants to stop doing business with Uber. What should you do? How would you identify university faculty to source content for an online university? Strategy If you could open a Google store anywhere, where would it be and why? Give your analysis of several recent acquisitions that Google has made. Analytics What top metrics would you track for the Tinder online dating app? If 1,000 people opened the Uber app during one hour, how many cars do you need? Product Management Let's say we wanted to implement an Amazon Mayday-like feature in Gmail. How would that work? How would you any Microsoft product to a restaurant? AUTHOR BIO Lewis C. Lin, former Google and Microsoft executive, has trained thousands of candidates to get ready for tech interviews, using his proven interview techniques. Lewis' students have received offers from the most coveted firms including Google, Facebook, Uber, Amazon, Microsoft, IBM, Dell and HP. Lewis has a bachelor's in computer science from Stanford University and an MBA from Northwestern University's Kellogg School of Management. He's the author of several bestsellers including Interview Math, Rise Above the Noise as well as Decode and Conquer. HERE'S WHAT PEOPLE SAY ABOUT THE AUTHOR "Got the Amazon offer, with an initial package that was $100K more than what I currently make at [a top 5 tech company]. It's a dream job for the role of Principal Product Manager for a [special project]. - Q.K. "Just signed the offer for a Google product marketing manager role. Your tips helped me relax and concentrate, so the time went by quickly even though it was really a tough interview." - D.E. "I had my in-person interviews down at Facebook last week and got my offer letter the next day! You were definitely a huge help in preparing for the interviews." - L.S.
|Author||: Lewis C. Lin|
Former Google Interviewer Reveals How to Get Multiple Job Offers Have an upcoming product manager interview? Perhaps for Google, Facebook, Amazon, or Uber? If so, find out secrets to getting multiple job offers with the world's #1 author on product management interviews: Lewis C. Lin. Secrets of the Product Manager Interview shares what to expect in your product management interviews and how to prepare. Collecting 10+ years of questions from his readers, clients, and workshop attendees, the author answers and reveals his interview secrets in a single book. The Ideal Companion to Decode and Conquer as well as PM Interview Questions Many of you enjoyed reading about the PM interview frameworks revealed in Decode and Conquer, including the CIRCLES(TM), AARM(TM) and DIGS(TM) Methods. And others enjoyed Product Manager Interview Questions for the 160+ practice questions. Secrets of the Product Manager Interview takes a different approach. It's not focused on frameworks or practice questions. Instead, it's everything you need to know about product manager interviews. You'll get his secrets on: What to expect at the interview The best way to prepare How to get the first PM job How to interpret interviewer feedback And more...
|Author||: Iris Chang|
|Editor||: Basic Books|
The New York Times bestselling account of one of history's most brutal -- and forgotten -- massacres, when the Japanese army destroyed China's capital city on the eve of World War II In December 1937, one of the most horrific atrocities in the long annals of wartime barbarity occurred. The Japanese army swept into the ancient city of Nanking (what was then the capital of China), and within weeks, more than 300,000 Chinese civilians and soldiers were systematically raped, tortured, and murdered. In this seminal work, Iris Chang, whose own grandparents barely escaped the massacre, tells this history from three perspectives: that of the Japanese soldiers, that of the Chinese, and that of a group of Westerners who refused to abandon the city and created a safety zone, which saved almost 300,000 Chinese. Drawing on extensive interviews with survivors and documents brought to light for the first time, Iris Chang's classic book is the definitive history of this horrifying episode. "Chang vividly, methodically, records what happened, piecing together the abundant eyewitness reports into an undeniable tapestry of horror." - Adam Hochschild, Salon !--[if !supportAnnotations]-- !--[if !supportAnnotations]-- !--[endif]--

domain: library


Why Foxconn's Switch to Robots Hasn't Been Automatic
(Beijing) – In the face of rising labor costs in recent years, manufacturing companies at home and abroad have tried to find new ways to control spending and improve productivity.
At the same time, Foxconn International Holdings, the original equipment manufacturer for companies such as Apple Inc. and its iPhones and iPads, has been at the center of controversy over its labor practices since a spate of worker suicides at its facilities in 2010.
This prompted the company to give employees a raise. In June 2010, Foxconn said that starting from October 1, 2010 its entry-level workers' wages would be increased to 2,000 yuan per month from 1,200 yuan after a three-month probation.
It also spurred Foxconn to speed up its pursuit of automation. The company's president, Terry Guo, said in 2010 that it would produce 1 million Foxbots, a mechanical arm researched and developed by Foxconn to perform dull and dangerous jobs. The robots would be implemented from 2012 to 2015 to increase the rate of automation and productivity.
However, a poor financial showing in 2012 has become an obstacle realizing the plan. Foxconn's net loss in 2012 was US$ 316 million, the biggest loss it has suffered since listing in Hong Kong in 2005, the company's financial report shows.
Liu Kun, a spokesperson for Foxonn, said it would continue with automation. "Nowadays, young workers are picky about their workplaces, and it's become difficult for us to find workers."
Earlier this year at a workshop in Foxconn's Longhua factory in Shenzhen, hundreds of Foxbots were tested. This was the result of years of effort for Foxconn. Around 2006, Guo hired a batch of experts from the Massachusetts Institute of Technology to work full time on researching and developing robots.
Some 15 models of the Foxbot were completed in 2009. They were designed for tasks such as assembling, moving and polishing. In 2010, these robots were put into mass production in Foxconn's Jincheng plant in Shanxi Province.
In recent years, more and more Chinese manufacturing companies have accelerated their pace of automation. From 2008 to 2011, the rate of automation among these firms increased 210 percent, a recent report by International Federation of Robotics said.
No Easy Task
However, Foxconn has run into some difficulty in its automation efforts.
"Obviously, Terry Guo overestimated the pace of using Foxbots to replace workers," a Foxconn equipment supplier who declined to be named said.
So far, some 20,000 Foxbots have been produced by Foxconn, a source close to the company said, but half of them are still in the warehouse.
The reason Foxconn researched and developed the robots on its own was to reduce costs. The company has said its core competitiveness for making the robots was that it had the material, parts and software.
But research and development of robots requires huge capital and forced Foxconn to seek ways to control expenses.
Also, some department heads oppose using robots to replace workers because of the difficulties in redesigning production lines.
"The transformation from workers' manual labor to using the robots means the models of production will be changed and the changes are complicated," said Xu Fang, director of the Center Research Institute at high-tech company SIASUN Robot & Automation Co. Ltd.
At Foxconn, some jobs require workers to use their judgment. The tasks may appear simple, but robots cannot be used to perform them because they lack decision-making ability. This was another reason that some departments were opposed to using the Foxbot.
Replacing manpower with robots would also require a long period of development, Ge Huanqing, vice chairman of the Shenzhen Robotics Association, said.
Pushed by Clients
Some of Foxconn's clients have encouraged it to pursue automation.
The automation rate of production lines that make ink cartridges for Hewlett-Packard Co. printers is the highest at Foxconn's Longhua factory. This production line was designed and manufactured by HP and has been used by Foxconn since April 2011.
Only five to 10 workers are needed on each line, about one-tenth of the previous number, Foxconn documents shows. This workshop can produce 30 percent of HP's ink cartridge production for Asia.
Apple has also urged Foxconn to buy automation equipment, such as machines made by Fanuc Corp., a Japanese company that is one of the world's largest industrial robot and factory automation firms, a department head at Foxconn said.
"After all, Foxconn is a manufacturer for other companies' original equipment and its clients have already completed the product design," Yang Zhiqiang, editor in chief at automation website gkong.com, said. "So if a company wants to use robots to make products, at the beginning the company needs to consider the robot design in order to fit the production line."
- MOST POPULAR


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CLASS 3 MATH [ VOLUME 1 - 12 ] comes with an annual subscription [12 picture workbook kits]. First 10 volumes cover the entire math concepts for Class III. Each workbook kit has exercise objectives listed in the first page, followed by 30 to 40 exercises. Each exercise is accompanied by a clear example for the skill. There is an answer key at the end for each volume. The 11th volume is a recap workbook covering all the concepts. The 12th volume is an assessment workbook for all the concepts covered.
It is perfect for the children studying in CBSE and other curriculums in India (age 8 to 9) who just need extra math practice! These comprehensive picture workbook kits allow children to practice math concepts like FOUR DIGIT NUMBERS; COMPARING, SORTING, ORDERING AND CLASSIFYING; ADDITION OF 4 - DIGIT NUMBERS SUBTRACTION OF 4 DIGIT NUMBERS; MULTIPLICATION; DIVISION; FRACTION; SHAPES 2D AND 3D; PATTERNS AND GEOMETRY; MEASUREMENT; TIME AND CALENDAR; MONEYAND DATA HANDLING in detail which covers more than 330 math skills.
These workbook exercises boost confidence in problem-solving and critical-thinking skills.


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Your puppy is a wonderful part of your family, and you love that she has come into your life. However, you know there is still some room for improvement in your interactions, particularly when it comes to biting.
Your puppy will likely nip at you from time to time. This is a natural behavior, and is based on how she interacts with other dogs. They routinely bite at one another during play, so your pet will need to learn that it isn’t acceptable with humans. She will also bite to learn more about something as it allows her to use additional senses during exploration. Try to give her some space when she bites. This will teach her that this behavior doesn’t give her the attention she craves. Your local Thorold, ON veterinarian can help you care for your pet. Visit website http://niagarafallsanimalhospital.com/ to learn more.

domain: pet


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Huasaiboman Medical Cell Biology is a biotechnology company based in Qingdao Shi, Shandong, China. The company is dedicated to providing new cell therapy technologies and solutions to help improve the treatment of solid tumors and degenerative diseases. With a focus on clinical research, Huasaiboman Medical Cell Biology aims to develop immune cell drug products for the treatment of solid tumors and stem cell therapy products for the treatment of degenerative diseases.
Huasaiboman Medical Cell Biology is committed to the cutting-edge technology of tumor immunotherapy. The company focuses on the development of tumor infiltrating lymphocyte (TIL) drugs for solid tumors. TIL is a type of immune cell that has the potential to recognize and kill cancer cells. By isolating and expanding TILs from a patient’s tumor, Huasaiboman Medical Cell Biology aims to create personalized cell therapy products that can target and destroy cancer cells.
Collaboration with Hospitals
To further its research and development efforts, Huasaiboman Medical Cell Biology collaborates with many hospitals to establish a solid tumor and clinical transformation research institute. This partnership allows the company to conduct clinical trials and develop new treatments that can benefit patients suffering from solid tumors. The research institute also helps to advance the field of cell therapy by exploring new avenues of treatment and developing innovative solutions.
Hope for Patients
Huasaiboman Medical Cell Biology is dedicated to bringing hope to patients suffering from solid tumors and degenerative diseases. The company’s mission is to develop new cell therapy technologies and solutions that can improve the quality of life for these patients. With a team of dedicated scientists and clinicians, Huasaiboman Medical Cell Biology is working tirelessly to advance the field of cell therapy and create innovative treatments that can make a difference in people’s lives.
Huasaiboman Medical Cell Biology is a biotechnology company focused on developing new cell therapy technologies and solutions. With a commitment to cutting-edge technology, collaboration with hospitals, and a dedication to improving the lives of patients, the company is poised to make a significant impact in the field of cell therapy. We look forward to seeing what Huasaiboman Medical Cell Biology will achieve in the years to come.

domain: medical


A Victorian truck driver has been hit with a $50,000 fine and ordered to pay $95,000 for the clean-up after he drove away from the site of a sulphuric acid spill in Geelong.
Environment Protection Authority Victoria (EPA) prosecuted Charles Johnson over the spill of more than 1,000 litres of sulphuric acid into a drain.
It was heard in the Melbourne Magistrates’ Court that Mr Johnson had pulled over to correct an issue with his windscreen wipers and taken a short break, before continuing to drive, without noticing the load of acid in the vehicle was steadily leaking.
A passing motorist flagged him down a short way into his resumed journey, leading Mr Johnson to close the seals on the tanker to prevent more leaking. He did not return to the site where the spill had flowed into a drain, nor did he report the incident or take any action to contain the liquid.
Mr Johnson had more than 20 years experience as a driver transporting dangerous goods and had extensive training to deal with spills. He pleaded guilty to charges under the Environment Protection Act 1970, of causing or permitting an environmental hazard; dumping, discarding or abandoning industrial waste; leaving waste in a position where it could gain access to water, and pollution of land.
In addition to the fine, Mr Johnson was required to pay $94,855 in compensation to the Greater Geelong City Council for clean up expenses and an additional $3,400 in costs.
Following sentencing, EPA South West Regional Manager Carolyn Francis
explained that there had been a considerable effort made in responding to the spill and investigating the incident.
“The City of Greater Geelong was quick to respond, containing the spill and removing the acid for safe disposal,” Ms Francis said.
“Sitting in a roadside drain, the sulphuric acid was a hazard to the community and would have been washed straight into the Bay by the next rain, which could have caused significant environmental damage,” she said.
The EPA officers investigating the spill also faced a challenging task.
“Our Environment Protection Officers were presented with a hazardous substance that was clearly from an industrial source, but no signs as to how it came to be there, soaking into the soil in a roadside drain,” Ms Francis said.
“They found witnesses, traced the origin of the acid, and tracked down the person responsible, then undertook the detailed legal process of preparing for a prosecution in court,” she said.
“The end result is that the duty holder has been held to account, the Council is to be repaid for its thorough clean up of a hazardous chemical, and a clear message has been sent that pollution must be taken seriously.”
“EPA will not hesitate to investigate and prosecute to protect the community and the environment,” Ms Francis said.


Greenhouse and energy specialist CambridgeHOK has appointed experienced chartered engineer Dr Ian MacKenzie to head up its expanding engineering and design division.
Having worked in design and engineering for numerous manufacturing businesses for more than 20 years, MacKenzie joins at a time when theEast Yorkshire-based energy and construction companyis investing heavily in expanding its in-house design expertise.
He will oversee work on structural engineering for the firm’s large-scale development projects, including new commercial glasshouses and vertical farms.
At CambridgeHOK MacKenzie will oversee the planning forheating, ventilation, air conditioning (HVAC) and CO2 systems to ensure facilities perform at the optimum levels of productivity and efficiency for clients.
“I’m excited to be joining CambridgeHOK as I have been highly impressed with the quality of projects the business is involved in and is leading on at present. In particular, I’m impressed with how it has been pushing the boundaries and innovating in the food and fruit growing sector,” he said.
“It really has been leading the way in terms of developing highly efficient and productive growing facilities and it is exciting to be joining a company where I feel I can use my experience to add value to the design and engineering process, bringing benefits not only to its customers, but also importantly the business itself.
“My role will see me working to ensure we continually develop our design and engineering expertise through innovation.”
Dr MacKenzie has worked in organisations supplying a diverse range of industries throughout his career including telecommunications, oil and gas, power distribution, rail and construction.
John Holland, managing director of CambridgeHOK, said that experience will help bring fresh ideas to the company.
“We’re delighted to have been able to recruit someone of Ian’s ability, experience and reputation for engineering excellence across the manufacturing sector,” he said.
“World-class engineering and design is at the heart of all we do and it is always the first stage of any successful development.
“It is our continued investment into this area of our work which has helped us develop leading knowledge, expertise and systems within our industry and Ian’s appointment, along with the recruitment of a further two new members of the team, is all about enhancing that further.
“We have had an excellent year with some really significant contracts in 2020. We will look to build on that in the coming 12 months.”


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Brian Proffitt notes something on Linux Today that won't please many in Raleigh or Redmond, but which is arguably true: Linux is Linux is Linux. There really isn't much inherent in a base Linux distribution to distinguish it from its neighbors.I think the distributions are becoming so similar in their construction, and the differences between them so subtle, the whole notion of distribution superiority is completely moot.
Ian Murdock, founder of Debian, has been saying the same thing for years.
Lately, Microsoft and Novell have tried to suggest that Suse Linux is very different from Red Hat (in terms of interoperability with Microsoft), while Oracle has been saying the exact inverse for its Unbreakable Linux (100 percent compatible with Red Hat Enterprise Linux).
They're both right. It's just a question of degree.… Read more

domain: news


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Keynote Speakers and Chairs
2019 Speakers and Chairs
Sofie Formica joins the Global Eco team
Sofie Formica will chair the single plenary sessions of Global Eco Asia-Pacific in Cairns, Queensland this year. With 30 years of high profile broadcast media experience in Australia and USA, Sofie Formica has earned a reputation as a passionate high-profile advocate for tourism in Australia. Hosting popular television shows along with public and industry events, she is one of the most experienced and trusted presenters in the tourism sector. Along with her loyal audience and social media following, she has extensive networks within the sector and provides a fresh and unique perspective to key industry stakeholders. Sofie is particularly passionate about the future of ecotourism and evolution of this critical sector of the tourism industry.
“Sofie was our MC at last year’s conference and brought a whole new dimension to the event. Her professionalism and knowledge of the tourism industry provides invaluable depth to the sessions she chairs” conference convenor Tony Charters AM said.
Molly Steer is an 11-year-old from Cairns in far north Queensland, Australia, who is making waves of exactly the right kind. After watching the documentary “A Plastic Ocean” in February 2017, Molly began a campaign to rid schools in her local community of all single-use plastic straws. In just a little more than a year, this inspiring environmental activist has over 600 schools around the world, totalling more than half a million students who are currently not using plastic straws at schools every day. In addition to this number, over 1000 individuals have taken the pledge, and 500 businesses. Molly is a natural public speaker, she spoke on local and national radio and gave an inspiring talk at her local TedX Cairns event. But even more inspiring than the reach of her campaign, is her no-nonsense approach to activism. Molly tells it like it is. Straws really do suck.


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The most curious hearts travel to far out places, discovering and being discovered. For those not afraid of uncharted territories.
Thread Tube, Acrylic, Resin Pearl
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Materials, like lovers, effortlessly bonding in intimate silence.
Chrome Tape, Industrial Caoutchouc
Delicate like a flower, powerful like a tornado. A very feminine design that is capable of great emotional amplitude.
Memory Wire, Beads
Foam, memory wire and a black bead work together to convey all the softness, mystery and charisma you normally keep inside. Show yourself without fear with this modern, yet charming design.
Foam, Memory Wire, Bead
A medal of merit for the fearless woman. Minimal, yet impactful, this design mirrors the qualities of those who make a difference in the world.
Industrial Caoutchouc, Plastic Net, Aluminum
A minimal design capable of expressing strong emotions in their purest form.
Rubber Tube, Polyester Net
Polyester Net, Wood Beads
From industrial materials can come the most ethereal peace. Compelling in its minimalism, this piece is proof that there is always calm to be found in the storm.
Industrial Caoutchouc, Aluminum
Confident and bold, this mesmerizing piece is not afraid to stand out.
Acrylic or Aluminum
Every lone wolf needs its moon. This handsome design celebrates independent souls.
Industrial Caoutchouc, Silver Bead
There is something magnetic about confidence. Equal parts charming and empowering, this piece is pure determination.
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domain: artistic


forced this high- country refreshment stand to close “due to the high cost of lemons.” Where did Denver Newspaper Agency state circulation manager Rick “Worm” Charbonneau find this sign of the times, and what’s the story behind it? Tell us via e-mail to ColoradoSunday@denverpost.com. Include a digital photo of yourself and remember to include your hometown in the message. Our favorite anecdotal answer wins a $50 gas card.
More in Lifestyle
"People are crazy about it."
You may have only three or four more weekends to hit the slopes.
Plus deals at Smashburger, a home and garden show, where to take the kids to see baby farm animals and a steal for those who are young at heart.
Meet and greet hundreds of species, like otters and octopuses, at Littleton's new interactive aquarium.


Dreamville stars J. Cole and Bas have teamed up for “an exclusive summer heater.” The track has yet to be released but can be heard at parties hosted by live music event experience and culture platform Everyday People.
“I gave my bro DJ Moma an exclusive summer heater me and J. Cole cooked up this week,” Bas tweeted. “Pull up on my Everyday People fam in a city near you to hear it. The song not out nowhere don’t look.”
Cole previously collaborated with Bas on 2016’s “Night,” 2018’s “Tribe” and 2021’s “The Jackie.”
He recently partnered with Lil Durk for the single “All My Life” — a joint effort the Chicago rapper says was two years in the making.
“It’s so crazy because we’d been talking for like, two years, and he’d always be like, ‘Send me a record.’ And I’m like, ‘I gotta find the right record,'” Durk said on The Nadeska Show. “I’m glad I waited two years. In my eyes, he a legend. If you have a chance to do a song with a legend, it be like, will you send them something just to send it, just to say you got one, or you gone make it stick. So that’s why I never just sent him a record. Cause I’m like, ‘I want something that’s gon’ stick.’”
Durk noted Cole “was the first person to pop in my head” when he “did the record.” “I believe in timing. Timing is everything,” he said. “All My Life” now sits at #13 on the Billboard 200.
Copyright © 2023, ABC Audio. All rights reserved.


ADA PRO Digit MICRO Digital Angle Meter
€44.64 €85.56 Save €40.92
ADA PRO Digit MICRO Digital Angle Meter is designed for accurate determination of the angular deflection from the horizontal or vertical surface. Being mounted onto the surface, it displays the angular deflection and its direction.
We re using Security Certificate GeoTrust OV with 256bit encryption.
Orders places before 14:00, working days, usually are shipped at the next working day.
You have the right to return your purchase within 14 days (terms may apply).
- Aluminum alloy enclosure (light weight and durable)
- Relative/absolute measurement interchange at any position
- With 3 built-in magnets on measuring surface
- Slope measurement in % and °
- Power-off automatically in 5 minutes
- Portable size, convenient to co-work with other measuring tools
- Measuring range: 4х90°
- Accuracy of measuring: ± 0,2°
- Display precision: 0,05°
- Auto power off: after 5 minutes
- Display memory available
- Power supply: 2 x AAA
- With 3 built-in magnets, with diameter 10 mm on measuring surface
- Working temperature: 0°C ~40°C
- Dimensions: 57х57х30.5 mm
- Packing dimensions: 93*82*40 mm
- Weight: 0.13 kg
- Digital angle meter
- Operating manual


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CV News/ Thursday, May 02, 2019
The latest Business Inflation Expectations Survey (BIES) of the Indian Institute of Management-Ahmedabad (IIM-A) has revealed that in March 2019, nearly 3/5ths of the firms in the sample reported that sales are ‘somewhat or much less than normal’, and the proportion of firms that reported ‘much less than normal’ sales has increased sharply to 38% in March 2019.
The BIES report further said that the proportion of firms in the sample reporting ‘normal or greater than normal’ profit margins has declined further to 33% in March 2019 from 38% in February 2019, the This is primarily due to sharp increase in the proportion of firms reporting ‘much less than normal’ profit in March 2019, it added. The results are based on the responses of over 1600 companies.
The survey report also said, “One year ahead business inflation expectation, as estimated from the mean of individual probability distribution of unit cost increase, has increased to 3.68% in March 2019 from 3.55% observed in February 2019”, adding, “Uncertainty of business inflation expectation in March 2019, as captured by the square root of the average variance of the individual probability distribution of unit cost increase, has remained elevated at 2.34% (same as observed in February 2019).”
Regarding cost perceptions, around 57% of the firms in March 2019 reported that increase in costs has been more than 3% (further up from 54% reported in February 2019). And the proportion of firms perceiving significant cost increase (more than 6%) in March 2019 has gone up sharply to 32% as compared to 27% in February 2019.


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From £32m to £269,000: Was huge fall in Robbie Williams’s income the real reason he rejoined Take That?
Low point: Robbie Williams saw a significant drop in his earnings in 2009
He is one of pop’s most successful solo stars and is worth an estimated £80 million.
But Robbie Williams may have had more than musical motives when he rejoined Take That in July.
New figures suggest that his earnings from recording and touring dipped significantly in 2009, even though he released a solo album, Reality Killed The Video Star, at the end of that year.
Income from his business, The In Good Company Co, which was set up in 2002 to handle his recording and tour revenues, fell from a high of £32 million in 2006 to just £269,566 in 2009.
The company’s cash reserves dropped from £1.6 million in 2008 to £800,000 and profits from £708,000 to £555,000.
Williams’ music publishing business, Farrell Music, recorded losses of £536,000, while another of his companies, Little Youth, posted a loss of £65,000. Only the firm Robbiewilliams.com recorded a healthy profit of £400,000.
But while the star may not be as popular as in his heyday, he is far from impoverished. Industry sources point out that the new figures do not include his earnings from other sources, including the sale of merchandise, and said the figures reflected the ups and downs of a pop star’s income between albums.
One said that the £80 million deal he signed with EMI Records in 2002, the biggest in British record history, was now at an end, so the accounts no longer included advances from the record company.
The source added that Mr Williams, 36, was now being pursued by ‘every major record company’ but has yet to sign a new deal.
Moreover, his reunion with Take That is expected to net him £15 million from the release of the band’s new album, Progress, and next summer’s tour, the first to feature all five band members for 16 years.
Reunited: Robbie with bandmates Gary Barlow, Howard Donald, Jason Orange and Mark Owen
In its first year, the In Good Company Co reported sales worth £34.9 million in what was a highly successful period for Williams.
The singer, whose solo hits include Angels, Let Me Entertain You and Rock DJ, enjoyed peaks in his earnings in 2004 and 2006 as he released and toured with his Greatest Hits and Rudebox albums.
When he signed his deal with EMI Mr Williams declared: ‘I’m rich beyond my wildest dreams.’
But the singer, who married American Ayda Field, 31, in August, later said: ‘Money is nothing to do with happiness. Sometimes I feel like cashing everything in and giving it all away.’
LOW POINT: Robbie Williams saw a significant drop in his earnings in 2009
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Lawmakers aimed to keep the cost of health care reform to $1 trillion over 10 years. To pay the price of insuring nearly 50 million uninsured Americans, the proposal would impose a 5.4 percent surtax on millionaires and smaller surtaxes on households making $350,000 or more. It would also cut back on Medicare and Medicaid payments to doctors and hospitals.
The bill will also include a key component for most Democratic lawmakers — a “public option” government-run insurance plan that would compete with private insurers.
President Obama praised the bill: “This proposal controls the skyrocketing cost of health care by rooting out waste and fraud and promoting quality and accountability,” he said, according to Reuters.
But Republican leaders denounced many aspects of the legislation.
“Democrats put the federal government in charge of your personal health care decisions,” said Rep. Dave Camp, the senior Republican on the House Ways and Means Committee, according to Reuters. “This will lead to longer wait times to see a doctor and more treatments being denied.”
House Speaker Nancy Pelosi has said she aims to pass the legislation before Congress’ August recess, despite the resistance of some of the more conservative members of her own party to elements of the legislation.
Meanwhile, health care reform work also continued in the Senate. The Health Committee continued with public markup meetings of its bill, and Finance Committee Chairman Max Baucus, D-Mont., scheduled a Tuesday afternoon meeting with key members of his committee, including Sens. Charles Grassley, R-Iowa, and Olympia Snowe, R-Maine.
President Obama returned from a week abroad Monday and met privately with Democratic leaders to emphasize his commitment to keeping to a quick timeline for action, despite a week that saw the timetable slip among wrangling over the best way to structure and pay for health reform.
“I just want to put everybody on notice because there was a lot of chatter during the week that I was gone,” he said after the meeting, according to the Washington Post. “Inaction is not an option.”

domain: finance


Phantogram – “Someday,” “Saturday”
Phantogram have released two songs as part of a benefit for suicide prevention. A new song, the melancholy “Someday,” and a cover of Sparklehorse’s “Saturday” are part of a single release, the proceeds fro which will go towards the American Foundation for Suicide Prevention. Phantogram member Sarah Barthel’s sister Becky died by suicide during the recording of the duo’s last album, Three. Listen to the two new songs below.


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Rorippa sylvestris (L.) Besser
Creeping Yellow Cress
CC = *
CW = -3
MOC = 25
Family - Brassicaceae
Habit - Rhizomatous perennial forb.
Stems - Ascending to erect, to 80 cm, rarely rooting at the lowermost nodes, glabrous or nearly so.
Herbaceous, erect, from rhizomes, glabrous, green or becoming purple in the strong sun, ribbed, to +/-35cm tall, branching.
Leaves - Leaves basal and alternate, 3.5-15.0 cm long, petiolate, the bases not clasping the stem, pinnately lobed or divided, with 5-13 lobes or divisions, these linear to oblong or irregularly obovate to ovate, the margins with several sharp teeth, glabrous.
Inflorescence - Terminal and axillary racemes. Pedicels to 4 mm in flower, expanding to 1 cm in fruit, glabrous. Inflorescence compact in flower, quickly elongating. Siliques to 1cm long, 1mm in diameter, cylindric but slightly compressed, glabrous, with a beak to 1mm long.
Flowers - Sepals 4, 2-4 mm long, yellow, erect to spreading. Petals 4, 4-6 mm long, distinct, spatulate, yellow, glabrous, rounded at the apex. Stamens 6, erect, 4 larger and 2 smaller. Filaments yellow, glabrous, to 3 mm long. Anthers yellow, 1 mm long. Styles 0.5-1.0 mm long, the stigma capitate and wider than the style. Ovary cylindric, green-yellow, glabrous, 2 mm long in flower, superior.
Fruits - Siliques 10-20 mm long, 1-2 mm wide, linear, often slightly arched upward. Seeds produced uncommonly, mostly 25-80 per fruit, in 2 rows in each locule, 0.6-0.7 mm long, oblong in outline, the surface faintly and finely bumpy, reddish brown.
Flowering - May - September.
Habitat - Bottomland forests, sloughs, crop field margins, pastures, ditches, railroads, roadsides, open moist disturbed areas.
Origin - Native to Europe.
Lookalikes - Other species of Rorippa.
Other info. - This little species can be found scattered locations in Missouri, mostly in counties bordering the big rivers. Its distribution in the U.S. is likewise scattered, and predominantly in the Northeast. The plant is recognized by its leaves which are pinnately divided with toothed leaflets, and yellow, mustard-patterned flowers. Differentiation from other members of the genus can be difficult, but in general this species has flowers with relatively large petals, and leaves with sharply toothed leaflets and bases which do not clasp the stem. The plant is found only in moist areas.
Photographs taken near Columbia, MO., 5-29-04 (DETenaglia); also at Riverfront Park, Washington, Franklin County, MO, 5-25-2012 and 5-13-2018 (SRTurner).


text:
Manage episode 332991617 series 3366751
Joe "GL JOE" Esquivel is a Director & Producer for major artists like Billie Eilish, Jack Harlow, Chance The Rapper, Jennifer Hudson, Fall Out Boy, The Cool Kids, Alicia Keys & many more.
New Episodes Every Wednesday!
If you like this video, please Like, Comment & Subscribe to support the movement :)
#blackmags #gljoe #musicvideo #directorbrazil
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text:
Addis Large Clear Mixing Bowl 4 Litre
Part of our new Addis Food Preparation range which includes funnels, mixing bowls and measuring jugs.
Perfect for use when baking and other household needs.
Payment & Security
Your payment information is processed securely. We do not store credit card details nor have access to your credit card information.

domain: food


text:
Sandy Abrams also offers Small Business Consulting Services.
Sandy’s husband Ron Abrams is an intellectual property attorney and is also available for consultation. Ron has worked as in-house counsel for Moisture Jamzz, Inc. since 1995. Prior to that, Ron practiced IP law (trademarks, copyrights & patents) with a firm. Ron is a member of both the California and Washington, DC Bars.
Having helped build Moisture Jamzz, Inc. from the ground up, Ron is uniquely aware of the many business issues facing the start up entrepreneur. He enjoys counseling on all aspects of the business start
up and beyond.

domain: law


text:
Remembering Battery B
Sue Stankey, Editor Bill Hinsch, Art Director
In Today’s cover story, Robert G. Morris, a local attorney, writes about Toledo men, including his father, Tom Morris, who went into World War I together as members of Battery B. [Read the complete article in Toledo Magazine, March 27, 1988, p. 22]
The Men Of Battery B: Toledo's Own Battery in World War I
By Robert G. Morris*
They were Toledo Boys. Some had attended the old Central High School on Michigan Street, some had gone to Scott and Waite. They knew the rich aromas of Tiedtke’s, the jerky black-and-white images on the silent-movie screen at the B.F. Keith Theater, and the majestic glide of the electric-powered trolleys on Monroe and Adams streets.
Many went to war cheerfully, even exuberantly, sharing the national delusion that they were going to save civilization and " end all wars." The civilization they returned to gave them the lawlessness of the Prohibition era and the joblessness of the Great Depression. Many of them saw their sons off to fight in World War II or Korea.
The first shots they fired in anger were a mixture of luck and farce. Their last shot made history. [Read the complete article in Toledo Magazine, March 27, 1988: p. 1]
*Robert G. Morris is a Toledo attorney and freelance writer. His father, Tom Morris, was a member of Battery B
Home by Easter, says Roy Whitney, Toledo
Undated (1918?) article clipped from the Toledo Blade

domain: history


text:
Lid wiper epitheliopathy
will increase the friction of the lens surface, and a poor tear film and/or meibomian gland disease will reduce the natural lubricity on the ocular surface and confound the frictional effects of the contact lens interaction with the eyelids.
LSCD has nonspecific symptoms including reduced visual acuity, photophobia, epiphora, blepharospasm, redness associated with chronic inflammation, and recurring attacks of pain due to epitheliopathy
Typical findings on ophthalmic examination include corneal epitheliopathy
, abnormal tear film and decreased tear production.
Existence of punctate epitheliopathy
(PE) was checked and scored.
The disease is characterized by infectious etiology and overlapping clinical features in an intermediary form of acute posterior multifocal placoid pigment epitheliopathy
and serpiginous choroiditis.
Patients with dry eye syndrome can show signs of punctate epitheliopathy
and even corneal abrasions.
How blink anomalies can contribute to post-lasik neurotrophic epitheliopathy
Additional infrequent complications include hypotony, sustained increase in IOP after injection with triamcinolone acetonide, angle closure, hemiretinal vein occlusion, retinal pigment epithelial tears, iritis/uveitis, optic disc atrophy, corneal epitheliopathy
, maculopathy, and anaphylactic reaction to the agent injected in the vitreous13-16.
Efficacy of cyclosporine A in the treatment of acute posterior multifocal placoid pigment epitheliopathy
Ophthalmologic consultation showed bilateral multiple diffuse corneal epithelial microcysts and mild superficial punctate epitheliopathy
Clinical reference cases are then presented, on vitreous and pathologies of the vitreoretinal interface, macular degeneration, diabetic retinopathy, vascular occlusion of the retina, retinal epitheliopathy
, cysticercosis, Vogt-Koyangi-Harada syndrome, and complex cases.
No other cause of such corneal injury could be found from the history or clinical examination, and it was thought to be due to corneal freezing with subsequent thawing of tissue leading to corneal epitheliopathy


text:
Some artworks of fictional video games created for Spike Jonze “Her” feature film.
Including talents like David O’Reilly, Kevin Dart, Nelson Boles, Emmanuelle Walker, Stephane Coedel …
Animation produced at Titmouse & Passion Pictures studios.
By now you’ve probably noticed that I am to say the least inspired by NBC’s Hannibal. I have been eagerly awaiting the new season starting this Friday. I wish I could meet all the amazing people who work on this show and tell them just how much I love it! I poured 52 hours into this illustration, 52! I don’t think Ive ever worked so long on an illustration before. This illustration is filled with things from different episodes of Hannibal so look close.
A few more of the things I designed for Left Behind, the cute Ellie UI elements from the photobooth and a gif of bunnies. Infinite bunnies high-fiving frogs.
i’ve been trying to explain this sketch to people for years
its never not a good time for this video
For Concepts Class: Illustrate a nonphysical word. The class had to try and guess it.
what a spectacular illustration
"They call themselves the Guardians of the Galaxy"


text:
By the time I got back home I Uploaded 8 pictures with all are in high clarity version. From multitudinous photo in Different types of window coverings pictures, you would probably have Blinds On Windows with decor. Nonetheless, if you don’t appropriate with aspiration, you might still take a look concept. Even so I advise you would probably use as an dream decor, although as well as has stunning decoration aspiration. Don’t disremember for share this Different types of window coverings pleated shades window treatment ideas be home blind for windows to close friend or your neighbors. So they are would probably get also to construct they Blinds On Windows. I am excited would probably share plus plus to you all. Maybe you might find which to date are you looking for.
Different Types Of Window Coverings different types of window coverings if you click on the enlarged picture you will get to a blog that has home window cover. different types of window coverings 10 different types of window shades to consider bedroom window blinds. different types of window coverings best types of window treatments ideas on for different styles house window shades. different types of window coverings pleated shades window treatment ideas be home blind for windows. different types of window coverings excellent blinds types of window treatments different types of house window shades. different types of window coverings 2017 the blinds and the beautiful different types of window blinds vertical blinds shades. different types of window coverings different types of window treatments attico concepts blinds on windows.
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|Image dimension||:||600 x 308 pixels|
|Image versions||:||S / M / L|

domain: design


Porsche macan gts specs
Features and specs for the 2018 Porsche Macan GTS including fuel economy, transmission, warranty, engine type, cylinders, drive train and more.There are high chances that we could see 2019 Porsche Macan on Auto Show in Paris in fall 2018, while the production should start at the beginning of 2019. The price of the last year model was around 50, 000 for the base model, so we expect that it should be the same with this model, with possible changes. porsche macan gts specs
AllNew 2019 Porsche Macan GTS Release Date Review 2019 Porsche Macan GTS Weight. With a curb weight over 4, 100 pounds, Redesign. After four years it is time for the first major facelift of the GTS version. 2019 Macan GTS Colors. The new 2019 Porsche Macan GTS will come in more colors.
On the front axle the Macan GTS uses 6piston fixed front calipers. The calipers are finished in red featuring a 360mm rotor. On the rear axle the Macan GTS get 330mm rotors. Porsche Ceramic Composite Brake (PCCB) As an option, you can have your Macan equipped with the trackproven Porsche Ceramic Composite Brake (PCCB). 2020 Porsche Macan Rumors, New Design, Specs, Price. The GTS and Turbo versions, the 2020 Porsche Macan will offer plenty of other features to make it more exciting. The GTS and Turbo versions, the 2020 Porsche Macan will offer plenty of other features to make it more exciting.porsche macan gts specs 2020 Porsche Macan GTS Interior Facelift A few days from the presentation of the facelift here is what we know about the 2020 Porsche Macan. The official presentation with the next commercial launch of the new edition of the Porsche Macan is imminent, a model that since its launch in 2014 has been delivered in more than 350, 000 specimens.