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NAIROBI, Kenya — The model of parish in East Africa is based on small Christian communities, but the church in Kenya actually has three virtual communities.
By going to smallchristiancommunities.org, a person can click on a link to access a virtual community.
Maryknoll Father Joseph Healey, who teaches a class on small Christian communities at three Kenyan universities, helped set up the virtual communities using a public Facebook page.
The communities meet together to pray, study Scripture and help others. Online communities are limited to six people.


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Tibial nerve dysfunction is a loss of movement or sensation in the foot from damage to the
Alternative Names
Neuropathy - posterior tibial nerve; Tarsal tunnel syndrome
Causes, incidence, and risk factors
Tibial nerve dysfunction is an unusual form of
A problem in function with a single nerve group, such as the tibial nerve, is called
- Direct trauma
- Pressure on the nerve for a long period of time
- Pressure on the nerve from nearby body structures
Entrapment createes pressure on the nerve where it passes through a narrow structure.
The damage may destroy the
The tibial nerve is often injured by pressure from a ligament on the inner part of the ankle. Injury or disease of structures near the knee may also damage the tibial nerve. The tibial nerve may also be affected by diseases that damage many nerves, such as
In some cases, no cause can be found.
- Sensation changes in the bottom of the foot and toes, including burning sensation,
numbness, tingling, or other abnormal sensation, or pain
- Weakness of foot muscles
- Weakness of the toes or ankle
Signs and tests
An examination of the legs will be done to diagnose tibial nerve dysfunction. The health care provider will also take a medical history.
Signs include:
- Inability to curl the toes, push the foot down, or twist the ankle inward
- Weakness
In severe cases, the foot muscles may become very weak and the foot may be deformed.
Tests for tibial nerve dysfunction may include:
EMG(a recording of electrical activity in muscles) Nerve biopsy Nerve conduction tests(recording of electrical activity along the nerve)
Other tests that may be orderedinclude blood tests and imaging tests, such as
Treatment is aimed at restoring feeling and strength to the foot and toes. In some cases, no treatment is needed, and patients will recover on their own. Severe loss of sensation may lead to toe or foot sores (ulcers) and infections.
Surgery to enlarge the tarsal tunnel or transfer the nervehelps reduce pressure on the tibial nerve and may benefit some people.
Physical therapy exercises may help some people maintain muscle strength.
Job counseling, therapy, changes, or retraining may be recommended.
Expectations (prognosis)
If the cause of the tibial nerve dysfunction can be found and successfully treated, patients can recover fully. Some people may have a partial or complete
- Deformity of the foot (mild to severe)
- Movement loss in the toes (partial or complete)
- Repeated or unnoticed injury to the leg
- Sensation loss in the toes or foot (partial or complete)
Calling your health care provider
Call for an appointment with your health care provider if symptoms of tibial nerve dysfunction are present. Early diagnosis and treatment increases the likelihood that symptoms can be controlled.
Prevention is variable depending on the cause of the nerve damage.
Katitji B, Koontz D. Disorders of the peripheral nerves. In: Daroff RB, Fenichel GM, Jankovic J, Mazziotta JC. Bradley's Neurology in Clinical Practice. 6th ed. Philadelphia, PA:Elsevier Saunders; 2012:chap 76.
Shy ME. Peripheral neuropathies. In: Goldman L, Schafer AI, eds. Goldmans Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 428.
Review Date:
Reviewed By:
Luc Jasmin, MD, PhD, Department of Neurosurgery, Cedars Sinai Medical Center, Los Angeles and Department of Anatomy, University of California, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.

subset: commoncrawl


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Trade turnover between Russia and the UK may reach $14 billion by the end of 2018, according to Boris Abramov, a Russian trade representative in the UK. Businesses are clearly shrugging off the singularly fraught relationship.
The Study.EU Country Ranking 2018 evaluated a total of 30 European countries based upon how attractive they are for international students.
Exxon Mobil Corp. said it's abandoning joint ventures with Russia's Rosneft PJSC after international sanctions against the nation's energy sector paralyzed a historic drilling project.
The special economic zone and preferences in Russia's Far East have warmed foreign investor interest in the region
he U.S. has made efforts to push the EU away from Russian gas
The reference trade show organized by JEC Group, is in full swing and the focus is on innovation
Russia's research system isn't up-to-date any more
The recent InSpace Forum held in Moscow demonstrated progress…
A special group has been constituted within the Russia-India inter-governmental group to identify barriers to trade and investment between the two countries.
Old brewery will be transformed into super modern apartments elevated above the ground by Pritzker Prize winning firm.
Baselworld 2018: The Wear watch will be worn by refs at this summer's tournament


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CAMBRIDGE, Mass. – In a full weekend of competition, the No. 17 MIT coed sailing team captured fifth place at the Oberg Trophy while the No. 12 women's squad secured sixth place at the Stu Nelson Trophy. The Engineers also participated in the Hoyt Trophy where they finished 18th overall.
MIT secured fourth place out of 18 teams in the A and B Divisions of the Oberg Trophy. Seniors David Alfonso (San Juan, Puerto Rico) and Iris Xu (Madison, Wis.) along with junior Kayla Ngan (Sudbury, Mass.) entered the top five of the A Division on six occasions and had 16 top-10 performances in 18 rotations. The trio won the 13th and 16th races, was the runner-up in the 12th round, finished third in two outings, and captured fifth in the fifth rotation. Xu joined sophomores Joe Paggi (Bayville, N.J.) and Scarlett Koller (Geneva, Switzerland) in the B Division where they secured second place twice, ranked third in the 15th race, fourth in the 13th round, and generated fourth fifth-place performances. In the C Division, junior Chloe Lepert (Belmont, Calif.), sophomore David Larson (La Jolla, Calif.), junior Samantha Albright (Madison, Conn.), and freshman Jordan Ladd (St. Thomas, U.S. Virgin Islands) collaborated for an eighth-place finish. The Engineers finished atop the standings in the 11th, 13th, and 17th races, placed third in the second rotation, and secured the fifth spot in two outings.
Lepert and sophomores Robyn Lesh (Everson, Wash.) and Lisa Sukharev-Chuyan (Temple, N.H.) claimed fifth place out of 18 teams in the A Division of the Stu Nelson Trophy by entering the top five in five of 10 rounds. The unit won the third race, was the runner-up in two outings, finished fourth in the finale, and captured fifth place in the fourth rotation. In the B Division, senior Hanna Vincent (Santa Barbara, Calif.) and sophomore Elizabeth Zhang (Lexington, Mass.) capitalized on seven top-10 placements to rank ninth overall. They secured the fourth, eighth, and ninth spots on two occasions while finishing sixth in the ninth round.
At the Hoyt Trophy, freshmen Alec Stewart (Duxbury, Mass.) and Paige Omura (Honolulu, Hawaii) teamed up with Albright to finish 14th out of 18 teams in the B Division. The trio earned victories in the seventh and eighth rounds, was the runner-up in the second race, and placed fifth in the ninth rotation. In the A Division, sophomores Christopher Ford (Millbrae, Calif.) and Jeremy Kalas (Huntington, N.Y.) collaborated with Albright for an 18th-place finish. Highlights for the contingent included a seventh-place performance in the 11th race, three finishes at 14th, and a ranking of 15th in the eighth round.
Next up for MIT will be the Schell Trophy and the Victorian Coffee Urn which will be held at MIT and Harvard, respectively, on November 2-3.


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Innovation Campus developers announce $80 million in building plansBolstered by a $25 million investment by the state, the Nebraska Innovation Campus Development Corp. Board of Directors has announced that the first phase of development at Innovation Campus will include four new or renovated buildings representing about $80 million in public and private investments.
Included in Phase I are:
- A nearly 170,000-square-foot central commons building that nearly doubles the size of the original 4-H Building. State funds of $10 million will renovate the building's east half, while the Woodbury Corp., managing partner of investors Nebraska Nova LLC, will renovate the west half. Woodbury also will build a companion building next to the 4-H Building that will add about 100,000 square feet to the existing structure.
- A $30 million research facility focused on some of the University of Nebraska's greatest research strengths: food, fuel and water. The facility will be built with $15 million provided by the state and matched by private philanthropy.
- When the university successfully raises that $15 million match, Woodbury has announced that it will in turn build an equal-sized life sciences building.
"The state investment is doing what it was intended," Perlman said. "It is jump-starting Innovation Campus and leveraging state funds to produce private-sector investments. We are off to a good start because the Governor and the Legislature had confidence in this vision for Nebraska's future."
Renovation of the 4-H Building and construction of the companion facility are scheduled to be completed by April 2013. When completed, the facilities will serve as an anchor at Innovation Campus – a central commons space housing university research, incubator businesses, translational research, convenience or retail shops, tenant offices, or laboratories. New schematic drawings and preliminary artist's renderings for the plan for the 4-H renovation and companion building were unveiled publicly at a June "innovation celebration," which was attended by university leadership, Gov. Dave Heineman, Lincoln Mayor Chris Beutler, a number of state senators, many local business leaders and other dignitaries.
"From the very beginning, the ambitious plans for Innovation Campus have required a partnership, and that is clearly evident today," NU President James B. Milliken said. "The commitment of the Governor and Legislature to the success of Innovation Campus – especially in difficult times – provides the impetus for initial development that will occur more quickly and be more ambitious than otherwise possible."
Gov. Heineman said, "This is one of the most ambitious and most significant projects on the horizon for Nebraska. We want to grow and attract new, technology-focused companies to our state. Innovation Campus represents an important opportunity for the University of Nebraska to leverage its research talent to fuel new economic growth. Accelerating the development of Innovation Campus is a critical part of our vision for Nebraska's future."
The Governor's initial biennial budget recommendation for Nebraska focused on education and jobs, and included a $25 million investment in Innovation Campus. This investment was included in the Legislature's 2011-13 budget, which was approved May 26.
"Because of the leadership and cooperation of the Governor and the Legislature and the university, we are able today to move forward more quickly and to develop more space than we first thought possible," said Zach Wiegert, manager of Nebraska Nova LLC.
The university announced in February that the Nebraska Innovation Campus Development Corp. had signed an agreement with Nebraska Nova to carry out the first phase of development of Innovation Campus. According to the agreement, Nebraska Nova will initially develop infrastructure such as roads and sewers, laying the groundwork for new and renovated facilities such as those just announced.
Site work and infrastructure development are slated for completion in 2012.
Innovation Campus is planned as a public-private sustainable research campus that will capitalize on the university's rapidly growing research enterprise and expertise of its faculty to strengthen the economic future of NU and Nebraska. Located on 232 acres north of City Campus at the former site of the Nebraska State Fair, Innovation Campus has been in the planning and predevelopment stages since the university acquired the property on Jan. 1, 2010.
University consultants have estimated Innovation Campus could add $267 million to the state's annual payroll, including $118 million in indirect payroll from new spinoff jobs. Innovation Campus will be developed in phases over a period of about 25 years.
For more information about Innovation Campus, visit innovate.unl.edu.


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