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Auto Suspension
Suspension Shop in Rohnert Park, CA
Your car or truck's suspension system is an intricate network of parts designed to give you a smooth, stable ride. Since the suspension is where most road abuse occurs, the parts can wear out and sometimes break. So if your vehicle doesn't seem to ride like it used to, a suspension problem may be the issue.
At Your Service
It may seem daunting to try to diagnose suspension problems on your own. But that's why we're here. At Acur-It Auto Repair , our technicians are familiar with the suspension systems of a wide variety of vehicle makes and models. We offer auto suspension repairs designed to get your vehicle back out on the road as quickly as possible.
With convenient appointment scheduling and reasonable rates, Acur-It Auto Repair is the place to go when you need auto suspension work. Call or visit us today for more information or to have your vehicle serviced.
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You won't find a better shop!
Every time I come to the shop they are amazing. The thing I love the most is that you can always count on a job well done, honesty, and taking the time to really explain things. Mitch and other employees have explained things to me three different ways sometime just so I understand what they are doing or why they think it is important to do. Save yourself time and anxiety. Just go here! You will NOT be disappointed in the least!
Acur-it does more than just Japanese autos
After my sister recommended this service shop, I tried them with my 1983 Toyota Land Cruiser. It is my sentimental favorite, so I usually do my own work. They did all the work I asked for and even repainted my rear brake drum while it was off. The extra care sold me on this place. When my GMC Safari Van started having intermittant problems stumbling and stopping with my daughter driving I had a couple other shops take a shot resolving it and spent a couple thousand dollars in the process, but it didn't get fixed. I brought it to Accur-it and they found the bad wiring harness issue and repaired it for a few hours labor. Great diagnostic find and a fair price! That is why I come back, but I have to also mention the great, friendly group of guys.
Reliable excellent servive
I am happy with my service every time! They work with me to make the best repairs for my budget and to keep me in a safe vehicle.
My Guardian Angels
My car experienced a sudden death in Rohnert Park and I was so fortunate that it happened to occur close to Acur-it. Fabulous customer service, including polite, clear, straightforward communication helped to make me feel comfortable and trust the service options which were presented to me. I had no other transportation at the time, so the comfortable seating and hot coffee only helped me to feel like I had found a safe harbor in the midst of a crisis. Thank you, Acur-it!
Completely professional customer service and care
We took our recently purchased 2000 Honda Accord to get the brakes checked and replaced if necessary. It only needed an adjustment to the brake pedal. Everything was done quickly and competently. They even checked other things to makes sure the car was in good shape. They recommended new wiper blades for the autumn season. We will be back anytime the Accord needs something done mechanically. Thank you for your care and fabulous service. Rare in today's world.
Trustworthy, and reliable.
I have delt with Acur-it for a few years. It is like family. You can count on them to be honest and trust that they are telling the truth. That means a lot to me. I recommend them highly.
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Clarendon College online EECS degree
Think about what career is best suited for you, and where you want to study. Request more information now.
Think about what career is best suited for you, and where you want to study. Request more information now.
Think about what career is best suited for you, and where you want to study. Request more information now.
Find info concerning Clarendon College online EECS degree, and registering in a elective technical programs. Which college degrees give you the best chances of finding employment after graduation? As the entrance requirements for engineering programs vary, learn about the various specialization options available. Concentrating on Clarendon College online EECS degree, for example, you may gain an advantage in job recruiting on-campus. Check with the electrical engineering (EECS) department for course registration deadlines, and electrical engineering (eecs) degree program requirements. Please use the form above to request admissions info for Clarendon College.
Electrical engineers design and test new electrical equipment such as electric motors, communications systems, and power generators. Electronics engineering technicians, on the other hand, work in product evaluation and testing, using measuring and diagnostic equipment. They are also involved in the deployment of new equipment in factory automation. Electrical engineering (EECS) has several sub-disciplines, including power engineering, software development, and control engineering. Electrical engineers with an EECS bachelors degree earned an average salary of $95,230 in 2017, while engineering technicians with an associates degree earned $61,130 annually.
The field of electric power engineering deals with the generation, transmission, and distribution of electricity. These include transformers, electric generators, electric motors, high voltage engineering, and power electronics. Electrical power engineers maintain and develop the electric power grid, that connects a variety of electrical generators and step-down transformers, using high-voltage transmission lines. Digital signal processing relates to the analysis and manipulation of signals. Signals can be either analog, in which case the signal varies continuously, or digital, where the signal varies according to a series of discrete values. Control engineering applications range from flight systems of commercial airplanes to industrial automation. Beyond major requirements within the electrical engineering (EECS) department, you may consider Murray State College sustainable development as an adjunct to your primary course of study.
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How the Rodeo's Kidnapped Tourists got theirs A story by "arrest subjects" Luke and Erika Wooten
As Luke and Erika Wooten reflected in their Blog about their most recent "arrest" in Fortuna as a Kidnapped Tourist, they had quite a bit to say: "We were kidnapped for the Fortuna Rodeo!
Read more on The Humboldt Beacon
Celebrate National Ice Cream Month with new frozen treats
Breyersâ Fruit and Cream Sundae President Ronald Reagan proclaimed July as National Ice Cream Month in 1984, but even if you didn't know that, you probably didn't need a reason to indulge in ice cream. And as we near the…
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By Emma Amaize
WARRI — MILITANT leader, Government Ekpemupolo, alias Tompolo , who was declared wanted by the Joint Task Force (JTF) on the Niger-Delta, May 21, has contacted Ijaw leader, Chief Edwin Clark, from his hideout saying he was prepared to accept the Federal Government's amnesty offer.
He however pointed out that if it were a serious battle between him and the JTF, the security outfit would not win.
Chief Clark confirmed yesterday in his country home, Kiagbodo, Delta State, when the State Governor, Dr. Emmanuel Uduaghan, paid him a visit to enlist his support for the amnesty granted militants by the Federal Government that Tompolo sent him a note that he had always wanted peace and so was not opposed to the acceptance of amnesty.
He said Tompolo's objection was the manner the JTF went about the entire process.
Governor Uduaghan had earlier commended the Ijaw leader for the fatherly role he played during the crisis between the military and militants and disclosed that government had set up a refugee camp at Ogbe-Ijoh to cushion the hardship faced by the victims.
"We are doing everything humanly possible to ensure that the victims live in peace in their permanent abode. The JTF has also assured me that the victims will go back to their various homes in the next few daysâ€, the governor said.
Dr Uduaghan told Chief Clark that he decided to visit him so that he (Clark) could prevail on the youths to embrace peace and the Presidential amnesty, explaining that Mr. President meant well by granting the amnesty without prejudice.
"We have gone beyond the level of engagement process. We are dealing with issues of marginaliaation as well as maintenance of peace, increased business activities and securityâ€, said the governor, stressing that Delta has been enjoying peaceful atmosphere since the last two years.
Responding, Chief Clark who took a critical look at Federal Government's amnesty to militants said the gesture could only be realistic if the oppressed people were emancipated from the grip of marginalisation, pandemic poverty and wanton killings and maiming of innocent persons.
He, however, lauded Mr. President for his efforts, but maintained that his people were waiting to know what he (Yar' Adua) has in stock for them.
"We applaud Mr. President's gesture and I have equally urged all our youths to embrace the amnesty but Yar' Adua should know that the Niger-Delta is the poorest and most underdeveloped oil producing part in the world, according to the United Nation's report of 2007.
"After amnesty has been granted, what is the next line of action? I am urging your Excellency to prevail on President Yar' Adua to pull out the military from Gbaramatu area so that the displaced victims can go back homeâ€, the elder statesman said, adding the President should take positive steps between July and December.
He also called on the President to implement the reports of the Niger-Delta Technical committee; headed by Mr. Ledum Mittee, saying, "Nobody should sit in Abuja and start accusing the elders of being the brains behind the militantsâ€.
We won't surrender now — Boyloaf, Tom, Dagogo
A senior commander of the Movement for Emancipation of the Niger-Delta (MEND), "General†Boyloaf, yesterday, gave an insight into why big-time militant leaders in the region, including himself, leader of the Niger Delta Vigilante Movement, Ateke Tom, "Commander†Farah Dagogo and others have not given up their arms to the Federal Government under the amnesty deal.
He told Vanguard on phone, "We are still watching the Federal Government to know if it is sincere in the amnesty it recently proclaimed for militants. It is not that we are against amnesty, you know I was the first person to say that I will embrace amnesty but I told you (Vanguard), some weeks ago, that I would closely study the terms. Right now, we are still studying and monitoring to know whether the government is genuineâ€.
Boyloaf refuted a news report in one of the Lagos-based television stations, yesterday, claiming that he had rejected the amnesty, saying he never spoke to the media house.
"I want to tell you that it's a lie, I did not tell anybody that I will not accept amnesty, we only said that we are watching government to know whether it is sincere before we hand over our arms.
I did not speak to anybody from that television station and I wonder why they are fabricating an interview with me when I did not grant them any interview. If I want to speak, I only speak to Vanguard, BBC, CNN, Reuters. Not the station that is shouting my nameâ€, he said.
"For now, what I will tell you is that we are not in the position to surrender our arms.
We don't know why the Federal Government has not allowed the persons that were displaced from their homes in Gbaramatu Kingdom, Delta state by the Joint Task Force (JTF) to return home and why the Federal Government is not interested in rebuilding the homes that the JTF burnt downâ€, he said.
N-Delta leaders meet Saturday in Warri
Meantime, leaders of the Niger-Delta are expected to meet, on Saturday, in Warri, Delta State to brainstorm and proffer a way forward for the region after the proclamation of amnesty for militants in the region by President Yar'Adua.
Vanguard learnt, yesterday, that invitation messages to the meeting had been dispatched to the leaders expected at the meeting to be hosted by former Federal Minister of Information, Chief Edwin Clark.
Contacted, yesterday, Chief Clark confirmed that he was, indeed, the convener of the meeting and the idea was for the leaders of the region to chart a way forward.
It was gathered that between six to 10 representatives may come from each of nine states of the Niger-Delta, while the decisions reached would be communicated to the Federal Government for prompt action.


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Hot Rod Body and Chassis Builder's Guide by Dennis W. Parks
As with building any car, the chassis is the first step - get this wrong on a hot rod and the car won't handle well, and may possible even destroy itself. Next is the body, and this is what everyone sees and makes a hot rod a hot rod. Veteran builder and writer Dennis Parks walks the reader through the whole process, from finding and using existing panels to choosing New Old Stock panels from the aftermarket. Offering fool-proof advice and guidance for building the hot rod of your dreams, this is the one and only book to have. Integracar tries to give you a diverse selection of repair guides. Never the less maintenance manuals could well be developed for a variety of nations and the motor cars delivered for those countries. For this reason not all maintenance manuals may be right for your individual motor vehicle. If you have any important questions whether a particular repair manual is right for your car do not hesitate to make contact with us here
Hot Rod Body and Chassis Builder's Guide by Dennis W. Parks


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Suffolk County Community College library catalog
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Find info concerning Suffolk County Community College library catalog, and registering for elective seminars and discussion sections. As a student, your first stop should be the registrar's office, where you can pick up a free copy of both the academic calendar and course catalog, in order to find available credit classes that you may be interested in taking. Then get a copy of the schedule of classes, so you can plan a workable weekly schedule for yourself. Finally, check with your major department for assistance with prerequisites, tuition payment deadlines, and Suffolk County Community College major requirement information. Please use the form above to request admissions info for Suffolk County Community College.
Research demonstrates that college freshman taking a full courseload go on to complete their degrees at a much higher rate than those students who study part-time. When choosing a major, plan ahead and be sure that you are picking courses that will meet transfer requirements of other colleges and universities later on. Further, by choosing your major early, you may be able to take some required core classes in a community college, saving both time and tuition fees.
Look at all the schools in your state first, as in-state tuition may be lower for state residents. The course catalog will outline which classes are required for a particular major, and what minimum GPA you'll need to maintain your class standing. Please contact the academic advising staff at the school you are interested in applying to about their specific course registration guidelines. Beyond consideration for Suffolk County Community College library catalog, you may think about Santa Rosa Junior College MCAT test scores for complementary electives to your primary course of study.
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text: Nataliya Kosmyna is on a mission to make brain-computer interfaces (BCIs) useful tools for people with disabilities. A BCI works by translating electrophysiological brain signals into an output that reflects the user's intent or mental state. BCIs are used in a range of medical applications, most notably in helping people with severe motor disabilities. Kosmyna's innovative approach adapts BCI technology to different levels of a patient's motor ability; as capacity to complete certain tasks diminishes, Kosmyna's system will use more signals to increase sensitivity to different bodily signals. Her approach even contemplates the possibility to include a Sims-like simulator where patients can perform daily tasks and even communicate with one another. Kosmyna's system is in the functional prototype stage of development and will be distributed to seven industrial companies for testing.


text: Simple Tips And Advice Before You Take Out A Payday LoanDon't be frightened of pay day loans. Most people are intimidated by pay day loans on account of not being familiar with them. In order to discover more about online payday loans, continue reading. Usually understand that the funds which you use from your cash advance is going to be paid back specifically out of your income. You should policy for this. Unless you, if the stop of the spend time is available around, you will find that there is no need enough cash to cover your other charges. Study various cash advance organizations well before deciding on a single. There are various companies out there. Most of which may charge you severe monthly premiums, and costs compared to other options. In reality, some could possibly have short-term deals, that truly change lives inside the


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Recent PostsCreative shoot with Niko Gemini Modeling pictures of Tyra I went to Los Angeles Friday Night shoot Lots of shoots going on All about the bass player Fun with a drummer and some water Another band photos feature in The Pit Magazine! Wednesday 13 feature on The Pit Magazine Still rocking my creative projects.
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Studio time on Friday night
It is funny, all I seem to shoot here in Colorado is outdoor portraits but when I lived in Hollywood, California all I did was shoot in a studio. I had a chance to do some studio work again on Friday and it was a nice change of pace from all the outdoor shoots. Each have pros and cons and I do enjoy both.
Had a great time shooting a model and one local band. Below are two images of Tyra and I will have to show you the band ones another day as they have to make a line up change announcement before I get to post.
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Recognizing Signs of Exercise-Induced Asthma
All people with EIA should be able to exercise to their full ability with appropriate diagnosis and treatment.
- Do you ever cough, wheeze, or experience chest tightness when exercising?
- Do you feel extremely tired or short of breath when you exert yourself?
If so, you may be one of many people with exercise-induced asthma (EIA). Approximately 18 million Americans are reported to suffer from asthma, including one in every six Olympic athletes, and EIA affects 90% of all asthmatics.
For people suffering from asthma, strenuous physical exercise can bring about asthma symptoms. Many non-asthmatic patients, up to 40% of patients with allergic rhinitis, and often people who have a family history of allergies, can experience asthma associated with exercise.
People suffering from EIA, experience difficulty breathing within 5-20 minutes after exercise. Symptoms of EIA can include:
- Wheezing
- Chest tightness
- Coughing
- Chest pain
- Prolonged shortness of breath
These symptoms are caused by airways that are overly sensitive to sudden changes in temperature and humidity, especially when breathing colder, drier air. During strenuous activity, people tend to breath through their mouths, allowing the cold, dry air to reach the lower airways without passing through the warming, humidifying effect of the nose.
Recommended Activities
Certain activities are better for people with EIA, although the type and duration of these activities varies with each individual. Swimming has many positive factors for those with EIA. A warm, humid atmosphere, year-round availability, toning of upper body muscles, and the horizontal position can help mobilize mucus from the bottom of the lungs. Walking, leisure biking, hiking, and free downhill skiing are also less likely to trigger EIA. Wearing a scarf or surgical mask in cold weather can also decrease symptoms by warming the inhaled air. Sports that require short bursts of energy, such as baseball, football, wrestling, golfing, gymnastics, short-term track and field events or surfing are also less likely to trigger EIA. People with EIA should not stop exercising. Exercise is good for all people, including those with asthma. Talk with us about a personalized management plan for your EIA and begin exercising again. Many asthmatics have found that with proper training and medical treatment, they are able to reduce the symptoms of EIA.
EIA can be treated effectively by following this basic treatment checklist:
- Use a short-acting inhaler 15 minutes prior to exercise. This helps asthma exacerbations and lasts from 4-6 hours.
- Warm up for 6-10 minutes before beginning a full exercise program.
- Drink plenty of fluids.
- Stop exercising if symptoms arise.
- Cool down at the end of your exercise
Athletes of all levels need to remember to take proper precautions if they have exercise-induced asthma. Exercise is beneficial to both physical health and emotional well-being.
Date: 2/21/2006


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Pickens Technical College industrial design major degree requirements
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Think about what career is best suited for you, and where you want to study. Request more information now.
Think about what career is best suited for you, and where you want to study. Request more information now.
Get info about Pickens Technical College industrial design major degree requirements, and registering for elective degree programs. Which college degrees give you the best chances of finding employment after graduation? Qualifications for engineering jobs vary considerably. Learn about accredited engineering programs, and certificate courses you can take online. Concentrating on Pickens Technical College industrial design major degree requirements, for example, you may gain an advantage in job recruiting on-campus. Check with the architectural engineering department for course registration deadlines, and architectural design degree program requirements. Please use the form above to request admissions info for Pickens Technical College.
Architects spend much of their time in offices, where they develop plans, meet with prospective clients, and consult with engineers and other architects. They also visit construction sites to prepare initial drawings and review the progress of projects to ensure that clients are satisfied. About 1 in 5 architects were self-employed as of 2017, and the average salary for architects was $76,100 annually.
There are typically three main steps to becoming a licensed architect: completing a professional degree in architecture, gaining relevant experience through a paid internship, and passing the Architect Registration Examination. A typical bachelor's degree program includes courses in architectural history, building design using computer-aided design and drafting software (CADD), structural engineering, construction methods, and professional practices. The design studio is a central component of most architectural programs, where students apply the skills and concepts learned in the classroom to create drawings and three-dimensional models of their work. Beyond major requirements within the architectural engineering department, you may consider Francis Howell School District biomechanical engineering as an adjunct to your primary course of study.
Electrical Engineer (Aerospace)
Ledgent Technology & Engineering
Growing aerospace company is looking to add a qualified Electrical Engineer to their team. This is an opportunity to work with the latest technologies and build..
4 days ago Junior Cost/Schedule Engineer
WSP | Parsons Brinckerhoff
A degree in Engineering (i.e., Civil, Mechanical, Electrical), Business Administration / Finance or other related field is strongly preferred..
6 days ago Quality Engineer II
Johnson & Johnson Vision Care
The Quality Engineer plans, conducts and directs engineering. The Quality Engineer will utilize Quality Engineering tools and..
2 days ago Building Maintenance Engineer, HVAC
Operates, inspects, and maintains mechanical and electrical equipment for commercial HVAC systems in assigned facilities to achieve most efficient results..
4 days ago Electrical CAD Designer
Jefferson Lab
Work with Engineers to capture and produce designs thatorporate product requirements for either new or existing products.
5 days ago Senior Mechanical Engineer
Mentoring junior engineers in good product design practices. Medical device manufacturer seeking Senior Mechanical Engineer to be responsible for the design and..
2 days ago


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It is, essentially, fake beer for kids. And it is awesome. But not nearly as awesome as the commercial.
mmmkay431 - while it is true that alcohol and cigarettes are available from vending machines in Japan, you still need a special card that you have to apply to get, and scan it to make a purchase (so they can verify your age)...i was in japan 1 month ago..soo AWESOME!
we were on a budget at the time


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Kansas Ag News Headlines
USDA Invests $17.5M for Resilient Rural Towns, Sustainable Ag
Kansas Ag Connection - 05/17/2017
The U.S. Department of Agriculture's (USDA) National Institute of Food and Agriculture (NIFA) Tuesday announced 47 grants totaling nearly $17.5 million to improve sustainable agriculture and help rural communities thrive. The funding is made possible through NIFA's Agriculture and Food Research Initiative (AFRI) program, authorized by the 2014 Farm Bill.
"A number of factors are involved in achieving economic success in rural communities," said NIFA Director Sonny Ramaswamy. "These NIFA investments will help us understand the social and behavioral factors that inform decision-making in agriculture, which can help rural communities thrive."
The Agriculture and Food Research Initiative is America's flagship competitive grants program for foundational and translational research, education, and extension projects in the food and agricultural sciences. The AFRI program area of Agriculture Economics and Rural Communities (AERC) supports projects that improve agricultural sustainability, protect the environment, enhance quality of life for rural communities, and alleviate poverty.
In FY16, AFRI AERC supported projects in five program areas: economics, markets, and trade; environmental and natural resource economics; behavioral economics; small and medium-sized farms; and rural entrepreneurship.
FY16 AERC grants include Kansas State University, Manhattan, which will receive two -- one for $499,917 and the other for $49,716.
Among these FY16 projects, a University of Maine project will encourage youth employment and entrepreneurship activities to foster resilient rural communities. A University of Arizona project will address food waste through a sharing economy business model among farmers, retailers, restaurants, and consumers.
Past AERC projects include a Rutgers University workshop on policies to achieve a viable bioeconomy, which is the creation of food, feed, bio-based projects, and bioenergy from renewable biological resources. Michigan State University looked at ways to boost rural economic development by improving the transfer of university-developed technologies into commercial products, a process also known as technology transfer.
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Other Kansas Headlines
Prof: Tribes Still Have Legal Options to Half Dakota Pipeline
Mid America CropLife Elects 2017-18 Leaders
Kansas Air Tour to Highlight STEM careers
KDOT Requests Comments on State Freight and Rail Plans
Missouri Public Health Response to Bourbon Virus
Forestry Field Day to Feature Local Experts
$20M to Fund Research on Microorganisms in Plants, Water, Soil
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Editing raw video footage for psychology centre
Προϋπολογισμός $1500-3000 AUD
We are a Sydney-based, specialist clinical psychology practice looking to to take our Dialectical Behavioural Therapy (DBT) program online. We have filmed one of our therapists delivering the therapy, and have written information that we need to be integrated into these videos. We have created a rough edit of each video, but need someone who can take our raw materials and transform them into 16 professional, friendly and engaging videos. This would involve creating a simple opening graphic and audio clip to open every video, integrating the written information with our footage, and editing the footage so that it flows nicely. This would need to be done using Final Cut Pro, as this is the program we have used to create our rough edits. It is very important to us that these videos are interactive and engaging. We want to avoid anything corporate - these videos are for young people trying to manage emotional distress, and so we need them to be clear and calming. I have attached a brief with more detailed information.
29 freelancers κάνουν προσφορές με μέσο όρο $2184 γι' αυτή τη δουλειά
Hi! I'm Stanislav from Ukraine (UTC+3) I can help you with this project, but need little bit more details to build end price and timeframe. Please check my showreel: [url removed, login to view] And also my you Περισσότερα
Hello, I'm Gergely, award-winning video editor with over 10 years broadcast television experience producing film trailers and TV promos for HBO, SPT Networks and MGM. Review my works: [url removed, login to view] Περισσότερα
Hello! I'm work us a full time video editor and photoshop artist here on freelancer. I use Photoshop, Premiere and After Effects. I make advertising materials, special effects, keying and roto Here are some links for Περισσότερα
Hi there! Video production is my profession. I can provide you with a good quality results in a optimally short period of time. These are some of my latest works: [url removed, login to view] All of th Περισσότερα
Greetings! I am working in film industry for over 15 years thus met and earned experience in diverse fields. I run a video studio in Budapest with a large equipment arsenal including reflectors, backgrounds, green Περισσότερα
Hey, i'm very interested for this job and i'm ready to work on your project now, work with me and get amazing results. Thanks. Portfolio: www mnv3D com
Hi Sir, I have read your project description carefully, and I think our company is best for you project, Before further discussion please have a look at our previous projects in giving below link: [url removed, login to view] Περισσότερα
Hi, I read your project description. Am interested to work for this project. I will perform best for it with my skills. Am expert in video editing, video services, production, scripting , 2D, 3D modeling .etc I use po Περισσότερα
Hello, I guess that the TV program format could suit your needings. I have read your briefing and your attached document. I can edit your raw footage basing it on your preliminary assembly. And I can design the mot Περισσότερα
Hello, my bid for start discussing your project. Our showreel [url removed, login to view] We are studio with 10 people. so we can do it fast and professionally Thank you for your trust and we are ready to ans Περισσότερα
Hello, my name is Matthew, internationally trained media professional with passion for every project. When I take on a project, it becomes just as important to me as it is to you. I am always online to guarantee you HI Περισσότερα
Hello, Your project looks interesting! I would like my team to complete it for you. I guarantee excellent quality! Please contact me to discuss the details! Best regards, Dragos M. IGID Studio
Hey, my team and I can help you with your project in a timely manner (including FREE revisions until you are 100% satisfied)! That golden badge you see on my profile proves that we are members of the Preferred Fre Περισσότερα
Hi,first I want to introduce myself, my name is Hamza and I love my job. I have a 5 years in motion graphic and Video production I create creative videos and make movies. Please visit this my channel: [url removed, login to view] Περισσότερα
Hi, I am Saikat, I am experienced in video production, editing, vfx, 2D animation, 3D modeling /animation and graphics. You may check some of my recent projects here: [url removed, login to view] Please Περισσότερα
I can complete your work in 7 to 9 days with best graphic animation. I can also provide Voice over for your video.
Hello ! I give you examples of my work: Video: [url removed, login to view] [url removed, login to view] [url removed, login to view] [url removed, login to view] [url removed, login to view] [url removed, login to view] Περισσότερα
PICK ME, PICK ME, I'M AWESOME! :D Portfolio: [url removed, login to view] My name is Alex Lascu, I'm 29 and I've been working as an animator, motion graphics artist and video editor for over 5 years. I have Περισσότερα
Hi! ○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○ Thank you for such a tight description. It will help us very much. ○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○ You have a geat idea! So my team would like to support y Περισσότερα
Hey there DBT specialist friends! My name is Max and I'm a Sydney based video producer, editor, animator and motion graphics gun. I've read your brief and believe and I can do an excellent job on your 16 videos. Περισσότερα


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Consolidation among consumer packaged goods companies and the uncertainty regarding the future of the nation's economy are expected to have positive impacts on coupon activity this year.
According to NCH, a Lincolnshire, Ill.-based coupon-processing and promotion information management firm, the projected upturn in coupon promotion and redemption is typical of a period following a number of high-profile mergers involving large manufacturers.
Last year saw the merging of such m


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NCAOR Recruitment
A new vacancy advertisement has been propagated titled as NCAOR Recruitment to hire 15 candidates for the post of Officer and Executive Assistant. National Centre for Antarctic and Ocean Research, Goa has planned to select the candidates through interview and written test. Job seekers who desire to get placed in this organization must apply online before the last date of submission of form that is 24.07.2017 by 05:00pm. To know more about NCAOR Recruitment 2017, please scroll down the page.
Outline of the Page:
|NCAOR Vacancies Details
|Selection process
|Qualification Required
|Procedure to apply
|Age & Salary Details
|Walk-in Address & Date
The organization is looking for highly proficient and skilled candidates for NCAOR, Goa. The candidates must be qualified in their relevant streams from any recognized institute or university. The candidates must check the eligibility criteria in the official notification before applying online for the vacant posts. Grab more details about NCAOR Recruitment 2017-2018 through the official page created by www.recruitmentinboxx.com
NCAOR Recruitment
Vacancy and Salary Details:
|Name of the Post
|No of Vacancies
|Officer (Finance & Accounts)
|Officer (Purchase & Stores)
|Officer (Administration, General
Administration & Services)
|Executive Assistants (Finance &
|Executive Assistants (Purchase &
|Executive Assistants ( Administration,
General Administration & Services)
Qualification Required:
For Officer (Finance Accounts/Procurement and Stores/– Administration/General Administration/Services)
- Aspirants must have Masters Degree.
- They must have proper knowledge of computer application.
- Candidates must have worked for 3 years preferably in Government Department/Autonomous Bodies/PSU (PUBLIC Sector Undertaking).
For Executive Assistant (Finance and Accounts/ Procurement and Stores/ Administration/General Administration/Services
- Candidates must have Bachelor's degree
- They must have Operational Computer knowledge
- Six (06) years experience preferably in Government Department/Autonomous Bodies/PSU.
Attain Other Job Options:
Age Restrictions:
Candidates applying for National Remote Sensing Centre must be maximum 35 years in age.
Salary Details:
|Name of the Post
|Officer (Finance & Accounts)
Rs 47600 +Applicable HRA
|Officer (Purchase & Stores)
|Officer (Administration, General
Administration & Services)
|Executive Assistants (Finance &
Rs 35400 +Applicable HRA
|Executive Assistants (Purchase &
|Executive Assistants ( Administration,
General Administration & Services)
Selection Process:
As per the rules of the organization, the selection for the post of officer is based on the interview of screened candidates and for the post of Executive Assistant is based on the written test.
How to Apply for NCAOR Recruitment?
- First of all visit the official website of NCAOR Recruitment that is www.ncaor.gov.in
- On the home page you have to hit on the "Careers" tab available in the menu bar.
- Now you are on the page containing all the latest vacancy links and you have to hit "Apply Online" for the "Invited online applications from eligible & prospective Indian National for filling up of post of Officer………" link.
- On the new page, Hit to apply online and you will see the application form on your screen.
- Now fill the details accurately in your online application and upload the scanned copies of all educational qualification, experience certificates, date of birth, disability, caste certificate and no objection certificate along with the scanned signature and a passport size photograph.
- Before the submission of online application, the applicants must go through the details carefully.
- Submit the form completed in all respects and take a print out of it.
Check Here: Process to Fill Online Application Form
Important Dates:
Last Date to Submit Online application: 24.07.2017 by 05:00pm.
Get Official Notification: NCAOR Recruitment 2017
Grab more information regarding NCAOR Recruitment 2017-2018 through the Official Link. You can also get free e mail alert directly in your inbox by subscribing to NCAOR Recruitment 2017-2018.
You May Also Like To Check This Section
|Goa Government Jobs
|More Government Jobs
|All Govt. Jobs By State
|Employment News- New Updates
|How to Find a Job Online
|Latest Walkin Jobs


text: Featuring free WiFi throughout the property, Standard Inn offers accommodations in Chengdu. Free private parking is available on site. There is a 24-hour front desk at the property. Jinli Ancient Street is 2.1 miles from Standard Inn, and Wuhou Memorial Temple is 2.1 miles from the property. The nearest airport is Chengdu Shuangliu International Airport, 7 miles from Standard Inn.


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- R. C. Shearman and
- J. B. Beard2
This investigation was conducted to assess the relationship of various turfgrass physiological, morphological, and anatomical characteristics to wear tolerance. No data of this nature is available hi turfgrass literature. Species differences were noted for verdure, shoot density, leaf width, load bearing capacity, leaf tensile strength, percent moisture, and percent relative turgidity. However, no significant correlations were found between species wear tolerance and the afore mentioned characteristics. Analysis of the combined relationship of these factors to wear tolerance indicated that only leaf tensile strength and leaf width contributed significantly to the variation in turfgrass wear tolerance among seven turfgrass species.
Sclerenchyma tissue and lignified cell comparisons were made between Kentucky 31 tall fescue (Festuca arundinacea Schreb.) and rough bluegrass (Poa trivialis L.). Results were presented as percent of the total cross-sectional area of leaf blades and stems. Sclerenchyma tissues of Kentucky 31 composed 18.6% of leaves and 23.4% of stems, while the contents of rough bluegrass were 8.9 and 10.3%, respectively. The percent lignified cells of Kentucky 31 tall fescue and rough bluegrass were 49.8 and 21.4%, respectively, based on total leaf cross-sectional area. The percent Sclerenchyma fibers and lignified cells were closely associated with the wear tolerance observed for the two species.Please view the pdf by using the Full Text (PDF) link under 'View' to the left.
Copyright © . .


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Recipes & How-To's
Food is one thing we share in common and nothing brings friends and family together better than a home cooked meal.
Want to create that meal you've always craved? Well here you will discover scrumptious dishes along with step-by-step recipes and instructions. From organic meat dishes to vegan delights, this page will leave your mouth watering.
Click on any of the links below to get started.
WILD RICE CAKESWILD RICE CAKES WITH CHARRED SCALLION VINAIGRETTE & HARISSA YOGURT SAUCE… A delicious dish shared by our in house foodie Ragan Brooks. I am restricted. Forbidden if you will. My body has decided that I am no longer able to enjoy the pleasure of white or... read more
Passionfruit Raw PieWe always love when Marysia shares with us, and this passionfruit raw pie is simply delightful. She's also included a lovely passionfruit tea to go along with it. I hope you enjoy it as much I did. It defiantly reminded my home land, Australia. Growing up, I... read more
Breakfast SecretsOne of the first blogs I wrote for At Home With Didiayer was called "How to Impress Your Last Minute Dinner Guests." It was all about that secret ingredient or idea stashed in your kitchen that would impress anyone at a moment's notice. With the new look for the AHWD... read more
You Can't Beet This!The Cupboard to Table blog has always been about making something from nothing. Part of that, is knowing what foods you can keep in your pantry and almost forget about that will be there when you need them. This leads us to root vegetables. They are some of the best... read more
Taking a Bite Out of the Upper CrustWith my blog Cupboard to Table, my hope is to share with you some of the best ideas to make something from nothing. We have talked about using your cupboard, your pantry, your fridge and your freezer. There are limitless resources in your own home that you can... read more
Vegan Vanilla MilkshakesMeet Cat – model turned exectuive chef and restaurant owner at Stamp Proper Foods in Los Feliz, CA. I met Cat (Kit Kat to me) many years ago when we used to make livings as clothes hangers and professional walkers. Now, we get together and geek out over the latest... read more
Nutty Bon BonsNeed an energy boost? Craving something sweet? Busy with no time to eat?? Datey Nutty Bon Bons!! Dead easy to whip up, lasts all week (plus more) and easy to grab on the go and you'll never feel guilty for chowing into one…or 3. My recipe calls for 1/3 cup raw honey,... read more
Carpaccio…A Refreshing Bite
Carpaccio… A refreshing bite for the summer.read more
Soba Tuna SaladThis is my Sunday staple. Unless I am entertaining with an early BBQ or a Sunday roast (winter time regular) this is what's on my table. It's dead easy, versitile and a real fridge cleaner-outer when you want to start your week fresh. Try mine or make your own version... read more
M's Market Mushroom ToastA funny thing happens at the farmer's market. Inspiration seems to touch everyone ~ even the hubs, who normally just does the eating. However, when he gets that market motivation, he can create some pretty amazing things! This is one of his specialties. We've adapted... read more
For the latest behind the scenes videos and show teasers,
be sure to follow us on Facebook, Twitter, and Youtube.


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Curious About Creepy Crawlies?
Students create oral presentations and visual aids to assist their inquiry about various insects. They reflect on the importance of learning about insects while working in small groups.
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Spiders Have Too Many Legs, Study Finds
Students explore current events by answering study questions about an article. In this arachnids lesson, students read a recently published article which discusses the importance of spiders and their 8 legs. Students answer study...
3rd - 7th Visual & Performing Arts
ELA - Literacy.CCSS.ELA-Literacy.RST.9-10.6
Key to understanding scientific or technical texts is identifying the underlying question the author is attempting to answer. Provide your young scientists with an opportunity to practice identifying these questions and the procedures...
9th - 10th Science CCSS: Designed
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Instead of trying to make 'a post a day' which I said in my previous post, I'm making more than 2 customer service calls a day!
I've to apply for Tata indicom broadband as there is no coverage by Airtel in our area :'( But still I went for these guys, as my lucky room-mate is already having a Tata indicom connection and hasn't got any problem so far with the connectivity. So, if and only if you are one such lucky persons, you can go for Tata Indicom I guess. I had my issues started with these guys right after applying for the connection. It took almost 3 weeks for me to get the connection activated (Since I got no response for my first request, I logged 1 more to get the connection. How stupid am I to do this? Huh!)
So, I got the connection on 30th July 2008. And my connection was active only for 2 days. The link went d0wn on 1st August. And, its been 11 days now that I'm struggling with these guys to get a proper response of what's going on. Every time I call the customer service, I get the same reply "Sorry for the inconvenience", "Work in progress", et al. But no one has called me back.
It's been a mental torture for me to come home everyday to see the state of my router and to call the CSR to start explaining the issue all over again every time. I even got this obsessive compulsive disorder of keep on restarting my router every day to see only that my BP raises every time. I even threatened them that I'm planning to cancel the connection, but no response for that as well. I've paid 4 months tariff as advance to get free installation :'(
After googling today for "Tata indicom customer service", I got to see a lot of frustrated posts and complaints overflowing everywhere about their customer service. But then, I guess its all too late for me. I should have done this before applying the connection :'(
If you do have any plans to apply for internet connection, please don't ever go for Tata indicom. Huh!
Make it WORK then Make it BETTER
3 months ago


text: Seller: artemisgallery (683) 100%, Location: Louisville, CO, Ships to: Worldwide, Item: 381788287471 Details: 19th C. French Boulle Mantel Clock - Delettrez, Paris France, Paris, late 19th century CE (post 1878). A fine boulle mantel clock with red "tortoiseshell" veneer, brass inlays, and ormulu flourishes, in the waisted form, with inset ceramic roman numerals. It has a twin barreled bell striking movement with an anchor escapement; this is protected by a small, twist-handled door on the back. Tiny numbers showing each second are around the gilded face, and the face also features a profile bust, decorative trumpets, and what may be a small crest. The bottom of the clock face has tiny black letters, saying "Delettrez, Paris" and the pendulum is also stamped "DELETTREZ A PARIS". Jean-Baptiste Delettrez (1 May 1816 – 25 May 1887) was a renowned Parisian clock maker who, from 1851 to 1871, worked with a partner, Achille Brocot, to create innovative styles of clocks, leading to their firm winning a 1st class prize at the Paris World Exposition of 1857. Unfortunately in 1878, Brocot died, and Delettrez carried on alone, producing beautiful mantle clocks like this one that struck the hour and half hours. Size: 4.9" L x 9" W x 13.6" H (12.4 cm x 22.9 cm x 34.5 cm) #113634 Condition: Professionally repaired and in working order, with chimes. Wear to red tortoiseshell, particularly on the right side (facing) and on the back (where some original newsprint backing shines through). Provenance: Ex- Private Washington State collection All items legal to buy/sell under U.S. Statute covering cultural patrimony Code 2600, CHAPTER 14, and are guaranteed to be as described or your money back. All items come with a Certificate of Authenticity


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1Department of Pharmacy, Southeast University, Dhaka, Bangladesh
2Department of Pharmaceutical Sciences, North South University, Dhaka, Bangladesh
Received date: March 14, 2016; Accepted date: April 19, 2016; Published date: April 22, 2016
Citation: Hasan MF, Noor MAA, Rahman M, Debnath KC, Islam MS (2017) Disease and Prescription Pattern for Outpatients with Neurological Disorders in Bangladesh: An Empirical Pilot Study. J Pharma Care Health Sys 4:177. doi: 10.4172/2376-0419.1000177
Copyright: © 2017 Hasan MF, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Visit for more related articles at Journal of Pharmaceutical Care & Health Systems
Background: To study the prevalence and prescription pattern for outpatients with neurological disorders in Bangladesh.
Methods: The study was conducted on 1684 patients in six hospitals of Dhaka city from March 2014 to June 2015. Data were collected through a predesigned questionnaire from the patients that contain information about sex, age, marital status, occupation, residential status, affected disease, self-medicated drugs and prescribed drugs.
Results: Out of 1684 patients, male 963 (57.19%) predominance. The study revealed that headache and migraine 50 (29.75%), stroke 403 (23.93%) and seizure 119 (7.07%) were more projecting neurological disorders. Genetic reason for the neurological disorders was found among only 208 (12.35%) patients. Among 812 patients follow up was reported for 575 (70.82%) patients in which physician follow up was 441 (54.31%) and non-physician follow up was 134 (16.51%) patients. Maximum self-medication usage was found for the period of 3 to 6 months for 247 (41.79%) patients. Disease recovery was satisfactory with the self-medication for 223 (37.73%) patients and 38 (6.43%) patients reported side effects. Most extensively prescribed medicines were multivitamins and multi-minerals 675 (40.08%), NSAIDs and other analgesic 560 (33.25%), antiulcerant 476 (28.27%), anticoagulants 438 (26%), antihyperlipidemic 387 (22.98%) and antiepileptic 305 (18.11%) drugs respectively. The crucial reasons for the selection of prescribed medicines were the confidence with physician's prescribed drug 690 (40.97%) and knowledge of the drugs 590 (23.99%). The period of prescribed medicines usage was 1 to 3 months for 669 (39.73%) patients and 3 to 6 months for 491 (29.16%) patients. The patient's compliance for prescribed medicines was satisfactory for 582 (34.56%) patients, good for 474 (28.15%) patients and side effect was reported for 391 (23.22%) patients.
Conclusion: In Bangladesh neurological diseases are not surprising rather than other different diseases prevail in different age and sex. Headache and migraine, stroke and seizure are most frequently encountered neurological disorders here. Treatment procedure of these disorders is not quite suitable due to the anomalies of healthcare management system. Appropriate management of the healthcare system can overcome the existing inconsistencies as well as increase the knowledge, awareness and perception of the patients about health and disorders.
Neurological disorders; Malnutrition; Seizure; Hemorrhagic stroke; Peripheral neuropathy; Depression
Neurological disorders are major causes of disability worldwide. Structural, biochemical or electrical abnormalities in the brain, spinal cord, cranial nerves, peripheral nerves, nerve roots, autonomic nervous system, neuromuscular junction, and muscles are responsible for neurological disorders [1]. Hundreds of millions of people worldwide are affected by neurological disorders [2]. Neurological disorders account for about 20% of global burden of disease [3]. According to the US NIMH (National Institute of Mental Health) in any given year about 1 in 4 American adults suffer from a mental disorder [4]. In 2005, the prevalence of neurological disorders worldwide was 155.36 per 1000 population. Based on the projections of United Nations that by 2025, there will be 1.2 billion elderly people in the world and 71% will be living in the developing countries, it is expected that neurological disorders in the elderly will show a significant rise, particularly in the developing world [5]. Neurological disorders contributed to 92 million Disability-Adjusted Life-Years (DALY) in 2005 and were estimated to 103 million in 2030 [6,7]. There are more than 600 diseases of the nervous system [8]. Universally common neurological disorders are epilepsy, Alzheimer's Disease (AD) and other dementias, headache, migraine, multiple sclerosis, neuro infections, Parkinson's Disease (PD), stroke, brain tumours, brain trauma, malnutrition related neurological disorders, etc [9]. Like brain tumours and strokes, neurological disorders can be life-threatening or less injurious like tension headaches and sleep disorders [10]. Worldwide prevalence for neurological disorders is 1000 million [11]. Epilepsy is considered as one of the most common neurological disorders worldwide. According to World Health Organization (WHO) approximately 50 million people have epilepsy worldwide [12]. In fact, in developing and low-income countries about 80% of the people have epilepsy [13]. Globally, 47.5 million people living with dementia and it is the third leading cause of death in the UK. As stated by WHO, the number of dementia people will be 75.6 million by 2030 [14]. Each year about 6.7 million people die for stroke, which is one of the leading causes of death in developing countries account for more than 80% of deaths [15,16]. The most common disorders of the nervous system are headache disorders [17]. In general, globally the percentage of the adult population with headache is 47%, followed by 38% for tensiontype headache, followed by 10% for migraine, and 3% for chronic headache that lasts for more than 15 days per month [18]. WHO stated that approximately 20% of adults aged 60 and over suffer from neurological or mental disorders. Most common neurological disorders seen among older patients are dementia and depression. In fact, neurological and mental disorders account for 6.6% of all Disability-Adjusted Life Years (DALYs) among adults aged over 60s. Dementia mainly affects elder people, it is estimated that 47.5 million people worldwide are living with dementia. According to United Nations report in 2007, up to 1 billion people, nearly one in six of the world's population, suffer from AD and Parkinson disease, strokes, multiple sclerosis and epilepsy to migraine, brain injuries and neuroinfections. This reports also estates that about 6.8 million dying each year mainly due to aforementioned diseases. In fact, AD is the most common cause of dementia and may contribute to 60-70% of cases [19]. The Alzheimer's Association (AA) estimates in 2012 that 5.4 million Americans have AD. The number of Alzheimer's patients will be in between 11 million and 16 million as per AA estimates, with one new case appearing every 33 seconds by 2050 in US [20]. Depression especially unipolar among over 60 year olds accounts for 5.7% of Years Lived with Disability (YLDs). It is most commonly seen in developed countries. Globally, as per WHO, unipolar depression is considered as third leading causes of disease burden. Albeit brain tumor, cerebral palsy, encephalopathy, headaches, metabolic diseases, movement disorders are common neurological disorders affecting children, malnutrition related disorders such as beri-beri, polyneuropathy, Wernicke's encephalopathy, polyneuropathy, cognitive dysfunction etc. are most projecting. In low-income and developing countries, wasted and stunting among children are common [5]. The prevalence of wasted children in low income countries is 8% as states by WHO. In Latin America, the prevalence of wasted children is only 2%, but in developing countries such as Bangladesh it is 16% [21-23]. In Bangladesh, stunting is also well-known account for 45%, but 14% in Latin America [24,25]. The global average for stunting among children in low income countries is 32% [26]. In fact, more that 15% of the DALYs lost globally are estimated to be from malnutrition [27]. In 2012, the Centers for Disease Control (CDC) stated that Autism and Autism Spectrum disorders were affected from 1 in 88 children living in the US [28]. Bangladesh is a developing country in which neurology appeared as a new field in the 1960s [29]. In July 2015, the population of Bangladesh is estimated at 168,957,745 [30]. Currently, this country has an overall life expectancy of 70.94 years with male life expectancy of 69.02 years and female life expectancy of 72.94 years. Bangladeshi people lead a good life. The most common diseases of Bangladesh are stroke, malnutrition and infection disease. Except aforementioned diseases, a part of the population is affected with neurological disorders. The condition of neurological disorders in Bangladesh is totally different from industrialized country [31]. The level of mental health of a person depends on multiple social, psychological, and biological factors at any point of time. In the developed countries, older adults are more vulnerable to elder abuse including physical, sexual, psychological or emotional, financial or material; abandonment, neglect and serious losses of dignity and respect. Current evidence suggests that 1 in 10 older people experience elder abuse. Elder abuse is not only responsible to physical injuries, but also to serious, sometimes long lasting psychological consequences including depression and anxiety [31]. Although, Bangladesh is low income country, elder abuse is not common. A large number of people with common neurological disorders do not receive appropriate treatment due to poverty. Apart from the above-mentioned problems, the social and cultural stigma continuing in our society regarding neurological disorders, make the diagnosis and treatment even more challenging. Besides most of the people living in rural areas are facing the lack of logistic facilities for managing these conditions. In addition to this, the sociocultural stigma surrounding the neurologic disorders makes diagnosis and treatment more challenging. Moreover, a large section of population live in rural areas where there is lack of required facilities for managing those conditions [32]. As per international standard healthcare system should have close collaboration of physicians, pharmacists and nurses, but in Bangladesh it is not well practiced. Here, the main inconsistency is the absence of pharmacists, who are not only drug specialist but also disease specialist. Previously, there was no study that showed the pattern of outpatient's neurological diseases. The objective of this study was to analyse disease and prescription pattern for outpatients with neurological disorders in Bangladesh.
Study site
The study site was Dhaka City Corporation, which is the capital of Bangladesh. It is the mega city of Dhaka district and Dhaka division. The Dhaka metropolitan area is the 11th largest city proper in the world with a population of 17 million people in an area of 1,528 km2 [33,34]. Including private and public, there are about 194 hospitals in this city [35]. Six hospitals named Combined Military Hospital (CMH)-Dhaka Cantonment, National Institute of Neurosciences and Hospital, Labaid Specialized Hospital, Dhaka Medical College and Hospital, Sir Salimullah Medical College, Dhaka, and PG Hospital (BSMMU)-Dhaka were selected for the collection of data because these are the main hospital of Dhaka city.
Study design and data collection
This is patient and prescription-based cross-sectional study that was conducted among outpatients with neurological disorders selected from Neurology department of six hospitals in Dhaka city. The period of this study was between March 2014 and June 2015. During this period, a total of 1684 patients with neurological disorders were identified. Information about patient, disease, medicine was collected in a predesigned questionnaire. Summary of information is listed in Table 1.
|Number (n)
|Percentage (%)
Table 1: Study with gender as variable.
Statistical analysis
Data were collected and the results were finally compiled and presented. Microsoft Excel 2010 (Roselle, IL, USA) was used for the statistical and graphical evaluations.
Scope for error
Since the study is based on the answers provided by the patients and their prescriptions not based on any laboratory test, there is no scope for error.
The study protocol was approved by the ethical review committee of Department of Pharmacy, Southeast University, Dhaka, Bangladesh. The study was conducted in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki.
Out of 1684 patients, 57.19% were male and remaining 42.81% were female. The majority of the patients attending neurology department were 51-60 years age group (28.38%) followed by 18.53% in the age group between 41-50 years, 16.98% in the age group between 21-30 years, 16.09% in the age group between 31-40 years and 13.54% in the age group above 60 years. Minimum amounts of patients (5.52%, 0.95%) were aged 11-20 and below 10 years. There was marital status (64.07%) predominance. 25.59% patients were office worker followed by 20.72% students, 19.48% day labour, 16.45% household and 13.42% retired. The majority of the patients (82.84%) lived in urban area. Detailed patient related information is offered in Tables 1-6.
|Age (years)
Table 2: Study with age as variable.
|Marital Status
|Office Worker
|Day Labor
|House hold
Table 3: Study with marital status as variable.
|Residential Status
Table 4: Study with residential status as variable.
|Neurologic Disease
|Number (n)
|Percentage (%)
|Ischaemic stroke
|Haemorrhagic stroke
|Subarachnoid haemorrhage
|Transient ischemic attack
|Focal seizure
|Primary generalized seizure
|Parkinson's disease
|Peripheral neuropathy
|Cranial nerve palsy
|Lumber spondylosis
|Cerebral palsy
|Potts disease
|Brain tumour
|Cervical spondylosis
|Transverse myelitis
|Disc prolapse
Table 5: Study with neurologic disease as variable.
|Types of the drug
|Prescribed drugs
|NSAIDs and other analgesic
|Naproxen, Ibuprofen, Aspirin, Ketorolac, Tromethamine, Diclofenac, Indomethacin, Tolfenamic acid, Etoricoxib, Paracetamol, Tramadol, Morphine, Naloxone, Naltrexone, Fentanyl, Nalbuphine
|Antacids, Ranitidine, Famotidine, Omeprazole, Esomeprazole, Rabeprazole, Pantoprazole
|Zolmitriptan, Sumatriptan
|Aspirin, Warfarin, Clopidogrel, Cilostazol, Heparin, Streptokinase
|Atorvastatin, Fluvastatin, Simvastatin, Fenofibrate, Niacin
|Labetalol, Nimodipine, Mannitol, Furosemide, Losartan, Atenolol, Propranolol, Captopril, Acetazolamide
|Prednisolone, Betamethasone, Dexamethasone
|Multivitamins and
|Vitamins: Vitamin A, Vitamin D, Vitamin B complex, Vitamin C, Vitamin E.
|Minerals: Calcium, Phosphorous, Iodine, Magnesium, Selenium, Iron, Zinc, Copper, Manganese, Chromium, Molybdenum, Chloride, Potassium
|Valproic acid, Carbamazepine, Lamotrigine, Topiramate, Oxcarbazepine, Pregabalin, Gabapentin, Lacosamide, Oxcarbazepine, Phenytoin, Diazepam, Lorazepam, Phenobarbital, Diazepam, Clonazepam, Lorazepam, Midazolam, Flurazepam, Flumazenil, Phenobarbital, Thiopental
|Zaleplon, Zolpidem
|Donepezil, Rivastigmine
|Muscle relaxants Baclofen
|Anticonvulsant Phenytoin
|Phenobarbital, Fosphenytoin, Pregabalin, Gabapentin
|Meclizine, promethazine, pheniramine maleate
|Amitriptylin, Nortriptyline, Imipramine, Doxepin, Citalopram, Fluoxetine, Bupropion, Maprotiline, Selegiline
|Chlorpromazine, Prochlorperazine, Clozapine, Risperidone
|Bromocriptine, Carbidopa, Entacapone, Levodopa, Procyclidine, Ropinirole, Selegiline
|Isoniazid, Pyrazinamide, Streptomycin, Ampicillin, Vancomycin, Ceftriaxone
|Acyclovir, Oseltamivir, Zidovudine, Lamivudine, Abacavir, Nevirapine
|Methotrexate, Cisplatin, Paclitaxel, Carboplatin
Table 6: Study with types and prescription of drugs as variable.
In this study, 22.98% patients were affected with headache, 17.64% with ischemic stroke, 6.77% with migraine, 6.29% with hemorrhagic stroke, 5.29% with dementia, 3.99% with focal seizure, 3.92% with peripheral neuropathy, 3.08% with primary generalized seizure etc. given in Table 3. In case of 12.35% patient's family history was responsible for the respective disorders given in Figure 1.
The duration of disease for maximum patients (36.99%) was 1 year, followed by 1-2 years for 27.02% patients and less than 6 months for 19% patients. The lowest suffering (>2 year) was seeing among 16.98% patients. Only 33.02% patients took previous measure by physician check-up against respective neurological disorders and 51.78% patients did not take physician check-up. 15.2% patients relied on herbal, unani and homeopathis medicines (Complementary and Alternative Medicine, CAM) as a primary treatment. Follow up of the patients are given in which physician follow up was 54.31% followed by 16.51% indigenous medicine practitioners follow up and 29.19% didn't follow up among 812 patients. Out of 575 patients, 38.78% patients were obtained partial recovery followed by 42.96% no recovery and worse condition was reported for 18.26% patients. Actually hearth hazard effect was reported among patients due to use of physician recommended medication as well as indigenous medicine practitioner recommended medication. In addition to neurological disorders, 17.46% patients were also affected by other non-neurological disorders. Among them peptic ulcer disease (43.54%), diabetes mellitus (25.85%), heart disease (8.84%), rheumatoid arthritis (6.46%), Chronic Obstructive Pulmonary Disease (COPD) (4.76%) and bronchial asthma (2.38%) were common. The most widely used self-medicated medicines used by affected patients were NSAIDs and other analgesic (30.8%), antiulcerant (28.43%), anticoagulants (21.15%), antiepileptic (21.15%), antihyperlipidemic (18.1%) and antihypertensive (10.32%) drugs. The medicine which was used in least percentage was antimigraine (8.1%) drugs. The foremost neurological disorders that enforced the patients to take self-medication were headache (26.73%), ischemic stroke (24.02%), migraine (14.55%), hemorrhagic stroke (12.18%), focal seizure (8.79%), primary generalized seizure (6.94%) etc. The main reasons for the self-medication was the pre-experience, which was seen among 29.78% patients, 27.58% as suggestions from others, 24.7% as knowledgeable of the drugs, 13.36% as reduction of physician's fees and 4.57% as no confidence with physician's medication. The duration of self-medication usage were found in case of 41.79% patients for the period of 3 to 6 months, 29.44% for 1 to 3 months and 21.32% for less than 1 month. Only 7.45% patient's used self-medication for 6-12 months. The patient's compliance for selfmedication varies from excellent to self-medication. 37.73% patients stated that the disease recovery was satisfactory with the selfmedication, followed by 21.15% as good and 4.57% as excellent. In this study reported side effects for the self-medication was 6.43% patients and 30.12% patients did not response.
In this study most widely prescribed medicines were multivitamins and multiminerals for 40.08% patients followed by NSAIDs and other analgesic for 33.25% patients, antiulcerant for 28.27% patients, anticoagulants for 26% patients, antihyperlipidemic for 22.98% patients, antiepileptic for 18.11% patients, antihypertensive for 13.3% and antimigraine for 8.43% patients. In depth used prescribed drug for neurological disorders are given in Table 4. The underlying reason that enforced the patients to take prescribed medicines was the confidence with physician's prescribed drugs which was seeing among 40.97% patients, followed by 35.04% as knowledge of the drugs and 23.99% as suggestion from others. The duration of prescribed medicines usage were found in case of 39.73% patients for the period of 1 to 3 months, 29.16% for 3 to 6 months, 23.09% for less than 1 months and 8.02% for 6-12 months. About the patient's compliance for prescribed medicines, 34.56% patients stated that the disease recovery was satisfactory, followed by 28.15% as good, 8.25% as excellent. 5.82% patients did not response and side effect was observed among 23.22% patients.
Bangladesh is one of the densely populated countries in the world where infectious diseases, malnutrition and many chronic neurological disorders are quite common. Although, there is no national statistics up till now in our country, but there are some hospital based studies that reflect to some extent the situation of some diseases in Bangladesh. This is the first study showing crystal clear idea about the outpatients with neurological disorders and prescribing trends in Bangladesh. The demographic profile of the patients reflects that neurological disorders are more prevalent in the male, 40 to 60 years age and married person. Age-related increases in neurological disorder are also more common in developed world. As per WHO, more than 20% of adults aged 60 and above 60 suffer from a neurological disorders as stated earlier [34]. Like other developing country marriage rate is also higher in this country that was seen by the marital status of the patients. A study conducted by Gajurel et al. in India showed similar findings in term of age and sex [36]. This study showed that office worker, student, day labour and household were more prone to neurological orders. Anusha et al. showed that householders are mostly affected by epilepsy in India [37]. Our study showed that 82.84% patients lived in urban area, but this is not actual phenomena. In the rural area, prevalence will be high. In the study of Gourie-Devi et al. the prevalence rate of neurological disorders in urban and rural populations was 2,190 and 4,070/1,00,000 respectively in India [38]. In case of developed country, the most common neurological disorders are AD, PD, amyotrophic lateral sclerosis, stroke, traumatic brain injury, spinal cord injury epilepsy etc. Stroke is considered as major killer and cause of disability in developing world. The average annual incidence rate of stroke in India currently is 145 per 100,000 populations, which is higher than the western nations [39]. In the US, stroke is the fifth number cause of death, killing nearly 129,000 people a year and considered as leading cause of long-term severe disability [40]. In this study headache and migrane, stroke and epilepsy were the foremost neurological disorders. According to the study of Saxena et al. majority of people with primary headache disorders live in the developing world [41]. In the study of prevalence and characteristics of headache, Ali et al. showed that 30% school and college going students had headache in Bangladesh [42]. One percent of Americans will develop epilepsy in their lifetime. About 2.5 to 3 million people in the US have epilepsy. Additionally, about 1 in 26 people will experience recurring seizures [43]. The study of Mannan et al. showed that the number of epilepsy patients in Bangladesh is about 1.3 million. The folkloristic concepts of medicinal plants play an active role in the treatment of various medical conditions. In this study, 15.2% patients took CAM. The use of folk medicines will be higher in rural area of Bangladesh. About 3.5 billion people in developing countries primarily depended on medicinal plants and herbal medicine around for their healthcare needs. As said by WHO, more than 80% of the world's population trusts on traditional medicine for their medical care. According to the study of Mannan et al. showed that about 70% of patients visited indigenous medicine practitioners, exorcists, spiritualists before to consulting the physician in Bangladesh [44-46]. In the study of role of traditional healers and indigenous medical practitioners in health care Nandan et al. showed that nearly threefourth of the indigenous medical practitioners (74.37%) in the rural area of Agra were treating 15 patients in a day. In this study, the mostly used self-medicated medicines were NSAIDs and other analgesic, antiulcerants, anticoagulants, antiepileptic drugs, etc. Due to availability of medication like consumer products self-medication is not only limited to over-the-counter medicines that were proved by the self-medication patters of the patients in this study. Day-by-day more drugs were changed from Prescription-Only Medications (POM) to pharmacy medications. The prevalence rates of self-medication amongst university students are relatively high. Previous studies have reported prevalence rates of about 76% in Pakistan, 94% in Hong Kong, 87% in India, 43.2% in Ethiopia, 86.4% in Brazil, 98% in Palestine, and 55% in Egypt. Headache, ischemic stroke, migraine, hemorrhagic stroke, focal seizure etc. were the neurological disorders for taking these self-medicated medicines. In the study of Sawalha et al. showed that headache and flu were the most common health conditions reported to be self-medicated in Palestine. This study revealed that past experiences and suggestion from others were the main reasons for selecting self-medication. Biswas et al. showed that past experiences and familiarity were main reason for self-medication of antibiotics in Bangladesh. In addition to this financial factor is likely to partly account for the self-medication [47-51]. In the study of selfmedication practice: the case of Kolladiba town, North West Ethiopia, Abrha et al. revealed that high costly of modern health care is responsible for practicing self-medication [52]. In developed countries, the rate of self-medication is very poor for strictly rules and regulation. The uncontrolled use of medicines can be harmful because of adverse drug reactions, although in this study the compliance for selfmedication was satisfactory for 37.73% patients. This study found selfmedication practice for 35.1% patients. The current prescribing trends were evaluated the commonly prescribed drugs for neurological were multivitamins and multiminerals, NSAIDS and other analgesic, antiulcerant, anticoagulants, antihyperlipidemic, antiepileptic, antihypertensive, antimigrane drugs. In the study of Sekar et al. showed that antihypertensive drugs (32%) followed by antiplatelet (14%) neuroprotective (10%) and nootropics (8%) are prescribed drug for stroke in India [49]. Carbamazepine (13.3%) was the first line drug prescribed for simple partial seizures and complex partial seizures according to the study of Anusha et al. in India [37] (Figures 2-6).
The study showed that headache and migraine, stroke and seizure were more prominent disease that are not comparable to western countries in which Alzheimer disease and other dementia are primary neurological disease. As a developing country in addition to neurological disorders, peptic ulcer disease, diabetes mellitus and heart disease were seen among patients. NSAIDs and other analgesic, antiulcerant, anticoagulants, antiepileptic and antihyperlipidemic were the most commonly reported type of medications consumed through self-medication. The commonly prescribed drugs for neurological were multivitamins and multiminerals, NSAIDs, antiulcerant, anticoagulants, antihyperlipidemic, antihypertensive, antiepileptic and antimigrane. In this study, side effects were reported among 23.22% patients. The study also revealed that presence of multivitamin and minerals in a number of prescriptions. In this study, most frequent use of self-medicated drugs, irrational uses of multivitamin and minerals and reported side-effect of drugs are mainly health care setting of this country. Actually, the healthcare system in Bangladesh is totally different. In western countries, most of the pharmacists are working as hospital and community pharmacist, but in Bangladesh most of the pharmacists are industrial pharmacists due to management hierarchy of hospitals and community clinics. Medicine can save lives, but the population of this country passes their life with great risks. Proper settings of healthcare management system, especially placement of hospital and community pharmacy can save the life of the people of Bangladesh.


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text: RJ Cooper Posted October 16, 2009 So...not for senseless self promotion but Mike Nevarez our GM for 17 years has challanged me to create a pig and pinot happy hour....We are starting this tonight and will be every friday evening if im here (which is usually the case) or not. Ed will pick a pinot I will come up with 6 different pig dishes. Next friday I will bring in a shoat and do 10 elements. So we will change this up and have fun with it for the fall and winter. Tonight's Menu includes (this is the pilot people) applewood bacon, bibb lettuce, blue cheese 4.50 pig tail croquette, apple butter, quail egg 5.25 country pate, grainy mustard, grilled bread 4.25 smoked ham baked macaroni and cheese 5.00 our shaved pig reuben sandwich 8.00 cornmeal fried bacon, mole 5.00 south carolina braised shoulder, greens 7.00 bacon chocolate chip cookies, sweet onion-bacon ice cream 4.50 Anything you all want to suggest, let me know. Share this post Link to post Share on other sites


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