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A new petroleum harbour is projected symptoms 97 jeep 40 oxygen sensor failure purchase generic lopid canada, while some way up the canal between Tanjong Priok and BataAda a new prau harbour is in course of construction treatment hepatitis c generic 300mg lopid amex. The town straggles along the banks of a river and is separated from the sea by a low-lying marsh medications known to cause miscarriage lopid 300mg low price. Connexion between the town and the sea 897 treatment plant rd proven lopid 300mg, originally along the Semarang River, is now by a the silt which threatened the ruin of the river as a waterway also affected the canal, and it was found necessary to lengthen the western of the two moles by which the canal was conducted seawards. In 1914 a huge quantity of mud was dredged from the river and canal, and a further lengthening of the western mole was then contemplated. A scheme for the construction of a spacious lighter harbour, with two basins for customs purposes and a small harbour for fishing vessels, is in course of execution. Besides the customs buildings there will be five godowns, two bonded stores, and storage sheds. The town of Semarang is connected by rail with Surabaya along the coast to the eastward, with Surakarta in the interior, and by tramway with Cheribon. The railway to Surakarta is continued to Chilachap on the south coast and thence northwards to Batavia. Out of a total population (1905 census) of 96,660 there were in Semarang 5,126 Europeans 76,413 natives, 13,636 Chinese, and 698 Arabs. Further eastward along the north coast opposite - the eastern end of the island of Madura by which the roadstead is protected is Surabaya. The town, second in importance in on the Kali Mas, while the Kali Sampir, a town almost parallel to , and distant 1,100 yds. The neighbouring country is flat and intersected by boat ehannels, and for a considerable distance to the westward, marshy. Between the mouths of the Sampir and the Mas is the Government marine establishment which is equipped with modern mechanical and engineering appliances. The entrance to the Government basin is between two stone piers where a depth of 34 ft. For ordinary mercantile purposes communication with the land was, at any rate until recently, maintained by lighters which proceeded about two miles up the KaK Mas to the Customs House and the warehouses. The small frontage here available for storage purposes and the narrowness of the channel at low water led, in 1907, to expenditure on the construction of quays along thf banks of the river, and the broadening and deepening of the channel. It is intended to create a large basin in the natural bay to the west of the mouth of the Kali Mas, which, when completed, will enclose an area of about 200 acres. Storage accommodation is being erected in proportion, and there will be, besides, two floating docks of 14,000 and 3,500 tons capacity respectively and two floating steam cranes. It was reported in August 1918 that these works were nearing completion, and part of the wharf is in use. Surabaya totalled 156,752, of In 1915 the population which 8,063 were Europeans, 124,473 natives, 14,843 Chinese and 2,482 Arabs. The inlet of Chilaohap on the south coast of Java is opposite the eastern end of the island of Nusa Kam- - bangan. With the exception of Segoro Wedi Bay, Chilachap is the only harbour on the south coast affording protection during the south-east monsoon, and is safe at all seasons of the year for light-draught vessels. To the south it is protected from the Indian Ocean by the eastern end of Nusa Kambangan. According to the census of 1905 there were in Chilachap 295 Europeans, 15,060 natives, 894 Chinese, and a few Arabs. In 1887 the town was connected by railway with Batavia, Surakarta, Semarang, and Surabaya, and as a consequence of the development of the hinterland shipping at the port has greatly increased. Sumatra the northern end of Koninginne Bay, Padang on the west coast of Sumatra, is Emmahaven, the port of Padang. The bay, which runs in a direction north-north-west and south-south-east, is bounded by steep and wooded banks, the eastern shore being formed by ^At Emmahaven. Prom the western shore of the bay a breakwater, nearly half a mile long, has been built, and this, with a shoal on which another breakwater stands roughly at right angles to the fiLrst, forms a basin about half a mile square with depths from 17 to 20 is ft. The main breakwater, There owing to heavy seas, are several wharves, including a coal wharf where coal from the often in need of repairs.
The suprarenal glands 333 hydroxyprogesterone medicine quetiapine cheap lopid 300 mg mastercard, which is raised in the most common congenital form medications 122 buy 300mg lopid mastercard, 21-hydroxylase deficiency symptoms parkinsons disease 300 mg lopid for sale. Differentiation must be made from the masculinizing tumour of ovary symptoms esophageal cancer buy generic lopid 300mg, in which the 17-ketosteroid urinary excretion is normal, and also the common condition of simple hirsutism in women. Neuroblastoma A highly malignant tumour of sympathetic cells occurring in children under the age of 5 years, and the most common malignant tumour in neonates and infants under 1 year old. Macroscopically, it varies from a small nodular tumour to a large retroperitoneal mass, containing areas of haemorrhage and necrosis. Microscopically, it arises from neuroblasts of the suprarenal medulla, or within any cells of neuroectodermal origin along the spine. Capsular invasion occurs early with spread to adjacent tissues, the regional nodes and by the blood to bones and the liver. In the acquired variety, when a tumour is present it can be removed by laparoscopic adrenalectomy, and hyperplasia can be treated by bilateral adrenalectomy with hydrocortisone maintenance treatment. Lesions less than 3 cm in diameter which are proven to be non-secreting and which do not change on repeated imaging over a 6 month interval can be safely left in situ. Non-functioning carcinomas of the suprarenal cortex are rare; they resemble renal carcinoma in appearance (hence the original hypothesis that the hypernephroma was of suprarenal origin). Treatment A combined approach with surgical removal of local disease together with chemotherapy and/or radiotherapy is necessary. Prognosis Early disease, localized to the area of origin and in the absence of distant or lymph node spread, carries a favourable prognosis, as do absence of chromosome abnormalities, and age under 1 year together with histologically well-differentiated tumour. Phaeochromocytoma A physiologically active tumour of chromaffin cells, which secretes adrenaline and noradrenaline in varying proportions. Clinical features these are produced by excess circulating adrenaline and noradrenaline. There is hypertension, which is paroxysmal or sustained, and which may be accompanied by palpitations, headache, blurred vision, fits, papilloedema and episodes of pallor and sweating. The diagnostic triad, with high specificity and sensitivity is as follows: · headache, sudden in onset, and pounding; · tachycardia and/or palpitations; · sweating. Occasionally, the tumour may coexist with neurofibromas and cafй-au-lait spots, medullary carcinoma of the thyroid or a parathyroid adenoma as part of a multiple endocrine neoplasia syndrome (Chapter 38, p. This is usually performed laparoscopically but larger tumours may require an open operation. The catecholamines produced by phaeochromocytomas cause marked vasoconstriction; hence, patients with phaeochromocytomas are relatively volume depleted. Immediately after removal of the tumour, the blood pressure may fall to very low levels; this is countered by volume replacement, although a noradrenaline infusion is sometimes required. Special investigations Identifying the presence of a phaeochromocytoma · Urinary catecholamines, particularly vanillylmandelic acid collected over a 24 hour period, are usually raised, particularly during an acute hypertensive attack. Ganglioneuroma A benign, slow-growing tumour of sympathetic ganglion cells, which only becomes clinically manifest if it reaches a large size. Only about 15% arise in the suprarenal; the rest arise elsewhere along the sympathetic chain. The reader should know the causes of haematuria and the appropriate investigation and management. To understand the causes, presentations and management of urinary tract infections. The causes of renal failure, its investigation and treatment should also be understood. This is replaced by the mesonephric system, which comprises a long ridge of mesoderm, the mesonephros, with its duct, the mesonephric (Wolffian1) duct. The mesonephros itself then disappears except that, in men, some of its ducts become the efferent tubules of the testis. This diverticulum becomes the ureteric bud, on top of which develops a cap of tissue, the metanephric mesenchyme. The metanephric mesenchyme gives rise to the glomeruli and the proximal part of the renal duct system. The mesonephric duct atrophies in women, the remnant being called the epoцphron, and in men it gives rise to the epididymis and the vas deferens. This complex developmental process explains the high frequency with which congenital anomalies of the kidney, the ureter and the renal blood supply are found.
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In summary treatment questionnaire order lopid 300 mg otc, based on the preliminary data for the five themes discussed here medicine quinidine buy 300mg lopid visa, military and veteran students benefitted from their studies of music appreciation online in many ways medications and grapefruit juice order lopid 300mg line. The preliminary findings from this study can be helpful to those considering teaching music appreciation online in several specific ways symptoms of anxiety order lopid amex. First, because music appreciation is traditionally taught live through a lecture-model, instructors new to teaching this course online can be reassured that students will benefit and find meaning through this mode of instruction. Third, these findings suggest that 108 online music appreciation courses benefit military and veteran students. For this reason, instructors who have military or veteran students should be aware of the special needs of this population and work to be flexible in teaching them, as well as building relationships with these students throughout the course. Noted limitations of the present study are that not every student answered the forum prompts fully, limiting the success of data analysis, and that forum responses were all graded, which may have impacted the ways in which students responded to the forum prompts implemented for this study. Instructors were not specifically coached on the focus or aims of the study, so they did not work to ask questions of students when more information might have been needed, limiting the data collected. In future research, it is suggested that faculty receive an orientation to guide them in asking follow-up questions to ensure that students respond fully to the forum prompts, with potential follow-up interviews as needed. Arts & Health: An International Journal for Research, Policy, & Practice, 7(2), 172-181. Beyond the narrative: Considering the larger pedagogical toolbox for the popular music survey. Seven educational and music institutions from Finland, Lithuania, Germany, and Austria work together on this project. The project partners are at the forefront of developing inclusion in their own countries, both in music schools and in art pedagogue education. While each organization has a slightly different approach to inclusion, which is part of the richness of this project, all have the same values and willingness to develop inclusive pedagogy in arts. The exchange of experiences promotes the theoretical and practical knowledge of each partner. In addition, mixing different approaches could promote new innovations and best practices, which may deepen inclusive thinking, teaching, and curriculum work. This paper will report the administration perspective for inclusion based on the experiences of the Kuopio Conservatory and the University of Music and Performing Arts Vienna. Our paper will also detail the necessary training courses and describe how to adapt good practice examples to other European-interested parties. The paper will also detail the necessary professional training and describe how to adapt good practice examples to other European-interested institutions. Equal opportunities for disadvantaged groups this project, a strategic partnership under Key Action 2, began in September 2017 and is set to run for just under 2 years. Key Action 2 sets education policy priorities such as designing curricula that enable learning across national and sectoral borders. A further priority is to allow the educational content of new curricula to more closely approach the demands of actual professional practice, such as in the fields of instrumental pedagogy, dance pedagogy, and general music education. Furthermore, new learning and teaching methods for all arts pedagogy are to be tried out and ultimately implemented in the interest of easing cross-border recognition of knowledge and working toward more equal opportunities for disadvantaged groups. An intensive exchange of experience in inclusive pedagogy between the project partners All institutions are committed to the United Nations Convention on the Rights of Persons with Disabilities (2006), which, in its Article 24, demands the right to highest education and the right to social participation of all people in order to build an inclusive education system. All project partners have many years of experience in the field of living music making with skill-mixed and mixed-age groups, where the making of music can take place in various social fields. An intensive exchange of experience should advance the theoretical and practical knowledge of each partner. All associated institutions are in very good shape with regard to diversity, intersectionality, and inclusion. There are organizations for Diversity, departments for Equality, and representatives for People with Disabilities. The project partner of the German University Vechta near Bremen for instance deal with the question: (How) Can students be professionalized in the combination of a teaching project with a planning and reflection seminar for music lessons in an inclusive setting? With a group of students they are searching ideas how to plan, implement and reflect the contents of music lessons. They show consequences of the analysis and the identification of best practices and sources of error. The project strengthens scientific and practiceoriented research in dealing with heterogeneity and inclusion and integrates competence development in this area into the entire process of teacher education.
Questions of land tenure are unimportant medications equivalent to asmanex inhaler generic 300mg lopid mastercard, since very little ground is tilled treatment 5th metatarsal base fracture buy lopid visa, and such gardens as there are belong mostly to the Christian and: Mohammedan population treatment gonorrhea discount lopid uk, but quarrels over the ownership of the pearl-banks on the uninhabited islands symptoms rheumatoid arthritis purchase lopid 300 mg otc, which are also owned communally, are frequent. Tenimher Islands Tenimber Islands is not known: it was estimated at 12,700 in 1880, and at 19,000 in 1889. The people, who are Indonesian and not Papuan in type, are strong and their hair is smooth and black, but that of the fierce-looking the population of the: men is often dyed yellow. The women, who work much harder than the men, cultivate the fields, weave sarongs and dye the yarn, traders, fish, and make linen for of the natives, the islands are only visited who exchange Owing to fear by a few Makassar tortoiseshell, &c. The natives are divided into three classes, the nobles, including the chiefs, the common people, and the slaves, who were formerly very numerous owing to the niunbers of prisoners taken in the constant wars. The office of chief is hereditary, but his influence is limited, and women have often a deciding voice in the settlement of questions, even in a declaration of war against another are kept, tribe. South-Western Islands the South-western Islands, which include the Letti Islands, the Babar Islands, Roma, Wetar, and the Luang-Sermata group, are in general little known and little visited, since they are of small economic importance and since the chief source of: information is derived from the writings of a traveller of 1885-90, conditions may have changed. The natives are of the smoothhaired Malay type, and are usually friendly and cheerful, and very fond of songand dance they are at a low stage of develop: ment, though they have a feudal and aristocratic social system, but they are giving up their war-like customs under Dutch influence. The houses, which stand on low piles, are crowded together on the top of steep rocks, usually near the shore, and surrounded by high stone walls. Even Christians, who are fairly numerous, since in earlier times there was considerable misless sionary activity in the islands, make these images, which are rudely fashioned in Letti than in the more easterly islands. The people cultivate very little land, since the islands produce food in abundance and even fishing is little engaged in. Their Christianity, however, leaves much to be desired, and in morals and intelligence they are not superior to the other inhabitants. The Babar Islands have a population of about 10,000 6,500 in Babar, and the rest living on Wetan, Masela, Dai, Dawera, and Dawelor. In some parts they live in a very primitive condition, only wearing a strip of bark, though in Tepa and a few villages on Wetan they are better clothed. The people have some capacity for trade and are good navigators, journeying to Timor and neighbouring islands to barter their goods, whUe Luang-Sermata is also visited by Makassar traders. Trepang and tortoises are collected, the women are clever weavers, and gold ornaments, much in demand in all the Southwestern Islands, are manufactured. The industry is confined to special families, so that the people, instead of being divided by the sharp class-distinctions of the other islands, belong to guilds which recall the caste system of the Hindus. The coastal natives also call themselves Papuans, as distinct from the people of the interior, whom they term Alfurs, but it is found, in fact, that each tribe has a different name, and differs in many ways even from its closest neighbours, with whom it is very probably inhabit the coiuitry. The Papuans of Dutch New Guinea are as yet little touched by civQization, though there are a certain number of traders, mostly from Ceram, Celebes, the South- West Islands, and Ternate, on the island, who collect sea and forest products, mostly visiting the south and west. There of their are, of course, no data on which to form an estimate New Guinea, which forms part of the Amboina Residency, is given as 35,000, and the people of 111 villages in the explored part of Northern New Guinea of which a rough census was taken, numbered aboiit numbers; the population of South 9,200. Papuans the Papuans middle height, are a strong and well-built people, usually of with regular features, somewhat prominent cheek-bones, a broad nose, thick lips, a large mouth, white teeth and dark brown eyes. They are often quite good-looking, and make picturesque figures with their many ornaments and their garlands of flowers, but the women become ugly whilst still young, since they are considered as inferior creatures, and have to do most of the hard work. Their chief physical characteristic is their woolly hair, which stands out in a bush from the head, and differentiates them from the smooth-haired people of the larger part of the archipelago. On the slopes of the snow-mountains of southern New Guinea there are tribes of short natives, of which one, the Tapiro, only averages four feet nine inches in height, and so may be classed as pygmy. Though they are fond of their children and their family, they are often wild and fierce to strangers, who are, however, seldom openly attacl^ed, Papuans are cowards, and have no love for open warfare, preferring to kill their victim by stealth. Head-hunting is still rife, and it is thus never safe for a single native, or for the women and children, to go out in the bush alone. There are no taxes, and little trace of law and justice small misdeeds are settled by payment of fines, but the law of revenge is the only law in force. In the west of New Gviinea, which has been more in touch with strangers, conditions are somewhat different, since a sort of artistocratic class, to which the rajas of the Papua Islands and of Mo and Arfu in the northwest of New Guinea belong, has been formed through pressure brought to bear from Ternate.