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By: J. Eduardo Calonje, MD, DipRCPath

  • Director of Diagnostic Dermatopathology, Department of Dermato-Histopathology, St John's Institute of Dermatology, St Thomas' Hospital, London, UK

A recent study in Norway suggests that detergent labelling can be improved to hypertension and renal failure cheap 40mg betapace with amex help consumers in this aspect as previously mentioned arteria coronaria izquierda purchase betapace 40mg mastercard. By giving more accurate information about dosage to blood pressure kidney damage 40 mg betapace amex use according to hypertension grades buy discount betapace 40 mg online the hardness of water, dirtiness of laundry, and size of the washing machine, consumers may be more likely to stop overdosing. Consumers may also be more likely to purchase detergents with eco-labelling (Jarvi & Paloviita, 2007), though environmental claims that are more specific are perceived more positively than general claims (Spack et al. Many people depend on product packaging for information on how sustainable a product is and how the product should be utilised. Buyers actually regarded detergent packaging information as the most important source of information for product sustainability. Eco-labeling has been intended to help consumers purchase products that are less harmful to the environment, although, as previously noted the terms are often misunderstood or have no significant meaning (Jarvi & Paloviita, 2007). Fabric softeners are not considered sustainable due to the chemicals added to the wastewater after use. The study went on to prove that laundry treated with fabric softener became malodorous sooner than non-treated laundry. Hence, using fabric softener not only contributes to water pollution and additional product consumption but also may cause consumers to wash their clothing more frequently than if they had not used the fabric softener at the beginning (Laitala et al. Behavioural change in relation to the environment has proven to be difficult unless a clear and direct financial incentive is applied, even if the consumers are aware that consumption affects the energy supply which in turn affects prices of energy (Hustvedt, 2011). Consumers must link their own behaviour to environmental and social impact in order to motivate a behavioural intention change (Bhamra et al. Again Creswell (2014) notes that one benefit of the quantitative approach is that the outcomes are valid, reliable and generalizable to a more significant population. The quantitative approach was selected based on the nature of the study and its methodological foundation. This investigation attempts to explore the everyday life of tertiary students behaviour in terms of their approaches to clothing care and maintenance in their natural setting. The study involved only a limited sample of tertiary institutions in the country as a result of limited tertiary institutions offering higher fashion education. This limitation might affect the generalization of the findings but might nevertheless provide valuable information on carbon footprints dx. Convenience sampling was used to select 150 students from various institutions and administered with questionnaires. From the mean and standard deviation statistics, it could be inferred that the surveyed tertiary students recognise that designing clothes that are recycle-friendly can be a sure way to reducing carbon footprints. More, the respondents were also asked whether environmentallyfriendly detergents should be used for doing laundry. From the responses, it can be concluded that to reduce carbon footprints environmentally friendly detergents should be used to a very large extent. The responses were asked to indicate the extent to which clothes should be worn in order to reduce carbon footprints. The outcome of the responses implies that to reduce carbon footprints on the environment clothes to a very large extent have to be washed only after 2 or 3 of wearing them. Also, respondents were asked to indicate the extent to which clothes must be designed to reduce chemical impacts when washed as a practice of reducing carbon footprints. That notwithstanding, it can be concluded from the results that fabric manufacturing companies should do well to reduce the chemical composition of the clothes they produce so as to reduce its impact on the environment when washed. From the table it could be observed that the majority of the respondents agreed that laundry accounts for about one-quarter of the carbon footprint of clothing (M=3. From the trend of the responses, it can be concluded that the tertiary students are aware of the fact that laundry and the failure to clothing care instructions in labels account for about onequarter of the carbon footprint. Table 3 gives a presentation of the best practices in clothing care and maintenance for reducing carbon footprints. From the results, it can be determined that the tertiary students recognise that chlorine bleach is acknowledged to be very toxic to the environment hence its use must be reduced.

Having examined this Act as an act of crisis management prehypertension readings buy generic betapace 40mg on line, I turn thirdly and finally to blood pressure chart by weight buy betapace 40mg without a prescription reemphasize how blood pressure chart guidelines discount betapace 40mg overnight delivery, despite the seemingly obdurate character of heartland geopolitics heart attack like symptoms generic betapace 40mg mastercard, it is a fundamentally fragile and contradictory construction. In short, he himself identified the outside inside, and thus, to the extent that this provoked him to become the heartland bomber, the bombing represents a doubly displacing performance of heartland geopolitics and the American patriotism it subtends. No critical geopolitical examination of these issues can afford to ignore or speak glibly about the horrendous impact of the explosion. The bloodied dead bodies of the infants carried by fire-fighters were indeed part of the mediatized spectacle of an innocent and vulnerable heartland under attack, but they were no less painful scenes and experiences to witness. Thus, while I proceed to examine the cultural construction and contradictions of the discourses surrounding the bombing, I want to emphasize that the suffering caused by the violence needs to be remembered through the process of cultural contextualization. Indeed, it is precisely because of the need to come to embodied as opposed to abstract terms with such violence and its causes that a critical cultural analysis is necessitated. Contrary to the construction of McVeigh as an evil outsider bringing terror to the heartland, a consideration of his own schooling in heartland geopolitics highlights the obvious but ignored parallel between turning the people working for the federal government into minions of an evil state apparatus and turning the people of Iraq into minions of an evil state apparatus. Thus, just as the Gulf War was frequently scripted as a high-tech battle against a new, post-Cold War evil empire, so too, it seems, did McVeigh justify his killing of the people in the federal building using the same sort of Reaganite rhetoric. He told his friend Michael Fortier, who testified at the trial, that he `considered all those people to be as if they were storm troopers in the movie "Star Wars. However, in fact very few of the same expressions of sympathy, solidarity and care were ever actually extended to the Iraqi dead, including amongst them many more children and infants. Following feminist critics such as Susan Jeffords, Gibson argues that this so-called New War comprises the whole hegemonic masculinist cultural crisis management of postVietnam patriotism (see Jeffords 1989, 1994). As such it includes everything from action movies like First Blood, Dirty Harry and Red Dawn to Soldier of Fortune conventions, to the organization of militias, to the actual deployment of the American military in events like the Gulf War. My own point here is that the Oklahoma bombing can itself be seen as one more deployment in this same New War. Rather than make this connection, however, most mainstream analysis of the bombing foreclosed any critical re-evaluation of New War culture by actually deploying it yet again to script the terror as emanating instead from an outside threat. It is therefore to this scripting and its short-lived coherence that I turn first. The other quotations I have cited in the epigraph at the start of the chapter argue from the same New War script, aligning good and evil with inside and outside, respectively. Clearly, then, in the terms of the hegemonic geopolitics of American patriotism, the earliest reporting on the Oklahoma bombing shared much with the New War discourses surrounding the Gulf War. With the bombing scripted as another case of Middle Eastern terror originating in an outside space of crazed turmoil, its coding had directly racist implications similar to those that had led from anxieties about Arabs to anti-Arab violence during the Gulf War (Abraham 1992). Steven Emerson, for example, a supposed expert on Islamic Jihad, said: `There is no smoking gun. Thus it followed that the appropriate response was the imperial one that the American media had presented as a huge, clean and virtuous success four years earlier. Before too long, however, the other, far more complex connection with the Gulf War became apparent when the chief suspect in the bombing became McVeigh. In this moment, the outside Arab threat turned out not only to be an ultimate insider, a white American Army man, but also a 27-year-old veteran of Operation Desert Storm itself. For his services manning the machine gun on the Bradley fighting vehicle, McVeigh was awarded a Combat Infantry Badge and a Bronze Star (Kifner 1995a: A1 and A12). The outside threat thus turned out to have been a native son, an insider who knew the Heartland well, a soldier-patriot who had fought for his country against the outside.

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The empirical estimates revealed a positive and significant relationship between money supply and capital stock while a negative relationship was found between inflation and growth blood pressure chart age 65 betapace 40 mg with visa. Abdulazeez (2016) using time-series data covering 1990 to blood pressure journal template discount betapace 40 mg mastercard 2010 arrhythmia signs generic betapace 40 mg with mastercard, investigated the impact of monetary policy on economic growth in Nigeria blood pressure chart log template purchase 40 mg betapace with visa. With the aid of multiple regressions analysis technique on money supply, interest rate, and financial deepening on gross domestic product, the study found that all the variables have marginal impact on the economic growth of Nigeria. This design was adopted to enable the researcher to use time series data to explain the impact of narrow and broad money supply, inflation rate, and exchange rate on real gross domestic product on one hand, and narrow and broad money supply and exchange rate on consumer price index in Nigeria in retrospect. The time series data gave us the needed information about the numerical values of the individual variables of the study from period to period for the estimation of the models. Consequently, the study assumed that real gross domestic product is a function of narrow and broad money supply, inflation rate, and exchange rate, and that consumer price index is a function of narrow and broad money supply and exchange rate in Nigeria. Thus, the mathematical and econometric model follows the augmented technique used by McCallum (1991) and Kohn (1999). The implication of this is that all the coefficients of the explanatory variables are expected to have a linear impact on the dependent variables. Narrow Money Supply (M1) - Currency outside bank plus demand deposits of commercial banks. Gross Domestic Product - the total market value of all final goods and services produced in Nigeria annually. The standard deviation of real gross domestic product growth rate, M1, M2, inflation rate and exchange rate reveals that the values in the data set are close to the mean. All the variables positively skewed as indicated by the positive skewness coefficients. The results of the unit root test at level and first difference are presented in table 4. The results shows that all the variables used in the model are all integrated at first difference, symbolized by I(1), all at 5 percent significance level. The test of the aggregate significance of the model also unveils that that the model is statistically significant because the F-statistics (5. The standard error of regression reveals that in about two-third of the time the independent variables explained the dependent variable by exactly 84 percent. Similarly, broad money supply (M2) also has a positive and statistically insignificant impact on inflation rate. Also, exchange rate has a linear and statistically insignificant impact on inflation in Nigeria. The results further revealed that 68 percent of the variation/change in the dependent variable, inflation rate was explained by the explanatory variables in the model. The results also predict that the overall model is statistically significant because the F-statistic is greater than the F-prob. Narrow money supply (M1) has a positive significant impact on inflation and real Nigeria. Broad money supply (M2) does not have any significant impact on inflation and real Nigeria. Inflation rate does not have any linear significant impact on real gross domestic product in Nigeria. Conclusion the paper evaluated the impact of money supply on varied macroeconomic variables in the Nigerian economy from 1985 to 2016. To achieve the objectives of the study, the ex post facto research design and descriptive statistics was used to observe the variables in retrospect. The Augmented Dickey Fuller test was used to solidify the data and the ordinary least square technique was employed to determine the magnitude and direction of the variables in the models. The empirical results showed that narrow money supply and exchange rate has a significant impact on economic growth and inflation whereas, this is not the case for broad money supply and the rate of inflation on economic growth in Nigeria. Ceteris Paribus, the results suggest that economic growth and inflation is a function of money supply (narrow money supply) and exchange rate in Nigeria.

To center the focus group discussion arrhythmia chest pain buy betapace 40mg amex, a protocol was used to hypertension life expectancy betapace 40 mg for sale elicit information from areas consistent with the post-training surveys prehypertension during pregnancy betapace 40mg amex. Average kappa coefficient for each of the 6 components of focus group ranged from prehypertension jnc 7 discount 40mg betapace. Kappa coefficients take into account chance agreement and therefore are more conservative measures of reliability Cohen, 1980). The math content knowledge measure is a 40-item multiple-choice test, that took approximately one hour to complete, designed to capture teacher math content knowledge. These include: Numbers & Operations (10 items), Patterns & Algebraic Thinking (8 items); Geometry (11 items); Measurement (6 items); Probability & Statistics (5 items). Alpha indices on the sub-domains were also within the acceptable range and include: numbers and operations. T i eache e f-efficacy to teach mathematics content, teachers completed self-efficacy measures targeting math instructional contexts. For each of the 138 self-efficacy items, teachers recorded their responses on a Likert-scale scale ranging from 0 (no confidence at all) to 100 (very high confidence). Teachers rated their confidence in teaching mathematics topics corresponding to the sub-domains of the content knowledge measure. T ca e eache de e i g edag gica c e edge, teachers were presented with two case studies describing an instructional event. The case studies 123 Journal of Bilingual Education Research & Instruction 19(1) 2017 target subtraction and multi-digit multiplication. Both cases captured common content misconceptions elementary school students hold as well as described less than ideal teaching practices. Hill, a second grade teacher, is depicted as reinforcing the misconception that smaller numbers cannot be subtracted by a larger number (as in subtracting 5 from 4). Hill also uses the e b e ai h he be f becomes a 14 in the subtraction of 15 from 24. Although she attempts to ask conceptual questions, she answers her own question and provides a procedural explanation. Participating teachers were asked questions to elicit identification of both misconceptions held by the students, the degree to which the teacher reinforced those misconceptions, and whether they could offer more effective pedagogical practices for the scenario depicted in the case study. For example, the questions pertaining to the explanation regarding the subtraction case included: Has Ms. Hill effectively answered Timothy s question about why the number 4 becomes a 14 and the number 2 becomes a 1 The case study interviews were transcribed, coded and analyzed for trends within teacher responses demonstrating their ability to identify the underlying concept presented in the case study. A specific dimension, targeting content and language objectives, was added to reflect the degree of preparation of the integrated lesson. To foster subject matter concept development, dimensions that captured feedback and questioning were developed. Several dimensions were included to evaluate teacher ability to effectively prepare and deliver instruction free from content errors and misconceptions, activate higher order thinking skills and incorporate research based assessment practices. For each dimension, examples and non-examples were presented to contextualize the dimension qualities. For each dimension, percentage of exact-score agreement was based on the sum of the scores for the process items which comprised each dimension. Percentage exact-score agreement is a rough measure of agreement because it does not take into account the percentage of agreement due to chance (Cohen, 1960). Therefore, percentage of exact-score agreement is an inflated reliability estimate. A more accurate index of reliability is the Kappa coefficient as it does take into account chance agreement (Cohen, 1960). An online calculator (Randolph, 2008) was used to calculate Kappa coefficients for each of the dimension scores. Percentage of exact score agreement for all 14 dimension ranged from 71% to 85% and kappa coefficients from. Results & Analysis Changes in Teachers Self-Efficacy to Teach Mathematics Quantitative evidence. For each of the five scales of the self-efficacy measure, pairedsample t-tests were conducted.

References:

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  • https://www.abingtonhealth.org/app/files/public/2634/pdf-FINAL-Radiology-Ordering-Guidelines-REV-9-6.pdf