International sense

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  • The technical, scientific, policy, and institutional environment for conduct- ing Earth science research has been changing rapidly over the past few decades. Changes in the technical environment are due both to the advent of new types and sources of remote sensing data, which have higher spatial and spectral resolution, and to the development of vastly expanded capa- bilities in data access, visualization, spatial data integration, and data manage- ment.

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  • Chapter 18 - Global marketing and R&D. Upon completion of this lesson, the successful participant will be able to: Explain why it might make sense to vary the attributes of a product from country to country, recognize why and how a firm's distribution strategy might vary among countries, identify why and how advertising and promotional strategies might vary among countries.

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  • In this chapter, we look beyond domestic markets to survey issues of international and extended diversification. In one sense, international investing may be viewed as no more than a straightforward generalization of our earlier treatment of portfolio selection with a larger menu of assets from which to construct a portfolio.

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  • The global environment that charac- terises the business world highlights the importance of developing strate- gies that go beyond the geographical boundaries of one country. Wage-rate differentials, expanding foreign mar- kets and improved transportation break down barriers of time and space between countries and force the logistics function to take on a global dimension. Global logistics is the response to the increasing integration of international markets as firms try to remain competitive.

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  • The programme is indebted to the five hundred plus international nurses from twentythree different countries who have worked and studied with us over the last four years at the Oxford Radcliffe Hospitals NHS Trust, the University Hospitals of Leicester NHS Trust and other hospitals. They have tested our new ideas, suggested improvements and shown honesty, courage and a sense of humour throughout. We are particularly grateful to the international nurses who commented on the first drafts of this book....

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  • Harrison's Internal Medicine Chapter 30. Disorders of Smell, Taste, and Hearing Smell The sense of smell determines the flavor and palatability of food and drink and serves, along with the trigeminal system, as a monitor of inhaled chemicals, including dangerous substances such as natural gas, smoke, and air pollutants. Olfactory dysfunction affects ~1% of people under age 60 and more than half of the population beyond this age. Definitions Smell is the perception of odor by the nose. Taste is the perception of salty, sweet, sour, or bitter by the tongue.

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  • Disorders of the Sense of Taste Disorders of the sense of taste are caused by conditions that interfere with the access of the tastant to the receptor cells in the taste bud (transport loss), injure receptor cells (sensory loss), or damage gustatory afferent nerves and central gustatory pathways (neural loss) (Table 30-2). Transport gustatory losses result from xerostomia due to many causes, including Sjögren's syndrome, radiation therapy, heavy-metal intoxication, and bacterial colonization of the taste pore.

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  • FOR OVER 35 years Mirjan Damaška’s work has shone like a beacon over those who try to make sense of the similarities and differences between national legal systems. As someone who was a professor of law at the University of Zagreb Law School before coming to the United States to teach at the University of Pennsylvania and then at Yale, his work reflects an unparalleled range of erudition and a deep understanding of the common law and civil law traditions born of personal experience.

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  • Examination of Sensation The main components of the sensory examination are tests of primary sensation (pain, touch, vibration, joint position, and thermal sensation; Table 251).

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  • Approach to the Patient: Disorders of the Sense of Hearing The goal in the evaluation of a patient with auditory complaints is to determine (1) the nature of the hearing impairment (conductive vs. sensorineural vs. mixed), (2) the severity of the impairment (mild, moderate, severe, profound), (3) the anatomy of the impairment (external ear, middle ear, inner ear, or central auditory pathway), and (4) the etiology. The history should elicit characteristics of the hearing loss, including the duration of deafness, unilateral vs. bilateral involvement, nature of onset (sudden vs.

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  • ANORECTAL AND PELVIC FLOOR TESTS Pelvic floor dysfunction is suggested by the inability to evacuate the rectum, a feeling of persistent rectal fullness, rectal pain, the need to extract stool from the rectum digitally, application of pressure on the posterior wall of the vagina, support of the perineum during straining, and excessive straining. These significant symptoms should be contrasted with the sense of incomplete rectal evacuation, which is common in IBS.

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  • You can split a large group into small teams each responsible for one aspect of the villa – the buildings, the roofs, the courtyard. To extend the activity, include cut-away rooms showing internal details such as mosaics and wall paintings. You can spread this activity over more than one session by making all the parts in session one and building in session two. Further sessions could include making mosaic floor (using the Make a Marvellous Mosaic pack) or making mini Romans to live in the villa - you can use Eric for inspiration.

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  • It is rare that policymakers get a second chance, but today, they may be fortunate enough to have such an opportunity. As this book goes to press in the fall of 2008, it is aimed to assist the new administration that will be elected this fall to seize the opportunity, learn from past mistakes, and design a communications policy that will be forward-looking, make information technologies available to all, enhance their contribution to a more vibrant democratic sphere, to a greater sense of social responsibility, and to an improved quality of life for all Americans....

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  • The paper entitled “International Convergence of Capital Measurement and Capital Requirements” 15 published by the Basel Committee on Banking Super- vision provides only general information on interest rate risk in the banking book. More specifi c information is contained in an additional paper entitled “Principles for the Management and Supervision of Interest Rate Risk” (July 2004).

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  • The structure of this volume basically follows a tripartite organization: Morality and Politics, Money and Poverty, and Medical Need and Response. I will briefly review the chapters in each part in order to provide the reader with a sense of wha he/she might expect. First, however, I would like to describe the rationale behind each part of the book and how they are intended to relate to each other.

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  • Angina Pectoris (See also Chap. 237) The chest discomfort of myocardial ischemia is a visceral discomfort that is usually described as a heaviness, pressure, or squeezing (Table 13-2). Other common adjectives for anginal pain are burning and aching. Some patients deny any "pain" but may admit to dyspnea or a vague sense of anxiety. The word "sharp" is sometimes used by patients to describe intensity rather than quality.

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  • Disorders of the Sense of Smell These are caused by conditions that interfere with the access of the odorant to the olfactory neuroepithelium (transport loss), injure the receptor region (sensory loss), or damage central olfactory pathways (neural loss). Currently no clinical tests exist to differentiate these different types of olfactory losses. Fortunately, the history of the disease provides important clues to the cause.

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  • Approach to the Patient: Disorders of the Sense of Smell Unilateral anosmia is rarely a complaint and is only recognized by testing of smell in each nasal cavity separately. Bilateral anosmia, on the other hand, brings patients to medical attention. Anosmic patients usually complain of a loss of the sense of taste even though their taste thresholds may be within normal limits. In actuality, they are complaining of a loss of flavor detection, which is mainly an olfactory function.

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  • Definitions Disturbances of the sense of taste may be categorized as total ageusia, total absence of gustatory function or inability to detect the qualities of sweet, salt, bitter, or sour; partial ageusia, ability to detect some but not all of the qualitative gustatory sensations; specific ageusia, inability to detect the taste quality of certain substances; total hypogeusia, decreased sensitivity to all tastants; partial hypogeusia, decreased sensitivity to some tastants; and dysgeusia or phantogeusia, distortion in the perception of a tastant, i.e.

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  • Approach to the Patient: Disorders of the Sense of Taste Patients who complain of loss of taste should be evaluated for both gustatory and olfactory function. Clinical assessment of taste is not as well developed or standardized as that of smell. The first step is to perform suprathreshold whole-mouth taste testing for quality, intensity, and pleasantness perception of four taste qualities: sweet, salty, sour, and bitter. Most commonly used reagents for taste testing are sucrose, citric acid or hydrochloric acid, caffeine or quinine (sulfate or hydrochloride), and sodium chloride.

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