Vaginal wall prolapse

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  • The uterosacral ligaments arise from the sacral vertebrate S2,3,4 and attach to the cervical ring posteriorly. It is an effective insertion point of the downward muscle force, the longitudinal muscle of the anus (LMA). The rectovaginal fascia extends as a sheet between the lateral rectal pillars, from the perineal body below to the levator plate above. It is attached to the uterosacral ligaments (USL) and the fascia surrounding the cervix. The perineal body lies between the distal third of the posterior vaginal wall and the anus below the pelvic floor. It is 3-4 cm long.

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  • A four years old Golden Retriever bitch was presented for the treatment following complaint of protrusion of oedematous tissue through the vulva lip. Clinical examination revealed a pear shaped pendulous mass was hanging from the vaginal wall. The treatment involved application of antiseptic gel and amputation of the protruded mass. The bitch had completely recovered after the surgery with no recurrence of prolapsed at next season.

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  • These four categories really depend in the main on the idea that in some circumstances, God and religion justify war. This is the ‘just war’ doctrine. The notion of ‘just war’ is based on the violence-of-God tradition, attempting to solidify the relationship between God and war. However, any arguments regarding divine war are built upon understandings of divine justice. Analyzing the concept of ‘just war’, Richard Kirby contends that ‘it is not that the variable attributes of the war which are problematic; it’s the elasticity of the concept of justice’.

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  • Several in vitro studies have shown that polyphenols are the major contributors with respect to the total antioxidant activity of the majority of fruits and vegetables. Over 8.000 polyphenolic molecules have been identified and can be classified into flavonoids and non- flavonoid phenolics. Certain authors consider (poly)phenols to be all secondary phytochemicals that have at least two phenol subunits.

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  • Some of the issues just outlined are issues that have been constructively considered in the course of this book. UNCTAD has been involved in the area of insurance since its inception in 1964. More recently with the twin focus on the insurance sector being in the area of regulation and trade negotiation in the sector, we have at the request of our member States tried to look at arising development implications so as to provide an overview. As a focal point in the United Nations system for the integrated treatment of trade and development and related issues, UNCTAD has unique...

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  • This paper draws upon data from a research project undertaken in Great Britain and Northern Ireland. vii The focus on consumers/end users to develop a broad and situated view of the consumption of counterfeit goods led the data collection to focus primarily on counterfeit versions of leisure goods (e.g., fashion clothes, music, film, games, and other software). The distinction between leisure goods and other types of counterfeit items is not merely one of convenience.

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  • The survey results indicate that the majority of students in almost all of the scenarios preferred the modern electronic soundtrack. Furthermore, in each case, regardless of whether a majority was reached, the positive response to this music outweighed the negative response. Focus group comments for the Caligari screening, for example, noted that the DJ Spooky music was “more effective” and allowed for a “better experience” for students.

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  • The spleen is situated in the Middle Energizer. Its main physiological functions of spleen involves: the transportation and transformation of water and food on one hand, and of dampness on the other, controlling all the blood of the body and keeping it circulating normally within the vessels, transports and transforms the essence of food and drink to nourish the muscles and the four limbs. The mouth is the aperture of the spleen, for this reason, the lips reflect the condition of the spleen's function of transporting and transforming water and food.

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  • “Women’s health” is a concept that conjures up many meanings and agendas in different regions of the world among many different strata of women. Yet these differences do not discourage women from espousing and supporting women’s health; nor is there much of an interest on the part of women advocates for reducing the number of concerns. Generally speaking women’s health is conceptually pragmatic -- that is, women’s health is generally thought to include all conditions, diseases, care and research that affects women either disproportionately or differently from men. ...

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  • New cars are supplied by auto manufacturers via a network of legally separate but captive retail dealerships. Whether the increased demand for high-fuel eciency cars and decreased demand for low fuel-eciency cars will show up primarily in the prices or in the market shares of new cars depends on the elasticity of the combined response in this supply chain. There are several reasons to think that supply may not be perfectly inelastic, and that therefore at least part of the response will show up in quantities.

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  • This paper studies performance effects of appointing other firms' executive directors to corporate boards in the UK. Consistent with the explicit advantages associated with non-executive directors, as set out in the various UK corporate governance codes, our basic hypothesis maintains that, in the presence of director fixed effects, the appointment of an executive director as non-executive director will have a positive impact on the appointing company‟s performance.

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  • In the early 1990's when systematic biopsy of prostate using transrectal ultrasonography (TRUS) had just begun, there was enthusiasm for identifying abnormalities and obtaining appropriate samples. Since the occurrences of early small prostate cancer are increasing and identifying tumors using TRUS are somewhat subjective, the efficiency of the method in detecting and staging prostate cancer has decreased. (Ohori, et al. 2003) Instead, many physicians discuss about where and how many biopsy cores should be taken in order to improve the detection-rate of cancer.

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  • For the purpose of this review, green bonds are broadly defined as fixed-income debt securities issued (by governments, multi-national banks or corporations) in order to raise the necessary capital for a project which contributes to a low carbon, climate resilient economy. To date, these have been issued predominantly as AAA-rated securities by the World Bank and other development banks and some other entities in order to raise capital specifically for climate change and green growth related projects.

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  • The rise in consumer debt has increased the number of for- profit debt settlement/relief companies but some have engaged in deceptive, abusive and fraudulent practices victimizing consumers and at times financial institutions. Some debt settlement companies have charged fees to enroll customers in deceptive programs or to settle debts but did not provide the services while others misappropriated settlement payments, operated without a license, or facilitated identify theft.

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  • It is very important to make a distinction between the way that an investor records invest- ments in its books and the way that the investment is reported in the investor’s financial statements. We’re already seen that reporting may involve cost, fair value, equity, consoli- dation, or proportionate consolidation. Often, an investor will account for a strategic investment by using the cost method during the year simply because it is the easiest method; this is the investor’s recording method.

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  • In January 2009 WWF-UK launched its One Planet Food programme, which aims to reduce the environmental and social impacts of food consumption in the UK. We work across the food chain to reduce greenhouse gas emissions (GHGEs), protect biodiversity and reduce the impact of food on finite water resources. The aim has always been to move away from unsustainable food choices, towards sustainable ones that support global agriculture and biodiversity. Since 1960 the world’s population has doubled, increasing the demand for food and impacting on the climate and our ecosystems.

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  • e California Simulation of Insurance Markets (CalSIM) model is designed to estimate the impact of various elements of the ACA on employer decisions to offer insurance coverage and individual decisions to obtain coverage in California.

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  • Japan is one of many countries that is reconsidering the role of its postal savings system as it prepares for the financial realities of the 21st century.

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  • Compliance with the program is near universal. Since the first day the restrictions were imple- mented they have been enforced vigorously by the city police. 4 One of the advantages of basing the restrictions on license plates is that vehicles violating the ban are easy to spot. Mexican law stipulates that vehicles that violate the ban are to be impounded for 48 hours and their owners are to pay a fine equivalent to $200 U.S. dollars.

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  • The wide adoption of the Internet has fundamentally altered the ways in which we communicate, gather information, conduct businesses and make purchases. As the use of the World Wide Web and email skyrocketed, computer scientists and physicists rushed to characterize this new phenomenon. While initially they were surprised by the tremendous variety the Internet demonstrated in the size of its features, they soon discovered a widespread pattern in their measurements: there are many small elements contained within the Web, but few large ones.

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