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Such conditions exist when evidenced by chronic purulent nasal discharge, hyperplastic changes of the nasal tissue, symptoms requiring frequent medical attention, or x-ray findings. After 2 years post-injury, applicants may be qualified if neurological consultation shows no residual dysfunction or complications. After 1 month post-injury, applicants may be qualified if neurological evaluation shows no residual dysfunction or complications. Current or history of academic skills or perceptual defects (315) secondary to organic or functional mental disorders, including, but not limited to dyslexia, that interfere with school or employment, do not meet the standard. Current or history of conduct (312), or behavior (313) disorders does not meet the standard. Recurrent encounters with law enforcement agencies, antisocial attitudes or behaviors are tangible evidence of impaired capacity to adapt to military service and as such do not meet the standard. History (demonstrated by repeated inability to maintain reasonable adjustment in school, with employers or fellow workers, or other social groups), interview, or psychological testing revealing that the degree of immaturity, instability, personality inadequacy, impul siveness, or dependency will likely interfere with adjustment in the Armed Forces does not meet the standard. Any current receptive or expressive language disorder, including, but not limited to any speech impediment, stammering and stuttering (307. Current or history of furunculosis or carbuncle (680), if extensive, recurrent, or chronic does not meet the standard. Current or history of congenital (757) or acquired (216) anomalies of the skin such as nevi or vascular tumors that interfere with function, or are exposed to constant irritation do not meet the standard. Scars at skin graft donor or recipient sites will include an evaluation of not only the relative total size of the burn wound, but also the measurable effects of the wound, the location of the wound and the risk of subsequent injury related to the wound itself. Examination will focus on the depth of the burn, anatomic location (extensive burns on the torso will most significantly impair heat dissipation), and destruction of sweat glands. Current or history of spina bifida (741) when symptomatic, if there is more than one vertebra level involved or with dimpling of the overlying skin does not meet the standard. Current or history of muscular dystrophies (359) or myopathies does not meet the standard. Healed eosinophilic granuloma, when occurring as a single localized bony lesion and not associated with soft tissue or other involvement, will not be a cause for disqualification. Current or history of other disorders, including, but not limited to cystic fibrosis (277. Current or history of cold-related disorders, including, but not limited to frostbite, chilblain, immersion foot (991), or cold urticaria (708.

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They result in changing or lowering expectations and create a different standard for kids with disabilities than for those without disabilities. Modifications mean that the curriculum is changed quite a bit (Schwab Foundation, 2006). This means that his instructional level has changed significantly (second, not fifth, grade instruction) (Schwab Foundation, 2006). Children, especially from less privileged socio economic homes, do not have much exposure to language; their language develops mainly through the school experience. The school insists on perfectly correct answering skills in rote fashion, right from the entry stage. The child does not develop any independent expressive skills, language which should be a joy is nothing short of drudgery and without language, all other learning is restricted. The linguistic diversity in India further Figure 9: Language development programs (communication, compounds the problem. A headmaster from a fun with language, allowance for errors) rural school in Goa acknowledges that the children have not developed language skills even, in their the burden of learning that has crept into own mother tongue. Also important for all children, is developing higher brain functions like understanding of concepts, and cognitive development through Figure 11: the final exam paper following intervention critical thinking, problem solving and encouraging shows marked interest in and desire to write creativity. Sspheres of cognitive, language, emotional, Early diagnosis and intervention in children social and moral development of a child (Kapur, with learning disorders makes a substantial 1995) (Johnson B, 2002) improvement in self-confidence and social Academic skills such as reading, writing and competency. A Major Difficulties learning problem may therefore engender feelings Labeling of anxiety, inadequacy and shame, leading to behavioral disturbances in children of school age. The an impact on the emotional, social and family presenting symptom being behavioral, the children functioning of a child. The child may come to believe the including a retrospective study at Child and label, and may act upto his/her reputation.

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However, observation as a data collection strategy could be a limitation due to certain issues such as impression management and deception on the part of the participating teachers (Creswell, 2013). Another challenge I had to keep in mind was that my presence in the classroom could lead to participating teachers feeling uncomfortable (Cohen et al. To address the possible limitations, I prepared the participating teachers in advance of my role of observer as participant (Creswell, 2013). Furthermore, I explained to the learners that I am there to observe their teacher and not to assess them or their school work. Documenting observation data I developed an observation protocol8 in advance to guide me through the observation process. Furthermore, I prepared field notes immediately after the observation to provide rich narrative descriptions of the participating teachers and the events being observed (Creswell, 2013). I also obtained informed consent from the participating teachers to audio record the classroom observations to establish context and meaning. The author records thoughts whenever he or she notices anything, discusses something regarding the research with someone, observes participants in an activity or anything else that might help to better understand the phenomenon under investigation. I requested the participating teachers to keep a reflective journal throughout the course of the research as it represents the immediate recordings of their feelings, thoughts, and experiences in teaching and supporting learners with dyslexia. In addition, as the researcher, I kept a reflective journal to reflect on my role as a researcher within the research process, and to think about my reactions to the research content (Willig, 2008). My reflective journal and field notes included a daily schedule with logistics of the present study, and reflections of my own assumptions, biases, beliefs and values, and experiences during interviews and observations (Ary et al. Collecting visual data as part of this qualitative research offers several advantages.

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Randomized study of hormone agonist with or without raloxifene: laparoscopic versus minilaparotomic effects on cognition, mood, and quality of myomectomy for uterine myomas. Comparative study of preserve fertility: preliminary results of a vaginal, laparoscopically assisted vaginal randomized controlled trial. European journal of obstetrics, prospective, randomized, single-blind, gynecology, and reproductive biology. Impact of compared with laparoscopy-assisted vaginal different hormone replacement therapy hysterectomy: a prospective, randomized, regimens on the size of myoma uteri in multicenter study. Acta obstetricia et postmenopausal period: tibolone versus gynecologica Scandinavica. A prospective, randomized trial of pre-menopausal women with fibroids gonadotropin-releasing hormone agonist requiring surgery. Konidaris S, Costomenos D, the Journal of clinical endocrinology and Chryssikopoulos A. Pakistan journal of medical results obtained with buserelin administered sciences. Long leuprolide acetate depot in the treatment of term medical management of uterine uterine leiomyomata. Ultrasound in thermal ablation of uterine fibroids with obstetrics & gynecology: the official journal laparoscopic myomectomy. International of the International Society of Ultrasound in journal of gynaecology and obstetrics: the Obstetrics and Gynecology. Vasopressin during abdominal morcellation of uterine leiomyosarcomas in hysterectomy: a randomized controlled trial. Unsuspected management experience of unexpected diagnosis of uterine leiomyosarcoma after uterine sarcoma after myomectomy. Age Intraligamental Myomectomy Strategy stratified risk of unexpected uterine sarcoma Using Laparoscopy. Journal of minimally invasive Leiomyosarcoma: Incidence of and Survival gynecology. Nannapaneni P, Naik R, de Barros Lopes A, International Gynecological Cancer Society. Tranexamic with inadvertently morcellated uterine acid for the management of uterine fibroid sarcoma. Levonorgestrel-releasing intrauterine system Complications and reinterventions in uterine use in premenopausal women with artery embolization for symptomatic uterine symptomatic uterine leiomyoma: a fibroids: a literature review and meta systematic review.

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