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There is insufficient experience with the other succinimides, mesux imide and phensuccimide, to assess their risks in pregnancy. Mesuximide and phensuccimide are less well studied, and are therefore not recommended. However, detailed ultrasound diagnosis around week 20 should con firm normal development of the fetus. To decrease the risk of coagulation disturbances in the fetus and new born, the newborn should receive 1mg of vitamin K (preferably intramuscu larly) at birth and 1mg orally every 3 days in the first 2 weeks of life (see also section 2. Currently, this drug is no longer used because of its numerous side effects and because of the availability of better medications. Experience is lim ited, depending primarily on 36 documented pregnancies in 9 fami lies, and suggesting a comparatively high teratogenic risk. Oxazolidine anticonvulsants are contraindicated in pregnancy because better-tolerated anticonvulsants are available. Neverthe less, when there has been exposure, termination of pregnancy is not indicated. However, an expanded prenatal diagnosis with a detailed fetal ultrasound during the second trimester should be conducted to identify any major distur bances of structural development. These probably achieve their anticonvulsant effect by stabilizing the neuron membranes. Primidone is converted to the metabolites phenobarbital and phenylethylmalonamide, which have an anticonvulsant action. Because the indications, effectiveness, half-lives, and undesirable side effects of primidone and phenobarbital in pregnancy are similar, only phenobarbital will be described extensively. Barbexaclone is phenobarbital combined with levopropylhexedrine, a psychostimulant that can counteract sedation. Phenobarbital and primidone are very effective in focal epilepsy and grand-mal seizures. Phenobarbital has been used as a sedative and anticonvulsant since the beginning of the twentieth century (Hauptmann 1912). About 25% is excreted unchanged via the kidney, and the remainder is excreted after oxidative metab olism. Phenobarbital reaches the fetus quickly, and results in an increase in fetal liver enzyme activity, especially in the perinatal period. Such applies to the glucuronidating enzymes that are responsible for the excretion of bilirubin (Tavoloni 1983).
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Medical procedures turn into black magic when, instead of mobilizing his self healing powers, they transform the sick man into a limp and mystified voyeur of his own treatment. Medical procedures multiply disease by moral degradation when they isolate the sick in a professional environment rather than providing society with the motives and disciplines that increase social tolerance for the troubled. Magical havoc, religious injury, and moral degradation generated under the pretext of a biomedical pursuit are all crucial mechanisms contributing to social iatrogenesis. When doctors first set up shop outside the temples in Greece, India, and China, they ceased to be medicine men. When they claimed rational power over sickness, society lost the sense of the complex personage and his integrated healing which the sorcerer-shaman or curer had provided. To the hand that wielded the sword was attributed the power to subdue not only the enemy but also the spirit. Up to the eighteenth century the king of England laid his hands every year upon those afflicted with facial tuberculosis whom physicians knew they were unable to cure. Today the medical establishment is about to reclaim the right to perform miracles. Medicine claims the patient even when the etiology is uncertain, the prognosis unfavorable, and the therapy of an experimental nature. Under these circumstances the attempt at a "medical miracle" can be a hedge against failure, since miracles may only be hoped for and cannot, by definition, be expected. The radical monopoly over health care that the contemporary physician claims now forces him to reassume priestly and royal functions that his ancestors gave up when they became specialized as technical healers. The medicalization of the miracle provides further insight into the social function of terminal care. The patient is strapped down and controlled like a spaceman and then displayed on television. These heroic performances serve as a rain-dance for millions, a liturgy in which realistic hopes for autonomous life are transmuted into the delusion that doctors will deliver health from outer space. By dumping, the medical lords divest themselves of the nuisance of low-prestige care and invest policemen, teachers, or personnel officers with a derivative medical fiefdom. Medicine retains unchecked autonomy in defining what constitutes sickness, but drops on others the task of ferreting out the sick and providing for their treatment. Only medicine knows what constitutes addiction, though policemen are supposed to know how it should be controlled. Only medicine can define brain damage, but it allows teachers to stigmatize and manage the healthy-looking cripples.
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Most commonly, fat is harvested from the lateral Poly-L-lactic Acid thigh or abdominal region. Fat is then either strained or centrifuged, and injected into areas requiring volume. The main complication is nodule formamorbidity, potential for prolonged facial swelling, and tion. In addition, fat can lead to neous tissues and not in areas of significant muscle granulomas that can be treated with triamcinolone injecmotion such as the lips. Fat transplantation using fresh It has an off-label use for soft tissue augmentation in versus frozen fat: a side-by-side two-hand comparison pilot the face, primarily for reduction of nasolabial folds. The true longevity of thetic appearance versus fresh fat at 1, 3, and 5 months for fat calcium hydroxylapatite is not known. Consensus recommendations on the use of botulinum toxin type A in facial aesthetics. Zyplast is cross-linked with tion point), the influence of other variables, such as gender, glutaraldehyde (creates a longer-lasting effect) but must and assessment and retreatment issues by a consensus panel on botulinum toxin. Lip augmentation with AlloDerm acellular allogenic dermal graft and fat autograft: a comparioccur in about 3% of patients; therefore, skin testing son with autologous fat injection alone. The role of skin testing in the use of collagen injectable carries essentially no risk of hypersensitivity reactions, materials. Injected hyaluronidase reduces jectable nonanimal stabilized hyaluronic acid gel for soft tisRestylane-mediated cutaneous augmentation. Retinal branch artery occlusion following injection of hyaluronic acid (Restylane). Rish technique A line perpendicular to the Frankfort horizontal line is projected tangential to the most anterior edge of the lower lip vermilion border. Merrifield Z-angle A line is projected through the pogonion and the most anterior point of the upper lip vermilion border. Zero meridian of A line perpendicular to the Frankfort horizontal line proGonzales-Ulloa jected through the nasion. Significant is that firstand second-degree retractions are treatable with implants, but third-degree retraction is best treated with maxillofacial surgery. Complications Complications of facial implants are rare and include Hinderer In a frontal view, draw a line from the lateral hematoma, infection, nerve paresthesia (transient or commissure of the lip to the lateral canpermanent), and motor nerve injury. Another line shown a change in infection rates in extraoral versus projects from the tragus to the inferior intraoral approaches.
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The conclusion from that follows the argument that European producers can control cost relative to the small number of producers via a superior offer of cocoa quality on the commodity markets. It is significant for achieving optimal results in the process of production, packaging, direct shipping and selling. The next chapters are following the relevant framework and literature in the field of global exports of chocolate confectionery. The purpose of the paper is to identify revealed comparative advantage of 15 countries relative to the industry trends and business agenda. The most important findings in the sphere of market consolidation via segmentation are analyzed in the discussion part. Final remarks are referring to opportunities, proposal and recommendations in the conclusion part. The exports competitiveness as a primary prerequisite for economics stability has a stronghold position via stable and predictable economics factors such as economic stability, trade agreements, industrial policy and production factors (Bezic, Cerovic, & Galovic, 2011). Therefore, the exporters have mission and strategy to stabilise and secure the economy from a drop in demand and the harmful effects of the global financial crisis (Bezic et al. The industry values different indicators with the aim is to find profitable products that meet the requirements of a free market in terms of quality and price (Jambor et al. Considering a result greater than one, it indicates an advantage in exports while on the contrary, it presents a lack of exports of the specific goods. The value for discovering comparative advantages of a certain economy except for factors of manufacturing costs are covering the analysis in the results and discussion. Others adapt to the chocolate eaters like millenials, by adding grains and cereals. For example, Germany, which represents 17% of the share, is more than ever connected to consumers habits like impulse buying and online orders. Taking mentioned into consideration, for the last six years, the top three fastest-growing chocolate producers like Poland, Italy and Canada, on average grow by 21. Conversely, countries like Turkey, France and Russia Federation, on average, declined by 9. The ongoing process of vertical integration of the cocoa supply chain challenges smaller companies to specializes in the production process of fewer segments to be easily absorbed by large operating companies in producing countries. Many multinational companies developed an expanding strategy for its cocoa supply chain and implemented the bean-to-bar concept of production for bulk markets. For instance, some producers develop private initiatives through investments in local infrastructure to attach 100% of its cocoa in confectionery traceable by 2025 (Laven, Pelders, & Koninklijk Instituut vor de Tropen.
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Hence, along side the function of differentiating people, personal naming serves the function of categorising people. In general, personal naming makes the child part of the social world and gives him or her a social identity. Hence, even if personal names do not need to carry information about a culture in order to function as names, they carry a lot of cultural sig nificance, as they are used for various sociocultural functions. Because of this, the relationship between personal names and culture is of vital importance when analysing anthroponymic systems and their function ing in the society. In this study, we assume that since anthroponymic systems are units in the same way as other linguistic and cultural systems are, they can be expected to follow similar patterns when undergoing changes. All naming systems obvi ously undergo changes and these changes can be explained by both in ternal and external factors. These changes may then affect the internal func tioning of the naming system, but they do not affect the organisation of the system, which means that its external function remains intact. Kohlheim points out that elements of one naming system may also be transferred to another: a place name may become a surname, for exam ple. Changes in the social system may also cause changes in the struc ture of the naming system. However, they also tend to influence the organisation of the naming system, thus changing its identity and eventually developing a new one. Hence, the German anthroponymic system in the 10th century is not the same as that of the 15th century, because the organisation of the system has changed over that time, not only its elements. On the other hand, the German anthroponymic system in the 12th century and in the 15th cen tury can be seen as one system, even if they share very few common elements, because the system has retained its organisation. Kohlheim (1998) does not say anything about culture contact as a possible source for onomastic change, even if one suspects that the changes in the extralinguistic environment that he refers to may well be caused by the encounter between different cultures. Another social system or culture In practice, it is often impossible to define the original source of the change, as onomastic change is typically caused by several internal and external factors working together. For example, a foreign language may first cause 33 Personal Names and Cultural Change changes in the language system, which in turn cause changes in the nam ing system. In many cases, it is also difficult to say if a particular change in an anthroponymic system is due to local sociocultural developments or to the influence of another naming system, as similar sociocultural developments tend to cause similar changes in personal naming in dif ferent societies (Kiviniemi 1982b, p. However, it is important to note that these changes are typically not predictable.
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