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Victoria Ord, 37, knew what precautions to take on a trip to Gambia .
Nurse from Cheshire caught stomach bug and malaria pills stopped working .
Caught severe falciparum malaria and ended up in hospital with organ failure . | By . Joani Walsh . Having . travelled to The Gambia every year for more than a decade on family . holidays, nurse Victoria Ord knew what precautions to take. Her . vaccinations were up to date and she had packed enough high-factor . sunscreen to protect all of her extended family during their two-week . trip. She also started taking daily anti-malarial medication before she left Britain to ensure she was protected. Victoria Ord's malaria pills stopped working after a stomach bug while in Gambia . Despite . her medical training, however, Victoria, 37, did not know that the . 24-hour stomach bug she picked up halfway through the holiday would . render those doxycyline tablets useless. And the bug, although unpleasant, was not even that severe. 'I . had my birthday during the holiday and woke up feeling sick that day so . skipped breakfast, but took my anti-malarial as usual and had just a . cup of tea,' says Victoria. 'About an hour later I started vomiting and . carried on being sick for the rest of the morning.' She was well . enough to go out later for a birthday dinner with her husband Jay, 41, . and ten-year-old daughter Madison, joined by the rest of the family, . although she didn't have much of an appetite. By the next day she was . feeling better, but the damage had been done. Within four days of . returning home, Victoria was in a resuscitation room in A&E, . delirious and too weak even to stand. She had malaria, which can be . deadly. Just this weekend, 21-year-old British aid worker Christi Kelly . died in Kenya after contracting the disease. She, too, had been taking . anti-malarials. Victoria had visited a wetland area known for its mosquitoes, but hadn't even noticed the bite mark . Tests revealed Victoria had falciparum malaria, the . most severe form of the disease, and she was immediately taken to . intensive care where she was put into an induced coma. At one point, Jay . was warned his wife might not survive. Victoria had visited a wetland area known for its mosquitoes, but hadn't even noticed the bite mark from the insect. 'Because I'd been taking my anti-malarials every day I never thought I could be at risk,' she says. The . problem with doxycycline and most other popular anti-malarials is that . they have to be taken every day to keep enough levels in the blood to . suppress malaria as it's developing, explains Dr Nick Beeching, senior . lecturer at Liverpool School of Tropical Medicine. 'So a period of . sickness or diarrhoea, even over just a day or two, could leave you less . protected - and it takes a little while afterwards for the medication . to return to optimum levels,' he says. And it's not just . anti-malarials. The potency of any daily medicine, including those for . long-standing conditions, can be affected by sickness and diarrhoea, . says Sultan Dajani, of the Royal Pharmaceutical Society. 'If you've . vomited within three hours of taking medication, its effect will be . compromised,' he says. 'And if you're on medication for cardiovascular . or stroke-related conditions - to regulate heartbeat, control blood . pressure or prevent blood clots, for instance - that could be life . threatening.' Often those on medication are unaware that they are, in effect, missing a dose if they have a stomach upset. 'People . think that once a pill is swallowed, the effect is immediate,' says Dr . Tony Steele, GP and medical director of the Dr Fox online clinic. 'Vomiting or diarrhoea can effectively mean a missed dose and it can be . critical - enough to throw some patients on medication for heart . problems into heart failure.' Dr Steele has known of patients on the . blood-thinning drug Warfarin to suffer a blood clot because of a missed . dose through an upset stomach. There are others at risk, too. For women . taking the contraceptive ill, even a minor stomach upset can reduce its . effectiveness and result in an unplanned pregnancy. With drugs that . have a long-lasting effect, such as thyroxine for thyroid problems or . medication for osteoporosis, a couple of days of sickness won't cause . too much of a problem, according to Mr Dajani. But, he warns: . 'Losing a day's worth of epilepsy, asthmatic drugs (excluding inhalers) or those for mental health conditions such as schizophrenia can have . serious consequences.' Diarrhoea can be more problematic than vomiting. The resulting dehydration and the effect this has on your levels of . potassium and sodium (electrolytes that help regulate fluid levels) can . also affect how drugs are absorbed, adds Dr Steele. 'This can, for instance make digoxin, which regulates irregular heartbeat, ineffective.' So if you are on daily medication and have an upset stomach what should you do? 'You . should repeat the dose as soon as possible and seek medical advice if . you are sick again within three hours of taking the replacement dose,' advises Mr Dajani. With diarrhoea you should also keep up your . fluids and take rehydration sachets to replace lost electrolytes. And . make sure you discuss a sick-day management plan before you even go away . - again, with your pharmacist or GP. 'Everyone should know what to . do in unforeseen circumstances - if they become ill with another . condition that may affect their medication, they lose their drugs, their . tablets get wet or, say, they're on insulin which needs to be kept in a . fridge, but there's a blackout at their resort,' says Mr Dajani. Victoria . started to become seriously ill the day after she returned home to . Stockport, Cheshire, in November 2011. Her symptoms began during her . first night shift back at Stepping Hill Hospital. 'I felt freezing . cold and so achy the next morning, that I went straight to bed when I . came home and didn't have the strength to get up again,' she explains. 'But I thought I'd just picked up flu coming back to a cold November . from the heat of The Gambia.' Victoria pictured in hospital with multi-organ failure . After three days without any . improvement, Jay, a hospital driver, had noticed Victoria's breathing . quickening as she slept, and that her golden tan appeared to be turning . yellow. 'He contacted our GP who said I'd already called and been . told it was probably flu - but I was becoming delirious,' Victoria . recalls. 'Jay told him I couldn't remember making the call and asked . if I'd mentioned we'd just returned from Africa. The GP ordered Jay to . get me straight to hospital.' Jay had to support his wife down the . stairs to their car to take her to A&E at Stepping Hill, where she . rapidly began to deteriorate. 'Doctors were able to tell quite quickly . from looking at my blood that it was malaria, but I didn't believe them. I kept telling them I had been taking the pills, that I'd been “good” and done what I was told,' Victoria says. She was transferred to . intensive care where she was put into an induced coma - she also . developed acute respiratory distress syndrome, inflammation of the lungs . that reduces oxygen levels in the blood, and had to be put on a . ventilator. She needed dialysis to help her kidneys function as they . were failing as a result of blackwater fever, a complication of malaria . caused by red blood cells bursting in the bloodstream as they are . infiltrated by the malaria parasite. The number of Britons who suffer from gastroenteritis each year . She was also suffering from jaundice and cerebral malaria as the parasite caused inflammation of the blood vessels of the brain. Treatment . began immediately with intravenous doxycycline, an antibiotic, and . quinine to clear the parasite from her bloodstream. 'I was brought . round every day for doctors to be able to monitor my reactions for . improvements. It was the scariest part because I was so disorientated. 'I . could see balloons and bright lights and thought I was in a freight . container being taken back to The Gambia to be married off.' She was . transferred to North Manchester General Hospital's infectious diseases . and tropical medicine unit. It took another two weeks - while she . remained in a coma - before she started to improve. It took three weeks before she was allowed to return home and ten months before she was well enough to return to work. A . recent survey for online doctor service Pharmacy2U found one in ten had . travelled without vaccinations or malaria medication - many lured by a . last-minute deal. 'Putting a holiday before your health is very . foolish, not least because these diseases can be fatal and are often . also a horrible way to die,' says Dr Beeching. 'Neither can you ignore . minor health problems because their impact can be similarly . devastating.' Victoria is now all too aware of this. 'I thought I . was doing everything I could, without ever realising the impact of a . minor stomach bug on my good intentions.' malarianomore.org.uk . |
At least, a lot of people of my generation in Spain were already interested in those themes during our own youth. | Beaucoup de gens de ma génération en Espagne étaient déjà intéressés par ces thèmes pendant notre jeunesse. |
BLM, FHWA, IRS, and VBA recognize that they are in the early stages of implementation in using a balanced set of expectations as part of their senior executive performance management systems. | BLM, FHWA, IRS, and VBA know they are just beginning implementation in incorporating balanced expectations within their senior executive performance management systems. |
It's going to be hard to do that. | Це буде важко зробити. |
how many years to become a dietician? | Becoming an RDN can take five years, including four years to complete a bachelor's degree and one more year to complete an internship. What does a nutritionist earn? The median yearly pay for nutritionists and dietitians in the United States was $55,240 in 2012. |
is compensation for loss of office tax free | (Section 403 ITEPA 2003). The first £30,000 of compensation for loss of office on genuine ex gratia payments is tax-free. To qualify for the exemption, there must be no contractual right to the payment and it must not be in lieu of notice.An individual was dismissed from his employment in 1996.His contract of employment had provided that his employer âmay make a payment in lieu of notice to the employeeâ.o qualify for the exemption, there must be no contractual right to the payment and it must not be in lieu of notice. An individual was dismissed from his employment in 1996. His contract of employment had provided that his employer âmay make a payment in lieu of notice to the employeeâ. |
Əmbizlər | ამბიზლარი |
We can't just ignore Tom. | Sadece Tom'u görmezden gelemeyiz. |
what is the best stock to buy in 2018? | ['Netflix, Inc.', 'HCA Healthcare (HCA) ... ', 'Under Armour, Inc. (UA) ... ', 'Boston Scientific Corporation (BSX) Opening price on Jan. ... ', 'Illumina, Inc. (ILMN) ... ', 'Amazon.com, Inc. (AMZN) ... ', 'NetApp, Inc. (NTAP) ... ', 'Intuitive Surgical Inc. (ISRG) ... '] |
Hastings has been a director of the board of Facebook since June 2011. | Hastings tem sido um diretor do conselho de Facebook desde junho de 2011. |
Still under American military occupation (which Gen clearly resents), Japan's economy is beginning to recover, but many of its people still cannot afford even basic necessities of life. | Bajo la ocupación americana (que Gen odia), la economía japonesa empieza a recuperarse, aunque muchos de sus ciudadanos no pueden ni siquiera costearse las necesidades básicas para vivir. |
Or else you wouldn't have become a doctor. | Or else you wouldn't have become a doctor. |
what can ı do to challenge my student much more? | ...a difficult problem in this period\nof "no child left behind" when curriculums\nare dictated and the test results is all\nthat matters. Challenging them to do \nbetter on the tests? Challenging them to\nsucceed in life? ...a big difference.\nStudents must be made to realize that the\nchoice to succeed is theirs to be made and\nwhat they are learning is relevant to their\nworld now and in years to come. Your own\nenthusiasm and efforts to inspire will go a\nlong way. Good luck; with society the way\nit is, you have a lot to overcome, but \ncontinue to do whatever you can to be part\nof the answer. |
what does it mean when someone gives you a dead rose? | I do know that dead roses are not a good thing to get. They symbolise "sadness, the end of a relationship, something broken." ... Still, they may be "happy and more positive" but still convey a message, so be aware of the meaning of different colored roses when you so gladly give them as gifts or gestures. |
Dozens of bloggers from Serbia, as well as from Bosnia & Herzegovina, Croatia, Macedonia, Montenegro and Slovenia, attended Blogomanija , a regional blogging conference that was held in Serbia on Dec. 7-9. | Δεκάδες bloggers από τη Σερβία, αλλά και από την Βοσνία - Ερζεγοβίνη, την Κροατία, την ΠΓΔΜ, το Μαυροβούνιο και τη Σλοβενία, παρακολούθησαν τη Blogomanija , το τοπικό συνέδριο για bloggers που πραγματοποιήθηκε στη Σερβία στις 7-9 Δεκεμβρίου. |
After the resolution and a rapid chromatic ascent over four octaves in both hands, the piece comes to a triumphant conclusion via a bold minor plagal cadence. | Después de la resolución y un rápido ascenso cromático sobre cuatro octavas en ambas manos, la coda y la pieza llegan a un triunfante final a través de una audaz cadencia plagal menor. |
He specialized in portraits, becoming well known for his miniatures painted on ivory, and gave some lessons. | Il se spécialise dans le portrait, devenant connu pour ses miniatures peintes sur ivoire, tout en donnant des leçons. |
Some Houston Post articles had been made available in the archives of the Houston Chronicle website, but by 2005 they were removed. | Houston Post'ta yayınlanan makaleler 2005 yılına kadar Houston Chronicle'ın internet sitesinden yayınlansa da daha sonra siteden kaldırıldı. |
I'll help you look for him. | La aiuterò a cercarlo. |
As a board member of the Civil Contract Party, she ran under the Way Out Alliance (Yelk) during the 2017 parliamentary election and was elected off the Yelk national list. | Come membro del consiglio direttivo del Partito Contratto Civile, ha corso sotto la coalazione "Una via d'uscita" (Yelk) durante le elezioni parlamentari del 2017 ed è stata eletta dalla lista nazionale di Yelk. |
Although the Iranian government had distributed more than 800 seismographs throughout the country, few had been placed in the Qayen region due to its desert climate and the remoteness of the area. | Meskipun pemerintah Iran telah mendistribusikan lebih dari 800 seismograf di seluruh penjuru negeri, hanya ada sedikit seismograf yang telah ditempatkan di Wilayah Qayen karena iklim padang pasir dan keterpencilan daerahnya. |
advantage of feeding children at school | Additionally, school feeding programs may serve as an incentive for students to go to school to receive food rather than missing out on food by staying home. The increased nutrition status of children, as a result of school feeding programs, also enhances studentsâ cognitive abilities and performance in school. |
Nagelsbach is chiefly known for his excellent "Lateinische Stilistik" (1846; 9th edition by Ivan von Müller, 1905). | Nagelsbach è conosciuto soprattutto per la sua eccellente opera intitolata Lateinische Stilistik (1846, 9ª edizione di Ivan von Müller, 1905). |
can we write soql in constructor? | 2 Answers. Most of the code I have seen in Apex has a SOQL in the constructor. Well having a SOQL in the constructor is not bad practice unless its very bad and heavy SOQL which increases the page load time. ... In that case the constructor SOQL is bit overkill. |
Bhutan: Smooth Transition To Democracy · Global Voices | Bután: Suave transición hacia la democracia |
what was the goal of the farm labor movement? | The goal of the farm labor movement was to improve working conditions and living wage for farm hands. |
Government agencies want them for disaster relief, border surveillance and wildfire fighting, while private companies hope to one day use drones for a wide variety of tasks, such as inspecting pipelines and spraying pesticides on farms." | Οι κυβερνητικές αρχές τα θέλουν ως ενισχυτικά μέσα για θεομηνίες, συνοριοφύλαξη και δασοπυρόσβεση, ενώ οι ιδιωτικές εταιρείες ευελπιστούν πως μια μέρα θα χρησιμοποιήσουν τα drone για μεγαλύτερη πληθώρα εργασιών, όπως η επιθεώρηση αγωγών και το ψέκασμα καλλιεργειών». |
Negative (Finnish band) | Negative |
This circumstance was one of the reasons for the bankruptcy of the company in 1878. | Dieser Umstand war einer der Gründe des Konkurses der Gesellschaft im Jahr 1878. |
There was much anti Arab feeling in Iran after the fall of the Persian empire. | C'era molto sentimento anti-arabo in Iran dopo la caduta dell'impero persiano. |
He was born in Gothenburg in May, 1983. | È nato a Gothenburg nel Maggio 1983. |
He also posited that the Indo-European voiced aspirates, bh dh gh, could be better understood as voiceless aspirates, ph th kh. | També va proposar que es podria entendre millor les dues sonores aspirades indoeuropees, bh dh gh, com a aspirades sordes, ph th kh. |
how can you tell if your dog is having seizures? | Symptoms can include collapsing, jerking, stiffening, muscle twitching, loss of consciousness, drooling, chomping, tongue chewing, or foaming at the mouth. Dogs can fall to the side and make paddling motions with their legs. They sometimes poop or pee during the seizure. |
A. H. Albut | A.H. Albut |
Other influential bands from this era include Clutch, Sons of Otis and Corrosion of Conformity. | D'autres groupes de cette période incluent Fu Manchu, Clutch, Sons of Otis et Corrosion of Conformity. |
K shortest path routing | Одређивање к-најкраћих путева |
X.520 and X.521 together provide a definition of a set of attributes and object classes to be used for representing people and organizations as entries in the DIT. | X.520 e X.521 juntos provêm uma definição do conjunto de atributos e classes de objetos a serem usados para representar pessoas e organizações como entradas no DIT é um dos mais usados. |
Although anchorman Kowalski finished outside the world record, it was the first time that Australia had won the event at the global level since 1956. | Embora Kowalski não tenha atingido o recorde mundial, esta foi a primeira vez que a Austrália havia vencido o evento a nível mundial desde 1956. |
Tom is tired of being compared to his brother. | Tom hat die Vergleiche mit seinem Bruder satt. |
how many grams is cartier love bracelet? | Across its entire collection, Cartier only uses the highest quality and most durable of gold and platinum metals. The weight of the bracelet is a dead giveaway of its authenticity. Depending on the size and metal, a Cartier Love Bracelet weighs anywhere between 30 and 38 grams. |
Lamu-Lamu language | Lenga lamu-lamu |
Anyone notice most answers here are quotes from wikipedia? | Wikipedia (pronounced as [ˌwiˑkiˈpidi.ə] or [ˌwɪki-], also [-ɐ]) is a multi-lingual Web-based free-content encyclopedia. It is written collaboratively by volunteers, allowing articles to be changed by anyone with an internet connection and added by anyone with a Wikipedia member account. The project began on January 15, 2001 as a complement to the expert-written Nupedia, and is now operated by the non-profit Wikimedia Foundation. Wikipedia has more than 2,000,000 articles, including 850,000 in the English-language version. Wikipedia has steadily risen in popularity,[1] and has spawned several sister projects, such as Wiktionary, Wikibooks, and Wikinews.\n\nEDIT:\nAnswer to the author's clarification:\nI know what your question was, it was just a joke :) |
if CPA or ADA or ALA or whatever is not an acronym, is there a special term for those besides abbreviation? | CPA is not an acronym - only because it has no vowel in it, so you can't pronounce it like a word. It is just an abbreviation.\nADA is an acronym - because you can pronounce it like a word.\nALA is also an acronym for the same reason.\nAIDS is an acronym because you can pronounce it like a word.\nAn acronym does not have to be a real word (although AIDS just happens to be).\nHECS is an acronym for Higher Education Contribution Scheme.\nNATO is an acronym for North Atlantic Treaty Organisation.\nUNICEF is an acronym for United Nations International Children's Emergency Fund.\nQANTAS is an acronym for Queensland And Northern Territory Aerial Services (that's why there is no 'u' after the 'q' as there is in other words). That's what it originally stood for, but it is now so widely used that people often forget that it is not a 'real word'.\nSCUBA is an acronym for Self Contained Underwater Breathing Apparatus. |
Steppin' Out (Tony Bennett album) | Steppin' Out (Tony Bennett) |
Bernard Krigstein illustrated the scripts by Phil Evans. | Bernard Krigstein ilustrou as histórias e o texto é de Phil Evans. |
The book argues that as the perceived costs (in terms of child-rearing expense and effort) of having children fell, it made sense to have more children based on the basic theory of supply and demand. | Ai gjithashtu argumenton se ndërsa kostot e perceptuara të rritjes së fëmijëve (në terma të shpenzimeve dhe mundimit) bien, ka më shumë kuptim të bësh më shumë fëmijë bazuar në teorinë themelore të kërkesë-ofertës. |
This was the last K-based version of the S platform, as the NS platform switched to a new cab forward design. | Esta fue la última versión basada en la plataforma K, ya que la próxima generación plataforma «NS» cambia a un nuevo diseño de cabina adelantada. |
"Mirror, Primary Backup, Hubble Space Telescope". | Mirror, Primary Backup, Hubble Space Telescope.. |
who talks dory | Ellen DeGeneres talks Finding Dory. When Finding Dory director Andrew Stanton and producer Lindsey Collins decided to press go on a sequel to 2003âs Finding Nemo, there were two calls they had to make before anyone else at Pixar could know: The first, to studio chief and story guru John Lasseter. And the second, to Ellen DeGeneres. |
They were developed in significant ways by 20th century researchers Gabriel Almond and Sidney Verba, who identified the role of political culture in a democratic order as vital. | Todavia, eles se desenvolveram de modo significativo pelos teóricos do século XX, como Gabriel Almond e Sidney Verba, que identificaram o papel da sociedade civil numa ordem democrática como vital. |
how many numbers in oz lotto? | There are many ways to play Oz Lotto. To play a standard entry you need to select 7 numbers (from 1 to 45) in each game panel. |
Though her vision does prove to be a problem at times, Vicki refuses to let anyone treat her like she is disabled and continues to take risks with her life throughout the course of her investigations. | Aunque su visión no llegar a ser un problema a veces, Vicki se niega a permitir que nadie la trate como si estuviera incapacitada y sigue tomando riesgos con su vida durante todo el curso de sus investigaciones. |
Sosnovy Bor, Birsky District, Republic of Bashkortostan | Соснови Бор (Бирскан кӀошт) |
is the lake erie murders? | The Lake Erie Murders will bring you to the edge of the water as we dive into the 1989 kidnapping and murder of 10-year-old Amy Mihaljevic, one of America's most notorious mysteries, along with other tales of Lake Erie's other haunting mysteries. |
what are the best beaches you've ever been to? | Bell's beach, Victoria Australia is surfer heaven |
how long for green card after priority date is current? | You have one year after your priority date becomes current in the “Application Final Action Dates” chart to pursue your visa or green card. If you do not, the government assumes you have abandoned it, and will give your visa number to the next person in line. |
Recent reports in the Russian press have implied that he may have been the victim of foul play, as family members and friends insist that Nasyrov was not depressed and had never considered suicide before. | As recentes notícias veiculadas na imprensa russa incitam que ele pode ter sido vítima de crime, já que os familiares e amigos insistem que Nasyrov não estava deprimido e nunca tinha comentado sobre suicídio antes. |
During and after World War II the United States took control of the former Spanish and German archipelagos in the Pacific. | Během a po druhé světové válce převzaly kontrolu bývalých španělských a německých souostroví v Pacifiku Spojené státy. |
The musical has been revived four times on Broadway, becoming one of the most enduring works of musical theatre. | Il musical è stata ripreso quattro volte a Broadway, diventando una delle opere più durature del teatro musicale. |
Where can I find lists of football teams looking for players or ads for players wanted/offered? | How old are your friends?\nWhat area are you in?\n\nNormally any local 'senior' team will be able to point you in the direction for some feeder teams? |
What does it mean if America pulls out of the TPP? | Technically, it was never in effect so nothing at the moment. In order for it to have gone into effect, it would have had to be ratified by at least 6 of the 12 countries that account for 85% of the groups economic output by February 2018. When the time comes to vote, The US will most likely vote no and it will be no deal. Source: "TPP: What is it and why does it matter?" Retrieved from _URL_0_ Edit: minor text revisions. |
That number is hard to visualize. | 思い浮かべるのは 難しい数ですね |
Why was there no insurgency in Germany and Japan after WW2? | What about fascist Italy? How where they treated after the war |
how are budget cuts affecting schools? | Funding cuts are making it impossible to deliver a proper education. Every day headteachers are having to make difficult decisions – decisions about which basic supplies they can afford, and which staff will have reduced hours because there's simply not enough money. ... Less per pupil funding per year. |
Antonín Stavjaňa | Ставьяна, Антонин |
Nuclear waste could be buried near people's homes even if most of them disagree with the plan, the government has said. | Nuclear waste to be buried near homes? |
who told utnapishtim to build a boat? | Ea whispers to Utnapishtim through his house walls to abandon his belongings and instead build a boat. Ea gave him dimensions for this boat. It would have six decks and be of an enormous size, about 180 feet high. |
2014 Copa ASOBAL | Coupe ASOBAL 2014-2015 |
Tom and Mary are always traveling together. | Том и Мэри всегда путешествуют вместе. |
Colloquial Portuguese of Brazil and Portugal and Spanish of the former Gran Colombia allow ser to be conjugated as a verbal clitic adverbial adjunct to emphasize the importance of the phrase compared to its context, or with the meaning of "really" or "in truth": Ele estava era gordo ("He was was fat" – "He was very fat"). | O português coloquial do Brasil e Portugal e o espanhol da antiga Grã-Colômbia permitem que o verbo "ser" seja conjugado como clítico adjunto adverbial de um verbo para enfatizar a importância da frase em relação ao seu contexto ou com o significado de "realmente" ou "na verdade": Ele estava era gordo ("Ele estava muito gordo"). |
The Treasury plans this week to raise $45.72 billion in new cash and pay down $7 billion debt with the sale of cash-management bills and other securities. | Treasury to raise $45.72 billion |
will retired federal employees get paid during government shutdown? | Will I still receive my monthly annuity payment during a government shutdown? Yes, Federal retirees under the CSRS and FERS retirement systems will still receive their scheduled annuity payments on the first business day of the month. |
It's been re-released four times. | È stata rilanciata quattro volte. |
Both islands are part of the Bismarck Archipelago, named after Otto von Bismarck, and they are separated by Saint George's Channel. | Ambas as illas son parte do Arquipélago Bismarck, do nome de Otto von Bismarck, e están separadas polo Canle de San Jorge. |
How many girls or women would go out with a shubby guy? | My bf used to be chubby, not VERY, but a little, but I still fell in love with him =). So to me it doesn't matter. What matters is who YOU are. You can lose weight. It's not easy, but it's possible. Once thing you can't ever change is your personality. A rotten guy who is athletic will always be rotten. A nice and polite guy who isn't very athletic, will always be nice and polite AND can become athletic if that's what he wants. |
does birth control protect against sti? | The birth control pill does not protect against STDs. Couples having sex (or any intimate sexual contact) must always use condoms along with the Pill to protect against STDs. Abstinence (the decision to not have sex or any intimate sexual contact) is the only method that always prevents pregnancy and STDs. |
Kautz graph | Граф Кауца |
Steimel | شتایمل |
The main objective as a state financial institution is to support the macroeconomic policies of the central government and to support national economic development and strategic structural changes in the economy. | Главная задача государственного финансового учреждения - поддерживать макроэкономическую политику центрального правительства и поддерживать национальное экономическое развитие и стратегические структурные изменения в экономике. |
Since the end of 2011, according to a study by the Dresden-based association of scientists WIMAD and TU Dresden, it has been proven that the first milk chocolate comes from Dresden. | Seit Ende 2011 gilt es, nach einer Studie des Dresdner Wissenschaftler-Vereins WIMAD und der TU Dresden, als erwiesen, dass die erste Milchschokolade aus Dresden kommt. |
Three other officers were given written warnings and seven received verbal warnings. | أُعطي ثلاث ضباط آخرين تحذيرات شفويه، و استلم سبعه تحذيرات مكتوبه. |
In 1980, the Church introduced the "Consolidated Meeting Schedule", in which most church meetings were held on Sunday during a three-hour block. | В 1980 году церковь представила «Сводное расписание собраний», в котором большинство церковных собраний состоялось в воскресенье в 3-х часовом блоке. |
Carla Nelte | 卡拉·尼尔特 |
In the later years of the Soviet Union accurate detailed information regarding conditions in Soviet agriculture was considered a state secret when not censored outright. | Pendant les dernières années de l’existence de l’URSS l’information détaillée sur les conditions de l’agriculture soviétique a été considérée comme un secret d’état, quoiqu’elle ne soit pas directement censurée. |
where does a liver fluke live | Fascioliasis is an infectious disease caused by Fasciola parasites, which are flat worms referred to as liver flukes. The adult (mature) flukes are found in the bile ducts and liver of infected people and animals, such as sheep and cattle. In general, fascioliasis is more common in livestock and other animals than in people. Two Fasciola species (types) infect people. The main species is Fasciola hepatica, which is also known as the common liver fluke and the sheep liver fluke.. A related species, Fasciola gigantica, also can infect people. |
The area of north-eastern Iran was, along with Egypt, one of two areas notable for early developments in Islamic domed mausoleums, which appear in the tenth century. | L'area del nord-est dell'Iran è stata, insieme con l'Egitto, una delle due aree importanti per i primi sviluppi dei mausolei a cupola islamici, che appaiono nel decimo secolo. |
In Sweden, there are 29 national parks. | Na Suécia, existem 29 parques nacionais. |
Knutzen, however, did not consider Kant to be one of his best students, and favoured Friedrich Johann Buck (1722–1786) or Johann Friedrich Weitenkampf (1726–1758). | Sin embargo, Knutzen no consideraba a Kant como uno de sus mejores alumnos, entre los que se encontraban Friedrich Johann Buck (1722-1786) o Johann Friedrich Weitenkampf (1726-1758). |
If the perimeter of a rectangle is 60ft and the width is 12ft find its length. I no that p=2L+2W. Help me? | awnser :length =18feet\n\np=2L+2W\n60=2L+24\n-24 -24\n36=2L\ndivide by 2\n18=L |
Hans Holbein the Younger worked until 1526 in Basel; his high renaissance style had a profound influence on Swiss painters. | Hansas Holbeinas Jaunesnysis iki 1526 m. dirbo Bazelyje, jo aukštasis renesanso stilius padarė didelę įtaką šveicarų tapytojams. |
Castelbiague | Кастельбьяг |
Using his instrumentation, Rutherfurd produced a quality collection of photographs of the Sun, Moon, and planets, as well as star clusters and stars down to the fifth magnitude. | Utilizando su instrumental, Rutherfurd produjo una colección de fotografías de gran calidad del Sol, la Luna, y los planetas, así como de grupos de estrellas y de estrellas por debajo de la quinta magnitud. |
The Constellation space program, began by President George W. Bush in 2004, aimed to launch a next-generation multifunction Orion spacecraft by 2018. | El Proyecto Constelación, fue iniciado por el presidente George W. Bush en 2004, con el objetivo de lanzar una nave espacial multifunción de última generación llamada Orión en 2018. |
what is the difference between a gaming monitor and a tv? | A gaming monitor can have a refresh rate up to 240Hz which provides you with the most responsive and fluid fast-paced gaming. TVs, on the other hand, are usually limited to 60Hz. Some TVs support 120Hz but only at 1080p. |
Liudmila Nikoyan | Никоян, Людмила Арменовна |
He works in a bank. | Hän työskentelee pankissa. |
Semitic Museum | セム博物館 |
are buckwheat pancakes good for diabetics? | Buckwheat May Help Manage Diabetes. Nov. 21, 2003 -- A hearty grain commonly found in pancakes and soba noodles may help people with diabetes maintain healthy blood sugar levels. New research shows that the extract of buckwheat lowered meal-related blood sugar levels by 12%-19% when given to rats bred to have diabetes. |
Up until now, it was thought that a pathogen would need some good luck to find its host in the ocean. | 直到现在，人们一直以为 病原体需要运气才能 在海洋中找到宿主。 |
The city was burned down by the Swedes in 1567, and again by the Russians in 1575. | Повторно город был сожжён шведами в 1567 году и снова русскими в 1575 году. |
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