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Cheltenham Pupil Referral Unit or PRU - CTAPS

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CTAPS (formerly Cheltenham and Tewkesbury Pupil Referral Service) was established in April 2013 as a result of central government changes to school funding. CTAPS is a pupil referral unit based at St George’s Centre in Cheltenham that provides educational provision for children between 5 – 16 years of age.
Click here for more info http://www.ctaps.gloucs.sch.uk

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How to deal with stomach pain, ulcers, reflux, constipation, Crohn’s disease? By Doctor Luis Carlos Sabbagh

How to deal with stomach pain, ulcers, reflux, constipation, Crohn’s disease?  By Doctor Luis Carlos Sabbagh | advertising | Scoop.it
World Gastroenterology Organisation (WGO) - Setting Global Standards in Education and Training in gastroenterology
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There's something about digestive difficulties that makes them hard to discuss in polite company—which leaves many of us suffering one problem or another in silence. What's more, digestive disorders are placing a "growing burden" on Americans, causing an unprecedented number of clinic visits and hospitalizations, says Stephen Bickston, an American Gastroenterological Association fellow and professor of internal medicine at Virginia Commonwealth University. Yet fixes can be as simple as making informed lifestyle changes or taking over-the-counter remedies. Peppermint oil and soluble fiber, for example, can help people with irritable bowel syndrome; a 2008 British Medical Journal study suggests that both should be first-line therapies for IBS.

Here's a rundown of the latest medical wisdom on eight common gastrointestinal problems.

 

Reflux

Symptoms of reflux, such as heartburn, are among the most common digestive ills. In a Swedish study, 6 percent of people reported experiencing reflux symptoms daily and 14 percent had them at least weekly. Such frequent symptoms may indicate a person has GERD, or gastroesophageal reflux disease. Aside from being painful, GERD can harm the esophagus over time or even lead to esophageal cancer.

Heartburn typically involves a "hot or burning feeling rising up from the center of the abdomen area and into the chest under the breastbone or sternum," says Michael Gold, a gastroenterologist at MedStar Washington Hospital Center in Washington, D.C. "It may be accompanied by a sour taste in the mouth, or hypersalivation, or even finding food or fluid in your mouth," particularly at night. Pregnancy, some medications, and consuming alcohol or certain foods can cause heartburn. Kids under age 12 and some adults may have GERD without heartburn, instead experiencing asthma-like symptoms, trouble swallowing, or a dry cough.

 

Treatment options include drugs that reduce acid levels, such as the proton pump inhibitors Aciphex, Nexium, Prevacid, Prilosec, and Protonix and the H2 blockers Axid, Pepcid, Tagamet, and Zantac. But taking medication is not without risk. In 2008, a study found that a proton pump inhibitor may weaken the heart-protective effect of the blood thinner Plavix in patients taking both medications.

In severe cases of GERD, surgeons can tighten a loose muscle between the stomach and esophagus to inhibit the upward flow of acid. Laparoscopic surgery, which involves small incisions, has been found to lessen scarring and shorten recovery time compared with open procedures.

 

Peptic Ulcers

If you have unexplained stomach pain, consider this before reaching for a painkiller: "The worst thing to do if ulcers are suspected is to take aspirin or other NSAID [non steroidal anti-inflammatory drug] pain reducers," Gold says. "They worsen it and don't help."

Instead, if you think you have a peptic ulcer—and 25 million living Americans will get one at some point—consider getting tested for Helicobacter pylori, experts advise. By disrupting a protective layer of mucus, that bacterium causes ulcers, which are sores in the lining of the stomach or first stretch of the small intestine. Other causes include smoking, which can elevate stomach acidity, and excessive NSAID use. Alcohol use may also be a factor, but it's unclear whether that alone can cause ulcers. (The old theory blaming factors like stress isn't totally wrong: Stress can aggravate symptoms of peptic ulcers and delay healing.)

Left untreated, ulcers can cause internal bleeding and may eat a hole in the small intestine or stomach wall, which can lead to serious infection. Ulcer scar tissue can also block the digestive tract. And long-term H. pylori infection has been linked to an increased risk of gastric cancer.

 

Ten to 14 days of antibiotic treatment, often combined with acid reduction therapy, can rid someone of H. Pylori. Surgery is an option for more severe cases. A 2008 study published in the World Journal of Surgery concluded that laparoscopic repair should be considered for all patients with so-called perforated ulcers.

 

Consult Doctor Luis Carlos Sabbagh Regarding any kind of Gastroenterology Problems here http://www.worldgastroenterology.org/training-center-bogota-colombia.html

 

 

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Enterprise and Business Committee - Meeting Transcript - 22 January 2014 - DeHavilland (press release) (subscription)

Enterprise and Business Committee - Meeting Transcript - 22 January 2014
DeHavilland (press release) (subscription)
This meeting is bilingual.
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Welcome to Banahsugar.com – Sweeten Your Live, Naturally | Pure Cane Sugar

Welcome to Banahsugar.com – Sweeten Your Live, Naturally | Pure Cane Sugar | advertising | Scoop.it
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Banah’s mission is to produce superior quality 100% natural and organic sugar products while maintaining their promise to impact communities through social, economic and environmental development. “Banah” in Hebrew means “New Beginnings”.Banah was born on the declaration that every life counts. Banah Sugar strives to be a social program that is in business, claiming that while sugar is their commodity, they are really in the business of people.Their core is helping people emerge, evolve, and become their true courageous self.


For more information, visit http://www.banahsugar.com, “Like” the official Banah Sugar Facebook page https://www.facebook.com/banahsugar, and follow https://twitter.com/BanahSugarCo.

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Professional Interview Transcription Services

Professional Interview Transcription Services | advertising | Scoop.it
Professional help with interview transcription is one click away! Don't hesitate to turn to interview transcription services.
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For Immediate release:January, 23, 2014 Verbatimtranscription.org Introduces Accurate Transcriptions Services Accompanying 20 Percent Discount on Prices Verbatimtranscription.org offers all types of verbatim transcript services in all languages with a team of 1000 plus transcribersat 20% discount on prices all around the globe. “Our company has been working on accurate conversion of audio, video, interview, research and business files in a text formatwith high quality focus and team of skilled language experts,” said SaldonDannies, Marketing Manager for verbatimtranscription.org “We are highly quality oriented verbatim transcription services company that offers services in all languages with 20 percent price cut on ordering service prices.” The company delivers best intelligentverbatim transcription services and on-time delivery guarantees the professional management of the accurate services. The dedicated project management team of the firm has led to the rapid growth of transcription services all over the globe. With the growing demand, the company now specializes on its transcription services with domain expert transcribers. “We are now offering 20 percent discount on all verbatimtranscriptionservices with the assistance of professional typists, time stamp features, rush turnaround and money back guarantee,” Dannies added. “Our company has efficiently delivered 100% Hi-Tech accurate transcription services at lowest audio transcription services rates per hour, per minute and per project.” Customers can visit http://www.verbatimtranscription.org/ to start saving time and money by outsourcing audio transcription requirements to expert team of all domain transcribers. For more information or to know more about the verbatimtranscripts, please visit: http://www.verbatimtranscription.org/why-getting-verbatim-transcripts/. Contact - Sienna Smith Location- 59 Old Highway 32, Huntsville, AL 35763 support@verbatimtranscription.org
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