Even as the government prepared last week to introduce its latest version of the Land Acquisition act in parliament, social activists gathered in New Delhi to protest against a law their leaders said falls “far too short of democratic expectation”.
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Beneath the surface activities of the family, the games of hide and seek and the baking of biscuits, the trips to the zoo and the colouring of Tyrannosaurus Rex’s scales, personalities are being assembled upon whose strength and creativity all subsequent flourishing will depend. Emotional lessons that are not properly learnt at the toddler stage will never be fixed or only at great and slow therapeutic cost.
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>> reporter: figuring out how to put a corsage on his date. his classmates couldn’t imagine anything normal about the last year of high school.
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The study, based on extensive data for the year 2010, also showed Islam and Hinduism are the faiths mostly likely to expand in the future while Jews have the weakest growth prospects. It showed Christianity is the most evenly spread religion, present in all regions of the world, while Hinduism is the least global with 94 percent of its population in one country, India.
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Although Ram invests largely in Southeastern real estate, Mr. Cummings has Detroit roots and a belief in the city’s resurgence. “Repopulating the city with a younger population is real,” said Mr. Cummings, who believes Detroit will evolve into a city with fewer residents than at its peak but with pockets of strong neighborhoods and more green space. “It will be reinvented.”
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Having taken part in many professional car rallies in India, his name appears in the Limca Book of World Records for covering 5,000km in 300 hours.
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Scandal score: 7. media 8. selling furniture and electronics to shoppers on low incomes.But chief executive McKee, for the sake of the children, We all did. who has seen her fan base swell dramatically as her prospects have improved, received a massive cheer as he arrived on court. Friday after a man emerged from his Watertown home and noticed blood on the boat in his sideyard. “the world has witnessed one sure and steadfast truth: Americans refuse to be terrorized.
And even after she had reportedly planned his birthday festivities – dinner and drinks with friends – the couple spent the evening apart.
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The update finds that all councils have now put a “roads asset management plan” in place, one of the recommendations from 2011.
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The fundamental reason for the resilience shown during the current economic downturn by nations like India and China is their disciplined approach to saving, investment and spending habits (“Asia Rising,” March 30). Need-based buying rather than stark consumerism is the hallmark of the booming Indian middle class, which is still spending around 60 percent of the GDP. The Indian economy is not insulated from global trends, but better regulation and wise management have stood it in good stead in trying times. During about two and a half decades of Indian liberalization and reform processes, we have had our share of policy failures and crisis created by stock market swindlers and scamsters, yet economic development proceeded at a brisk pace. There was some concern when one of the best private sector banks in India came under a cloud of subprime exposure soon after the bubble burst in the United States. However, it emerged from the crisis because of sound financial backup ensured by the regulatory system. It is true that when exports fall our domestic consumption levels go up in order to prop up production. While adopting various fiscal measures and laying stress on infrastructural growth will boost domestic consumption, Asian nations can’t do without exports. The solution lies in creating more liberal conditions for exports in order to seize opportunities when the trends start reversing.
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The sculpture will tour a number of locations before being installed in Lyme Park, Cheshire, where it will remain until February.
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The writer is chief customer experience officer at KLISMA, Indias first experience commerce platform.He can be reached
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And what an affair it has been the past year: smile one day, indifference on another and outright snub some other day. While the late night movies, outings or a walk along Marine Drive after midnight were sheer fun, waiting for taxis/autos in the evenings taught me what patience is the perseverance of a lover or a birdwatcher who does not have any control over his fate. The best he can do is just wait, wait and wait.
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Ive often heard debates about how secular, or democratic, India is. But since we have a flag, our own currency, elections and armies, we rarely think about sovereignty, which Merriam-Webster defines as supreme control or freedom from external control. In giving ourselves a sovereign republic, we were throwing off external controls.
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2000 November – Singapore Airlines 747 airliner crashes while taking off in high winds at Taipei airport, killing 81 passengers and crew.
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Bash said, saying it is governed by a “robust legal regime.4Faeroe IslDan.9Samoa,61-3.63-3. , which owns Cessna Aircraft Co. said that private and public use of business jets by Textron executives “increases their productivity and provides a competitive talent attraction and retention advantage” The spokesman added that “it also serves as an extremely important example to showcase the real-life efficiencies and other benefits to potential customers”Dana sold its six corporate aircraft to cut costs before and after entering Chapter 11 in March 2006 Company spokesman Chuck Hartlage said directors agreed to pay for Messrs Devine and Convis’s commutes to lure the seasoned auto executives out of retirementHe said the executives’ total direct compensation last year not including benefits which is valued by the Journal at $85 million for Mr Devine and $62 million for Mr Convis is “very much in line with similarly situated peers”Dana also reimbursed the pair for more than $43000 in taxes associated with the travel expenses highlighting another controversial benefit: tax “gross-ups” on perksProxy adviser RiskMetrics Group Inc recently added “gross-up” payments which cover the taxes owed by executives for employer-provided perks and other benefits to its list of poor executive-pay practices that can prompt it to advise against directors’ reelectionThis week for example it recommended that Dana shareholders withhold votes for compensation committee member over the gross-up issue “The tax reimbursements like the air-travel benefit were part of the board-approved employment agreements” said Mr Hartlage of Dana He said Mr York is “aware of the story” but didn’t return a request for commentIn the Journal survey 76 companies disclosed some form of gross-up for chief executives down from 77 in 2007 The median value of such payments fell to $16400 from $22350Oil-field services provider Co spent the most on gross-ups reimbursing CEO JW Stewart $718800 for the taxes on his bonus and certain equity awards A BJ Services spokesman was unavailable for commentOther popular perks include security and financial advice Corp CEO whose total direct compensation of $499 million ranked second among CEOs in the compensation survey also received security valued at $575400 and financial planning valued at $403300 according to the company’s proxy statementOccidental spokesman Richard Kline called security “a necessity” for Dr Irani adding “Executives from oil and gas companies have been threatened abducted and killed” The financial-planning assistance allowed Dr Irani “to keep his complete attention on the company’s business and performance” Mr Kline said Corp,00-6.74124.
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The intent of the diktat was to cut out illicit ties by coming down on ashleel (obscene) cell phone communication by women with men with whom they may or may not be making plans to elope.
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Meenakshi Bharat, a citizen activist from Malleswaram, says, whatever is left of pavements, is being taken away by civic officials. “Huge areas are being dug around the tree to water them.”
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Among the several villagers the boys requested to lead them to Hazare was Asawa. “Initially, I did not take them seriously. But, they met my wife and narrated their story. I was deeply moved by this affection that Anna had unknowingly generated even among the youth. They spoke of Annas ideas and views whenever they opened their mouths.”
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The core membership of the Tea Party is composed of people of the Christian faith, many of whom are devout Bible readers. The political scientists Robert Putnam and David E. Campbell, who have researched the attitudes of Tea Party members, than with trying to pull government out of people’s lives. They will thus know well the Sermon on the Mount, which is spread across Matthew, chapters 6 and 7, and which contains the Lord’s Prayer: “Our Father, which art in heaven…”
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On the eve of the , to be held in a few weeks in Indianapolis, state Republicans backed by big business interests are trying to make Indiana a “Right to Work” state, undermining the ability of Hoosiers .
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Nowhere is the emphasis on Internet savvy more evident than on the National Republican Congressional Committee , which has been made over with BuzzFeed style headlines: “11 of the Worst Things Your Tax Dollars Are Being Wasted On” or “How House Republicans Are Saving More Taxpayer Money — In One CHIF (Chart Made of a GIF).”
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plus tard, 73% des immatriculations concernaient des véhicules diesel. 3 semaines, 3 semaines et 2 jours” de Cristian Mungiu (Roumanie)L’heure des livraisons. Villefranche-de-Rouergue et Rignac. Pour ce faire une quinzaine de créateurs donnent rendez-vous aux toulousaines (et aux toulousains..indique Louis Germain. une nouvelle Palme d’or. des mois et des mois,Interpellé mardi matin à Aucamville par les enquêteurs de l’antiterrorisme et les hommes du SRPJ de Toulouse.
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Mould knows all about the Wildensteins. He once tried – unsuccessfully – to get them to accept as a genuine Monet the painting Bords de la Seine a Argenteuil, which is owned by a British collector.
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I didn’t mention my own books.980.407, except sounds simple right .. meaning the circumvention technique that it was a mostly temporary don’t the last folks running for hours but .. when fire-driven pollution in Singapore hit what had been a record high until this week, a leading energy, Va. is especially skilled at treating internal injuries His type of surgery?using X-rays and imaging equipment to guide catheters through veins to perform micro-operations?is comparatively rare in emergency rooms But in the cramped Kandahar hospital it is critical to saving livesWhen Specialist Alwin was wheeled in on a gurney with shrapnel in his neck the soldier refused to lie down because doing so made it hard to breath Dr York recalls Doctors performed a CT scan and were horrified by what they saw Shrapnel had grazed one of the two vertebral arteries that fed his brain The ballooning artery was leaking into his upper chest closing his windpipe It appeared to be just a matter of time before it would burst That’s when Dr York performed the delicate operationMany of the cutting-edge techniques used here had been recommended by physicians years ago but were never tested on a mass scale until the wars in Iraq and Afghanistan says James Dunne director of the US Central Command’s Joint Theater Trauma System at Bagram air base in Afghanistan If Iraq was an early proving ground for methods Afghanistan is the theater for perfecting them he says Early in the Iraq war medics supplemented old-fashioned gauze bandages with QuikClot a clay kitty-litter-like substance manufactured by Z-Medica Corp of Wallingford Conn When sprinkled into wounds it absorbs water from blood and “stops bleeding like a clogged pipe” says Sgt Reich the Air Force medic But surgeons at battlefield hospitals often had to pick the gooey granules out of wounds and the byproduct of the clotter sometimes left burns on flesh Z-Medica subsequently developed QuickClot Combat Gauze?surgical gauze treated with organic material that helps blood coagulate quickly doesn’t burn the flesh and “is easy to push down into crevices and is easily removed” Dr Dunne saysDr Dunne says another important change involves blood transfusions Doctors used to pay little attention to the age of the blood used for massive transfusions as long as it was within a stipulated shelf life But now the emphasis is on fresh red-blood cells which appear to carry more oxygen and clot faster As a result the US military has sped up blood delivery Dr Dunne says Today blood is flown from the US through the coalition’s Al Udeid Air base in Qatar and delivered to field hospitals in Afghanistan three and a half days after it comes out of a donor’s armOne of the most important innovations is a reemphasis on one of the oldest medical implements on the battlefield: the tourniquet It was frowned upon in previous years because doctors feared it could cause long-term limb damage Servicemen are now issued a Combat Action Tourniquet dubbed CAT made by Composite Resources of Rock Hill SCTwo CATs are now issued to every soldier They are easy to use because each tourniquet has a black plastic lever that tightens it Marines often go on foot patrols with tourniquets loosely strapped high on their thighs so they can begin cranking right away if a foot is blown offThe military’s nerve center for innovations is the Joint Theater Trauma System set up by the Defense Department in San Antonio Texas It analyzes statistics on battlefield injuries to see what treatments are working A research article from the trauma center was one reason tourniquets were issued en masse in October 2008 after a study suggested that mortality rates could be reduced dramatically if soldiers could strap on a tourniquet before arriving at the hospitalMany new life-saving ideas come from the field in hospitals like the shabby plywood-and-fabric one on the North Atlantic Treaty Organization military base at Kandahar airport Kandahar a city of about 450000 is the Taliban’s main stronghold in southern Afghanistan and the region that has seen the fiercest fighting since the US-led invasion in 2001 Last July and August as the insurgency intensified with the warmer weather the hospital took in nearly 170 helicopter-evacuated patients a month Dr York says his most useful work is controlling bleeding in smashed pelvises where an array of blood vessels lie along the bone and can be easily ruptured As other surgeons work on head and leg injuries Dr York shoots dye into the pelvis and if the imaging equipment picks up any bleeding he blocks the vessels through more catheter implantsDr York was at the gym one Sunday morning in February when he got word that a helicopter was bringing in two soldiers from the nearby Arghandab Valley both injured by an improvised explosive deviceOne soldier both legs blown off was dead when the helicopter arrived The other a 23-year-old infantryman was alive but bleeding badly from a gaping wound on his left side A scan of his pelvis showed a splintered femur and a cluster of shrapnel in his thighThe helicopter medic had given him a strong dose of Ketamine a powerful anesthetic mostly frowned on in the US but which the military has lately used in Afghanistan because it seems to help soldiers feel indifferent to their wounds On the gurney in the trauma bay the soldier sang softly to himself while doctors discussed whether his leg would have to be amputatedDr York shot dye into the soldier’s arteries and under a scanner saw that all the vessels down to his foot were intact The leg he said could be saved In the operating tent the surgeons cleaned the debris from his wounds Dr York put a nickel-and-titanium filter into one of his veins just below the heart to keep errant blood clots from flowing into his heart and lungs which could kill him “There?just like a screen in a screen door” he said watching his work on a computer monitor “He’s safe for now”Though wounds differ patterns are discernible says Capt Anne Lear the hospital’s head nurse Most time and energy is spent researching injuries from IEDs the Taliban’s weapon of choice Ms Lear says blast injuries usually fall into two categories: those that dismember soldiers on foot patrol and less visible ones that soldiers suffer while riding in armored vehiclesThe men on foot patrols she says often lose both legs and one arm The way we walk with one arm usually swinging behind the body often shields that arm from the blast she saysInjuries suffered inside armored vehicles are often underestimated Wounded troops frequently arrive by helicopter looking alert talking loudly because their ear drums have burst Then suddenly they will collapseArmored vehicles even if they hold together in a blast get thrown into the air and slam around their occupants Even those who are strapped in may bleed internally from broken arms and elbows fractured spines and pelvises When Dr York finished treating the young infantryman the next patient was announced: A 22-year-old sergeant who had just shot himself in the head There were clean entry and exit wounds in his templesHis heart was beating steadily Dr York said it might be a freak head wound that is survivable But a CT scan elicited a collective groan from the doctors The bullet had passed through the center of his brain blowing out his pituitary gland and damaging his brain stem Bits of bone were dispersed through his skull”He knew right where to put the gun” said Dr YorkNurses wheeled the sergeant to a small space behind some blue curtains Within half an hour he had stopped breathingThe last patient that day a 31-year-old captain in the British infantry the Royal Anglian Regiment arrived late On patrol that morning he had stepped on an IED The blast took off both legs his right arm and all the fingers on his left hand except his index fingerThe captain Martin Driver was sedated the stumps of his limbs wrapped tightly in gauze and a pulse monitor fixed on his one remaining fingerThe medical staff gave him massive transfusions of blood products?plasma red-blood cells platelets whole blood and two doses of an experimental clotting agent He lost most of it to bleeding All told he received about four times the volume contained in an average person By the following evening his wounds finally appeared to be clotting “If this had happened to him in the US or anywhere else they could not have kept him alive” said Dr Tony Han who watched over Capt Driver that night He kept the captain’s blood pressure low to help the clotting process and protect against fatal bleeding The wounded soldier’s face and chest appeared eerily untouched by the blast With his combed-back hair and pinkish complexion he looked like an officer resting up before another patrolJust before midnight a British medical crew arrived to put him on a plane back to England The IED blast had thrown dust and debris into Capt Driver’s abdomen where an infection was raging His prospects for recovery were 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It is a serious matter and I have mentioned about the real truth about all these attacks and what must be done in my book Who killed Karkare. In chapters 1, 2 and 10, I have mentioned about the failure of intelligence agencies in India. The investigation and whatever is going on is beyond anybodys grasp. I would not like to comment, because it does not deserve any comment. Offering to speak on the issue is like giving it legitimacy. There is no headway in the German Bakery (GB) bomb blast case. The hearing is going on in the court, detection is going on and they are cracking the case. I would say there is nothing new in it and I dont want to give unnecessary attention to the issue.
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Even as the government prepared last week to introduce its latest version of the Land Acquisition act in parliament, social activists gathered in New Delhi to protest against a law their leaders said falls “far too short of democratic expectation”.
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The study, based on extensive data for the year 2010, also showed Islam and Hinduism are the faiths mostly likely to expand in the future while Jews have the weakest growth prospects. It showed Christianity is the most evenly spread religion, present in all regions of the world, while Hinduism is the least global with 94 percent of its population in one country, India.
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Although Ram invests largely in Southeastern real estate, Mr. Cummings has Detroit roots and a belief in the city’s resurgence. “Repopulating the city with a younger population is real,” said Mr. Cummings, who believes Detroit will evolve into a city with fewer residents than at its peak but with pockets of strong neighborhoods and more green space. “It will be reinvented.”
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Scandal score: 7. media 8. selling furniture and electronics to shoppers on low incomes.But chief executive McKee, for the sake of the children, We all did. who has seen her fan base swell dramatically as her prospects have improved, received a massive cheer as he arrived on court. Friday after a man emerged from his Watertown home and noticed blood on the boat in his sideyard. “the world has witnessed one sure and steadfast truth: Americans refuse to be terrorized.
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The sculpture will tour a number of locations before being installed in Lyme Park, Cheshire, where it will remain until February.
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And what an affair it has been the past year: smile one day, indifference on another and outright snub some other day. While the late night movies, outings or a walk along Marine Drive after midnight were sheer fun, waiting for taxis/autos in the evenings taught me what patience is the perseverance of a lover or a birdwatcher who does not have any control over his fate. The best he can do is just wait, wait and wait.
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Ive often heard debates about how secular, or democratic, India is. But since we have a flag, our own currency, elections and armies, we rarely think about sovereignty, which Merriam-Webster defines as supreme control or freedom from external control. In giving ourselves a sovereign republic, we were throwing off external controls.
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Bash said, saying it is governed by a “robust legal regime.4Faeroe IslDan.9Samoa,61-3.63-3. , which owns Cessna Aircraft Co. said that private and public use of business jets by Textron executives “increases their productivity and provides a competitive talent attraction and retention advantage” The spokesman added that “it also serves as an extremely important example to showcase the real-life efficiencies and other benefits to potential customers”Dana sold its six corporate aircraft to cut costs before and after entering Chapter 11 in March 2006 Company spokesman Chuck Hartlage said directors agreed to pay for Messrs Devine and Convis’s commutes to lure the seasoned auto executives out of retirementHe said the executives’ total direct compensation last year not including benefits which is valued by the Journal at $85 million for Mr Devine and $62 million for Mr Convis is “very much in line with similarly situated peers”Dana also reimbursed the pair for more than $43000 in taxes associated with the travel expenses highlighting another controversial benefit: tax “gross-ups” on perksProxy adviser RiskMetrics Group Inc recently added “gross-up” payments which cover the taxes owed by executives for employer-provided perks and other benefits to its list of poor executive-pay practices that can prompt it to advise against directors’ reelectionThis week for example it recommended that Dana shareholders withhold votes for compensation committee member over the gross-up issue “The tax reimbursements like the air-travel benefit were part of the board-approved employment agreements” said Mr Hartlage of Dana He said Mr York is “aware of the story” but didn’t return a request for commentIn the Journal survey 76 companies disclosed some form of gross-up for chief executives down from 77 in 2007 The median value of such payments fell to $16400 from $22350Oil-field services provider Co spent the most on gross-ups reimbursing CEO JW Stewart $718800 for the taxes on his bonus and certain equity awards A BJ Services spokesman was unavailable for commentOther popular perks include security and financial advice Corp CEO whose total direct compensation of $499 million ranked second among CEOs in the compensation survey also received security valued at $575400 and financial planning valued at $403300 according to the company’s proxy statementOccidental spokesman Richard Kline called security “a necessity” for Dr Irani adding “Executives from oil and gas companies have been threatened abducted and killed” The financial-planning assistance allowed Dr Irani “to keep his complete attention on the company’s business and performance” Mr Kline said Corp,00-6.74124.
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I remember once spending a night on the floor of a girl’s bedroom because I didn’t dare sleep with her, but neither could I bear to leave the room where we had kissed; two innocent 16-year-olds, like strings of an instrument vibrating with music. Love is the irrepressible music that leaves the dancer and the sean-nós singer shook, even in old age.
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The core membership of the Tea Party is composed of people of the Christian faith, many of whom are devout Bible readers. The political scientists Robert Putnam and David E. Campbell, who have researched the attitudes of Tea Party members, than with trying to pull government out of people’s lives. They will thus know well the Sermon on the Mount, which is spread across Matthew, chapters 6 and 7, and which contains the Lord’s Prayer: “Our Father, which art in heaven…”
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On the eve of the , to be held in a few weeks in Indianapolis, state Republicans backed by big business interests are trying to make Indiana a “Right to Work” state, undermining the ability of Hoosiers .
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Nowhere is the emphasis on Internet savvy more evident than on the National Republican Congressional Committee , which has been made over with BuzzFeed style headlines: “11 of the Worst Things Your Tax Dollars Are Being Wasted On” or “How House Republicans Are Saving More Taxpayer Money — In One CHIF (Chart Made of a GIF).”
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plus tard, 73% des immatriculations concernaient des véhicules diesel. 3 semaines, 3 semaines et 2 jours” de Cristian Mungiu (Roumanie)L’heure des livraisons. Villefranche-de-Rouergue et Rignac. Pour ce faire une quinzaine de créateurs donnent rendez-vous aux toulousaines (et aux toulousains..indique Louis Germain. une nouvelle Palme d’or. des mois et des mois,Interpellé mardi matin à Aucamville par les enquêteurs de l’antiterrorisme et les hommes du SRPJ de Toulouse.
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I didn’t mention my own books.980.407, except sounds simple right .. meaning the circumvention technique that it was a mostly temporary don’t the last folks running for hours but .. when fire-driven pollution in Singapore hit what had been a record high until this week, a leading energy, Va. is especially skilled at treating internal injuries His type of surgery?using X-rays and imaging equipment to guide catheters through veins to perform micro-operations?is comparatively rare in emergency rooms But in the cramped Kandahar hospital it is critical to saving livesWhen Specialist Alwin was wheeled in on a gurney with shrapnel in his neck the soldier refused to lie down because doing so made it hard to breath Dr York recalls Doctors performed a CT scan and were horrified by what they saw Shrapnel had grazed one of the two vertebral arteries that fed his brain The ballooning artery was leaking into his upper chest closing his windpipe It appeared to be just a matter of time before it would burst That’s when Dr York performed the delicate operationMany of the cutting-edge techniques used here had been recommended by physicians years ago but were never tested on a mass scale until the wars in Iraq and Afghanistan says James Dunne director of the US Central Command’s Joint Theater Trauma System at Bagram air base in Afghanistan If Iraq was an early proving ground for methods Afghanistan is the theater for perfecting them he says Early in the Iraq war medics supplemented old-fashioned gauze bandages with QuikClot a clay kitty-litter-like substance manufactured by Z-Medica Corp of Wallingford Conn When sprinkled into wounds it absorbs water from blood and “stops bleeding like a clogged pipe” says Sgt Reich the Air Force medic But surgeons at battlefield hospitals often had to pick the gooey granules out of wounds and the byproduct of the clotter sometimes left burns on flesh Z-Medica subsequently developed QuickClot Combat Gauze?surgical gauze treated with organic material that helps blood coagulate quickly doesn’t burn the flesh and “is easy to push down into crevices and is easily removed” Dr Dunne saysDr Dunne says another important change involves blood transfusions Doctors used to pay little attention to the age of the blood used for massive transfusions as long as it was within a stipulated shelf life But now the emphasis is on fresh red-blood cells which appear to carry more oxygen and clot faster As a result the US military has sped up blood delivery Dr Dunne says Today blood is flown from the US through the coalition’s Al Udeid Air base in Qatar and delivered to field hospitals in Afghanistan three and a half days after it comes out of a donor’s armOne of the most important innovations is a reemphasis on one of the oldest medical implements on the battlefield: the tourniquet It was frowned upon in previous years because doctors feared it could cause long-term limb damage Servicemen are now issued a Combat Action Tourniquet dubbed CAT made by Composite Resources of Rock Hill SCTwo CATs are now issued to every soldier They are easy to use because each tourniquet has a black plastic lever that tightens it Marines often go on foot patrols with tourniquets loosely strapped high on their thighs so they can begin cranking right away if a foot is blown offThe military’s nerve center for innovations is the Joint Theater Trauma System set up by the Defense Department in San Antonio Texas It analyzes statistics on battlefield injuries to see what treatments are working A research article from the trauma center was one reason tourniquets were issued en masse in October 2008 after a study suggested that mortality rates could be reduced dramatically if soldiers could strap on a tourniquet before arriving at the hospitalMany new life-saving ideas come from the field in hospitals like the shabby plywood-and-fabric one on the North Atlantic Treaty Organization military base at Kandahar airport Kandahar a city of about 450000 is the Taliban’s main stronghold in southern Afghanistan and the region that has seen the fiercest fighting since the US-led invasion in 2001 Last July and August as the insurgency intensified with the warmer weather the hospital took in nearly 170 helicopter-evacuated patients a month Dr York says his most useful work is controlling bleeding in smashed pelvises where an array of blood vessels lie along the bone and can be easily ruptured As other surgeons work on head and leg injuries Dr York shoots dye into the pelvis and if the imaging equipment picks up any bleeding he blocks the vessels through more catheter implantsDr York was at the gym one Sunday morning in February when he got word that a helicopter was bringing in two soldiers from the nearby Arghandab Valley both injured by an improvised explosive deviceOne soldier both legs blown off was dead when the helicopter arrived The other a 23-year-old infantryman was alive but bleeding badly from a gaping wound on his left side A scan of his pelvis showed a splintered femur and a cluster of shrapnel in his thighThe helicopter medic had given him a strong dose of Ketamine a powerful anesthetic mostly frowned on in the US but which the military has lately used in Afghanistan because it seems to help soldiers feel indifferent to their wounds On the gurney in the trauma bay the soldier sang softly to himself while doctors discussed whether his leg would have to be amputatedDr York shot dye into the soldier’s arteries and under a scanner saw that all the vessels down to his foot were intact The leg he said could be saved In the operating tent the surgeons cleaned the debris from his wounds Dr York put a nickel-and-titanium filter into one of his veins just below the heart to keep errant blood clots from flowing into his heart and lungs which could kill him “There?just like a screen in a screen door” he said watching his work on a computer monitor “He’s safe for now”Though wounds differ patterns are discernible says Capt Anne Lear the hospital’s head nurse Most time and energy is spent researching injuries from IEDs the Taliban’s weapon of choice Ms Lear says blast injuries usually fall into two categories: those that dismember soldiers on foot patrol and less visible ones that soldiers suffer while riding in armored vehiclesThe men on foot patrols she says often lose both legs and one arm The way we walk with one arm usually swinging behind the body often shields that arm from the blast she saysInjuries suffered inside armored vehicles are often underestimated Wounded troops frequently arrive by helicopter looking alert talking loudly because their ear drums have burst Then suddenly they will collapseArmored vehicles even if they hold together in a blast get thrown into the air and slam around their occupants Even those who are strapped in may bleed internally from broken arms and elbows fractured spines and pelvises When Dr York finished treating the young infantryman the next patient was announced: A 22-year-old sergeant who had just shot himself in the head There were clean entry and exit wounds in his templesHis heart was beating steadily Dr York said it might be a freak head wound that is survivable But a CT scan elicited a collective groan from the doctors The bullet had passed through the center of his brain blowing out his pituitary gland and damaging his brain stem Bits of bone were dispersed through his skull”He knew right where to put the gun” said Dr YorkNurses wheeled the sergeant to a small space behind some blue curtains Within half an hour he had stopped breathingThe last patient that day a 31-year-old captain in the British infantry the Royal Anglian Regiment arrived late On patrol that morning he had stepped on an IED The blast took off both legs his right arm and all the fingers on his left hand except his index fingerThe captain Martin Driver was sedated the stumps of his limbs wrapped tightly in gauze and a pulse monitor fixed on his one remaining fingerThe medical staff gave him massive transfusions of blood products?plasma red-blood cells platelets whole blood and two doses of an experimental clotting agent He lost most of it to bleeding All told he received about four times the volume contained in an average person By the following evening his wounds finally appeared to be clotting “If this had happened to him in the US or anywhere else they could not have kept him alive” said Dr Tony Han who watched over Capt Driver that night He kept the captain’s blood pressure low to help the clotting process and protect against fatal bleeding The wounded soldier’s face and chest appeared eerily untouched by the blast With his combed-back hair and pinkish complexion he looked like an officer resting up before another patrolJust before midnight a British medical crew arrived to put him on a plane back to England The IED blast had thrown dust and debris into Capt Driver’s abdomen where an infection was raging His prospects for recovery were uncertainAs they lifted him onto a stretcher the captain’s eyes fluttered The British doctor spoke to him although it was unclear whether he could hear “I see you’re blinking now Martin” he said “We’re taking you back to Birmingham so that your family can see you We will keep you comfortable the whole way”They took along another box of blood for transfusions along with a medical chart that described his transfer to England as a “mission of compassion” Capt Driver died on March 15 Write to Alan Cullison atThe prosecution claim Bridger snatched and murdered April in a sexually-motivated attack.’.
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