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Brahmins and untouchables were distinguishable everywhere treatment alternatives boca raton cheap 200mg seroquel with amex, but the hierarchy of intermediate castes was complex and often did not conform to medicine hat lodge safe seroquel 200mg the kshatriya treatment ind generic 300 mg seroquel with visa, vaishya treatment 5th metatarsal base fracture 100 mg seroquel with visa, sudra categorisation. Land taxes were generally paid collectively and the internal allocation of the burden was left to the village headman or accountant. The top group were allies of the state, co­beneficiaries in the system of exploitation. In every village the bottom layer were untouchables squeezed tight against the margin of subsistence. Without the caste sanctions, village society would probably have been more egalitarian, and a more homogeneous peasantry might have been less willing to put up with such heavy fiscal levies. From an economic point of view, the most interesting feature of caste was that it fixed occupation by heredity. For priests or barbers the prospect of doing the same job as a whole chain of ancestors was perhaps not too depressing, but for those whose hereditary function was to clean latrines, the system offered no joys in this world. One reason they accepted it was the Hindu belief in reincarnation which held out the hope of rebirth in a higher social status to those who acquired merit by loyal performance of their allotted task in this world. Below the village society, about 10 per cent of the population lived in a large number of tribal communities. Aboriginal tribes led an independent pagan existence as hunters or forest dwellers, completely outside Hindu society and paying no taxes to the Moghuls. The British Impact on Indian Agriculture the colonial government modified traditional institutional arrangements in agriculture and created property rights whose character was somewhat closer to those under Western capitalism. Except in the autonomous princely states, the old warlord aristocracy was dispossessed. Their previous income from jagirs and that of the Moghul state was appropriated by the British. They acquired hereditary status, so long as they paid their land taxes, and their tax liabilities were frozen at the 1793 level. In the Madras and Bombay Presidencies the British dispossessed most of the old Moghul and Mahratta nobility and big zamindars, and vested property rights and tax obligations in the traditionally dominant castes in villages. The status of moneylenders was also improved by the change from Muslim to British law. There had been moneylenders in the Moghul period, but their importance grew substantially under British rule, and over time a considerable amount of land changed hands through foreclosures. As a result, there was an increased income and a widening of inequality within villages. Eventually more than a quarter of the land of British India was irrigated, compared with 5 per cent in Moghul India. Irrigation was extended both as a source of revenue and as a measure to mitigate famines. The motive here was to provide land for retired Indian army personnel, many of whom came from the Punjab, and to build up population in an area which bordered on the disputed frontier with Afghanistan. These areas, which had formerly been desert, became the biggest irrigated area in the world and major producers of wheat and cotton, both for export and for sale in other parts of India. Improvements in transport facilities (particularly railways, but also steamships and the Suez canal) helped agriculture by permitting some degree of specialisation on cash crops. This increased yields somewhat, but the bulk of the country stuck to subsistence farming. These items made a significant contribution to exports, but in the context of Indian agriculture as a whole, they were not very important. Thus the enlargement of markets through international trade was less of a stimulus in India than in other Asian countries such as Burma, Ceylon, Indonesia or Thailand. Under British rule, the Indian population remained subject to recurrent famines and epidemic diseases. In the 1890s there was a widespread outbreak of bubonic plague and in 1919 a great influenza epidemic. In the 1920s and 1930s there were no famines, and the 1944 famine in Bengal was due to war conditions and transport difficulties rather than crop failure.

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Give general advice on local issues such as laws treatment ulcer generic 100mg seroquel otc, customs medications that cause hyponatremia buy generic seroquel 50mg online, government and private sector medicine hat mall cheap seroquel 100 mg without prescription, and locations of supplies treatment 0f ovarian cyst 50mg seroquel for sale, equipment, and commodities. An organization, composed of 53 member states, whose aim is to promote peace, security, and solidarity on the African continent. Cold Chain: the refrigerated transportation system for vaccines from the manufacturer to the individual. Part of the World Bank that provides interest-free loans and some grants for programs aimed at boosting economic growth and improving living conditions. A displaced person who is still within the borders of his or her country of origin. The term hurricane is used for Northern Hemisphere tropical cyclones east of the International Dateline to the Greenwich Meridian. The term typhoon is used for Pacific tropical cyclones north of the Equator and west of the International Dateline. The disturbance can be submarine volcanic eruptions, displacement of submarine sediments, coastal landslides, meteor impact, or earthquakes. Regional command for South and Central Asia, Horn of Africa, and countries bordering the Arabian Peninsula and the northern Red Sea. Regional command for Europe, Africa (except for the Horn of Africa), Mediterranean Sea, and bordering countries. General Orders: Permanent instructions, usually concerning matters of policy or administration. The President and the Secretary of Defense, or their authorized alternates or successors. Regional command for North America, including Mexico and Canada, and the western half of the Atlantic Ocean, including Cuba and the Bahamas, but excluding the rest of the Caribbean. Regional command for the Pacific Ocean, part of the Indian Ocean, and East and Southeast Asia. Functional command for unconventional forces worldwide, including elite strike forces, psychological operations, and civil affairs units. Theater: Region of the world for which a Combatant Commander has responsibility for U. Each disaster will dictate additional information to be included in the field sitrep cable. Disaster data, including the sources of the information · · · · · · · · · · · · Number affected. Extent of damage (buildings damaged and destroyed, areas of flooding, amount of damage to roads and bridges, areas of drought, areas of civil strife, etc. United Nations, private voluntary organizations, nongovernmental organizations, and international organizations. The purpose of these stockpiles is to position relief commodities closer to potential disaster sites to make relief commodities more immediately available to disaster victims. Stockpile commodities may be released to the United Nations, private voluntary organizations, nongovernmental organizations, and/or international organizations that are qualified to distribute and instruct in the use of the commodities. These vehicles have a range of capabilities including gas or diesel, left- or right-hand drive, armored or unarmored. This section also contains detailed information about obtaining and using plastic sheeting to construct temporary shelters. Check with the Logistics Officer, however, because some manufacturers may package them differently. Water Containers, 10-Liter Collapsible Water containers are for use by disaster victims and relief workers for moving and storing potable water. Skid dimensions are 48 by 40 by 50 in, with each skid displacing 56 ft3 and weighing 290 lb. Hygiene Kits the hygiene kit is intended to supply disaster victims with basic hygienic commodities. Each unit is packaged in a corrugated box that contains supplies sufficient for a family unit of five for about 2 weeks.

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Except for the last three groups medications 73 cheap seroquel 300 mg amex, he gave no indication of the number of people involved in rural and non­rural activity medicine cabinet shelves buy generic seroquel 300 mg line. He proposed the introduction of a Chinese­style household registration system to medicine ball purchase 300mg seroquel otc remedy this defect symptoms walking pneumonia buy seroquel 100mg amex, and appended a form showing the type of detail by age, sex and occupation which should be garnered annually by local worthies. Vauban must have realised that his assessment of non­rural income was inadequate, as he started his analysis by asserting that it was bigger than rural income. His estimate of the number of non­rural houses (320 000) is manifestly too low for a non­rural labour force of more than 3. He felt that there could be a smooth tansition to collection of agricultural levies in kind to be stored in government warehouses. He was also insouciant about the protests of the elite who would lose their tax­exempt status. The 18th Century Onwards From the beginning of the eighteenth century to the 1940s, there were about thirty attempts to measure national income in Britain. Most concentrated on the income dimension without crosschecks from the expenditure or production side. Most were spot estimates for a given point of time and it was difficult to link them to measure economic growth, as there was only a limited and belated effort to develop appropriate price deflators (see Colin Clark, 1937). Nevertheless, these estimates are still very useful to quantitative economic historians. Thanks to detailed scrutiny by Phyllis Deane (1955­7) they provided a starting point and inspiration for pioneering studies of British economic growth by Deane and Cole (1964), Feinstein (1972), Matthews, Feinstein and Odling­Smee (1982) and Crafts (1985). The retrospective estimates of this new generation of quantitative historians are generally based on the modern international standardised system of national accounts. Studenski (1958) cites nine attempts to measure French national income later in the 18th century. Young found that land productivity in Normandy was much higher than in the rest of France, which strengthens the impression that Vauban overstated agricultural output. Between 1800 and the first world war, the statistical basis for macroeconomic measurement improved a good deal in Europe, North America and the Antipodes. Statistical offices collected data on trade, transport, fiscal and monetary matters, employment, wages and prices. There was an increasing array of information on commodity output in agriculture, mining and manufacturing. Index number techniques were developed which would have made it possible to measure temporal change and inter­spatial variance of complex aggregates. Although there was a proliferation of national income estimates, there was little improvement in their quality or comparability. They provided little help for serious analysis of economic growth, and there were significant differences in their coverage and methodology. Michael Mulhall (1836­1900) made a serious contribution to international comparison of levels of performance. Mulhall was Irish, educated in Rome, and spent his early working life as a journalist in Argentina. He published four major books between 1880 and 1896, drawing on census, trade, and commercial information to demonstrate developments in the world economy. His Industry and Wealth of Nations (1896) was devoted entirely to providing consistent comparisons of national output and wealth. He gave detailed sources and a mass of carefully structured statistical material in comparative form for 22 countries representing about 60 per cent of world product in 1894­5. He referred to other national income estimates where available, but used his own standard rules of thumb to assess value added for all countries. To determine total value added, he divided each national economy into 9 sectors, estimated gross output in each sector, and to avoid double counting, deducted inputs as specified below. His coverage of Europe and Western offshoots was pretty comprehensive, but for the rest of the world was confined to Argentina and South Africa. He provided current price estimates of the level in income in eight countries at dates ranging from 1812 to 1895. His cross­country comparison for 1894 was at current prices (in Ј sterling) using exchange rates. Mulhall had a powerful influence on Timothy Coghlan, the government statistician for New South Wales who made the first official estimates of national income for the Seven Colonies of Australasia which were published regularly from 1886­1905. He adjusted them to mitigate national idiosyncrasies of measurement and made rough proxies for another 20 countries (based on indicators of real wages) to make a rough estimate of world income for 1925­34 (p.

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Penicillamine has high toxicity and may worsen the neurological symptoms initially medicine gabapentin 300mg capsules seroquel 300 mg without a prescription. Hereditary spastic paraparesis A heterogeneous group of conditions characterized by spastic paraparesis progressing slowly over years typically with onset in teens or twenties (but can be much earlier) ad medicine buy seroquel 300 mg otc. This will help the family make some sense of their feelings and help them support each other through the grieving process and as it resolves medicine lake order 100mg seroquel. Always offer to medicine joint pain buy generic seroquel 100 mg online meet with the family again after the child eventually dies to address unresolved issues they may have. Neurotransmitters have wide-ranging effects, regulating neurons involved in memory and cognition, motor function, temperature, balance and pain. Disorders of biogenic amines these are caused by the failure of synthesis of dopamine, serotonin, norepinephrine, epinephrine, or the cofactor tetrahydrobiopterin. Dopamine transporter deficiency syndrome · Clinical features: infantile parkinsonism, hyperkinesia or mixed hypo/ hyperkinesic pattern; severe childhood parkinsonism, cognitive impairment and pyramidal tract signs. Age of onset is usually 4­8 yrs, but infant and neonatal presentations are described. Succinic semialdehyde dehydrogenase deficiency · Clinical features: developmental delay, hypotonia, decreased reflexes, epilepsy, non-progressive ataxia, behavioural problems, hyperactivity; rarely psychosis, myopathy, autism. Investigation While the clinical features can be protean, the usual presentations of infantile parkinsonism­dystonia and early childhood dystonia are clinically recognizable. Exercise depletes dopamine; rest replenishes; if it cannot be replenished, the movement disorder will be kinesogenic, i. Genetic tests for specific mutations · Plasma or fibroblast enzymes (aromatic amine decarboxylase, dopamine B-hydroxylase, monoamine oxidase and dihydropteridine reductase deficiencies) on Guthrie card. Parasomnias Recurrent episodes of behaviour, experiences or physiological changes that occur exclusively or predominantly during sleep. If video is available careful observation of the onset will show tell-tale tonic posturing of the arms ± head turn. In clinic settings the main clues are: · Event frequency: frontal lobe seizures are often multiple per night. An overnight video is crucial in cases of uncertainty but the onset of the attack must be captured to be informative. Fully waking the child 30 min ahead of the anticipated time is often effective at preventing them. Excessive daytime sleepiness (hypersomnia) Most commonly reflect insufficiently restful, poor quality night-time sleep. Five main features · Excessive daytime sleepiness is the defining symptom of narcolepsy: irresistible sleep attacks. Clinical features There is a highly individual patient symptom profile creating potential diagnostic difficulties. This is thought to be the result of degeneration of hypocretin-secreting neurons, likely to be the consequence of an autoimmune process. It is essential not to base the diagnosis of narcolepsy on the result of a single test. Kleine­Levin syndrome Excessive sleepiness occurring intermittently, with normal sleeping patterns between episodes. Definitions · Stroke: focal neurological deficit lasting more than 24 h with a vascular basis. Imaging will show radiological changes typical of infarction but this is typically multifocal and not confined to single vascular anatomical territories. Presentations · Acute onset focal neurological deficit (typically hemiparesis ± visual field defect). The potential benefit of arterial recanalization has to be balanced against the risks of adverse effects (particularly major cerebral haemorrhage, occurring in 5­10%) and this balance is more favourable the earlier the intervention can be delivered. Imaging is crucial in distinguishing haemorrhage, arterial ischaemia and venous ischaemia/infarction. Important causes include sickle cell disease, neurofibromatosis, Down, Noonan, and William syndromes. Primary cerebral vasculitis has protean manifestations and biopsy is often required to establish diagnosis. Treatment and secondary prevention · Treatment of underlying cause: · surgical vascular procedures to correct large vessel stenoses if amenable; · surgical bypass and revascularization procedures to ameliorate the effects of Moya­Moya syndrome; · aggressive transfusion programmes in sickle cell disease (see b p.

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