Don’t let kids play with plastic bags, latex balloons, coins, or other small objects they could choke on. Don’t let kids play near stairs, windows, stoves, or electrical outlets. After you return home, ask your child if he or she enjoyed the sitter’s visit. If you find a reliable sitter your child likes, you’ll probably have a more relaxing and enjoyable time away from home.
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need to deal with its unintended consequencesIndia, the country with the largest disease burden in the world,1 is now a major international hub for clinical research. However, a recent https://www.audiovisualrecords.co.uk policy that was meant to mitigate important ethical concerns may have profound and unintended consequences for public health https://www.audiovisualrecords.co.uk and may threaten the viability of clinical research in India.India has an impressive profile of research. Its clinical research market alone has been estimated to be worth nearly $500m (Rs30240m; 326m; 376m) in revenues.2 India has also been an active partner in international collaborative global health research, including the recent development of a low cost rotavirus vaccine Rotavac.3In 2011, the Clinical Trials Registry of India registered more than 1800 trials.4 These included studies of treatments for cancer, diabetes, and cardiovascular disease, as well as public health trials of optimal childhood vaccination and HIV asics gel lyte gray
treatment. In addition, India is the world’s largest producer of generic drugs $10bn worth and the main supplier of antiretrovirals to donor supported HIV treatment programmes in developing countries.5 6 Furthermore, the country supplies nearly 80% of the global supply of DPT (diphtheria, pertussis, and tetanus) and BCG vaccines and 90% of the measles vaccine.7Several factors have contributed to India’s global leadership in research and the production of generic drugs. Most important is the presence of a cadre of well trained multilingual professionals with relevant expertise in research. Research in India is also less expensive than in many other countries;
A 10 year old boy presented to his general practitioner with a four week history of left mid thigh pain with no associated history of systemic symptoms. He had no memory of a preceding trauma and no history of infection, locally or systemically. The pain was relapsing and remitting in its extent and frequency. It was also activity related, with occasional night waking and pain at rest. His GP took a full history, conducted a complete hip examination, and at initial presentation decided that the pain was caused by a muscle sprain.Two months later the pain has not abated and the child re presented to his GP, who requested a plain radiograph of the hip, the results of which were normal. A further three months later, his father noticed an associated distal thigh mass and immediately took the boy to the emergency department. On presentation to hospital, he was walking pain free but had an obvious https://en.wikipedia.org/wiki/ASICS mass, which did not limit his range of movement.He did not have a fever; his C reactive protein was 6 mg/L, erythrocyte sedimentation rate was 4 mm in the first hour, and total white blood cell count was 8109/L. The on call orthopaedic team requested anterioposterior and lateral radiographs of the thigh (figs 1 and asics gel zaraca 2