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ET423 - Doppel in Germering-U.
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9473 Poppelsdorfer Allee 2.
9473 Poppelsdorfer Allee 2.


9473 Poppelsdorfer Allee 2.
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By Dr Zulfikar BuxAssistant Professor of Emergency MedicineWHAT IS MENOPAUSE?I am often bombarded with questions from women who are going through menopause and are confused.Dr Zulfikar BuxToday, I hope we can address some of these questions and shed some light on this menacing phase of life for women. Menopause is the time in a woman?s life when she stops having monthly periods. At this time,Cheap NHL Adidas Jerseys, her ovaries stop releasing eggs and stop making the hormones estrogen and progesterone. Menopause usually occurs between the ages of 45 and 55. The average age is 51.HOW DO I KNOW IF I AM GOING THROUGH MENOPAUSE?Most women start to wonder about menopause when their periods start to change. If you are going through menopause, you might:*Have periods more or less often than usual (for example, every five to six weeks instead of every four)*Have bleeding that lasts for fewer days than before*Skip 1 or more periods*Have symptoms of menopause, such as hot flashes (described below)If your uterus (womb) has been removed,Cheap Jerseys, but you still have your ovaries,Cheap NBA Jerseys China, it might be tough to tell when you are going through menopause. Still, women who do not have a uterus can have menopause symptoms. If your ovaries were removed before the usual age of menopause, you had what doctors call ?surgical menopause.? That just means that you went through it early, because your ovaries were removed.WHAT ARE THE SYMPTOMS OF MENOPAUSE?Some women go through menopause without symptoms. But most have one or more of these symptoms:*Hot flashes ? Hot flashes feel like a wave of heat that starts in your chest and face and then moves through your body. Hot flashes usually start happening before you stop having periods.*Night sweats ? When hot flashes happen during sleep, they are called ?night sweats.? They can make it hard to get a good night?s sleep.*Sleep problems ? During the transition to menopause, some women have trouble falling or staying asleep. This can happen even if night sweats are not a problem.*Vaginal dryness ? Menopause can cause the vagina and tissues near the vagina to become dry and thin. This can be uncomfortable or make sex painful.*Depression ? During the transition to menopause, some women start having symptoms of depression. That?s especially true for women who have been depressed before. Depression symptoms include:?Sadness?Losing interest in doing things?Sleeping too much or too little*Trouble concentrating or remembering things ? This might be caused by lack of sleep that often happens at menopause, or by the lack of estrogen. Some experts suspect that estrogen is important for good brain function.SHOULD I SEE A DOCTOR?If your periods start changing and you are 45 or older, you do not need to see your doctor. But you should see your doctor if you have symptoms that really bother you. For instance, you should see your doctor if you cannot sleep because of night sweats,Wholesale Authentic Jerseys Outlet, or if you start to feel sad or blue and don?t seem to enjoy things anymore.You should also see your doctor if you:*Have your period more often than every three weeks*Have very heavy bleeding during your period*Have spotting between your periods*Have been through menopause (have gone 12 months without a period) and start bleeding again,Wholesale NFL Jerseys, even if it?s just a spot of bloodHOW ARE THE SYMPTOMS OF MENOPAUSE TREATED?Treatments include:*Hormones (estrogen) ? The hormone estrogen is the most effective treatment for menopause symptoms. Women who no longer have a uterus can take estrogen by itself. Women with a uterus must take estrogen with another hormone, called progesterone. Experts think these hormones are effective and safe for many women in their 40s and 50s with symptoms of menopause. If you want to take hormones,wholesale nfl jerseys, ask your doctor if it is an option. You should not take hormones if you have had breast cancer, a heart attack,NFL Jerseys China, a stroke, or a blood clot.*Antidepressants ? Antidepressants can ease hot flashes and depression. Even women who are not depressed can take them to help with hot flashes.*Anti-seizure medicine ? One of the medicines used to prevent seizures seems to help some women with hot flashes ? even if they do not have seizures.CAN I DO ANYTHING ON MY OWN TO REDUCE THE SYMPTOMS OF MENOPAUSE?Yes. There are some steps you can try. But ask your doctor before you take any ?natural remedies.? Some natural remedies might not be safe, especially for women who have a history of breast cancer.WHAT CAN I DO TO PROTECT MY BONES?You can:*Take calcium and vitamin D supplements*Be active (exercise helps keep bones strong)*Ask your doctor when you should start having bone density testsIf needed, your doctor can prescribe medicines to help keep your bones strong.Menopause is a challenging time in a woman?s life. Just know that there are options that can help to make these challenges less menacing.
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Six-year-old J?anay Nedd fell into a man hole last Friday night and was forced to tread in the filthy murky sewage water for some five minutes.Six-year-old J?anay and her older sisterThe young girl and other family members were out enjoying the Diwali Motorcade close by the Celina Resort at the head of Vlissengen Road,Cheap Jerseys For Wholesale, when they decided to return to their vehicle that was parked a short distance away.Nedd and her six-year-old cousin, Kayla,Nike Shox Clearance, were running toward the vehicle,NFL Jerseys China, when Nedd fell into the unseen and uncovered three-foot wide manhole.The girl told Kaieteur News reporters that she was briefly submerged in the water, but did not sink to the bottom of the hole.After seeing her daughter disappear in a flash, Susan Williams ran toward the vanishing point and found the manhole.She screamed for her daughter, but got no response.A passerby,Wholesale Football Jerseys, after noticing Williams? frantic calls for her daughter,NFL Jerseys Wholesale, stripped his shirt off and plunged into the dark hole.He subsequently pushed Nedd out of the hole, and was then hauled out himself by other public-spirited citizens.Nedd told her mother that she did not respond to her calls because she didn?t want to swallow any of the water.The uncovered manholeWith haste,Cheap NHL Jerseys China, Williams took her daughter to the Georgetown Public Hospital Corporation, and had no chance to truly thank the stranger who ultimately rescued her six-year-old.The man was described as young and of East Indian ancestry.Kaieteur News understands that some time ago a man was stung multiple times by bees in the same area and thereafter succumbed from the multiple stings. It was later found that the hive was built in the very same man-hole,Cheap Authentic Jerseys, when it was covered.Further reports state that the manhole is some eight feet deep and was uncovered to have the hive removed. It has remained uncovered for at least eight to ten months.The man-hole has now been covered with rotting planks of wood, by workers operating on the sea wall pumps.
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The Guyana Forestry Commission?s (GFC) plan for the further development of the sector in the next few years includes establishing policy to support the reduction of log exports and increasing the available of raw materials in the local economy for added-value manufacturing.It also makes provision for supporting the work of the government on climate change, including areas specific to Reducing Emissions from Deforestation and Degradation (REDD) in an effort to target an international carbon-financing mechanism that supports Avoided Deforestation, as well as REDD activities in ?high forest cover with low rates of deforestation? (HFLD) countries and Payment for Environmental Services (PES).The Ministry was at the time outlining various areas of enhancements being tackled in the forestry sector.This newspaper understands that the GFC?s plan outlines intentions of enhancing value-adding in the forest sector of Guyana through promoting kiln-drying, efficiency in processing, saw doctoring and implementation of standards for stacking,Cheap Jerseys, racking and conversion activities.In addition, the GFC will continue to implement Sustainable Forest Management (SFM) through effective monitoring of the activities within the State Forest Estate, including in areas of field monitoring; forest-management planning using new and improved technologies, such as remote sensing imagery analyses; increased utilisation of forest inventory information in forest planning (both on an annual and five-year period); and strengthening of the log tracking system though the use of bar-coding technology. Enhancing forest-law enforcement, governance and trade through maintaining an effective chain of custody and legality (inclusive of documentation) system; facilitating the granting of incentives (such as the lowering of export commission) for value-added forest production; supporting capacity-building in forest-based and rural communities in key areas of forest law and compliance; and forest management and planning for economic and social development are all included in the plan.The GFC has made provision for improved training in Reduced Impact Logging (RIL), quality control, efficiency, productivity and trade, inclusive of saw doctoring, product design and marketing.According to the Ministry of Agriculture, this is being and will continue to be supported by GFC?s associated bodies – the Forestry Training Centre Inc., and the Forest Products Development and Marketing Council, Inc., along with the FPA, Guyana Manufacturers? and Services Association and relevant ministries, including the Ministry of Amerindian Affairs.
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