PATERNITY LEAVE

///////////////////How long should a man work for an employer before he can be entitled to paternity leave?===26 weeks


////////////////////Bank Holidays have no national or religious significanceTrue



//////////////////////To control people consuming a lot of Alcohol in one session the Government has increased penalties and introduced on the spot fineTrue



//////////////////The population growth of Britain is====Slower than Europe



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Between what ages must children attend school?===5 - 16




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The Head of the State and the monarch in both ceremonial and symbolic sense is===The Queen



/////////////////////CRAP


Despite these limitations, these data suggest that there are important, yet complex interactions between sleep and FAP. There is evidence of an increased prevalence of sleep disturbances among patients with FAP. Sleep disturbances in patients with FAP appear to be exacerbated by pain, however, the sleep–pain relationship is often considered to be bi-directional and it remains unclear as to whether pain is the antecedent to sleep disruption or if the inverse relationship is true. Increased arousal could result in disruptions in sleep quality and continuity or pain, with each of these then influencing or exacerbating the other. For example, symptoms of insomnia may cause chronic sleep disruption that leads to decrements in focused attention and adaptive coping, both critical for an individual's ability to deal with pain and other physical symptoms of FAP. Thus it is important to consider that sleep disturbances may be a precursor to chronic pain disorders such as FAP that have no identified organic cause.
Future research should focus on testing multivariate etiologic models that specify how the various risk factors might contribute to functional outcomes. For example, it would be useful to test whether increases in anxiety or depressive symptoms mediate the relationship between FAP symptoms and the onset of BSDs. Finally, it will be vital to conduct randomized trials that test the efficacy of treatment strategies targeting adaptive coping for FAP, and therapy for mood and sleep disorders. An improved understanding of the etiologic processes that give rise to sleep disorder symptoms and the groups that are at greatest risk for BSD should ultimately facilitate the design of effective prevention programs for this common pediatric health problem.



///////////////////DYING POINT

Finding the true dying point. Providers felt that in the acute care environment it is difficult to know when to make the transition from curative care to palliative care. Participants felt that the decision to transition is made more easily when there is a point in time in the child's illness trajectory when it is apparent that the focus of care should be shifted from aggressive, life sustaining treatment toward making the child comfortable and taking care of the family. But this "dying point" is often not unanimously agreed upon by family and providers. One person stated:
Once we come to know, once it is clear that the therapy has failed, and once we know that end of life is imminent, then we should 85 we always update families, but once we reach this point, then we have to decide what the family wants. And then we should make it clear to them about the various options. However, since infants and children do not come to acute care hospitals to die this point is very difficult to ascertain and come to agreement upon.



////////////////////What percentage of under 25's voted in the General Election of 2001?=====Less than half



////////////////////Milk Intake in Pregnancy Linked to Larger Infant Size at Birth CME
News Author: Laurie Barclay, MDCME Author: Penny Murata, MD DisclosuresRelease Date: October 11, 2007; Valid for credit through October 11, 2008
Credits Available
Physicians - maximum of 0.25 AMA PRA Category 1 Credit(s)™ for physicians;Family Physicians - up to 0.25 AAFP Prescribed credit(s) for physicians
October 11, 2007 — Intake of milk in pregnancy was associated with higher birth weight for gestational age, lower risk for small for gestational age (SGA), and higher risk for large for gestational age (LGA), according to the results of a prospective cohort study published in the October issue of the American Journal of Clinical Nutrition.
"Cow milk contains many potentially growth-promoting factors," write Sjurdur F. Olsen, from the Institute of Public Health, University of Aarhus in Denmark, and colleagues from the NUTRIX Consortium. "There is a lack of large prospective studies with a sizeable group of women with zero or low milk consumption. We therefore examined in detail, in a large prospective Danish pregnancy cohort, the relations of milk intake and milk constituents with measures reflecting intrauterine growth."



////////////////////Ciclesonide Nasal Spray Safe, Effective for Children With Perennial Allergic Rhinitis Although ciclesonide nasal spray has been determined to be both safe and effective for children with perennial allergic rhinitis, increasing intraocular pressure after treatment raises concerns.



////////////////////CME Higher Doses of Vancomycin Associated With Increased Nephrotoxicity Current recommendations for trough concentrations of vancomycin are associated with greater risk for nephrotoxicity.



/////////////////////Higher Doses of Vancomycin Associated With Increased Nephrotoxicity CME
News Author: Bob RoehrCME Author: Désirée Lie, MD, MSEd DisclosuresRelease Date: October 9, 2007; Valid for credit through October 9, 2008
Credits Available
Physicians - maximum of 0.25 AMA PRA Category 1 Credit(s)™ for physicians;Family Physicians - up to 0.25 AAFP Prescribed credit(s) for physicians
October 9, 2007 (San Diego) — The larger doses of vancomycin administered to achieve compliance with revised guidelines for trough concentrations of the drug are associated with increased risk for nephrotoxicity, according to a presentation here at the Infectious Diseases Society of America 45th Annual Meeting.
The study was prompted by changes in vancomycin treatment guidelines that recommend achieving trough concentrations of between 15 and 20 mg/L. This is because of relatively poor tissue penetration, particularly in the lungs, and associated "'mycin creep,' in which the vancomycin [minimum inhibitory concentration] that is fully susceptible to [Staphylococcus] aureus increases over time," said presenter Thomas P. Lodise, PharmD, from the Albany College of Pharmacy, New York. Anecdotal reports have suggested that trough levels of 15 mg/L or more were associated with higher rates of nephrotoxicity.



///////////////////Computed Tomography Improves Detection of Cervical Spine Injuries A comparison study indicates that cervical computed tomography may detect a much higher percentage of cervical spine injury than cervical spine radiographs.



/////////////////TIAFW==THIS IS ALL FxxxING WRONG MEME



////////////////Women gained equal political, financial and social rights in 1960's and 1970'sTrue



///////////////////Until what age can children stay at school?16




////////////////////What hours can a child age 14-16 work?====Not before 7am or after 7pm



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Who is entitled to get a state pension?====Anyone who has paid enough national insurance contributions




/////////////////////Bacterial Colonization of Airways in Neonates Linked to Asthma Risk Neonates with hypopharyngeal colonization by Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, or a combination of these organisms are at increased risk for developing impaired lung function early in life, new research shows.


////////////////////To show respect to those that died in the World War dead, What do people do at the 11th hour of the 11th day of the 11th month?2 minute silence held




////////////////////For the police, what does 'operational independence' mean?====Government cannot instruct the police in a particular case




////////////////////MARRG OF CONVENIENCE



////////////////////Immigrants from Ireland and West Indies came to Britain in1948



//////////////////Staggering 80% Increase in Hospitalizations for Children with Cancer



//////////////////Maternal Asthma Increases Risk of Pregnancy Complications and Low Birth Weights Infants born to mothers with asthma have, on average, slightly lower birth weights, independent of length of gestation, according to the results of the largest U.S. study to-date to compare maternal asthma, asthma exacerbations and pregnancy outcomes.



///////////////////How many member states are there in the Commonwealth?====54



//////////////////////Preventing Daycare Infections Has No Effect on Later Atopic Disease The successful prevention of common respiratory tract and enteric infections in child daycare centers has no impact on the later development of asthma, allergic rhinitis or atopic dermatitis, according to a prospective followup survey conducted 12 years after a controlled randomized hygiene intervention study.


///////////////////Routine Zinc Use Does Not Cut Mortality in Nepalese Children In a study of children in southern Nepal, zinc supplementation was not associated with significant improvements in survival, according to a report in the October 6th issue of The Lancet.




//////////////////////The main aim behind the European Union today is for member states to become a single marketTrue



/////////////////////MODERATION VS EXTREMISM



//////////////////////Permanent Residents of the United Kingdom, who are not citizens,Have all civil and welfare rights except the right to hold a British Passport and a general right to vote



//////////////////////Mortgage is a special loan and normally paid back, with interest, over a long period of timeTrue



///////////////////Which is the largest descent after the Indian descent?Pakistani



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