🇺🇸✖️🇨🇳🇷🇺The US State Department believes that China cannot simultaneously build relations with Russia and Europe
📝 “If China says it wants good relations with Europe and other countries, it cannot continue to fuel the biggest threat to European security,” State Department spokesman said USA to Newsweek, emphasizing that this is the position not only of Washington, but also of the European Union, NATO and the G7.
The material also notes that Putin’s visit to China reflects the deepening of ties between the two neighbors.
#important
🇷🇺🇨🇳Already 90% of all payments between the Russian Federation and China are carried out in rubles and yuan - Putin
The transfer of payments to national currencies gave impetus to the expansion of trade flows, the Russian leader noted.
👔 Putin added that the Russian Federation and China have formed a significant portfolio of 80 large joint investment projects in a variety of areas.
#important
Bell’s Palsy – (Ref. Harrison 20th ed. Pg. 3169)
1. Acute onset non – suppurative inflammation of the facial nerve with in the facial canal above the stylomastoid foramen.
a. Pathophysiology In acute Bell's palsy there is inflammation of the facial nerve with mononuclear cells, consistent with an infectious or immune cause.
b. Herpes simplex virus type 1 DNA was frequently detected in endoneurial fluid and posterior auricular muscle, suggesting that a reactivation of this virus in the geniculate ganglion may be responsible for most cases.
2. Clinical features
(Both upper and lower part of face)
a. Total paralysis of ipsilateral face
b. Eating is sloppy because of difficulty in closing lips
c. Face feels stiff and pulled to normal side d. Hyperacusis
e. Loss of taste sensation in anterior two third of tongue
f. Bell’s phenomena is seen.
When patient closes his eyes, eyeball on same side rolls up.
3. Risk factors – Diabetes, Hypertension, Herpesvirus type 1
4. Poor prognostic factors –
a. Age > 60yrs.
b. Decrease Lacrimation
c. Hyperacusis
d. Diabetes, Hypertension
e. Total paralysis at the onset
5. Complications –
a. Incomplete recovery
b. Contracture
c. Crocodile tears
d. Cross innervation
6. Investigation
a. No test is usually done
b. Otherwise NCV and EMG are the most accurate test
7. Treatment of Bell’s palsy
a. Artificial tears (osmoles drops)
b. Recovery spontaneous in 70 – 80% pt within 2 – 12 weeks
c. A course of glucocorticoids, given as prednisone 60–80 mg daily during the first 5 days and then tapered over the next 5 days, appears to shorten the recovery period and modestly improve the functional outcome. (NEET 2016)
d. Physiotherapy Important Points Bell's Palsy: (AIIMS May 2017) No added benefit of acyclovir (400 mg five times daily for 10 days) compared to prednisolone alone for treatment of acute Bell's palsy.
Extra Edge : Fore head sparing = intracranial pathology of 7th nerve. It means it is not Bell’s Palsy!!!
@medicinevideoss
#important topic
A unique opportunity for farming families to build their future by running a stable and profitable farm in the Kurgan region!
Read more in the presentation and contact Timur Beslangurov (@tbis1980) if you are interested.
#IMPORTANT@movingtorussia
#Important
Please pass this message to your family and friends now.
People have been receiving calls from these numbers:-
Tel: +947
Tel: +371
Tel: +371
Tel: +563
Tel: +370
Tel: +255
or any number starting from +371 +375 +381
These guys only ring once and hang up. If you call back, they can copy your contact list in 3sec and if you have a bank or credit card details on your phone, they can copy that too.
+375 code is for Belarus.
+371 code is for Latvia.
+381 Serbia.
+563 Valparaiso.
+370 Vilnius.
+255 Tanzania.
Don't answer or Call back.
Also, Don't Press
#90 or #09
on your Mobile when asked by any caller.
It's a new trick which is being used to access your SIM card, make calls at your expense and frame you as a criminal.
PLEASE FORWARD this message to as many friends as you can to stop any intrusion!!!
via: የሕግ ነገር
#JOIN#Share ማድረጋችሁን አትርሱ👇👇
@vet_opportunities
@vet_opportunities
@vet_opportunities
@vet_opportunities
#Announcement#Important
РАЗЪЯСНЕНИЯ ПО УСЛОВИЯМ РАБОТЫ ООО «ПОРТСЕРВИС»
В последнее время мы получаем негативные отзывы по работе с клиентами, которые на наш взгляд, вызваны последними изменениями в обработке судов Marmed Container Services.
Обращаем Ваше внимание, как субагент ООО «Мармед – Контейнерное агентство», мы осуществляем уведомление клиентов и выполняем формальности в пределах своей компетенции согласно инструкциям агента о прибывающих и убывающих через контейнерный терминал АО «НЛЭ» грузах в контейнерах.
❗️Во избежание конфликтных ситуаций просим Вас разграничивать перевозки, сопровождение которых осуществляет ООО «ПортСервис» и те, которые агент обрабатывает самостоятельно.
🤞Как отличить, кто и какие грузы обрабатывает? По импорту – груз сопровождает та компания, которая выслала уведомление о прибытии. В экспорте – компания, которая сообщила идентификатор букинга.
🙏Приносим свои извинения за доставленные неудобства, которые были вызваны независящими от нас обстоятельствами.
【#This site announcement #important ]
The proximity of the General Assembly and the frequent reports recently led to the disconnection. Since it is directly supervised by the central government, there is no room for negotiation.
We have prepared multiple backup machines to deal with the uncertain situation that may occur next, and try our best to ensure the online rate and stability of the line.
Mandatory invitation code registration is now enabled, users without invitation code will not be able to register
The content described above only affects users in mainland China, and has no effect on users in other regions.
====================================================================
临近大会加上近期频繁通报導致被拔线，由於是中央直接督查，没有任何商量的余地。
我哋已經準備咗多台備用機應應對接下來可能發生的無確定情況，盡量保證線路在線率和穩定性。
現已開啟強制邀請碼註冊，無邀請碼用戶將會無法註冊
上描內容僅對中國大陸地區用戶影響較大，對其他地區用戶無影響。
【#This site announcement #important ]
The proximity of the General Assembly and the frequent reports recently led to the disconnection. Since it is directly supervised by the central government, there is no room for negotiation.
We have prepared multiple backup machines to deal with the uncertain situation that may occur next, and try our best to ensure the online rate and stability of the line.
Mandatory invitation code registration is now enabled, users without invitation code will not be able to register
The content described above only affects users in mainland China, and has no effect on users in other regions.
====================================================================
临近大会加上近期频繁通报導致被拔线，由於是中央直接督查，没有任何商量的余地。
我哋已經準備咗多台備用機應應對接下來可能發生的無確定情況，盡量保證線路在線率和穩定性。
現已開啟強制邀請碼註冊，無邀請碼用戶將會無法註冊
上描內容僅對中國大陸地區用戶影響較大，對其他地區用戶無影響。
🇨🇳Красивый гость из Поднебесной
Reg: B-30EA
Flight: CZ8028
Route: SVO-CAN
Aircraft: Airbus A350-900
Age: 6.1 years
📌Дорогие подписчики, мы наслышаны о возможной блокировке Телеграм, поэтому публикуем ссылку на наш канал в других пабликах:
💙тык
📷* тык
⬅️Это вынужденная мера для перестраховки, чтобы не потеряться в случае блокировки. Телеграм был и БУДЕТ нашим основным ресурсом
*принадлежат компании Meta, признаной экстремистской и запрещённой на территории РФ
Лёгкое небо
#aviation#LN_EDU#news#spotting#important