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Malnutrition remains a leading cause of death in children in low and middle income countries; this will be aggravated by climate change. Annually, 6.9 million deaths of children under 5 were attributable directly or indirectly to malnutrition. Although these figures have recently decreased, evidence shows that a world with a medium climate (local warming up to 3 “4 C) will create an additional 25.2 million malnourished children.
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In 1994, during his first term in Congress, then Rep. Inslee voted for a ban on the manufacture and import of military style semi automatic rifles, was targeted by the National Rifle Association and lost his re election campaign to Republican Doc Hastings as part of a GOP wave that captured seven of the state’s nine House seats. That ban expired in 2004 and was not renewed by Congress..
Over this driving background soars a very particular type of melodic line, usually carried by horns, trumpets, and/or massed strings. It features wide ranging, mostly diatonic intervals and a particular intonational mannerism, in which a flurry of shorter notes leads to a strong downbeat accent, a dramatic leap or run up or down, and the deliberate prolongation for several beats of the agogically accented pitch. (Call it theIndiana Jonesparadigm.) The last piece of the pattern is the most distinctive: the straight 4/4 accompaniment is invariably activated by a distinctive, driving pattern of offbeat accents, often the simplehemiola3 + 3 + 2, but also more complex patterns like (3 + 3 + 3) + (3 + 2 +2)..
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However, if severe, GAD can be very debilitating, making it difficult to carry out even the most ordinary daily activities.GAD comes on gradually and most often hits people in childhood or adolescence, but can begin in adulthood, too. It more common in women than in men and often occurs in relatives of affected persons. It diagnosed when someone spends at least 6 months worried excessively about a number of everyday problems.Specific Symptoms of Generalized Anxiety DisorderExcessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance).The person finds it difficult to control the worry.The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms present for more days than not for the past 6 months; children do not need to meet as many criteria 1 is needed).Restlessness or feeling keyed up or on edgeBeing easily fatiguedDifficulty concentrating or mind going blankIrritabilityMuscle tensionSleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep)Additionally, the anxiety or worry is not specifically about having a panic attack (though panic attacks can occur within a person with GAD), being embarrassed in public (as in social phobia), being contaminated (as in obsessive compulsive disorder), being away from home or close relatives (as in separation anxiety disorder), gaining weight (as in anorexia nervosa), having multiple physical complaints (as in somatization disorder), or having a serious illness (as in hypochondriasis), and the anxiety and worry do not occur exclusively during posttraumatic stress disorder (PTSD).The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning..