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Are You Among the 'Diet-Resistant'?

Title: Are You Among the 'Diet-Resistant'?
Category: Health News
Created: 8/22/2022 12:00:00 AM
Last Editorial Review: 8/22/2022 12:00:00 AM




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Alternative Medicine Popular Among Seniors, But Most Don't Tell Their Doctors About It

Title: Alternative Medicine Popular Among Seniors, But Most Don't Tell Their Doctors About It
Category: Health News
Created: 7/27/2022 12:00:00 AM
Last Editorial Review: 7/27/2022 12:00:00 AM




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LSD Is Making a Comeback Among Young Americans

Title: LSD Is Making a Comeback Among Young Americans
Category: Health News
Created: 8/23/2022 12:00:00 AM
Last Editorial Review: 8/23/2022 12:00:00 AM




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Use of Pot, Hallucinogens Soaring Among Young Americans

Title: Use of Pot, Hallucinogens Soaring Among Young Americans
Category: Health News
Created: 8/23/2022 12:00:00 AM
Last Editorial Review: 8/23/2022 12:00:00 AM




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U.S. HPV Vaccination Rates Rising, Even Among Boys

Title: U.S. HPV Vaccination Rates Rising, Even Among Boys
Category: Health News
Created: 6/22/2022 12:00:00 AM
Last Editorial Review: 6/23/2022 12:00:00 AM




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Impact of COVID-19 on Chronic Ambulatory-Care-Sensitive Condition Emergency Department Use Among Older Adults

Background:

The COVID-19 pandemic social distancing requirements encouraged patients to avoid public spaces including in-office health care visits. Ambulatory-care-sensitive conditions (ACSCs) represent conditions that can be managed with quality primary care and when access is limited, these conditions can lead to avoidable emergency department (ED) visits.

Methods:

Using national data on ED visits from 2019 to 2021 in the National Hospital Ambulatory Care Survey, we examined the impact of COVID-19 pandemic on ACSC ED visits among older adults (aged ≥65).

Results:

The proportion of ED visits among older adults that were for ACSCs increased between 2019 (17.4%) and 2021 (18.5%). The trend in both rural (26.4%–28.6%) and urban areas (15.4%–16.8%) shows a significant jump from 2019 to 2021 (P < .001).

Conclusions:

This rise in ACSC ED use is consistent with a delay in normal primary care during the pandemic.




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Prevalence of Dental Caries and Utilization of Dental Services among WIC-participating Children: A scoping review

Purpose Low-income children experience disproportionately high rates of dental caries and challenges in accessing dental care compared to their higher-income peers. The purpose of this scoping review was to examine the prevalence of dental caries and dental service utilization among Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) enrolled children.Methods The literature search and review were conducted between September 2023 and February 2024. The review followed the PRISMA-ScR reporting guidelines and included three databases: PubMed, CINAHL, and Dentistry & Oral Sciences Source. The study focused on children aged one to five participating in WIC within the United States (US) and aimed to determine the prevalence of dental service utilization and dental caries in the targeted population.Results This review includes twelve articles that are quantitative observational studies conducted from February 2001 to February 2023. Most of the studies were conducted in WIC programs in the Southern and Midwest regions of the US. Dental caries rates decreased by 61.8% from 2004 to 2016, with the highest prevalence in 2004, and the lowest prevalence in 2016. Dental service utilization among WIC children increased by 56.9% from 1992 to 2020.Conclusion There has been an increase in dental service utilization among WIC-enrolled children, with an overall decrease in dental caries over the last two decades. However, the prevalence of dental caries remains disproportionately high for children enrolled in WIC when compared to non-participants. To develop effective dental interventions for children enrolled in WIC, it is fundamental to identify the unique determinants of dental caries in this population.




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Twinning Partnership Network: A Learning and Experience-Sharing Network Among Health Professionals in Rwanda to Improve Health Services

ABSTRACTWe describe the development, implementation, and evaluation of a novel twinning approach: the Twinning Partnership Network (TPN). Twinning is a well-known approach to peer learning that has been used in a variety of settings to build organizational capacity. Although twinning takes many forms, the heart of the approach is that institutions with shared characteristics collaborate via sharing information and experiences to achieve a specific goal. We adapted a twinning partnership strategy developed by the World Health Organization to create a network of like-minded health institutions. The key innovation of the TPN is the network, which ensures that an institution always has a high-performing peer with whom to partner on a specific topic area of interest. We identified 10 hospitals and 30 districts in Rwanda to participate in the TPN. These districts and hospitals participated in a kickoff workshop in which they identified capacity gaps, clarified goals, and selected twinning partners. After the workshop, districts and hospitals participated in exchange visits, coaching visits, and virtual and in-person learning events. We found that districts and hospitals that selected specific areas and worked on them throughout the duration of the TPN with their peers improved their performance significantly when compared with those that selected and worked on other areas. Accreditation scores improved by 5.6% more in hospitals selecting accreditation than those that did not. Districts that selected improving community-based health insurance coverage improved by 4.8% more than districts that did not select this topic area. We hypothesize that these results are due to senior management’s interest and motivation to improve in these specific areas, the motivation gained by learning from high-performing peers with similar resources, and context-specific knowledge sharing from peer hospitals and districts.




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Weight trends among adults with diabetes or hypertension during the COVID-19 pandemic: an observational study using OpenSAFELY

BackgroundCOVID-19 pandemic restrictions may have influenced behaviours related to weight.AimTo describe patterns of weight change among adults living in England with type 2 diabetes (T2D) and/or hypertension during the pandemic.Design and settingAn observational cohort study using the routinely collected health data of approximately 40% of adults living in England, accessed through the OpenSAFELY service inside TPP.MethodClinical and sociodemographic characteristics associated with rapid weight gain (>0.5 kg/m2/year) were investigated using multivariable logistic regression.ResultsData were extracted on adults with T2D (n = 1 231 455, 43.9% female, and 76.0% White British) or hypertension (n = 3 558 405, 49.7% female, and 84.3% White British). Adults with T2D lost weight overall (median δ = −0.1 kg/m2/year [interquartile range {IQR} −0.7–0.4]). However, rapid weight gain was common (20.7%) and associated with the following: sex (male versus female: adjusted odds ratio [aOR] 0.78 [95% confidence interval {CI} = 0.77 to 0.79]); age (older age reduced odds, for example, aged 60–69 years versus 18–29 years: aOR 0.66 [95% CI = 0.61 to 0.71]); deprivation (least deprived Index of Multiple Deprivation [IMD] quintile versus most deprived IMD quintile: aOR 0.87 [95% CI = 0.85 to 0.89]); White ethnicity (Black versus White: aOR 0.95 [95% CI = 0.92 to 0.98]); mental health conditions (for example, depression: aOR 1.13 [95% CI = 1.12 to 1.15]); and diabetes treatment (non-insulin treatment versus no pharmacological treatment: aOR 0.68 [95% CI = 0.67 to 0.69]). Adults with hypertension maintained stable weight overall (median δ = 0.0 kg/m2/year [IQR −0.6–0.5]); however, rapid weight gain was common (24.7%) and associated with similar characteristics as in T2D.ConclusionAmong adults living in England with T2D and/or hypertension, rapid pandemic weight gain was more common among females, younger adults, those living in more deprived areas, and those with mental health conditions.




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Self-Reported PrEP Use and Risk of Bacterial STIs Among Ontarian Men Who Are Gay or Bisexual or Have Sex With Men [Original Research]

PURPOSE

HIV pre-exposure prophylaxis (PrEP) may increase rates of bacterial sexually transmitted infections (STIs) among gay, bisexual, and other men who have sex with men (GBM) through risk compensation (eg, an increase in condomless sex or number of partners); however, longitudinal studies exploring the time-dependent nature of PrEP uptake and bacterial STIs are limited. We used marginal structural models to estimate the effect of PrEP uptake on STI incidence.

METHODS

We analyzed data from the iCruise study, an online longitudinal study of 535 Ontarian GBM from July 2017 to April 2018, to estimate the effects of PrEP uptake on incidence of self-reported bacterial STIs (chlamydia, gonorrhea, and syphilis) collected with 12 weekly diaries. The incidence rate was calculated as the number of infections per 100 person-months, with evaluation of the STIs overall and individually. We used marginal structural models to account for time-varying confounding and quantitative bias analysis to evaluate the sensitivity of estimates to nondifferential outcome misclassification.

RESULTS

Participating GBM were followed up for a total of 1,623.5 person-months. Overall, 70 participants (13.1%) took PrEP during the study period. Relative to no uptake, PrEP uptake was associated with an increased incidence rate of gonorrhea (incidence rate ratio = 4.00; 95% CI, 1.67-9.58), but not of chlamydia or syphilis, and not of any bacterial STI overall. Accounting for misclassification, the median incidence rate ratio for gonorrhea was 2.36 (95% simulation interval, 1.08-5.06).

CONCLUSIONS

We observed an increased incidence rate of gonorrhea associated with PrEP uptake among Ontarian GBM that was robust to misclassification. Although our findings support current guidelines for integrating gonorrhea screening with PrEP services, additional research should consider the long-term impact of PrEP among this population.

Annals Early Access article




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Digital Innovation to Grow Quality Care Through an Interprofessional Care Team (DIG IT) Among Underserved Patients With Hypertension [Original Research]

PURPOSE

The impact of digital health on medically underserved patients is unclear. This study aimed to determine the early impact of a digital innovation to grow quality care through an interprofessional care team (DIG IT) on the blood pressure (BP) and 10-year atherosclerotic cardiovascular disease (ASCVD) risk score of medically underserved patients.

METHODS

This was a 3-month, prospective intervention study that included patients aged 40 years or more with BP of 140/90 mmHg or higher who received care from DIG IT from August through December 2021. Sociodemographic and clinical outcomes of DIG IT were compared with historical controls (controls) whose data were randomly extracted by the University of California Data Warehouse and matched 1:1 based on age, ethnicity, and baseline BP of the DIG IT arm. Multiple linear regression was performed to adjust for potential confounding factors.

RESULTS

A total of 140 patients (70 DIG IT, 70 controls) were included. Both arms were similar with an average age (SD) of 62.8 (9.7) years. The population was dominated by Latinx (79.3%) persons, with baseline mean BP of 163/81 mmHg, and mean ASCVD risk score of 23.9%. The mean (SD) reduction in systolic BP at 3 months in the DIG IT arm was twice that of the controls (30.8 [17.3] mmHg vs 15.2 [21.2] mmHg; P <.001). The mean (SD) ASCVD risk score reduction in the DIG IT arm was also twice that of the controls (6.4% [7.4%] vs 3.1% [5.1%]; P = .003).

CONCLUSIONS

The DIG IT was more effective than controls (receiving usual care). Twofold improvement in the BP readings and ASCVD scores in medically underserved patients were achieved with DIG IT.




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Challenges in Receiving Care for Long COVID: A Qualitative Interview Study Among Primary Care Patients About Expectations and Experiences [Original Research]

BACKGROUND

For many patients with post–COVID-19 condition (long COVID), primary care is the first point of interaction with the health care system. In principle, primary care is well situated to manage long COVID. Beyond expressions of disempowerment, however, the patient’s perspective regarding the quality of long COVID care is lacking. Therefore, this study aimed to analyze the expectations and experiences of primary care patients seeking treatment for long COVID.

METHODS

A phenomenological approach guided this analysis. Using purposive sampling, we conducted semistructured interviews with English-speaking, adult primary care patients describing symptoms of long COVID. We deidentified and transcribed the recorded interviews. Transcripts were analyzed using inductive qualitative content analysis.

RESULTS

This article reports results from 19 interviews (53% female, mean age = 54 years). Patients expected their primary care practitioners (PCPs) to be knowledgeable about long COVID, attentive to their individual condition, and to engage in collaborative processes for treatment. Patients described 2 areas of experiences. First, interactions with clinicians were perceived as positive when clinicians were honest and validating, and negative when patients felt dismissed or discouraged. Second, patients described challenges navigating the fragmented US health care system when coordinating care, treatment and testing, and payment.

CONCLUSION

Primary care patients’ experiences seeking care for long COVID are incongruent with their expectations. Patients must overcome barriers at each level of the health care system and are frustrated by the constant challenges. PCPs and other health care professionals might increase congruence with expectations and experiences through listening, validating, and advocating for patients with long COVID.

Annals Early Access article




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Rioli wins place among greats

Legendary Tiger Maurice Rioli was posthumously inducted into the Australian Football Hall of Fame last night.




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Heroes among us: Celebrating American bravery on Veterans Day

Tech expert Kurt “CyberGuy" Knutsson helps you honor our heroes with these powerful podcasts, audiobooks and documentaries this Veterans Day.



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AI usage the highest among Quebec employees: KPMG

In a new report, KPMG has broken down the provincial adoption rate of generative AI across Canada, and found that Quebec led with 26 per cent, ahead of Alberta (23 per cent), British Columbia (22 per cent) and Ontario (20.5 per cent), which nearly tied with Saskatchewan and Manitoba. Atlantic Canada saw the lowest adoption […]

The post AI usage the highest among Quebec employees: KPMG first appeared on ITBusiness.ca.




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Nearly three years since launch, Webb is a hit among astronomers

Demand for observing time on Webb outpaces supply by a factor of nine.




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Eight-month-old among six abducted in Manipur; two burnt to death - The Hindu

  1. Eight-month-old among six abducted in Manipur; two burnt to death  The Hindu
  2. Manipur on boil: 2 more bodies found, 6 missing  The Times of India
  3. Centre rushes 20 more CAPF companies to Manipur after fresh violence  The Indian Express
  4. Three women, three children missing after Jiribam gunfight; Meiteis and Kukis hold bandhs in Manipur  The New Indian Express
  5. Letters to The Editor — November 13, 2024  The Hindu




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‘Among Us’ Is Collaborating With ‘Ace Attorney Investigations’ for Its Newest Free Cosmetic DLC Out Next Week

Among Us (Free) has done loads of crossovers and collaborations over the years, but one I didn’t expect at all …




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Elliot Page among 2SLGBTQ+ stars recognized at PTP Pink Awards

Actor Elliot Page and musician Rufus Wainwright were among the stars who honoured 2SLGBTQ+ charities at the inaugural PTP Pink Awards in Toronto Thursday, in the shadow of a U.S. election that has many worried about queer and trans rights.




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Among the Mizos, The Telegraph

Last month I spent several stimulating days in Mizoram. I had some knowledge of the state’s political history, met numerous Mizos in the course of my life, but never visited the state before. I flew first to Guwahati, where I caught up with some old friends, gloried in my sightings of the Brahmaputra, and spoke [...]




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Data | MLAs in poll-bound Karnataka have average assets worth ₹34.6 crore, highest among all States

MLAs in Karnataka have on average assets worth ₹34.6 crore, the highest among all the States




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Laura Dern, Kellie Pickler, Valerie Harper Among Notable Voices Kicking Off National Women's Lung Health Week - #ShareYourVoice for LUNG FORCE

Laura Dern, Kellie Pickler, Valerie Harper Among Notable Voices Kicking Off National Women�s Lung Health Week




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Fuel Up to Play 60 Launches New Spanish-Language Resources to Encourage Healthy Lifestyles among Hispanic Youth and Communities Nationwide - VAMOS: Fuel Up to Play 60 en espa�ol

Visit FuelUpToPlay60.com to access new Spanish-language materials and get your school involved.




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Antidepressant Use Common Among Reproductive-Aged Women - Antidepressants & Young Women

Broll of pregnant women, doctors, prenatal exam, healthy & sick babies. Antidepressant use among reproductive-aged women is common. If you�re pregnant, or are planning a pregnancy, speak to your doctor right away.




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One of the Top Infectious Diseases Among Children in the U.S. is Preventable - Help Kids Defeat the Mouth Monsters

Help Kids Defeat the Mouth Monsters




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Why LLPs are Gaining Popularity Among Small Businesses

In this article, we explore the key reasons why LLPs are increasingly favoured, focusing on the advantages of LLPs for small business owners.




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World's largest tree is also among the oldest living organisms

DNA analysis suggests Pando, a quaking aspen in Utah with thousands of stems connected by their roots, is between 16,000 and 81,000 years old




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App Appetite: Food Delivery Apps Gain Popularity Among Consumers

Food delivery apps are becoming increasingly popular, offering convenience, variety, and quick access to meals, reshaping how consumers dine and order food.




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Addressing Mental Health Among Prisoners: NHRC's Advisory and Government Responsibilities

Highlights: High prevalence of mental health challenges among prisoners, leading to 80% of unnatural deaths be




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Erectile Dysfunction Among Indian Men

India is the impotence capital of the world. In India the conversations about Erectile dysfunction (ED) are often a taboo and left unspoken. However,




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How Do Tooth Abnormalities Differ Among Childhood Cancer Survivors?

The prevalence of developmental tooth anomalies in survivors of childhood cancer differs according to the type of cancer treatment administered, according




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High Cholesterol Prevalence Among American Indian Youth

Over 70% of American Indian young adults (20-39 years old) and 50% of American Indian teenagers exhibit cholesterol levels or elevated blood fat, posing




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Sunshine Vitamin Shortage: A Silent Epidemic Among Women

Vitamin D, often referred to as the sunshine vitamin, is crucial for maintaining healthy bones. Experts have highlighted that low levels of medlinkVitamin




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Alarming Rise in Liver Disease Among Young Adults

In a concerning trend, health experts are raising alarm over the significant rise in liver disease cases among young adults aged 23-35. This comes just




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Smartphone Addiction: A Growing Trend Among Sleep-Deprived and Cyberbullied Teens

Excessive smartphone use, lack of sleep, cyberbullying, and poor mental health are all interlinked issues affecting teens in today's digital era. Australian




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Rising Suicide Rates Among Indian Youth

India faces a concerning rise in youth suicides, with rates surpassing those of many other nations, according to experts (!--ref1--). It has been




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Lower Suicide Rates Among Opioid Dependent Patients on Treatment

Addressing opioid use disorder significantly decreases the high suicide rate, which is eight times greater than that of the general population, for those with opioid dependence.




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Expanding the Donor Pool: Considering Organ Exchange Among Unrelated Individuals

Experts suggest that opening up organ exchange among unrelated individuals could expand the donor pool, potentially saving many lives. While this move




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Connection Between COVID-19 and Mortality Among Cancer Patients

More than 185 million people worldwide have been affected by COVID-19. There have been 4 million COVID-19-related deaths with more than 129,000 deaths in the UK alone.




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Poor Lifestyle Contributes to Hypertension Among Adolescents

In youth and adolescents, medlinkunhealthy lifestyle habits/medlink, including obesity, lack of sleep, and the consumption of junk and processed food,




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HIV-Preventive Drug-PrEP's Usage Barriers Among Young Men

Young men who have sex with other men have limited knowledge and awareness of the medlinkHIV/medlink prevention medlinkdrug- PrEP/medlink and




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Risky Driving Habits Among Teens Linked to Cellphone Use

A significant link between handheld cellphone use and risky driving behaviors among newly licensed teen drivers has been found in a study led by Penn




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Back Pain Among Truck Drivers: Can Anything be Done?

Back pain shouldn't come with truck driving; it can now be alleviated if large Canadian carriers adopt certain programs that take a holistic approach




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Creative Books That Foster Inspiring Ideas Among College Students

New book presents information on how to bring the arts to STEM (science, technology, engineering, and math) fields as per a study at the Carnegie Mellon




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Dental Services Use Among Medicare Beneficiaries

Half of all older adults in the U.S. lack dental insurance and, in 2018, nearly half of older adults received no dental care. A new study by investigators




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Concerns Loom for Future of Medicare Among Three in Four Americans Under 65

Concerns regarding Medicare's potential insolvency among those under 65 have heightened, with 73% now expressing apprehension about its availability when




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Guittard milk chocolates are the best choice among many chocolate lovers throughout the globe

The Guittard Milk Chocolate Company belongs to the country of America and has an expertise in the covertures chocolates manufactured using the age old French techniques and the most genuine way of preparing the chocolates. The Guittard milk...




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PM Modi wishes Advani on his b'day, counts him among India's 'most admired' statesmen

Prime Minister Narendra Modi on Friday wished veteran BJP leader Lal Krishna Advani on his 97th birthday and said that he is among "India's most admired statesmen."




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Sensex, Nifty open flat, Bharti Airtel and ICICI Bank among top gainers

Sensex was trading at 79,584.29 after rising 88.14 points or 0.11 per cent, while Nifty was trading at 24,172.95 after rising 31.65 points or 0.13 per cent.




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Wisdom sits in places : landscape and language among the Western Apache [Electronic book] / Keith H. Basso.

Albuquerque : University of New Mexico Press, [1996]