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FACTS A man who was injured in a slip and fall reached a .5 million settlement with the company that was responsible for the property. In 2000, Thomas Colace, 65, was walking at the Philadelphia Regional Produce Market, where his produce company leased space. The ground was allegedly wet and snowy and Colace slipped and fell on a diamond-grated metal plate at the bottom of a ramp. In 2001, he and his wife Delores sued the property's sublessor, the Philadelphia Fresh Food Terminal Corp., as well as various other property owners who were eventually dropped from the suit. Colace claimed that a hazardous condition was created by the metal plate being placed on the ground upside-down, with the smooth side up. The defense agreed that this was the case, but that responsibility was never established. The defense was prepared to argue that Colace was aware of the condition and assumed responsibility by walking on the surface.
Generally the first laxative recommended is a high fiber laxative such as Metamucil or Citracel. Fiber laxatives are available as a powder, which is mixed with water or juice and generally needs to be drunk fairly quickly before it thickens to a goo ; a tablet, or a chewable tablet. Fiber laxatives are very slow acting are generally taken daily to prevent constipation rather than for relief once constipation is making you uncomfortable. For the ALS patient there are two concerns with this type of laxative. First, it is essential that fluid intake be very good. Taking fiber laxatives without enough fluid can cause intestinal blockage. Second, they are not to be used when swallowing problems begin. Failure to drink enough water to wash down the fiber might allow it to begin to swell in the esophagus and this requires immediate medical attention. Fiber laxatives can safely be given through a feeding tube, but the fiber needs to be promptly followed by flushing the tube with water to prevent clogging. Stool softeners are often ideal for ALS patients. Not only do they help when fluid intake is difficult, but they also are very helpful when breathing problems make it difficult to bear down and push. The longer stool remains in the digestive tract, the more water is removed from it. As the stool becomes dryer, it becomes harder and more difficult to move along. Stool softeners prevent the drying and allow the stool to move through with normal peristalsis. They do not cause cramping or urgency but greatly reduce the amount of straining needed to have a bowel movement. Stool softeners are generally taken daily as a preventative measure. Stool softeners are available in pill or liquid form. Note: I don't know about other brands, but Colace liquid needs to be diluted in juice or it burns all the way down! ; If the stool softener alone isn't sufficient, they are also available combined with a stimulant laxative and colesevelam.
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Nuclear power makes a significant contribution to world energy supply and use more than 15% of world electricity production ; but has failed to meet the expectations widely accepted several decades ago. This has resulted from factors such as: The Three Mile Island, Chernobyl and more recent Tokai-Mura accidents In the United States, very significant cost overruns in the construction of nuclear power plants, due in many cases to burdensome regulation and poor management The long term disposition and or utilization of spent fuel and high level waste has not been resolved Deployment of technology scaled up too rapidly from military nuclear programs The "schism" of the 1970's between the U.S. and others with significant nuclear energy deployments e.g., Britain, France, Russia, Japan, . ; concerning the recycling of plutonium inhibited fuel cycle development, especially with respect to development of next generation technologies that could better address the concerns noted above; the accumulation of 200 tonnes of separated plutonium today, reflecting the unfavorable economics of plutonium recycle, poses a significant proliferation concern as does the accumulation in spent fuel ; The deregulation of electricity sectors in many countries works against new nuclear power deployment in that nuclear plants require a large up-front capital investment even if operating costs are relatively low ; The focus on international terrorism since September 11, 2001 has raised concerns about the security of nuclear fuel cycle facilities, such as spent fuel storage areas, as targets for mass disruption e.g., "dirty bombs.
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