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Author: Ananya Dasgupta, Illustrator: Chaaya Prabhat. Categories: Age 6-9 years, All FKB Books, Children, Creative Commons, Grade 1 to Grade 3, Intermediate English, Science, Space, Storyweaver-Pratham. In the year 2563 Maya and her friend Ava borrow the family space ship for a trip to Pluto. Halfway there they have a battle with a black hole. Categories: Age 2-5 Years, Age 6-9 years, All FKB Books, Beginner English, Children, Grade 1 to Grade 3, Grade K and Pre K, Inspirational, Toddlers Who’s to Say is the first book of affirmations in ‘The Amazingly Affirmed’ children’s book series.

Author: Heinrich Harrer Submitted by: Maria Garcia 13841 Views View Chapter List Add a Review

Seven Years in Tibet PDF book by Heinrich Harrer Read Online or Free Download in ePUB, PDF or MOBI eBooks. Published in 1952 the book become immediate popular and critical acclaim in history, biography books.

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The main characters of Seven Years in Tibet novel are John, Emma. The book has been awarded with Booker Prize, Edgar Awards and many others.

One of the Best Works of Heinrich Harrer. published in multiple languages including English, consists of 330 pages and is available in Paperback format for offline reading.

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Author: Heinrich Harrer
Book Format: Paperback
Original Title: Seven Years in Tibet
Number Of Pages: 330 pages
First Published in: 1952
Latest Edition: August 25th 1997
Language: English
Generes: History, Biography, Non Fiction, Autobiography, Memoir, Cultural, Asia, Religion, Buddhism,
Formats: audible mp3, ePUB(Android), kindle, and audiobook.
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The book can be easily translated to readable Russian, English, Hindi, Spanish, Chinese, Bengali, Malaysian, French, Portuguese, Indonesian, German, Arabic, Japanese and many others.

Please note that the characters, names or techniques listed in Seven Years in Tibet is a work of fiction and is meant for entertainment purposes only, except for biography and other cases. we do not intend to hurt the sentiments of any community, individual, sect or religion

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SPECIAL CONTRIBUTION tetanus, immunization; immunization, tetanus
Tetanus Immunization R e c o m m e n d a t i o n s for Persons Less Than Seven Years Old This position paper represents a reflection of expert opinions regarding current knowledge about tetanus immunization. It should complement, but not supplant, sound clinical judgment. [This document was developed by the American College of Emergency Physicians Scientific Review Committee and was approved by the Board of Directors on June 8, 1987. American College of Emergency Physicians: Tetanus immunization recommendations for persons less than seven years old. Ann Emerg Med October 1987;16.' 1181-1183.]
American College of Emergency Physicians Dallas, Texas Address for reprints: American College of Emergency Physicians, PO Box 619911, Dallas, Texas 75261-9911.
INTRODUCTION Recommendations for the prevention of tetanus in persons 7 years and older were published in a previous issue of Annals of Emergency Medicine [September 1986; 15:1111-1112]. Because emergency physicians encounter children with varying immunization histories and injuries, familiarity with proper immunization standards is essential. The following guidelines, consistent with those of the Immunization Practices Advisory Committee of the US Public Health Service 1 and of the Committee on Infectious Diseases of the American Academy of Pediatrics, are recommendations of the American College of Emergency Physicians for tetanus immunization. Because diphtheria and pertussis immunization must be considered at the time of tetanus prophylaxis, recommendations for the use of these vaccines are included. To maintain a high level of population immunity against diphtheria, immunization must begin in childhood and continue during adulthood with regular booster injections. The recommended dose of diphtheria toxoid for children less than 7 years old is higher than that for adults; hence, a different preparation is used (see Definitions). Immunization against pertussis is not recommended in persons more than 7 years old. However, the incidence and severity of pertussis are much greater in children less than 7 than in older persons; pertussis vaccination usually should accompany tetanus prophylaxis in this younger age group. There are contraindications to pertussis vaccine, however, and the risks and benefits of using combined vaccine preparations must be considered for each patient. Contact with a health provider in the emergency department should provide an opportunity to assess the immunization status of the child, to provide information regarding vaccine-preventable diseases, and (if not contraindicated by the present illness or injury or its management) to immunize children against diseases to which they are susceptible. DEFINITIONS DTP--Diphtheria and tetanus toxoids and pertussis vaccine, adsorbed, for use in persons less than 7 years old. D T ~ Diphtheria and tetanus toxoids, adsorbed, for use in persons less than 7 years old. Td~ Tetanus and diphtheria toxoids, adsorbed, for use in persons 7 and older. TIC,-- Tetanus immune globulin, human. Nontetanus-prone (clean) wound - - A nontetanus-prone wound is recent (less than six hours old); not infected or contaminated with feces, soil, saliva, etc; accessible to cleansing, irrigation, and debridement; and surrounded by 16:10October 1987
Annals of Emergency Medicine
TETANUS IMMUNIZATION American College of Emergency Physicians
viable tissue. Tetanus-prone (dirty) w o u n d - - A tetanus-prone wound is more than six hours old; contaminated with feces, soil, saliva, etc; surrounded by avascular or nonviable tissue; or infected. Puncture wounds and wounds created by crush injuries, bums, frostbite, or missiles should be considered tetanus prone.
RECOMMENDED I M M U N I Z A T I O N SCHEDULES Recommendations for the routine immunization of persons less than 7 years old are outlined (Table 1). The appropriate uses of tetanus and diphtheria toxoids, pertussis vaccine, and tetanus i m m u n e globulin in w o u n d management are summarized (Table 2). Interrupting the recommended s c h e d u l e or delaying one or m o r e doses does not lead to a reduction in the level of i m m u n i t y r e a c h e d on c o m p l e t i o n of the p r i m a r y series. Therefore, there is no need to restart a series regardless of the time elapsed between doses. Adverse events f o l l o w i n g i m m u nization, especially w i t h pertussis vaccine, are u n c o m m o n but m a y be serious. Parents should be informed about the risks of i m m u n i z a t i o n as outlined here. The Centers for Disease Control have developed 'Important Information' statements about vaccines; these are available f r o m m o s t state health departments. I n f o r m a t i o n regarding i m m u n i z a t i o n against diphtheria, tetanus, and pertussis appears in the Report of the C o m m i t t e e on Infectious Diseases. ~ SIDE EFFECTS A N D ADVERSE EVENTS Local reactions, generally erythema and induration, are c o m m o n after immunization, as are mild systemic reactions such as fever and drowsiness. Abscesses at injection sites have been reported. Arthus-type hypersensitivity reactions, characterized by severe local reactions beginning two to eight hours after injection, may occur after immunization, particularly with frequent boosters. Anaphylaxis also has been reported after receiving diphtheria, tetanus, and/or pertussis antigens. Moderate to severe systemic events (high fever, markedly abnormal crying, collapse, seizures, encephalopathy) occur infrequently after DTP injections but are contraindications to. future administration of preparations contain146/1182
TABLE 1. Routine diphtheria, tetanus, and pertussis immunization schedules for persons less than 7 years old Dose
Primary 1
6 weeks or older
Primary 2
4 to 8 weeks after first dose
Primary 3
4 to 8 weeks after second dose
Primary 4
6 to 12 weeks after third dose
4 to 6 years old:~
Additional boosters
Every 10 years after last dose
*Customarily begun at 2 months of age, with subsequent doses at ages 4 months, 6 months, 15 to 18 months, and 4 to 6 years. Prolonging the interval between doses does not require restarting the series. 1-Use DT if pertussis vaccine is contraindicated (see Contraindications). If the child is 1 year or older at time immunization is begun and pertussis vaccine is contraindicated, two doses of DT four to eight weeks apart followed by a third dose six to 12 months after the second complete the primary immunization with DT. :~Booster dose at age 4 to 6 years is not necessary if the fourth primary immunizing dose was administered after the fourth birthday.
TABLE 2. Guide to tetanus prophylaxis in w o u n d m a n a g e m e n t in persons less than 7 years old
History of Adsorbed Tetanus Toxoid
Nontetanus-Prone Tetanus-Prone Wounds* Wounds* DTPt TIG DTPt TIG (.5 mL IM) (250 U IM) (.5 mL IM) (250U IM)
Unknown or less than three doses
Three or more doses
*See Definitions. rUse DT if pertussis vaccine is contraindicated (see Contraindications). :~The primary immunization series should be completed. eYes, if the routine immunization schedule has lapsed (ie, to make up for missed dose). IIYes, if the routine immunization schedule has lapsed, or if more than five years since last dose of tetanus toxoid.
ing pertussis vaccine (see Contraindications).
CONTRAINDICATIONS The only contraindications to administration of tetanus and diphtheria toxoids are a h i s t o r y of neurologic complications or a severe hypersensitivity reaction (ie, anaphylaxis) following a previous dose. Local side effects a l o n e do n o t c o n t r a i n d i c a t e future doses. If a contraindication to tetanus toxoid exists in a person who has not completed a p r i m a r y series and w h o s u s t a i n s a t e t a n u s - p r o n e wound, only passive i m m u n i z a t i o n with TIG should be given. Annals of Emergency Medicine
Prior to administration of DTP, the parent should be questioned about adverse event(s) after the previous dose. If any of the following occur after adm i n i s t r a t i o n of p e r t u s s i s vaccine, either alone or in DTP, further vaccination with pertussis antigen is contraindicated: encephalopathy within seven days of immunization; a convulsion, with or without fever, within three days; persistent, unconsolable crying for three hours or an unusual, high-pitched cry, within two days; collapse or shock-like state {'hypotonichyporesponsive episode') within two days; temperature of 40.5 C (105 F) or more within two days; or an allergic 16:10 October 1987
reaction such as anaphylaxis. Infants and children w i t h underlying neurologic disorders, i n c l u d i n g a history of convulsions, may have neurologic events temporally associated with i m m u n i z a t i o n with DTP or DT. This m a y result in confusion about the cause of these events. Therefore, the decision to a d m i n i s t e r D T P to such children m u s t be made on an individual basis. Space does not permit a
16:10 October 1987
discussion of all the relevant conside r a t i o n s ; the reader is referred to M M W R 1 a n d to t h e R e p o r t o f t h e
ten d o c u m e n t a t i o n of i m m u n i z a t i o n provided.
on I n f e c t i o u s D i s e a s e s ~
for details.
FOLLOW-UP Proper follow-up should be arranged for all w o u n d patients and for i m m u n i z a t i o n c o m p l e t i o n w h e n appropriate. All patients should receive writ-
Annals of Emergency Medicine
I. ACIP (Immunization Practices Advisory Committee): Diphtheria, tetanus, and pertussis: Guidelines for vaccine prophylaxis and other preventive measures. MMWR 1985;34:405-426. 2. Committee on Infectious Diseases, American Academyof Pediatrics: Report of the Committee on Infectious Diseases, ed 20. Elk Grove Village, Illinois, AAP, 1986, p 266-275, 498-501.