This document discusses the diagnosis and management of polycystic ovary syndrome (PCOS) in adolescents, which can be challenging. It describes how PCOS presents differently depending on the phenotype, and outlines the diagnostic criteria for adolescents as excessive androgen levels, menstrual irregularities for over 2 years post-menarche, and polycystic ovaries on ultrasound. Screening for insulin resistance and metabolic complications is important. The presentation emphasizes accurate diagnosis and treatment tailored to individual phenotypes to address long-term health risks of PCOS.
This document discusses the case of a term male infant born without complications who experienced episodes of hypoglycemia. At 2 hours of age he was jittery with a blood glucose of 35 mg/dL and improved after feeding. On the second day of life he again had low glucose of 35 mg/dL. At 2 weeks he presented with fussiness, jitteriness, staring spells, somnolence, and seizures with glucose less than 10 mg/dL, requiring IV glucose treatment. He continued having recurrent hypoglycemic episodes over the following weeks.
Mohd Hafizan, a 12-year-old male, has been diagnosed with HbE Thalassaemia and Hepatitis C. He requires regular blood transfusions every 3 weeks and iron chelation therapy. His last blood tests in September showed low hemoglobin at 6.32 g% and elevated ferritin level of 2493 ug/L, indicating active iron overload despite chelation treatment. He will continue regular transfusions and chelation to manage his conditions.
Pregnancy Induced Hypertension - Pre eclampsiaomar143
This document provides information about a 33-year-old pregnant woman admitted to the hospital with mild preeclampsia at 36 weeks of gestation. It includes her medical history, symptoms, physical exam findings, lab results, diagnosis, and notes on preeclampsia and its management. The key details are that she presented with swelling in her lower limbs and a history of amenorrhea for 8 months, and was found to have elevated blood pressure and mild preeclampsia at 36 weeks of pregnancy.
Polycystic ovary syndrome (PCOS) is the most common endocrine condition affecting 6-18% of adolescent girls. Diagnosing PCOS during adolescence is challenging due to overlapping features with normal puberty. This document provides guidelines for the diagnosis of adolescent PCOS, including evaluating irregular menstrual cycles, clinical or biochemical signs of hyperandrogenism, and excluding other conditions through investigations. Pelvic ultrasound is not recommended for diagnosis in those under 8 years post-menarche due to high rates of multifollicular ovaries in normal adolescents.
This document discusses systemic lupus erythematosus (SLE) during pregnancy. It notes that SLE occurs more frequently in women, especially during childbearing years. Pregnancy can cause flares in 40-60% of cases, most likely immediately postpartum. Good pregnancy outcomes require quiescent SLE for at least 6 months before conception with no active renal involvement or antiphospholipid antibodies. Management involves preconception counseling and multidisciplinary monitoring of disease activity and fetal wellbeing. Corticosteroids are the treatment of choice for flares.
This document discusses the diagnosis and management of polycystic ovary syndrome (PCOS) in adolescents, which can be challenging. It describes how PCOS presents differently depending on the phenotype, and outlines the diagnostic criteria for adolescents as excessive androgen levels, menstrual irregularities for over 2 years post-menarche, and polycystic ovaries on ultrasound. Screening for insulin resistance and metabolic complications is important. The presentation emphasizes accurate diagnosis and treatment tailored to individual phenotypes to address long-term health risks of PCOS.
This document discusses the case of a term male infant born without complications who experienced episodes of hypoglycemia. At 2 hours of age he was jittery with a blood glucose of 35 mg/dL and improved after feeding. On the second day of life he again had low glucose of 35 mg/dL. At 2 weeks he presented with fussiness, jitteriness, staring spells, somnolence, and seizures with glucose less than 10 mg/dL, requiring IV glucose treatment. He continued having recurrent hypoglycemic episodes over the following weeks.
Mohd Hafizan, a 12-year-old male, has been diagnosed with HbE Thalassaemia and Hepatitis C. He requires regular blood transfusions every 3 weeks and iron chelation therapy. His last blood tests in September showed low hemoglobin at 6.32 g% and elevated ferritin level of 2493 ug/L, indicating active iron overload despite chelation treatment. He will continue regular transfusions and chelation to manage his conditions.
Pregnancy Induced Hypertension - Pre eclampsiaomar143
This document provides information about a 33-year-old pregnant woman admitted to the hospital with mild preeclampsia at 36 weeks of gestation. It includes her medical history, symptoms, physical exam findings, lab results, diagnosis, and notes on preeclampsia and its management. The key details are that she presented with swelling in her lower limbs and a history of amenorrhea for 8 months, and was found to have elevated blood pressure and mild preeclampsia at 36 weeks of pregnancy.
Polycystic ovary syndrome (PCOS) is the most common endocrine condition affecting 6-18% of adolescent girls. Diagnosing PCOS during adolescence is challenging due to overlapping features with normal puberty. This document provides guidelines for the diagnosis of adolescent PCOS, including evaluating irregular menstrual cycles, clinical or biochemical signs of hyperandrogenism, and excluding other conditions through investigations. Pelvic ultrasound is not recommended for diagnosis in those under 8 years post-menarche due to high rates of multifollicular ovaries in normal adolescents.
This document discusses systemic lupus erythematosus (SLE) during pregnancy. It notes that SLE occurs more frequently in women, especially during childbearing years. Pregnancy can cause flares in 40-60% of cases, most likely immediately postpartum. Good pregnancy outcomes require quiescent SLE for at least 6 months before conception with no active renal involvement or antiphospholipid antibodies. Management involves preconception counseling and multidisciplinary monitoring of disease activity and fetal wellbeing. Corticosteroids are the treatment of choice for flares.
PCOS often has its origins in adolescence and can be triggered by physiological changes during puberty in genetically predisposed individuals. Early identification and treatment is important to prevent long-term health consequences. Lifestyle modifications including diet and exercise are the primary treatment approach for overweight adolescents with PCOS. Oral contraceptives are also used to treat menstrual irregularities and hirsutism, while metformin may be added to help with hyperinsulinemia and improve ovulation. Counseling adolescents on PCOS aims to help manage symptoms and reduce risks of future infertility or metabolic disorders.
An 86-year-old male presented to the emergency room with dizziness and was admitted to the ICU for dehydration. Medical workup showed malignant neoplasms, hypovolemia, pancytopenia, and a bloodstream infection. Laboratory results indicated anemia, thrombocytopenia, and abnormalities consistent with liver and kidney disease. Stool and blood cultures grew Clostridium difficile and Escherichia coli. The patient was diagnosed with myelodysplastic syndrome and received multiple blood transfusions.
This document discusses polycystic ovary syndrome (PCOS), including its definition, diagnostic criteria, pathophysiology, clinical features, evaluation, and management. PCOS is the most common endocrine disorder in women of reproductive age, affecting 5-10% of women. It is characterized by ovarian dysfunction, hyperandrogenism, and polycystic ovaries. Treatment focuses on managing symptoms and preventing long-term complications through lifestyle modifications, medications, and fertility treatments.
Ovarian hyperstimulation syndrome (OHSS) is an iatrogenic condition caused by fertility treatments. It can range from mild to life-threatening. Steps to prevent OHSS include identifying at-risk patients, using low gonadotropin doses, coasting by withholding gonadotropins to lower estrogen levels safely, using GnRH antagonists, and administering metformin. If OHSS occurs, management focuses on investigations, fluid monitoring, and paracentesis if needed.
The document discusses obesity in children, including:
1. Definitions of overweight and obesity based on BMI percentiles.
2. The prevalence of childhood obesity has increased worldwide and in the United States over the past few decades based on surveys.
3. The prevalence of childhood obesity varies significantly across different countries in the Arab world, with some of the highest rates in girls found in Kuwait, Oman, and Libya.
This document discusses childhood hypertension. Some key points:
- The prevalence of childhood hypertension and prehypertension has increased significantly since 2004. Around 3.5% of children have hypertension and 10-11% have prehypertension.
- Updated definitions were provided for normal, elevated, stage 1, and stage 2 blood pressure in children aged 1-13 years and over 13 years.
- Common causes of secondary hypertension in children include renal, vascular, and endocrine conditions. Evaluation involves taking a thorough history and physical exam and screening tests.
- Treatment involves identifying and managing underlying causes, lifestyle modifications, and medications if needed to control blood pressure. Regular monitoring is important.
Prevention of Ovarian Hyperstimulation Syndrome ( OHSS )Mohammad Emam
This document discusses the prevention of ovarian hyperstimulation syndrome (OHSS) by infertility clinicians. It defines OHSS and outlines types, pathophysiology, and rationale for prevention. The objective is to highlight the clinician's role in identifying risk factors and preventing OHSS through primary, secondary, and tertiary measures. Guidelines support strategies like antagonist protocols, triggering with GnRH agonists, and vitrification to potentially achieve an "OHSS-free clinic." Current trials explore individualized stimulation protocols while future research targets OHSS mediators. The key messages are that prevention requires attention to risks before stimulation and that OHSS can now be realistically avoided through appropriate protocols.
Ovarian Hyperstimulation Syndrome(OHSS), is a Rare iatrogenic complication of ovarian stimulation occurring during the luteal phase or during early pregnancy where a patient's ovaries become swollen and fluid builds up around her abdomen
The document discusses endocrine management of female infertility. It outlines the evaluation of endocrine causes of infertility, including diagnostic testing and management of common conditions like PCOS, hyperprolactinemia, hypothyroidism, and Cushing's syndrome. The goal of treatment is to identify and address endocrine abnormalities in order to restore normal hormonal function and fertility. Addressing endocrine disorders is an important part of a comprehensive approach to evaluating and treating infertility in women.
A 55-year-old male was admitted with coughing blood for 4 days. He had a history of smoking for 25 years and a previous episode of coughing blood 3 months ago. Investigations revealed an aneurysm of the descending aorta measuring 5.3 cm in size that was leaking into the left lung and pleural cavity, causing the patient's symptoms. Thoracic aortic aneurysms are most commonly due to atherosclerosis and can cause symptoms through compression of nearby structures or rupture. Surgical repair is indicated for symptomatic or rapidly enlarging aneurysms over 5.5-6 cm in diameter.
Dr. Sujoy Dasgupta is a reproductive medicine specialist who has extensive training and experience in managing male factor infertility. He discusses various cases involving different causes of male infertility such as mild abnormalities, varicocele, genetic issues, ejaculatory disorders, and physical abnormalities. He analyzes the diagnostic workup and treatment strategies for each case, including lifestyle modifications, medical therapy, surgical correction, assisted reproduction techniques, and counseling regarding prognosis.
Polycystic ovarian syndrome (PCOS) is a condition
of unexplained hyperandrogenic chronic anovulation
that most likely represents a heterogenous disorder.
About 10% of women in the reproductive age group
suffer from this disorder.
This document discusses approaches to diagnosing and treating hypertension in children. It defines hypertension and outlines stages of severity. In infants and young children, hypertension is usually secondary to an underlying condition, while adolescents can develop primary or essential hypertension. Evaluation involves measuring blood pressure properly, considering causes of secondary hypertension, assessing for target organ damage like left ventricular hypertrophy, and determining if hypertension is primary or secondary. Treatment involves lifestyle changes, weight management if overweight, and potentially medications to lower blood pressure below guidelines.
This document summarizes current treatment guidelines for lupus nephritis. It defines lupus nephritis based on ACR criteria and recommends an early renal biopsy. For initial treatment of proliferative lupus nephritis (classes III/IV), guidelines differ on whether cyclophosphamide or mycophenolate mofetil is preferred. Maintenance therapy with mycophenolate mofetil or azathioprine with low-dose steroids is recommended, with mycophenolate mofetil showing better outcomes. Immunosuppression should be continued for at least one year after complete remission is achieved.
Dr. Laxmi Shrikhande is a leading expert in PCOS and adolescent health. She is the Director of Shrikhande Fertility Clinic in Nagpur, India. She has held numerous leadership positions in national OB/GYN societies. She has published extensively on PCOS and delivered over 300 lectures. Her presentation discusses the latest 2018 guidelines for diagnosing and managing PCOS in adolescents, focusing on lifestyle interventions like diet and exercise to target obesity, irregular periods, hirsutism and long term health risks like diabetes. Early diagnosis of PCOS in adolescents is important to address both immediate issues and reduce late health sequelae.
Hyponatremia is very common in critically ill children, occurring in 20-45% of PICU admissions. It is usually caused by impaired free water excretion leading to dilutional hyponatremia from water retention and intake of hypotonic fluids. Other potential causes include inappropriate vasopressin secretion, redistribution of sodium and water in conditions like sepsis, use of hypotonic intravenous fluids, and underlying illnesses or medications. The diagnosis involves measuring plasma and urine osmolality and sodium levels, and clinically assessing volume status, to determine if the hyponatremia is hypovolemic, hypervolemic, or euvolemic in nature.
The document summarizes a case of a 16 month old female patient named Naseeba who presented with pallor and difficulty breathing for the past month and 5 days respectively. She was diagnosed with thalassemia major based on her history of severe anemia requiring regular blood transfusions since 8 months of age. Her examination revealed signs of severe anemia, failure to thrive, and secondary malnutrition. The discussion section provided an overview of thalassemia including pathogenesis, classification, management with regular blood transfusions and chelation therapy, as well as complications. It emphasized the importance of lifelong management, counseling, and screening to improve quality of life for patients with thalassemia major.
This document is a soft offer from CENEAL, a Latin American business center in Uruguay, to intermediate the sale of genetically modified grade #2 soybeans from Brazil. It specifies the product details including quality standards, packaging, delivery terms, prices and payment conditions for spot or annual contracts of 12500 to 600000 metric tons. The commercial terms include inspection by SGS, payment via irrevocable letters of credit, and a 2% performance bond. CENEAL invites the recipient to find the offer agreeable and looks forward to developing a long term business relationship.
Soft Offer 4 long grain white rice asia march 2014 cenealceneal
CENEAL - Latin American Business Center - Uruguay is offering long grain white rice from Vietnam for sale. The rice is grade 1 long grain white rice from Vietnam. It will be shipped FOB Ho Chi Minh Port, Vietnam in 50kg PP bags. The rice meets specifications for broken kernels, moisture, damaged grains and other quality measures. Payment terms are 30% advance via TT with the balance against documents. The price is $438 per metric ton. CENEAL looks forward to developing long term business relations through this rice offer.
PCOS often has its origins in adolescence and can be triggered by physiological changes during puberty in genetically predisposed individuals. Early identification and treatment is important to prevent long-term health consequences. Lifestyle modifications including diet and exercise are the primary treatment approach for overweight adolescents with PCOS. Oral contraceptives are also used to treat menstrual irregularities and hirsutism, while metformin may be added to help with hyperinsulinemia and improve ovulation. Counseling adolescents on PCOS aims to help manage symptoms and reduce risks of future infertility or metabolic disorders.
An 86-year-old male presented to the emergency room with dizziness and was admitted to the ICU for dehydration. Medical workup showed malignant neoplasms, hypovolemia, pancytopenia, and a bloodstream infection. Laboratory results indicated anemia, thrombocytopenia, and abnormalities consistent with liver and kidney disease. Stool and blood cultures grew Clostridium difficile and Escherichia coli. The patient was diagnosed with myelodysplastic syndrome and received multiple blood transfusions.
This document discusses polycystic ovary syndrome (PCOS), including its definition, diagnostic criteria, pathophysiology, clinical features, evaluation, and management. PCOS is the most common endocrine disorder in women of reproductive age, affecting 5-10% of women. It is characterized by ovarian dysfunction, hyperandrogenism, and polycystic ovaries. Treatment focuses on managing symptoms and preventing long-term complications through lifestyle modifications, medications, and fertility treatments.
Ovarian hyperstimulation syndrome (OHSS) is an iatrogenic condition caused by fertility treatments. It can range from mild to life-threatening. Steps to prevent OHSS include identifying at-risk patients, using low gonadotropin doses, coasting by withholding gonadotropins to lower estrogen levels safely, using GnRH antagonists, and administering metformin. If OHSS occurs, management focuses on investigations, fluid monitoring, and paracentesis if needed.
The document discusses obesity in children, including:
1. Definitions of overweight and obesity based on BMI percentiles.
2. The prevalence of childhood obesity has increased worldwide and in the United States over the past few decades based on surveys.
3. The prevalence of childhood obesity varies significantly across different countries in the Arab world, with some of the highest rates in girls found in Kuwait, Oman, and Libya.
This document discusses childhood hypertension. Some key points:
- The prevalence of childhood hypertension and prehypertension has increased significantly since 2004. Around 3.5% of children have hypertension and 10-11% have prehypertension.
- Updated definitions were provided for normal, elevated, stage 1, and stage 2 blood pressure in children aged 1-13 years and over 13 years.
- Common causes of secondary hypertension in children include renal, vascular, and endocrine conditions. Evaluation involves taking a thorough history and physical exam and screening tests.
- Treatment involves identifying and managing underlying causes, lifestyle modifications, and medications if needed to control blood pressure. Regular monitoring is important.
Prevention of Ovarian Hyperstimulation Syndrome ( OHSS )Mohammad Emam
This document discusses the prevention of ovarian hyperstimulation syndrome (OHSS) by infertility clinicians. It defines OHSS and outlines types, pathophysiology, and rationale for prevention. The objective is to highlight the clinician's role in identifying risk factors and preventing OHSS through primary, secondary, and tertiary measures. Guidelines support strategies like antagonist protocols, triggering with GnRH agonists, and vitrification to potentially achieve an "OHSS-free clinic." Current trials explore individualized stimulation protocols while future research targets OHSS mediators. The key messages are that prevention requires attention to risks before stimulation and that OHSS can now be realistically avoided through appropriate protocols.
Ovarian Hyperstimulation Syndrome(OHSS), is a Rare iatrogenic complication of ovarian stimulation occurring during the luteal phase or during early pregnancy where a patient's ovaries become swollen and fluid builds up around her abdomen
The document discusses endocrine management of female infertility. It outlines the evaluation of endocrine causes of infertility, including diagnostic testing and management of common conditions like PCOS, hyperprolactinemia, hypothyroidism, and Cushing's syndrome. The goal of treatment is to identify and address endocrine abnormalities in order to restore normal hormonal function and fertility. Addressing endocrine disorders is an important part of a comprehensive approach to evaluating and treating infertility in women.
A 55-year-old male was admitted with coughing blood for 4 days. He had a history of smoking for 25 years and a previous episode of coughing blood 3 months ago. Investigations revealed an aneurysm of the descending aorta measuring 5.3 cm in size that was leaking into the left lung and pleural cavity, causing the patient's symptoms. Thoracic aortic aneurysms are most commonly due to atherosclerosis and can cause symptoms through compression of nearby structures or rupture. Surgical repair is indicated for symptomatic or rapidly enlarging aneurysms over 5.5-6 cm in diameter.
Dr. Sujoy Dasgupta is a reproductive medicine specialist who has extensive training and experience in managing male factor infertility. He discusses various cases involving different causes of male infertility such as mild abnormalities, varicocele, genetic issues, ejaculatory disorders, and physical abnormalities. He analyzes the diagnostic workup and treatment strategies for each case, including lifestyle modifications, medical therapy, surgical correction, assisted reproduction techniques, and counseling regarding prognosis.
Polycystic ovarian syndrome (PCOS) is a condition
of unexplained hyperandrogenic chronic anovulation
that most likely represents a heterogenous disorder.
About 10% of women in the reproductive age group
suffer from this disorder.
This document discusses approaches to diagnosing and treating hypertension in children. It defines hypertension and outlines stages of severity. In infants and young children, hypertension is usually secondary to an underlying condition, while adolescents can develop primary or essential hypertension. Evaluation involves measuring blood pressure properly, considering causes of secondary hypertension, assessing for target organ damage like left ventricular hypertrophy, and determining if hypertension is primary or secondary. Treatment involves lifestyle changes, weight management if overweight, and potentially medications to lower blood pressure below guidelines.
This document summarizes current treatment guidelines for lupus nephritis. It defines lupus nephritis based on ACR criteria and recommends an early renal biopsy. For initial treatment of proliferative lupus nephritis (classes III/IV), guidelines differ on whether cyclophosphamide or mycophenolate mofetil is preferred. Maintenance therapy with mycophenolate mofetil or azathioprine with low-dose steroids is recommended, with mycophenolate mofetil showing better outcomes. Immunosuppression should be continued for at least one year after complete remission is achieved.
Dr. Laxmi Shrikhande is a leading expert in PCOS and adolescent health. She is the Director of Shrikhande Fertility Clinic in Nagpur, India. She has held numerous leadership positions in national OB/GYN societies. She has published extensively on PCOS and delivered over 300 lectures. Her presentation discusses the latest 2018 guidelines for diagnosing and managing PCOS in adolescents, focusing on lifestyle interventions like diet and exercise to target obesity, irregular periods, hirsutism and long term health risks like diabetes. Early diagnosis of PCOS in adolescents is important to address both immediate issues and reduce late health sequelae.
Hyponatremia is very common in critically ill children, occurring in 20-45% of PICU admissions. It is usually caused by impaired free water excretion leading to dilutional hyponatremia from water retention and intake of hypotonic fluids. Other potential causes include inappropriate vasopressin secretion, redistribution of sodium and water in conditions like sepsis, use of hypotonic intravenous fluids, and underlying illnesses or medications. The diagnosis involves measuring plasma and urine osmolality and sodium levels, and clinically assessing volume status, to determine if the hyponatremia is hypovolemic, hypervolemic, or euvolemic in nature.
The document summarizes a case of a 16 month old female patient named Naseeba who presented with pallor and difficulty breathing for the past month and 5 days respectively. She was diagnosed with thalassemia major based on her history of severe anemia requiring regular blood transfusions since 8 months of age. Her examination revealed signs of severe anemia, failure to thrive, and secondary malnutrition. The discussion section provided an overview of thalassemia including pathogenesis, classification, management with regular blood transfusions and chelation therapy, as well as complications. It emphasized the importance of lifelong management, counseling, and screening to improve quality of life for patients with thalassemia major.
This document is a soft offer from CENEAL, a Latin American business center in Uruguay, to intermediate the sale of genetically modified grade #2 soybeans from Brazil. It specifies the product details including quality standards, packaging, delivery terms, prices and payment conditions for spot or annual contracts of 12500 to 600000 metric tons. The commercial terms include inspection by SGS, payment via irrevocable letters of credit, and a 2% performance bond. CENEAL invites the recipient to find the offer agreeable and looks forward to developing a long term business relationship.
Soft Offer 4 long grain white rice asia march 2014 cenealceneal
CENEAL - Latin American Business Center - Uruguay is offering long grain white rice from Vietnam for sale. The rice is grade 1 long grain white rice from Vietnam. It will be shipped FOB Ho Chi Minh Port, Vietnam in 50kg PP bags. The rice meets specifications for broken kernels, moisture, damaged grains and other quality measures. Payment terms are 30% advance via TT with the balance against documents. The price is $438 per metric ton. CENEAL looks forward to developing long term business relations through this rice offer.
This document discusses crop financing in Brazil, which requires significant capital investment. It presents SL Tech's concept of providing crop financing by analyzing farm situations, structuring guarantees, and managing operations from fertilizer financing to crop monitoring and export. The proposal aims to enable financing for farmers, cooperatives, and other players in Brazil's agricultural industry.
The document is an offer from Tinsel Cargo & Oil Company to supply various commodities including cement, sugar, urea, and rice. It provides pricing and quantity details for 12-month supply contracts. The company outlines procedures for issuing a letter of intent, signing a contract, opening a letter of credit, and shipping on a scheduled basis. Payment terms involve an advance with the remainder due on bill of lading submission. The offer emphasizes easy, efficient procedures and promises a draft contract within 48 hours of receiving interest.
1) Manna Win Trade is a Malaysian trading company that has been in the palm oil industry for over 18 years. They specialize in trading various palm oil products including crude palm oil, refined palm olein, and palm kernel products.
2) The document provides information on Manna Win Trade's profile and experience in palm oil plantations and mills. It also lists the palm oil products available for trading and specifications for refined bleached deodorized palm olein.
3) Requirements and procedures are outlined for purchasing palm olein, including minimum order quantities, payment terms, documentation, and transportation. Samples, pricing validity, and contact information are also provided.
This document is a grocery store advertisement flyer that:
1. Lists various food and household item sale prices, such as $5 for 5 Totino's pizzas or $5.99 for vegetable oil.
2. Includes the store's weekly calendar and operating hours.
3. Features several Kraft food coupons redeemable at the store for $1 off when purchasing specific products.
Next Green Wave - Corporate PresentationMomentumPR
Next Green Wave has been established to produce and supply medical cannabis products to patients throughout the State of California.
Next Green Wave has two sites totalling 85,000 sq ft that have been permitted for medicinal and recreational marijuana operations in Coalinga, CA. Buildout has commenced, and Facility A completion is scheduled for September 2018. Two additional sites have recently been acquired and are in license application phase which will increase our capacity significantly to 350,000+ sq ft.
Next Green Wave has been awarded Conditional Use Permits (“CUP”) for indoor cultivation, nursery, manufacturing and extraction, and distribution, making it a completely vertically integrated operation from seed to sale.
With the state of California having commenced recreational sales on January 1st, 2018, it is poised to become the largest cannabis market in North America. Next Green Wave is well positioned to become a key producer in a market that is expected to grow to US$6.5B in sales by 2020.
Next Green Wave has been established to produce and supply medical cannabis products to patients throughout the State of California.
Next Green Wave has two sites totalling 85,000 sq ft that have been permitted for medicinal and recreational marijuana operations in Coalinga, CA. Buildout has commenced, and Facility A completion is scheduled for September 2018. Two additional sites have recently been acquired and are in license application phase which will increase our capacity significantly to 350,000+ sq ft.
Next Green Wave has been awarded Conditional Use Permits (“CUP”) for indoor cultivation, nursery, manufacturing and extraction, and distribution, making it a completely vertically integrated operation from seed to sale.
With the state of California having commenced recreational sales on January 1st, 2018, it is poised to become the largest cannabis market in North America. Next Green Wave is well positioned to become a key producer in a market that is expected to grow to US $6.5B in sales by 2020.
Next Green Wave has been established to produce and supply medical cannabis products to patients throughout the State of California.
Next Green Wave has two sites totalling 85,000 sq ft that have been permitted for medicinal and recreational marijuana operations in Coalinga, CA. Buildout has commenced, and Facility A completion is scheduled for September 2018. Two additional sites have recently been acquired and are in license application phase which will increase our capacity significantly to 350,000+ sq ft.
Next Green Wave has been awarded Conditional Use Permits (“CUP”) for indoor cultivation, nursery, manufacturing and extraction, and distribution, making it a completely vertically integrated operation from seed to sale.
With the state of California having commenced recreational sales on January 1st, 2018, it is poised to become the largest cannabis market in North America. Next Green Wave is well positioned to become a key producer in a market that is expected to grow to US$6.5B in sales by 2020.
Next Green Wave - Corporate Presentation - October 2018MomentumPR
Next Green Wave has been established to produce and supply medical cannabis products to patients throughout the State of California.
Next Green Wave has two sites totalling 85,000 sq ft that have been permitted for medicinal and recreational marijuana operations in Coalinga, CA. Buildout has commenced, and Facility A completion is scheduled for September 2018. Two additional sites have recently been acquired and are in license application phase which will increase our capacity significantly to 350,000+ sq ft.
Next Green Wave has been awarded Conditional Use Permits (“CUP”) for indoor cultivation, nursery, manufacturing and extraction, and distribution, making it a completely vertically integrated operation from seed to sale.
With the state of California having commenced recreational sales on January 1st, 2018, it is poised to become the largest cannabis market in North America. Next Green Wave is well positioned to become a key producer in a market that is expected to grow to US $6.5B in sales by 2020.
Microscanner Professional Retail Sheet and Order FormSanki Global LLC
This document discusses a professional retail program from Sanki Global that allows medical and health professionals to purchase Sanki products at a discounted price and resell them for a profit. It provides details on different product package options, their retail and professional prices, and the potential profits and bonuses. It also describes a professional microscanner program that allows representatives to demonstrate the circulatory benefits of Sanki products using microscopes.
This document provides a summary of topics relevant to the food and beverage industry, including profitability in competitive landscapes, using quotas and trade agreements to advantage, considerations for entering the US market, cultivating industry talent, harvesting cash through effective transfer pricing, and additional costs of doing business with major grocery retailers. The overall document discusses strategies that companies can use to maximize profits and remain competitive in dynamic industry conditions.
Kim BENNI @ ComRisk 2016 - Implications of political risk on commodity markets Kim Benni
1) Political decisions like import/export taxes, bans, quotas, and currency devaluations can significantly impact commodity markets.
2) To minimize risks, traders should build independent market information networks, use flexible contracts, and price commodities in stable currencies.
3) Changes in government policies around production, reserves, carbon pricing, duties, and sanctions need close monitoring to adapt trading strategies.
This document provides an overview of the Great American Cookies franchise opportunity for international markets. It outlines the brand history, core menu options including cookies and brownies, target customer demographics, and the support provided to international master franchisees. This includes assistance with real estate, operations, marketing and ongoing training. The ideal international master franchisee candidate is an experienced business operator looking to grow via franchising in a politically and economically stable market suitable for the Great American Cookies concept.
This document provides an overview of the Great American Cookies franchise opportunity for international markets. It outlines the brand history and menu, the support provided to international master franchisees, including training, marketing and operations support. Real estate considerations and store designs are also discussed. The ideal profile for an international master franchisee candidate is described. The next steps in the process are to complete a request for consideration form and develop a business plan based on agreed upon terms from Great American Cookies.
Camil is a leading food company in Latin America with iconic brands in rice, sugar, beans and canned fish. It has #1 market positions in Brazil, Uruguay, Chile and Peru. Camil has a diversified portfolio across product categories and geographic regions, with 29 processing facilities and 18 distribution centers. The company has demonstrated consistent growth and profitability despite economic challenges in Brazil, expanding revenues by over 23% annually from 2011-2017.
BB News International is the world's first breaking bulletin news agency that provides the latest news from around the world on various topics like technology, sports, business, entertainment, politics, and more. It has a highly professional editorial team with experienced journalists who gather timely news content from national and international sources. The agency aims to provide exclusive breaking news to viewers so that they feel informed when consuming their content. It also offers various digital platforms like a daily newsletter and website for advertisers to connect with their target South Asian demographic audience in areas like the US.
Bangladesh has a population of 152 million people and its major cities and ports include Dhaka, Chittagong, and Sylhet. The ready-made garments industry is a major part of Bangladesh's economy, employing over 2.4 million workers across 4,100 factories.
Shafallo Apparels is a Bangladeshi supplier and exporter of ready-made garments seeking to compete globally. It produces a range of knitted and woven items like sweaters, t-shirts, jeans, and socks. The company aims to provide quality products at competitive prices along with excellent customer service and support.
Shafallo Apparels currently exports to customers in South Africa, Greece, New
400 k+ Non Recourse 30m Programs (and more..)Vicente Galindo
This document summarizes a funding opportunity for $350k to $30 million in non-recourse funding through a bank guarantee program. It provides details on the program, which includes:
- Depositing $350k for $30 million in funding or $500k for $100 million in funding within 45-90 days
- Protection of deposits through an attorney trust account
- Issuance of a bank guarantee from a top 25 bank and funding from another top 25 bank
- No repayment required as it is non-recourse funding
- Transparency into the process including meetings at the issuing bank
The document is a marketing report for Bread and Beyond that outlines their marketing strategy. It discusses their product line, competitors, segmentation of the market and target customers. The report recommends expanding to new cities, advertising through television, print media, billboards, Facebook and point-of-sale materials. It also suggests market penetration through new products, a loyalty program and product displays. Market development could include advertising in other towns and collaborating with local bloggers.
Similar to Soft Offer #6 wheat grain march 2014 - Ceneal.com (20)
Storytelling is an incredibly valuable tool to share data and information. To get the most impact from stories there are a number of key ingredients. These are based on science and human nature. Using these elements in a story you can deliver information impactfully, ensure action and drive change.
4 Benefits of Partnering with an OnlyFans Agency for Content Creators.pdfonlyfansmanagedau
In the competitive world of content creation, standing out and maximising revenue on platforms like OnlyFans can be challenging. This is where partnering with an OnlyFans agency can make a significant difference. Here are five key benefits for content creators considering this option:
Digital Marketing with a Focus on Sustainabilitysssourabhsharma
Digital Marketing best practices including influencer marketing, content creators, and omnichannel marketing for Sustainable Brands at the Sustainable Cosmetics Summit 2024 in New York
Discover timeless style with the 2022 Vintage Roman Numerals Men's Ring. Crafted from premium stainless steel, this 6mm wide ring embodies elegance and durability. Perfect as a gift, it seamlessly blends classic Roman numeral detailing with modern sophistication, making it an ideal accessory for any occasion.
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The Genesis of BriansClub.cm Famous Dark WEb PlatformSabaaSudozai
BriansClub.cm, a famous platform on the dark web, has become one of the most infamous carding marketplaces, specializing in the sale of stolen credit card data.
Industrial Tech SW: Category Renewal and CreationChristian Dahlen
Every industrial revolution has created a new set of categories and a new set of players.
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Soft Offer #6 wheat grain march 2014 - Ceneal.com
1. SOFT OFFER
WHEAT GRAIN - GRADE #2
MARCH, 2014
We, CENEAL – Latin American Business Center – Uruguay, confirm to you that we are mandatory of one of
the largest manufactures of Wheat Grain in Brazil, and we are ready, willing and able to intermediate the
sell of soybeans to you as per the specification and for the price as specified in the terms and conditions as
stated below.
PRODUCT: WHEAT GRAIN - GRADE #2
OPERATIONAL CONDITION:
Market: Spot and Contract
Specification:
Protein:
Moisture:
Foreign Matter:
Heat Damaged Kernels:
Total Damaged Kernels:
Smutty Kernels:
Weevil Kernels:
White Belly:
Water Absorption:
Type:
10.5% Min
14% Max
1.5% Max
1.0% Max
2.0% Max
0.2% Max
0.5% Max
40% Max
75% Min
Standard Export Quality
Country of Origin: Brazil
Production / Crop: 2013
Measure: MT: (+/- 5%)
Package: Bags
Volume: 50 kg
First delivery: 30/45 days after opening of financial instrument
Upcoming: 30 days after the previous
Incoterms: CIF ASWP
COMMERCIAL CONDITION:
Total contract: SPOT/CONTRACT
Inspection agency: SGS
2. PRICES:
Quantity
MT
12500
25000
50000
150000
300000
600000
Contract
CIF ASWP
Spot
Spot
Spot
12 X 12500
12 X 25000
12 X 50000
PRICES: WHEAT GRAIN - GRADE #2
Payment Condition – Spot
Payment Condition - Contract
(A)
(B)
(C)
(D)
USD 408
USD 428
USD 382
USD 402
USD 372
USD 392
USD 348
USD 368
-
Payment Condition:
(A): Transferable DLC
(B): Non-transferable DLC
(C): 01 BG for 01 shipment + Transferable ARDLC
(D): 01 BG for 01 shipment + Non-transferable ARDLC
Inspection agency: SGS
Payment terms:
By Irrevocable, Divisible, Transferable / Non-Transferable Auto Revolving DLC which shall be
effected 1 month of the contract, corresponding to 1 (one) month supply and 100% payable
against documents in loading port, issued or confirmed by a TOP 25 World Bank;
The Guarantee shall be effected through SBLC (Irrevocable Unconditional Divisible, Confirmed,
Stand-By Documentary Letter of Credit) by MT 760, corresponding to 1 (one) month of the
contract, with a maturity of 14 (fourteen) months and 6 (six) days. The SBLC shall be clean and
free of any leans, issued By Irrevocable, Divisible, Transferable / Non-Transferable Auto Revolving
DLC which shall be effected 1 month of the contract, corresponding to 1 (one) month supply and
100% payable against documents in loading port, issued or confirmed by a TOP 25 World Bank.
Confirmation: NI
Performance Bond: 2% (only contract)
Guarantee: NI
Issuing Bank: NI
Guarantor Bank: NI
Validity: Until the revocation of the provider (without previous notice)
Special conditions: NI
Observation: NI
Observation:
Any divergences among Standard Procedures, Packing and Markings, Payment Conditions
and Documents, Commercial Conditions, Shipment Methods and Documents (as below
described) with the scope of the offer in question, are valid the conditions of scope of the offer.
3. PLEASE NOTE:
Any alteration in the procedures above described, will be informed by seller/buyer by the
FCO/ICPO, by draftcontract or still through of changes specific requested through messages
exchanged among those involved in the negotiation;
The commercial condition proposed here and their procedures may be subject to change by
the owner of product without any previous notice.
We trust you would find this offer for Wheat Grain in order, and hope to receive the confirmation
of the offer at the earliest. If you have questions please do not hesitate to communicate with us.
We look forward to long term cordial business relations for mutual benefits.
Sincerely
Mónica González Bueno
Director / CEO
CENEAL Uruguay
+598 98345671
ceneal@ceneal.com
http://www.ceneal.com
Skype: ceneal-uy
Our other products:
Trigo GMO y NON GMO – Wheat Grain GMO and NON GMO
Azúcar ICUMSA 45 – ICUMSA 45 Sugar
Maiz Amarillo Consumo Humano – Yellow Corn Human Consumption
Arroz Blanco Grano Largo PARBOILIZADO – Long Grain White Rice PARBOILED
Arroz Blanco Grano Largo Uruguay Oferta #2 – Long Grain White Rice Uruguay Offer #2
Arroz Blanco Grano Largo Uruguay Oferta #1 – Long Grain White Rice Uruguay Offer #1
Arroz Blanco Grano Largo Origen Asia – Long Grain White Rice Origin Asia
Aceite Degomado Crudo de Soja – Crude Degummed Soybean Oil
Soja GMO y NON GMO – Soybeans GMO and NON GMO
For the products above, Consult Us
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