POEMS syndrome is a rare multisystemic disease, characterized by polyneuropathy, eugenia topiary spiral organomegaly, endocrinopathy, monoclonal protein, and skin changes.The presence of polyneuropathy and monoclonal plasma cell proliferation is mandatory for the diagnosis of typical POEMS syndrome.However, some patients lack one of the mandatory f
The research aimed to explain types of directive speech act encompassed meirei (order), irai (plea), kinshi (prohibition), giant lindt chocolate kyoka (permit), and teian (suggestion) in the Japanese language.Directive speech acts were common for students in the kaiwa chukyu zenhan level (basic intermediate speaking lesson).The present research emp
Business as usual is widely acknowledged as the main driver of ecological collapse and climate breakdown, but less attention is paid to the role of law as usual as an impediment to climate justice.This article analyses how domestic and international environmental law facilitate injustices against living entities and nature.It calls for a paradigm s
BackgroundWith the continued spread of COVID-19 in the United States, identifying potential outbreaks before infected individuals cross the clinical threshold is key to allowing public health officials time to ensure local health care institutions are adequately prepared.In response to this need, researchers have developed participatory surveillanc