D. budgeted cash disbursements for operating expenses (other than cost of goods sold) during the month of April is

AB - We report the development of the Pain Solutions Questionnaire (PaSol), an instrument designed to measure assimilative (efforts at changing or solving pain) and accommodative (accepting that pain cannot be solved, and changing life goals) responses to the problems associated with pain. Data were collected from 476 adults suffering from chronic pain. Exploratory and confirmatory factor analyses resulted in a 14-item instrument with an adequate oblique 4-factor structure: (1) Solving Pain scale (4 items), (2) Meaningfulness of Life Despite Pain scale (5 items), (3) Acceptance of the Insolubility of Pain scale (3 items), and (4) Belief in a Solution scale (2 items). The validity of the PaSol was further tested by its value in explaining disability and affective distress after controlling for the effects of the demographic characteristics and pain severity. The Meaningfulness of Life Despite Pain scale was important in explaining disability and affective distress. The Solving Pain scale had a unique and independent contribution in explaining affective distress. Results are discussed in terms of how a persistence in assimilative coping, even though the pain problem is insoluble, may increase hypervigilance, catastrophizing, distress and disability.

Additionally in our patient, there was another finding of hyperintense signal involving the central pons. Pathology in the pons was reported in a case where it was demonstrated that foci of T2 hyperintensity in the bilateral pontine tegmentum was one of the imaging findings in severe methanol intoxication [ 10]. Further, in a case series of 17 patients who died of methanol intoxication, pontine hemorrhage was documented in 2 cases on autopsy [ 11]. The susceptibility of the pons to methanol is worth investigating, as its vulnerability with the optic nerve may not be a coincidence. In the follow-up imaging of our patient, the less confluent appearance of central pontine hyperintensity coincided with the resolution of diffusion restriction of both optic nerves. The interval appearance of T2 hyperintensity in the bilateral subcortical cerebral hemispheres on repeat MRI is consistent with previously reported imaging findings in the chronic stage of methanol toxicity [ 5]. These subcortical changes can be consequences of the toxic metabolites of methanol [ 10]. These are not specific for methanol toxicity but should always be considered in association with other MRI findings [ 5]. Methanol is a clear and colorless chemical that can usually be seen in household cleaning products, antifreeze, varnishes, and fuel [ 1, 2]. Methanol intoxication is a significant cause of neurologic morbidity and mortality if it is unrecognized and left untreated. Acute methanol toxicity may present with mild symptoms such as headache, altered mentation, blurring of vision, abdominal pain, and vomiting. However, in more severe cases, patients may develop blindness, severe metabolic acidosis, and coma [ 1]. Intake of adulterated alcoholic beverages is the primary cause of poisoning outbreaks of this substance [ 2]. Although ingestion is the most commonly implicated route of toxicity, methanol can be absorbed by inhalation and dermal exposure and these serve as uncommon routes of acute and chronic intoxication. Studies on chronic exposure to methanol particularly through dermal and inhalational routes are all the more rare and seen only on limited case reports. Chronic methanol toxicity can have neurologic sequelae such as vision loss that can potentially be irreversible. Vision loss is brought about by the affinity of the toxic metabolite of methanol, formic acid, to the optic pathway [ 1]. As such, methanol toxicity is an important differential diagnosis in unexplained vision loss. On cranial MR imaging, the most characteristic imaging feature of methanol poisoning is bilateral symmetric basal ganglia necrosis [ [3], [4], [5], [6], [7] ] . When the patient's sensorium improved, she was able to report 3-month history of persistent painless darkening of the entire field of vision. On further investigation, the patient disclosed that for the past year, she had been applying clear, odorless liquid on her entire body including the scalp everyday to self-medicate for pruritus. She denied oral intake of this liquid. She acquired this liquid labeled “denatured alcohol” online with claims of it being ethyl alcohol. A sample was sent to the Philippine Institute of Pure and Applied Chemistry (PIPAC) which revealed the liquid to be of 95.5% methanol via gas chromatography. Mr. A responded to sublingually administered fluoxe­tine, and his depressive symptoms resolved within 4 weeks; he had improvements in mood, affect, and the activities of daily living as well as social interactions. Four weeks after the treatment was initiated, his plasma fluoxetine and norfluoxetine levels were measured and found to be in the lower end of the therapeutic range (fluoxetine=47 ng/ml and norfluoxetine=52 ng/ml). Mr. A was maintained with sublingual fluoxetine treatment for 9 weeks, but he was switched to oral administration of the medication as a result of improvement in his medical condition. Mr. A remained psychiatrically stable during the rest of his hospital stay, and he was eventually discharged while receiving oral fluoxetine treatment with outpatient instructions.

N2 - We report the development of the Pain Solutions Questionnaire (PaSol), an instrument designed to measure assimilative (efforts at changing or solving pain) and accommodative (accepting that pain cannot be solved, and changing life goals) responses to the problems associated with pain. Data were collected from 476 adults suffering from chronic pain. Exploratory and confirmatory factor analyses resulted in a 14-item instrument with an adequate oblique 4-factor structure: (1) Solving Pain scale (4 items), (2) Meaningfulness of Life Despite Pain scale (5 items), (3) Acceptance of the Insolubility of Pain scale (3 items), and (4) Belief in a Solution scale (2 items). The validity of the PaSol was further tested by its value in explaining disability and affective distress after controlling for the effects of the demographic characteristics and pain severity. The Meaningfulness of Life Despite Pain scale was important in explaining disability and affective distress. The Solving Pain scale had a unique and independent contribution in explaining affective distress. Results are discussed in terms of how a persistence in assimilative coping, even though the pain problem is insoluble, may increase hypervigilance, catastrophizing, distress and disability.

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Hængeparasoller er blevet rigtig populære blandt ILVAs kunder. Hængeparasoller kan eksempelvis bruges, hvis du gerne vil skabe mulighed for skygge over eksempelvis en hyggekrog i haven, hvor du har placeret dine loungemøbler. Men den er også rigtig god til terrassen, hvor den kan give skygge ved havebordet, når I spiser frokost eller aftensmad udendørs og ikke har lyst til at få solen i øjnene imens.

Her er en parasol til altan velegnet, da den netop er designet til at stå på en altan. Du kan få en altanparasol i forskellige varianter – både med fod til at stå på altangulvet og i en udgave, hvor parasollen sættes fast på altangelænderet. Du kan også få en altanparasol formet som en trekant, der skal placeres op mod muren, så den ikke skygger på hele altanen, men kun under den. Vælger du en parasol med tilt, kan du også selv styre, hvor skyggen rammer på din altan. Få en parasol der kan tåle det danske sommervejr Den danske sommer er ikke altid lige pålidelig hvad angår solskin og varme, og derfor har vi hos ILVA sørget for kun at føre parasoller, der kan tåle det omskiftelige sommervejr. Dugene på vores parasoller fremstilles i holdbart polyester, der kan holde til lidt af hvert og stokkene fås både i det lette og solide materiale aluminium og i hårdføre træsorter.T1 - Finding a solution to the problem of pain: Conceptual formulation and the development of the Pain Solutions Questionnaire (PaSol) Hos ILVA finder du parasoller i mange forskellige størrelser, udformninger og farver. Så uanset om du er på udkig efter en stor hængeparasol til terrassen eller en lille parasol til altanen, så kan vi hjælpe dig med at finde den helt rigtige model. Vi har selvfølgelig de helt klassiske haveparasoller, men du finder også parasoller med tilt-funktion, der giver rigtig god mulighed for at justere parasollen i forhold til solen. Så undgår du at skubbe rundt på en stor, tung parasolfod - eller havebordet. Hvis du gerne vil passe ekstra godt på dine parasol, kan du købe et smart parasolovertræk, der beskytter dugen mod regn og sol, når den ikke er i brug. Køb parasoller på tilbud hos ILVA Det er forskelligt om man foretrækker en mørk eller en lys parasol. Vælger du en hvid parasol, trænger der lidt mere lys igennem dugen, men til gengæld bliver der mindre varmt under en lys parasol end under en sort parasol. Husk også at kigge på møblerne på terrassen, når du skal vælge din nye parasol, så du både i forhold til farve og stil finder en model, der passer godt sammen med den øvrige indretning i dit uderum. Få masser af skygge med en hængeparasol