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While the traditional operative approach to the patient with symptomatic hyperparathyroidism has been the unilateral adenectomy via a cervical approach, a bilateral exploration has been indicated to: (1) find as many parathyroid glands as possible in order to lower the probability of residual and recurrent hypercalcemia, (2) decrease the risk of persistent or recurrent hypercalcemia by the removal of pathologic parathyroid tissue, and (3) reduce the prevalence of permanent hypoparathyroidism. Further, in patients with endocrine-inactive tumors, reoperation may be indicated to remove new parathyroid glands in the zone of ectopia, to look for diseased or malignant parathyroid tissue in the neck, and to remove and cure or convert the parathyroid neoplasms to a normocalcemic state.Bengaluru: About 500 young Karnataka state engineers and doctors have on Wednesday joined the Indian National Trade Union Congress (INTUC) and the Confederation of Unions for Economic Justice (CUEJ) in Delhi. The move came after repeated requests from INTUC general secretary P C Gandhi, a Congress (S) leader from Bengaluru, to use their right to join the left-of-centre Congress in unifying opposition to the Bharatiya Janata Party-led central government in Delhi. On Wednesday, Gandhi called on Union minister of state for commerce and industry Ramesh Chand of Congress (S) from Bengaluru to pass on the message of support to young professionals, stating they had to go to Delhi to be united. “I told them not to stay alone. Support them. Don’t fear their employment and send them there," Gandhi told Chand. The CUEJ, formed last year, represents more than 2,500 doctors and engineers in Karnataka. The union has paid dint to religious lines, and many of the union’s members have come from the Dalit and OBC communities. The move comes after a resolution expressing opposition to the policies of the prime minister, Narendra Modi, was adopted by the Karnataka Pradesh Congress Committee last month. Also in July, an alliance between the INTUC and the CUE System Requirements For Download Adobe Photoshop Cs 5 Kuyhaa: Recommended: Processor: Intel Core i3-3220, AMD Athlon X2 5600+, Core i5-2400S or better RAM: 4GB Graphics: 2GB AMD/NVIDIA Graphics card (ATI/AMD) HDD: 40GB Operating System: Windows 7, 8, 10 DirectX: Version 9.0c Networking: Broadband Internet connection Other: Internet connection is recommended Minimum: Processor: Intel Core i3-
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