Sleep Epithesis

Sleep Epithesis-71
While the main Gōrāni language area, to the west of Kermānæāh, is an island in a sea of chiefly Kurdish dialects, the Hawrāmān now forms a separate islet to the north.It is clear, however, that the neighboring Kurdish dialects have encroached on a much wider Gōrāni area and have been considerably affected in the process.The verbal system presents further complications, having two distinct sets of personal endings used with each of the present and past stems.

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The dialect preserves a distinction of number (singular and plural), gender (masculine and feminine), and case (direct and oblique) for nouns, pronouns, and adjectives (including the “indefinite article” suffix, masc.

“the shepherd’s house.” In conjunction with various defining and pronominal suffixes these endings form some very intricate inflexional patterns.

Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral epiphysis (SCFE), (plural: epiphyses) is a relatively common condition affecting the physis of the proximal femur in adolescents.

It is one of the commonest hip abnormalities in adolescence and is bilateral in ~20% of cases.

Slipped upper femoral epiphysis is more common in boys than girls and more common in Afro-Caribbeans than Caucasians.

The age of presentation is somewhat dependent on gender with boys presenting later (10-17 years) than girls (8-15 years) . Patients present with hip pain progressing to a limp and even leg length discrepancy.

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In a chronic slip, the physis becomes sclerotic and the metaphysis widens (coxa magna).

The slip that occurs is posteriorand, to a lesser extent, medial.

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