Is spotting on the mini pill normal?
3219612#1
In some women, menstrual spotting between periods occurs as a normal and harmless part of ovulation. Some women experience acute mid-cycle abdominal pain around the time of ovulation (sometimes referred to by the German term for this phenomenon, "mittelschmerz"). This may also occur at the same time as menstrual spotting. The term breakthrough bleeding or breakthrough spotting is usually used for women using hormonal contraceptives, such as IUDs or oral contraceptives, in which it refers to bleeding or spotting between any expected withdrawal bleedings, or bleeding or spotting at any time if none is expected. If spotting continues beyond the first three cycles of oral contraceptive use, a woman should have her prescription changed to a pill containing either more estrogen or more progesterone.
Intermenstrual bleeding
38203#29
Progestogen-only contraceptive pills (sometimes called the 'mini pill') are taken continuously without a 7-day span of using placebo pills, and therefore menstrual periods are less likely to occur than with the combined pill with placebo pills. However, disturbance of the menstrual cycle is common with the mini-pill; 1/3-1/2 of women taking it will experience prolonged periods, and up to 70% experience break-through bleeding (metrorrhagia). Irregular and prolonged bleeding is the most common reason that women discontinue using the mini pill.
Menstruation
1186606#8
Use of combined estrogen and progesterone eliminates the normal endogenous hormonal cycling and gradually produces atrophy of the endometrial glands. This is because the dosage of estrogen in the OCs pills is much lower than the quantity produced naturally by the ovaries. Higher quantities produced by the ovaries induce proliferation, but low levels supplied by the pills produce atrophy but are sufficient to inhibit the endogenous secretion of the gonadotropins.
The exact chain of events that lead from an atrophic endometrium to the spotting between menses is not explained by the text. This condition may be corrected by using a pill with a higher estrogen (which will stimulate further proliferation of the endometrium) or lower progestin content (which will reduce its stability).
Breakthrough bleeding
1282368#5
Mini-piles have the greatest use where ground conditions are variable, where access is restrictive, where environmental pollution aspects are significant, and where structural movements in service must be minimal. Mini-piled underpinning is generally used when the loads from the foundations need to be transferred to stable soils at considerable depths - usually in excess of . Mini-piles may either be augured or driven steel cased, and are normally between and in diameter. Structural engineers will use rigs which are specifically designed to operate in environments with restricted headroom and limited space, and can gain access through a regular domestic doorway. They are capable of constructing piles to depths of up to . The technique of minipiling was first applied in Italy in 1952, and has gone through many different names, reflecting worldwide acceptance and expiration of the original patents.
The relatively small diameter of mini-piles is distinctive of this type of underpinning and generally uses anchoring or tie backs into an existing structure or rock. Conventional drilling and grouting methods are used for this method of underpinning. These mini-piles have a high slenderness ratio, feature substantial steel reinforcing elements and can sustain axial loading in both senses. The working loads of mini-piles can sustain up to loads.
In comparison to Mass Concrete Underpinning, the engineering aspect of mini-piles is somewhat more involved, including rudimentary engineering mechanics such as statics and strength of materials. These mini-piles must be designed to work in tension and compression, depending on the orientation and application of the design. In detail, attention with design must be paid analytically to settlement, bursting, buckling, cracking, and interface consideration, whereas, from a practical viewpoint, corrosion resistance, and compatibility with the existing ground and structure must be regarded.
Underpinning
19477084#6
Recent exhibitions at Tensta konsthall include
• “Abstract Possible: The Stockholm Synergies,” with Doug Ashford, Claire Barclay, Goldin+Senneby, Wade Guyton, Mai-Thu Perret, Walid Raad, and Haegue Yang, among others
• “Kami, Khokha, Bert and Ernie: World Heritage” by Hinrich Sachs
• “Doing what you want: Marie-Louise Ekman accompanied by Sister Corita Kent, Mladen Stilinović, and Martha Wilson” 
• “The Society without qualities” with Sören Andreasen, Ane Hjort Guttu, Sture Johannesson, Sharon Lockhardt, and Palle Nielsen (part of “The new model” and curated by Lars Bang Larsen)
• “Working With…” by Zak Kyes
• “We are continuing BBDG” with Bernd Krauss
• “Two Archives” by Babak Afrassiabi and Nasrin Tabatabai
Tensta Konsthall
14046416#2
This enzyme belongs to the family of oxidoreductases, specifically those acting on paired donors, with O2 as oxidant and incorporation or reduction of oxygen. The oxygen incorporated need not be derived from O2 with 2-oxoglutarate as one donor, and incorporation of one atom o oxygen into each donor. The systematic name of this enzyme class is N6,N6,N6-trimethyl-L-lysine,2-oxoglutarate:oxygen oxidoreductase (3-hydroxylating). Other names in common use include trimethyllysine alpha-ketoglutarate dioxygenase, TML-alpha-ketoglutarate dioxygenase, TML hydroxylase, 6-N,6-N,6-N-trimethyl-L-lysine,2-oxoglutarate:oxygen oxidoreductase, and (3-hydroxylating). This enzyme participates in lysine degradation and L-carnitine biosynthesis and requires the presence of iron and ascorbate.
Trimethyllysine dioxygenase
19043007#0
O͘ is one of the six Taiwanese Hokkien vowels as written in the Peh-oe-ji (POJ) orthography. It is a normal o followed by Unicode , and is not to be confused with the Vietnamese Ơ. It is pronounced .
O͘
55853074#1
s͎ is represented in Unicode by an s and U+034E (Combining Upwards Arrow Below).
S͎
11247268#8
"We designed the building from the inside out, not the outside in,” said Loretta H. Cockrum, Foram’s founder, chairman and CEO. “We wanted the most efficient office building ever designed, with no wasted space or wasted energy. This is a building of the future more than a building of the present. A lot of love has gone into that building, and a lot of pride."
Brickell World Plaza
49691494#0
ㅞ is one of the Korean hangul. The Unicode for ㅞ is U+315E.
ㅞ