title: Chiropractic

text: Chiropractors are not normally licensed to write medical prescriptions or perform major surgery in the United States, (although New Mexico has become the first US state to allow "advanced practice" trained chiropractors to prescribe certain medications.). In the US, their scope of practice varies by state, based on inconsistent views of chiropractic care: some states, such as Iowa, broadly allow treatment of "human ailments"; some, such as Delaware, use vague concepts such as "transition of nerve energy" to define scope of practice; others, such as New Jersey, specify a severely narrowed scope. US states also differ over whether chiropractors may conduct laboratory tests or diagnostic procedures, dispense dietary supplements, or use other therapies such as homeopathy and acupuncture; in Oregon they can become certified to perform minor surgery and to deliver children via natural childbirth. A 2003 survey of North American chiropractors found that a slight majority favored allowing them to write prescriptions for over-the-counter drugs. A 2010 survey found that 72% of Swiss chiropractors considered their ability to prescribe nonprescription medication as an advantage for chiropractic treatment.


title: Chiropractic

text: A related field, veterinary chiropractic, applies manual therapies to animals and is recognized in many US states, but is not recognized by the American Chiropractic Association as being chiropractic. It remains controversial within certain segments of the veterinary and chiropractic profession.


title: Chiropractic

text: No single profession "owns" spinal manipulation and there is little consensus as to which profession should administer SM, raising concerns by chiropractors that other medical physicians could "steal" SM procedures from chiropractors. A focus on evidence-based SM research has also raised concerns that the resulting practice guidelines could limit the scope of chiropractic practice to treating backs and necks. Two US states (Washington and Arkansas) prohibit physical therapists from performing SM, some states allow them to do it only if they have completed advanced training in SM, and some states allow only chiropractors to perform SM, or only chiropractors and physicians. Bills to further prohibit non-chiropractors from performing SM are regularly introduced into state legislatures and are opposed by physical therapist organizations.


title: Chiropractic

text: Spinal manipulation, which chiropractors call "spinal adjustment" or "chiropractic adjustment", is the most common treatment used in chiropractic care. Spinal manipulation is a passive manual maneuver during which a three-joint complex is taken past the normal range of movement, but not so far as to dislocate or damage the joint. Its defining factor is a dynamic thrust, which is a sudden force that causes an audible release and attempts to increase a joint's range of motion. High-velocity, low-amplitude spinal manipulation (HVLA-SM) thrusts have physiological effects that signal neural discharge from paraspinal muscle tissues, depending on duration and amplitude of the thrust are factors of the degree in paraspinal muscle spindles activation. Clinical skill in employing HVLA-SM thrusts depends on the ability of the practitioner to handle the duration and magnitude of the load. More generally, spinal manipulative therapy (SMT) describes techniques where the hands are used to manipulate, massage, mobilize, adjust, stimulate, apply traction to, or otherwise influence the spine and related tissues.


title: Chiropractic

text: There are several schools of chiropractic adjustive techniques, although most chiropractors mix techniques from several schools. The following adjustive procedures were received by more than 10% of patients of licensed US chiropractors in a 2003 survey: Diversified technique (full-spine manipulation, employing various techniques), extremity adjusting, Activator technique (which uses a spring-loaded tool to deliver precise adjustments to the spine), Thompson Technique (which relies on a drop table and detailed procedural protocols), Gonstead (which emphasizes evaluating the spine along with specific adjustment that avoids rotational vectors), Cox/flexion-distraction (a gentle, low-force adjusting procedure which mixes chiropractic with osteopathic principles and utilizes specialized adjusting tables with movable parts), adjustive instrument, Sacro-Occipital Technique (which models the spine as a torsion bar), Nimmo Receptor-Tonus Technique, applied kinesiology (which emphasises "muscle testing" as a diagnostic tool), and cranial. Chiropractic biophysics technique uses inverse functions of rotations during spinal manipulation. Koren Specific Technique (KST) may use their hands, or they may use an electric device known as an "ArthroStim" for assessment and spinal manipulations. Insurers in the US and UK that cover other chiropractic techniques exclude KST from coverage because they consider it to be "experimental and investigational". Medicine-assisted manipulation, such as manipulation under anesthesia, involves sedation or local anesthetic and is done by a team that includes an anesthesiologist; a 2008 systematic review did not find enough evidence to make recommendations about its use for chronic low back pain.


title: Chiropractic

text: Many other procedures are used by chiropractors for treating the spine, other joints and tissues, and general health issues. The following procedures were received by more than one-third of patients of licensed US chiropractors in a 2003 survey: Diversified technique (full-spine manipulation; mentioned in previous paragraph), physical fitness/exercise promotion, corrective or therapeutic exercise, ergonomic/postural advice, self-care strategies, activities of daily living, changing risky/unhealthy behaviors, nutritional/dietary recommendations, relaxation/stress reduction recommendations, ice pack/cryotherapy, extremity adjusting (also mentioned in previous paragraph), trigger point therapy, and disease prevention/early screening advice.


title: Chiropractic

text: A 2010 study describing Belgian chiropractors and their patients found chiropractors in Belgium mostly focus on neuromusculoskeletal complaints in adult patients, with emphasis on the spine. The diversified technique is the most often applied technique at 93%, followed by the Activator mechanical-assisted technique at 41%. A 2009 study assessing chiropractic students giving or receiving spinal manipulations while attending a United States chiropractic college found Diversified, Gonstead, and upper cervical manipulations are frequently used methods.


title: Chiropractic

text: Reviews of research studies within the chiropractic community have been used to generate practice guidelines outlining standards that specify which chiropractic treatments are legitimate (i.e. supported by evidence) and conceivably reimbursable under managed care health payment systems. Evidence-based guidelines are supported by one end of an ideological continuum among chiropractors; the other end employs antiscientific reasoning and makes unsubstantiated claims. Chiropractic remains at a crossroads, and that in order to progress it would need to embrace science; the promotion by some for it to be a cure-all was both "misguided and irrational". A 2007 survey of Alberta chiropractors found that they do not consistently apply research in practice, which may have resulted from a lack of research education and skills. Specific guidelines concerning the treatment of nonspecific (i.e., unknown cause) low back pain are inconsistent between countries.


title: Chiropractic

text: Numerous controlled clinical studies of treatments used by chiropractors have been conducted, with varied results. There is no conclusive evidence that chiropractic manipulative treatment is effective for the treatment of any medical condition, except perhaps for certain kinds of back pain.


title: Chiropractic

text: Generally, the research carried out into the effectiveness of chiropractic has been of poor quality. Research published by chiropractors is distinctly biased: reviews of SM for back pain tended to find positive conclusions when authored by chiropractors, while reviews by mainstream authors did not.


title: Chiropractic

text: There is a wide range of ways to measure treatment outcomes. Chiropractic care benefits from the placebo response, but it is difficult to construct a trustworthy placebo for clinical trials of spinal manipulative therapy (SMT). The efficacy of maintenance care in chiropractic is unknown.


title: Chiropractic

text: The World Health Organization found chiropractic care in general is safe when employed skillfully and appropriately. There is not sufficient data to establish the safety of chiropractic manipulations. Manipulation is regarded as relatively safe but complications can arise, and it has known adverse effects, risks and contraindications. Absolute contraindications to spinal manipulative therapy are conditions that should not be manipulated; these contraindications include rheumatoid arthritis and conditions known to result in unstable joints. Relative contraindications are conditions where increased risk is acceptable in some situations and where low-force and soft-tissue techniques are treatments of choice; these contraindications include osteoporosis. Although most contraindications apply only to manipulation of the affected region, some neurological signs indicate referral to emergency medical services; these include sudden and severe headache or neck pain unlike that previously experienced. Indirect risks of chiropractic involve delayed or missed diagnoses through consulting a chiropractor.


title: Chiropractic

text: Spinal manipulation is associated with frequent, mild and temporary adverse effects, including new or worsening pain or stiffness in the affected region. They have been estimated to occur in 33% to 61% of patients, and frequently occur within an hour of treatment and disappear within 24 to 48 hours; adverse reactions appear to be more common following manipulation than mobilization. The most frequently stated adverse effects are mild headache, soreness, and briefly elevated pain fatigue. Chiropractic is correlated with a very high incidence of minor adverse effects. Rarely, spinal manipulation, particularly on the upper spine, can also result in complications that can lead to permanent disability or death; these can occur in adults and children. Estimates vary widely for the incidence of these complications, and the actual incidence is unknown, due to high levels of underreporting and to the difficulty of linking manipulation to adverse effects such as stroke, which is a particular concern. Adverse effects are poorly reported in recent studies investigating chiropractic manipulations. A 2016 systematic review concludes that the level of reporting is unsuitable and unacceptable. Reports of serious adverse events have occurred, resulting from spinal manipulation therapy of the lumbopelvic region. Estimates for serious adverse events vary from 5 strokes per 100,000 manipulations to 1.46 serious adverse events per 10 million manipulations and 2.68 deaths per 10 million manipulations, though it was determined that there was inadequate data to be conclusive. Several case reports show temporal associations between interventions and potentially serious complications. The published medical literature contains reports of 26 deaths since 1934 following chiropractic manipulations and many more seem to remain unpublished.


title: Chiropractic

text: Vertebrobasilar artery stroke (VAS) is statistically associated with chiropractic services in persons under 45 years of age, but it is similarly associated with general practitioner services, suggesting that these associations are likely explained by preexisting conditions. Weak to moderately strong evidence supports causation (as opposed to statistical association) between cervical manipulative therapy (CMT) and VAS. There is insufficient evidence to support a strong association or no association between cervical manipulation and stroke. While the biomechanical evidence is not sufficient to support the statement that CMT causes cervical artery dissection (CD), clinical reports suggest that mechanical forces have a part in a substantial number of CDs and the majority of population controlled studies found an association between CMT and VAS in young people. It is strongly recommended that practitioners consider the plausibility of CD as a symptom, and people can be informed of the association between CD and CMT before administrating manipulation of the cervical spine. There is controversy regarding the degree of risk of stroke from cervical manipulation. Many chiropractors state that, the association between chiropractic therapy and vertebral arterial dissection is not proven. However, it has been suggested that the causality between chiropractic cervical manipulation beyond the normal range of motion and vascular accidents is probable or definite. There is very low evidence supporting a small association between internal carotid artery dissection and chiropractic neck manipulation. The incidence of internal carotid artery dissection following cervical spine manipulation is unknown. The literature infrequently reports helpful data to better understand the association between cervical manipulative therapy, cervical artery dissection and stroke. The limited evidence is inconclusive that chiropractic spinal manipulation therapy is not a cause of intracranial hypotension. Cervical intradural disc herniation is very rare following spinal manipulation therapy.


title: Chiropractic

text: Chiropractors, like other primary care providers, sometimes employ diagnostic imaging techniques such as X-rays and CT scans that rely on ionizing radiation. Although there is no clear evidence for the practice, some chiropractors may still X-ray a patient several times a year. Practice guidelines aim to reduce unnecessary radiation exposure, which increases cancer risk in proportion to the amount of radiation received. Research suggests that radiology instruction given at chiropractic schools worldwide seem to be evidence-based. Although, there seems to be a disparity between some schools and available evidence regarding the aspect of radiography for patients with acute low back pain without an indication of a serious disease, which may contribute to chiropractic overuse of radiography for low back pain.


title: Chiropractic

text: A 2012 systematic review concluded that no accurate assessment of risk-benefit exists for cervical manipulation. A 2010 systematic review stated that there is no good evidence to assume that neck manipulation is an effective treatment for any medical condition and suggested a precautionary principle in healthcare for chiropractic intervention even if a causality with vertebral artery dissection after neck manipulation were merely a remote possibility. The same review concluded that the risk of death from manipulations to the neck outweighs the benefits. Chiropractors have criticized this conclusion, claiming that the author did not evaluate the potential benefits of spinal manipulation. Edzard Ernst stated "This detail was not the subject of my review. I do, however, refer to such evaluations and should add that a report recently commissioned by the General Chiropractic Council did not support many of the outlandish claims made by many chiropractors across the world." A 1999 review of 177 previously reported cases published between 1925 and 1997 in which injuries were attributed to manipulation of the cervical spine (MCS) concluded that "The literature does not demonstrate that the benefits of MCS outweigh the risks." The professions associated with each injury were assessed. Physical therapists (PT) were involved in less than 2% of all cases, with no deaths caused by PTs. Chiropractors were involved in a little more than 60% of all cases, including 32 deaths.<ref name="Di_Fabio_1/1/1999"></ref>


title: Chiropractic

text: A 2009 review evaluating maintenance chiropractic care found that spinal manipulation is associated with considerable harm and no compelling evidence exists to indicate that it adequately prevents symptoms or diseases, thus the risk-benefit is not evidently favorable.


title: Chiropractic

text: A 2012 systematic review suggested that the use of spine manipulation in clinical practice is a cost-effective treatment when used alone or in combination with other treatment approaches. A 2011 systematic review found evidence supporting the cost-effectiveness of using spinal manipulation for the treatment of sub-acute or chronic low back pain; the results for acute low back pain were insufficient.


title: Chiropractic

text: A 2006 systematic cost-effectiveness review found that the reported cost-effectiveness of spinal manipulation in the United Kingdom compared favorably with other treatments for back pain, but that reports were based on data from clinical trials without placebo controls and that the specific cost-effectiveness of the treatment (as opposed to non-specific effects) remains uncertain. A 2005 American systematic review of economic evaluations of conservative treatments for low back pain found that significant quality problems in available studies meant that definite conclusions could not be drawn about the most cost-effective intervention. The cost-effectiveness of maintenance chiropractic care is unknown.


title: Chiropractic

text: Analysis of a clinical and cost utilization data from the years 2003 to 2005 by an integrative medicine independent physician association (IPA) which looked the chiropractic services utilization found that the clinical and cost utilization of chiropractic services based on 70,274 member-months over a 7-year period decreased patient costs associate with the following use of services by 60% for in-hospital admissions, 59% for hospital days, 62% for outpatient surgeries and procedures, and 85% for pharmaceutical costs when compared with conventional medicine (visit to a medical doctor primary care provider) IPA performance for the same health maintenance organization product in the same geography and time frame.


title: Chiropractic

text: Requirements vary between countries. In the U.S. chiropractors obtain a non-medical accredited diploma in the field of chiropractic. Chiropractic education in the U.S. has been criticized for failing to meet generally accepted standards of evidence-based medicine. The curriculum content of North American chiropractic and medical colleges with regard to basic and clinical sciences has little similarity, both in the kinds of subjects offered and in the time assigned to each subject. Accredited chiropractic programs in the U.S. require that applicants have 90 semester hours of undergraduate education with a grade point average of at least 3.0 on a 4.0 scale. Many programs require at least three years of undergraduate education, and more are requiring a bachelor's degree. Canada requires a minimum three years of undergraduate education for applicants, and at least 4200 instructional hours (or the equivalent) of full‐time chiropractic education for matriculation through an accredited chiropractic program. Graduates of the Canadian Memorial Chiropractic College (CMCC) are formally recognized to have at least 7–8 years of university level education. The World Health Organization (WHO) guidelines suggest three major full-time educational paths culminating in either a DC, DCM, BSc, or MSc degree. Besides the full-time paths, they also suggest a conversion program for people with other health care education and limited training programs for regions where no legislation governs chiropractic.


title: Chiropractic

text: Upon graduation, there may be a requirement to pass national, state, or provincial board examinations before being licensed to practice in a particular jurisdiction. Depending on the location, continuing education may be required to renew these licenses. Specialty training is available through part-time postgraduate education programs such as chiropractic orthopedics and sports chiropractic, and through full-time residency programs such as radiology or orthopedics.


title: Chiropractic

text: In the U.S., chiropractic schools are accredited through the Council on Chiropractic Education (CCE) while the General Chiropractic Council (GCC) is the statutory governmental body responsible for the regulation of chiropractic in the UK. The U.S. CCE requires a mixing curriculum, which means a straight-educated chiropractor may not be eligible for licensing in states requiring CCE accreditation. CCEs in the U.S., Canada, Australia and Europe have joined to form CCE-International (CCE-I) as a model of accreditation standards with the goal of having credentials portable internationally. Today, there are 18 accredited Doctor of Chiropractic programs in the U.S., 2 in Canada, 6 in Australasia, and 5 in Europe. All but one of the chiropractic colleges in the U.S. are privately funded, but in several other countries they are in government-sponsored universities and colleges. Of the two chiropractic colleges in Canada, one is publicly funded (UQTR) and one is privately funded (CMCC). In 2005, CMCC was granted the privilege of offering a professional health care degree under the Post-secondary Education Choice and Excellence Act, which sets the program within the hierarchy of education in Canada as comparable to that of other primary contact health care professions such as medicine, dentistry and optometry.


title: Chiropractic

text: Regulatory colleges and chiropractic boards in the U.S., Canada, Mexico, and Australia are responsible for protecting the public, standards of practice, disciplinary issues, quality assurance and maintenance of competency. There are an estimated 49,000 chiropractors in the U.S. (2008), 6,500 in Canada (2010), 2,500 in Australia (2000), and 1,500 in the UK (2000).


title: Chiropractic

text: Chiropractors often argue that this education is as good as or better than medical physicians', but most chiropractic training is confined to classrooms with much time spent learning theory, adjustment, and marketing. The fourth year of chiropractic education persistently showed the highest stress levels. Every student, irrespective of year, experienced different ranges of stress when studying. The chiropractic leaders and colleges have had internal struggles. Rather than cooperation, there has been infighting between different factions. A number of actions were posturing due to the confidential nature of the chiropractic colleges in an attempt to enroll students.


title: Chiropractic

text: The chiropractic oath is a modern variation of the classical Hippocratic Oath historically taken by physicians and other healthcare professionals swearing to practice their professions ethically. The American Chiropractic Association (ACA) has an ethical code "based upon the acknowledgement that the social contract dictates the profession's responsibilities to the patient, the public, and the profession; and upholds the fundamental principle that the paramount purpose of the chiropractic doctor's professional services shall be to benefit the patient." The International Chiropractor's Association (ICA) also has a set of professional canons.


title: Chiropractic

text: A 2008 commentary proposed that the chiropractic profession actively regulate itself to combat abuse, fraud, and quackery, which are more prevalent in chiropractic than in other health care professions, violating the social contract between patients and physicians. According to a 2015 Gallup poll of U.S. adults, the perception of chiropractors is generally favorable; two-thirds of American adults agree that chiropractors have their patient's best interest in mind and more than half also agree that most chiropractors are trustworthy. Less than 10% of US adults disagreed with the statement that chiropractors were trustworthy.


title: Chiropractic

text: Chiropractors, especially in America, have a reputation for unnecessarily treating patients. In many circumstances the focus seems to be put on economics instead of health care. Sustained chiropractic care is promoted as a preventive tool, but unnecessary manipulation could possibly present a risk to patients. Some chiropractors are concerned by the routine unjustified claims chiropractors have made. A 2010 analysis of chiropractic websites found the majority of chiropractors and their associations made claims of effectiveness not supported by scientific evidence, while 28% of chiropractor websites advocate lower back pain care, which has some sound evidence.


title: Chiropractic

text: The US Office of the Inspector General (OIG) estimated that for calendar year 2013, 82% of payments to chiropractors under Medicare Part B, a total of $359 million, did not comply with Medicare requirements. There have been at least 15 OIG reports about chiropractic billing irregularities since 1986.


title: Chiropractic

text: In 2009, a backlash to the libel suit filed by the British Chiropractic Association (BCA) against Simon Singh inspired the filing of formal complaints of false advertising against more than 500 individual chiropractors within one 24-hour period, prompting the McTimoney Chiropractic Association to write to its members advising them to remove leaflets that make claims about whiplash and colic from their practice, to be wary of new patients and telephone inquiries, and telling their members: "If you have a website, take it down NOW" and "Finally, we strongly suggest you do NOT discuss this with others, especially patients." An editorial in "Nature" suggested that the BCA may have been trying to suppress debate and that this use of English libel law was a burden on the right to freedom of expression, which is protected by the European Convention on Human Rights. The libel case ended with the BCA withdrawing its suit in 2010.


title: Chiropractic

text: Chiropractic is established in the U.S., Canada, and Australia, and is present to a lesser extent in many other countries. It is viewed as a marginal and non-clinically–proven attempt at complementary and alternative medicine, which has not integrated into mainstream medicine. Billions are spent annually for chiropractic services.


title: Chiropractic

text: In Australia, there are approximately 2488 chiropractors, or one chiropractor for every 7980 people. Most private health insurance funds in Australia cover chiropractic care, and the federal government funds chiropractic care when the patient is referred by a medical practitioner. In 2014, the chiropractic profession had a registered workforce of 4,684 practitioners in Australia represented by two major organizations — the Chiropractors' Association of Australia (CAA) and the Chiropractic and Osteopathic College of Australasia (COCA). Annual expenditure on chiropractic care (alone or combined with osteopathy) in Australia is estimated to be between AUD$750–988 million with musculoskeletal complaints such as back and neck pain making up the bulk of consultations; and proportional expenditure is similar to that found in other countries. While Medicare (the Australian publicly funded universal health care system) coverage of chiropractic services is limited to only those directed by a medical referral to assist chronic disease management, most private health insurers in Australia do provide partial reimbursement for a wider range of chiropractic services in addition to limited third party payments for workers compensation and motor vehicle accidents.


title: Chiropractic

text: Of the 2,005 chiropractors who participated in a 2015 survey, 62.4% were male and the average age was 42.1 (SD = 12.1) years. Nearly all chiropractors (97.1%) had a bachelor's degree or higher, with the majority of chiropractor's highest professional qualification being a bachelor or double bachelor's degree (34.6%), followed by a master's degree (32.7%), Doctor of Chiropractic (28.9%) or PhD (0.9%). Only a small number of chiropractor's highest professional qualification was a diploma (2.1%) or advanced diploma (0.8%).


title: Chiropractic

text: In the United Kingdom, there are over 2,000 chiropractors, representing one chiropractor per 29,206 people. Chiropractic is available on the National Health Service in some areas, such as Cornwall, where the treatment is only available for neck or back pain.


title: Chiropractic

text: A 2010 study by questionnaire presented to UK chiropractors indicated only 45% of chiropractors disclosed to patients the serious risk associated with manipulation of the cervical spine and that 46% believed there was possibility patients would refuse treatment if the risks were correctly explained. However 80% acknowledged the ethical/moral responsibility to disclose risk to patients.


title: Chiropractic

text: The percentage of the population that utilizes chiropractic care at any given time generally falls into a range from 6% to 12% in the U.S. and Canada, with a global high of 20% in Alberta in 2006. In 2008, chiropractors were reported to be the most common CAM providers for children and adolescents, these patients representing up to 14% of all visits to chiropractors.


title: Chiropractic

text: There were around 50,330 chiropractors practicing in North America in 2000. In 2008, this has increased by almost 20% to around 60,000 chiropractors. In 2002–03, the majority of those who sought chiropractic did so for relief from back and neck pain and other neuromusculoskeletal complaints; most do so specifically for low back pain. The majority of U.S. chiropractors participate in some form of managed care. Although the majority of U.S. chiropractors view themselves as specialists in neuromusculoskeletal conditions, many also consider chiropractic as a type of primary care. In the majority of cases, the care that chiropractors and physicians provide divides the market, however for some, their care is complementary.


title: Chiropractic

text: In the U.S., chiropractors perform over 90% of all manipulative treatments. Satisfaction rates are typically higher for chiropractic care compared to medical care, with a 1998 U.S. survey reporting 83% of respondents satisfied or very satisfied with their care; quality of communication seems to be a consistent predictor of patient satisfaction with chiropractors.


title: Chiropractic

text: Utilization of chiropractic care is sensitive to the costs incurred by the co-payment by the patient. The use of chiropractic declined from 9.9% of U.S. adults in 1997 to 7.4% in 2002; this was the largest relative decrease among CAM professions, which overall had a stable use rate. As of 2007 7% of the U.S. population is being reached by chiropractic. They were the third largest medical profession in the US in 2002, following physicians and dentists. Employment of U.S. chiropractors was expected to increase 14% between 2006 and 2016, faster than the average for all occupations.


title: Chiropractic

text: In the U.S., most states require insurers to cover chiropractic care, and most HMOs cover these services.


title: Chiropractic

text: Chiropractic's origins lie in the folk medicine practice of bonesetting, in which untrained practitioners engaged in joint manipulation or resetting fractured bones.


title: Chiropractic

text: Chiropractic was founded in 1895 by Daniel David (D.D.) Palmer in Davenport, Iowa. Palmer, a magnetic healer, hypothesized that manual manipulation of the spine could cure disease. The first chiropractic patient of D.D. Palmer was Harvey Lillard, a worker in the building where Palmer's office was located. He claimed that he had severely reduced hearing for 17 years, which started soon following a "pop" in his spine. A few days following his adjustment, Lillard claimed his hearing was almost completely restored. Another of Palmer's patients, Samuel Weed, coined the term "chiropractic", from Greek χειρο- "chiro-" (itself from χείρ "cheir" 'hand') 'hand' and πρακτικός "praktikos" 'practical'. Chiropractic is classified as a field of pseudomedicine on account of its esoteric origins.


title: Chiropractic

text: Chiropractic competed with its predecessor osteopathy, another medical system based on magnetic healing; both systems were founded by charismatic midwesterners in opposition to the conventional medicine of the day, and both postulated that manipulation improved health. Although initially keeping chiropractic a family secret, in 1898 Palmer began teaching it to a few students at his new Palmer School of Chiropractic. One student, his son Bartlett Joshua (B.J.) Palmer, became committed to promoting chiropractic, took over the Palmer School in 1906, and rapidly expanded its enrollment.


title: Chiropractic

text: Early chiropractors believed that all disease was caused by interruptions in the flow of innate intelligence, a vitalistic nervous energy or life force that represented God's presence in man; chiropractic leaders often invoked religious imagery and moral traditions. D.D. Palmer said he "received chiropractic from the other world". D.D. and B.J. both seriously considered declaring chiropractic a religion, which might have provided legal protection under the U.S. constitution, but decided against it partly to avoid confusion with Christian Science. Early chiropractors also tapped into the Populist movement, emphasizing craft, hard work, competition, and advertisement, aligning themselves with the common man against intellectuals and trusts, among which they included the American Medical Association (AMA).


title: Chiropractic

text: Chiropractic has seen considerable controversy and criticism. Although D.D. and B.J. were "straight" and disdained the use of instruments, some early chiropractors, whom B.J. scornfully called "mixers", advocated the use of instruments. In 1910, B.J. changed course and endorsed X-rays as necessary for diagnosis; this resulted in a significant exodus from the Palmer School of the more conservative faculty and students. The mixer camp grew until by 1924 B.J. estimated that only 3,000 of the U.S.'s 25,000 chiropractors remained straight. That year, B.J.'s invention and promotion of the neurocalometer, a temperature-sensing device, was highly controversial among B.J.'s fellow straights. By the 1930s, chiropractic was the largest alternative healing profession in the U.S.


title: Chiropractic

text: Chiropractors faced heavy opposition from organized medicine. D.D. Palmer was jailed in 1907 for practicing medicine without a license. Thousands of chiropractors were prosecuted for practicing medicine without a license, and D.D. and many other chiropractors were jailed. To defend against medical statutes, B.J. argued that chiropractic was separate and distinct from medicine, asserting that chiropractors "analyzed" rather than "diagnosed", and "adjusted" subluxations rather than "treated" disease. B.J. cofounded the Universal Chiropractors' Association (UCA) to provide legal services to arrested chiropractors. Although the UCA won their first test case in Wisconsin in 1907, prosecutions instigated by state medical boards became increasingly common and in many cases were successful. In response, chiropractors conducted political campaigns to secure separate licensing statutes, eventually succeeding in all fifty states, from Kansas in 1913 through Louisiana in 1974. The longstanding feud between chiropractors and medical doctors continued for decades. The AMA labeled chiropractic an "unscientific cult" in 1966, and until 1980 advised its members that it was unethical for medical doctors to associate with "unscientific practitioners". This culminated in a landmark 1987 decision, "Wilk v. AMA", in which the court found that the AMA had engaged in unreasonable restraint of trade and conspiracy, and which ended the AMA's de facto boycott of chiropractic.


title: Chiropractic

text: Serious research to test chiropractic theories did not begin until the 1970s, and is continuing to be hampered by antiscientific and pseudoscientific ideas that sustained the profession in its long battle with organized medicine. By the mid-1990s there was a growing scholarly interest in chiropractic, which helped efforts to improve service quality and establish clinical guidelines that recommended manual therapies for acute low back pain. In recent decades chiropractic gained legitimacy and greater acceptance by medical physicians and health plans, and enjoyed a strong political base and sustained demand for services. However, its future seemed uncertain: as the number of practitioners grew, evidence-based medicine insisted on treatments with demonstrated value, managed care restricted payment, and competition grew from massage therapists and other health professions. The profession responded by marketing natural products and devices more aggressively, and by reaching deeper into alternative medicine and primary care.


title: Chiropractic

text: Some chiropractors oppose vaccination and water fluoridation, which are common public health practices. Within the chiropractic community there are significant disagreements about vaccination, one of the most cost-effective public health interventions available. Most chiropractic writings on vaccination focus on its negative aspects, claiming that it is hazardous, ineffective, and unnecessary. Some chiropractors have embraced vaccination, but a significant portion of the profession rejects it, as original chiropractic philosophy traces diseases to causes in the spine and states that vaccines interfere with healing. The extent to which anti-vaccination views perpetuate the current chiropractic profession is uncertain. The American Chiropractic Association and the International Chiropractors Association support individual exemptions to compulsory vaccination laws, and a 1995 survey of U.S. chiropractors found that about a third believed there was no scientific proof that immunization prevents disease. The Canadian Chiropractic Association supports vaccination; a survey in Alberta in 2002 found that 25% of chiropractors advised patients for, and 27% against, vaccinating themselves or their children.


title: Chiropractic

text: Early opposition to water fluoridation included chiropractors, some of whom continue to oppose it as being incompatible with chiropractic philosophy and an infringement of personal freedom. Other chiropractors have actively promoted fluoridation, and several chiropractic organizations have endorsed scientific principles of public health. In addition to traditional chiropractic opposition to water fluoridation and vaccination, chiropractors' attempts to establish a positive reputation for their public health role are also compromised by their reputation for recommending repetitive lifelong chiropractic treatment.


title: Chiropractic

text: Throughout its history chiropractic has been the subject of internal and external controversy and criticism. According to Daniel D. Palmer, the founder of chiropractic, subluxation is the sole cause of disease and manipulation is the cure for all diseases of the human race. A 2003 profession-wide survey found "most chiropractors (whether 'straights' or 'mixers') still hold views of innate intelligence and of the cause and cure of disease (not just back pain) consistent with those of the Palmers." A critical evaluation stated "Chiropractic is rooted in mystical concepts. This led to an internal conflict within the chiropractic profession, which continues today." Chiropractors, including D.D. Palmer, were jailed for practicing medicine without a license. For most of its existence, chiropractic has battled with mainstream medicine, sustained by antiscientific and pseudoscientific ideas such as subluxation. Collectively, systematic reviews have not demonstrated that spinal manipulation, the main treatment method employed by chiropractors, is effective for any medical condition, with the possible exception of treatment for back pain. Chiropractic remains controversial, though to a lesser extent than in past years.


title: Islamabad

text: Islamabad (; , ) is the capital city of Pakistan. It is the country's ninth-most populous city, with a population of over 1.2 million people, and is federally administered by the Pakistani government as part of the Islamabad Capital Territory. Built as a planned city in the 1960s, it replaced Rawalpindi as Pakistan's national capital. The city is notable for its high standards of living, safety, cleanliness, and abundant greenery.


title: Islamabad

text: Greek architect Constantinos Apostolou Doxiadis developed Islamabad's master plan, in which he divided it into eight zones; administrative, diplomatic enclave, residential areas, educational and industrial sectors, commercial areas, as well as rural and green areas administered by the Islamabad Metropolitan Corporation with support from the Capital Development Authority. Islamabad is known for the presence of several parks and forests, including the Margalla Hills National Park and the Shakarparian. It is home to several landmarks, including the country's flagship Faisal Mosque, which is the world's fifth-largest mosque. Other prominent landmarks include the Pakistan Monument and Democracy Square.


title: Islamabad

text: Rated as Gamma + by the Globalization and World Cities Research Network, Islamabad has the highest cost of living in Pakistan. The city's populace is dominated by both middle and upper-middle class citizens.


title: Islamabad

text: Islamabad is home to twenty universities, including Bahria University, Quaid-e-Azam University, PIEAS, COMSATS University, and NUST. It is also rated as one of the safest cities in Pakistan, and has an expansive RFID-enabled surveillance system with almost 2000 active CCTV cameras.


title: Islamabad

text: The name "Islamabad" means "City of Islam". It is derived from two words: "Islam" and "abad". "Islam" refers to the religion of Islam, Pakistan's state religion, and "-abad" is a Persian suffix meaning "cultivated place", indicating an inhabited place or city. According to a history book by Muhammad Ismail Zabeeh, a school teacher from Arifwala known as Qazi Abdur Rehman Amritsari proposed the name of the city.


title: Islamabad

text: Occasionally in writing, Islamabad is colloquially abbreviated "ISB". Such usage originated in SMS language, in part due to the IATA location identifier for the Islamabad International Airport.


title: Islamabad

text: Islamabad Capital Territory, located on the Pothohar Plateau of the northern Punjab region, is considered one of the earliest sites of human settlement in Asia. Some of the earliest Stone Age artefacts in the world have been found on the plateau, dating from 100,000 to 500,000 years ago. Rudimentary stones recovered from the terraces of the Soan River testify to the endeavours of early man in the inter-glacial period. Items of pottery and utensils dating back to prehistory have been found.


title: Islamabad

text: Excavations by Dr. Abdul Ghafoor Lone reveal evidence of a prehistoric culture in the area. Relics and human skulls have been found dating back to 5000 BCE that indicate the region was home to Neolithic peoples who settled on the banks of the Swaan River, and who later developed small communities in the region around 3000 BCE.


title: Islamabad

text: The Indus Valley civilization flourished in the region between the 23rd and 18th centuries BCE. Later the area was an early settlement of the Aryan community which migrated into the region from Central Asia. Many great armies such as those of Zahiruddin Babur, Genghis Khan, Timur and Ahmad Shah Durrani crossed the region during their invasions of the Indian subcontinent. In 2015–16, the Federal Department of Archaeology and Museums, with the financial support of National Fund for Cultural Heritage, carried out initial archaeological excavations in which unearthed the remains of a Buddhist stupa at Ban Faqiran, near the Shah Allah Ditta caves, which was dated to the 2nd to the 5th century CE.


title: Islamabad

text: When Pakistan gained independence in 1947, the southern port city of Karachi was its provisional national capital. In 1958, a commission was constituted to select a suitable site near Rawalpindi for the national capital with particular emphasis on location, climate, logistics, and defence requirements, along with other attributes. After extensive study, research, and a thorough review of potential sites, the commission recommended the area northeast of Rawalpindi in 1959. In the 1960s, Islamabad was constructed as a forward capital for several reasons. Karachi was also located at the southern end of the country, and exposed to attacks from the Arabian Sea. Pakistan needed a capital that was easily accessible from all parts of the country. Karachi, a business centre, was also considered unsuitable partly because of intervention of business interests in government affairs. The newly selected location of Islamabad was closer to the army headquarters in Rawalpindi and the disputed territory of Kashmir in the north.


title: Islamabad

text: Greek firm of architects, led by Konstantinos Apostolos Doxiadis, designed the master plan of the city based on a grid plan which was triangular in shape with its apex towards the Margalla Hills. The capital was not moved directly from Karachi to Islamabad; it was first shifted temporarily to Rawalpindi in the early 60s, and then to Islamabad when essential development work was completed in 1966. In 1981, Islamabad separated from Punjab province to form Capital Territory. Such world-renowned architects as Edward Durell Stone and Gio Ponti have been associated with the city's development.


title: Islamabad

text: Islamabad has attracted people from all over Pakistan, making it one of the most cosmopolitan and urbanised cities of Pakistan. As the capital city it has hosted a number of important meetings, such as the South Asian Association for Regional Cooperation summit in 2004.


title: Islamabad

text: In October 2005, the city suffered damage due to the 2005 Kashmir earthquake which had a magnitude of 7.6. Islamabad has experienced a series of terrorist incidents including the July 2007 Siege of Lal Masjid (Red Mosque), the June 2008 Danish embassy bombing, and the September 2008 Marriott bombing. In 2011, four terrorism incidents occurred in the city, killing four people, including the murder of the Punjab Governor Salmaan Taseer.


title: Islamabad

text: Construction of the Rawalpindi-Islamabad Metrobus, the region's first mass transit line, began in February 2014 and was completed in March 2015. The Rawalpindi Development Authority built the project at a cost of approximately Rs 24 billion, which was shared by both the Federal government and the provincial government of Punjab.


title: Islamabad

text: Islamabad is located at at the northern edge of the Pothohar Plateau and at the foot of the Margalla Hills in Islamabad Capital Territory. Its elevation is . The modern capital and the ancient Gakhar city of Rawalpindi form a conurbation, and are commonly referred to as the Twin Cities.


title: Islamabad

text: To the northeast of the city lies the colonial era hill station of Murree, and to the north lies the Haripur District of Khyber Pakhtunkhwa. Kahuta lies on the southeast, Taxila, Wah Cantt, and Attock District to the northwest, Gujar Khan, Rawat, and Mandrah on the southeast, and the metropolis of Rawalpindi to the south and southwest. Islamabad is located SSW of Muzaffarabad, east of Peshawar and NNW of Lahore.


title: Islamabad

text: The city of Islamabad expanses an area of . A further area is known as the Specified Area, with the Margala Hills in the north and northeast. The southern portion of the city is an undulating plain. It is drained by the Kurang River, on which the Rawal Dam is located.


title: Islamabad

text: Islamabad has a humid subtropical climate (Köppen: Cwa), with five seasons: Winter (November–February), Spring (March and April), Summer (May and June), Rainy Monsoon (July and August) and Autumn (September and October). The hottest month is June, where average highs routinely exceed . The wettest month is July, with heavy rainfalls and evening thunderstorms with the possibility of cloudburst and flooding. The coolest month is January.


title: Islamabad

text: Islamabad's micro-climate is regulated by three artificial reservoirs: Rawal, Simli, and Khanpur Dam. The latter is located on the Haro River near the town of Khanpur, about from Islamabad. Simli Dam is north of Islamabad. of the city consists of Margalla Hills National Park. Loi Bher Forest is situated along the Islamabad Highway, covering an area of . The highest monthly rainfall of was recorded during July 1995. Winters generally feature dense fog in the mornings and sunny afternoons. In the city, temperatures stay mild, with snowfall over the higher-elevation points on nearby hill stations, notably Murree and Nathia Gali. The temperatures range from in January to in June. The highest recorded temperature was on 23 June 2005 while the lowest temperature was on 17 January 1967. Light snowfall sometimes happens on the peaks of the hills visible from the city, though this is rare. Snowfall does not occur in the city itself. On 23 July 2001, Islamabad received a record-breaking of rainfall in just 10 hours. It was the heaviest rainfall in Islamabad in the past 100 years and the highest rainfall in 24 hours as well.


title: Islamabad

text: The Islamabad Capital Territory (ICT) Administration, generally known as ICT Administration or Islamabad Administration, is the civil administration as well as main law and order agency of the Federal Capital.


title: Islamabad

text: The local government authority of the city is the Islamabad Metropolitan Corporation (IMC) with some help from Capital Development Authority (CDA), which oversees the planning, development, construction, and administration of the city. Islamabad Capital Territory is divided into eight zones: Administrative Zone, Commercial District, Educational Sector, Industrial Sector, Diplomatic Enclave, Residential Areas, Rural Areas and Green Area. Islamabad city is divided into five major zones: Zone I, Zone II, Zone III, Zone IV, and Zone V. Out of these, Zone IV is the largest in area. Zone I consists mainly of all the developed residential sectors while Zone II consists of the under-developed residential sectors. Each residential sector is identified by a letter of the alphabet and a number, and covers an area of approximately 2 km × 2 km ( mi ×  mi). The sectors are lettered from A to I, and each sector is divided into four numbered sub-sectors.


title: Islamabad

text: Series A, B, and C are still underdeveloped. The D series has seven sectors (D-11 to D-17), of which only sector D-12 is completely developed. This series is located at the foot of Margalla Hills. The E Sectors are named from E-7 to E-17. Many foreigners and diplomatic personnel are housed in these sectors. In the revised Master Plan of the city, CDA has decided to develop a park on the pattern of Fatima Jinnah Park in sector E-14. Sectors E-8 and E-9 contain the campuses of Bahria University, Air University, and the National Defence University. The F and G series contains the most developed sectors. F series contains sectors F-5 to F-17; some sectors are still under-developed. F-5 is an important sector for the software industry in Islamabad, as the two software technology parks are located here. The entire F-9 sector is covered with Fatima Jinnah Park. The Centaurus complex is a major landmark of the F-8 sector. G sectors are numbered G-5 through G-17. Some important places include the Jinnah Convention Centre and Serena Hotel in G-5, the Red Mosque in G-6, the Pakistan Institute of Medical Sciences, the largest medical complex in the capital, located in G-8, and the Karachi Company shopping center in G-9.


title: Islamabad

text: The H sectors are numbered H-8 through H-17. The H sectors are mostly dedicated to educational and health institutions. National University of Sciences and Technology covers a major portion of sector H-12. The I sectors are numbered from I-8 to I-18. With the exception of I-8, which is a well-developed residential area, these sectors are primarily part of the industrial zone. Two sub-sectors of I-9 and one sub-sector of I-10 are used as industrial areas. CDA is planning to set up Islamabad Railway Station in Sector I-18 and Industrial City in sector I-17. Zone III consists primarily of the Margalla Hills and Margalla Hills National Park. Rawal Lake is in this zone. Zone IV and V consist of Islamabad Park, and rural areas of the city. The Soan River flows into the city through Zone V.


title: Islamabad

text: When the master plan for Islamabad was drawn up in 1960, Islamabad and Rawalpindi, along with the adjoining areas, was to be integrated to form a large metropolitan area called Islamabad/Rawalpindi Metropolitan Area. The area would consist of the developing Islamabad, the old colonial cantonment city of Rawalpindi, and Margalla Hills National Park, including surrounding rural areas. However, Islamabad city is part of the Islamabad Capital Territory, while Rawalpindi is part of Rawalpindi District, which is part of province of Punjab.


title: Islamabad

text: Initially, it was proposed that the three areas would be connected by four major highways: Murree Highway, Islamabad Highway, Soan Highway, and Capital Highway. However, to date only two highways have been constructed: Kashmir Highway (the former Murree Highway) and Islamabad Highway. Plans of constructing Margalla Avenue are also underway. Islamabad is the hub all the governmental activities while Rawalpindi is the centre of all industrial, commercial, and military activities. The two cities are considered sister cities and are highly interdependent.


title: Islamabad

text: Islamabad's architecture is a combination of modernity and old Islamic and regional traditions. The Saudi-Pak Tower is an example of the integration of modern architecture with traditional styles. The beige-coloured edifice is trimmed with blue tile works in Islamic tradition, and is one of Islamabad's tallest buildings. Other examples of intertwined Islamic and modern architecture include Pakistan Monument and Faisal Mosque. Other notable structures are: Secretariat Complex designed by Gio Ponti, Prime Minister's secretariat based on Mughal architecture and the National Assembly by Edward Durell Stone.


title: Islamabad

text: The murals on the inside of the large petals of Pakistan Monument are based on Islamic architecture. The Shah Faisal Mosque is a fusion of contemporary architecture with a more traditional large triangular prayer hall and four minarets, designed by Vedat Dalokay, a Turkish architect and built with the help of funding provided by King Faisal of Saudi Arabia. The architecture of Faisal Mosque is unusual as it lacks a dome structure. It is a combination of Arabic, Turkish, and Mughal architectural traditions. The Centaurus is an example of modern architecture under construction in Islamabad. The seven star hotel was designed by WS Atkins PLC.The newly built Islamabad Stock Exchange Towers is another example of modern architecture in the city.


title: Islamabad

text: According to 2017 census, the mother tongue of the majority of the population is Punjabi at 52% (a decrease of 18% from the 1998 census), and a major dialect is Pothohari, 19% of the population are Pashto speakers, while an additional 12% speak Urdu, the national language, whereas the rest 17% speak other languages. Similarly according to 1998 census, the total migrant population of the city is 1 million, with the majority (691,977) coming from Punjab. Around 210,614 of the migrated population came from Sindh and rest from Khyber Pakhtunkhwa and Azad Kashmir. Smaller populations emigrated from Balochistan, and Gilgit–Baltistan.


title: Islamabad

text: The majority of the population lies in the age group of 15–64 years, around 59.38%. Only 2.73% of the population is above 65 years of age; 37.90% is below the age of 15. Islamabad has the highest literacy rate in Pakistan, at 88%. 9.8% of the population has done intermediate education (equivalent to grades 11 and 12). 10.26% have a bachelor or equivalent degree while 5.2% have a master or equivalent degree. The labour force of Islamabad is 185,213 and the unemployment rate is 15.70%.


title: Islamabad

text: Islam is the largest religion in the city, with 95.43% of the population following it. Christianity is the second largest religion is with 4.34% of the population following it. The Christians are concentrated mainly in the urban areas. Hinduism is followed by 0.04% of the population according to the 2017 census.


title: Islamabad

text: Islamabad is a net contributor to the Pakistani economy, as whilst having only 0.8% of the country's population, it contributes 1% to the country's GDP. Islamabad Stock Exchange, founded in 1989, is Pakistan's third largest stock exchange after Karachi Stock Exchange and Lahore Stock Exchange, and was merged to form Pakistan Stock Exchange. The exchange had 118 members with 104 corporate bodies and 18 individual members. The average daily turnover of the stock exchange is over 1 million shares.


title: Islamabad

text: According to the World Bank's "Doing Business Report" of 2010, Islamabad was ranked as the best place to start a business in Pakistan. Islamabad's businesses are Pakistan's most compliant for paying tax dues. , Islamabad LTU (Large Tax Unit) was responsible for Rs 371 billion in tax revenue, which amounts to 20% of all the revenue collected by Federal Board of Revenue.


title: Islamabad

text: Islamabad has seen an expansion in information and communications technology with the addition two Software Technology Parks, which house numerous national and foreign technological and information technology companies. Some jobs have relocated from India to Islamabad. Awami Markaz IT Park houses 36 IT companies, while Evacuee Trust house 29 companies. Islamabad will see its third IT Park by 2020, which will be built with assistance from South Korea.


title: Islamabad

text: Islamabad is home to many migrants from other regions of Pakistan and has a cultural and religious diversity of considerable antiquity. Due to its location on the Pothohar Plateau, remnants of ancient cultures and civilisations such as Aryan, Soanian, and Indus Valley civilisation can still be found in the region. A 15th-century Gakhar fort, Pharwala Fort is located near Islamabad. Rawat Fort in the region was built by the Gakhars in 16th century and contains the grave of the Gakhar chief, Sultan Sarang Khan.


title: Islamabad

text: Saidpur village is supposedly named after Said Khan, the son of Sarang Khan. The 500-year-old village was converted into a place of Hindu worship by a Mughal commander, Raja Man Singh. He constructed a number of small ponds: Rama kunda, Sita kunda, Lakshaman kunda, and Hanuman kunda. The region is home to a small Hindu temple that is preserved, showing the presence of Hindu people in the region. The shrine of Sufi mystic Pir Meher Ali Shah is located at Golra Sharif, which has a rich cultural heritage of the pre-Islamic period. Archaeological remains of the Buddhist era can also still be found in the region. The shrine of Bari Imam was built by Mughal Emperor Aurangzeb. Thousands of devotees from across Pakistan attend the annual Urs of Bari Imam. The event is one of the largest religious gatherings in Islamabad. In 2004, the Urs was attended by more than 1.2 million people.


title: Islamabad

text: The Lok Virsa Museum in Islamabad preserves a wide variety of expressions of folk and traditional cultural legacy of Pakistan. It is located near the Shakarparian hills and boasts a large display of embroidered costumes, jewellery, musical instruments, woodwork, utensils and folkloristic objects from the region and other parts of Pakistan.


title: Islamabad

text: Faisal Mosque is an important cultural landmark of the city and that attracts many tourists daily. Faisal Mosque built in 1986, was named after the Saudi Arabian King, Faisal bin Abdul Aziz. It also serves the purpose of accommodating 24,000 Muslims that pray at this mosque. Faisal Mosque that is designed by the Turks and financed by the Kingdom of Saudi Arabia includes calligraphy of Quranic verses along the walls of the mosque.


title: Islamabad

text: One of the landmarks for tourists is the Pakistan Monument built in 2007 located in Islamabad. This tourist attraction represents the patriotism and sovereignty of Pakistan. The design is shaped as a dome with petal-shaped walls that are engraved with arts portraying Pakistan's other tourist landmarks such as the Badshahi Mosque, Minar-e-Pakistan and Lahore Fort.


title: Islamabad

text: Islamabad holds some of Pakistan's most prestigious museums such as Lok Virsa Museum, Institute of Folk and Traditional Heritage Shakarparian Park and prominent galleries such as the National Art Gallery and Gallery 6.


title: Islamabad

text: The Islamabad Museum contains many relics and artifacts dating back to the Gandhara period of the region, an intriguing fusion of Buddhist and Graeco-Roman styles. The living culture of Islamabad and Pakistan is best explored at Lok Virsa Museum, as well as the Institute of Folk and Traditional Heritage in Shakarparian Park.


title: Islamabad

text: Islamabad is built upon civilization and architecture that ranges from the 10th Century to the modern era. As Islamabad is situated on the Potohar Plateau, the remains of civilization descending from stone-age era include the Acheulian and the Soanian traditions and these are tourist landmarks. Islamabad has an array of historic landmarks that reflect the Hindu civilization that dates back to the 16th Century with examples such as Saidpur. Saidpur that is situated in Islamabad has progressed from a village to a sacred place that includes temples where the Hindu Mughal Commanders worshipped.


title: Islamabad

text: Margalla Hills National Park is located in the North sector of Islamabad and is in close proximity to the Himalayas. The National Park includes of picturesque valleys and scenic hills that include various wildlife such as Himalayan goral, Barking deer and leopards. Flanked by wildlife and vegetation, Margalla Hills National Park also includes accommodation and camping grounds for tourists.


title: Islamabad

text: Islamabad boasts the highest literacy rate in Pakistan at 98%, and has some of the most advanced educational institutes in the country. A large number of public and private sector educational institutes are present here. The higher education institutes in the capital are either federally chartered or administered by private organisations and almost all of them are recognised by the Higher Education Commission of Pakistan. High schools and colleges are either affiliated with the Federal Board of Intermediate and Secondary Education or with the UK universities education boards, O/A Levels, or IGCSE. According to Academy of Educational Planning and Management's report, in 2009 there were a total of 913 recognised institutions in Islamabad (31 pre-primary, 2 religious, 367 primary, 162 middle, 250 high, 75 higher secondary and intermediate colleges, and 26 degree colleges). There are seven teacher training institutes in Islamabad with a total enrolment of 604,633 students and 499 faculty.


title: Islamabad

text: The Gender Parity Index in Islamabad is 0.93 compared to the 0.95 national average. There are 178 boys only institutes, 175 girls only, and 551 mixed institutes in Islamabad. Total enrolment of students in all categories is 267,992; 138,272 for boys and 129,720 for girls. There are 16 recognised universities in Islamabad with a total enrolment of 372,974 students and 30,144 teachers. Most of the top ranked universities; National University of Sciences and Technology, COMSATS Institute of Information Technology and Pakistan Institute of Engineering & Applied Sciences, also have their headquarters in the capital. The world's second largest general university by enrolment, Allama Iqbal Open University is located in Islamabad for distance education. Other universities include Air University, Bahria University, Center for Advanced Studies in Engineering, Federal Urdu University of Arts, Science and Technology, Hamdard University, National University of Computer and Emerging Sciences, Capital University of Science & Technology, National Defence University, Shifa Tameer-e-Millat University, National University of Modern Languages, Iqra University, International Islamic University, Virtual University of Pakistan, Muhammad Ali Jinnah University, The University of Lahore, Abasyn University, and The Millennium University College.


title: Islamabad

text: Islamabad has the lowest rate of infant mortality in the country at 38 deaths per thousand compared to the national average of 78 deaths per thousand. Islamabad has both public and private medical centres. The largest hospital in Islamabad is Pakistan Institute of Medical Sciences (PIMS) hospital. It was established in 1985 as a teaching and doctor training institute. PIMS functions as a National Reference Center and provides specialised diagnostic and curative services. The hospital has 30 major medical departments. PIMS is divided into five administrative branches. Islamabad Hospital is the major component with a 592-bed facility and 22 medical and surgical specialties.


title: Islamabad

text: The Children's Hospital is a 230-bed hospital completed in 1985. It contains six major facilities: Surgical and Allied Specialties, Medical and Allied Specialties, Diagnostic Facilities, Operation Theatre, Critical Care (NICU, PICU, Isolation & Accident Emergency), and a Blood Bank. The Maternal and Child Health Care Center is a training institute with an attached hospital of 125 beds offering different clinical and operational services. PIMS consists of five academic institutes: Quaid-e-Azam Postgraduate Medical College, College of Nursing, College of Medical Technology, School of Nursing, and Mother and Child Health Center.


title: Islamabad

text: PAEC General Hospital and teaching institute, established in 2006, is affiliated with the Pakistan Atomic Energy Commission. The hospital consists of a 100-bed facility and 10 major departments: Obstetrics and Gynecology, Pediatric, General Medicine, General Surgery, Intensive Care Unit/Coronary Care Unit, Orthopedics, Ophthalmology, Pathology, Radiology, and Dental Department. Shifa International Hospital is a teaching hospital in Islamabad that was founded in 1987 and became a public company in 1989. The hospital has 70 qualified consultants in almost all specialties, 150 IPD beds and OPD facilities in 35 different specialisations. According to the Federal Bureau of Statistics of the Government of Pakistan, in 2008 there were 12 hospitals, 76 dispensaries, and five maternity and child welfare centers in the city with a total of 5,158 beds.


title: Islamabad

text: Islamabad is connected to major destinations around the world and domestically through Islamabad International Airport (IIAP). The airport is the largest in Pakistan and is located south-west of Islamabad. The new airport inaugurated on 20 April 2018, spread over 19 square kilometers with 15 passenger boarding bridges, including facilities to accommodate two double-decker Airbus A380s, the world's largest airplane, 15 remote bays and 3 remote bays for Air cargo.


title: Islamabad

text: The Rawalpindi-Islamabad Metrobus is a bus rapid transit system operating in the Islamabad-Rawalpindi metropolitan area. The Metrobus network's first phase was opened on 4 June 2015, and stretches 22.5 kilometres between Pak Secretariat, in Islamabad, and Saddar in Rawalpindi. The second stage stretches 25.6 kilometres between the Peshawar Morr Interchange and New Islamabad International Airport and was inaugurated on 18th April 2022. On 7 July 2022, the Green Line and Blue Lines were added to this Metrobus network. The system uses e-ticketing and an Intelligent Transportation System and is managed by the Punjab Mass Transit Authority. This service is very reliable and consistent, and the labour force as well as students are using this government provided service on a daily basis. It has reduced the time consumption by reducing the route. Now this bus service is being extended to more areas in Islamabad that include areas near G-13 and H-12. Work is being done to keep it along the Kashmir Highway.


title: Islamabad

text: People use private transport like Taxis, Careem, Uber, Bykea, and SWVL for local journeys. In March 2016, Careem became functional in Islamabad and Rawalpindi with taxi services.


title: Islamabad

text: M-2 Motorway is long and connect Islamabad and Lahore. M-1 Motorway connects Islamabad with Peshawar and is long. Islamabad is linked to Rawalpindi through the Faizabad Interchange, which has a daily traffic volume of about 48,000 vehicles.


title: Islamabad

text: Islamabad has a multipurpose sports complex opposite Aabpara. It includes Liaquat Gymnasium for indoor games, Mushaf Squash Complex and Jinnah Sports Stadium for outdoor games, which is a venue for regular national and international events. 2004 SAF Games were held in the stadium. Some other sports venues of Islamabad include Diamond Club Ground, Shalimar Cricket Ground and Islamabad Golf Club.


title: Islamabad

text: There is another multipurpose sports complex in the F6 Markaz. It has tennis courts, a basketball court with fibre-glass boards and a Futsal ground which introduced artificial turf to the people of Islamabad.


title: Islamabad

text: Major sports in the city include cricket, football, squash, hockey, table tennis, rugby and boxing. The city is home to Islamabad United, which won the first ever Pakistan Super League in 2016 and second title in 2018, and Islamabad All Stars, which participates in the Super Kabaddi League.


title: Islamabad

text: The Pakistan Sports Complex has three swimming pools for children. These facilities attract a large gathering on weekends.


title: Islamabad

text: Located in Islamabad, Pakistan, the Faisal Mosque is the largest mosque in South Asia and the fourth largest mosque in the world. Built in the year 1986, it was named after the late king of Saudi Arabia, Faisal Bin Abdul Aziz, who backed and financed the construction.


title: Islamabad

text: The most famous and oldest hiking track of Islamabad is Trail 3. It starts from the Margalla Road in sector F-6/3. Due to steep hills, the trail is exhausting to some extent. The course leads to the point where it goes up to the Viewpoint and is about a 30 – 50 minutes track. After the Viewpoint it continues for another easy-going 45 – 60 minutes and reaches the Pir Sohawa, where there are two restaurants for food, "The Monal" and "La Montana". In total, it is approximately a one-hour and thirty minute walk.


title: Islamabad

text: Located in Islamabad, the Pakistan National Monument is a representation of the four provinces and three territories of the nation. Designed by the famous architect, Arif Masood, this blooming flower shaped structure reflects the progress and prosperity of Pakistan.


title: American Airlines Flight 11

text: American Airlines Flight 11 was a domestic passenger flight that was hijacked by five al-Qaeda terrorists on September 11, 2001 as part of the September 11 attacks. Lead hijacker Mohamed Atta deliberately crashed the plane into the North Tower of the World Trade Center in New York City, killing all 92 people aboard and ensuring the deaths of everyone who was at, above and immediately below the aircraft's impact zone, making it the deadliest of the four crashes to occur on the day in terms of both plane and ground fatalities. The aircraft involved, a Boeing 767-223ER, registration was flying American Airlines' daily scheduled morning transcontinental service from Logan International Airport in Boston to Los Angeles International Airport in Los Angeles.


title: American Airlines Flight 11

text: Fifteen minutes into the flight, the hijackers injured at least three people (possibly killing one), forcibly breached the cockpit, and overpowered the captain and first officer. Atta, an al-Qaeda member and licensed commercial pilot, took over the controls. Air traffic controllers suspected that the flight was in distress because the crew was no longer responding. They realized the flight had been hijacked when Mohamed Atta's announcements for passengers were unintentionally transmitted to air traffic control. On board, flight attendants Amy Sweeney and Betty Ong contacted American Airlines, and provided information about the hijackers and injuries to passengers and crew.


title: American Airlines Flight 11

text: The aircraft crashed into the North Tower of the World Trade Center at 08:46:40 local time. Countless people in the streets of New York City witnessed the strike, but few video recordings captured the moment. Documentary filmmaker Jules Naudet captured the only known footage of the initial impact from start to finish. Before the hijacking was confirmed, news agencies began to report on the incident and speculated that the crash had been an accident; about 17 minutes later, United Airlines Flight 175 was flown into the South Tower of the World Trade Center by hijackers.


title: American Airlines Flight 11

text: The impact and subsequent fire caused the North Tower to collapse 102minutes after the crash, resulting in hundreds of additional casualties. During the recovery effort at the World Trade Center site, workers recovered and identified dozens of remains from Flight11 victims, but many body fragments could not be identified.


title: American Airlines Flight 11

text: The aircraft involved in the hijacking was a Boeing 767-223ER delivered to American Airlines in April 1987, with registration number N334AA. The capacity of the aircraft was 158passengers (9 in first class, 30 in business class and 119 in economy class), but the September11 flight carried 81passengers and 11crew members. This was a light load at 58percent capacity, but higher than the average load factor for Flight11 on Tuesday mornings of 39percent in the months preceding September11. The crew members were Captain John Ogonowski (50), First Officer Thomas McGuinness Jr. (42) (a former Navy fighter pilot), purser Karen Martin and flight attendants Barbara Arestegui, Jeffrey Collman, Sara Low, Kathleen Nicosia, Betty Ong, Jean Roger, Dianne Snyder, and Amy Sweeney.


title: American Airlines Flight 11

text: All 92 people on board were killed, including David Angell (the creator and executive producer of the television sitcom "Frasier"), his wife Lynn Angell, and actress Berry Berenson, the widow of Anthony Perkins. "Family Guy" creator Seth MacFarlane had been scheduled to be on the flight but arrived at the airport late. Actor Mark Wahlberg was also scheduled to be on the flight but canceled his ticket the day before as a result of changed plans. Actress Leighanne Littrell, wife of Backstreet Boys singer Brian Littrell, had also previously been booked on the flight but, like Wahlberg, changed her plans at the last minute.


title: American Airlines Flight 11

text: Mohamed Atta, the ringleader of the attacks, and a fellow hijacker, Abdulaziz al-Omari, arrived at Portland International Jetport (Portland, Maine) at 05:41 Eastern Daylight Time on September11, 2001. At the Portland ticket counter, Atta asked ticket agent Mike Tuohey for his boarding pass for Flight 11. Tuohey told Atta he would have to check in a second time when he reached Logan. Atta clenched his jaw and appeared on the verge of anger. He told Tuohey that he had been assured he would have "one-step check-in." Tuohey did not budge or rise to Atta's hostility, and simply told him that he would better hurry if he did not want to miss the flight. Although Atta still looked cross, he and Omari left the ticket counter for the Portland airport's security checkpoint.


title: American Airlines Flight 11

text: They boarded Colgan Air Flight5930, which was scheduled to depart at 06:00 and fly to Boston. Both hijackers had first class tickets with a connecting flight to Los Angeles; Atta checked in two bags, while Omari checked in none. When they checked in, the Computer-Assisted Passenger Prescreening System (CAPPS) selected Atta for extra luggage scrutiny, but he boarded without incident.


title: American Airlines Flight 11

text: The flight from Portland departed on time and arrived in Boston at 06:45. Three other hijackers, Waleed al-Shehri, Wail al-Shehri, and Satam al-Suqami, arrived at Logan Airport at 06:45, having left their rental car in the airport parking facility. At 06:52, Marwan al-Shehhi, the hijacker pilot of United Airlines Flight 175, made a call from a pay phone in Logan Airport to Atta's cell phone. This call was apparently to confirm that the attacks were ready to begin.


title: American Airlines Flight 11

text: Since they were not given boarding passes for Flight11 in Portland, Atta and Omari checked in and went through security in Boston. Suqami, Wail al-Shehri, and Waleed al-Shehri also checked in for the flight in Boston. Wail al-Shehri and Suqami each checked one bag; Waleed al-Shehri did not check any bags. CAPPS selected all three for a detailed luggage check. As the CAPPS' screening was only for luggage, the three hijackers did not undergo any extra scrutiny at the passenger security checkpoint.


title: American Airlines Flight 11

text: First Officer Lynn Howland had just arrived in Boston after copiloting the flight from San Francisco that would be redesignated American Flight 11. As she walked off the aircraft and entered the passenger lounge, Atta approached her and asked if she would be flying the plane back across the country. When Howland told him she just brought the aircraft in, Atta turned his back and walked away. As he boarded Flight 11, Atta asked a gate agent whether the two bags he had checked earlier in Portland had been loaded onto the plane. In the rushed check-in after the flight from Portland, airline officials did not load Atta's bags on Flight11.


title: American Airlines Flight 11

text: By 07:40, all five hijackers were aboard the flight, scheduled to depart at 07:45. Atta sat in business class seat 8D with al-Omari in 8G and Suqami in 10B. Waleed and Wail al-Shehri sat in first class seats 2B and 2A. Shortly before takeoff, American Airlines flight service manager Michael Woodward walked aboard for a final check. He briefly passed Atta, making note of this passenger's brooding expression, and then left the plane. At 07:46, one minute behind schedule, the aircraft received clearance to push back from Gate B32, and was cleared to taxi to the runway at 07:50. The aircraft began its takeoff run from Logan International Airport at 07:59 from runway4R.


title: American Airlines Flight 11

text: The 9/11 Commission estimated that the hijacking began at 08:14 when the pilots stopped responding to requests from the Boston Air Route Traffic Control Center (Boston ARTCC). At 08:13:29, as the aircraft was passing over central Massachusetts at , the pilots responded to a request from Boston ARTCC to make a 20-degree turn to the right. At 08:13:47 Boston ARTCC told the pilots to ascend to a cruising altitude of but received no response. At 08:16, the aircraft leveled off at and shortly thereafter deviated from its scheduled path.


title: American Airlines Flight 11

text: At 8:17:59, flight controllers at Boston Center heard a brief, unknown sound on the radio frequency used by Flight 11 and other nearby flights. They did not know where it came from, and they could not be certain, but it possibly sounded like a scream. Boston ARTCC made multiple attempts to talk to Flight11 without reply, and at 08:21, someone in the cockpit stopped transmitting the flight’s Mode-C transponder signal. At 8:23 and 8:25, several times, Aircraft Communication Addressing and Reporting System (ACARS) tried to contact the flight. One ACARS message read, "Good morning, ATC looking for you on 135.32", the other read, "Please contact Boston Center ASAP. They have lost radio contact and your transponder signal." Flight 11 did not reply.


title: American Airlines Flight 11

text: According to flight attendants Amy Sweeney and Betty Ong, who contacted American Airlines during the hijacking, the hijackers had stabbed flight attendants Karen Martin and Barbara Arestegui and slashed the throat of passenger Daniel Lewin. The hijackers might have used a predetermined signal: when the pilots turned off the Fasten Seatbelt signs. It is unknown how the hijackers gained access to the cockpit; FAA rules at the time required that the doors remain closed and locked during flight. Ong said she thought that the hijackers had "jammed their way" in.


title: American Airlines Flight 11

text: The commission suggested they attacked the flight attendants to get a cockpit key, to force one of them to open the cockpit door, or to lure the captain or first officer out of the cockpit. It is believed that one or more of the hijackers, possibly the brothers Wail and Waleed al-Shehri, made the first move, attacking Martin and Arestegui. Sweeney said that Martin was badly injured and being given oxygen. Sweeney and Ong said Arestegui's injuries were not as serious. Ong said she heard loud arguing after the hijackers entered the cockpit. It is believed that the hijackers either killed or incapacitated Ogonowski and McGuinness. Sweeney said that one of the hijackers had shown her a device with red and yellow wires that appeared to be a bomb. Ong and Sweeney said that the coach passengers did not seem to fully understand the peril, and were under the impression that there was a routine medical emergency in the front section of the plane, and that the other flight attendants were helping passengers and finding medical supplies. Ong said Lewin appeared to be dead. Sweeney said that Suqami was the one who had attacked Lewin. Lewin was seated in 9B, and Suqami sat directly behind him in 10B.


title: American Airlines Flight 11

text: One assumption is that Suqami attacked Lewin, unprovoked, to frighten other passengers and crew into compliance. Alternatively, Lewin, an American-Israeli Internet entrepreneur who understood Arabic, and had served as an officer in the elite Sayeret Matkal special operations unit of the Israel Defense Forces, may have attempted to stop the hijacking, and confronted one of the hijackers in front of him, unaware Suqami was behind him. Lewin is believed to be the first fatality in the 9/11 attacks. During a four-minute call to the American Airlines operations center, Ong provided information about lack of communication with the cockpit, lack of access to the cockpit, and that she thought someone had sprayed Mace in the business class cabin. She also provided the seat locations of the hijackers, which later helped investigators to determine their identities.


title: American Airlines Flight 11

text: At 08:24:38, a hijacker’s voice, believed to be Atta, broadcast to Boston ARTCC. Air traffic controllers heard Atta announce, "We have some planes. Just stay quiet and you'll be O.K. We are returning to the airport." At 08:24:56 he announced, "Nobody move. Everything will be okay. If you try to make any moves, you'll endanger yourself and the airplane. Just stay quiet."


title: American Airlines Flight 11

text: As Atta spoke English fluently, he likely made the transmissions. It is also possible that Atta's seatmate, al-Omari, accompanied him into the cockpit. Apparently, Atta tried to make an announcement to the passengers, but keyed the wrong switch and instead his voice was picked up and recorded by air traffic controllers. After Atta’s transmissions and the inability to contact the airliner, air traffic controllers at Boston ARTCC realized that Flight 11 was being hijacked. At 08:26, the plane turned south. At 08:32, the Federal Aviation Administration (FAA) Command Center in Herndon, Virginia, notified FAA headquarters.


title: American Airlines Flight 11

text: At 08:33:59, Atta announced a third and final transmission: "Nobody move, please. We are going back to the airport. Don't try to make any stupid moves." At 08:37:08, the pilots of United Airlines Flight175 verified Flight11's location and heading to flight control.


title: American Airlines Flight 11

text: Boston ARTCC bypassed standard protocols and directly contacted the North American Aerospace Defense Command (NORAD) Northeast Air Defense Sector (NEADS) in Rome, New York. NEADS called on two F-15 fighter jets at Otis Air National Guard Base in Mashpee, Massachusetts, to intercept. Officials at Otis spent a few minutes getting authorization for the fighters to take off. Atta completed the final turn towards Manhattan at 08:43. The order to dispatch the fighters at Otis was given at 08:46, and the F-15s took off at 08:53, roughly seven minutes after American Airlines Flight11 had already crashed into the North Tower. Of the four hijacked aircraft on 9/11, the nine minutes of advance notification about the hijacking of Flight11 was the most time that NORAD had to respond before the aircraft crashed into its intended target.


title: American Airlines Flight 11

text: At 08:46:40 Atta intentionally crashed American Airlines Flight11 into the northern façade of the North Tower (Tower1) of the World Trade Center. The aircraft, traveling about and carrying about of jet fuel, hit between floors 93 and 99 of the North Tower.


title: American Airlines Flight 11

text: Witnesses saw the plane flying at low altitude over Manhattan and thought the aircraft was in distress. Lieutenant William Walsh of the FDNY (who appears in the documentary film "9/11") witnessed the aircraft:


title: American Airlines Flight 11

text: We were under the impressionhe looked like he was going down, but we didn't hear any mechanical difficulty. We couldn't figure out why an American Airlines plane would be so low in downtown Manhattan. We sort of expected him to veer off and go into the Hudson. But he just rose a little bit, his altitude, leveled off, and he was headed straight for the Trade Center. So just before he got to the Trade Center, it seemed as though he gained power. We were just watching this airplane on target for the World Trade Center. All of a sudden, boom! He disappears into the Trade Center.


title: American Airlines Flight 11

text: The damage caused to the North Tower destroyed any means of escape at the impact zone, above it, or directly below it. All stairwells and elevators from floor 92 to at least floor 99 up were rendered impassable, trapping everyone who was not killed in the crash. The highest survivors in the North Tower came from the 91st floor. According to the Commission Report, hundreds were killed instantly by the impact. The approximately 800 survivors of the crash were stranded and died from the subsequent fire and smoke or the eventual collapse of the tower. At least 200 of these trapped occupants fell to their deaths from the upper floors of the North Tower, most of whom deliberately jumped to escape the smoke and flames. Elevator shafts channeled burning jet fuel through the building, allowing some of it to explode in the Skylobbies on floors 78 and 22, and in the main lobby at the base of the tower.


title: American Airlines Flight 11

text: Jules Naudet, a French cameraman, and Pavel Hlava, a Czech immigrant, videotaped the crash. A webcam set up by Wolfgang Staehle at an art exhibit in Brooklyn to take images of Lower Manhattan every four seconds also captured images of Flight11 crashing into the North Tower.


title: American Airlines Flight 11

text: News organizations at first reported an explosion or incident at the World Trade Center. CNN broke into a commercial at 08:49 with the headline "World Trade Center Disaster". Carol Lin, who was the first anchor to break the news of the attacks, said:


title: American Airlines Flight 11

text: Some reporters erroneously claimed that the plane that struck the North Tower was a "small, twin-engine jet" despite the size of the hole in the skyscraper. At 8:55 a.m., Senior Advisor to the President Karl Rove conveyed this misleading information to President George W. Bush as he arrived at Emma E. Booker Elementary School in Sarasota, Florida. Later, in an on-air phone call from his office at the CNN New York bureau, CNN vice president of finance Sean Murtagh reported that a large passenger commercial jet had hit the World Trade Center. Eventually, other television networks interrupted regular broadcasting with news of the crash. Initial news reports and many onlookers speculated that the crash may have been an accident until United Airlines Flight 175 was flown into the South Tower 17 minutes after Flight11 made impact, confirming to the entire world that it was anything but.


title: American Airlines Flight 11

text: After the crash, the North Tower burned for 102minutes before collapsing at 10:28. Although the impact itself caused extensive structural damage, the long-lasting fire ignited by jet fuel was blamed for the structural failure of the tower. In addition to the aircraft passengers and building occupants, hundreds of rescue workers also died when the tower collapsed. Despite being the first of the two buildings to be hit, the North Tower was the second to collapse. Furthermore, it stood for nearly twice as long after being struck as the South Tower, with the latter burning for only 56 minutes before collapsing. This is because Flight 11 crashed into the North Tower at a lower speed and much higher up than Flight 175 did into the South Tower, leading to there being far less structural weight above the impact zone; the North Tower had 11 floors above the point of impact while the South Tower had more than twice that amount. Cantor Fitzgerald L.P., an investment bank on floors 101–105 of the North Tower, lost 658employees, considerably more than any other employer.


title: American Airlines Flight 11

text: Rescue workers at the World Trade Center site began to discover body fragments from Flight11 victims within days of the attack. Some workers found bodies strapped to airplane seats and discovered the remains of a flight attendant with her hands bound, suggesting the hijackers might have used plastic handcuffs. Within a year, medical examiners had identified the remains of 33victims who had been on board Flight11. They identified two other Flight11 victims, including purser Karen Martin, in 2006, while other unrelated body fragments were discovered near Ground Zero around the same time. In April 2007, examiners using newer DNA technology identified another Flight11 victim. The remains of two hijackers, potentially from Flight11, were also identified and removed from Memorial Park in Manhattan. The remains of the other hijackers have not been identified and are buried with other unidentified remains at this park.


title: American Airlines Flight 11

text: Suqami's passport survived the crash and landed in the street below. Soaked in jet fuel, it was picked up by a passerby who gave it to a New York City Police Department (NYPD) detective shortly before the South Tower collapsed. Investigators retrieved Mohamed Atta's luggage, which had not been loaded onto the flight. In it, they found Omari's passport and driver's license, a videocassette for a Boeing 757 flight simulator, a folding knife, and pepper spray. In a recording, a few months later in Afghanistan, Al Qaeda's leader, Osama bin Laden, took responsibility for the attack. The attack on the World Trade Center exceeded even bin Laden's expectations: he had expected only the floors above the plane strikes to collapse. The flight recorders for Flight11 and Flight175 were never found.


title: American Airlines Flight 11

text: After the attacks, the flight number for the scheduled flight on the same route with the same takeoff time is now currently American Airlines Flight2455. These flights now use an Airbus A321 instead of a Boeing 767. An American flag is flown on the jet bridge of gate B32 from which Flight11 departed Logan Airport.


title: American Airlines Flight 11

text: In 2002, the first recipients of the annual Madeline Amy Sweeney Award for Civilian Bravery were Sweeney and Ong. Ogonowski also received a posthumous award. They were all residents of Massachusetts. Relatives of all three accepted the awards on their behalf.


title: American Airlines Flight 11

text: On April 26, 2013, a piece of the wing flap mechanism from a Boeing 767 was discovered wedged between two buildings at Park Place, near where other landing gear parts were found. The onboard defibrillator from Flight11 was found in 2014 during roadwork near Liberty Street.


title: American Airlines Flight 11

text: At the National September 11 Memorial, the names of the 87victims of Flight11 are inscribed on the North Pool, on Panels N-1 and N-2, and Panels N-74N-76.


title: Neighbours

text: Neighbours is an Australian television soap opera, which has aired since 18 March 1985. It was created by television executive Reg Watson. The Seven Network commissioned the show following the success of Watson's earlier soap "Sons and Daughters." Although successful in Melbourne, "Neighbours" underperformed in the Sydney market and was cancelled by Seven four months after it began airing. It was immediately commissioned by rival Network Ten for a second production season, which began screening on 20 January 1986. "Neighbours" went on to become the longest-running drama series in Australian television history. In 2005, it was inducted into the Logie Hall of Fame.


title: Neighbours

text: The storylines concern the lives of the people who live and work in Erinsborough, a fictional suburb of Melbourne, Victoria. The series centres on the residents of Ramsay Street, a cul-de-sac, and its neighbouring area, the Lassiters complex, which includes a bar, hotel, café, police station, lawyers' office and park. "Neighbours" began with a focus on three households created by Watson – including the Ramsay and Robinson families, who have a long history, and an ongoing rivalry. Over the serial's early years, three additional houses on the street were introduced as regular settings. Pin Oak Court, in Vermont South, is the real cul-de-sac that has doubled for Ramsay Street. The houses featured are real and the residents allowed the production to shoot external scenes in their yards. The interior scenes were filmed at the Global Television studios in Forest Hill.


title: Neighbours

text: Through its entire run in Australia, "Neighbours" was screened as a 22-minute episode each weeknight in an early-evening slot. It moved to Ten's digital channel, Eleven (later rebranded 10 Peach) on 11 January 2011, and was broadcast each weeknight at 6:30 pm. The show was produced by Fremantle Australia and has been sold to over sixty countries around the world, making it one of Australia's most successful media exports. "Neighbours" had been especially successful in the United Kingdom, where it was first screened on 27 October 1986 on BBC One, and achieved huge popularity among British audiences in the late 1980s and 1990s. In 2008, it moved in the UK to Channel 5; since 2008 it had been largely paid for by the UK broadcaster as it was no longer commercially viable for Ten to fund it alone. In 2018, the show became the first Australian drama to air all year round after securing a new deal with Channel 5. In February 2022, Channel 5 announced that they would be dropping "Neighbours" from their network and the cancellation of the show was confirmed the following month. The was broadcast as a 90-minute long episode in Australia on 28 July 2022 on Network 10 and 10 Peach, while the finale in the United Kingdom aired as an hour-long episode on 29 July 2022. The finale was broadcast in Ireland on 3 August 2022 and in New Zealand on 2 September 2022. In November 2022, it was announced that Amazon Freevee and Fremantle had agreed to a deal that would restart production of "Neighbours" in 2023.


title: Neighbours

text: "Neighbours" was created by Australian TV executive Reg Watson. Watson got the idea for "Neighbours" from his time working on "Crossroads" and watching fellow soap "Coronation Street" in Britain. He had already created successful Australian made soap operas "The Young Doctors", "Prisoner" and "Sons and Daughters". Watson proposed the idea of making a show that would focus on more realistic stories and portray teens and adults who talk openly to each other and solve their problems together. He also wanted the show to appeal to both Australian and British audiences. Several titles were discussed, including "People Like Us", "One Way Street", "No Through Road" and "Living Together", before "Neighbours" was chosen. Watson said "In the end it came down to being what it is, a story around neighbours." Reporters from the "Herald Sun" said that Watson took his idea to the Nine Network in 1982, but it was rejected. He then went to the Seven Network, who commissioned the show in September 1984. The serial went into production that November with an $8 million budget. The show's initial premise focused on three households, made up of 12 core characters, living in Ramsay Street, dealing with everyday life with humour and drama. The first episode was broadcast on 18 March 1985 and reviews for the show were favourable. However, the Melbourne-produced programme underperformed in the Sydney market and Seven announced on 12 July 1985 that it was cancelling the show.


title: Neighbours

text: "Neighbours" was immediately bought by Seven's rival Network Ten. The new network had to build replica sets when it took over production after Seven destroyed the original sets to prevent the rival network obtaining them. Ten began screening the series with episode 171 on 20 January 1986. In 1986, the series was bought by the BBC as part of their new daytime schedule in the United Kingdom. "Neighbours" made its debut on BBC1 on 27 October 1986 starting with the pilot episode. It soon gained a loyal audience and the show became particularly popular with younger viewers, and before long was watched by up to 16 million viewers – more than the entire population of Australia at the time. In 1988, "Neighbours" became the only television show to have its entire cast flown over to the UK to make an appearance at the Royal Variety Performance in front of the Queen. "Neighbours" has since become the longest running drama series in Australian television and the seventh longest running serial drama still on the air in the world. In 2005, "Neighbours" celebrated its 20th anniversary and over twenty former cast members returned for a special episode, which saw the characters sitting down to watch a documentary about Ramsay Street and its residents. At the Logie Award ceremony that year, the show was inducted into the Logie Hall of Fame.