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John Rich, counsel for the communities, said Canada's current fisheries regime on the west coast which began to develop in the 1950s has pushed first nations out of the fisheries business because regulations are too cumbersome. He also said the government should negotiate with the Nuu chah nulth people to find a way forward. Trial judge ruled that Canada has a duty to consult and negotiate with the Nuu chah nulth people in order to ensure that their rights are being accommodated and freely exercised..

Unfortunately, those small houses now sell for close to $300k, well out of my budget. If they give you any problems you can always quote the CC and say by definition you are not making any structural changes. There is a large well known law firm in town that specializes in HOA issues if you get to that point.

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The bottom lineAcute rheumatic fever and its sequel, chronic rheumatic heart disease, are important global health problems: about 500000 new cases occur annually and 34 million people worldwide have rheumatic heart diseaseThe recent Australian and New Zealand Diagnostic Criteria extend the 1992 Jones criteria for acute rheumatic fever by including echocardiographic evidence of carditis and a wider spectrum of joint manifestations as major criteriaIntramuscular benzathine penicillin (benzathine benzylpenicillin) every 3 4 weeks, for 10 years after the most recent episode of rheumatic fever, remains the most effective method for preventing rheumatic fever recurrences and progressive rheumatic heart diseaseAcute rheumatic fever is an inflammatory response to group A streptococcal infection which typically occurs two to three weeks after a throat infection. Worldwide, approximately 500000 new cases of acute rheumatic fever occur annually, and at least 15 million people have chronic rheumatic heart disease.1 2 Acute rheumatic fever is characterised by a clinical syndrome, and the most common manifestations are painful joints and carditis. Carditis occurs in about 80% of people with rheumatic fever3 and commonly affects the mitral and aortic valves, resulting in regurgitation.4 Other less common clinical features include abnormal involuntary movements (chorea), rash (erythema marginatum), and subcutaneous nodules.The inflammatory process slowly resolves over weeks to months, but about half of individuals are left with chronic rheumatic heart disease.5 6 7 Although death from acute rheumatic carditis is not common, chronic rheumatic heart disease causes considerable morbidity including arrhythmias, stroke, infective endocarditis, pregnancy complications, and premature death.8 9 The aim of this review is to discuss acute rheumatic fever, in particular its diagnosis and management .
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