Bombings and gunmen strike new US allies civilians in Iraq more

BAGHDAD (AP) - Car bombs and gunmen struck new U.S. allies, police and civilians in northern Iraq, killing as many as 53 people. The spate of attacks came even as the American military released a captured diary and another document they say show al-Qaida in Iraq cracking under a Sunni revolt against its brutal

Sunday's violence coincided with a visit by U.S. Defense Secretary Robert Gates to Baghdad, where he warned that hard choices face Iraq's political leaders on how to stabilize the country despite promising new signs of progress toward reconciliation.
The deadliest bombing on Sunday was near Balad, 80 kilometers (50 miles) north of Baghdad, against a checkpoint manned jointly by Iraqi police and members of an awakening group.
Iraqi police said a suicide truck bomber targeted a checkpoint manned by U.S.-allied fighters and Iraqi police at the entrance of a bridge in the district of Yathrib on the outskirts of Balad. Security forces opened fire on the driver, but he managed to detonate his payload, devastating a nearby car market and other stores.
Police in the joint coordination center of the surrounding Salahuddin province and hospital officials said 34 people were killed and 37 others were wounded. Capt. Kadim Hamid said many residents in the predominantly Sunni area had removed victims directly from the site because they feared going to the hospital in Balad's mostly Shiite center.
The U.S. military put the casualty toll at 23 killed, 25 wounded and said a car bomb exploded near an Iraqi checkpoint in a market in Balad, but it did not confirm it was a suicide attack. U.S. and Iraqi forces had secured the area and the wounded had been evacuated to hospitals, according to a statement.
It was one of the worst bombings this year amid a recent lull in violence and underscored U.S. warnings that al-Qaida in Iraq remains a serious threat despite military offensives that have severely curtailed its operations.
The explosion came hours after suspected al-Qaida-linked insurgents stormed two villages near the Syrian border but were repelled by U.S.-allied fighters and Iraqi security forces in clashes that left at least 22 people dead.
Sheik Fawaz al-Jarba, the head of the Mosul anti-al-Qaida group, and other officials said the 22 killed included 10 militants and six members of the so-called awakening group in the area, as well as four women and two children.
The U.S. military in northern Iraq confirmed an attack on compound housing its Sunni allies against al-Qaida in Iraq near Sinjar, about 100 kilometers (60 miles) west of Mosul, saying five U.S.-allied fighters were killed, five wounded and 10 insurgents were killed.
Insurgents also attacked a group of civilians elsewhere in the northern Ninevah province on Sunday, killing two men and one child and wounding two other men, two women and two infants, according to the military.
Iraqi police also said four civilians were killed Sunday when a tanker truck laden with explosives blew up near an Iraqi army checkpoint on Mosul's southern outskirts.
Iraqi Prime Minister Nouri al-Maliki has promised a

Mosul but given no start date. The U.S. military has warned it will not be a swift strike, but rather a grinding campaign that will require more firepower.
An al-Qaida front group for northern Iraq warned last week in an Internet statement that it was launching its own campaign in Mosul and surrounding areas.
In all, 70 people were reported killed or found dead by police on Sunday, one of the highest nationwide death tolls in recent months. That figure included three policemen who perished in a suicide car bombing at a checkpoint in the Anbar city of Fallujah and 10 bullet-riddled bodies showing signs of torture.
Rear Adm. Gregory Smith, a U.S. military spokesman, said the documents released Sunday offered proof that al-Qaida in Iraq had been severely disrupted by the so-called awakening movement and changing U.S. tactics, but he stressed the terror network was by no means defeated.
The military said the two documents were discovered last year by American troops in November as the Sunni movement that began in Anbar province was spreading to Baghdad and surrounding areas.
One was a 39-page memo written by a mid- to high-level al-Qaida official with knowledge of the group's operations in Iraq's western Anbar province; the other a 16-page diary written by another group leader north of Baghdad.
The documents tell

This does not signal the end of al-Qaida in Iraq, but it is a contemporary account of the challenges posed to terrorists from the people of Iraq.
He said the documents are believed to be authentic because they contain details that only al-Qaida in Iraq leaders could know about battlefield movements and tactics. The U.S. military gave reporters partially redacted copies of the full diary but only four pages of the Anbar document, citing security reasons. Both were provided in the original Arabic and an English translation.
In the Anbar document, the author acknowledges a growing weariness among Sunni citizens of militants' presence and the U.S.-led crackdowns against them. He also expresses frustration with foreign fighters too eager to participate in suicide missions rather than continuing to fight.

It said U.S.-led forces had learned from their mistakes and improved security had made it harder to transport weapons and suicide belts and forced foreign fighters to go underground because of their distinctive dialects.
The military said the memo was believed to have been written last summer and was intended for the author's superiors.
The diary, seized by U.S. troops south of Balad, was written in autumn 2007 by Abu Tariq, who refers to himself as sector leader for al-Qaida in Iraq. Tariq wrote that he was once in charge of 600 fighters, but only 20 were left

Sunni tribesmen have switched sides to fight alongside the Americans, Smith said.
The Sunni tribes' alliance with U.S. forces is credited with helping reduce violence across the country, along with an influx of some 30,000 American troops. A security crackdown that began in Baghdad and surrounding areas a year ago also has driven the militants north.
Mosul, 360 kilometers (225 miles) northwest of Baghdad and the capital of Ninevah province, is believed to be the last major urban stronghold for al-Qaida in Iraq.

Gastritis refers to physical, chemical or biological role of harmful factor in the human body, cause inflammation of the gastric mucosa change a disease. According to sub-acute and chronic disease two. High incidence of the latter.

Etiology and pathogenesis of

(1) acute gastritis mostly secondary, serious infections (septicemia), shock, intracranial injury, serious burns, respiratory failure and other serious diseases caused by the stress response; reach toxic substances and Fushiji; intake from toxins and bacteria contaminated food; taking on gastric mucosal damage and drugs; food allergy; foreign body in stomach; emotional fluctuations, and the spirit of tension caused by various factors, such as allergic can cause acute inflammation of the gastric mucosa.

(2) chronic gastritis factor is the long-term harmful effects on the gastric mucosa caused repeated injury results in children with chronic gastritis in a superficial gastritis most common, about 90% to more than 95%, atrophic gastritis minimal. Cause has not yet entirely clear, the following factors may be relevant.

1, in recent years, has confirmed that the stomach of Helicobacter pylori infection as the main cause of the event, severe gastritis HP detection rate of 90% to 100%.

2, bacterial and viral infection after suffering from acute gastritis part of the patient prolonged gastric mucosal lesions Fuyu, develop into chronic gastritis; some children sinus, oral lesions, etc. infection, swallowed bacteria and toxins that cause gastric inflammation.

3

Baoyin, overeating, drinking tea, coffee and aspirin and other non-steroidal anti-inflammatory drugs.

5, continued to use the spirit of God tension, the pressure was too great.

6, the impact of a variety of chronic diseases such as chronic nephritis, uremia, severe diabetes, liver and gallbladder diseases, rheumatoid arthritis, systemic lupus erythematosus, etc..

7, other factors, such as X-rays, gastric contents stranded, genetic, immunization, nutrition, and other factors and incidence of a husband.

Clinical

(1) the incidence of acute gastritis sharp, light, the only loss of appetite, abdominal pain, nausea, vomiting, there will be serious hematemesis, and then, dehydration, electrolyte and acid-base balance disorders, bacterial infections accompanied systemic poisoning symptoms .

(B) Common symptoms of chronic gastritis for the repeated attacks, no laws of the abdominal pain, often in pain during or after meal consumption, the majority located in the abdomen, Qizhou, some children with no fixed location; light, intermittent pain for the Duntong or, for serious violent colic; accompanied loss of appetite, nausea, vomiting, abdominal distension, in turn affect the growth and nutritional status. Erosion gastric bleeding associated with hematemesis, and will.

Pathological

1. Acute gastritis performance for the epithelial cell degeneration and necrosis, the large number of membrane inherent neutrophil infiltration, there are no or very few lymphocytes, plasma cells, glandular cells were varying degrees degeneration and necrosis.

2. Chronic gastritis superficial gastritis see epithelial cell degeneration, small concave cell hyperplasia, inflammatory cell membrane inherent mainly lymphocytes, plasma cell infiltration, atrophic gastritis mainly inherent gland atrophy, intestinal metaplasia gland inflammation and infiltration.

Treatment

(A) Removal of acute gastritis etiology, pathogenesis of active treatment to avoid taking any provocative food and drugs, promptly corrected water, electrolyte imbalance; upper gastrointestinal bleeding should bed rest, monitoring vital signs, H2 receptor antagonist infusion agents such as cimetidine, ranitidine, or proton pump inhibitor omeprazole (Losec), blood transfusion and plasma bacterial infection of effective antibiotics.

(2) chronic gastritis

1. Removal of the causes and treatment of active disease.

2. Diet therapy to develop good eating habits and life of the law. Quantitative eating regularly, and avoid taking food and gastric irritation damaging drugs.

3.

Additional information :

From www.pr-inside.com:
Of the case records of 39 children and young people admitted to the. 8 hospitals in the sample. Senior management and staff in Health.
Four years ago, the child clinics were transferred to the Health and Hospitals Corporation, which runs the public hospital system, and advocates.
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