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Literature search: Inclusion and exclusion criteria were determined. Six databases were searched with the search criteria for inclusion being in English, peer reviewed and published between 2014 and 2019. In total 296 papers were identified. Developing A Clinical Practice Guideline For Surgical Diabetic Patients,Barbie Harbaugh, Diane Whitehead2020Walden UniversityDiabetes is a recognized risk factor for postoperative infection, acute renal failure, ileus, and a lengthy hospital stay. Optimal screening, management, and scheduling of elective surgery for diabetic patients have been shown to improve quality care, decrease complications, increase the efficiency, and lower the costs of preoperative patient care. However, surgery cancellations are common due to inadequate preoperative glycemic control and poor intraoperative glycemic control, which are recognized risk factors for perioperative or postoperative complications.



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Talks on the huge relief measure resumed on Saturday, focused on restoring a newly expired $600 per week supplemental unemployment benefit. Principal negotiators Treasury Secretary Steven Mnuchin, White House chief of staff Mark Meadows, top Senate Democrat Chuck Schumer, and House Speaker Nancy Pelosi convened again in hopes of breaking a week long stalemate. Speaking to reporters, negotiators on both sides said that the talks were productive and would continue on Monday. But during an interview Sunday, Pelosi made it clear the progress doesnt mean everyone is on the same page. We must defeat this virus. And that is one of the points that we still have not come to any agreement on, Pelosi said. The administration is willing to extend the $600 jobless benefit, at least in the short term, but is balking at other demands of Democratic negotiators like aid for state and local governments, food stamp increases, and assistance to renters and homeowners. Unemployment insurance is a principal element as the COVID 19 relief bill is expected to grow considerably from a $1 trillion plus GOP draft released this week. The $600 per week jobless benefit officially lapsed on Friday and Democrats have made it clear that they will not extend it without securing other relief priorities. Whatever unemployment aid negotiators agree on will be made retroactive but antiquated state unemployment systems are likely to take weeks to restore the benefits. On Friday afternoon, President Donald Trump took the issue surrounding negotiations to Twitter saying, the Democrats are holding back the $1,200 to $3,400 family of four checks that were ready to be sent out!Pelosi and Schumer have no interest in making a deal that is good for our Country and our People, Trump tweeted.



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Apart from the Brahmi inscriptions and other archeological evidence found in Tamil Nadu and the available Tamil literary works, the Rock Edicts of King Asoka also sheds much light on this subject. Even though the Pali chronicles did not mention the ethnic background of the ancient Sri Lankan Buddhists and the Buddhist kings right from Devanampiya Tissa, the Mahavamsa referred to the Non Buddhist kings as Tamils invaders. The above facts and the non existence of Tamil Buddhists during the colonial period due to the 10th century Chola invasion led the 19th century European Pali scholars who translated the Pali chronicles to assume and subsequently the present day Sri Lankans to believe that the ancient Buddhists and the Buddhists Kings of Sri Lanka were Sinhalese. Unfortunately, today there are no Tamil Buddhists in Sri Lanka but the majority of the early Tamils of Sri Lanka before the 10th century Chola invasion were Buddhists. The ancient Buddhist remains in the North and East of Sri Lanka are the remnants left by the Tamil Buddhists and not anybody else. They are part of the heritage of Sri Lankan Tamils. Only the Buddhist temples, statues and structures build in the recent past and present in the North and East remain as Sinhala Buddhist. The questions still remain, why are the Sri Lankans ignorant of their past or rather, why is the Sri Lanka's past hidden from its own people?Why do the Sri Lankans believe that the Buddhist sites in Sri Lanka belong only to the Sinhalese Sinhala heritage and not to the Tamils?Why are the Sri Lankans ignorant about the early Tamil Buddhists of Sri Lanka and Tamil Nadu?Why do the Sri Lankans think, in Sri Lanka a Buddhist should be a Sinhalese and a Hindu should be a Tamil while the Sinhalese worship most of the Hindu/Brahmanical Gods?Why do most Sinhala Buddhists believe that they are blood relatives of Lord Buddha Sakya clan?Why are the Sinhalese so ignorant to believe that the Tamils in Sri Lanka are either invaders or brought by the colonial rulers?Not only the Indians but even the Sri Lankan Tamils gave up Buddhism and accepted Hinduism. For them to go back to Buddhism, has 2500 years of Buddhism in Sri Lanka the so called Dhammadveepa influenced any major changes in the Sinhala society the so called guardians of Buddhism chosen by none other than the Buddha in terms of attitude, character, behavior, morality and so on or has it failed miserably?Are the Buddhist monks practicing Ahimsa non violence, Karuna compassion, Metta affection, and Maithriya loving kindness towards fellow humans irrespective of race/religion or are they in the name of Buddhism promoting ethno religious chauvinism and hatred?Buddhism in Sri Lanka is monopolized by the Sinhalese and they call it Sinhala Buddhism which is Theravada Buddhism Tripitaka mixed up with the Mahavamsa. Will the Sinhala Buddhist Maha Sangha accept any Tamil Buddhist monks?Will the Tamils accept Mahavamsa as a part of Buddhism or Buddhist history knowing very well that it is a Sinhala Buddhist mythology?Prof. Sunil Ariyaratne's dream of future Tamil Buddhists is very genuine and apt during this period.



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