The Patient Protection and Affordable Care Act<span>, often shortened to the </span>Affordable Care Act<span> (</span>ACA<span>) or nicknamed Obamacare, is a </span>United States<span> federal statute </span>enacted<span> by the 111th </span>United States<span> Congress and signed into law by President Barack Obama on March 23, 2010. The term "Obamacare" was first used by opponents </span>
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Broadly speaking, a risk assessment is the combined effort of: identifying and analyzing potential events that may negatively impact individuals, assets, and/or the environment; and making judgments "on the tolerability of the risk on the basis of a risk analysis" while considering influencing factors.
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Girls usually begin puberty between the ages of 8 and 13 years old. The earliest sign of puberty in most girls is the development of breast "buds," nickel-sized bumps under the nipple.
Death is a likely outcome to untreated bulimia.