The condition called de Quervain's tenosynovitis causes pain on the inside of the wrist and forearm just above the thumb. It is a common problem affecting the wrist and is usually easy to diagnose.
â¢ DOUBLE FLAT (noun) The noun DOUBLE FLAT has 1 sense: 1. a musical notation of two flats in front of a note indicating that it is to be lowered by two semitones. Familiarity information: DOUBLE FLAT used as a noun is very rare.
Triple bottom line (abbreviated as TBL or 3BL) is an accounting framework with three parts: social, environmental (or ecological) and financial. These three divisions are also called the three Ps: people, planet and profit, or the three pillars of sustainability.Interest in triple bottom line accounting has been growing in both for-profit, nonprofit and government sectors.Many organizations have adopted the TBL framework to evaluate their performance in a broader context. The term was coined by John Elkington in 1994.ustainable development was defined by the Brundtland Commission of the United Nations in 1987. Triple bottom line (TBL) accounting expands the traditional reporting framework to take into account social and environmental performance in addition to financial performance.