GERD is often diagnosed simply by finding no improvement in heartburn symptoms in response to lifestyle changes and acid reflux medication. Gastroenterologists may also arrange the following investigations:
Trading blocs. A regional trading bloc is a group of countries within a geographical region that protect themselves from imports from non-members. Trading blocs are a form of economic integration, and increasingly shape the pattern of world trade. There are several types of trading bloc:
epiplexis-a rhetorical device in which the speaker reproaches the audience in order to incite or convince them. hendiadys-use of two conjoined nouns instead of a noun and modifier. hypallage-reversal of the syntactic relation of two words (as in `her beauty's face').itotes, meiosis-understatement for rhetorical effect (especially when expressing an affirmative by negating its contrary); saying `I was not a little upset' when you mean `I was very upset' is an example of litotes.