title: Prosthesis

text: After shape capture, the second phase of the socket production is called rectification, which is the process of modifying the model of the residual limb by adding volume to bony prominence and potential pressure points and remove volume from load bearing area. This can be done manually by adding or removing plaster to the positive model, or virtually by manipulating the computerized model in the software. Lastly, the fabrication of the prosthetic socket begins once the model has been rectified and finalized. The prosthetists would wrap the positive model with a semi-molten plastic sheet or carbon fiber coated with epoxy resin to construct the prosthetic socket. For the computerized model, it can be 3D printed using a various of material with different flexibility and mechanical strength.


title: Prosthesis

text: Optimal socket fit between the residual limb and socket is critical to the function and usage of the entire prosthesis. If the fit between the residual limb and socket attachment is too loose, this will reduce the area of contact between the residual limb and socket or liner, and increase pockets between residual limb skin and socket or liner. Pressure then is higher, which can be painful. Air pockets can allow sweat to accumulate that can soften the skin. Ultimately, this is a frequent cause for itchy skin rashes. Over time, this can lead to breakdown of the skin. On the other hand, a very tight fit may excessively increase the interface pressures that may also lead to skin breakdown after prolonged use.


title: Prosthesis

text: Current technology allows body-powered arms to weigh around one-half to one-third of what a myoelectric arm does.


title: Prosthesis

text: Current body-powered arms contain sockets that are built from hard epoxy or carbon fiber. These sockets or "interfaces" can be made more comfortable by lining them with a softer, compressible foam material that provides padding for the bone prominences. A self-suspending or supra-condylar socket design is useful for those with short to mid-range below elbow absence. Longer limbs may require the use of a locking roll-on type inner liner or more complex harnessing to help augment suspension.


title: Prosthesis

text: Wrist units are either screw-on connectors featuring the UNF 1/2-20 thread (USA) or quick-release connector, of which there are different models.


title: Prosthesis

text: Two types of body-powered systems exist, voluntary opening "pull to open" and voluntary closing "pull to close". Virtually all "split hook" prostheses operate with a voluntary opening type system.


title: Prosthesis

text: More modern "prehensors" called GRIPS utilize voluntary closing systems. The differences are significant. Users of voluntary opening systems rely on elastic bands or springs for gripping force, while users of voluntary closing systems rely on their own body power and energy to create gripping force.


title: Prosthesis

text: Voluntary closing users can generate prehension forces equivalent to the normal hand, up to or exceeding one hundred pounds. Voluntary closing GRIPS require constant tension to grip, like a human hand, and in that property, they do come closer to matching human hand performance. Voluntary opening split hook users are limited to forces their rubber or springs can generate which usually is below 20 pounds.


title: Prosthesis

text: An additional difference exists in the biofeedback created that allows the user to "feel" what is being held. Voluntary opening systems once engaged provide the holding force so that they operate like a passive vice at the end of the arm. No gripping feedback is provided once the hook has closed around the object being held. Voluntary closing systems provide directly proportional control and biofeedback so that the user can feel how much force that they are applying.


title: Prosthesis

text: In 1997, the Colombian Prof. Álvaro Ríos Poveda, a researcher in bionics in Latin America, developed an upper limb and hand prosthesis with sensory feedback. This technology allows amputee patients to handle prosthetic hand systems in a more natural way.


title: Prosthesis

text: A recent study showed that by stimulating the median and ulnar nerves, according to the information provided by the artificial sensors from a hand prosthesis, physiologically appropriate (near-natural) sensory information could be provided to an amputee. This feedback enabled the participant to effectively modulate the grasping force of the prosthesis with no visual or auditory feedback.


title: Prosthesis

text: In February 2013, researchers from École Polytechnique Fédérale de Lausanne in Switzerland and the Scuola Superiore Sant'Anna in Italy, implanted electrodes into an amputee's arm, which gave the patient sensory feedback and allowed for real time control of the prosthetic. With wires linked to nerves in his upper arm, the Danish patient was able to handle objects and instantly receive a sense of touch through the special artificial hand that was created by Silvestro Micera and researchers both in Switzerland and Italy.


title: Prosthesis

text: In July 2019, this technology was expanded on even further by researchers from the University of Utah, led by Jacob George. The group of researchers implanted electrodes into the patient's arm to map out several sensory precepts. They would then stimulate each electrode to figure out how each sensory precept was triggered, then proceed to map the sensory information onto the prosthetic. This would allow the researchers to get a good approximation of the same kind of information that the patient would receive from their natural hand. Unfortunately, the arm is too expensive for the average user to acquire, however, Jacob mentioned that insurance companies could cover the costs of the prosthetic.


title: Prosthesis

text: Voluntary opening split hook systems are simple, convenient, light, robust, versatile and relatively affordable.


title: Prosthesis

text: A hook does not match a normal human hand for appearance or overall versatility, but its material tolerances can exceed and surpass the normal human hand for mechanical stress (one can even use a hook to slice open boxes or as a hammer whereas the same is not possible with a normal hand), for thermal stability (one can use a hook to grip items from boiling water, to turn meat on a grill, to hold a match until it has burned down completely) and for chemical hazards (as a metal hook withstands acids or lye, and does not react to solvents like a prosthetic glove or human skin).


title: Prosthesis

text: Prosthetic hands are available in both voluntary opening and voluntary closing versions and because of their more complex mechanics and cosmetic glove covering require a relatively large activation force, which, depending on the type of harness used, may be uncomfortable. A recent study by the Delft University of Technology, The Netherlands, showed that the development of mechanical prosthetic hands has been neglected during the past decades. The study showed that the pinch force level of most current mechanical hands is too low for practical use. The best tested hand was a prosthetic hand developed around 1945. In 2017 however, a research has been started with bionic hands by Laura Hruby of the Medical University of Vienna. A few open-hardware 3-D printable bionic hands have also become available. Some companies are also producing robotic hands with integrated forearm, for fitting unto a patient's upper arm and in 2020, at the Italian Institute of Technology (IIT), another robotic hand with integrated forearm (Soft Hand Pro) was developed.


title: Prosthesis

text: Hosmer and Otto Bock are major commercial hook providers. Mechanical hands are sold by Hosmer and Otto Bock as well; the Becker Hand is still manufactured by the Becker family. Prosthetic hands may be fitted with standard stock or custom-made cosmetic looking silicone gloves. But regular work gloves may be worn as well. Other terminal devices include the V2P Prehensor, a versatile robust gripper that allows customers to modify aspects of it, Texas Assist Devices (with a whole assortment of tools) and TRS that offers a range of terminal devices for sports. Cable harnesses can be built using aircraft steel cables, ball hinges, and self-lubricating cable sheaths. Some prosthetics have been designed specifically for use in salt water.


title: Prosthesis

text: Lower-extremity prosthetics describes artificially replaced limbs located at the hip level or lower. Concerning all ages Ephraim et al. (2003) found a worldwide estimate of all-cause lower-extremity amputations of 2.0–5.9 per 10,000 inhabitants. For birth prevalence rates of congenital limb deficiency they found an estimate between 3.5 and 7.1 cases per 10,000 births.


title: Prosthesis

text: The two main subcategories of lower extremity prosthetic devices are trans-tibial (any amputation transecting the tibia bone or a congenital anomaly resulting in a tibial deficiency), and trans-femoral (any amputation transecting the femur bone or a congenital anomaly resulting in a femoral deficiency). In the prosthetic industry, a trans-tibial prosthetic leg is often referred to as a "BK" or below the knee prosthesis while the trans-femoral prosthetic leg is often referred to as an "AK" or above the knee prosthesis.


title: Prosthesis

text: The socket serves as an interface between the residuum and the prosthesis, ideally allowing comfortable weight-bearing, movement control and proprioception. Socket problems, such as discomfort and skin breakdown, are rated among the most important issues faced by lower-limb amputees.


title: Prosthesis

text: This part creates distance and support between the knee-joint and the foot (in case of an upper-leg prosthesis) or between the socket and the foot. The type of connectors that are used between the shank and the knee/foot determines whether the prosthesis is modular or not. Modular means that the angle and the displacement of the foot in respect to the socket can be changed after fitting. In developing countries prosthesis mostly are non-modular, in order to reduce cost. When considering children modularity of angle and height is important because of their average growth of 1.9 cm annually.


title: Prosthesis

text: Providing contact to the ground, the foot provides shock absorption and stability during stance. Additionally it influences gait biomechanics by its shape and stiffness. This is because the trajectory of the center of pressure (COP) and the angle of the ground reaction forces is determined by the shape and stiffness of the foot and needs to match the subject's build in order to produce a normal gait pattern. Andrysek (2010) found 16 different types of feet, with greatly varying results concerning durability and biomechanics. The main problem found in current feet is durability, endurance ranging from 16 to 32 months These results are for adults and will probably be worse for children due to higher activity levels and scale effects. Evidence comparing different types of feet and ankle prosthetic devices is not strong enough to determine if one mechanism of ankle/foot is superior to another. When deciding on a device, the cost of the device, a person's functional need, and the availability of a particular device should be considered.


title: Prosthesis

text: In case of a trans-femoral (above knee) amputation, there also is a need for a complex connector providing articulation, allowing flexion during swing-phase but not during stance. As its purpose is to replace the knee, the prosthetic knee joint is the most critical component of the prosthesis for trans-femoral amputees. The function of the good prosthetic knee joint is to mimic the function of the normal knee, such as providing structural support and stability during stance phase but able to flex in a controllable manner during swing phase. Hence it allows users to have a smooth and energy efficient gait and minimize the impact of amputation. The prosthetic knee is connected to the prosthetic foot by the shank, which is usually made of an aluminum or graphite tube.


title: Prosthesis

text: One of the most important aspect of a prosthetic knee joint would be its stance-phase control mechanism. The function of stance-phase control is to prevent the leg from buckling when the limb is loaded during weight acceptance. This ensures the stability of the knee in order to support the single limb support task of stance phase and provides a smooth transition to the swing phase. Stance phase control can be achieved in several ways including the mechanical locks, relative alignment of prosthetic components, weight activated friction control, and polycentric mechanisms.


title: Prosthesis

text: To mimic the knee's functionality during gait, microprocessor-controlled knee joints have been developed that control the flexion of the knee. Some examples are Otto Bock's C-leg, introduced in 1997, Ossur's Rheo Knee, released in 2005, the Power Knee by Ossur, introduced in 2006, the Plié Knee from Freedom Innovations and DAW Industries' Self Learning Knee (SLK).


title: Prosthesis

text: A microprocessor is used to interpret and analyze signals from knee-angle sensors and moment sensors. The microprocessor receives signals from its sensors to determine the type of motion being employed by the amputee. Most microprocessor controlled knee-joints are powered by a battery housed inside the prosthesis.


title: Prosthesis

text: The sensory signals computed by the microprocessor are used to control the resistance generated by hydraulic cylinders in the knee-joint. Small valves control the amount of hydraulic fluid that can pass into and out of the cylinder, thus regulating the extension and compression of a piston connected to the upper section of the knee.


title: Prosthesis

text: The main advantage of a microprocessor-controlled prosthesis is a closer approximation to an amputee's natural gait. Some allow amputees to walk near walking speed or run. Variations in speed are also possible and are taken into account by sensors and communicated to the microprocessor, which adjusts to these changes accordingly. It also enables the amputees to walk downstairs with a step-over-step approach, rather than the one step at a time approach used with mechanical knees. There is some research suggesting that people with microprocessor-controlled prostheses report greater satisfaction and improvement in functionality, residual limb health, and safety. People may be able to perform everyday activities at greater speeds, even while multitasking, and reduce their risk of falls.


title: Prosthesis

text: However, some have some significant drawbacks that impair its use. They can be susceptible to water damage and thus great care must be taken to ensure that the prosthesis remains dry.


title: Prosthesis

text: A myoelectric prosthesis uses the electrical tension generated every time a muscle contracts, as information. This tension can be captured from voluntarily contracted muscles by electrodes applied on the skin to control the movements of the prosthesis, such as elbow flexion/extension, wrist supination/pronation (rotation) or opening/closing of the fingers. A prosthesis of this type utilizes the residual neuromuscular system of the human body to control the functions of an electric powered prosthetic hand, wrist, elbow or foot. This is different from an electric switch prosthesis, which requires straps and/or cables actuated by body movements to actuate or operate switches that control the movements of the prosthesis. There is no clear evidence concluding that myoelectric upper extremity prostheses function better than body-powered prostheses. Advantages to using a myoelectric upper extremity prosthesis include the potential for improvement in cosmetic appeal (this type of prosthesis may have a more natural look), may be better for light everyday activities, and may be beneficial for people experiencing phantom limb pain. When compared to a body-powered prosthesis, a myoelectric prosthesis may not be as durable, may have a longer training time, may require more adjustments, may need more maintenance, and does not provide feedback to the user.


title: Prosthesis

text: The USSR was the first to develop a myoelectric arm in 1958, while the first myoelectric arm became commercial in 1964 by the Central Prosthetic Research Institute of the USSR, and distributed by the Hangar Limb Factory of the UK.


title: Prosthesis

text: Robots can be used to generate objective measures of patient's impairment and therapy outcome, assist in diagnosis, customize therapies based on patient's motor abilities, and assure compliance with treatment regimens and maintain patient's records. It is shown in many studies that there is a significant improvement in upper limb motor function after stroke using robotics for upper limb rehabilitation.


title: Prosthesis

text: In order for a robotic prosthetic limb to work, it must have several components to integrate it into the body's function: Biosensors detect signals from the user's nervous or muscular systems. It then relays this information to a microcontroller located inside the device, and processes feedback from the limb and actuator, e.g., position or force, and sends it to the controller. Examples include surface electrodes that detect electrical activity on the skin, needle electrodes implanted in muscle, or solid-state electrode arrays with nerves growing through them. One type of these biosensors are employed in myoelectric prostheses.


title: Prosthesis

text: A device known as the controller is connected to the user's nerve and muscular systems and the device itself. It sends intention commands from the user to the actuators of the device and interprets feedback from the mechanical and biosensors to the user. The controller is also responsible for the monitoring and control of the movements of the device.


title: Prosthesis

text: An actuator mimics the actions of a muscle in producing force and movement. Examples include a motor that aids or replaces original muscle tissue.


title: Prosthesis

text: Targeted muscle reinnervation (TMR) is a technique in which motor nerves, which previously controlled muscles on an amputated limb, are surgically rerouted such that they reinnervate a small region of a large, intact muscle, such as the pectoralis major. As a result, when a patient thinks about moving the thumb of their missing hand, a small area of muscle on their chest will contract instead. By placing sensors over the reinnervated muscle, these contractions can be made to control the movement of an appropriate part of the robotic prosthesis.


title: Prosthesis

text: A variant of this technique is called targeted sensory reinnervation (TSR). This procedure is similar to TMR, except that sensory nerves are surgically rerouted to skin on the chest, rather than motor nerves rerouted to muscle. Recently, robotic limbs have improved in their ability to take signals from the human brain and translate those signals into motion in the artificial limb. DARPA, the Pentagon's research division, is working to make even more advancements in this area. Their desire is to create an artificial limb that ties directly into the nervous system.


title: Prosthesis

text: Advancements in the processors used in myoelectric arms have allowed developers to make gains in fine-tuned control of the prosthetic. The Boston Digital Arm is a recent artificial limb that has taken advantage of these more advanced processors. The arm allows movement in five axes and allows the arm to be programmed for a more customized feel. Recently the I-LIMB Hand, invented in Edinburgh, Scotland, by David Gow has become the first commercially available hand prosthesis with five individually powered digits. The hand also possesses a manually rotatable thumb which is operated passively by the user and allows the hand to grip in precision, power, and key grip modes.


title: Prosthesis

text: Another neural prosthetic is Johns Hopkins University Applied Physics Laboratory Proto 1. Besides the Proto 1, the university also finished the Proto 2 in 2010. Early in 2013, Max Ortiz Catalan and Rickard Brånemark of the Chalmers University of Technology, and Sahlgrenska University Hospital in Sweden, succeeded in making the first robotic arm which is mind-controlled and can be permanently attached to the body (using osseointegration).


title: Prosthesis

text: An approach that is very useful is called arm rotation which is common for unilateral amputees which is an amputation that affects only one side of the body; and also essential for bilateral amputees, a person who is missing or has had amputated either both arms or legs, to carry out activities of daily living. This involves inserting a small permanent magnet into the distal end of the residual bone of subjects with upper limb amputations. When a subject rotates the residual arm, the magnet will rotate with the residual bone, causing a change in magnetic field distribution. EEG (electroencephalogram) signals, detected using small flat metal discs attached to the scalp, essentially decoding human brain activity used for physical movement, is used to control the robotic limbs. This allows the user to control the part directly.


title: Prosthesis

text: The research of robotic legs has made some advancement over time, allowing exact movement and control.


title: Prosthesis

text: Researchers at the Rehabilitation Institute of Chicago announced in September 2013 that they have developed a robotic leg that translates neural impulses from the user's thigh muscles into movement, which is the first prosthetic leg to do so. It is currently in testing.


title: Prosthesis

text: Hugh Herr, head of the biomechatronics group at MIT's Media Lab developed a robotic transtibial leg (PowerFoot BiOM).


title: Prosthesis

text: The Icelandic company Össur has also created a robotic transtibial leg with motorized ankle that moves through algorithms and sensors that automatically adjust the angle of the foot during different points in its wearer's stride. Also there are brain-controlled bionic legs that allow an individual to move his limbs with a wireless transmitter.


title: Prosthesis

text: The main goal of a robotic prosthesis is to provide active actuation during gait to improve the biomechanics of gait, including, among other things, stability, symmetry, or energy expenditure for amputees. There are several powered prosthetic legs currently on the market, including fully powered legs, in which actuators directly drive the joints, and semi-active legs, which use small amounts of energy and a small actuator to change the mechanical properties of the leg but do not inject net positive energy into gait. Specific examples include The emPOWER from BionX, the Proprio Foot from Ossur, and the Elan Foot from Endolite. Various research groups have also experimented with robotic legs over the last decade. Central issues being researched include designing the behavior of the device during stance and swing phases, recognizing the current ambulation task, and various mechanical design problems such as robustness, weight, battery-life/efficiency, and noise-level. However, scientists from Stanford University and Seoul National University has developed artificial nerves system that will help prosthetic limbs feel. This synthetic nerve system enables prosthetic limbs sense braille, feel the sense of touch and respond to the environment.


title: Prosthesis

text: Most prostheses can be attached to the exterior of the body, in a non-permanent way. Some others however can be attached in a permanent way. One such example are exoprostheses (see below).


title: Prosthesis

text: Osseointegration is a method of attaching the artificial limb to the body. This method is also sometimes referred to as exoprosthesis (attaching an artificial limb to the bone), or endo-exoprosthesis.


title: Prosthesis

text: The stump and socket method can cause significant pain in the amputee, which is why the direct bone attachment has been explored extensively. The method works by inserting a titanium bolt into the bone at the end of the stump. After several months the bone attaches itself to the titanium bolt and an abutment is attached to the titanium bolt. The abutment extends out of the stump and the (removable) artificial limb is then attached to the abutment. Some of the benefits of this method include the following:


title: Prosthesis

text: The main disadvantage of this method is that amputees with the direct bone attachment cannot have large impacts on the limb, such as those experienced during jogging, because of the potential for the bone to break.


title: Prosthesis

text: Cosmetic prosthesis has long been used to disguise injuries and disfigurements. With advances in modern technology, cosmesis, the creation of lifelike limbs made from silicone or PVC, has been made possible. Such prosthetics, including artificial hands, can now be designed to simulate the appearance of real hands, complete with freckles, veins, hair, fingerprints and even tattoos.


title: Prosthesis

text: Custom-made cosmeses are generally more expensive (costing thousands of U.S. dollars, depending on the level of detail), while standard cosmeses come premade in a variety of sizes, although they are often not as realistic as their custom-made counterparts. Another option is the custom-made silicone cover, which can be made to match a person's skin tone but not details such as freckles or wrinkles. Cosmeses are attached to the body in any number of ways, using an adhesive, suction, form-fitting, stretchable skin, or a skin sleeve.


title: Prosthesis

text: Unlike neuromotor prostheses, neurocognitive prostheses would sense or modulate neural function in order to physically reconstitute or augment cognitive processes such as executive function, attention, language, and memory. No neurocognitive prostheses are currently available but the development of implantable neurocognitive brain-computer interfaces has been proposed to help treat conditions such as stroke, traumatic brain injury, cerebral palsy, autism, and Alzheimer's disease.


title: Prosthesis

text: The recent field of Assistive Technology for Cognition concerns the development of technologies to augment human cognition. Scheduling devices such as Neuropage remind users with memory impairments when to perform certain activities, such as visiting the doctor. Micro-prompting devices such as PEAT, AbleLink and Guide have been used to aid users with memory and executive function problems perform activities of daily living.


title: Prosthesis

text: In addition to the standard artificial limb for everyday use, many amputees or congenital patients have special limbs and devices to aid in the participation of sports and recreational activities.


title: Prosthesis

text: Within science fiction, and, more recently, within the scientific community, there has been consideration given to using advanced prostheses to replace healthy body parts with artificial mechanisms and systems to improve function. The morality and desirability of such technologies are being debated by transhumanists, other ethicists, and others in general. Body parts such as legs, arms, hands, feet, and others can be replaced.


title: Prosthesis

text: The first experiment with a healthy individual appears to have been that by the British scientist Kevin Warwick. In 2002, an implant was interfaced directly into Warwick's nervous system. The electrode array, which contained around a hundred electrodes, was placed in the median nerve. The signals produced were detailed enough that a robot arm was able to mimic the actions of Warwick's own arm and provide a form of touch feedback again via the implant.


title: Prosthesis

text: The DEKA company of Dean Kamen developed the "Luke arm", an advanced nerve-controlled prosthetic. Clinical trials began in 2008, with FDA approval in 2014 and commercial manufacturing by the Universal Instruments Corporation expected in 2017. The price offered at retail by Mobius Bionics is expected to be around $100,000.


title: Prosthesis

text: Further research in April 2019, there have been improvements towards prosthetic function and comfort of 3D-printed personalized wearable systems. Instead of manual integration after printing, integrating electronic sensors at the intersection between a prosthetic and the wearer's tissue can gather information such as pressure across wearer's tissue, that can help improve further iteration of these types of prosthetic.


title: Prosthesis

text: In early 2008, Oscar Pistorius, the "Blade Runner" of South Africa, was briefly ruled ineligible to compete in the 2008 Summer Olympics because his transtibial prosthesis limbs were said to give him an unfair advantage over runners who had ankles. One researcher found that his limbs used twenty-five percent less energy than those of a non-disabled runner moving at the same speed. This ruling was overturned on appeal, with the appellate court stating that the overall set of advantages and disadvantages of Pistorius' limbs had not been considered.


title: Prosthesis

text: Pistorius did not qualify for the South African team for the Olympics, but went on to sweep the 2008 Summer Paralympics, and has been ruled eligible to qualify for any future Olympics. He qualified for the 2011 World Championship in South Korea and reached the semi-final where he ended last timewise, he was 14th in the first round, his personal best at 400m would have given him 5th place in the finals. At the 2012 Summer Olympics in London, Pistorius became the first amputee runner to compete at an Olympic Games. He ran in the 400 metres race semi-finals, and the 4 × 400 metres relay race finals. He also competed in 5 events in the 2012 Summer Paralympics in London.


title: Prosthesis

text: There are multiple factors to consider when designing a transtibial prosthesis. Manufacturers must make choices about their priorities regarding these factors.


title: Prosthesis

text: Nonetheless, there are certain elements of socket and foot mechanics that are invaluable for the athlete, and these are the focus of today's high-tech prosthetics companies:


title: Prosthesis

text: In the USA a typical prosthetic limb costs anywhere between $15,000 and $90,000, depending on the type of limb desired by the patient. With medical insurance, a patient will typically pay 10%–50% of the total cost of a prosthetic limb, while the insurance company will cover the rest of the cost. The percent that the patient pays varies on the type of insurance plan, as well as the limb requested by the patient. In the United Kingdom, much of Europe, Australia and New Zealand the entire cost of prosthetic limbs is met by state funding or statutory insurance. For example, in Australia prostheses are fully funded by state schemes in the case of amputation due to disease, and by workers compensation or traffic injury insurance in the case of most traumatic amputations. The National Disability Insurance Scheme, which is being rolled out nationally between 2017 and 2020 also pays for prostheses.


title: Prosthesis

text: Transradial (below the elbow amputation) and transtibial prostheses (below the knee amputation) typically cost between US $6,000 and $8,000, while transfemoral (above the knee amputation) and transhumeral prosthetics (above the elbow amputation) cost approximately twice as much with a range of $10,000 to $15,000 and can sometimes reach costs of $35,000. The cost of an artificial limb often recurs, while a limb typically needs to be replaced every 3–4 years due to wear and tear of everyday use. In addition, if the socket has fit issues, the socket must be replaced within several months from the onset of pain. If height is an issue, components such as pylons can be changed.


title: Prosthesis

text: Not only does the patient need to pay for their multiple prosthetic limbs, but they also need to pay for physical and occupational therapy that come along with adapting to living with an artificial limb. Unlike the reoccurring cost of the prosthetic limbs, the patient will typically only pay the $2000 to $5000 for therapy during the first year or two of living as an amputee. Once the patient is strong and comfortable with their new limb, they will not be required to go to therapy anymore. Throughout one's life, it is projected that a typical amputee will go through $1.4 million worth of treatment, including surgeries, prosthetics, as well as therapies.


title: Prosthesis

text: Low-cost above-knee prostheses often provide only basic structural support with limited function. This function is often achieved with crude, non-articulating, unstable, or manually locking knee joints. A limited number of organizations, such as the International Committee of the Red Cross (ICRC), create devices for developing countries. Their device which is manufactured by CR Equipments is a single-axis, manually operated locking polymer prosthetic knee joint.


title: Prosthesis

text: A plan for a low-cost artificial leg, designed by Sébastien Dubois, was featured at the 2007 International Design Exhibition and award show in Copenhagen, Denmark, where it won the . It would be able to create an energy-return prosthetic leg for US $8.00, composed primarily of fiberglass.


title: Prosthesis

text: Prior to the 1980s, foot prostheses merely restored basic walking capabilities. These early devices can be characterized by a simple artificial attachment connecting one's residual limb to the ground.


title: Prosthesis

text: The introduction of the Seattle Foot (Seattle Limb Systems) in 1981 revolutionized the field, bringing the concept of an Energy Storing Prosthetic Foot (ESPF) to the fore. Other companies soon followed suit, and before long, there were multiple models of energy storing prostheses on the market. Each model utilized some variation of a compressible heel. The heel is compressed during initial ground contact, storing energy which is then returned during the latter phase of ground contact to help propel the body forward.


title: Prosthesis

text: Since then, the foot prosthetics industry has been dominated by steady, small improvements in performance, comfort, and marketability.


title: Prosthesis

text: With 3D printers, it is possible to manufacture a single product without having to have metal molds, so the costs can be drastically reduced.


title: Prosthesis

text: There is currently an open-design Prosthetics forum known as the "Open Prosthetics Project". The group employs collaborators and volunteers to advance Prosthetics technology while attempting to lower the costs of these necessary devices. Open Bionics is a company that is developing open-source robotic prosthetic hands. They utilize 3D printing to manufacture the devices and low-cost 3D scanners to fit them onto the residual limb of a specific patient. Open Bionics' use of 3D printing allows for more personalized designs, such as the "Hero Arm" which incorporates the users favourite colours, textures, and even aesthetics to look like superheroes or characters from Star Wars with the aim of lowering the cost. A review study on a wide range of printed prosthetic hands, found that although 3D printing technology holds a promise for individualised prosthesis design, and it is cheaper than commercial prostheses available on the market, yet more expensive than mass production processes such as injection molding. The same study also found that evidence on the functionality, durability and user acceptance of 3D printed hand prostheses is still lacking.


title: Prosthesis

text: In the USA an estimate was found of 32,500 children (<21 years) had a major paediatric amputation, with 5,525 new cases each year, of which 3,315 congenital.


title: Prosthesis

text: Carr et al. (1998) investigated amputations caused by landmines for Afghanistan, Bosnia and Herzegovina, Cambodia and Mozambique among children (<14 years), showing estimates of respectively 4.7, 0.19, 1.11 and 0.67 per 1000 children. Mohan (1986) indicated in India a total of 424,000 amputees (23,500 annually), of which 10.3% had an onset of disability below the age of 14, amounting to a total of about 43,700 limb deficient children in India alone.


title: Prosthesis

text: Few low-cost solutions have been created specially for children. Examples of low-cost prosthetic devices include:


title: Prosthesis

text: This hand-held pole with leather support band or platform for the limb is one of the simplest and cheapest solutions found. It serves well as a short-term solution, but is prone to rapid contracture formation if the limb is not stretched daily through a series of range-of motion (RoM) sets.


title: Prosthesis

text: This also fairly simple solution comprises a plaster socket with a bamboo or PVC pipe at the bottom, optionally attached to a prosthetic foot. This solution prevents contractures because the knee is moved through its full RoM. The David Werner Collection, an online database for the assistance of disabled village children, displays manuals of production of these solutions.


title: Prosthesis

text: This solution is built using a bicycle seat post up side down as foot, generating flexibility and (length) adjustability. It is a very cheap solution, using locally available materials.


title: Prosthesis

text: It is an endoskeletal modular lower limb from India, which uses thermoplastic parts. Its main advantages are the small weight and adaptability.


title: Prosthesis

text: Monolimbs are non-modular prostheses and thus require more experienced prosthetist for correct fitting, because alignment can barely be changed after production. However, their durability on average is better than low-cost modular solutions.


title: Prosthesis

text: A number of theorists have explored the meaning and implications of prosthetic extension of the body. Elizabeth Grosz writes, "Creatures use tools, ornaments, and appliances to augment their bodily capacities. Are their bodies lacking something, which they need to replace with artificial or substitute organs?...Or conversely, should prostheses be understood, in terms of aesthetic reorganization and proliferation, as the consequence of an inventiveness that functions beyond and perhaps in defiance of pragmatic need?" Elaine Scarry argues that every artifact recreates and extends the body. Chairs supplement the skeleton, tools append the hands, clothing augments the skin. In Scarry's thinking, "furniture and houses are neither more nor less interior to the human body than the food it absorbs, nor are they fundamentally different from such sophisticated prosthetics as artificial lungs, eyes and kidneys. The consumption of manufactured things turns the body inside out, opening it up "to" and "as" the culture of objects." Mark Wigley, a professor of architecture, continues this line of thinking about how architecture supplements our natural capabilities, and argues that "a blurring of identity is produced by all prostheses." Some of this work relies on Freud's earlier characterization of man's relation to objects as one of extension.


title: Menelik II

text: Menelik II ( ; horse name Abba Dagnew (Amharic: አባ ዳኘው "abba daññäw"); 17 August 1844 – 12 December 1913), baptised as Sahle Maryam (ሣህለ ማርያም "sahlä maryam") was King of Shewa from 1866 to 1889 and Emperor of Ethiopia from 1889 to his death in 1913. At the height of his internal power and external prestige, the process of territorial expansion and creation of the modern empire-state was completed by 1898.


title: Menelik II

text: The Ethiopian Empire was transformed under Emperor Menelik: the major signposts of modernisation were put in place, with the assistance of key ministerial advisors. Externally, Menelik led Ethiopian troops against Italian invaders in the First Italo-Ethiopian War; following a decisive victory at the Battle of Adwa, recognition of Ethiopia's independence by external powers was expressed in terms of diplomatic representation at his court and delineation of Ethiopia's boundaries with the adjacent kingdoms. Menelik expanded his realm to the south and east, into Oromo, Kaffa, Sidama, Wolayta and other kingdoms or peoples.


title: Menelik II

text: Later in his reign, Menelik established the first Cabinet of Ministers to help in the administration of the Empire, appointing trusted and widely respected nobles and retainers to the first Ministries. These ministers would remain in place long after his death, serving in their posts through the brief reign of Lij Iyasu (whom they helped depose) and into the reign of Empress Zewditu.


title: Menelik II

text: Menelik was the son of the Shewan Amhara king, Negus Haile Melekot, and probably of the palace servant girl Ejigayehu Lemma Adyamo. He was born in Angolalla and baptized to the name Sahle Maryam. His father, at the age of 18 before inheriting the throne, impregnated Ejigayehu, then left her; he did not recognize that Sahle Maryam was born. The boy enjoyed a respected position in the royal household and he received a traditional church education.


title: Menelik II

text: In 1855 the Emperor of Ethiopia, Tewodros II, invaded the then semi-independent kingdom of Shewa. Early in the subsequent campaigns, Haile Malakot died, and Sahle Miriam was captured and taken to the emperor’s mountain stronghold, Amba Magdela. Still, Tewodros treated the young prince well, even offering him marriage to his daughter Altash Tewodros, which Menelik accepted.


title: Menelik II

text: Upon Menelik's imprisonment, his uncle, Haile Mikael, was appointed as Shum of Shewa by Emperor Tewodros II with the title of Meridazmach. However, Meridazmach Haile Mikael rebelled against Tewodros, resulting in his being replaced by the non-royal Ato Bezabeh as Shum. Ato Bezabeh in turn rebelled against the Emperor and proclaimed himself "Negus" of Shewa. Although the Shewan royals imprisoned at Magdela had been largely complacent as long as a member of their family ruled over Shewa, this usurpation by a commoner was not acceptable to them. They plotted Menelik's escape from Magdela; with the help of Mohammed Ali and Queen Worqitu of Wollo, he escaped from Magdala on the night of 1 July 1865, abandoning his wife, and returned to Shewa. Enraged, Emperor Tewodros slaughtered 29 Oromo hostages then had 12 Amhara notables beaten to death with bamboo rods.


title: Menelik II

text: Bezabeh's attempt to raise an army against Menelik failed; thousands of Shewans rallied to the flag of the son of Negus Haile Melekot and even Bezabeh's own soldiers deserted him for the returning prince. Abeto Menelik entered Ankober and proclaimed himself Negus.


title: Menelik II

text: While Negus Menelik reclaimed his ancestral Shewan crown, he also laid claim to the Imperial throne, as a direct descendant male line of Emperor Lebna Dengel. However, he made no overt attempt to assert this claim at this time; Marcus interprets his lack of decisive action not only to Menelik's lack of confidence and experience but that "he was emotionally incapable of helping to destroy the man who had treated him as a son." Not wishing to take part in the 1868 Expedition to Abyssinia, he allowed his rival Kassai to benefit with gifts of modern weapons and supplies from the British. When Tewodros committed suicide, Menelik arranged for an official celebration of his death even though he was personally saddened by the loss. When a British diplomat asked him why he did this, he replied "to satisfy the passions of the people ... as for me, I should have gone into a forest to weep over ... [his] untimely death ... I have now lost the one who educated me, and toward whom I had always cherished filial and sincere affection."


title: Menelik II

text: Afterwards other challenges – a revolt amongst the Wollo to the north, the intrigues of his second wife Befana to replace him with her choice of ruler, military failures against the Arsi Oromo to the southeast – kept Menelik from directly confronting Kassai until after his rival had brought an Abuna from Egypt who crowned him Emperor Yohannes IV.


title: Menelik II

text: Menelik was cunning and strategic in building his power base. He organised extravagant three-day feasts for locals to win their favour, liberally built friendships with Muslims (such as Muhammad Ali of Wollo) and struck alliances with the French and Italians who could provide firearms and political leverage against the Emperor. In 1876, an Italian expedition set out to Ethiopia led by Marchese Orazio Antinori who described King Menelik as "very friendly, and a fanatic for weapons, about whose mechanism he appears to be most intelligent". Another Italian wrote for Menelik, "he had the curiosity of a boy; the least thing made an impression upon him ... He showed ... great intelligence and great mechanical ability". Menelik spoke with great economy and rapidity. He never became upset, Chiarini adds, "listening calmly, judiciously [and] with good sense ... He is fatalistic and a good soldier, he loves weapons above all else". The visitors also confirmed that he was popular with his subjects, and made himself available to them. Menelik had political and military acumen and made key engagements that would later prove essential as he expanded his Empire.


title: Menelik II

text: On 10 March 1889, Emperor Yohannes IV was killed in a war with the Mahdist State during the Battle of Gallabat (Metemma). With his dying breath, Yohannes declared his natural son, Dejazemach Mengesha Yohannes, to be his heir. On 25 March, upon hearing of the death of Yohannes, Negus Menelik immediately proclaimed himself as Emperor.


title: Menelik II

text: Menelik argued that while the family of Yohannes IV claimed descent from King Solomon and the Queen of Sheba through females of the dynasty, his own claim was based on uninterrupted direct male lineage which made the claims of the House of Shewa equal to those of the elder Gondar line of the dynasty. Menelik, and later his daughter Zewditu, would be the last Ethiopian monarchs who could claim uninterrupted direct male descent from King Salman and the Queen of Sheba (both Lij Iyasu and Emperor Haile Selassie were in the female line, Iyasu through his mother Shewarega Menelik, and Haile Selassie through his paternal grandmother, Tenagnework Sahle Selassie).


title: Menelik II

text: In the end, Menelik was able to obtain the allegiance of a large majority of the Ethiopian nobility. On 3 November 1889, Menelik was consecrated and crowned as Emperor before a glittering crowd of dignitaries and clergy by Abuna Mattewos, Bishop of Shewa, at the Church of Mary on Mount Entoto. The newly consecrated and crowned Emperor Menelik II quickly toured the north in force. He received the submission of the local officials in Lasta, Yejju, Gojjam, Wollo, and Begemder.


title: Menelik II

text: Menelik II is argued to be the founder of modern Ethiopia. Before the centralisation process he completed, Ethiopia had been devastated by numerous wars, the most recent of which was fought in the 16th century. In the intervening period, military tactics had not changed much. In the 16th century, the Portuguese Bermudes documented depopulation and widespread atrocities against civilians and combatants (including torture, mass killings and large scale slavery) during several successive Gadaa conquests led by Aba Gedas of territories located north of Genale river (Bali, Amhara, Gafat, Damot, Adal. Warfare in the region essentially involved acquiring cattle and slaves, winning additional territories, gaining control over trade routes and carrying out ritual requirements or securing trophies to prove masculinity. Wars were fought between people who might be members of the same linguistic group, religion, and culture, or between unrelated tribes. Centralisation reduced these continuous wars; minimising the loss of lives, raids, destruction, and slavery that had previously been the norm.


title: Menelik II

text: Menelik’s clemency to Ras Mengesha Yohannes, whom he made hereditary Prince of his native Tigray, was ill repaid by a long series of revolts. In 1898, Menelik crushed a rebellion by Ras Mengesha Yohannes (who died in 1906). After this, Menelik directed his efforts to the consolidation of his authority, and to a degree, to the opening up of his country to outside influences.


title: Menelik II

text: Menelik brought together many of the northern territories through political consensus. The exception was Gojjam, which offered tribute to the Shewan Kingdom following its defeat at the Battle of Embabo. Most of the western and central territories like Jimma, Welega Province and Chebo were administered by chiefs who allied their clan's army with the central government peacefully. Native armed soldiers of Ras Gobana Dacche, Ras Mikael Ali, Habtegyorgis Dinegde, Balcha Aba Nefso and were allied to Menelik's Shewan army which campaigned to the south to incorporate more territories.


title: Menelik II

text: Beginning in the 1870s, Menelik set off from the central province of Shewa to reunify 'the lands and people of the South, East, and West into an empire. This period of expansions has been referred to by some as the 'Agar Maqnat' - roughly translating to some type of 'Cultivation' of land. During his battles, he made tactical alliances with different groups and appointed Habte Giyorgis Dinagde as Minister of Defense, who was of mixed Gurage-Oromo ancestry. The people incorporated by Menelik through conquest were the southerners – Oromo, Sidama, Gurage, Wolayta and other groups. He achieved most of his conquests with the help of Ras Gobana's Shewan Oromos, who helped Menelik previously during his clashes with Gojjam.


title: Menelik II

text: In territories incorporated peacefully like Jimma, Leka, and Wolega the former order was preserved and there was no interference in their self-government; in areas incorporated after war, the appointed new rulers did not violate the peoples' religious beliefs and they treated them lawfully and justly. However, in the territories incorporated by military conquest, Menelik's army carried out atrocities against civilians and combatants including torture, mass killings, and large scale slavery. Large scale atrocities were also committed against the Dizi people and the people of the Kaficho kingdom. Some estimates that the number of people killed as a result of the conquest from war, famine and atrocities go into the millions. Based on convergent subjugation approaches, cooperation between Menelik and Belgian king Leopold II were attempted more than once.


title: Menelik II

text: The British journalist Augustus B. Wylde wrote after meeting Menelik: "I had found him a man of great kindness, a remarkably shrewd and clever man and very well informed on most things except on England and her resources; his information on our country evidently having been obtained from persons entirely unfriendly to us; and who did not want Englishmen to have any diplomatic or commercial transactions whatever with Abyssinia [Ethiopia]". After meeting him, Lord Edward Gleichen wrote: "Menelik's manners are pleasant and dignified; he is courteous and kindly, and at the same time simple in manner, giving one the impression of a man who wishes to get at the root of a matter at once, without wasting time in compliments and beating about the bush, so often the characteristics of Oriental potentates...He also aims at being a popular sovereign, accessible to his people at all hours, and ready to listen to their complaints. In this, he appears to be quite successful, for one and all of his subjects seem to bear for him a real affection."


title: Menelik II

text: For a period, Ethiopia lacked a permanent capital; instead, the royal encampment served as a roving capital. For a time Menelik's camp was on Mount Entoto, but in 1886, while Menelik was on campaign in Harar, Empress Taytu Betul camped at a hot spring to the south of Mount Entoto. She decided to build a house there and from 1887 this was her permanent base, which she named Addis Ababa (new flower). Menelik's Generals were all allocated land nearby to build their own houses, and in 1889 work began in a new royal palace. The city grew rapidly, and by 1910 the city had around 70,000 permanent inhabitants, with up to 50,000 more on a temporary basis. Only in 1917, after Menelik's death, was the city reached by the railway from Djibouti.


title: Menelik II

text: During Menelik's reign, the great famine of 1888 to 1892, which was the worst famine in the region's history, killed a third of the total population which was then estimated at 12 million. The famine was caused by rinderpest, an infectious viral cattle disease which wiped out most of the national livestock, killing over 90% of the cattle. The native cattle population had no prior exposure and were unable to fight off the disease.


title: Menelik II

text: On 2 May 1889, while claiming the throne against Ras Mengesha Yohannes, the "natural son" of Emperor Yohannes IV, Menelik concluded a treaty with Italy at Wuchale (Uccialli in Italian) in Wollo province. On the signing of the treaty, Menelik said "The territories north of the Merab Milesh (i.e. Eritrea) do not belong to Abyssinia nor are under my rule. I am the Emperor of Abyssinia. The land referred to as Eritrea is not peopled by Abyssinians – they are Adals, Bejaa, and Tigres. Abyssinia will defend his territories but will not fight for foreign lands, which Eritrea is to my knowledge." Under the Treaty, Abyssinia and Kingdom of Italy agreed to define the boundary between Eritrea and Ethiopia. For example, both Ethiopia and Italy agreed that Arafali, Halai, Segeneiti and Asmara are villages within the Italian border. Also, the Italians agreed not to harass Ethiopian traders and to allow safe passage for Ethiopian goods, particularly military weapons. The treaty also guaranteed that the Ethiopian government would have ownership of the Monastery of Debre Bizen but not use it for military purposes.


title: Menelik II

text: However, there were two versions of the treaty, one in Italian and another in Amharic. Unknown to Menelik the Italian version gave Italy more power than the two had agreed to. The Italians believed they had "tricked" Menelik into giving allegiance to Italy. To their surprise, upon learning about the alteration, Emperor Menelik II rejected the treaty. The Italians attempted to bribe him with two million rounds of ammunition but he refused. Then the Italians approached Ras Mengesha of Tigray in an attempt to create civil war, however, Ras Mengesha, understanding that Ethiopia's independence was at stake, refused to be a puppet for the Italians. The Italians, therefore, prepared to attack Ethiopia with an army led by Baratieri. Subsequently, the Italians declared war and attempted to invade Ethiopia.


title: Menelik II

text: Menelik's disagreement with Article 17 of the treaty led to the Battle of Adwa. Before Italy could launch the invasion, Eritreans rebelled in an attempt to push Italy out of Eritrea and prevent its invasion of Ethiopia. The rebellion was not successful. However, some of the Eritreans managed to make their way to the Ethiopian camp and jointly fought Italy at the battle of Adwa.


title: Menelik II

text: On 17 September 1895, Menelik ordered all of the Ethiopian nobility to call out their banners and raise their feudal hosts, stating: "An enemy has come across the sea. He has broken through our frontiers in order to destroy our fatherland and our faith. I allowed him to seize my possessions and I entered upon lengthy negotiations with him in hopes of obtaining justice without bloodshed. But the enemy refuses to listen. He undermines our territories and our people like a mole. Enough! With the help of God I will defend the inheritance of my forefathers and drive back the invader by force of arms. Let every man who has sufficient strength accompany me. And he who has not, let him pray for us". Menelik's opponent, General Oreste Baratieri, underestimated the size of the Ethiopian force, predicating that Menelik could only field 30,000 men.


title: Menelik II

text: Despite the dismissive Italian claim that Ethiopia was a "barbaric" African nation whose men were no match for white troops, the Ethiopians were better armed, being equipped with thousands of modern French rifles and Hotchkiss artillery guns together with ammunition and shells which were superior to the Italian rifles and artillery. Menelik had ensured that his infantry and artillerymen were properly trained in their use, giving the Ethiopians a crucial advantage as the Hotchkiss artillery could fire more rapidly than the Italian artillery. In 1887 a British diplomat, Gerald Portal, wrote after seeing the Ethiopian feudal hosts parade before him, the Ethiopians were "...redeemed by the possession of unbounded courage, by a disregard of death, and by a national pride, which leads them to look down on every human being who has not had the good fortune to be born an Abyssinian [Ethiopian]".


title: Menelik II

text: The Emperor personally led his army to attack an Italian force led by Major Toselli on 7 December 1895 at Boota Hill. The Ethiopians attacked a force of 350 Eritrean irregulars on the left flank, who collapsed under the Ethiopian assault, causing Toselli to send two companies of Italian infantry who halted the Ethiopian advance. Just as Toselli was rejoicing in his apparent victory, the main Ethiopian assault came down on his right flank, causing Toselli to order retreat. The Emperor's best general, Ras Makonnen, had occupied the road leading back to Eritrea, and launched a surprise attack, which routed the Italians. The battle of Amba Alagi ended with an Italian force of 2,150 men losing 1,000 men and 20 officers killed.


title: Menelik II

text: Ras Makonnen followed up that victory by defeating General Arimondi and forcing the Italians to retreat to the fort at Mekele. Ras Makonnen laid siege to the fort, and on the morning of 7 January 1896, the defenders of the fort spotted a huge red tent among the besiegers, showing that the emperor had arrived. On 8 January 1896, the emperor's elite Shoan infantry captured the fort's well, and then beat off desperate Italian attempts to retake the well. On 19 January 1896, the fort's commander, Major Galliano, whose men were dying of dehydration, raised the white flag of surrender. Major Galliano and his men were allowed to march out, surrender their arms and to go free. Menelik stated he allowed the Italians to go free as "to give proof of my Christian faith," saying his quarrel was with the Italian government of Prime Minister Francesco Crispi that was trying to conquer his nation, not the ordinary Italian soldiers who been conscripted against their will to fight in the war. Menelik's magnanimity to the defenders of Fort Mekele may have been an act of psychological warfare. Menelik knew from talking to French and Russian diplomats that the war and Crispi himself were unpopular in Italy, and one of the main points of Crispi's propaganda were allegations of atrocities against Italian POWs. From Menelik's viewpoint allowing the Italian POWs to go free and unharmed was the best way of rebutting this propaganda and undermining public support for Crispi.


title: Menelik II

text: Crispi sent another 15,000 men to the Horn of Africa and ordered the main Italian commander, General Oreste Baratieri, to finish off the "barbarians". As Baratieri dithered, Menelik was forced to pull back on 17 February 1896 as his huge host was running out of food. After Crispi sent an insulting telegram accusing Baratieri of cowardice, on 28 February 1896 the Italians decided to seek battle with Menelik. On 1 March 1896, the two armies met at Adwa. The Ethiopians came out victorious.


title: Menelik II

text: With victory at the Battle of Adwa and the Italian colonial army destroyed, Eritrea was Emperor Menelik's for the taking but no order to occupy was given. It seems that Emperor Menelik II was wiser than the Europeans had given him credit for. Realising that the Italians would bring all their force to bear on his country if he attacked, he instead sought to restore the peace that had been broken by the Italians and their treaty manipulation seven years before. In signing the treaty, Menelik II again proved his adeptness at politics as he promised each nation something for what they gave and made sure each would benefit his country and not another nation. Subsequently, the Treaty of Addis Ababa was reached between the two nations. Italy was forced to recognise the absolute independence of Ethiopia, as described in Article III of the treaty.


title: Menelik II

text: At the Battle of Adwa, Ethiopian fighters from all parts of the country rallied to the cause and took up positions on the battlefield that allowed them to come to each other's aid during combat. Armies divided over three flanks, the left wing coming from the direction of Maryam Sawito, Ras Mengesha Yohannes' and Ras Alula's Tigrayan army; Wag-shum Gwangul's Agaw and Amhara from Wag and Lasta; and Mikael's Wollo (Amhara) cavalry. Menelik II dispatched Negus Tekle Haymanot of Gojjam's Amhara infantry and cavalry to the right flank, in the direction of Abba Garima. His majesty front, in the center were spearheaded by Ras Makonnen Wolde Mikael's Harar army that included Amhara, Gurage and some Oromo soldiers; Ras Walle Bitul's Gondar army; The Fitawrari's army, normally the leader of the advanced guard, was commanded by Gebeyehu Gorra; Fitawrari Tekle's Wallaga Cavalry and infantry; and next to Emperor Menelik II was the mehal sefari or central fighting unit included mostly Shewan Amhara, Mecha-Tulama Oromo cavalry, Gurage as well as Taytu Bitul's Yejju Amhara armies. The Ethiopian army at Adwa was, therefore, a mosaic of various ethnic groups and tribes that marched north for a common, national cause.


title: Menelik II

text: Menelik begun expanding Ethiopia's diplomatic ties, looking to Europe for a major power willing to enter into a relationship with the Ethiopian government. His sights soon settled on Imperial Russia, which proved amenable to Ethiopian attempts to establish a diplomatic relationship. During the visit of a Russian diplomatic and military mission in 1893, Menelik II concluded a Russo-Ethiopian alliance. As a result, from 1893 to 1913, the Russian government sponsored the visits of thousands of advisers and volunteers from Russia to Ethiopia. Among those who were sent were the Russian poets Alexander Bulatovich and Nikolay Gumilyov, both of whom developed close personal ties with Menelik. Russian support for Ethiopia led to the advent of a Russian Red Cross mission as medical support for the Ethiopian military. It arrived in Addis Ababa some three months after Menilek's victory at Adwa, and established the first hospital in Ethiopia.


title: Menelik II

text: By the mid-1890s, Menelik was actively suppressing the slave trade, ordering the destruction of several slave markets throughout the region and punishing slave traders with amputation. Both Tewodros II and Yohannes IV had outlawed slave trading, but as not all tribes were against it and as the country was surrounded on every side by slave raiders and traders, it was not possible even at the dawn of the 20th century to suppress the trade entirely. According to apologists, while Menelik actively enforced his prohibition, it was beyond his power to change the minds of all his people regarding the age-old practice.


title: Menelik II

text: Menelik II was fascinated by modernity, and like Tewodros II before him, he had a keen ambition to introduce Western technological and administrative advances into Ethiopia. Following the rush by the major powers to establish diplomatic relations following the Ethiopian victory at Adwa, more and more westerners began to travel to Ethiopia looking for trade, farming, hunting, and mineral exploration concessions. Menelik II founded the first modern bank in Ethiopia, the Bank of Abyssinia, introduced the first modern postal system, signed the agreement and initiated work that established the Addis Ababa –Djibouti railway with the French, introduced electricity to Addis Ababa, as well as the telephone, telegraph, the motor car, and modern plumbing. He attempted unsuccessfully to introduce coinage to replace the Maria Theresa thaler.


title: Menelik II

text: In 1894, Menelik granted a concession for the building of a railway to his capital from the French port of Djibouti but, alarmed by a claim made by France in 1902 to control of the line in Ethiopian territory, he ordered a stop for four years on the extension of the railway beyond Dire Dawa. In 1906 when France, the United Kingdom, and Italy came to an agreement on the subject, granting control to a joint venture corporation, Menelik officially reaffirmed his full sovereign rights over the whole of his empire.


title: Menelik II

text: According to one persistent tale, Menelik heard about the modern method of executing criminals using electric chairs during the 1890s, and ordered 3 for his Kingdom. When the chairs arrived, Menelik learned they would not work, as Ethiopia did not yet have an electric power industry. Rather than waste his investment, Menelik used one of the chairs as his throne, sending another to his second (Lique Mekwas) or Abate Ba-Yalew. Recent research, however, has cast significant doubt on this story, and suggested it was invented by a Canadian journalist during the 1930s.


title: Menelik II

text: Menelik reportedly spoke French, English and Italian fluently. He read many books and was educated in finance, getting involved in various investments, including in American railroads and American securities and French and Belgian mining investments.


title: Menelik II

text: Menelik married three times but he did not have a single legitimate child by any of his wives. However, he is reputed to have fathered several children by women who were "not" his wives, and he recognized three of those children as being his progeny.


title: Menelik II

text: In 1864, Menelik married Woizero Altash Tewodros, whom he divorced in 1865; the marriage produced no children. Altash Tewodros was a daughter of Emperor Tewodros II. She and Menelik were married during the time that Menelik was held captive by Tewodros. The marriage ended when Menelik escaped captivity, abandoning her. She was subsequently remarried to Dejazmatch Bariaw Paulos of Adwa.


title: Menelik II

text: In 1865, the same year as divorcing his first wife, Menelik married the much older noblewoman "Woizero" Bafena Wolde Michael. This marriage was also childless, and they were married for seventeen years before being divorced in 1882. Menelik was very fond of his wife, but she apparently did not have a sincere affection for him. Woizero Befana had several children by previous marriages and was more interested in securing their welfare than in the welfare of her present husband. For many years, she was widely suspected of being secretly in touch with Emperor Yohannes IV in her ambition to replace her husband on the throne of Shewa with one of her sons from a previous marriage. Finally, she was implicated in a plot to overthrow Menelik when he was King of Shewa. With the failure of her plot, Woizero Befana was separated from Menelik, but Menelik apparently was still deeply attached to her. An attempt at reconciliation failed, but when his relatives and courtiers suggested new young wives to the King, he would sadly say "You ask me to look at these women with the same eyes that once gazed upon Befana?", paying tribute both to his ex-wife's beauty and his own continuing attachment to her.


title: Menelik II

text: Finally, Menelik divorced his treasonous wife in 1882, and in 1883, he married Taytu Betul. Menelik's new wife had been married four times previously, and he became her fifth husband. They were married in a full communion church service and the marriage was thus fully canonical and indissoluble, which had not been the case with either of Menelik's previous wives. The marriage, which proved childless, would last until his death. Taytu Betul would become Empress consort upon her husband's succession, and would become the most powerful consort of an Ethiopian monarch since Empress Mentewab. She enjoyed considerable influence on Menelik and his court until the end, something which was aided by her own family background. Empress Taytu Betul was a noblewoman of Imperial blood and a member of one of the leading families of the regions of Semien, Yejju in modern Wollo, and Begemder. Her paternal uncle, Dejazmatch Wube Haile Maryam of Semien, had been the ruler of Tigray and much of northern Ethiopia. She and her uncle Ras Wube were two of the most powerful people among descendants of Ras Gugsa Mursa, a ruler of Oromo descent from the house of was Sheik of Wollo. Emperor Yohannes was able to broaden his power base in northern Ethiopia through Taytu's family connections in Begemider, Semien and Yejju; she also served him as his close adviser, and went to the battle of Adwa with 5,000 troops of her own. From 1906, for all intents and purposes, Taytu Betul ruled in Menelik's stead during his infirmity. Menelik II and Taytu Betul personally owned 70,000 slaves. Abba Jifar II also is said to have more than 10,000 slaves and allowed his armies to enslave the captives during a battle with all his neighboring clans. This practice was common between various tribes and clans of Ethiopia for thousands of years.


title: Menelik II

text: Taytu arranged political marriages between her Yejju and Semien relatives and key Shewan aristocrates like Ras Woldegyorgis Aboye, who was Governor of Kaffa, Ras Mekonen who was governor of Harar, and Menelik's eldest daughter Zewditu Menelik who became Nigeste Negestat of the empire after the overthrow of Lij Iyasu. Taytu's step daughter, Zewditu, was married to her nephew Ras Gugsa Welle who administered Begemider up to the 1930s.


title: Menelik II

text: Previous to his marriage to Taytu Betul, Menelik fathered several natural children. Among them, he chose to recognise three specific children (two daughters and one son) as being his progeny. These were:


title: Menelik II

text: Menelik's only recognised son, Abeto Asfa Wossen Menelik, died unwed and childless when he was about fifteen years of age, leaving him with only two daughters. The elder daughter, Woizero Shoaregga, was first married to Dejazmatch Wodajo Gobena, the son of Ras Gobena Dachi. They had a son, Abeto Wossen Seged Wodajo, but this grandson of Menelik II was eliminated from the succession due to dwarfism. In 1892, twenty-five-year-old Woizero Shoaregga was married for a second time to forty-two-year-old Ras Mikael of Wollo. They had two children, namely a daughter, Woizero Zenebework Mikael, who would be married at the age of twelve to the much older Ras Bezabih Tekle Haymanot of Gojjam, and would die in childbirth a year later; and a son, Lij Iyasu, who would nominally succeed as Emperor after Menelik's death in 1913, but would never be crowned, and would be deposed by powerful nobles in favour of Menelik's younger daughter Zewditu in 1916.


title: Menelik II

text: Menelik's younger daughter, Zewditu Menelik, had a long and chequered life. She was married four times, and eventually became Empress in her own right, the first woman to hold that position in Ethiopia since the Queen of Sheba. She was only ten years old when Menelik got her married to Ras Araya Selassie Yohannes, the fifteen-year-old son of Emperor Yohannes IV, in 1886. In May 1888, Ras Araya Selassie died and Zewditu became a widow at age twelve. She was married two more times for brief periods to Gwangul Zegeye and Wube Atnaf Seged before marrying Gugsa Welle in 1900 CE. Gugsa Welle was the nephew of Empress Taytu Betul, Menelik's third wife. Zewditu had some children, but none of them survived to adulthood. Menelik died in 1913, and his grandson Iyasu claimed the throne on principle of seniority. However, it was suspected that Iyasu was a secret convert to Islam, which was the religion of his paternal ancestors, and having a Muslim on the throne would have grave implications for Ethiopia in future generations. Therefore, Iyasu was never crowned; he was deposed by nobles in 1916, in favour of his aunt, Zewditu. However, Zewditu (aged 40 at that time) had no surviving children (all her children had died young) and the nobles did not want her husband and his family to exercise power and eventually occupy the throne. Therefore, Zewditu's cousin Ras Tafari Makonnen was named both heir to the throne and regent of the empire. Zewditu had ceremonial duties to perform and wielded powers of arbitration and moral influence, but ruling power was vested in the hands of regent Ras Tafari Makonnen, who succeeded her as Emperor Haile Selassie in 1930.


title: Menelik II

text: Apart from the three recognised natural children, Menelik was rumoured to be the father of some other children also. These include "Ras" Birru Wolde Gabriel and "Dejazmach" Kebede Tessema. The latter, in turn, was later rumoured to be the natural grandfather of Colonel Mengistu Haile Mariam, the communist leader of the Derg, who eventually deposed the monarchy and assumed power in Ethiopia from 1977 to 1991.


title: Menelik II

text: On 27 October 1909, Menelik II suffered a massive stroke and his "mind and spirit died". After that, Menelik was no longer able to reign, and the office was taken over by Empress Taytu, as de facto ruler, until Ras Bitwaddad Tesemma was publicly appointed regent. However, he died within a year, and a council of regency – from which the empress was excluded – was formed in March 1910.


title: Menelik II

text: In the early morning hours of 12 December 1913, Emperor Menelik II died. He was buried quickly without announcement or ceremony at the Se'el Bet Kidane Meheret Church, on the grounds of the Imperial Palace. In 1916 Menelik II was reburied in the specially built church at Ba'eta Le Mariam Monastery in Addis Ababa.


title: Menelik II

text: After the death of Menelik II, the council of regency continued to rule Ethiopia. Lij Iyasu was never crowned Emperor of Ethiopia, and eventually, Empress Zewditu I succeeded Menelik II on 27 September 1916.


title: Menelik II

text: The Adwa Victory Day is celebrated in March annually, and it would also inspire Pan-African movements around the globe. A desire to share in the glamor Menelik enjoyed after his victory over Italy may explain an improbable Serb legend, recounted by English anthropologist Mary E. Durham, portraying Menelik and the Serb king of Montenegro as kinsmen, based on little more than the similarity between the Ethiopian honorific "Negus" and the name of the Herzegovinian village, Njegushi, from which the Montenegrin royal family originated:When these Herzegovinese migrated to Montenegro, a large body of them went yet farther afield and settled in the mountains of Abyssinia, among them a branch of the family of Petrovich of Njegushi, from which is directly descended Menelik, who preserves the title of "Negus" and is a distant cousin of Prince Nikola of Montenegro, and to this large admixture of Slav blood the Abyssinians owe their fine stature and their high standard of civilisation, as compared with the neighbouring African tribes. Menelik was featured as the leader of the Ethiopian civilization in the "New Frontier" season pass of the 4X video game "Civilization VI". His ability, Council of Ministers, grants sizeable benefits to cities founded on hills, and units fighting in hills.


title: Order (biology)

text: Order () is one of the eight major hierarchical taxonomic ranks in Linnaean taxonomy. It is classified between family and class. In biological classification, the order is a taxonomic rank used in the classification of organisms and recognized by the nomenclature codes. An immediately higher rank, superorder, is sometimes added directly above order, with suborder directly beneath order. An order can also be defined as a group of related families.


title: Order (biology)

text: What does and does not belong to each order is determined by a taxonomist, as is whether a particular order should be recognized at all. Often there is no exact agreement, with different taxonomists each taking a different position. There are no hard rules that a taxonomist needs to follow in describing or recognizing an order. Some taxa are accepted almost universally, while others are recognized only rarely.


title: Order (biology)

text: The name of an order is usually written with a capital letter. For some groups of organisms, their orders may follow consistent naming schemes. Orders of plants, fungi, and algae use the suffix (e.g. Dictyotales). Orders of birds and fishes use the Latin suffix meaning 'having the form of' (e.g. Passeriformes), but orders of mammals and invertebrates are not so consistent (e.g. Artiodactyla, Actiniaria, Primates).


title: Order (biology)

text: For some clades covered by the International Code of Zoological Nomenclature, several additional classifications are sometimes used, although not all of these are officially recognized.


title: Order (biology)

text: In their 1997 classification of mammals, McKenna and Bell used two extra levels between superorder and order: "grandorder" and "mirorder". Michael Novacek (1986) inserted them at the same position. Michael Benton (2005) inserted them between superorder and magnorder instead. This position was adopted by "Systema Naturae 2000" and others.


title: Order (biology)

text: In botany, the ranks of subclass and suborder are secondary ranks pre-defined as respectively above and below the rank of order. Any number of further ranks can be used as long as they are clearly defined.


title: Order (biology)

text: The superorder rank is commonly used, with the ending that was initiated by Armen Takhtajan's publications from 1966 onwards.


title: Order (biology)

text: The order as a distinct rank of biological classification having its own distinctive name (and not just called a "higher genus" ()) was first introduced by the German botanist Augustus Quirinus Rivinus in his classification of plants that appeared in a series of treatises in the 1690s. Carl Linnaeus was the first to apply it consistently to the division of all three kingdoms of nature (then minerals, plants, and animals) in his "Systema Naturae" (1735, 1st. Ed.).


title: Order (biology)

text: For plants, Linnaeus' orders in the "Systema Naturae" and the "Species Plantarum" were strictly artificial, introduced to subdivide the artificial classes into more comprehensible smaller groups. When the word was first consistently used for natural units of plants, in 19th-century works such as the "Prodromus Systematis Naturalis Regni Vegetabilis" of Augustin Pyramus de Candolle and the "Genera Plantarum" of Bentham & Hooker, it indicated taxa that are now given the rank of family. (See ordo naturalis, "'natural order"'.)


title: Order (biology)

text: In French botanical publications, from Michel Adanson's (1763) and until the end of the 19th century, the word (plural: ) was used as a French equivalent for this Latin . This equivalence was explicitly stated in the 's (1868), the precursor of the currently used "International Code of Nomenclature for algae, fungi, and plants".


title: Order (biology)

text: In the first international "Rules" of botanical nomenclature from the International Botanical Congress of 1905, the word "family" () was assigned to the rank indicated by the French , while order () was reserved for a higher rank, for what in the 19th century had often been named a (plural ).


title: Order (biology)

text: Some of the plant families still retain the names of Linnaean "natural orders" or even the names of pre-Linnaean natural groups recognized by Linnaeus as orders in his natural classification (e.g. "Palmae" or "Labiatae"). Such names are known as descriptive family names.


title: Order (biology)

text: In zoology, the Linnaean orders were used more consistently. That is, the orders in the zoology part of the "Systema Naturae" refer to natural groups. Some of his ordinal names are still in use (e.g. Lepidoptera for the order of moths and butterflies; Diptera for the order of flies, mosquitoes, midges, and gnats).


title: Order (biology)

text: In virology, the International Committee on Taxonomy of Viruses's virus classification includes fifteen taxa to be applied for viruses, viroids and satellite nucleic acids: realm, subrealm, kingdom, subkingdom, phylum, subphylum, class, subclass, order, suborder, family, subfamily, genus, subgenus, and species. There are currently fourteen viral orders, each ending in the suffix .


title: Balarama

text: Balarama (Sanskrit: बलराम, IAST: "Balarāma") is a Hindu god and the elder brother of Krishna. He is particularly significant in the Jagannath tradition, as one of the triad deities. He is also known as Haladhara, Halayudha, Baladeva, Balabhadra, and Sankarshana.


title: Balarama

text: The first two epithets associate him with "hala" ("langala", "plough") from his strong associations with farming and farmers, as the deity who used farm equipment as weapons when needed, and the next two refer to his strength.


title: Balarama

text: Balarama is sometimes described as incarnation of Shesha, the serpent associated with the deity Vishnu; Krishna is regarded as an incarnation of Vishnu. Some traditions regard him as one of the 10 principal avatars of Vishnu himself.


title: Balarama

text: Balarama's significance in Indian culture has ancient roots. His image in artwork is dated to around the start of the common era, and in coins dated to the second-century BCE. In Jainism, he is known as Baladeva, and has been a historically significant farmer-related deity.


title: Balarama

text: Balarama is an ancient deity, a prominent one by the epics era of Indian history as evidenced by archeological and numismatic evidence. His iconography appears with Nāga (many-headed serpent), a plough and other farm artifacts such as a watering pot, possibly indicating his origins in a bucolic, agricultural culture. Balarama's legend appears in many "Parva" (books) of the "Mahabharata". The Book Three (Vana Parva) states about Krishna and him that Balarama is an avatar of Vishnu, while Krishna is the source of all avatars and existence. In some art works of the Vijayanagara Empire, temples of Gujarat and elsewhere, for example, Baladeva is the eighth avatar of Vishnu, prior to the Buddha (Buddhism) or Arihant (Jainism).


title: Balarama

text: Narratives of Balarama are found in "Mahabharata", "Harivamsha", "Bhagavata Purana," and other Puranas. He is identified with the vyuha avatar of Sankarshana, along with the deities of Shesha and Lakshmana. The legend of Balarama as the avatar of Shesha, the demigod-serpent Vishnu rests upon, reflects his role and association with Vishnu. However, Balarama's mythology and his association with the ten avatars of Vishnu is relatively younger and post-Vedic, because it is not found in the Vedic texts.


title: Balarama

text: Balarama finds a mention in Kautilya's Arthashastra (4th to 2nd century BCE), where according to Hudson, his followers are described as "ascetic worshippers" with shaved heads or braided hair.


title: Balarama

text: Balarama, as Baladewa, is an important character in the 11th-century Javanese text "Kakawin Bhāratayuddha", the Kakawin poem based on the "Mahabharata".


title: Balarama

text: Balarama was anciently a powerful local deity named Samkarshana, associated with the local cult of the Vrishni heroes in Mathura from around the 4th century BCE. The concept of the avatars of Vishnu formed during the Kushan period in the 3rd to 2nd century CE.


title: Balarama

text: Coins dated to about 185-170 BCE belonging to the Indo-Greek King Agathocles show Balarama's iconography and Greek inscriptions. Balarama-Samkarshana is typically shown standing with a gada in his right hand and holding a plough in his left. On the other side of these coins is Vāsudeva-Krishna holding the conch and chakra.


title: Balarama

text: At Chilas II archeological site dated to the first half of 1st-century CE in northwest Pakistan, near Afghanistan border, are engraved two males along with many Buddhist images nearby. The larger of the two males hold a plough and club in his two hands. The artwork also has an inscription with it in Kharosthi script, which has been deciphered by scholars as "Rama-Krsna", and interpreted as an ancient depiction of the two brothers Balarama and Krishna. The early Balarama images found in Jansuti (Mathura, Uttar Pradesh) and two at Tumain (Ashoknagar, Madhya Pradesh) are dated to 2nd/1st-century BCE and these show Balarama holding a "Hala" (plough) and a "musala" (pestle) in his two hands.


title: Balarama

text: In all of these early depictions, Balarama-Samkarsana seems to hold a senior position over Vāsudeva-Krishna. On the coins of Agathocles of Bactria, Balarama is on the front of the coin (the side with a legend in Greek), whereas Vāsudeva-Krishna is on the reverse (Brahmi side). At Chilas, Balarama is shown taller and bigger than Vāsudeva-Krishna. The same relationship is also visible in the hierarchy of the Vrishni heroes.


title: Balarama

text: In some Indian ancient arts and texts, Balarama (Sankarsana) and Krishna (Vasudeva) are two of the five heroes ("Pancaviras of the Vrishnis"). The other three differ by the text. In some those are "Pradyumna, Samba and Aniruddha", in others "Anadhrsti, Sarana and Viduratha". The 1st-century Mora well inscription near Mathura, dated between 10 and 25 CE, mention the installation of five Vrishni heroes in a stone temple.


title: Balarama

text: The earliest surviving southeast Asian artwork related to Balarama is from the Phnom Da collection, near Angkor Borei in Cambodia's lower Mekong Delta region.


title: Balarama

text: Balarama was the son of Vasudeva. The evil king Kamsa, the tyrant of Mathura, was intent upon killing the children of his cousin, Devaki, because of a prophecy that he would die at the hands of her eighth child. The Harivamsha states that Kamsa went on to murder the first six children of the imprisoned Devaki by smashing the newborns against a stone floor. Vishnu intervened and when Balarama was conceived, state the Hindu legends; his embryo was transferred from Devaki's womb into the womb of Rohini, Vasudeva's first wife. In some texts, this transfer gives Balarama the epithet "Sankarshana" (one who was dragged away). Balarama grew up with his younger brother Krishna with his foster-parents, in the household of the head of cowherds Nanda, and his wife, Yashoda. The chapter 10 of the Bhagavata Purana describes it as follows:


title: Balarama

text: He was named Rama, but because of his great strength, he was called Balarama, Baladeva, or Balabhadra, meaning "Strong Rama". He was born on Shraavana Purnima, which coincides with the occasion of Raksha Bandhan.


title: Balarama

text: One day, Nanda requested the presence of Sage Gargamuni, his priest, to name the newborn Krishna and Balarama. When the Garga arrived, Nanda received him well and requested the naming ceremony. Gargamuni then reminded Nanda that Kamsa was looking for the son of Devaki and if he performed the ceremony in opulence, it would come to his attention. Nanda, therefore, asked Garga to perform the ceremony in secret and Garga did so:


title: Balarama

text: Balarama spent his childhood as a cow herder with his brother Krishna. He killed Dhenuka, an asura sent by Kamsa, as well as Pralamba and Mushtika wrestlers sent by the king. When Krishna was killing Kamsa, Balarama slew his mighty commander, Kalavakra. After the evil king was slain, Balarama and Krishna went to the ashrama of sage Sandipani at Ujjain for their education. Balarama married Revati, the daughter of King Kakudmi. He had two sons - Nishatha and Ulmuka, and a daughter - Vatsala/Shashirekha.


title: Balarama

text: Balarama is the celebrated tiller, one of the embodiments of agriculture along with livestock with whom Krishna is associated with. The plough is Balarama's weapon. In the "Bhagavata Purana", he uses it to fight asuras, dig a way for Yamuna river to bring it closer to Vrindavan, and he also availed it to drag the entire capital of Hastinapura into the Ganga river.


title: Balarama

text: Balarama taught both Duryodhana of the Kauravas and Bhima of the Pandavas the art of war with a mace. When war broke between the Kauravas and the Pandavas, Balarama carried obligations for both sides and so remained neutral. He went for a pilgrimage with his nephew Pradyumna and other Yadavas during the war, and returned on the last day, to watch the fight between his disciples. When Bhima defeated Duryodhana by striking him in the thigh with his mace, a traditional violation of the rules of combat, Balarama threatened to kill Bhima. This was prevented when Krishna reminded Balarama of the vow of Bhima—to kill Duryodhana by crushing the thigh he had exposed to Bhima's wife, Draupadi.


title: Balarama

text: In the Bhagavata Purana, it is described that after Balarama took part in the battle causing the destruction of the remainder of the Yadu dynasty and witnessing the disappearance of Krishna, he sat down in a meditative state and departed from this world.


title: Balarama

text: Some scriptures describe a great white snake that left the mouth of Balarama, in reference to his identity as Ananta-Sesha, a form of Vishnu. The place where he departed is situated near Somnath Temple in Gujarat.


title: Balarama

text: The local people of Veraval believe about the cave near the temple place, that the white snake who came out of Balarama's mouth got into that cave and went back to Patala"."


title: Balarama

text: In Hindu tradition, Balarama is depicted as a farmer's patron deity, signifying the one who is "harbinger of knowledge", of agricultural tools and prosperity. He is almost always shown and described with Krishna, such as in the act of stealing butter, playing childhood pranks, complaining to Yashoda that his baby brother Krishna had eaten dirt, playing in cow sheds, studying together at the school of guru Sandipani, and fighting malevolent beasts sent by Kamsa to kill the two brothers. He is the constant companion of Krishna, ever watchful, leading to the epithet ""Luk Luk Dauji"" (or "Luk Luk Daubaba") in the Pustimarga tradition of Vaishnavism. In the classical Tamil work Akananuru, Krishna hides from Balarama when he steals the clothes of the milkmaids while they bathe, suggesting his brother's vigilance. He is a creative store of knowledge for the agriculturists: the knowledge that dug a water channel to bring Yamuna water to Vrindavan; that restored groves, farms and forests; that produced goods and drinks.


title: Balarama

text: In Hindu texts, Balarama almost always supports Krishna in form and spirit. However, there are occasions where the dialogues between Balarama and Krishna present different viewpoints, with Krishna's wisdom establishing him to be the ultimate divinity. Balarama's constant symbolic association with Krishna makes him the protector and supporter of dharma.


title: Balarama

text: Balarama is depicted as light-skinned, in contrast to his brother, Krishna, who is dark-skinned; Krishna in Sanskrit means dark. His "ayudha" or weapons are the plough "hala" and the mace "gadā". The plough is usually called Balachita. He often wears blue garments and a garland of forest flowers. His hair is tied in a topknot and he has earrings, bracelets and armlets; he is known for his strength, the reason for his name; Bala means strength in Sanskrit.


title: Balarama

text: In the Jagannath tradition, one particularly popular in eastern and central regions of India, he is more often called Balabhadra. Balarama is one in the triad, wherein Balarama is shown together with his brother Jagannath (Krishna) and sister Subhadra (Subhadra). Jagannath is identifiable from his circular eyes compared to an oval of Shubhadra and almond-shaped eyes of the abstract icon for Balarama. Further, Balarama's face is white, Jagannath's icon is dark, and Subhadra icon is yellow. The third difference is the flat head of Jagannath icon, compared to the semi-circular carved head of abstract Balarama. The shape of Balabhadra's head, also called Balarama or Baladeva in these regions, varies in some temples between somewhat flat and semi-circular.


title: Balarama

text: The Jain Puranas, notably, the "Triṣaṣṭiśalākāpuruṣacarita" of Hemachandra, narrate hagiographical accounts of nine Baladevas or Balabhadras who are believed to be śalākāpuruṣas (literally torch-bearers, great personalities). Balarama was the ninth one. Balarama along with Krishna are considered as cousins of the revered Tirthankara Neminatha (Aristanemi) by Jains.


title: Balarama

text: The Jainism tradition lists 63 "Śalākāpuruṣa" or notable figures which, amongst others, includes the twenty-four "Tirthankaras" and nine sets of triads. One of these triads is Krishna as the "Vasudeva", Balarama as the "Baladeva", and Jarasandha as the "Prati-Vasudeva". In each age of the Jain cyclic time is born a "Vasudeva" with an elder brother termed the "Baladeva". Between the triads, "Baladeva" upholds the principle of non-violence, a central idea of Jainism. The villain is the "Prati-vasudeva", who attempts to destroy the world. To save the world, "Vasudeva-Krishna" has to forsake the non-violence principle and kill the "Prati-Vasudeva". The stories of these triads can be found in the "Harivamsa Purana" (8thcentury CE) of Jinasena (not be confused with its namesake, the addendum to "Mahābhārata") and the "Trishashti-shalakapurusha-charita" of Hemachandra.


title: Balarama

text: The story of Krishna's life in the "Puranas" of Jainism follows the same general outline as those in the Hindu texts, but in details, they are very different: they include Jain "Tirthankaras" as characters in the story, and generally are polemically critical of Krishna, unlike the versions found in the "Mahabharata", the "Bhagavata Purana", and the "Vishnu Purana". For example, Krishna loses battles in the Jain versions, and his "gopis" and his clan of Yadavas die in a fire created by an ascetic named Dvaipayana. Similarly, after dying from the hunter Jara's arrow, the Jaina texts state Krishna goes to the third hell in Jain cosmology, while Balarama is said to go to the sixth heaven.


title: Balarama

text: In other Jain texts, Krishna and Baladeva are stated to be a cousin of the twenty-second "Tirthankara", Neminatha. The Jain texts state that Naminatha taught Krishna all the wisdom that he later gave to Arjuna in the "Bhagavad Gita". According to Jeffery D. Long, a professor of Religion known for his publications on Jainism, this connection between Krishna and Neminatha has been a historic reason for Jains to accept, read, and cite the "Bhagavad Gita" as a spiritually important text, celebrate Krishna-related festivals, and intermingle with Hindus as spiritual cousins.


title: Balarama

text: Evidence related to early Jainism, states Patrick Olivelle and other scholars, suggests Balarama had been a significant farmer deity in Jain tradition in parts of the Indian subcontinent such as near the Mathura region. Jain texts such as the "Kalpasutra" describe the same idea of embryo transfer, as in Hindu texts for Balarama, for the 24th Tirthankara Mahavira; in the latter case, the embryo of a Brahmin woman is moved into the womb of a Kshatriya woman. Balarama, states Pratapaditya Pal, was one of the historic deities revered in Jainism along with Ambika, Lakshmi and others. As with the Hindu farmers, state Paul Dundas and other scholars, it is likely that Balarama was the patron deity of Jain farmers in the early centuries of the common era, because a large number of Balarama images have been found in early Jain arts.


title: Balarama

text: Balarama images have been discovered in central Indian Buddhist sites, such as with Sanchi stupas at Andher, Mehgaon and Chandna. These are dated to around the start of the common era. The Ghata Jataka, one of the Jataka Tales that form part of Buddhist scriptures, depicts Krishna as a previous birth of Buddha's disciple Sariputta and has Balarama depicted as the previous birth of one of the Buddha's disciples.


title: Houri

text: In Islamic religious belief, houris (Pronounced ; from ), are women with beautiful eyes described as a reward for the faithful Muslim believers in Paradise. The term is used four times in the Quran, where they are mentioned indirectly several other times, (sometimes as "azwāj", lit. companions), and Hadith provide a "great deal of later elaboration". They have been said to have "captured the imagination of Muslims and non-Muslims alike".


title: Houri

text: Muslim scholars differ as to whether they refer to the believing women of this world or a separate creation, with the majority opting for the latter.


title: Houri

text: In classical Arabic usage, the word "ḥūr" () is the plural of both "ʾaḥwar" () (masculine) and "ḥawrāʾ" () (feminine) which can be translated as "having eyes with an intense contrast of white and black".


title: Houri

text: The houris are mentioned in several passages of the Quran, always in plural form. No specific number is ever given in the Quran for the number of houris accompanying each believer.


title: Houri

text: It is thought that the four verses specifically mentioning Houri were all "probably" revealed at "the end of the first Meccan period".


title: Houri

text: Details of descriptions of houri (or ḥūr), in hadith collections differ, but one summary (by Smith & Haddad) states:


title: Houri

text: they are generally said to be composed of saffron from the feet to the knees, musk from the knees to the breast, amber from the breast to the


title: Houri

text: neck, and camphor from the neck to the head. Working often with multiples of seven, the traditionalists have described them as wearing seventy to 70,000 gowns, through which even the marrow of their bones can be seen because of the fineness of their flesh, reclining on seventy couches of red hyacinth encrusted with rubies and jewels, and the like. The ḥūr do not sleep, do not get pregnant, do not menstruate, spit, or blow their noses, and are never sick. References to the increased sexual process of those male believers for whose pleasure the ḥūr are intended' are numerous; the reports make it clear that the ḥūr are created specifically as a reward for males of the Muslim community who have been faithful to God.


title: Houri

text: In hadith, Houris have been described as "transparent to the marrow of their bones", "eternally young", "hairless except the eyebrows and the head", "pure" and "beautiful". Sunni hadith scholars also relate a number of sayings of the Islamic Prophet Muhammad in which the houris are mentioned.


title: Houri

text: Verse Q.78:33 describes Houri with the noun "ka'ib", translated as "with swelling breasts" by several translators—like Arberry, Palmer, Rodwell and Sale—(it is also translated as