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A neurosurgeon is a doctor who is known to carry out the diagnosis and surgical treatment of issues of the peripheral and central nervous system including trauma, congenital anomalies, vascular disorders, tumours, degenerative diseases of the spine, or infections of the spine or brain, stroke. The education and training to become a neurosurgeon is meticulous and wide-ranging. If suffering from any kind of peripheral and central nervous system related issues, it is important to consult with the best neurologist in India.
The kinds of disorders neurosurgeons diagnose and take care of are associated with the brain. Neurosurgeons are specifically qualified to treat a range of diseases, disorders and conditions that have an impact on the nervous system- from head injuries and disorders of the spine to nerve injuries, stroke and chronic pain. While neurosurgeons can carry out an extensive amount surgical processes, their treatment recommendations or offerings also expand to nonsurgical methods.
Mentioned below are some of the conditions that neurosurgeons usually treat:
Cervical spine disorders
If you are experiencing ache in the shoulders, neck, hands or arms, as well as numbness, tingling, or weakness, you might be suffering from a cervical spine disorder. The neurosurgeon will be able to treat this by finding out the root cause of the problem and design a treatment plan.
This condition entails an excessive build-up of cerebrospinal fluid in the brain. Infants and children are vulnerable to hydrocephalus and might experience vomiting, nausea, headaches, seizures, vision problems, irritability and sleepiness. In adults, vision problems, chronic headaches, and dizziness are more common.
Carotid artery disease
This condition affects the major blood vessels that supply blood to the neck and head. A neurosurgeon uses carotid endarterectomy to remove the build-up of plaque in the carotid arteries, enhance a patient's vascular health and prevent stroke.
Dizziness or Balance Problems
From time to time, being lightheaded or dizzy can happen to anyone. But, if this seems to be happening often, this is not a good sign. If you are walking around and feel dizzy frequently, or even lose your balance and fall, it is possibly time to find a neurosurgeon.
Lumbar spinal stenosis
Lumbar spinal stenosis is a condition concerning the narrowing of the spinal canal and firmness of nerves traveling through the lower back. Pain, numbness and weakness in the legs are common symptoms. In such cases, it is essential to consult with the neurosurgeon.
Vertebral Fractures
Neurosurgeons offer two minimally invasive processes, vertebroplasty and kyphoplasty that assist steady vertebral fractures. The surgeon may use imaging guidance to insert a cement mixture into the fractured bone (vertebroplasty) or add a balloon into the fractured bone to make a space and then fill it with cement (kyphoplasty). After vertebroplasty, about 75 percent of patients get back lost mobility and become more active.
Herniated disc
A herniated disc takes place when there is a rupture in the cartilage that surrounds and protects a disc in the spine. When this happens, pressure is given on the nerves in the spine and results in leg or arm pain, numbness, weakness and tingling. This can be treated by the neurosurgeon either with medication or by surgery. A herniated disc is often treated with non-steroidal anti-inflammatory medication, if the pain is mild to moderate. An epidural steroid injection may be performed using a spinal needle beneath X-ray guidance to direct the medication to the exact level of the disc herniation. A neurosurgeon may prescribe surgery if conservative treatment options, for example, medications and physical therapy, do not lessen or end the pain completely.
Trigeminal Neuralgia
The sharp facial pain of trigeminal neuralgia usually arises from pressure on the trigeminal nerve caused by a blood vessel, typically the superior cerebellar artery. Symptoms comprise intermittent shooting pain on one side of the face originating from one or more branches of the trigeminal nerve. In such cases, neurosurgeons may recommend surgical procedures like percutaneous trigeminal radiofrequency rhizotomy, Microvascular decompression of the trigeminal nerve, Stereotactic Radiosurgery, Glycerol injection, Balloon compression etc.
Thus, it can be said that a neurosurgeon does a lot more than brain surgery. In fact, a neurosurgeon's time is dedicated to treating back pain, spinal cord related issues, neck pain, degenerative disc disease, herniated discs, and even leg pain. In short, the best neurosurgeon in India work with the entire nervous system that starts in brain, runs through spine, and branches out to all parts of the body.


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Hair Styles for Spring
The weather is warming up, flowers are blooming, and you are ready to make a change of some sort. Your hairstyle is almost always the first change you make, giving yourself a fresh, "new me" type of feeling. The emergence from the hibernation months can be a lot of fun, especially when you try out some of the new hairstyles that celebrities are wearing this spring. There are so many hairstyles and haircuts to choose from, and they will all prompt you to give your hair stylist a call, immediately!
The Pixie
If you have been dying to wear a crop hairstyle similar to actress Ginnifer Goodwin, spring is the perfect time to go for this look. You don't have to worry about your neck getting cold due to the short hairdo; however, on those cool nights, you can wear the latest and most stylish scarves. The weekends in spring are bound to be busy, as more people start going out to enjoy the beautiful weather. This will mean less time styling your hair, and more time shopping and socialising, which is why the crop is the perfect hairstyle for the spring.
The beautiful Lupita Nyong'o is the queen of short hairstyles, and she definitely rocks a very versatile crop that people love. Lupita wears tufts with a tiny part down the center. The mini extensions used for this glamorous spring look add to its creativity, and beauty!
The Bob
Olivia Munn is one of the many celebrities that love to sport the classic bob look. When you need that wash and go type of hairstyle, the razored bob is a great choice. You can wear this look for practically every occasion, regardless if it is professional or personal. While you are at work, the bob is an appropriate style; however, it is a chic look that you can wear to a spring wedding.
You can be creative with the bob hairstyle, as Kelly Osborne has been this spring with her blunt bob look. The look is sleek, straight, and can be done with your own hair, or by having a wig styled. You could even dye your hair or wig bright lavender, if you truly want the Kelly Osborne look!
Nicole Kidman has made the long bob hairstyle a must have this spring. The bob is styled straight above the shoulders, and the heavier, front part of the hair is curled away from the face, which gives you a more flattering finish.
There are many reasons that you might want to change up your hairstyle this spring; perhaps you have worn long hair all winter, you are ready to let go of the bangs, or maybe you no longer love that one-length crop any more. Regardless of why you are changing your hairstyle this spring, there are a variety of celebrity haircuts that you can chose from. These styles range from the super short look, a model long length, and the cute bob in between!

subset: commoncrawl


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"Again Jesus said, "Peace be with you! As the Father has sent me, I am sending you." And with that he breathed on them and said, "Receive the Holy Spirit." John 20:21-22 (NIV)
We know we have received the Holy Spirit by the drastic changes that take place in our lives and an increased strength to overcome temptations.
It is important NOT to go by feelings or emotions in this area. You must have faith that when you ask God for something He promised you, He will most certainly give it to you.
Following are the signs that the Holy Spirit is working in your life:
- You will be filled with the desire to pray and when you pray you are moved in prayer in ways that sometimes surprise you.
"In the same way, the Spirit helps us in our weakness. We do not know what we ought to pray for, but the Spirit himself intercedes for us through wordless groans. 27And he who searches our hearts knows the mind of the Spirit, because the Spirit intercedes for God's people in accordance with the will of God." Romans 8:26-27 (NIV)
- You will have a desire to obey God, know what He says about sin and bear the fruit of the Spirit.
"For in Christ Jesus neither circumcision nor uncircumcision has any value. The only thing that counts is faith expressing itself through love. You were running a good race. Who cut in on you to keep you from obeying the truth? That kind of persuasion does not come from the one who calls you. "A little yeast works through the whole batch of dough." I am confident in the Lord that you will take no other view. The one who is throwing you into confusion, whoever that may be, will have to pay the penalty. Brothers and sisters, if I am still preaching circumcision, why am I still being persecuted? In that case the offense of the cross has been abolished. As for those agitators, I wish they would go the whole way and emasculate themselves!" Galatians 5:6-12 (NIV)
Life by the Spirit
"You, my brothers and sisters, were called to be free. But do not use your freedom to indulge the flesh; rather, serve one another humbly in love. For the entire law is fulfilled in keeping this one command: "Love your neighbor as yourself." If you bite and devour each other, watch out or you will be destroyed by each other.16 So I say, walk by the Spirit, and you will not gratify the desires of the flesh. For the flesh desires what is contrary to the Spirit, and the Spirit what is contrary to the flesh. They are in conflict with each other, so that you are not to do whatever you want. But if you are led by the Spirit, you are not under the law." Galatians 5:13-18 (NIV)
"But the fruit of the Spirit is love, joy, peace, forbearance, kindness, goodness, faithfulness, gentleness and self-control. Against such things there is no law. Those who belong to Christ Jesus have crucified the flesh with its passions and desires. Since we live by the Spirit, let us keep in step with the Spirit." Galatians 5:22-25 (NIV)
- You will love others and show them acts of kindness as and when you have the opportunity.
"Religion that God our Father accepts as pure and faultless is this: to look after orphans and widows in their distress and to keep oneself from being polluted by the world." James 1:27 (NIV)
- You will see the need to avoid things that are contrary to God's way.
On Not Loving the World
"Do not love the world or anything in the world. If anyone loves the world, love for the Father is not in them. For everything in the world—the lust of the flesh, the lust of the eyes, and the pride of life—comes not from the Father but from the world. The world and its desires pass away, but whoever does the will of God lives forever. 1 John 2:15-17 (NIV)
Life Application
- Don't go by feelings and emotions, trust God and His Word. If He says He will give you the Holy Spirit, He will keep His promise.
- Look out for subtle changes in your life, like an increased love for Jesus, a strong desire to pray and a great interest in reading the Word of God.
- Observe closely, to sense the Holy Spirit working in your life.
- Thank God for blessing you with the greatest gift you can ever receive.
In † Christian Love, Susan Osten
Resource: The Holy Spirit by Blue Flames


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08 Jan 2020 11:41:20
Still talking to S'hampton re Adams. The stumbling block is supposedly only the exorbitant loan fee they want for him.
08 Jan 2020 14:55:12
thank god we didn't waste a loan fee on another striker earlier in the year only for him to go back to his parent club. You know, with FFP and all.
oh, hang on.
08 Jan 2020 16:43:05
Yes Alf a waste of £3 million . should have kept Roofe even though his final year of his contract. wouldn't have this messs of just one striker.
08 Jan 2020 17:06:11
This is one of the reasons I don't really like loans - all too often they don't work out and then we have just wasted money and not even got an asset to sell or a player to make up the numbers at the end of it. Surely that £3m would have been better put toward a quality player of our own?
08 Jan 2020 18:28:06
Bazooka roofe ran his contract down he wasn't in his final year he left for free.
08 Jan 2020 19:52:27
You might want to get some correct information there Martyn .
Kemar WAS in the last year of his contract and left for £7 million
If you call that amount of cash leaving for free, maybe you can buy the striker you told me about .
09 Jan 2020 04:56:33
Lol Martyn . you are almost as bad as BW with your incorrect info.
09 Jan 2020 08:29:46
And did we even try to use the £35k per week (plus the £2m per year loan fee) we were paying for Eddie towards persuading Roofe to stay? I doubt it. Radz smelled a £3m profit instead but look where it has got us. £3m down and no striker. We will probably have to spend another £3-£4m to get another loan so at the end of the season we will not have gained anything but we will have lost a striker.
09 Jan 2020 09:58:05
Alf. sadly as was demonstrated last season Laurel and Hardy aka Radz and Orta trulty messed promotion up with the faiure to recruit properly in te January transfer window
. the fools have NOT learnt from their mistakes # the summer window in 2019 and this Jan window.
09 Jan 2020 13:30:10
It will truly be criminal if they do the same again . Leeds will be a total laughing stock if they refuse to spend, paddy gets injured and the annual slide-athon is repeated. Surely a quality accountant can find these loopholes that other clubs seem to unearth continually.


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Today, our special guest Mario Hasanakos, the co-founder of Spriggy talks about how the idea for Spriggy started and how they've been able to gain a foothold in the market because of their transparency and genuine desire to help people.
Jamie Mustard, joins us to share how blocks are the solution to your business getting noticed by the right people at the right time. Jamie gives us great examples of how blocks have been used in speeches, art, and marketing.
Bonjoro founder, Matt Barnett, takes us through how he came up with the video marketing hack he used to convert leads for his tech startup, which ultimately failed. But his simplistic way of reaching out to leads, later on, gave rise to Bonjoro. And the rest, as they say, is history.
Marx Acosta Rubio shares his rags to riches to rags to riches experience and how he did it. Plus, a bonus strategy he uses in hiring his employees which he has proven to be highly effective.
Here are some motivational quotes from fellow entrepreneurs who experienced the same doubts and fears that you may have today.


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The next idea for cot bed duvet cover set by nubie modern kids boutique is to decorate the wall of their duvet. It's true, you ought to be careful when working together with the wall décor. anthropologie duvet covers wouldn't take wall décor lightly as it could possibly enhance or crack the complete duvet. As a way to create a fantastic focal point point, you can test to put in a painting in the positioning on your duvet. Of course, if you do nothing enjoy painted walls, then you can try another option, which is why using wallpaper with beautiful patterns included. This program, by the way, is more economical compared to wall paint.
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A Skillz tickets and 2020 tour dates
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Moovin Festival
Whitebottom Farm, Etherow Country Park, Near Stockport
28th - 30th Aug 2020
Moovin Festival
Whitebottom Farm, Etherow Country Park, Near Stockport
28th - 30th Aug 2020
Minimum Age: 18
Skiddle is an official ticket outlet of Moovin Festival 2020. Get Moovin Festival tickets, news and information with Skiddle.com
36% Spotify popularity
At only 24 years old his incredible deck talents involve fusing funk, hip-hop and breaks with his unique style of scratching and mixing. His reputation as a true party rocker has won him prime-time slots across the UK at FabricLive, Spectrum, Chew The Fat, Supercharged, The Boutique and Sugarbeat as well as gigs around the world at major events, festivals and music industry parties such as The Hit Factory (New York), WMC (Miami) and Field Day (Sydney).
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Scissor Truss End Wall Framing
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Illusionistic ceiling painting which includes the techniques of perspective di sotto in s and quadratura is tradition renaissance baroque rococo art trompe loeil tools such as foreshortening other spatial effects are used to create illusion three dimensional space on an otherwise two or mostly flat surface above viewer, unlike glass ceilings which refer to obstacles that block an individuals advancement beyond a certain level walls and elevators do allow for within specific department, the glass wall is when you can not move from one job to another because of yourand ceiling being able up in your yourin what percent college professors and overall management positions were filled by women, define great room ceiling designs for farmhouse living rooms dramatic ceilings glass walls farm house the term. A glass ceiling is metaphor used to represent an invisible barrier that keeps given demographic typically applied minorities from rising beyond certain level in hierarchy the was first coined by feminists reference barriers careers of high achieving women us concept sometimes extended refer obstacles hindering advancement. A glass ceiling in an organisation is unofficially bar to the promotion of certain types staff normally women it called because its not obviously there but fact. Dramatic ceilings and glass walls define jamberoo farm house located south of sydney the was created by casey brown architecture for clients that wanted a country home large enough to have private guest accommodations entertaining areas.


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Sometimes people are dealt a bad hand of dental genetics that can cramp their smile-style by giving them a mouth full of not-so-favorable-misaligned teeth. Having crooked teeth can be something that puts a damper on the daily happiness of any person of any age. When you don't feel confident about your smile you tend to not do it very often, and a life without smiles can be a pretty big bummer.
The question is: When is the right time to contact us to help you regain your smiling confidence and what is the right choice when it comes to braces?
The option of becoming a "brace-face" is still a part of the dental world. The beloved old-school-metal braces, that all of us have learned to love as part our favorite Jr. High yearbook pictures, are still an option, but we have moved into a time where more inconspicuous teeth straightening braces are more of a popular choice. We offer Invisalign clear braces as an alternative to the traditional metal ones.
What makes Invisalign the popular choice?
Whether you are a child who is working on their soon to be adult smile, or an adult wanting to regain your unabashed child-like smile, we offer the option of Invisalign clear braces, which takes less of a toll on your smiling confidence by being almost completely imperceptible. This teeth straightening option will allow you to avoid the embarrassment that can often come with metal braces.
How do they work?
We use custom made aligners that are specifically manufactured for each individual to create a precise and gradual shift in the alignment of your teeth. These clear, and barely noticeable, aligners are removable and are usually switched every couple of weeks. This process is more comfortable than traditional braces, so the experience of shifting your teeth into that perfectly-aligned smile will be an entirely more pleasant experience than the hassle of traditional clink-clank metal braces.
We will be there for you through every step of the process and available for any questions you may have during your quest to correct your misaligned teeth. We know that getting braces is a life changing decision and we love being able to give you the dental option of having a smile that is dazzling and that will restore your confidence.


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Assistant Quantity Surveyor - Utilities in London, London, United Kingdom
Do you feel like you're not getting the correct training from your current company? Would you like to move to a new business who can offer support and guidance whilst you're working your way up the commercial ladder?
My client, a large utility contract is looking for a strong Assistant Quantity Surveyor to join their team managing utility diversion contracts on a multimillion-pound project due continuing for 3+ years. This West London based position is ideal for someone with 2-3 years experience who is keen to prove their experience in a new company and step up to Quantity Surveyor in the near future.
Location: Central London
Roles and responsibilities:
- Preparation of cost estimates, cost plans, tender documents, interim valuations of the construction
- Provide general support in the cost management and financial reporting
- Attend meetings to provide QS input, review project progress and present project data as appropriate
- Working on own projects as appropriate
Benefits for you:
- Competitive rates
- The opportunity to work for a well-known contractor
- A great location, which is easy to get to
Candidate Requirements:
- A degree in Quantity Surveying, Estimating, Civil Engineering or similar / Equivalent HND (not necessary)
- Working knowledge of NEC/JCT
- Have a very good work ethic and be willing to work hard
If you are interested in this role, or are a Quantity Surveyor looking at your career options, then please contact Morgan Broughton at Randstad CPE on <phone number removed> .
Alternatively, if you know someone who may be interested we offer a £200 referral fee for successfully placed candidates.
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Randstad CPE values diversity and promotes equality. No terminology in this advert is intended to discriminate against any of the protected characteristics that fall under the Equality Act 2010. We encourage and welcome applications from all sections of society and are more than happy to discuss reasonable adjustments and/or additional arrangements as required to support your application.
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Stratasys Set to Sponsor Major Retrospective of LAIKA Oscar-Nominated Films at Portland Art Museum
"Animating Life: The Art, Science and Wonder of LAIKA" runs October 14, 2017 – May 20, 2018
MINNEAPOLIS & REHOVOT, Israel--(BUSINESS WIRE)-- Stratasys (Nasdaq:SSYS), a global leader in applied additive technology solutions, today announced the company will be a sponsor of the Portland Art Museum's "Animating Life: The Art, Science and Magic of LAIKA" - running October 14, 2017 through May 20, 2018. The exhibit highlights such topics as LAIKA's use of 3D printing to rapidly create unforgettable, colorful, and life-like puppet faces for the studio's award-winning films. As a sponsor of the major retrospective exhibit, Stratasys executives will participate in a Press Preview on Thursday, October 12th - as well as a Facebook Live tour of the exhibit on Friday, October 13th at 9am Pacific, being hosted at www.facebook.com/LAIKAstudios.
This press release features multimedia. View the full release here: http://www.businesswire.com/news/home/20171012005247/en/
LAIKA's Oscar-Nominated "Kubo and the Two Strings" Pushes the Boundaries of Stop-Motion Animation with innovative 3D Printed characters (Photo: Business Wire).
Exploring behind-the-scenes photography, video clips and physical artwork from LAIKA films, visitors will be immersed in the studio's creative process - exploring the production design, sets, props, puppets, costumes, and world-building that have become the studio's hallmarks. LAIKA's Oscar® nominated films are widely known to be triumphs of imagination, ingenuity and craftsmanship redefining the limits of modern animation.
This retrospective will highlight the unique ability of 3D printing to spark unprecedented creativity and innovation in LAIKA's award-winning films. LAIKA, which has leveraged Stratasys 3D printed technology in motion pictures including Coraline, ParaNorman, The Boxtrolls, and Kubo and the Two Strings – all of which have received Oscar® nominations and numerous other awards - will peel back the curtain on innovations behind its stop-motion filmmaking. Highlights include 3D printing's role in revolutionizing animation of LAIKA's puppets - a critical piece of the studio's imaginative, vibrant story-telling. The technology gives LAIKA the unmatched design freedom and near-continuous production schedule for creation of full-color, 3D printed models with realism, performance and function.
"Bringing inanimate objects to life is one of the oldest forms of movie magic," said Brian McLean, LAIKA's Director of Rapid Prototyping – who won a Scientific and Engineering Oscar in 2016 for pioneering Rapid Prototyping in character animation. "By harnessing the power of 3D printers, we are able to create emotions and subtle facial performances never before seen in stop-motion animation. It is this technology - combined with the amazing talents of so many different creative disciplines within LAIKA - that allow us to tell really complex and enduring stories."
A collaborative partner with Stratasys for more than a decade, LAIKA is continuously evolving the studio's use of 3D printing to advance design and performance of stop-motion models. Stratasys technology helps filmmakers bring unique ideas to life, driving prototypes and characters to be created, modified, and re-created with unprecedented speed and detail. The studio currently leverages nine Stratasys PolyJet-based 3D printing solutions for practically non-stop, continuous production – including the Stratasys Connex3 and Stratasys J750 full-color, multi-material 3D printers.
These PolyJet-based 3D printing solutions are ideal for the demanding requirements of animators, with the versatile Stratasys J750 full-color, multi-material 3D printer allowing users to 3D print parts in more than 360,000 colors, textures, gradients and transparencies. These highly intricate creations are produced in a single print – with minimal-to-no finishing steps, such as painting, sanding or assembly. 3D printing ensures LAIKA can develop characters with 24x7 operations across an incredible array of characteristics for life-like function and look – both quickly and cost-effectively.
"For more than a decade, the visionaries at LAIKA have revolutionized the way animated films are made - tapping into the newest technology innovations and creating the most memorable theater experiences. The studio capitalizes on 3D printing for unprecedented design freedom, streamlined development processes, and creation of the most unique, custom characters," said Rich Garrity, President of Americas, at Stratasys. "LAIKA's advanced use of our 3D printing technology is not only breaking new barriers in film-making, but expanding what's now possible across 3D printing in general to encourage use across a diverse range of businesses. We consider LAIKA a valued and collaborative partner, opening new doors for what our customers can achieve."
About LAIKA:
Fueled by the vision of its owner, Nike co-founder former Chairman Philip H. Knight, and its President and CEO Travis Knight, feature film animation studio LAIKA was founded in 2005. Located just outside Portland, Oregon, LAIKA was awarded a Scientific and Technology Oscar® for its innovation in 3D printing in 2016. Its four films, Kubo and the Two Strings (2016); The Boxtrolls (2014); ParaNorman (2012); and Coraline (2009) were all nominated for Oscars® and PGA Awards as Outstanding Animated Film. Kubo, which marked the directorial debut of Travis Knight, also received an Oscar® nomination for Outstanding Visual Effects. Kubo won this year's BAFTA Award as well as three Annie Awards, the National Board of Review and 19 regional and critics' group awards. The Boxtrolls also earned Critics' Choice and Golden Globe Award nominations and 13 Annie Award nominations, more than any other film that year. ParaNorman garnered BAFTA, Critics' Choice and GLAAD Media Award nominations and won two Annie Awards and was cited as the year's best animated film by 14 critics' groups. Coraline earned Golden Globe, BAFTA, and Critics' Choice nominations, and was named one of the year's 10 Best Films by the American Film Institute (AFI). For more information, visit: LAIKA studios on Facebook, YouTube, Twitter and Instagram.
About Stratasys
Stratasys (NASDAQ: SSYS) is a global leader in applied additive technology solutions for industries including Aerospace, Automotive, Healthcare, Consumer Products and Education. For nearly 30 years, a deep and ongoing focus on customers' business requirements has fueled purposeful innovations—1,200 granted and pending additive technology patents to date—that create new value across product lifecycle processes, from design prototypes to manufacturing tools and final production parts. The Stratasys 3D printing ecosystem of solutions and expertise—advanced materials; software with voxel level control; precise, repeatable and reliable FDM and PolyJet 3D printers; application-based expert services; on-demand parts and industry-defining partnerships—works to ensure seamless integration into each customer's evolving workflow. Fulfilling the real-world potential of additive, Stratasys delivers breakthrough industry-specific applications that accelerate business processes, optimize value chains and drive business performance improvements for thousands of future-ready leaders around the world.
Corporate Headquarters: Minneapolis, Minnesota and Rehovot, Israel.
Online at: www.stratasys.com, http://blog.stratasys.com and LinkedIn.
Stratasys is a registered trademark, and PolyJet, the Stratasys J750, Connex3 and Stratasys signet are trademarks or registered trademarks of Stratasys Ltd. and or its subsidiaries or affiliates. All other trademarks belong to their respective owners.
Attention Editors, if you publish reader-contact information, please use:
- Europe/Middle East/Africa +49-7229-7772-0
- Asia Pacific +852 3944-8888
View source version on businesswire.com: http://www.businesswire.com/news/home/20171012005247/en/
LAIKA Media Contact:
Maggie Begley/MBC
Stratasys Media Contacts
Arita Mattsoff / Joe Hiemenz
Tel. +972 74 745 4000 (IL)
Tel. +1 952 906 2726 (US)
North America
Craig Librett
Tel. +1 518 424 2497
Jonathan Wake / Miguel Afonso
Incus Media
Tel. +44 1737 215200
Asia Pacific and Greater China
Stratasys AP
Alice Chiu
Tel. +852 3944 8888
Japan and Korea
Stratasys Japan
Aya Yoshizawa
Tel. +81 90 6473 1812
Mexico, Central America, Caribe and South America
Stratasys Mexico
Yair Canedo
Tel. +52 55 4169 4181
Clezia Martins Gomes
Tel. +55 (11) 3129 5158
Source: Stratasys
Released October 12, 2017


text:
Holiday heat wave for much of the eastern US.
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Barr backs Trump on census citizenship question. Prosecutors announce sex trafficking charges against multi-millionaire. Kevin Spacey's legal team says accuser deleted key texts. Trump: Iran better be careful. Trump weighs in on equal pay for female athletes. Confused about the busing debate? You're not alone. Border patrol officer disputes reports about facilities. Admiral set to lead the US Navy abruptly retires instead.
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Louis apartment. Florida man found dead with dog bites. The temperature at the airport was 90 degrees Thursday, besting June 14, , for the highest mark ever recorded in the city, according to the National Weather Service. More than a third of the US will reach 90 degrees on Independence Day.
Across south Alaska, the mercury was expected to rise to record or near-record levels on the nation's rd birthday and continue at above-average levels through next week, the National Weather Service reports.
Last month was the warmest June on record, with an average temperature of June marks the 16th consecutive month in which average temperatures ranged above normal. Meanwhile, a large upper-level high pressure system is building over Alaska and will draw warm air from the south and blow winds offshore -- in the opposite direction of "sea breezes," which bring cooler air from over the ocean to the land, the Weather Service predicts. Alaska's warming ocean is putting food and jobs at risk, scientists say. Heat engines achieve higher efficiency when the difference between initial and final temperature is greater.
Another commonly considered model is the heat pump or refrigerator. Again there are four bodies: the working body, the hot reservoir, the cold reservoir, and the work reservoir. A single cycle starts with the working body colder than the cold reservoir, and then energy is taken in as heat by the working body from the cold reservoir.
Then the work reservoir does work on the working body, adding more to its internal energy, making it hotter than the hot reservoir. The hot working body passes heat to the hot reservoir, but still remains hotter than the cold reservoir. Then, by allowing it to expand without doing work on another body and without passing heat to another body, the working body is made colder than the cold reservoir. It can now accept heat transfer from the cold reservoir to start another cycle. The device has transported energy from a colder to a hotter reservoir, but this is not regarded as by an inanimate agency; rather, it is regarded as by the harnessing of work.
This is because work is supplied from the work reservoir, not just by a simple thermodynamic process, but by a cycle of thermodynamic operations and processes, which may be regarded as directed by an animate or harnessing agency. Accordingly, the cycle is still in accord with the second law of thermodynamics. The efficiency of a heat pump is best when the temperature difference between the hot and cold reservoirs is least. Functionally, such engines are used in two ways, distinguishing a target reservoir and a resource or surrounding reservoir.
A heat pump transfers heat, to the hot reservoir as the target, from the resource or surrounding reservoir. A refrigerator transfers heat, from the cold reservoir as the target, to the resource or surrounding reservoir. The target reservoir may be regarded as leaking: when the target leaks hotness to the surroundings, heat pumping is used; when the target leaks coldness to the surroundings, refrigeration is used. The engines harness work to overcome the leaks.
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According to Planck , there are three main conceptual approaches to heat. The other two are macroscopic approaches. One is the approach through the law of conservation of energy taken as prior to thermodynamics, with a mechanical analysis of processes, for example in the work of Helmholtz.
This mechanical view is taken in this article as currently customary for thermodynamic theory.
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The other macroscopic approach is the thermodynamic one, which admits heat as a primitive concept, which contributes, by scientific induction [50] to knowledge of the law of conservation of energy. This view is widely taken as the practical one, quantity of heat being measured by calorimetry. Bailyn also distinguishes the two macroscopic approaches as the mechanical and the thermodynamic. It regards quantity of energy transferred as heat as a primitive concept coherent with a primitive concept of temperature, measured primarily by calorimetry.
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A calorimeter is a body in the surroundings of the system, with its own temperature and internal energy; when it is connected to the system by a path for heat transfer, changes in it measure heat transfer. The mechanical view was pioneered by Helmholtz and developed and used in the twentieth century, largely through the influence of Max Born. According to Born, the transfer of internal energy between open systems that accompanies transfer of matter "cannot be reduced to mechanics".
Nevertheless, for the thermodynamical description of non-equilibrium processes, it is desired to consider the effect of a temperature gradient established by the surroundings across the system of interest when there is no physical barrier or wall between system and surroundings, that is to say, when they are open with respect to one another. The impossibility of a mechanical definition in terms of work for this circumstance does not alter the physical fact that a temperature gradient causes a diffusive flux of internal energy, a process that, in the thermodynamic view, might be proposed as a candidate concept for transfer of energy as heat.
In this circumstance, it may be expected that there may also be active other drivers of diffusive flux of internal energy, such as gradient of chemical potential which drives transfer of matter, and gradient of electric potential which drives electric current and iontophoresis; such effects usually interact with diffusive flux of internal energy driven by temperature gradient, and such interactions are known as cross-effects. If cross-effects that result in diffusive transfer of internal energy were also labeled as heat transfers, they would sometimes violate the rule that pure heat transfer occurs only down a temperature gradient, never up one.
They would also contradict the principle that all heat transfer is of one and the same kind, a principle founded on the idea of heat conduction between closed systems. One might to try to think narrowly of heat flux driven purely by temperature gradient as a conceptual component of diffusive internal energy flux, in the thermodynamic view, the concept resting specifically on careful calculations based on detailed knowledge of the processes and being indirectly assessed. In these circumstances, if perchance it happens that no transfer of matter is actualized, and there are no cross-effects, then the thermodynamic concept and the mechanical concept coincide, as if one were dealing with closed systems.
But when there is transfer of matter, the exact laws by which temperature gradient drives diffusive flux of internal energy, rather than being exactly knowable, mostly need to be assumed, and in many cases are practically unverifiable. Consequently, when there is transfer of matter, the calculation of the pure 'heat flux' component of the diffusive flux of internal energy rests on practically unverifiable assumptions. In many writings in this context, the term "heat flux" is used when what is meant is therefore more accurately called diffusive flux of internal energy; such usage of the term "heat flux" is a residue of older and now obsolete language usage that allowed that a body may have a "heat content".
In the kinetic theory , heat is explained in terms of the microscopic motions and interactions of constituent particles, such as electrons, atoms, and molecules.
Heat as a form of energy
It is as a component of internal energy. In microscopic terms, heat is a transfer quantity, and is described by a transport theory, not as steadily localized kinetic energy of particles. Heat transfer arises from temperature gradients or differences, through the diffuse exchange of microscopic kinetic and potential particle energy, by particle collisions and other interactions.
An early and vague expression of this was made by Francis Bacon. In statistical mechanics , for a closed system no transfer of matter , heat is the energy transfer associated with a disordered, microscopic action on the system, associated with jumps in occupation numbers of the energy levels of the system, without change in the values of the energy levels themselves. A mathematical definition can be formulated for small increments of quasi-static adiabatic work in terms of the statistical distribution of an ensemble of microstates.
Quantity of heat transferred can be measured by calorimetry, or determined through calculations based on other quantities.
Calorimetry is the empirical basis of the idea of quantity of heat transferred in a process. The transferred heat is measured by changes in a body of known properties, for example, temperature rise, change in volume or length, or phase change, such as melting of ice. A calculation of quantity of heat transferred can rely on a hypothetical quantity of energy transferred as adiabatic work and on the first law of thermodynamics. Such calculation is the primary approach of many theoretical studies of quantity of heat transferred. The discipline of heat transfer , typically considered an aspect of mechanical engineering and chemical engineering , deals with specific applied methods by which thermal energy in a system is generated, or converted, or transferred to another system.
Although the definition of heat implicitly means the transfer of energy, the term heat transfer encompasses this traditional usage in many engineering disciplines and laymen language. Heat transfer is generally described as including the mechanisms of heat conduction , heat convection , thermal radiation , but may include mass transfer and heat in processes of phase changes.
Convection may be described as the combined effects of conduction and fluid flow. From the thermodynamic point of view, heat flows into a fluid by diffusion to increase its energy, the fluid then transfers advects this increased internal energy not heat from one location to another, and this is then followed by a second thermal interaction which transfers heat to a second body or system, again by diffusion. This entire process is often regarded as an additional mechanism of heat transfer, although technically, "heat transfer" and thus heating and cooling occurs only on either end of such a conductive flow, but not as a result of flow.
Thus, conduction can be said to "transfer" heat only as a net result of the process, but may not do so at every time within the complicated convective process. In an lecture entitled On Matter, Living Force, and Heat , James Prescott Joule characterized the terms latent heat and sensible heat as components of heat each affecting distinct physical phenomena, namely the potential and kinetic energy of particles, respectively. Latent heat is the heat released or absorbed by a chemical substance or a thermodynamic system during a change of state that occurs without a change in temperature.
Such a process may be a phase transition , such as the melting of ice or the boiling of water. Heat capacity is a measurable physical quantity equal to the ratio of the heat added to an object to the resulting temperature change. Heat capacity is a physical property of a substance, which means that it depends on the state and properties of the substance under consideration. The specific heats of monatomic gases, such as helium, are nearly constant with temperature. Diatomic gases such as hydrogen display some temperature dependence, and triatomic gases e. Before the development of the laws of thermodynamics, heat was measured by changes in the states of the participating bodies.
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In general, most bodies expand on heating. In this circumstance, heating a body at a constant volume increases the pressure it exerts on its constraining walls, while heating at a constant pressure increases its volume. Beyond this, most substances have three ordinarily recognized states of matter , solid, liquid, and gas. Some can also exist in a plasma.
Many have further, more finely differentiated, states of matter, such as for example, glass , and liquid crystal. In many cases, at fixed temperature and pressure, a substance can exist in several distinct states of matter in what might be viewed as the same 'body'. For example, ice may float in a glass of water. Then the ice and the water are said to constitute two phases within the 'body'. Definite rules are known, telling how distinct phases may coexist in a 'body'.
Mostly, at a fixed pressure, there is a definite temperature at which heating causes a solid to melt or evaporate, and a definite temperature at which heating causes a liquid to evaporate. In such cases, cooling has the reverse effects.


text:
Last reviewed by Editorial Team on August 27th, 2018.
What is triamterene/hydrochlorothiazide?
Triamterene/hydrochlorothiazide is known as a special drug combination which is known as diuretic or water pill. This is a combination of thiazide diuretic (hydrochlorothiazide) and potassium-sparing diuretic (triamterene). This combined medication works by making the elimination of sodium from kidney and water from your body as a result it can easily lower the blood pressure of your body. On the other hand the triamterene component always helps to minimize the loss of potassium.
What are the molecular formula, class and weight of triamterene/hydrochlorothiazide?
Triamterene belongs to the class of organic compounds known as pteridines and derivatives. These are polycyclic aromatic compounds containing a pteridine moiety, which consists of a pyrimidine fused to a pyrazine ring to form pyrimido(4,5-b)pyrazine.
hydrochlorothiazide belongs to the class of organic compounds known as 1,2,4-benzothiadiazine-1,1-dioxides. These are aromatic heterocyclic compounds containing a 1,2,4-benzothiadiazine ring system with two S=O bonds at the 1-position.
Molecular Formula: C19H19ClN10O4S2
Weight: 550.997g/mol
Triamterene/hydrochlorothiazide is a special class of drug which is known as a diuretic or known as the water pill. This is a useful medication which especially uses for the treatment of high blood pressure and edema.
How triamterene/hydrochlorothiazide works in the body?
You can use triamterene and hydrochlorothiazide combinations medication alone or with some other medicines and this combined medication always use for the treatment of water retention (edema) or hypertension also known as high blood pressure. If you have high blood pressure then it can be very dangerous for your health if you don't take any medication for this problem as per your doctor's prescription.
High blood pressure always put extra work load of the arteries and heart and if it continue for long term then your heart and arteries may not function properly as a result it can damage your blood vessels of the brain, kidney and heart. If this happened then there is always a risk of heart attack or kidney failure. If you can control your blood pressure then you are safer.
Both triamterence and hydrochlorothiazide are diuretic medicines or you can say water pills. The main work of this combined medication is to reduce the amount of water in the body by increasing the flow of urine which always helps to lower your blood pressure. The triamterene always helps to keep maintain the potassium level of your body rather absorbing too much salt. Always take this medication as per your doctor's prescription.
Triamterene/hydrochlorothiazide brand names
Triamterene/hydrochlorothiazide is well available in two brand names like Dyazide, Maxzide. This medication is well available in two forms like tablets and capsules.
All of these medications work same and you will find the same active ingredients triamterene and hydrochlorothiazide in these drugs but the only difference is the name and sometimes price so don't confused always follow your doctor's prescription. All these medications are good for edema and high blood pressure.
What is triamterene/hydrochlorothiazide used for?
Triamterene/hydrochlorothiazide medication can use alone or with other medications to treat hypertension. High blood pressure always puts extra pressure on the heart and if it continuous for the long term then it can damage the blood vessels of kidney, heart, brain and can also increase the risk of heart failure or stroke. Triamterene/hydrochlorothiazide is also prescribed to treat edema.
Triamterene is a special type of water pill or diuretic which always helps to prevent your body from losing too much potassium. This combined medication always helps to reduce the amount of water in the body in your body and increasing the flow of urine which always help to reduce the high blood pressure.
Triamterene/hydrochlorothiazide dosage forms and strengths
Triamterene/hydrochlorothiazide medication is well available in two dosage forms like capsule and tablet. When the thing comes to strengths of this medication it is well available of three strengths like 50mg-75 mg, 25mg-37.5mg and25mg-50mg. Never take medication according to your own choice because it can cause serious damage to your health.
Triamterene/hydrochlorothiazide dosage for different indications
As always, you need to remember one thing always that always takes medicines as per your prescription. Never take any extra dose or fewer doses because it can cause serious health problems for you. Here you can get some dose information regarding triamterene/hydrochlorothiazide dose for various indications. So let's start.
Usual adult dose for edema:
The usual adult dose for edema is 25 to 50 mg of hydrochlorothiazide and 37.5 to 100 mg of triamterene orally single time per day. If the patient becomes hypokalemic on 50 mg of hydrochlorothiazide then you may be transferred directly to the hydrochlorothiazide 50 mg-triamterene 75 mg orally per day.
Patient who become hypokalemic on 25 mg of hydrochlorothiazide then you have to transferred the dose directly to 25mg hydrochlorothiazide and 37.5mg triamterene orally once per day. Patients in whom hypokalemia can't be risked may be started with the dose 25 mg of hydrochlorothiazide and 37.5 mg of triamterene orally once per day.
Usual adult dose for hypertension:
The normal adult dose for hypertension patient is hydrochlorothiazide 25 to 50 mg-triamterene 37.5 to 100mg once per day orally. If the patient becomes hypokalemic on 50 mg of hydrochlorothiazide then you may be transferred directly to the hydrochlorothiazide 50 mg-triamterene 75 mg orally per day.
Patient who become hypokalemic on 25 mg of hydrochlorothiazide then you have to transferred the dose directly to 25mg hydrochlorothiazide and 37.5mg triamterene orally once per day. Patients in whom hypokalemia can't be risked may be started with the dose 25 mg of hydrochlorothiazide and 37.5 mg of triamterene orally once per day.
Renal dose adjustment:
This is contraindicated in case of patients with acute, anuria and chronic renal insufficiency or significant renal impairment.
Liver dose adjustment:
If you have liver problem then you need to use this medication quite cautiously. Never use it as per your own decision always take advice from your physcian and use the medication as per the prescription for the better result.
Triamterene/hydrochlorothiazide highest dose
75 mg of hydrochlorothiazide and 100mg of triamterene combination is known as the highest dose of this medication. But for the highest dose, you need to check up your body and should ask your doctor.
Never take any excess dose because it may cause a serious health issue. So always take medication according to the prescription if you sill mark side effects then immediately check up your body because you may need the dose adjustment.
Triamterene/ hydrochlorothiazide side effects
If you are taking triamterene/ hydrochlorothiazide and you may mark some side effects then never neglect to any side effects, immediately go for the treatment. Sometimes you may need dose adjustment for the better result. If you have any signs of allergic reaction to triamterene/ hydrochlorothiazide then go for immediate health attention.
Major side effects
If you fell or mark any of the following side effects while taking triamterene/hydrochlorothiazide medication then immediately check with your doctor.
Incident not knows:
- Abdominal or stomach pain
- agitation
- back or leg pains
- black, tarry stools
- bleeding gums
- blisters, hives, or itching
Overdose symptoms
- Face is warm or hot to touch
- frequent urination
- increased volume of pale, dilute urine
- loss of strength or energy
- pain or weakness in the hands or feet
Minor side effects
Sometimes triamterene/hydrochlorothiazide medication may cause minor side effects in such case there is no need of medical attention because this side effect will not stay a long time as it used to your body then these side effects may disappear but if side effects continue then you need to medical attention immediately.
Incident not known:
- Decreased interest in sexual intercourse
- feeling of constant movement of self or surroundings
- inability to have or keep an erection
- increased sensitivity of the skin to sunlight
- loss in sexual ability, desire, drive, or performance
- redness or other discoloration of the skin
- sensation of spinning
- severe sunburn
- welts
How to take triamterene/hydrochlorothiazide?
Always take triamterene/hydrochlorothiazide medication as it was prescribed by your doctor for you. Never forget to follow all the directions on your prescription sheet. Don't worry sometimes your doctor may change your dose for the better improvement of your health. Never use this medication in smaller or larger amounts or for the longer time than your doctor's prescription because doing these things can be harmful to you.
Always take triamterene/hydrochlorothiazide orally with or without food. If you feel any type of stomach upset then take this medication with food to reduce the irritation of your stomach. This medication can increase the amount of urine or in other word, cause you urinate more often when you take this medicine at the starting so to avoid disturbing your sleep it's always better to take your dose before 6PM.
In the case, you are using colestipol or cholestyramine then always ask your doctor how to take it with triamterene/hydrochlorothiazide medication never take it as per your own choice. If you have high blood pressure then you may feel tired for a week after starting the treatment but never stop medication even if you don't feel better.
Is triamterene/hydrochlorothiazide addictive?
Yes, triamterene/hydrochlorothiazide can be addictive. As per the medical report only few people who take triamterene and hydrochlorothiazide. If you mark closely almost 4,767 people who have side effects to this medication.
Can triamterene/hydrochlorothiazide make you high?
No, there is no such indication still found. So triamterene/hydrochlorothiazide never makes you high but never stops this medication suddenly if any problem arises or any side effects occur.
Can I abrupt triamterene/hydrochlorothiazide therapy suddenly?
No, normally you can't abrupt triamterene/hydrochlorothiazide medication as per your own wish because it can be dangerous for you because if you have hypertension then abruption can cause a serious heart attack or heart failure which is always dangerous for you. Just go for medical attention and check up your body if you need abruption then you can abrupt it according to your physician instruction.
Can triamterene/hydrochlorothiazide cause withdrawal effects?
Yes, you may feel withdrawal effects if you are taking triamterene/hydrochlorothiazide medication. Most probably female those who are above 60 ages feel this effect. So if you are feeling withdrawal effect then immediately go for the treatment or some time you may need the dose adjustment. Never stop this medication suddenly by doing so can put bad effect on your body.
Precautions and warnings during triamterene/hydrochlorothiazide use
Here you can find some medical conditions which may interact with triamterene/hydrochlorothiazide so in such case it's always better to go for medical help. This is very important part to know if you are using triamterene/hydrochlorothiazide medication. Never use this medication if you have urination problem, kidney disease or high potassium level in your blood.
If you are using any other diuretics then don't use this medicine and never use low-sodium milk, potassium supplements because it can increase your blood potassium level to very critical condition so always aware of these things. You should be careful on some other things like:
- If you are taking any herbal preparation, any prescription or non prescription medicines.
- If you have any allergy to any foods, medicines and other substances.
- If you are planning to become pregnant or you are pregnant or breast-feeding.
- If you have heart, kidney, diabetes or liver problems
- If you have unusual heart beat or kidney stones
- If you are taking low salt diet
- If you are taking any high blood pressure medication or digoxin
Some medicines also interact with triamterene/hydrochlorothiazide like
- Potassium-sparing diuretics, potassium supplements, aldosterone blockers
- Corticotrophin, corticosteroids, amphotericin b
- Nonsteroidal anti-inflammatory medicines like indomethacin because these medications always decrease the effect of triamterene/hydrochlorothiazide.
- Angiotensin-converting enzyme inhibitors because this type of medication always increase the risk of high blood potassium and kidney problems.
- Digoxin, diazoxide
- Anticoagulants or methenamine because triamterene/hydrochlorothiazide always decrease the effective of these two medications.
If you are using any above discussed medications or if you have any health issues as mentioned above list then never take triamterene/hydrochlorothiazide as per your own choice because it can be dangerous for you so in such case, always discuss all these things and take medication according to your physician's prescription for the best result.
How long does triamterene/hydrochlorothiazide take to work?
Triamterene/hydrochlorothiazide medication takes around 24 to 48 hours to work but for the full benefit of this medication you have to wait for 5 to 7 days. For better information regarding this medication and dose information better ask your physician.
How long does triamterene/hydrochlorothiazide stay in your system, urine, blood, saliva?
This medication can take longer to completely out from your system like if you take this medication with food or you have certain medical conditions but normally the half-life of this drug is 7 to 15 hours so for the complete clear it may take around 23 to 30 hours to be completely out from your system, blood, urine and saliva.
Triamterene/hydrochlorothiazide during pregnancy
You can use this triamterene/hydrochlorothiazide drug during pregnancy only if the benefit outweighs the risk. There is no such controlled data in case of human pregnancy. Never take this medication according to your own choice during your pregnancy because it can be dangerous for you so always follow the doctor's instruction for the better result.
Triamterene/hydrochlorothiazide during breastfeeding
There is no such clear-cut statement regarding use of triamterene/hydrochlorothiazide during breastfeeding but the decision should be made by your doctor and totally depends on your health condition. Somehow it's risky so it's always better to ask your doctor about this and follow his/her instruction for the best result.
Can geriatric patients use triamterene/hydrochlorothiazide safely?
No, geriatric patients can't use triamterene/hydrochlorothiazide safely if they have serious health issue because older persons can easily affected by side effects. Your doctor can suggest you the best dose according to your health condition so follow their instruction for the best result.
Triamterene/hydrochlorothiazide overdosage
In case of triamterene/hydrochlorothiazide overdose you need call your nearest poison help center and also contact for emergency medical attention. Overdose of triamterene/hydrochlorothiazide medication is always risky and can cause serious damage to your health so never take any extra dose.
You may feel various side effects on overdose of this medication like severe dizziness, nausea, weakness, fainting, fever and light-headedness. If you mark any type of side effects then immediately go for medical help.
What happens if I miss the dose of triamterene/hydrochlorothiazide?
Take the missed dose as soon as possible or when you remember. If it is almost the time for the next dose then just skip the dose and take care that never happen in future. Remember one thing never takes double dose or any extra dose for the drug adjustment because it can cause serious health problems to you.
Can I drink alcohol while taking triamterene/hydrochlorothiazide?
No, you can't take triamterene/hydrochlorothiazide medication with alcohol because drinking alcohol can lower your blood pressure and you may mark many side effects of this medication so always try to avoid alcohol also try to avoid diet with high in salt. Always take medicines according to your prescriptions for the best result.
Can patients with liver disease take triamterene/hydrochlorothiazide safely?
No if you have serious liver disease then you can't take triamterene/hydrochlorothiazide medicine safely. According to medical research if you have serious liver disease then triamterene/hydrochlorothiazide can put you on hepatic comma.
So in such case the patient should take this medicine more cautiously. You need to check up your health condition regularly as if you have liver disease like jaundice then the triamterene are normally metabolized by liver so in such case your doctor may reduce the dose for effective result.
Can patients with renal disease take triamterene/hydrochlorothiazide safely?
No, if you have the renal disease then you can't take triamterene/hydrochlorothiazide safely because this medication can cause serious damage to your kidney vessel.
Sometime this medication is ineffective in case of renal function disorders if the glomerular filteration rate is low so thiazide diuretics therapy should be used with cautiously and some time your doctor may reduce the dose also. In the case of worst condition you have to discontinue this medication.
Triamterene/hydrochlorothiazide for arrhythmias
As per the medical science, report arrhythmias are found among those people who take triamterene/hydrochlorothiazide, especially who are female and above 60 years old. So it's unsafe for the people those who have arrhythmias problems. Triamterene/hydrochlotothiazide can cause hyperkalemia, which may result serious arrhythmias. So use this medication cautiously.
Triamterene/hydrochlorothiazide for hypertension
Triamterene has the potassium-sparing property which always helps the hypertension patients. The frequent combination of hydrochlorothiazide and triamterene is always an effective medication for hypertension.
This medication inhabitants the epithelial sodium channel in the cortical duct and triamterene just reduces the potassium secretion which always reduces the risk of hypokalemia but there is no such clear report about whether triamterene/hydrochlorothiazide has any independent effect on blood pressure or not.
Triamterene/hydrochlorothiazide for heart diseases
Triamterene/hydrochlorothiazide is always safe for heart diseases because this drug normally treats high blood pressure and high blood pressure is always the cause of several heart diseases like strokes, heart attacks so it's definitely prevents many heart diseases. In case of serious heart problem take this medication carefully if any side effects occur then immediately goes for health checkup or medical attention.
Triamterene/hydrochlorothiazide for congestive heart failure
Triamterene/hydrochlorothiazide oral diuretic is good for congestive heart failure and it's quite effective at doses of 100 mg to 200 mg per day. It also never develops drug tolerance with long-term therapy. The only triamterene is not so effective so always very effective with hydrochlorothiazide.
Triamterene/hydrochlorothiazide for hyperthyroidism
According to the medical report, hyperthyroidism is found among people those who take triamterene/hydrochlorothiazide. Most of the female who are above 60 are affected by hyperthyroidism. So if you are one of them, then use it cautiously. Triamterene/hydrochlorothiazide may decrease the protein-bound iodine levels so the physician always aware of this thing during the prescription.
Triamterene/hydrochlorothiazide for anxiety
Yes, if you are taking triamterene/hydrochlorothiazide then you may have anxiety problem in future. As per the medical report, it is found that mostly female who are above sixty years old are affected by anxiety. So if you are taking this medication then be cautious about it because it can increase the anxiety problems.
Can triamterene/hydrochlorothiazide cause low blood pressure?
Yes, triamterene can cause low blood pressure and you may feel many side effects like fainting, weakness, tired. So if you mark any side effects during your triamterene medication then immediately go for medical checkup. Sometimes you may need dose adjustments or any other medications. Never take any medication according to your own choice or never stop this medication suddenly without medical attention.
Can diabetics take triamterene/hydrochlorothiazide?
No, you can't take triamterene/hydrochlorothiazide if you have diabetes problem. Triamterene/hydrochlorothiazide may raise your blood sugar so in such case you need to monitor your sugar level on regular basis so if you can't do that then it's too risky to use this medication.
Due to problem in the rennin-angiotensin-aldosterone axis this medicine is not safe for the diabetics' patients. If you are using then you need to monitor your blood sugar level and serum potassium level and renal function regularly for safety.
Triamterene/hydrochlorothiazide and acidosis
Acidosis normally alters the extracellular potassium and may lead rapid increase in serum potassium level and it can increase the effect of acidosis. Because of the hyperkalemic effects triamterene/hydrochlorothiazide should be avoided in patients. If you have serious problem then you need to check up your serum potassium and acid-base balance on regular intervals for the best dose of the medication.
Triamterene/hydrochlorothiazide and hyperkalemia
This is not safe to use triamterene/hydrochlorothiazide for hyperkalemia because this medication contraindicated the potassium serum concentration which can cause serious hyperkalemia problems as a result cardiac arrhythmias so in such situation, at the initial stage of therapy you need to check up your serum potassium on regular intervals and you may also need dose adjustment so do worry take medication according to your prescription.
Triamterene/hydrochlorothiazide and asthma
According to medical research, asthma is found on people those who are using triamterene/hydrochlorothiazide medication and this is normally found on female those who are above 60 years of old and have been taking this medication for one to six months. So if you have asthma problem then use it cautiously because it can increases the asthma effect.
Triamterene/hydrochlorothiazide and hyperlipidemia
Triamterene/hydrochlorothiazide may enhance the cholesterol and triglyceride levels. Still there is no confirmations about these effects are for dose related or not. If you have pre hyperlipidema then you need to do regular monitoring of your health condition during this therapy some time you have to adjust the dose according to the lipid-lowering regimen which is always important.
Can I take triamterene/hydrochlorothiazide and aspirin together?
As per the medical report till now there are no such interactions found between triamterene/hydrochlorothiazide and aspirin medications together but that doesn't mean that there is no interactions exist so never take any medicines without the prescription. If you mark any side effects then go for a medical checkup because sometimes you may need dose adjustment for better improvement of your health condition.
Can I take triamterene/hydrochlorothiazide and metoprolol together?
According to the medical report triamterene/hydrochlorothiazide is not safe at all with metoprolol because this combination may lower your heart rate which can cause dizziness, weakness and other problems to you. It also can be the cause of irregular heartbeat, fainting and loss of blood glucose control. If you are using this medication then you need to checkup your blood pressure on regular basis.
Can I take triamterene/hydrochlorothiazide and esomeprazole together?
As per the medical science using esomeprazole with triamterene/hydrochlorothiazide can cause low blood magnesium which is also known as hypomagnesemia and if you will use it for long period of time then it can cause other problems like muscle spasm, heart rhythm, tremor and palpitations.
In case of children it can cause abnormal heart beat, upset stomach, fatigue and dizziness so for this you need to check up your body on regular interval and should take medicine as per the prescription of your physician.
Can I take triamterene/hydrochlorothiazide and duloxetine together?
According to medical test duloxetine with triamterene/hydrochlorothiazide medication can cause low blood sodium level which is also known as hyponatremia condition.
In such case you may mark various side effects like muscle spasm, nausea, weakness, irritability, memory impairment, confusion and in case of severe condition the patient may go to coma or fainting condition. So use this medicine cautiously and always check up your body and take medicine according to your prescription some time you may need dose adjustment also.
Can I take triamterene/hydrochlorothiazide and viagra together?
No, you can't take triamterene/hydrochlorothiazide and viagra together. According to report there are drug interactions found between triamterene/hydrochlorothiazide and Viagra medication so never take these two medicines together.
Can I take triamterene/hydrochlorothiazide and metformin together?
No, you can't take triamterene/hydrochlorothiazide and metformin together because according to the medical report drug interactions are reported people those who take metformin and triamterene/hydrochlorothiazide together. A doctor can only suggest you best medication according to your present health condition so never take medication according to your own choice because it can be dangerous for your health.
Can I take triamterene/hydrochlorothiazide and hydralazine together?
According to medical data base and research hydralazine and triamterene/hydrochlorothiazide medication together can cause serious interactions which can very dangerous for your health. So the answer is no, you can't take it safely together without a prescription.
Can I take triamterene/hydrochlorothiazide and amlodipine together?
No, you can't take triamterene/hydrochlorothiazide and amlodipine together because as per the medical research interactions found between these two medications so you should use it cautiously.
Can I take triamterene/hydrochlorothiazide and advil together?
No, you can't take advil and triamterene/hydrochlorothiazide together without the instruction of your doctor. According to the research, these two medications can cause serious interaction so always harmful for human body.
All about proper storage and disposal of triamterene/hydrochlorothiazide medication
It's always quite necessary to keep this medicine at a room temperature between 68 and 77 degrees F and avoid excess temperature, heat and moisture. Brief storage is permitted at temperature between 59 to 86 degrees F. Never keep this medication in your bathroom and always keep out of the reach of pets and children. To know the proper way of disposal you should ask your physician.
"Phenobarbital – Uses, Side Effects, Interactions"


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Award recognition for Innovation in Healthcare
The Bridgwater Community Hospital development, for which Clarkebond provided civil, structural and geotechnical engineering services, has been recognised in the national 'Building better Healthcare' awards. The awards celebrate innovation, architecture, people, products and services that are helping to transform patient care in the UK.
The development was 'Highly Commended' in the 'Innovations in P21+' category which recognises innovative healthcare projects delivered through the procurement framework that that add value to the NHS client in terms of enhancing the patient experience, improving efficiency and reducing capital expenditure. The judges described the project as 'A well thought-out facility that enhances the patient experience'.
Clarkebond teams overcame significant civil, structural and geotechnical engineering challenges on this project. With the site located within the Bridgwater flood plain, particular design consideration was given to solving surface water and flood risk issues. Clarkebond successfully negotiated an agreement with the Environment Agency and the Internal Drainage Board to raise general site levels by up to a metre. Quarry waste reinforced with geotextile was used to build up the site level, providing a suitable platform for the piling rig to work from and a smooth clean surface for the contractor to work on from day one.
The design included fully integrated SUDS on site with porous pavement car parks linked to a new ditch and pond system with ecological enhancements such as a new otter holt, profiling of the pond to provide an otter ledge and landscape planting to provide butterfly corridors to encourage the bio-diversity of the area. The integrity of the design was put to the test during the heavy rainfall through January and February and passed with flying colours!
An in-situ reinforced flat slab design was chosen to minimise structural zones and avoid obstructions to horizontal services distribution, which is critical in a hospital environment. A concrete roof enabled the installation of photo voltaic panels and other mechanical and electrical plant above and also gave total flexibility for the location of patient hoists and other such equipment beneath. Bridgwater Hospital. Further challenges were posed when a decision was made half way through construction to add an additional endoscopy department on the side of the building. Overhead and below ground services already re-routed across the proposed extension site had to be diverted again and the structure re-configured to accommodate the proposed endoscopy department.


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26 Oct
Ottawa Convention: A multiple choice game – how will YOU do?
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Hello CAPS friends, With less than 2 months to go until Convention, we're ready to get serious. Get down to business. Roll up our sleeves and do our last push. In other words…. It's game-time. If you haven't already… Don't forget to register before the Oct. 30 early bird deadline! READY? (Answers will be revealed… Continue reading


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Contracting personnel at the Centers for Medicare and Medicaid Services failed to follow basic contracting rules.
The disastrous rollout of HealthCare.gov had a lot to do with insufficient contractor oversight and management by the Centers for Medicare and Medicaid Services, according to a new inspector general report.
Released Monday, the Department of Human Services IG report examined the 20 most critical HealthCare.gov-related contracts awarded between 2010 and 2014 and discovered many examples of CMS not adhering to federal requirements or contract terms.
Despite federal requirements, contracting officers and their representatives did not consistently manage and oversee HealthCare.gov contracts, which supported the development of the public-facing website, an internal "data services hub" and other computer systems, according to the report.
CMS did not ensure contracting officer's representatives had earned the proper certification for managing large-scale IT contracts, according to the report.
The report also found that CMS failed to appropriately document the actions it took surrounding contract actions. The lack of supervision contributed to unauthorized costs and delays, according to the IG.
Contracting personnel may have also crossed an ethical line.
An agency employee who participated in the panel responsible for awarding one of the largest HealthCare.gov contracts to CGI Federal had previously worked as a subcontractor to CGI Federal on separate CMS contract, according to auditors. The audit was completed in response to requests for review from both the department and Congress.
"The problems that consumers experienced raised concerns about the department's oversight of the contractors involved in the development, implementation and operation of the federal marketplace," the report stated.
NEXT STORY: CIOs: Tell Your Legacy IT Horror Stories


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The company OnePlus released an update for Android 10 demo phone two OnePlus 7 and OnePlus 7 Pro earlier this month. Now, I started off the company OnePlus finally released an update for Android 10 official and final phone two OnePlus 7 and OnePlus 7 Pro.
With the updated Android 10, the moving interface OxygenOS in both phones to version 10. And brings the new update a new user interface and the powers of the improved site, and a new customizable in the settings. Moreover, this new update brings with it a new feature called Game Space which allows you quick access to all the games and options like putting Fnatic Mode and Optimization Graphic all in one place. Besides, the new design includes gestures at the level of the entire screen lets you drag from the left or right edge of the screen to return. In the case if you're interested in learning more about the things that come out Android 10, we suggest you take a look at this article detailed here.
Being the version update Android 10 phone two OnePlus 7 and OnePlus 7 Pro on the stages, which means that only a limited number of users who will receive this update at the moment, but we expect the arrival of this update for the rest of the users within a few days in case if you did not discover any errors in the update.
Also note that using a VPN to pull the update on your device may not work because the update is random and depends on the region. So, all you can do is to appearance the notice of the update on the device, because the company did not publish the download links after.


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Rossano Ferretti Parma Favoloso 18 Natural Defining Mousse
Which hair type is it good for? Straight Wavy Curly Coiled Tightly Coiled What it is: A gas-free styling mousse to boost volume and control during your styling rituals. Key benefits: - Increases the look of hair volume - Creates a natural, light hold - Leaves hair manageable If you want to know more & Favoloso 18 Natural Defining Mousse leaves hair with touchable style, and is ideal for all hair types thanks to its gas- and alcohol-free formula. Its made with natural ingredients to give you the best results possible. Rossano Ferretti shampoos do not contain aggressive surfactants. The cleansing agents in the formulas are normally used to clean contact lenses, allowing a gentle, respectful approach to hair. The whole product range is free of parahydroxybenzoates, formaldehyde, and SLS. What it is formulated WITHOUT: - Parabens - Sulfates - Phthalates What else you need to know: Inside its black and white packaging, a green heart beats. Rossano Ferretti Parma products benefit from the best that nature can offer for the beauty of hair. The Rossano Ferretti Parma hair care portfolio is unsurpassed in excellence, thanks to a high concentration of the finest raw materials from plant and vegetable oils, optimized in durability and stability by a minimum use of the most advanced biopolymers. This product is also cruelty-free and 100 percent made In Italy. Suggested Usage: -After shampooing with Vita Rejuvenating Shampoo (sold separately), apply one to two walnut-size amounts to towel-dried hair. -Leave it to work for a few minutes, then rinse- Size: 5.07 oz/ 150 mL Ingredients: -Aloe Barbadensis Leaf Extract: Hydrates hair. -Hydrolyzed Sweet Almond Protein and Hydrolyzed Wheat Protein: Detangle, nourish, and smooth, giving the hair an exceptional look. -Linseed Seed Extract: Makes the hair shiny and supports hair elasticity. -Panax Ginseng Root Extract: Provides anti-aging benefits. Water, Hydrolyzed Wheat Protein, Hydrolyzed Sweet Almond Protein, Aloe Barbadensis Leaf Juice, Linum Usitatissimum (Linseed) Seed Extract, Panax Ginseng Root Extract, Lauramine Oxide, VP/Methacrylamide/Vinyl Imidazole Copolymer, VP/VA Copolymer, Polyquaternium-10, Amodimethicone, Trideceth-9, PEG-40 Hydrogenated Castor Oil, C12-14 Sec-Pareth-7, C12-14 Sec-Pareth-5, Polysorbate 20, Citric Acid, Sodium Benzoate, Potassium Sorbate, Gluconolactone, Phenoxyethanol, Butylphenyl Methylpropional, Hydroxycitronellal, Hydroxyisohexyl 3-Cyclohexene Carboxaldehyde, Hexyl Cinnamal, Linalool, Limonene, Fragrance.
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Are you studying Agriculture, Animal Science or a related field? Would you like the opportunity to secure a fully funded PhD or Post Doc? Be quick, applications close December 31st. Alltech Young Scientist has discovered some of the best and brightest upcoming agri-science researchers from colleges and universities around the world. To find out more, visit: http://education.alltech.com/alltech-young-scientist or email email@example.com
Alltech Lienert Australia unites innovative companies
Australia's leading animal health and nutrition companies, Alltech Australia and Lienert Australia, will unite to form Alltech Lienert Australia Pty Ltd. as of Jan. 1, 2018. The current activities of KEENAN and Alltech E-CO2 in Australia, both of which are Alltech companies, will be conducted under Alltech Lienert Australia Pty Ltd. This union will align the offerings and services of …
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